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HomeMy WebLinkAboutBLD2000-00570 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 #: BLD00-00570 Received Date 09/1/2000 SITE ADDRESS: 140 OLYMPUS BLVD Issue Date 09/7/2000 PORT LUDLOW, 98365 Expiration Date 09/7/2001 APPLICANT: GORDON BYRNE PHONE: 140 OLYMPUS BLVD PORT LUDLOW WA 98365 SUBDIVISION: OLYMPUS BEACH Block: Lot: 55 PARCEL NUMBER: 978900034 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License: WALTECC012BA Expires: 01/01/2001 LOAN LENDER/ ALL STATE INSURANCE BOND HOLDER: PROJECT DESCRIPTION RESIDENTIAL REPAIRS (CAUSED BY CAR COLLISION) REQUIRED INSPECTIONS: [ "ootings/Setb- . (Shoreline Setbacks): [ ound. .-. i . if-- P P © ?'c=^/Z . [ ] Underground Plumbing/Underground Insulation: [ ] Shear W-II: d Mumbing: 6K 00�b/ [ 4 ropane Tank/Lin _. d Pe le e .� ✓ Lcrr' t 2 '77////p0 ��(. d Iris C/ 2 t� 06,Tty [ ] Sheetrock: [r Final/Occupancy Approval: 4/9 9--/9-O/ 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 #: BLD00-00570 Received Date: 9/1/2000 SITE ADDRESS: 140 OLYMPUS BLVD PORT LUDLOW, 98365 APPLICANT: GORDON BYRNE PHONE: 140 OLYMPUS BLVD PORT LUDLOW WA 98365 SUBDIVISION: OLYMPUS BEACH Block: Lot: 55 PARCEL NUMBER: 978900034 Section: 04 Township: 28 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 01/01/2001 ARCHITECT/ TILLMAN ENG ENGINEER : PO BOX 1375 PORT HADLOCK WA 98339 PROJECT DESCRIPTION: RESIDENTIAL REPAIRS (CAUSED BY CAR COLLISION) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 17,889.00 ADD'L: HEAT TYPE: PRO 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: ALT WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 1 Wetland Erosion Prop: Prop: Seismic Streams Total: 2 Total: 1 Flood Way Flood Plane F&W Landslide Routing Date: q `� yO 0 Shoreline Aquifer Forest: Commercial Rural —Proximity - Flat C d tlons Type Amount Paid By: Date: Receipt: Approve��ate Permit $293.25 MAM 09/01/00 34133 Plan Check $87.98 MAM 09/01/00 34133 E State Building Code $4.50 MAM 09/01/00 34133 :_ ,I Total: $385.73 S 7 2000 Jefferson Coonty Moaning &Building Oepartri nt i s\F_BLD_App_Bld.rpt 10/29/99 r �8ffe1'5011 DEW alliartment of C nnflty Development 4�gsoN cow i21 sher dan street,Port Townsend WA 8�68[3�01378-4450 w o permtlir_,;„........, _ A -tdp �Rr�v !,,,,,,,, . .....j, 4 Project Description: ,; L. t >l_i," `C i ,....(1.LL,L�(1 }.` t, C:;. { i •,• .1,` t .r C h... Vic, ( `,� Y�'l y r`i Burl d Type: Project Type: Frame Type: t3'Single Family ❑ New ®WWood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial pair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other ❑ Industrial ❑ Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: (loose one: Existing: Z Existing: I, ❑ Sever ❑Community System ❑ Electricity ❑�� Oil Proposed: O Proposed: L9�Individual System ❑ Woodstove mYI'ropane Total: 2 Total: 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 Main Floor UBC OCCUPANCY GROUP 2ND Floor Base fees 3rd Floor Plan ;heek fee Htd Basement State Surcliirge-fee , , .. Unhtd Basement Subtotal e Garage/Carport Pot Water Review fee ' Decks 911/Rd Apgroach fee. ' ""� Commercial TOTAL " / _. Industrial Receipt# / / .. _.— Cash/check# / a%-t Other _.....___ Total Val on: i -2 3�-I 2- Initials ' Or — Date ' Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary H Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and torten to the best of their knowledge. Any material falsehood or any omission of a material fact mho by the applicant/ownerwrth respect to this application par}spt may result in this permit being null and void I further agree to save,ind rnnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney 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 anyrequired later inspections. Access and right of entry to the applicant's prop shall be requested and shall occur during regular business hours. Signature: Date: g / O� „ M- 0'4`" /k „/�- am / Jefferson County Department of Community Development oN c c, 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 ti �So$ Universal Plot Plan HIN Fill in the following blanks as completely as possible: Prs'ect Description: \` .)Ct jt- 1° L- _. ' C CI C Cu--._ C TE S`. ,-; . -�'----T+ 9 Digit Parcel Identification Number(from your tax statement): v goo (-f Site Address 911#: (4Ce ut .. L:,i Road Name: (t 0 ,J to G j Zip Code: Legal Description Subdivision Name: tgA , i Block: ° t).114,. Lot(s): Section: Township: , age: 1 Parcel Size (acres or square footage): Property Owner Phone: Mailing Address: - — Applicant/Occupant: _ Phone: (if different from owner) `1,L'as.LsLuiTh.6t uu q Cc,,e-s5-V- (...,-r __ 3 " .3 -_ C ( = Mailing Address: c- 6 �� l eta -'7'L� " Ems, �' i t -t %t 1 n d L l s- c L 3 L,2� Authorized R Mailin Address: �• 4 t , 1ncA....-71 ,Q-N. z.s� .- Phone: (C .-j`5 — L,r C'" g General Contractor: Or Manufactured Home Installer: Phone:`,c;_ - _ Co(C) Mailing Address: n - 1 ''') C_C-,-c\-5.--- - Cs.-_,Th -- ‘__--CMC.---) Contractor's State License Number �n Expiration Date: it,‘" Biel ( Septic Designer: Phone: Mailing Address: Architect:/Engineer: - — k \ � �'��� Phone i , - - ( c Mailing Address: Loan Lender/General 1 Phone: Contractor's Bond Holder: j4 9! h,) ( �`c t- 4-(- 3 I Mailing Address: _Lt FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan !, 1/ Ibi \cl -9 L44O oltiix.� � ! r3 r '�IYi_tS1x J /z-/ P--_:r1 I 0 ✓ 1"774° P2r '7We? i 14 ' . 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