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HomeMy WebLinkAboutBLD2000-00397 • 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 #: BLD00-00397 Received Date 06/19/2000 SITE ADDRESS: 24 BLUEBERRY HILL RD Issue Date 06/22/2000 PORT LUDLOW, 98365 Expiration Date 06/22/2001 APPLICANT: JIM FOSTER PHONE: (360)437-0412 SHARON FOSTER 24 BLUEBERRY LANE PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: 58 PARCEL NUMBER: 821334060 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: B & C CONSTRUCTION PHONE: (360)437-0904 91 CRESSEY LANE PORT LUDLOW WA 98365 Contractor's License: BBCONO88PW Expires: 10/14/2000 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION FINISH BASEMENT REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: h WaII: [ (Framing/Plumbing O/ 7 2 /00/7k - [ ] Propane Tank/Lines: [� Insulation: t'C 7(41 [oi4I0e. [ ] Sheetrock: -7 11/0,1 g---d-0 r-1. Final/Occupancy Approval: Of/ �'i g If, 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 #: BLD00-00397 Received Date: 6/19/2000 SITE ADDRESS: 24 BLUEBERRY HILL RD PORT LUDLOW, 98365 APPLICANT: JIM FOSTER PHONE: (360)437-0412 SHARON FOSTER 24 BLUEBERRY LANE PORT LUDLOW WA 98365 SUBDIVISION: Block: Lot: 58 PARCEL NUMBER: 821334060 Section: 33 Township: 28 N Range: 01 E CONTRACTOR: B & C CONSTRUCTION PHONE: (360)437-0904 91 CRESSEY LANE PORT LUDLOW WA 98365 Contractor's License BBCONO88PW Expires 10/14/2000 ARCH ITECT/ ENGINEER : PROJECT DESCRIPTION: FINISH BASEMENT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 8,936.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 4 Exist: 3 Wetland Erosion Prop: Prop: Seismic Streams Total: 4 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural 1-'r ximlt - Hat Conditions Type Amount Paid By: Date: Receipt Approved ate Permit $167.25 MAM 06/19/00 31640 Plan Check $50.18 MAM 06/19/00 31640 State Building Code $4.50 MAM 06/19/00 31640 Total: $221.93 J(j 2 2000 Jefferson County Planning &Building Department I:\F_BLD_App_Bld.rpt 10/29/99 3 , ,. Jefferson County I,:partment of Community I :vehement i 1,N co�� 621 Sheridan Street;Port Town,•:nd WA 88368[360)378-4450 f j .\\ r3 G 4. -31. ..,. * perm el, /,,,\ pOc ©� Project Description: Building Type: Project Type: Frame Type: 6 Single Family ❑ New tit, Wood 1 '"Garage Attache?'Detaeired ❑ Addition E Steel Modular i►.Alteration/Remodel ❑ Concrete E Commercial ❑ Repair ❑ Masonry E Multi-family/#of Units E Demolition ❑ Other: ❑ Industrial E Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing Existing: — rkSewer E Community System ❑ Electricity ❑ Oil Proposed: Proposed: 0 ❑ Individual System ❑ Woodstove ❑ Propane Total: Al Total: —' — If not sewer,fill out the following: KHeat Pump Conventional ❑ Alternative ❑ Other Permit# SEP Gl D - 15‘,___ Waer Supply: V Private well Two Party Well Public:Name of water system: Square Footage: For Office Use Only 1 Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fee (c2� ZS 3rd Floor Plan Check fee 5 L' , ' - O Htd Basement State Surcharge fee Unhtd Basement Subtotal Z Z` , 613 Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee Commercial TOTAL 2-2-k c 61 3 Industrial Receipt# 1 to`i d Other Cash/Check# Z.--_-_-- j Total Valuation: ..it'.'is v 1"-. Or Date 0 -( -t3- Estimated Cost g,a 3 G . ya If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. 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 attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access 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 entry to the applicant's property or structure shall be requesteds and shallJ� 6-occurhours.during regular business p Sib ature: A ©.Yd Rt.C CX1V S I Date: - I f—00 Jefferson County Department of'Community Development 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: D ase 9 Digit Parcel Identification Number (from your tax statement): 2 c Site Address 911#: ( . , r ,n4 Road Name: /3 ue,bart l aM e Zip Code: 9836 S Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): Property Owner: 31m Fim r Phone: /37 _ Q �/ � d- S�tary Mailing Address: Lt 13Iuebarr y �a�r Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: 13.j-C Phone:Lf3 7---0 5 D y Mailing Address: 9 1 1�.t5 s es,/ K e / O r i Lu 4 Contractor's State License Number: B C O N p Expiration Date: Septic Designer: itOf Phone: Mailing Address: Architect:/Engineer: 4/R Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: 1/4 Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/CO H:\home\pincntr\forms\universal plot plan 9 Lc- \� x ,_X. ;1 f— ':,.. =* - i 1 e 7 o ;jig -� , i. —:j uF ED._.. 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