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BLD2000-00459
• BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00459 Received Date 07/17/2000 SITE ADDRESS: 35 OUTLOOK LN Issue Date 07/24/2000 PORT LUDLOW, 98365 Expiration Date 07/24/2001 APPLICANT: OLYMPIC REAL ESTATE DEVLOP LLC PHONE: (360_437-2101 781 WALKER WAY PORT LUDLOW WA 98365 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 93 PARCEL NUMBER: 998700093 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC REAL ESTATE DEV LLC PHONE: (360)437-2101 781 WALKER WAY PORT LUDLOW WA 98365 Contractor's License: OLYMPRE010M8 Expires: 07/01/2001 LOAN LENDER/ PARKER, SMITH & FEEK BOND HOLDER: S#4Grt ?Iith% PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE REQUIRED INSPECTIONS: [yam o Set5a` s (Shoreline Setbacks): "F Ls /'ex: O/ci/l ///q/1)cy a [ Foundatio . ID/< / sycl p U [ ] Underground Plumbing/Underground Insulation [1•]` ar W$II: e'/e / /c/ [ ] (Framing/Plumbing Ok /A.? -o[ � hi [ ] Propane Tank/Lines: e:'/t //2.�.510( [ 5/C: 7///1° [ a ccupancy Approv 1Q/C /?(©l HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00459 Received Date: 7/17/2000 SITE ADDRESS: 35 OUTLOOK LN PORT LUDLOW, 98365 APPLICANT: OLYMPIC REAL ESTATE DEVLOP LLC PHONE: (360_437-2101 781 WALKER WAY PORT LUDLOW WA 98365 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 93 PARCEL NUMBER: 998700093 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC REAL ESTATE DEV LLC PHONE: (360)437-2101 781 WALKER WAY PORT LUDLOW WA 98365 Contractor's License OLYMPRE010M8 Expires 07/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: / el? VALUATION 130,311.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: /R HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1 OCCUPANCY: U-1 OTHER: CONST TYPE: 5N GARAGE: 119', ,yg� _ SHORELINE: CONST TYPE: 5-1HR '' SETBACK: DECK: ?7S_� BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER S - EM: LUDLOW PARCEL TAGS: YES NO BEDROO S: BATHROO STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: Seismic Streams Total: 2 Total: Flood Way Flood Plane F&W Landslide Routine: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,167.35 LMB 07/13/00 32185 �� State Building Code $4.50 LMB 07/13/00 32185 O Potable Water Application $30.00 LMB 07/13/00 32185 Total: $1,201.85 !I I " 2000 Jefferson County Nanning & Building Department is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development 4., �'°�. _j 621 Sheridan Street,Port Town :nd WA 88368[3111378-4450 W ` . o dPpUkd o . .• -"°':---:6--1—'—',..., PErms7 Project Description: Building Type: Project Type: Frame Type: Single Family New ❑ Wood Garage Attached/Detached ❑ Addition ❑ Steel Modular ❑ Alteration/Remodel ❑ Concrete Commercial ❑ Repair Masonry • Multi-family/#of Units ❑ Demolition ❑ Other: • Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existin;: ❑ Sewer ❑Community System ❑ Electricity ❑ Oil Proposed: Propos•d: ❑ Individual System ❑ Woodstove 0 Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump �, ❑ Conventional ❑ Alternative ❑ Other aI • Permit# SEP Water Supply: A-35 n 0 ✓ • Private well ❑ — o arty Well L`public:Name 4 w tem: Square Footage: 0° v For Office Use Only Main Floor /72s 7 \ l D f 1 UBC OCCUPANCY GROUP 2ND Floor 7 1 ' t!. 3° I I Base fee SZ) • `ii 6' 3rd Floor Plan Check fee' 11 Qv Htd Basement ! State Surcharge fee — ^ Unhtd Basement I Subtotal ' 7 Y 6 Garage/Carport A q Pot Water Review fee Decks 911/Rd Approach fee q _ Commercial / TOTAL L ? T 4.. Industrial Receipt,# t- 5 Y S'--7 yo 1 Other Cash/Check# / 97 Total Valuation: � Initials Or 1 Date i6 —` 9 -C/ � Estimated Cost: ti If within 200' of the :.horeline, Distance to Bank or Or.'„,. High Water Mark ft.Bank Height ft. By signing the application form,tlapplicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by e applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify d hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a of or in consequence of the granting of this permit. I further agree to provide accesstd right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and anyrequired later inspections. Access and right of entry to the plicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: SENT BY:POPE RESOURCES DEVEL : 9-21— 0 :12:52PM : 1 360 4372522— 360 379 4451 :# 2/ 3 Affirm Doty Pirmit ON co Par �et Street wort Towing WA UMW PMvi. 4• j i 11 .'";..'. ''ali ot 0 . Perot AppiGeamo .: ,.„.,,,,,,,c,,_ STOCK PLAN 5 35' 0 LA3 1t Project Description: New Single Family Residence w/Attached Garage 17ft xD -9/V ` Buildingloot* Type: Project Type: Frame Type: i Single Family 7p New XX Wood X Garage Attached/Detached 0 Addition 2 Steel Modular u Alteration/Remodel 2 Concrete Commercial 0 Repair Maso E mY _ Multi-famityr/#of Units C Demolition : Other Industrial Ocher Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Goose one: Existing: _Q,_ Existing: 8 X Sewer :Community System 0 Electricity 0 Oil Proposed ,v,2____ Proposed 3 0 Individual System i 7.3 Weodstove 0 Propane Total: 2 Total: —IS— If not sewer,fill out tie following: • Heat Pump 0 Conventional 0 Alternative 0 Other Permit# SEP Water Supply . Private well 0 Two Party Well Y7 Public Name of water system: Olympic Water & Sewer Square Footage: For Office Use Only C11;- Main Floor 1818 r 00 j (p 4.3o UBC OCCUPANCY GROUP a 2ND Floor 719 3_!G 7�'(P,(AS Base fee to &0 . l S 3rd Floor �k f N/A :-itd Basement State Surcharge fee l/- 5 D .rihtd Basement Subtotal 1 A , - (,p,s swinge/Carport 4 9 7 4i g 1 t7 . Pot Water R Pview fee ,. CC) Decks 275 2•1 So 911/Rd Approach Fee' c5 C,C) ;ornmercial TOTAL 4, 7. f' S 01) ndustrial Receip )they Cash' "oral Valuation: / /14 8l/ t'l ► Ini i'isi '.,, 7r a S �Z/ —0-6 ;stimated Cost: 4, ti 4<i° f within 200' of the Shoreline, Q. '' '' ) stance co Bank et Ord iary Water Mark 8 c ft. o gilt ft. 411 c` ignature: e,., e ON C�a Jefferson County Permit Center * Department of Carmody Development 1� 1213heridan Street Port Townsend WA 88368(360)378-4450 .1" .;,. a � • Uovrd DD 0 gp STOCK PLAN #4 14 eon/Geed, 44A4441114: Project Description: NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE 9 Digit Parcel Identification Number(from your tax statement): J Site Address 911#: 3$ 00-k*sig t A E, Road Name: (D%.,, -\sAk L Zip Code: 98365 Legal Description Subdivision Name: Te qL Coke 0`\\o,qe__ Block: Lot(s): 093 Section: 21 4 1 4 Township: Z'p,N Range: 1 Parcel Size (acres or square footage): Property Owner. Olympic Real Estate Development, LLC Phone: (360) 437-2101 Mailing Address: 781 Walker Way, Port Ludlow, WA 98365 Applicant/Occupant: Phone: (if different from owner) Same Mailing Address: .. - o --Rep• Jeff Evanger ._ l (360) 437-2101 Authorized R Phone: Mailing Address: 781 Walker Way, Port Ludlow, WA 98365 General Contractor. (360) 437-2101 Or Manufactured Home Installer: Phone: Mailing Address: 781 Walker Way, Port Ludlow, WA 98365 Contractor's State License Number. OLy PIZ� �� �� f Expiration Date: lc l o\j o Septic Designer: Phone: , Mailing Address: Architect:/Engineer: l Phone: Mailing Address: Loan Lender/General Phone: Parker, Smith & Feek 800-457-0220 Contractor's Bond Holder: R Mailing Address: 1 FOR OFFICE USE ONLY . . Fire District Planning Area: School District: Zone: 4/98 H.\borne\ptncnts\foam\universal plot plan c/tr< t,v_c,ci.5 i BUILDING PERMIT APPLICATION i `�- Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00459 Received Date: 7/17/2000 SITE ADDRESS: 35 OUTLOOK LN PORT LUDLOW, 98365 APPLICANT: OLYMPIC REAL ESTATE DEVLOP LLC PHONE: (360_437-2101 781 WALKER WAY PORT LUDLOW WA 98365 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 93 PARCEL NUMBER: 998700093 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: OLYMPIC REAL ESTATE DEV LLC PHONE: (360)437-2101 781 WALKER WAY PORT LUDLOW WA 98365 Critical Area Contractor's License OLYMPRE010M8 Expires 07/01/2001 Review?//7/ _ ARCHITECT/ ENGINEER : S_ oc„J f.f---' PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,204 VALUATION 130,311.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 1 OCCUPANCY: U-1 OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 592 SETBACK: CONST TYPE: 5-1HR DECK: 240 BANK HEIGHT: SEWAGE DISPOSAL: SEW H PR -- WATER SYSTEM: LUDLOW PARCEL TAGS: YES / NO BEDROOMS: BATHROOMS: STORMWATER: YES // NO AREA Wetland Erosion Exist: Exist: Seismic Streams Prop: 2 Prop: 3 Flood Way Flood Plane Total: 2 Total: 3 F&W(% ;r Landslide Routing Date: • Shoreline Y Aquifer �� ' Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,167.35 LMB 07/13/00 32185 State Building Code $4.50 LMB 07/13/00 32185 Potable Water Application $30.00 LMB 07/13/00 32185 Total: $1,201.85 is\F_BLD_App_Bld.rpt 10/29/99 • • Jefferson County Department of Community Development July 17, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: OLYMPIC REAL ESTATE DEVLOP LLC 781 WALKER WAY PORT LUDLOW WA 98365 Critical Area Review Case Number: CAR00-00312 Project Description: sfr w/attached garage Parcel Number: 998700093 S-T-R: 21-28N-01 E Site Address: 35 OUTLOOK LN PORT LUDLOW WA, 98365 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. Department o mmunity Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 • GeoResources FIELD REPORT Job No. 4924 109th St. S.W. Owner: Date: Tacoma,WA 98499 Project. Re 206/582-4098 . port No. Prepared by: Location: Arrival Time: Page: % . 1 of Purpose of Visit: Weather: Depart.Time: Permit No. This report presents opinions formed as a result of our observation of activities relating to engineering geology.We rely on any contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of our representatives. Our work does not include supervision or direction of the actual work of the contractor,his employees or agents. Our firm will not be responsible for job or site safety on this project. Attachments: Distribution: Signed: SENT BY:POPE RESOURCES DEVEL : 9-21- 0 ;12:53PM : 1 360 4372522 360 379 4451:# 3/ 3 uarciruu 1u:40 rm. 'Lull+76U+L4U4 14acLearnt>berrp Ii)O2 '"") , e Revision 1 'it' '% t:% i (1.4 '''''.' IS) %.ce 1.:\ 'rt° .ck ip.*-k' G Q il 9,ACk p, v.OF NrS ,, 54;'t)- 1 (CN . Oi- +li y�"7 7r`Nfrvik ,�eN "•'"tawa"� .. ,1y '.,,, .��'j ye 2.4J IYyM e r t F,e.. ',Y' 01 Ir f •' 02 ,•4 �[ ) lilt 'M1 ;1 n.As+sww'Aa... {ar:::! .-•..r$' lam'. 1 t gyp! . �q' —4,�,"e:A%'`*'a*'",• , •.< :€ , '", - � w IMP r ,?v 77�} Lr 'S ew.a»»r #t� 4} .q. x {' ,• - ax$. w..e.n a a1•.1e °' „A.....P'`x,1'44 ., L y� n.sa�A �/ '`�F% l H iii s+rww.� a*, vss..V. �• .. ....A.. igs el a z: > ., c ..F.r 41e 1i'1.4.,r !pY LL JCA: }Y r .,, ir, .e� "' A A4%A1/.Y. N. wTI .Wy' 'hit'a _ 1{ . '.vh JY +.. •• 0 . .:.7,-.. 5 t),,, f 53 '� or, '''.! ( MACLE ISBERRY, Inc. Olympic Resource Management , I(440and w..Tos�o Ci ii E in..rs o Plata=u:r. Teal Lake Village 159 Wjntt�G.7 NB Ba mlrr d Ie1�d,�A 9811U Dmo Lot 93 Plan 5L plums:(206)842-5514 r ainaile:(206)780.2408 �r 9AA1 01"ll SEPT. 21, 2000 'a Iva 97064 oNcomvbr BAYI tteeti r a 20' 1,4tI 1 d I