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HomeMy WebLinkAboutBLD2000-00658 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00658 Received Date: 10/6/2000 SITE ADDRESS: MATS VIEW TERRACE RD 1\- 1-2-6 PORT LUDLOW, 98365 APPLICANT: HAROLD E MOE PHONE: (360)437-2740 MARIANNE MOE 311 MATS VIEW RD PORT LUDLOW WA 983659429 SUBDIVISION: MATS VIEW TERRACE Block: Lot: 7 PARCEL NUMBER: 970900007 Section: 5 Township: 28 N Range: 01 E CONTRACTOR: PHONE: PHONE: ARCHITECT/ MITCHEL DESIGN ENGINEER : PO BOX 3952 SEATTLE WA 98124 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,157 VALUATION 123,980.00 ADD'L: 987 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 531 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: 1 /\ - O ,0`1 Shoreline Aquifer 1 vForest: Commercial Rural Type Amount Paid By: Date: �r�ece Itt ANlao e cairns p : PP ��ae Permit $1,128.15 MAM 10/06/00 34529 Plan Check $338.45 MAM 10/06/00 34529 State Building Code $4.50 MAM 10/06/00 34529 Potable Water Application $30.00 MAM 10/06/00 34529 Total: $1,501.10 is\F_BLD_App_Bld.rpt 10/29/99 Jefferson County Department of Community Development (ii;ONcoG 621 Sheridan Street,Port Townsend WA 08368[3601378-4450 w perm?) 0 � >�.$ AiQo0 �? pfl © © Os � Project Description: Building Type: Project Type: Frame Type: 14. Single Family ii, New . Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other. ❑ Industrial 0. Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: 0 ❑ Sewer KCommunity System ❑ Electricity ❑ Oil Proposed: 3 Proposed: 'Z. . ❑ Individual System ❑ Woodstove ,ik Propane Total: 5 Total: `I-.C If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEPIN Water Supply: • Private well Two Party Well❑ Public:Name of water system: Square Footage: For Office Use Only Main Floor I /S` 7 OL1 0 39 UBC OCCUPANCY GROUP 2i`'D Floor Ci 8 7 54 63 0. 5 Base fee ( ` Z,Q •. 1 5 3rd Floor '— Plan Check fee 3 G 4 5 Htd Basement f State Surcharge fee t-1 , CJ 0 Unhtd Basement '.....- Subtotal i � + l „ r 0 Garage/Carport 5 3 -3) 5 10 Pot Water Review fee ,3 0_ c.70 Decks 911/Rd Approach fee -)--571 . Commercial TOTAL I 7.) 3 0 - i G Industrial Receipt # Other Cash/Check # Total Valuation: Initials Or Date Estimated Cost: 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 to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: f'1/b40 Jefferson County Department of Community Development ( o1v co,„, 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 cfy Universal Plot Plan �4`gh'TNrsZ Fill in the following blanks as completely as possible: Project Description: 5/iv 146 F,4M11L/ 1Z ` � 9 Digit Parcel Identification Number (from your tax statement): - Site Address 911#: Road Name: Zip Code: 9 c6-56S Legal Description 7 Subdivision Name:MATS `1 i EiJ 1'ERRf►-6�,5-e =62Sr,, C Gk:• -; Lot(s): Section:PIA.TS V el•1 �` � Township: Z� Range: j Parcel Size (acres or square footage): i--j of ak O Fr Property Owner: Phone: ` 279e Mailing Address: 311 I9uiT5 1//E13 DA)v6. F rZr 4/_,Thcow ivA 1 8 36S. Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: 1`!WI/A TORN 2 360-4131 Z74/0 Mailing Address: 5 AMC AS ✓k gov 6.7 General Contractor: Or Manufactured Home Installer: 14 Ro cr u /'4 o E Coa srRt.tc r f o r..i Phone: 360--ef 3j— •Z-7 4'0 Mailing Address: .SAE AS A i&l✓L Contractor's State License Number: 7Expiration Date: Septic Designer: Phone: 11 L t_.M AN t to Erie- 36 o 3/ 5 Mailing Address: c 6c)1, t'S-7S 2 Rr Arik- _e`6, ,:k 9 8 3-Yi Architect:/Engineer: M.ITC EXEC- DC-51 L�1J Phone: Z-06 - 3/Ss) Mailing Address: c sz 5EA-rrl%E 1 4 9 31 Z41 Loan Lender/General Phone: Contractor's Bond Holder: 6°V G N R 1 i- j k&I A 171E7 ?.06 — Z Z— 3 :; / Mailing Address: 5 v 1re 3b y t D 1 N Lti T7zc 56 36rH MtR-502- 15 /n1/4 9 gD9O - 3Sy'0 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/CO H:\home\pincntr\forms\universal plot plan HAROLD MOE HAROLD MOE 311 MATS VIEW DRIE PORT L D OW WA98 65ION Telex(360)437-2740 Fax(360)437-0864 CONSTRUCTION, INC. r SPECIALI ING IN FINE CUSTOM HOMES . 17rp FEB 16 2001 February 13, 2001 To: Jefferson County Permit Center Re: Parcel#970 900 007 Or- • To Who It May Concern, We submitted for a building permit on 10/6/00 for lot 7 Mats View terrace. We have since sold the lot and would like to have the permit cancelled and as much as possible refunded. If there are any questions please contact Adam Turner at 360-437-2740. Sincerely, • Marianne Moe Harold Moe Construction m 0 IL00—L26 (90 ) 'xPd T5 T8-526 (0o ) 288 11;1 IHf�1d1S T T86 'PM `aT1 TaS ` 568 xog '0*d ° o0 r":"-In \ - ,La[LLIH32IV rnaH J LIN NOLL o •1331IH32Jd ( 1 I h _NIDI ,iI _ Hal 1I �V I ~ CL (ro m 0 0 0 11\ Sld W W ce m QVO 59.gZt ,8z.9 5 0 6-.Ol �� ,.l 14- \d4310,1.1,/// i) LI AA w alli e1 ' rr '(/....*./ ill 11 ii -f o s 8 -}scA 7 A' I - - - 9,g it .8 n N m m O N O 4-' • II a Sb : , sn � • , n \,, N (0 ct,141. �I I. cor (� ryN z \ (, J 3 d❑dd M❑QNIM c cc ( 1 z ) ❑dill M❑GNIM E z L-i- IH❑IH M❑QNIt\ V H HIQI/`\ M❑QNIM 1 Q Cr- .Z9-s -r2 717/5,1-- /i 91.ANti L ..0 7 } N a V W c 3.9,92:91N c7I 7C 1 9 f/O7 3814/ (l?_0$j{ 4 .. jf5.