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HomeMy WebLinkAboutBLD2000-00364 • 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 #: BLD00-00364 Received Date 06/5/2000 SITE ADDRESS: 190 DICKEY ST Issue Date 05/21/2002 PORT LUDLOW, 98365 APPLICANT: RONALD L MICKENS PHONE: (360)437-7770 PO BOX 65460 PORT LUDLOW WA 98365 SUBDIVISION: TRAIL'S END 2ND Block: Lot: T 11 PARCEL NUMBER: 950101325 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION DETACHED GARAGE REQUIRED INSPECTIONS: �I [ ] SETBACKS / Footings: /1/S/afi [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: hC.1.4 � T� ' I, S 4 LDS -• [ ] Shear Wall: jJ< 4/r bSgG' [ ] Framing lumbing: //o/z 4 L [ ] Propane Tank/Lines: /l® [ ] Insulation: A) [ ] Sheetrock: ,tJJA4 [ ] Septic System Final Approval: [ ] Zoning Final Approval: [ ] Final/Occupancy Approval: / #:/' HEALTH DEPARTMENT A PR�VAL 'EQUIRED 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. HOT LINE AVAILABLE 24 HOURS A DAY 1 BLD93-00608 1 BUILDING PERMIT APPLIIKTION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00364 Received Date: 6/5/2000 SITE ADDRESS: 190 DICKEY ST PORT LUDLOW, 98365 OWNER: RONALD L MICKENS PHONE: (360)437-7770 PO BOX 65460 PORT LUDLOW WA 98365 SUBDIVISION: TRAIL'S END 2ND Block: Lot: T 11 PARCEL NUMBER: 950101325 Section: 16 Township: 27 N Range: 01 E 9 CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): TONY KIRSCH PO BOX 65143 PORT LUDLOW WA 98365 PROJECT DESCRIPTIO DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 28,850.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 1,224 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity__ plat Conditione Type Amount Paid By: Date: Receipt: A Prty Permit $223.25 MAM 06/05/00 31612 Plan Check $66.98 MAM 06/05/00 31612 MAY 2 , State Building Code $4.50 MAM 06/05/00 31612 2002 Permit $431.65 ZAN 05/21/02 47648 Jefferson County Planning & B 'Wing Department Total: $726.38 ,/(4464Scfr g ON c • Jefferson C y Department of Community Development ti °6 621 Sheridan Streel Port Townsend WA 88368[3601370-4450 - . no 1 1 1 �S is-0App _ ocQvoon1 Project Description: 6 e�..6%. 41 Building Type: Project Type: Frame Type: ❑ Single Family Lie-new 3.Werod ["Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: a s : .c i . , Bathrooms: Bedrooms: Type of Sewage'Disposal: Type of Heat: V 6 Choose one: t4Ae, Existing: , Existing. ❑ Sewer ❑ Community System D Electricity ❑ Oil Proposed: C> Pr©posed: 6 ❑ Individual System ❑ Woodstove ❑ Propane Total: (> Total: C.) If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional CI Alternative ❑ Other <, i Permit#'S1 P Water Supply: ❑ Phitate well ❑ •Tw9'Party Well CI Public:Name of:water'system: t, d Square Footage: For Office Use Only Main Floor t Consistency Review Q' 2ND Floor . i. ' ` .. .. Base fee '' y3 I 1hS 3rd Floor Plan Check fee—GJr° Htd Basement State Surcharge fee Unhtd Basement Al( A 2 Subtotal . •', Garage/Carport 1 .2 Z I / Pot Water Review fee Decks 911/Rd Approach fee Commercial 1111 _-- i-- TOTAL "1 3 I. (0 S Industrial Receipt# ' I -7 Co ( Other Cash/Check# 6.'9 ? L Total Valuation: L b Initials �'L'� ' Or Date S/24 it)Z Estimated Cost: ,t. If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. 1 By signing the application form,the applicant/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 the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against JeffersonCoulty as 4 result of or in consequence of the granting of this permit. � r t . i I further agree to providpp ss and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of en e applicant' roperty r structure shall be reques�ed and shall occur during regular business hoyrs. Signature: � , �'. ^y'= 'a ", ', g Date• OVER t H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpennitApplication 11-8-01 BUILDING PERMIT APPLICATi 'ION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00364 Received Date: 6/5/2000 SITE ADDRESS: 190 DICKEY ST PORT LUDLOW, 98365 APPLICANT: RONALD L MICKENS PHONE: (360)437-7770 PO BOX 65460 PORT LUDLOW WA 98365 SUBDIVISION: TRAIL'S END 2ND Block: Lot: T 11 PARCEL NUMBER: 950101325 Section: 16 Township: 27 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ JAMES J YEAGER ENGINEER : PO BOX 1452 KINGSTON WA 98346 PROJECT DESCRIPTION: DETACHED GARAGE TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 12,240.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,224 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural —Proximity - I-'lat C d dons Type Amount Paid By: Date: Receipt •• moo Permit $223.25 MAM 06/05/00 31612 A • : V E D Plan Check $66.98 MAM 06/05/00 31612 J), _'\44-4-k State Building Code $4.50 MAM 06/05/00 31612 J U( 1 9 2000 Total: $294.73 Jefferson Countyr,I?ir1 & Building Depart^;e. ; I:\F_BLD_App_Bld.rpt 10/29/99 8,AoN Jefferson County Permit Center 'Apartment of Community Development °� 621 Sheridan Street,Port Townsend WA 083688 60)370 4.450 w : ,-) 0 ? rmt Apptiocallosen Project Description: 614(C,h6 L 61.e 3 Building Type: Projectf ` Type: Frame Type: ❑ Single Family L�New { lood VGarage 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 HeaGU t: Choose one: '"``itai( Existing: 0 Existing: D ❑ Sewer ECommunity System E Electricity ❑ Oil Proposed: 0 Proposed: 0 ❑ Individual System ❑ Woodstove ❑ Propane Total: 6 Total: 0 If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit # SEP Water Supply: ❑ Private well ❑ Two Party Well ❑ Public:Name of water system: Square Footage: For Office Use Only ii Main Floor UBC OCCUPANCY GROUP �� u 2 /�,� 2ND Floor Base fee 223 . ! l J(• v 3rd Floor Plan Check fee (0C) .Ci g Htd Basement l State Surcharge fee 4 Unhtd Basement Subtotal 2,9 LI :13 Garage/Carport k 'Z Z-Lt l( Pot Water Review fee Decks N 1 911/Rd Approach fee Commercial TOTAL Zq 4. . Industrial Receipt # 31 to 1 R Other Cash/Check # SID S Total Valuatio . i ZZ Initials 'Ss-(/\ Or — Date L• S r Q 0 Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. Signature: °- t,'d 4L ki,,,, Date: 6- C- OD 4 L J L/LI — C 2.y-- ,, •BUILDING PERMIT APPLICOION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 '" 'PERMIT #: BLD00-00364 Received Date: 6/5/2000 0 SITE ADDRESS: 190 DICKEY ST PORT LUDLOW, 98365 C'` APPLICANT: RONALD L MICKENS PHONE: (360)437-7770 PO BOX 65460 PORT LUDLOW WA 98365 SUBDIVISION: TRAIL'S END 2ND Block: Lot: T 11 PARCEL NUMBER: 950101325 Section: 16 Township: 27 N Range: 01 E 1 CONTRACTOR: OWNER PHONE: 1 l f ARCHITECT/ JAMES J YEAGER ENGINEER : PO BOX 1452 IKINGSTON WA 98346 PROJECT DESCRIPTION: DETACHED GARAGE , TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 12,240.00 ADD'L: HEAT TYPE: UH CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 1,224 SHORELINE: CONST TYPE: SETBACK: DECK: BAyX HEIGHT: E SEWAGE DISPOSAL: SEW q — ') WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWAT : YES NO AREA Exist: Exist: Wetland r Erosion art Prop: Prop: Seismic Streams Total: Total: Flood Way 110 Flood Plane ''�`� F&W till Landslide Routing Date: Shoreline rn) Aquifer Forest: Commercial r: Rural ire . . Proximity Prat C•.d Ions-, .0 Type Amount Paid By: Date: Receipt:— A. o •!e.: Permit $223.25 MAM 06/05/00 31612CTjtJC .1 .- Plan Check $66.98 MAM 06/05/00 31612s J �o State Building Code $4.50 MAM 06/05/00 31612 Total: $294.73 iloo wwww, • --1(4(' _ raitr4----Aier I:\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department Ilkonnmunity Development July 19.00 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: RONALD L MICKENS PO BOX 65460 PORT LUDLOW WA 98365 Critical Area Review Case Number: CAR00-00237 Project Description: Detached Garage Parcel Number: 950101325 S-T-R: 16-27N-01 E Site Address: 190 DICKEY ST 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 A as Ordinance. (24' Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 • • g�orr co Jefferson County Permit Center * Department of Community Development 4 4 �,,, �. 621 Sherida i Street, Port Townsend WA 88368[360]37 -9 4450 s � UH.112TSC ticctaite, 61awa„ aQ eosegeee4 as jiatalle: Project Description: 1-INC 1,1 G\12i C E. 9 Digit Parcel Identification Number(from your tax statement): s 9 5 ) )C432--~ Site Address � 911#: '19 Road Name: 1>1C KC i : Zip Code: 9 - -- Legal Description 21,74 . j,,Z • Subdivision Name: C--jZ A-Es./ j�,�, Block: I2 j Lot(s): Section: Township: Range: Parcel Size (acres or square footage): Property Owner: A.t � Phone: }4.0 Mailing Address:?t:,; 11(C pcj,tz1 L (:\0 'sl Wit C16:24cc— 646C. Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: C�tl1/4) Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Yt —L Phone At e 2.a MaiP ddVi: \<kANcIST6i) `l)k- q4)34(z Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FDA O FIC USE`ONLY Fire District. Planning urea School I istric Zone: 4/98 H:\home\pincntr\forms\universal plot plan 12'-V 30'-10' -- - — - ---- -- - � SETBACK l� i seraacK / EX15T'G STRUCTURE' i 36' 13 Y tL \ \\ N \,PROPOSED STRUCTUREWE \ \ \ I \\ \ I \ \\\ \\\ \ TENK ✓E' Ll i i �> /V rj ,GP I I EXI5T'G DR_'1Nr1ELC I I j E/15T'G DR ,NPELD i' I i I 1 -- In ru S I I PLAN. 5CALE : V=I0'-O' PLAN NO. 54x5&x 14-5 JOS NUMBER MM055 WEST SOUND ARCHITECTURE AND DESIGN P.O. BOX 1452 KINOSTON, NA c15546 360-2L17-5233 FAX 360-29-I-8391 UOFWASHI DRAWN E5 SGOTT S. DATE 05-12-2f< REVISIONS All dimensions & conditions shall be verified by the contractor prior to the start of constructioyf OWNER: \ vC RON MICKENS P.O. BOX 65460 f n �+�♦ PORT LUDLOW, WA Q8565 560-457-7770 ui DRAWING: 51 TE PLAN 5�e,et M 0 PERMIT # BID 0 0 0 - 0 3 6 4 0 JEFFERSON COUNTY DCO 0 Q