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BLD2001-00068
• . 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 #: BLD01-00068 Received Date 01/30/2001 SITE ADDRESS: 40 WARBLER LN Issue Date 02/8/2001 PORT LUDLOW, 98365 Expiration Date 02/8/2002 APPLICANT: JARED CRAY PHONE: (360)437-2474 PO BOX 720 PORT HADLOCK WA 98339 SUBDIVISION: PORT LUDLOW NO. 4 Block: Lot: 48 PARCEL NUMBER: 990500048 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION SINGLE FAMIY RESIDENCE REQUIRED INSPECTIONS: [t,.1---r_ etback- (Shoreline Setbacks):O/C L// 0 --9 —f [ otings, jC is` f�>r Foundat oPt ..`� �f; �. [4]-�'� f<f•- _ern/r r f� �%/` �'��7'f'�..''rc����/�=� [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ 'r Framing/Plumbing: 64 4 -z h-o t 'tt,) [ ] Propane Tank/Lines: ' lipcT [ ] Insulation: (L'AL.,u tr ✓a u s.-r ot- .-26- o1 $t,f ['] Sheetrock: ' i e,`-= [,]' Final/Occupancy Approval: liqic 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. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Buildng.rpt 10/29/19 . I BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00068 Received Date: 1/30/2001 SITE ADDRESS: LA.10 WARBLER LN PORT LUDLOW, 98365 APPLICANT: DOROTHY L CHRISTENSEN PHONE: PO BOX 65277 PORT LUDLOW WA 983650277 SUBDIVISION: PORT LUDLOW NO. 4 Block: Lot: 48 PARCEL NUMBER: 990500048 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: CASAL HOMES PHONE: (360)379-8781 260 MUMBY RD NORDLAND WA 98358 Contractor's License CASALH*031C4 Expires 11/10/2000 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: SINGLE FAMIY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,000 VALUATION 61,110.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 480 SHORELINE: CONST TYPE: '^. DECK: 96 SETBACK: , BANK HEIGHT: SEWAGE DISPOSAL: -+ AR'f"' WATER SYSTEM: ' LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 2 Seismic Streams Total: 3 Total: 2 Flood Way Floodplain F&W Landslide Routing Date: c:::2/ j Shoreline Aquifer 4 i0 Forest: Comm: rc. I , . i —Proximity ■ Type Amount Paid By: Date: Receipt: _ • J -. . - •, Permit $727.75 MAM 01/30/01 37332 Plan Check $218.33 MAM 01/30/01 37332 F E B 0 8 2001 State Building Code $4.50 MAM 01/30/01 37332 JEFFR$ON COUNTY Potable Water Application $30.00 MAM 01/30/01 37332 DEPT.OF COMM IJ ITY DEVELOPMENT SIGNATURE: Total: $980.58 Jefferson County Permit Center * Department of Community Development �s , e° 621 Sheridan Street,Port Townse i) Appr 0 , ,, . ,o 4+ .fr ',-Ny-'',) etr!,(n s JAN 3 0 2001 ©,.,....„ JEFFERSON COUNTY Project Description: -1( C , , !_ ,., 5 AEZOF COMMUNITY DEVELOPMENT Building Type: Project Type: Frame Type: udiingle Family CR'New if""Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular E Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/# of Units ❑ Demolition ❑ Other: ❑ Industrial E Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer 4'ommunity System Electricity ❑ Oil Proposed: 3 Proposed: ❑ Individual System ❑ Woodstove ❑ Propane Total: .. Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit # SEP Water Supply: , ❑ Private well ❑ Two Party Well Public:Name of water system: Q ys . (1‘C.froct Le-4 Sty ,"IC. Square Footage: For Office Use Only Main Floor i :(_'(:., ` 5 S J 35o UBC OCCUPANCY GROUP 2ND Floor , Base fee Tc p?. . 7 S 3rd Floor itO Plan Check fee a . J? 3 Htd Basement State Surcharge fee T - 3 �0 Unhtd Basement 0Subtotal 9 Sb . se Garage/Carport I/5 0D 4600 Pot Water Review fee &O, 00 Decks 94043 r e b Q 911/Rd Approach fee c57, 0 O Commercial TOTAL 1 O 31 - S g Industrial 110 Receipt # 3 73 3 a- Other 1 Cash/Check # / o9 S Total Valuation: Initials 2 Or Date (� i 30/0 i Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft. Bank Height ft. _ I Signature: j ` ,� C I cam'' Date: 4¢50N c� Jefferson County Permit Center Department of Community Development 021 Sheridan Street Port Townsend WA 08368(3601 379 4450 • unoversa p ct p JAN 3 p 2001 i�ad �� I FnU O N GiC �rG �', G�d Q,Q Cay�(2 Qd�u�(C: DEPT. OF C[1Mhe�uiir OUNTY Project Description: 3—Ck eC C ouLe 9 Digit Parcel Identification ©rr((ro y tax statement): Site Address t,� 911#: Road Name: Wa✓l/714( /Getc Zip Code: 1 Legal Description Subdivision Name: p✓4 „pw "Block: PL - Lt Lot(s): Section: Township: Range: Parcel Size (acres or square footage): j y , 4.131 t7 Property Owner: ^TeA c ra y Phone: ,,, �!4/3 L 1 ,r Mailing Address: !✓�1i 1�''Or' r 0144\0 L I") A 15 33, "7 1 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer:at ,,„,e 5 d Phone: 3 Mailing Address: Contractor's State License Number: I Expiration Date: Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OH JC SSE'Oi ' School Zone. Fire District. 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