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HomeMy WebLinkAboutBLD2000-00669 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 #: BLD00-00669 Received Date 10/11/2000 SITE ADDRESS: 420 N BEACH DR Issue Date 11/8/2000 PORT LUDLOW, 98365 Expiration Date 11/8/2001 APPLICANT: LELAND G MEADOWS PHONE: (425)774-1157 4104 224TH PL SW MOUNTLAKE TERRACE WA 98043-4539 SUBDIVISION: BRIDGEHAVEN DIV 2 Block: Lot: 4 PARCEL NUMBER: 934200004 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 732-7208 PO BOX 944 PORT HADLOCK WA 98339 Contractor's License: CRANSCC070J7 Expires: 03/10/2001 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION RESIDENTIAL REMODEL/ADDITION REQUIRED INSPECTIONS: [ ] Footings/Setbacks (Shoreline Setbacks): [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing:y k. . ?- / It;'. [ ] Propane Tank/Lines: [.1 Insulation: €4) T 320( [ �, eetroc Ole— 5/ p(4©//—� ccupancy Approva �< (.5 -�7/!21 1. 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 i t < t BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00669 Received Date: 10/11/2000 SITE ADDRESS: 420 N BEACH DR PORT LUDLOW, 98365 APPLICANT: LELAND G MEADOWS PHONE: (425)774-1157 4104 224TH PL SW MOUNTLAKE TERRACE WA 98043-4539 SUBDIVISION: BRIDGEHAVEN DIV 2 Block: Lot: 4 PARCEL NUMBER: 934200004 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 732-7208 PO BOX 944 PORT HADLOCK WA 98339 Contractor's License CRANSCC070J7 Expires 03/10/2001 ARCHITECT/ BRETT PAGAN ENGINEER : 19031 D 24TH AVE W LYNNWOOD WA 98036 PROJECT DESCRIPTION: RESIDENTIAL REMODEL/ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 26,900.00 ADD'L: 486 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 30 BANK HEIGHT: 5 SEWAGE DISPOSAL: CON WATER SYSTEM: BRIDGEHVN PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 1 Wetland Erosion Prop: Prop: 1 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: � „am"/©D Shoreline Aquifer �. 1�L Forest: Commercial Rural —Proximity - Plat C d tlons Type Amount Paid By: Date: Receipt: Approved/pate Permit $411.45 MAM 10/11/00 34660 APPROVED Plan Check $123.44 MAM 10/11/00 34660 t State Building Code $4.50 MAM 10/11/00 34660 -- 01) -a 8 2000 Potable Water Application $30.00 MAM 10/11/00 34660 Total: $569.39 Jefferson County Planning &Building Department i:\F_BLD_App_Bld.rpt 10/29/99 Ja ferson County Department of Cmmdty Development 4'1' 4. i . 'gort c°G' 6213tte last Street.Port Townsend WA 8836E(3601318-4450 2 „..,-,..-- -., i3er rn A ,\_, - Cc:117' - On jg p 0 -.Isrm-.0 ° Project Description: Building Type: ' Project Type: Frame Type: Single Family = New Wood • Garage Attached/Detached X Addition Steel Modular Alteration/Remodel = Concrete Commercial Repair 2 Masonry ▪ Multi-family/#of Units = Demolition C Other: Industrial ▪ Other: Bedrooms: ' Bathrooms: Type of Sewage Disposal: Type of Heat: r Choose one: Existing: Existing: / 2 Sewer 2 Community System 'Electricity 2 Oil Proposed: - Proposed: _____(___ X Individual System Total: 7. Total: -1% y SFp>/G Woodstove = Propane If not sewer,fill out the following: = Heat Pump jConventional Alternative Other Permit# SEP£(1512,t.IG Se?iG Water Supply: ▪ Private well 2 Two Party Well;e; Public:Name of water system: 8r//7CE74,7 V 4 C.e k/,t4, C /i Square Footage: 1 For Office Use Only Main Floor J UBC OCCUPANCY GROUP 2ND Floor 0.4. R ► / T • o�l o 1900. ' Ba§e fee 7//' .3rd Floor , Plan Check fee /�3- y Htd Basement State Surcharge fee ' s Unhtd Basement ` Subtotal 539.3 7 q Garage/Carport Pot Water Review fee 30-. (. ..' Decks 911/Rd Approach fee F:2)"— Commercial TOTAL 510 /a- 39 Industrial Receipt # 2.4 49(D 0 Other _ Cash/Check# U�� Total Valuation: Initials -2 I I Or Date 6O/ L1 /no ; Estimated Cost: 4-.)/p pO .a a If within 200' of the Shoreline, Distance to or Ordinary High Water Mark 3 0 / ft. Bank Height .. ft. X/s7-2/,16 Yti4 1' /64. P Te 770P OF B LI CiefieW19 . By signing the application form,the applicant/owner attests that the informanon 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 anyrequired later inspections. Access and right of entry to the apcant's property or structure shall be requested and shall occur during regular business hours. Signature: �' ',� --� � l—y.- Date: /d — ‘ — 67® Jefferson County Department of Community Development �,6oN co 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 w S, 'o Universal Plot Plan NG - Fill in the following blanks as completely as possible: Project Description: 0 6- M Q Ez/f-7) D / r-/d d 9 Digit Parcel Identification Number (from your tax statement): Site Address 911#: Road Name: 41d. B ( " , Zip Code: ? Legal Description 7) / V Subdivision Name: E k /11 / A- VrA1 Blec-k: Lot(s): V Section: Township: 7 11 Range: / g- Vj k/1 Parcel Size (acres or square footage): Jo Property Owner: i'_ F r a G gr Z_5-4 Af ep D 0 �J 5 Phon1i')-,S"- 7 7 V- //.S -7 Mailing Address: r f ! / h GJr1 G e "k'r 7';'t Applicant/Occupant: Phone: (if different from owner) 1 II 3 l 4- 9 7- L-7‘ / Mailing Address: Authorized Rep: Phone: a151 c ',< . -,-„ Mailing Address: General Contractor: Or Manufactured Home Installer: ' - ‘ , Phone:'; Mailing Address: Contractor's State License Number: Expiration Date: ,. a Pi S C Septic Designer: f Phone: / Mailing Address: -Architec /Engineer: Phone Mailing Address: L .=Eener/General Phone: Contractor's Bond Holder: ; Mailing Address: a. f�_. FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan SCAM OcA04 DROM .ELAND A. 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