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HomeMy WebLinkAboutBLD2001-00051 • 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 #: BLD01-00051 Received Date 01/25/2001 SITE ADDRESS: 101 EDGEWOOD DR Issue Date 01/29/2001 PORT LUDLOW, 98365 Expiration Date 01/29/2002 APPLICANT: JOHN GOLDEN PHONE: (360)437-0362 101 EDGEWOOD DR PORT LUDLOW WA 98365 SUBDIVISION: EDGEWOOD VILLAGE Block: ? Lot: 16 PARCEL NUMBER: 948200016 Section: 20 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: (360)779-6222 PO BOX 65232 PORT LUDLOW WA 98365 Contractor's License: RIGGSC044KF Expires: 05/02/2001 LOAN LENDER/ BOND-AAA INS BOND HOLDER: PO BOX 6318 FEDERAL WAY WA 98063 PROJECT DESCRIPTION DINING ROOM ADDITION REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: hear Wall: [ ra 7Plumbing: ten/ _f 1/d [ ] Propane Tank/Lines: [ uiatio �2 �- [ de)// -,<2. (v24)/ [ �_I�rartupancyAppro / / il HEALTH DEPARTMENT APPROVAL REQUIRED IOR 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. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Buildng.rpt 10/29/19 BUILDING PERMIT APPLICATION ' -- L �p E Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00051 Received Date: 1/25/2001 SITE ADDRESS: 101 EDGEWOOD DR PORT LUDLOW, 98365 APPLICANT: JOHN GOLDEN PHONE: (360)437-0362 101 EDGEWOOD DR PORT LUDLOW WA 98365 SUBDIVISION: EDGEWOOD VILLAGE Block: ? Lot: 16 PARCEL NUMBER: 948200016 Section: 20 Township: 28 N Range: 01 E CONTRACTOR: RIGGS CONSTRUCTION PHONE: (360)779-6222 PO BOX 65232 PORT LUDLOW WA 98365 Contractor's License RIGGSC044KF Expires 05/02/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: DINING ROOM ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 40 VALUATION 2,214.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: PRO OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: 1 2_6 0 t Vie Shoreline Aquifer Forest: Commercial Rural tvti ,_ Type Amount Paid By: Date: �rRecei�pt: Permit $83.25 MAM 01/25/01 37243 Plan Check $24.98 MAM 01/25/01 37243 ,I A N 2 9 2001 State Building Code $4.50 MAM 01/25/01 37243 Total: $112.73 JE E' • • N DEPT. OF COM LAITY EVE aVV�F�IT SIGNATURE: LL��JJ ee Jefferson County Department of sty Development �.,e_}oN °� 62i Sheridan Street.Port Townsend WA 88388(3801378-4.450 1,------, n ,1_7„per ,,,_,A''-,,\, d ,ii o r -1.1.f.r.Nc,‘ yviLi4- 0( —11 . Project Description: _ �' �E Building Type: v Project Type: ; Frame Type: Single Family D New c21 Wood II Garage Attacheet/Detsrkw-i = Addition _ Steel = Modular (le Alteration/Remodel = Concrete = Commercial = Repair = Masonry = Multi-family/.# of Units ii Demolition = Other. Industrial = Other: Bedrooms:- i Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 3 Existing: Z ", Sewer nCommunity System aElectricity = Oil Proposed Proposed: = Individual System = Woodstove L Propane Total: 3 Total: Z- If not sewer,fill out the following: Heat Pump = Conventional = Alternative = Other _ Permit .# SEP Water Supply: �/ / / = Private well Two Party Well 2( Public:Name of water system: /9 2-!�'7 11 Square Footage: - 7� For Office Use Only �(tt< 7 Main Floor LBC OCCUPANCY GROUP ?INT)Floor1 t' Base fee �_2 C 3rd Floor Plan Check fee 211_W I-ltd Basement State Surcharge fee if•S) I nhtd Basement j Subtotal 1 1 Z_73 Garagei Card ore ___ Pot Water Review fee , Decks I1C E I V F 911/Rd Approach fee Le Commercial IKT TOTAL ( I Z•73 Industrial 11111 JAN 2 5 2001 Receipt # 37 24 ; tt:e: _ - ' ,C'ss /Check 4�# 4 `. JEFFE•SON COUNTY L p..a. i al..ation:__ S • • I„„ . i 8 OPMENT Initials PP-1%. Or ,. Dare /72- Z 9 Estimated Cost: If within 2C0' of the Shoreline, Distance to Bank or Ordinary Nigh Water Mark ft. Bank Height t. By signing the application form,the applicant/owner lass that the information provided herein s true and correct to the best of their knowledge. Any m,rr'ial falsehood or a:.: omission of a material fact rnyle 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 liabiiines,iudgmens,court costs,reasonable attomey's fees and expenses which may in any wrc accoae against Jefferson County as a result of consequence of the granting of this permit I further agree to provide access right of en o efferson County and it's employers,representatives or agents for the purpose of application review and any required later:nscet-IL:r.s Access and n try to the licant's prop or sdall be requested and snail occur during regular business hours. Signature: Date: / -4 - , /.' Jefferson County Department of Community Develo . esON coop 621 Sheridan Street, Port Townsend WA 98368 (360) 37 0[ C [ Q U [ // y, 1-C 'o Universal Plot Pia. JAN 25 2001 �5N � JEFFERS N COUNTY OEPT. OF COMMUNITY ITY DEVELOPMENT Fill in the following blanks as completely as possible : Project Description: ' I 9 Digit Parcel Identification Number (from your tax statement): UQ O 0// Site Address 7 O O 911#: /O / Road Name: t67702edcoc 6h. Zip Code: 9g365 .. Legal Description Subdivision Name: Block: Lot(s): Section: 1 Township: Range: Parcel Size (acres or square footage): Property Owner: io 1 / / Phone:q3 �3‘� l�l✓1 �o(Q�h Mailing Address: / / Applicant/Occupant: / Phone: (if different from owner) Mailing Address: Authorized Rep: �j7 ?s s / / ,el �� ) Phone: .o .7 79 b/ Mailing Address: /~ #. ccj-7.26 j 41336y General Contractor: ;� Or Manufactured Home Installer: /C r77S 71- Phone: Mailing Address: Contractor's State License Number. -lC �SC ©�g ZG�J Expiration Date: ���O i Septic Designer: Phone: Mailing Address: /1/,4 Architect:/Engineer: /11A Phone: Mailing Address: /V Loan Lender/General Phone: Contractor's Bond Holder: SO--ail' NIA- lnS . ;z53 %27 77 75-- flailing Address a �31 8 n 027 ��J ,/ G7 O4 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1 1/00 H:\home\pincntr\forms\universal plot plan -,.3 I ml v 1 i !I \I 1 � I 1 \ 1 — -� (7;/6 — _! 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