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HomeMy WebLinkAboutBLD2001-00175 • 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 #: BLD01-00175 Received Date 03/28/2001 SITE ADDRESS: 246 CRESTVIEW DR Issue Date 04/12/2001 PORT LUDLOW, 98365 Expiration Date 04/12/2002 APPLICANT: MILDRED KYLE PHONE: (360)437-7828 JACK KYLE 246 CRESTVIEW DR PORT LUDLOW WA 98365 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 13 PARCEL NUMBER: 998700013 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: SPECIAL "T" CONSTRUCTION PHONE: (360)457-0613 3415 MCDOUGAL AVE PORT ANGELES WA 98362 Contractor's License: SPECITC992B2 Expires: 01/19/2002 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION No MLA Req'd ---COVER EXISTING DECK REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): ////A [ ] Footings: s l/-0/ L( ( ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] ,, Shear Wall: i-lumbing: 6/4, 6// a [ ] Propane Tank/Lines: I(( [ ] Insulation: [ ] Sheetrock: Fina a upancy Approy.Pj71c ,45/73 -< 2/ 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 f BUILDING PERMIT APPLICATION ' Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00175 Received Date: 3/28/2001 SITE ADDRESS: 246 CRESTVIEW DR PORT LUDLOW, 98365 APPLICANT: MILDRED KYLE PHONE: (360)437-7828 JACK KYLE 246 CRESTVIEW DR PORT LUDLOW WA 98365 SUBDIVISION: TEAL LAKE VILLAGE Block: Lot: 13 PARCEL NUMBER: 998700013 Section: 21 Township: 28 N Range: 01 E CONTRACTOR: SPECIAL"T" CONSTRUCTION PHONE: (360)457-0613 3415 MCDOUGAL AVE PORT ANGELES WA 98362 Contractor's License SPECITC992B2 Expires 01/19/2002 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: COVER EXISTING DECK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 2,400.00 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: 240 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 3 Wetland Erosion Prop: Prop: Seismic Streams Total: 2 Total: 3 Flood Way Floodplain F&W Landslide Routing Date: 2 Shoreline Aquifer Forest: Comm r a I . _ . i' isi Type Amount Paid By: Date: �rRecei�pt:tY :,.p +I - - �. Permit $83.25 MAM 03/28/01 38830 Plan Check $24.98 MAM 03/28/01 38830 APR 2001 State Building Code $4.50 MAM 03/28/01 38830 JEFFERSON COUNTY Total: $112.73 DEPT. OF CO UNITY DEVELOPMENT SIGNATURE: e�Q_ Jefferson County Otiartment of Commurdty'DevebpmBet (401Thr 621 Sheridan Street,Port Towm end WA , 368[360I378-4450 1.3 o DU 11UU 11 o 0 i oa on :LNG �� Project Description: Building Type: Project Type: Frame Type: Single Family N '4 ..d Garage Attached/Detached ddi i Steel Modular Alteration/Remodel Concrete Commercial Repair Masonry Multi-family/#of Units Demolition Other. Industrial Other 1 PP 04xcl Covcil2 Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 2 Existing: 3 Sew Community System Electricity Oil Proposed: Proposed: al System Woodstove Propane Total: 7 Total: 3 If not sewer,fill out the following. <Fiat Pump Conventional Alternative Other Permit# SEP Water Supply: Private well Two Party Well Public:Name of water system: Square Footage: For Office Use Only Main Floor UBC OCCUPANCY GROUP _ OS 'S,� 2ND Floor Base fee 3rd Floor Plan Check fee lia Htd Basement State Surcharge fee • Unhtd Basement Subtotal „ 424 •, 3 _ Garage/Carport _ Pot Water Review fee 1110. Decks 911/Rd Approach fee Oer Commercial TOTAL , , .71b.M1 3 Industrial t eceipt# 3 O t) Other S A- C. h/Check# b ��p(� Total Valuation: 2`f7 9 itials 1'"� Or Date Z b f �f :4) Estimated Cost: Z tO0 If within 200'of the Shoreline, Distance to Bank or Ordinary High Water Mar 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 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 1N3Wd013A30 A1INn�;g,100 3p 1d30 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 rev ew and any re�i Jagyd3r Access and right of entry to"the applicant's p arty or structure shall be requested and shall occur during regular business hours. Signature: 0,7✓ — Date: /Z Z1 ©� 100? 8 z ddW H:HOME\PLNCNTINFOBLDG\FO S\BLDpennitApplicationl/2000 - — ( REST VTEw_DR:i C O. so ' P A A X V " 1ttef ry A ? . ,► 3 NI A P 3 D a, p ' ? c i ,___ " A _..). i4jj , .... v w itAJ �, t \\ I All / l' III!,, N O NEW ROOF "ilf 1 ___ 60. So ' , i SF -') S11- / N „ � Affirm Canty Pennit Cater * D tmet of Community Dev t 821 Sham Street,Port Towel WA ; ; ,;'; [3�]37S-4ATA r\ u t „,„,,,.„, g n ._.________________.B 00 jj 0 iviAi- 2 8 '',;.)1 7eit ea the jollowisup Rada 44 miteidete4 44 fto44e (e: J F F F E R 9 N C J L N ry IlETY Ur Arnaircrai _..Project Description: -- - ------- �t�,r cm �, r ex i%�%\�J ckc. ( 9 Digit Parcel Identification Number(from your tax statement): Cick it 0 13 I Site Address 911#: 2 q6 Road Name: Cat-5 i v:E...-) Qi R Zip Code: c/$36 S Legal Description Subdivision Name: %� A I L A k V: l i 04,1 Cr Block: Lot(s): 13 Section: /6 Township: 2 8 N Range: 1 L Parcel Size(acres or square footage): //2 e4C:a.� Property Owner: —KiC Phone: I I4yl� q37- 782Ff Mailing Address: Low I �+ Z 'v l465 V;ew ek PO el— L.�I oy. . Lope. 1 '3 z Applicant/Occupant: Phone: (if different from owner) / 2a7 E,v.v:,vps/Spec;A/ 1 Co. 5-. `jS7-06/3 Mailing Address: 34i1S 1144-(3oc7,4/.4./ f Li 4.1,J6-/eS w.4 9?3C3 Authorized Rep: / Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: S PCC, t4l -7�� Cc, Phone: y6--2-c13 Mailing Address: p 3 Y I5— $4 c- 0o v7, ( AV( Pat 44 -dle” / Gva 113C3 Contractor's State License Number: Expiration Date: SeEC1TC �S2Q7 VZ Z Zoo( Septic Designer: Phone: No...)tr Mailing Address: Architect:/Engineer: Phone: 0 w •1_, C3-6L Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Ca e,,„, ;T - S a c' 1,vS Co. 3 S S -3 7 1 Mailing Address: $O4( Set.), i es It S c ►P,O. Q OK 511 C> C I c,.....is 6-,-i/ w✓1 5ltSig FOR O1 HCE USE ONLY Fire District Planning Area: School District: Zone: 4/98 H:\home\pincntr\forms\universal plot plan