HomeMy WebLinkAboutBLD2001-00034 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 #: BLD01-00034 Received Date 01/16/2001
SITE ADDRESS: 1771 SWANSONVILLE RD Issue Date 01/26/2001
PORT LUDLOW, 98365 Expiration Date 01/26/2002
APPLICANT: TRACY THOMPSON PHONE: (360)437-9913
ED THOMPSON
1771 SWANSONVILLE
PORT LUDLOW WA 98365
SUBDIVISION: Block: Lot: T 24
PARCEL NUMBER: 821053010 Section: 5 Township: 28 N Range: 01 E
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION REBUILD DECK/PORCH
REQUIRED INSPECTIONS:
[ ) Setbacks (Shoreline Setbacks): 7 _ /7,,/o-r`
[ ] Footings: Ur /� ,�/7 � f?"
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ ] Shear Wall: /'
[ ] Framing/Plumbing: �,ceem• " /74 d2-
[ ] Propane Tank/Lines:
[ ] Insulation:
[ ] Sheetrock: II
[ ] Final/Occupancy Approval: 01( �r 5i4h56)/
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 APPLY -SEE REVERSE
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS FOR CASE BLD01-00034
1.) Minimum building setbacks are as follows: 20 feet from Swansonville Road (a local
access road), 5 feet sides and rear.
2.) Maximum lot coverage shall not to exceed 25%.
3.) The building height shall not exceed 35 feet.
4.) A minimum of two(2) parking spaces shall be provided per dwelling unit consistent with
Table 6-2 of the UDC.
•
i:\F_BLD_Permit_Buildng.rpt 10/29/19
BOILDING PERMIT APPLICATIR
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00034 Received Date: 1/16/2001
SITE ADDRESS: 1771 SWANSONVILLE RD
PORT LUDLOW, 98365
APPLICANT: TRACY THOMPSON PHONE: (360)437-9913
ED THOMPSON
1771 SWANSONVILLE
PORT LUDLOW WA 98365
SUBDIVISION: Block: Lot: T 24
PARCEL NUMBER: 821053010 Section: 5 Township: 28 N Range: 01 E
CONTRACTOR:/will SUbrY.i-f- PHONE:
PHONE:
ARCHITECT/
ENGINEER :
PROJECT DESCRIPTION: REBUILD DECK/ PORCH
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP DEK MAIN:
VALUATION 2,560.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: 256 SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: 2 Exist: 1 Wetland Erosion
Prop: 0 Prop: Seismic Streams
Total: 2 Total: 1 Flood Way Floodplain
F&W Landslide
Routing Date: � �y Shoreline Aquifer
�� �U/!v/ Forest: Commerci l p Commercial Rural
—Proximity - —
Type Amount Paid By: Date: Receipt: O
VIED—
Permit $83.25 MAM 01/16/01 37131
Plan Check $24.98 MAM 01/16/01 37131
State Building Code $4.50 MAM 01/16/01 37131 JAN 2 5 2001
Total: $112.73 JEFFERS• •
DEPT. OF COM UNI DE�E�OP NT
SIGNATURE. � �.. T,�->„
Jeffersomcounty Department of Community Dev menu--
SON �'pG 621 Sher Street,Port Townsend WA 98368 (36( 19-44 LL' j
xis , > „ d ?++
E \\,,i
4_ Ihr)11 11
ii Li JAN 1 6 2001 d �
$ Universal Plot Plan T
0
�SHrN�� p _rJEFF_�.-E�,SO—N COUNTY _
y.,..u� P . of VUrF'i:YfV__ D VELV") 7
Fill in the following blanks as completely as possible:
Project Description: /
ZEAc-'71C7 APC
I 1
9 Digit Parcel Identification Number (from your tax statement): s, `0 I
Site Address A,L ,,,,/�
911#: /77/ Stca4-,y,sew vivo Oel, Road Name: ,f y ,/ ' Zip Code: cj&3Ci
Legal Description
Subdivision Name: � 2 Block: Lot(s):
Section: 5- Township: �$ Range:
Parcel Size (acres or square footage): _S 4 e
Property Owner: Phone:
Mailing 7 Address: tj4-Ar_S a,t4 L)i at. /4 ‘oc/h( •J/ tu,36 e 7 8,3 C 5—
Applicant/Occupant: Phone:
(if different from owner)
Mailing Address:
Authorized Rep: Phone:
S/)r14-
Mailing Address:
General Contractor:
Or Manufactured Home Installer: Phone:
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder:
Mailing Address:
e
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan
1
• Jefferson County ent of Community Development
(,-"*,-",s0ii c°C.,- 6213heridan Street Port Towtsend WA 8601318-4450
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Project i Descri ton: 9 r- �� (�
B ildin Type:p � � �� ii�
g Project Type: Fri.vne Type:
Single Family New Wood
Garage Attached/Det 9 JAN 1 6 2001 - Addition Steel
Modular teration/Remodel i Concrete
Commercial Repair Masonry
Multi-family/#of Units JEFFERSON COUNTY 7. Demolition
,�..,, a Other:
Industrial '-'FPT. OF COMMUNi i r'DEVEIOPMEt
Other.
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat:
Choose one:
Existing: 1Z Existing: ,Sewer i Community System Electricity Oil
Proposed: Proposed: : . Individual System Tr Woodstove 7 Propane
Total: Q Total: If not sewer,fill out the following: Heat Pump
Conventional 7 Alternative 7 Other
Permit# SEP
Wj ter Supply:
e Private well Two Party Well Public:Name of water system:
Square Footage: For Office Use Only
Main Floor UBC OCCUPANCY GROUP
2ND Floor Base fee 2-
3rd Floor Plan Check fee A 9 ,
Htd Basement State Surcharge fee `i e Lc>
Unhtd Basement Subtotal 1 t a . -1 3
Garage/Carport Pot Water Review fee •
� r
Deck Ard 256 911/Rd Approach fee
Commercial TOTAL l I a.
Industrial /\\*Q(1) Receipt # r7/�
Other ..,9
Cash/Check#
Total Valuation: Initials /
Or _ Date / —'( —0/
Estimated Cost:
SOO °?/—
.. 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 that the information provided herein is true and corre�L to the best of their knowledge. Any material falsehood or any
omission of a material fact made by the applicant/owner ' 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 artomey'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.
/y
Signature: Z�- - '`' L— Date: / l.c22-`a[9/
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