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HomeMy WebLinkAboutBLD2001-00067V 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 #: BLD01-00067 Received Date 01/30/2001 SITE ADDRESS: 91 CAMANO LN Issue Date 02/9/2001 PORT LUDLOW, 98365 Expiration Date 02/9/2002 APPLICANT: HAROLD E MOE PHONE: (360)437-2740 MARIANNE MOE 311 MATS VIEW RD PORT LUDLOW WA 983659429 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 44 PARCEL NUMBER: 990600244 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-2740 311 MATS VIEW DR PORT LUDLOW WA 98365 Contractor's License: HAROLMC074N3 Expires: 07/21/2001 LOAN LENDER/ FRONTIER BANK BOND HOLDER: PO BOX 3075 SILVERDALE WA 98383 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: r-- ck c [�]� etbacks (Shoreline setbacks): -% /� [ l Footings:f7' -N7- e/ / ..-• e 4 /6.9Ti 6.6 p'- cr-' e ©t'C '�//'6/O141 a[ l or •atio) :HO4.9 t C7K' S/3U/®t le5,r2Xive.0 ®/C- ` //cs(or 1,.f . [ •n•ergroun erground Insu a i :(JGi ��cc�MS �' 4�f/rf'y��i/'�' ..7HZ0 C [ ] Shear WaII:&--)(T sHea tt O!L L/z!/©/e4), [ ] Framing/Plumbing: • °+A -19- , q=-01 , [ ] Propane Tank/Lines: ,k` 'Pe- /z 77'/rduct< [ ] Insulation: Ok . /d -01=O( [ ] Sheetrock: 0 /0--a-6) [,]/Final/Occupancy 14pproval: © (L /0 -2,-01 HEALTH DEPARTMENT PPROVAL 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. M0N15171vi.s rii'I L f - aLt hEVEk,t HOT LINE AVAILABLE 24 HOURS A DAY I - BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00067 Received Date: 1/30/2001 SITE ADDRESS: at CAMANO LN PORT LUDLOW, 98365 APPLICANT: HAROLD E MOE PHONE: (360)437-2740 MARIANNE MOE 311 MATS VIEW RD PORT LUDLOW WA 983659429 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 44 PARCEL NUMBER: 990600244 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-2740 311 MATS VIEW DR PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 07/21/2001 ARCHITECT/ MASCORD DESIGN &ASSOCIATES ENGINEER : 1305 NW 18TH AVE PORTLAND OR 97209 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,230 VALUATION 117,315.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 769 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 433 SHORELINE: CONST TYPE: DECK: 234 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 Floodplain Routing Date: F&W Landslide z/e 10 / Shoreline Aquifer Forest: Commercr Type Amount Paid By: Date: Receipt: p " Permit $1,094.55 MAM 01/30/01 37328 Plan Check $328.37 MAM 01/30/01 37328 FER 0 9 2001 State Building Code $4.50 MAM 01/30/01 37328 JPotable Water Application $30.00 MAM 01/30/01 37328 DEPT.OF COMWNITY,,DEVELOMr Total: $1,457.42 SIGNATURE: &.) I Jefferson County Department of Community I :velopment (--":' ON C 621 Sheridan Street,Port Town.-:nd WA 88368[360]378-4450 ` ..--2. al o Ks..,..._. permel, Apip ° o U U- ---3 ,-.,' � _ c On T*�G � Project Description: Building Type: Project Type: Frame Type: j' Single Family )New X Wood ❑ Garage Attached/Detached Addition ❑ Steel ❑ Modular ❑ Alteration/Remodel ❑ Concrete • Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units L Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 0 Existing: © Sewer I(Community System ❑ Electricity Oil Proposed: 3 Proposed: 2 .5 Individual System ❑ Woodstove e Propane Total: 3 Total: 2 ' T If not sewer,fill out the following: ❑ Heat Pump Conventional i Alternative ❑ Other Permit # SEP Water Supply: 1 - Private well ❑ Two Party Well I Public:Name of water system: Square Footage: �, For Office Use Only Main Floor I Z O 6 8 b R O• ' UBC OCCUPANCY GROUP 2ND Floor Base fee /0 9 - SS 3rd Floor I Plan Check fee 3a 3 Htd Basement 1 12 1 / Li a 5 6`i ' 15 State Surcharge fee ' 'so Unhtd Basement Subtotal 1 44 .-i. A 1 3i)�Garage/Carport 4 5 3 (-1. 3' ' Pot Water Review fee , OD Decks Z3 ti Z 3 y ' 0 911/Rd Approach fee r OD Commercial -7 TOTAL 15 og, ya Industrial 1 ° �� Receipt # 37 3 Q Other Cash/Check# &(D. /U 9 Total Valuation: 2-1 Oa 000 Initials P/�/ Or Date (/,3 CIO i Estimated Cost: 1 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 enuy to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: ✓<Z-:!1c,7 /777‘""C Date: d"` C ' 0 ` BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00067 Received Date: 1/30/2001 SITE ADDRESS: CAMANO LN PORT LUDLOW, 98365 APPLICANT: HAROLD E MOE PHONE: (360)437-2740 MARIANNE MOE 311 MATS VIEW RD PORT LUDLOW WA 983659429 SUBDIVISION: PORT LUDLOW NO. 2 Block: Lot: 44 PARCEL NUMBER: 990600244 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: HAROLD MOE CONSTRUCTION INC PHONE: (360)437-2740 311 MATS VIEW DR PORT LUDLOW WA 98365 Contractor's License HAROLMC074N3 Expires 07/21/2001 ARCHITECT/ MASCORD DESIGN &ASSOCIATES ENGINEER : 1305 NW 18TH AVE PORTLAND OR 97209 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,230 VALUATION 117,315.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: 769 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 433 SETBACK: DECK: 234 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 Floodplain Routing Date: Z l/ Jo / F&W Landslide / epc. Shoreline A uifer Forest: Commercial Rural Type Amount Paid By: Date: �rRec pt: Apparoveona eons Permit $1,094.55 MAM 01/30/01 37328 r lr's i, e�, Plan Check $328.37 MAM 01/30/01 37328 i:.:,�,i,,:,.,:; filP !Me)/ State Building Code $4.50 MAM 01/30/01 37328 Potable Water Application $30.00 MAM 01/30/01 37328 6 /Ap / `� /1-e'lfre, Total: $1,457.42 l�r [, Z/ Q D I D Q aENCI-i , 76; 1Li ' I..- C`RvittAikr" , \r.),P ,w PAVE i. •S"`.e i ,/ id Xy ire,((//// .._._ ;._._.. S _ _ 4j _ _ ,�_____ _--- I Tt _---------A-- ° 11 , ' ft-Prexi/C-P (okr„:1 ._ c .). ..„ ,( ECEP B ---zii-1 Vt.) ! '� • uircs a 1JAN 3 0 2001 • JEFFERSON COUNTY v DEPT. OF COMMUNITY DEVELOPMENT SPECIAL CONDITIONS FOR CASE BLD01-00067 1.) The building height is not to exceed 35 feet. 2.) Maximum lot coverage is not to exceed 45%. 3.) Building setbacks shall be 20 feet to the front of the parcel, and 5 feet on the sides and rear 4.) Stormwater BMPs shall be followed and implemented. i:\F_BLD_Permit_Buildng.rpt 10/29/19 • /SON Jefferson County Department of Community Development ��,� cps 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 DEcEpwE is- �S' o$ Universal Plot Plan - JAN 3 0 2001 JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Fill in the following blanks as completely as possible : Project Description: /''L) (c, C CoN ST/WCT/o►J 9 Digit Parcel Identification Number (from your tax statement): q o / 0 0 U� 11 Site Address / 911#: )0x (AmA' c' GAwE Road Name: CA/1rlA'ND L,4i'67 Zip Code: ci S-5 6, 5-- Legal Description Subdivision Name: Pco.j LL) l)L 2 : Lot(s): '/ footage): Parcel Size (acres or square �� Po #Z : Property Owner: _ o� Aj(C;c-,� O � 5`TKc '1/ 1 ...Phone: ` 360- 937—z�7q O Mailing Address: ) 410-6 Vie 4) OR to 6 ?oi 1-,0 D[ 'sv V'1.1141 9 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: jAM S E, Phone: Mailing Address: Contractor's State License Number. Expiration Date: Septic Designer: ! Phone: Mailing Address: Architect:/Engineer: ' Phone:1"ttt.scog ) 66.516N 8 AScocrA- 5 503- Z Z S 5.3 Mailing Address: sac' 0. IA) /3'" ,vE foRT 44JM) OAC4o,) 7.7 Z-c'7 Loan Lender/General F R C;`-'T I FA- i3 Phone: &c Contractor's Bond Holder: STt3TE FA-gm Suit Fr4 Ail-5033-5---773I Mailing Address: BA,N)k Nos- cu,4yr!L) r tt iG:�. �'F383 STATE FARM - 7_17Y 5tAs .AY ?r 1-0.4 tc..'ra r y•3b FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan