The URL can be used to link to this page

Home My WebLink AboutBLD2000-00584 c 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 #: BLD00-00584 Received Date 09/11/2000 SITE ADDRESS: HIGHLAND DR S'// Issue Date 09/22/2000 PORT LUDLOW, 98365 Expiration Date 09/22/2001 APPLICANT: JACK D BALLARD PHONE: NOVELLE F BALLARD 46 SEA VISTA TER PORT LUDLOW WA 983659584 SUBDIVISION: SOUTH BAY#1 Block: Lot: 22 PARCEL NUMBER: 995500022 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: 437-0931 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License: HOMEAB*066PE Expires: 06/01/2001 LOAN LENDER/ HOMER SMITH BOND HOLDER: PROJECT DESCRIPTION REQUIRED INSPECTIONS: [/f Footings/Setba - Shoreline Setbacks):C is 2/7,4007fr [tom" „undatio►: (/C l0(2,(t'r) [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: )� [ ] '•-nr 722 i" ee l'Z/457C o)C fr1 'c `War Ci T L,Ne ci, A' [ ] Propane Tan k/Lines:..,ZV Z,'iW Cy / iSfc(A i ��—'T,9 es/IC [ ] Insulation: . ,<;. 4.�� .r,�kc o [ ] -etrock: —I - o o ti _ [ Fi a •ccupanc _ HEALTH DEPARTMENT APPROVAL REQUIRED PRI R 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 f t . . BUILDING PERMIT APPLICATION 3 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00584 Received Date: 9/11/2000 SITE ADDRESS: HIGHLAND DR g;c"Si/ PORT LUDLOW, 98365 APPLICANT: JACK D BALLARD PHONE: NOVELLE F BALLARD 46 SEA VISTA TER PORT LUDLOW WA 983659584 SUBDIVISION: SOUTH BAY#1 Block: Lot: 22 PARCEL NUMBER: 995500022 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: 437-0931 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License HOMEAB*066PE Expires 06/01/2001 ARCHITECT/ ICON DESIGN GROUP ENGINEER : OMAHA NE PROJECT DESCRIPTION: TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,600 VALUATION 94,087.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 525 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: 3 Prop: 2 Seismic Streams Total: 3 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: 4 - j`j! 0 Shoreline Aquifer ! Forest: Commercial Rural —PrQxim,ity Hat C d tions Type Amount Paid By: Date: Receipt: A prove��ate Permit $958.75 MAM 09/11/00 34259 PRO O , E D Plan Check $287.63 MAM 09/11/00 34259 State Building Code $4.50 MAM 09/11/00 34259 ° S I Potable Water Application $30.00 MAM 09/11/00 34259 Total: $1,280.88 Jefferson County Planning Building Department is\F_BLD_App_Bld.rpt 10/29/99 I ,- T Jefferson Canty Department of Colonially Dwelopment l a� 621 Sheridan Street Port Townsend WA [360]378-4450 ''''-7-e•-.1;yn PErmo5ne A 0 a ppij , cacom - on N Project Description: Building Type: Project Type: ' Frate Type: V Single Family /New t Garage Attached/Detached 1 Addition 2. Steel Modular 2 Alteration/Remodel 1 Concrete Commercial = Repair ^ Masonry Multi-family/#of Units = Demolition 1 Other: Industrial • • T. Other: • Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Clyose one: Existing: Existing: 2'Sewer 2 Community System Electricity —Qit Proposed: 3 Proposed: 2— Individual System Woodstove ' Pro_pane ! Total: Total: If not sewer,fill out the following: LI Heat Pump 1 Conventional 1 Alternative Other Permit# SEP Water Supply: Private well 21 Two P. q Well 2 Public Name of water system: Square Footage: r For Office Use Only Main Floor i 6 0 b" _ 1—./ UBC OCCUPANCY GROUP ?�2�Floor II! Base feed 3rd Floor Plan.Check fee 1 !••'fOr, Htd Basement State Surcharge fee yi'S o Unhtd Basement Subtotal � '� , trir e/C g azport Gara44- 00 S Pot Water Review fee ,.. /Q• Decks 911/Rd Approach fee *J -• 0 0 p� Commercial TOTAL Ji..:IG.7/„ O I' Industrial ' ,,: Receipt # �� p2 S Other '' Cash/Check# 30ii f I73 67 Total Valuation: Initials ii2AP‘r- 44 Or iiikiik4 Date Estimated Cost: If within 200' of the Shore , ;e, .,� Distance to Bank or Ordinary er M zit' ft.Bank Height ft. By signing the application form,the applican owner attests that the information provided herein is tnie and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the appli .t/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 requested and shall occur during regular business hours. Signature: Date: Jefferson County Department of Community Development 74��ivN Co,. 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 w 4 y' '�$ Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: 5 „t.j 6.t, -- ---ft re,tt.,-f ;ems to c. 9 Digit Parcel Identification Number (from your tax statement): 61q 5 Coo o3 Site Address 911#: Road Name: fkiati ILA a D 3 zi 0 6 Zip Code: 6184 tic- Legal Description Subdivision Name: < .r ii 3 4 .:A i Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): i y Property Owner: Phone: :JA�� . .5.,`�A D qq-7 Y i).3F I Mailing Address: S CIN. J t S rigk ' . Pent L—u Lc) (436,s--- Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: i r --) " 1? Phone: Mailing Address: 7.- . P c: CLIP-,D 1 L 14 , 'WV f- t,..u D Le zt-. 1 t,5' General Contractor: Or Manufactured Home Installer: .. oin e SCe i Al (ocgg Phone: 4-9 I-1)Q3 / Mailing.Address: A ?-- ritc, 4 I)( L r) . ( tDLc t3 q P4 C, Contractor's State License Number. Expiration Date: 01»F Pt 3 10.2"? (i)3 t:, -0 i .2.0e'I Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: ;CON 1)eStfiN Gizoce? Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: tA: -f I flew, S holcrif 1I4$ I - 6°1.7,_ A6 - 6 31 Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan } ro r 14 -s y,cy o �N W C O O O --I b Oc u ),. C ° - 14 , , Z CM f1[lf(iHN '''- --1(;. > , ' 0 --, 0 ENGINEERING, INC. / .00'C' _ 0 J a . j0� AirO� 66) ) °'�:� :. c Z co IZ yo OS �' z Q7 11!l II z \ NSF -0 >.,fri 100 z -Z2 , 1 NA ,O n"l _; � � ) u, M g A f; 8 y BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00584 Received Date: 9/11/2000 SITE ADDRESS: HIGHLAND DR PORT LUDLOW, 98365 APPLICANT: JACK D BALLARD PHONE: NOVELLE F BALLARD 46 SEA VISTA TER PORT LUDLOW WA 983659584 SUBDIVISION: SOUTH BAY#1 Block: Lot: 22 PARCEL NUMBER: 995500022 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: HOME ASSOCIATE BUILDERS PHONE: 437-0931 22 MCCURDY LANE PORT LUDLOW WA 98365 Contractor's License HOMEAB*066PE Expires 06/01/2001 ARCHITECT/ ICON DESIGN GROUP ENGINEER : OMAHA NE PROJECT DESCRIPTION: TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,600 VALUATION 94,087.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 525 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW ,^p ; 57/v6-cc'rA:.BIZ' WATER SYSTEM: LUDLOW PARCEL TAGS: YES •- � BEDROOMS: BATHROOMS: STORMWATER: YES -``• AREA _ > Exist: Exist: Wetland No Ero • f Prop: 3 Prop: 2 Seismic y✓� Streams �h ,'-. Total: 3 Total: 2 Flood Wax iti Flood Plane 1/L7 �; Routing Date: F&W r� P%V Landslide gyp/,) —JJ_ 0 0 Shoreline ,-V Aquifer iv `_, Forest: Commercial if Rural r/ \ roxlml -1., •.• ions ,-� Type Amount Paid By: Date: Receipt: •• "' e /"I ' • �, Permit $958.75 MAM 09/11/00 34259 ��"�" ._,_, ' eview :_ Plan Check $287.63 MAM 09/11/00 34259 '° State Building Code $4.50 MAM 09/11/00 34259 r - �,� Potable Water Application $30.00 MAM 09/11/00 34259 I I Total: $1,280.88 is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development September 22, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: JACK D BALLARD NOVELLE F BALLARD 46 SEA VISTA TER PORT LUDLOW WA 983659584 Critical Area Review Case Number: CAR00-00399 Project Description: SFD Parcel Number. 995500022 S-T-R: 21-28N-01 E Site Address: HIGHLAND DR 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 Critcal as Ordinance. / iF4r4 De rt`rnent of Community Development Sta c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99