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HomeMy WebLinkAboutBLD2001-00047 BUILDING PERMIT`APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00047 Received Date: 1/23/2001 SITE ADDRESS: CRESSEY LN PORT LUDLOW, 98365 APPLICANT: ROBERT K LICKAR PHONE: (503)666-5644 DOLORES F LICKAR 20315 NE SANDY BLVD FAIRVIEW OR 970249740 SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 43 PARCEL NUMBER: 990400143 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEERING DESIGN SERVICE ENGINEER : 8949 DELTA LANE RD CUSTER WA 98240 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,120 VALUATION 145,323.00 ADD'L: 616 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 672 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 896 SHORELINE: CONST TYPE: SETBACK: DECK: 308 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES_ BEDROOMS: BATHROOMS: STORMWATER: YES V AREA Exist: Exist: Wetland 0 Ero ion mo Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain F&W Landslide Routing Date: II2 4 D ' Shoreline Aquifer i Forest: Commercial Rural —Proximity - Plat C d ions Type Amount Paid By: Date: Receipt: cis'' Approve e Permit $1,256.95 MAM 01/23/01 37316 Plan Check $377.09 MAM 01/23/01 37316 {, ) G� State Building Code $4.50 MAM 01/23/01 37316 ittf (J/ f/ Potable Water Application $30.00 MAM 01/23/01 37316 Y Total: $1,668.54 ,,i1<. "T g/0''" &(4,4T —//z/o/ :., TE m ftne /48% •e' CERTIFICATE OF OCCUP ANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT#: BLD01-00047 ---___ _ SITE ADDRESS: 22 CRESSEY LN PORT LUDLOW 98365 Issue Date: 02/20/2001 APPLICANT: Final Date: ROBERT K LICKAR DOLORES F LICKAR PHONE: (503)666-5644 20315 NE SANDY BLVD SUBDIVISION: FAIRVIEW OR 970249740 PORT LUDLOW NO 1 Block: Lot: 43 PARCEL NUMBER: 990400143 Section: 9 Township: 28 N Range: 01 E PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE UNIFORM BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: R-3 UBC TYPE OF CONSTRUCTION: 5N THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2/1,20 !c ale L?, M&Nch , ZOO BUILDING OFFICIAL ...___ -_r____ __________ Francesco L. Tortorici " 2 z -�0- Date i:1F_BLD_Occupancy.rpt 10/29/19 '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 #: BLD01-00047 Received Date 01/23/2001 SITE ADDRESS: 22 CRESSEY LN Issue Date 02/20/2001 PORT LUDLOW, 98365 Expiration Date 02/20/2002 APPLICANT: ROBERT K LICKAR PHONE: (503)6665644 DOLORES F LICKAR 20315 NE SANDY BLVD FAIRVIEW OR 970249740 SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 43 PARCEL NUMBER: 990400143 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ AMERICAN MARINE BANK BOND HOLDER: 9500 OAK BAY RD PORT LUDLOW WA 98365 PROJECT DESCRIPTION SINGLE FAMILY RESIDENC REQUIRED INSPECTIONS: [i Setbacks (Shoreline Setbacks): � . E2't1/4 r / J� '" �✓� [ ] Footings: *. <j. t Foundation: t4 C' t On/C-S' 01< /4l14:2 5- gA -�Z c,/ �.s q,o r e.� m� �/!3�ml�If/ [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: (0,KTea llnSal orb..., Zcr" L L S r'°1 [ ] Framing/Plumbing: 01.-c. [ ] Propane Tank/Lines: E'/1' ?Jri 0 [ ] Insulation: -prcks4. ojL9,e__ f)T Sheetrock: On, � • [ , Final/Occupancy Approval: t a 0. 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. Od_o p k Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. of � SPECIAL CONDITIONS APPLY -SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY P•417$(6WI cvt 64%- a� - r , .,. . BUILDING PERMIT APPLICATION • Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00047 •..) Received Date: 1/23/2001 SITE ADDRESS: CRESSEY LN OC Z' PORT LUDLOW, 98365 APPLICANT: ROBERT K LICKAR PHONE: (503)666-5644 DOLORES F LICKAR 20315 NE SANDY BLVD FAIRVIEW OR 970249740 SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 43 PARCEL NUMBER: 990400143 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: ARCHITECT/ ENGINEERING DESIGN SERVICE ENGINEER : 8949 DELTA LANE RD CUSTER WA 98240 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE! TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,120 VALUATION 145,323.00 ADD'L: 616 HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 672 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 896 SETBACK: DECK: 308 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: 3 Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: I i F&W Landslide 24 b ' Shoreline Aquifer Forest: Commerc I Type Amount Paid By: Date: �rReceipt: p Permit $1,256.95 MAM 01/23/01 37316 Plan Check $377.09 MAM 01/23/01 37316 FFR 1 5 2001 State Building Code $4.50 MAM 01/23/01 37316 JEFFE'"• C• 'r Potable Water Application $30.00 MAM 01/23/01 37316 DEPT. OF COMMUNITYDEV ZITT Total: $1,668.54 SIGNATURE: (,�J,.,�d, gSON co 621 Slie Jefferson s �ty Dellertmont of C nnn nity Develop� rt Street,Port Townsend WA 883681388/378-4450 GT �`,, o permoy App5cfl© " FITN Project Description: Building Type: Project Type: Frame Type: X Single Family X New x Wood X Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units / ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathroo Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: Z Sewer ❑Community System ❑ Electricity E. Oil Proposed: 3 Proposed: 3 ❑ Individual System ❑ Woodstove X Propane Total: 3 Total: 3 If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative X Other HYDRONIC Permit# SEP Water Supply: ❑ Private well ❑ Two Party ell XPublic:Name of water system: PORT LUDLOW 2/� ��+fc,t e_r S G� Square Footage: `� For Office Use Only `�� Main Floor 1120 4��� t V UBC;OCCUPANCY GROUP 2ND Floor 616 ,� � 2 Base fee c ; ,0,,,_„- ut, 3r Floor 7 • Plan.C,hec fee C)9 Htd Basement 672 State Surcharge fee- �. Unhtd Basement Subtotal \ o$ S^ t Garage/Carport 896 �2 O Pot Water Review fee LC) . Decks 308 2j c j O 911/Rd Approach fee ' 4 0 (1) L-F- -- ' Commercial TOTAL \) \7 C\ - � Industrial Receipt# �i+ Other Cash/Check# L Total Valuation: J Initials Or Date Estimated Cost: $110,000.00 l\-\ If within 200' of the Shoreline, \ Distance to Bank or Ordinary High Water Nark ft.Bank Height ft. By signing the application form,the applicant/owner attests ithat the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney s fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit I further agree to provide access and right of entryto Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicants property or structure shall be requested and shall occur during regular business houurrs. Signature ' c rt' Date: / tE,... / C SPECIAL CONDITIONS FOR CASE BLD01-00047 1.) Front yard setbacks shall be minimum 20 feet, side and rear yard setbacks shall be minimum 5 feet 2.) The building height is not to exceed 35 feet. 3.) Maximum lot coverage is not to exceed 45%. 4.) The site plan, was submitted was reviewed and approved by DCD staff on 2-14.-01 and is consistent with the UDC.Any changes or modifications to the approved site plan shall be reviewed and approved by the UDC administrator. • i:\F_BLD_Permit Buildngjpt 10/29/19 . - , 1 1 ! I 1 (Xi i kl ) a. t n 1 4! c-, Q Iper tt,,Z7k 71 C [ \ its-I 1.-- 1..._ 1 ,LI LI 141 trill /- -1- L o 7 45 0 / /1 I I • 1 , i i 1 - .---e.pipti , , 1.] • -, .t/ k 1 .1 . 1 . , 1 . I C7 IL-76W 5 '.- 7- Jefferson County Department'Of Community Development i 50N (t";� coU 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Fti ` '$ Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: PRIVATE RESIDENCE 9 Digit Parcel Identification Number (from your tax statement): 990-400-143 Site Address 911#: Road Name: CRESSEY LANE Zip Code: 98365 Legal Description Subdivision Name: Block: AREA #1 Lot(s): 43 Section: VOL 5 OF PLATS, PG 26 Township: PORT LUDLOW Range: Parcel Size (acres or square footage): .283 AC Property Owner: Phone: ROBERT K. AND DOLORES F. LICKAR 503-666-5644 Mailing Address: 20315 N.E. SANDY BLVD. FAIRVIEW, OR 97024 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Des finer: Phone: MailingAddress: Architect:/Engineer: Phone: ENGINEERING DESIGN SERVICE 366-366-4064 Mailing Address: 8949 DELTA LANE ROAD,CUSTER, WA 98240 Loan Lender/General Phone: Contractor's Bond Holder: AMERICAN MARINE BANK 877-262-2295 Mailing Address: 9500 OAK BAY RD. PORT LUDLOW, WA 98365 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan I • , , iiy 1a r. IS I /a/o �r� )7 �9.../tits O O O O.11 O a1 a ED- • - z 70. J / - fi �,� o i-- �� I 1z.*o, 1 a , - Is ' 4 0 2 II/ ..-•.9 1-. , 4 ., _ _..- ,.. -1, ,,, elt 0 ti . 1 ja„, i4 . 3- .7, ,... te) � ' /.1� C