HomeMy WebLinkAboutBLD1996-00627 JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD96-0627 DATE RECEIVED. : 10/08/96
SITE ADDRESS: JACKSON LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :CHUCK WRIGHT PHONE: 437-9610
MAILING ADDR: 101 MOCKINGBIRD LN
:PORT LUDLOW WA 98365
CONTRACTOR. . :ROBERT W THOMAS CONST INC PHONE:
MAILING ADDR:PO BOX 998
:KINGSTON WA 98346
CONTR. LIC #:ROBERWT133JA EXPIRATION DATE: 04/01/97
ARCHITECT/ . . :LISA CURTIS PHONE: 360-779-5090
DESIGNER • 21479 MILLER BAY RD
MAILING ADDR:
:POULSBO WA 98370
PARCEL NO. . . : 990600338 ALT: CON :
LEGAL DESC. . : STR 09-28-01 EWM, TAX # BY : DATE:
LOT 38, BLOCK , PORT LUDLOW 2 AREA 3
WATER: DATE:
DESCRIPTION OF IMPROVEMENT: single family residence
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1978 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •A PROP. . : 3 PROP. . : 3 HTED BSMT. : 828 sf
WOODSTOVE • TOTAL. : 3 TOTAL. : 3 UNHT BSMT. : 308 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEWER OTHER • 148 sf
TYPE OF CONST WATER SUPPLY. :LUDLOW CRPT/GAR. . : 575 sf
UNITS. : 0 STORIES: 2 HEAT TYPES. :HTP/ / DECKS • 437 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 159637 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 8531 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 1187 . 25 EMH 10/08/96 1128694
Date: PLCK $ 356 . 18 EMH 10/08/96 1128694
B.C. $ 4 . 50 EMH 10/08/96 1128694
Issued By:
Date: 1
tcy145(t� \— ALA- bl t( $ 1547 .93 TOTAL
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JEFFERSON COUNTY BUILDING APPLICATION •
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD96-0627 DATE RECEIVED. : 10/08/96
SITE ADDRESS: JACKSON LN
:PORT LUDLOW, WA 98365
APPLICANT. . . :CHUCK WRIGHT PHONE: 437-9610
MAILING ADDR: 101 MOCKINGBIRD LN
:PORT LUDLOW WA 98365
CONTRACTOR. . :ROBERT W THOMAS CONST INC PHONE:
MAILING ADDR:PO BOX 998
:KINGSTON WA 98346
CONTR. LIC #:ROBERWT133JA EXPIRATION DATE: 04/01/97_
ARCHITECT/ . . :LISA CURTIS PHONE: 360-779-5090
DESIGNER • 21479 MILLER BAY RD
MAILING ADDR:
:POULSBO WA 98370
PARCEL NO. . . : 990600338 ALT: CON :
LEGAL DESC. . : STR 09-28-01 EWM, TAX # BY : DATE:
LOT 38, BLOCK , PORT LUDLOW 2 AREA 3
WATER: DATE:
DESCRIPTION OF IMPROVEMENT: single family residence
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1978 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT •A PROP. . : 3 PROP. . : 3 HTED BSMT. : 828 sf
WOODSTOVE TOTAL. : 3 TOTAL. : 3 UNHT BSMT. : 308 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : SEWER OTHER • 148 sf
TYPE OF CONST WATER SUPPLY. :LUDLOW CRPT/GAR. . : 575 sf
UNITS. : 0 STORIES: 2 HEAT TYPES. :HTP/ / DECKS • 437 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 159637 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 8531 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 1187 . 25 EMH 10/08/96 1128694
Date: PLCK $ 356. 18 EMH 10/08/96 1128694
B.C. $ 4 . 50 EMH 10/08/96 1128694
Issued By: 979
Date:
$ 1547 . 93 TOTAL
A6-: �G
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368
BUILDING PERMIT APPLICATION
PROJECT DESCRIPTION: Aie 8/v i e. .t ni l y rstdenceJ
BUILDING TYPE: PROJECT TYPE: FRAME TYPE:
Ati SINGLE FAMI Z NEW 3ii7 WOOD
01, GARAG TTACHED ETACHED 0 ADDITION 0 STEEL
❑ MODULAR 0 ALTERATION/REMODEL 0 CONCRETE
❑ COMMERCIAL 0 REPAIR 0 MASONRY
❑ MULTI FAMILY/# OF UNITS ❑ DEMOLITION ❑ OTHER
❑ INDUSTRIAL
❑ OTHER
BEDROOMS: BATHROOMS: TYP EWAGE DISPOSAL:
EXISTING -0 EXISTING -e^' T0f SE 0 COMMUNITY SYSTEM
PROPOSED .3 PROPOSED -J 0 INDIVIDUAL SYSTEM ❑Conventional
TOTAL 3 TOTAL -3 PERMIT # SEP ❑Alternative .
WATER SUPPLY: TYPE OF HEAT:
❑ PRIVATE WELL (, 0 ELECTRICITY 0 OIL
APUBLIC Name of water system' a 0 WOODSTOVE 0 PROPANE
Olarplitli p HEAT PUMP ❑ OTHER:
SQUARE FOOTAGE: FOR OFFICE USE ONLY
MAIN FLOOR d Z? `�..C/ !�3
UBC OCCUPANCY GROUP
2ND FLOOR
3RD FLOOR BASE FEE S �:,2
HTD BASEMENT 0,7,F) l�, �7y PLAAt CHECK t
UNHTD BASEMENT S eb `- 3 DS�� STATE SURCHARGE 4:50
CARPORT St2BTOTA / ' ,� a
GARAGE 5 75 u St 76 O POTABLE ::WATER` ''
/j.
DECKS t � v �l ?� 9I2/ROAD APPROACH
COMMERCIAL
GRAND TOTAL r
INDUSTRIAL
OTHER Vitlheated r� i 46 v G� �� RECEIPT
w
TOTAL VALUATION CAS CK::#
or IN TIALS
ESTIMATED COST /59 4rS7
BAT {
E :
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE N/A- ft BANK HEIGHT AIM- ft
SIGNATURELitea_i6tAdVr..(1?F' LIST Ct1r7-73 CC�%&TE (.0, y `co
f c1-W YU-216117
NAME (PLEASE PRINT) i-(SP G11 F- I (�' H:\Home\Pincntr\Forms\Bldapp.DOC 4/96
Jefferson County Permit Center, 621 Sheridan St, Port Townsend WA 98368
UNIVERSAL PLOT PLAN
Fill in the following information as completely as possible.
Project Description: /cL eit ce-i( -pits (u t fa-r 1+
9 Digit Parcel Identification Number (from your tax statement) 1el 0 (Quo
Site Address:
91 1# & Road Name T/cc DrP L FT 1.4)01.01,kZip Code ClE G
Legal Description: d(tru /� )
Subdivision Name
Section CI Township "Z' North,Range .1 E WM
Parcel Size (acres or square footage) ' !• t �F
y
Property Owner (J 1", 1"1,TPhone / � Z
Mailing Address 101 IV\066-11`36t3112,10 FOnT LU let) , (t b
Applicant/Occupant Phone
(if different)
Mailing Address
Authorized Rep A 't1� 'T (' /( 1V Phone
Mailing Address
General Contractor ROB [ W 7t 0/3 Phone 2-9.-7'11 ZZ
Mailing Address C2. f C)ik IC(' l tJ&$I oY'`' W�
Contractor's State License Number ! " �" �.T 3 13 A Expiration Date 47 I / T7
Septic Designer �;> Phone
Mailing Address
Architect Lr 1512r CO t l S Phone �•.,�' �! Q
Mailing Address t47 M RD PQU(,J Wfr l 8'370
-Loan Lender/General Phone ('
Contractor's Bond Holder
( Mailing Address
y j
-.__:.F_O-R--OFFICE SE ONLY
Fire District Planning District School District Zone
Case Number
6. Does the site have steep slopes with little to no vegetation? YES , NO
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES ?'NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the YES NO
surface of the ground?
If YES, please describe:
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson
County based in whole or in part on this application may be reversed if it develops that any such statement
or other information contained herein is false.
Signature �`� Date �6/3/9'
tfs c aI(L'T( , ,i-x- r
ro'- ate. LA)1216`I
FOR OFFICE USE ONLY
❑ Wetlands El Seismic
CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1
IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2
El Erosion
❑ Landslide
Zone:
Parcel Size: Status:
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name W/ 6' r T
K) Building Application — Land Use Application Shoreline Application
On-site Sewage Application — Subdivision Application — Other:
1. Is there any standing or running water on the surface of the YES NO
property or on any nearby property at any time during the year?
If YES, please describe:
2. Has any portion of the property or any nearby property ever been YES NO
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present YES 7 NNO
on your property or adjacent properties?
If YES, please describe:
4. Are there any indications on any portion of the property or on any YES NO
nearby property of rockslides, earthflows, mudflows, or landslides?
If YES, please describe:
5. Please indicate which line best represents the steepest slope found
on your property. (Check appropriate box)
444 4 4 4
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----- -- ---- ----""�
""-" 0 (Questionnaire Continues on Back)
JURISDICTION
Jefferson County Permit Center
621 Sheridan St. Port Townsend, WA 98368
360-379-4450
PROJECT DESCRIPTION
Single story residence with partial basement
ASSESSOR'S PARCEL NUMBER
990 600 338
LEGAL DESCRIPTION
Lot 38, Port Ludlow No. 2, Volume 5, page 46. Section 9, Township 28
North, Range 1 East, W.M., Jefferson County, Washington
PARCEL SIZE
0.36 Acre
PROJECT ADDRESS
38 Jackson Lane
Port Ludlow, Washington 98365
OWNER
Chuck and Susan Wright
101 Mockingbird Lane
Port Ludlow, Washington 98365
360-437-9610
CONTRACTOR
Robert W. Thomas Construction, Inc.
PO Box 998
Kingston, Washington 98346
360-297-4122
License no. ROBERWT133JA exp. 4/1/97
BUILDING AREA
First floor (heated area) 1,978SF
Basement (heated area 828 SF
Basement (unheated area) 308 SF
Covered walkway (unheated) 148 SF
Garage/shop (unheated) 575 SF
deck 437 SF
total heated area 2,806 SF
total unheated area 1,031 SF
Heat source: heat pump
Option III
req'd actual
Item value value
Glazing % floor area 21 % 21 %
Glazing U value 0.75 0.5
Doors U value 0.40 0,40
Ceiling (flat) R-30 R-30
Ceiling (vaulted) R-30 R-30
Wall above grade R-19 R-19
Wall below grade (ext.) R-10 R-10
Wall below grade (int.) R-19 R-19
Floor R-19 R-19
Slab on grade R-10 R-10
Provide whole house exhaust fan in laundry room, minimum 80 cfm.
Makeup air shall be integrated with forced air heating system as outlined
in energy code. Bathroom fans shall be minimum 50 cfm, kitchen
exhaust fan shall be minimum 100 cfm.
GENERAL NOTES
The following information shall apply, unless noted otherwise on
the drawings.
1. All materials, workmanship, design and construction shall conform
to the drawings and the Uniform Building Code, 1994 edition.
Standard specification and standards to be latest edition.
2. Contractor shall verify all existing conditions prior to commencing
any work and determine the location of all adjacent underground
utilities prior to commencing excavation, and notify architect of
discrepancies and conflicts.
3. Contractor shall provide temporary bracing for the structure and
structural components until all final connections have been
completed in accordance with the plans.
4. Contractor shall be responsible for all safety precautions and the
methods, techniques, sequences or procedures required to
perform the work.
5. Provide one (min.) operable window of 5.7 SF clear area (min.) in
all bedrooms. Window opening shall have minimum clear width of
20 inches and clear height of 24 inches with a maximum finished
sill height of 44 inches above finish floor.
6. Glass within 18" of floor and greater than 18" in the least
dimension shall comply with UBC impact load requirements.
Glazing closer than 12" in any direction to door jambs shall be
tempered safety glass.
7. Provide smoke detectors on upper floor in every sleeping room
and in corridor adjacent to each sleeping area and stair. Provide
one smoke detector on main floor in central location.
DISCLAIMER FOR CONSTRUCTION
The Architect's basic services on this project do not include any
observation or review of the Contractor's performance. Such observation
or review to determine compliance with the Contract Documents shall be
performed by the Owner or by the Architect under an Additional Services
agreement. The Architect disclaims any responsibility for changes or cost
increases resulting from Contractors performance, and from any
subcontractors or suppliers associated with this project; and from any
claims arising from modifications, adjustments or changes to the Contract
Documents by the Owner or Contractor due to any changed field or other
conditions.
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