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HomeMy WebLinkAboutBLD2001-00539 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 #: BLD01-00539 Received Date 09/25/2001 SITE ADDRESS: 131-4 N BAY LN Issue Date 09/26/2001 PORT LUDLOW, 98365 Expiration Date 09/26/2002 APPLICANT: JACK S ENG PHONE: PATRICIA L BUCKINGHAM 4903 29TH AVE S SEATTLE WA 981082110 SUBDIVISION: PORT LUDLOW CONDOMINIUM#1 Block: Lot: PARCEL NUMBER: 990200028 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: G A COPLEY COMPANY PHONE: (360)385-5859 C 1406 10TH ST PORT TOWNSEND WA 98368 Contractor's License: GACOPC*066PK Expires: 10/7/01 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA REQ'D --- REPAIR OF ENTRY WAY- NO CHG IN FOOTPRINT REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ] Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [+.]'/ Final/Occupancy Approval: Q"/<G /()--.1--0 I 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. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Bu ildng.rpt 10/29/99 • BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00539 Received Date: 9/25/2001 SITE ADDRESS: 131-4 N BAY LN PORT LUDLOW, 98365 OWNER: JACK S ENG PHONE: PATRICIA L BUCKINGHAM 4903 29TH AVE S SEATTLE WA 981082110 SUBDIVISION: PORT LUDLOW CONDOMINIUM#1 Block: Lot: PARCEL NUMBER: 990200028 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: G A COPLEY COMPANY PHONE: (360)385-5859 C 1406 10TH ST Sot - 1'61 PORT TOWNSEND WA 98368 Contractor's License GACOPC*066PK Expires 10/7/01 REPRESENTATIVE(S): PROJECT DESCRIPTIO NO MLA REQ'D --- REPAIR OF ENTRY WAY - NO CHG IN FOOTPRINT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP REP MAIN: VALUATION 769.00 ADD'L: HEAT TYPE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N 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: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain F&W Landslide Routing Date: Shoreline Aquifer Forest: Commercial Rural Proximity Plat Conditions Type Amount Paid By: Date: Receipt: Permit $38.75 RAC 09/25/01 30432 APPROVED Plan Check $11.63 RAC 09/25/01 30432 State Building Code $4.50 RAC 09/25/01 30432 SEP 2 6 2001 Total: $54.88 DEPT.O,.• ' ' LOAM SIGNA . .. \ h dti r`rer^ 4? a- e/ wow ,N k.c°�� JEFFERSON COUNTY10 DEPARTMENT OF COMMUNITY DEVELOPMENT 9 9 V q 0� 621 Sheridan Street • Port Townsend • Washington 98368 J ('� SIN 60/379 4450 • 800/831-2678 • 360/379-4451 Fax BUILDING PERMIT APPLICATION 6,1L2z Project Description: JBu'ding Type: Project Type: Frame Type: / Single Family New Wood arage Attached/Detached Addition Steel Modular Alteration/Remodel Concrete Commercial �epair C.fasonry Multi-family/#of Units Demolition Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: 7 Choose one: Existing: Existing: Sewer Community System Electricity Oil Proposed/ Proposed: 1 Individual System Woodstove - Propane Total: Total: If not sewer,fill out the following: Heat Pump !!!! + Conventional Alternative Other Ji Permit# SEP Water Supply: Private well 11 Two Party Well:_ Public:Name of water system: { Square Footage: For Office Use Only Main Floor (� • IC OCCUPANCY GROUP ,-j, 2ND Floor /� \`/G� 4 d * :,,- fee 3 Floor \\�A� :t • eck fee ( c b Htd Basement O S .to S charge fee 0 Unhtd Basement 0 - t�,} c_ - Garage/Carport ,.,i°',' -E4.' •• 'later Review fee €: - Decks 'Cit 7.s' N\� 911/Rd Approach fee ��� Commercial 0t� TOTAL ..) _ Industrial Receipt# 0"V2�©�l Other Cash/Check# g !C/ Total Valuation: Initials /� fir-__--_-.. .. - � _ Q/" Date 7•- 5 —0/ ,Estimated Cost: 7 I Z`� 1 1 i within-200' o e Shoreline, Distance to Bank or Or ' Hi h ark ft. Bank Height ft. fly 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 falsehcxxl 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 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 entry to the applicant's property or structure shall be requested and shall occur during regular business hours Signature: ' Zc 0/ Date: / (I:HOME\PLNCNII INFOBLDG\F RIM\BL 40 - itApplication 1/2000 .\, If it , i it N 0 4 G Ci v oa � n zq u: Z Q J Q` o p J '" I �-' c� , 1 . 3 0 f ! v (j N i W !o, 91 a i 0 �I 0 r a 2 • 111 ' LL ~ tC0 0 Ni_Utth , 0 r p 4 � r 15 in �_r. 3 4 Q 0: 11 Z W �� 0. "i i1 A 1 O � 1 I O =p (C„ 0 \; c DEO.OF COW