HomeMy WebLinkAboutBLD2001-00580 j
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#: BLD01-00580 Received Date 10/12/2001
SITE ADDRESS: 20 RAINIER CT Issue Date 10/15/2001
PORT LUDLOW, 98365 Expiration Date 10/15/2002
APPLICANT: JAN BRUUSGAARD PHONE: (360)437-7926
KATHRYN A BRUUSGAARD
2023 E SIMS WAY#171
PORT TOWNSEND WA 98368
SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot: 60
PARCEL NUMBER: 990400456 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: OWNER PHONE:
LOAN LENDER/
BOND HOLDER:
PROJECT DESCRIPTION NO MLA REQ'D -CHANGING APPLIANCES TO PROPANE &
RADIANT FLOOR HEATING
REQUIRED INSPECTIONS:
[ ] Setbacks (Shoreline Setbacks):
[ ] Footings:
[ ] Foundation:
[ ] Underground Plumbing/Underground Insulation:
[ l
Shear Wall:
lViAVaw — dK 7/7.02-
[ ] Fram�ngLPl_umbing:
[ o ane T I J4 e/ ( (.e.- 6, / //,/ ,
[ ] Insulation:
[ ] Sheetrock:
[ ] Final/Occupancy Approval: ��02— a/ (�.0
HEALTH DEPARTMENT APPROVAL REQUIRED P 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.
HOT LINE AVAILABLE 24 HOURS A DAY
is\F_BLD_Permit_Bu ild ng.rpt 10/29/19
BUILDING 'PERMIT APPLICATION Review Type:
4
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00580 Received Date: 10/12/2001
SITE ADDRESS: 20 RAINIER CT
PORT LUDLOW, 98365
OWNER: JAN BRUUSGAARD PHONE: (360)437-1067
KATHRYN A BRUUSGAARD
2023 E SIMS WAY#171
PORT TOWNSEND WA 98368
SUBDIVISION: PORT LUDLOW NO. 1 Block: Lot: 60
PARCEL NUMBER: 990400456 Section: 8 Township: 28 N Range: 01 E
CONTRACTOR: OWNER PHONE:
REPRESENTATIVE(S):
PROJECT DESCRIPTIO NO MLA REQ'D - CHANGING APPLIANCES TO PROPANE & RADIANT
FLOOR HEATING
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ALT MAIN:
VALUATION 6,000.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
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: 1 ® N� 6� es2._„,,
Shoreline Aquifer
V Forest: Commercial Rural
Proximity - a •id. ..i-
Type Amount Paid By: Date: Receipt: - Approved/Date.
Permit $125.25 MAM 10/12/01 42220 VED
Plan Check $37.58 MAM 10/12/01 42220 APPR
State Building Code $4.50 MAM 10/12/01 42220 Q(;1 1 5 2001
Total: $167.33
`"IfFE N COUNW
DEPT.
D F C M NTYY (► .,,ENT
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lierN,1,., JEFFERSON COUNTY444 -4 DEPARTMENT OF COMMtiNITY DEVELOPMENT _--
1:P.."
4.9 0� 621 Sheridan Street • Port Townsend • Washington 98368 OCT 1 2 2007
NCs 360/379-4450 • 800/831-2678 • 360/379-4451 Fax
JEFFt SN . ry
-I �.T OFCfhu .
BUILDING PERMIT APPLICAT N' OrMUNITY
DEVELOPMENT
Project Description:
Building Type: Project Type: Frame Type: •
•
Single Family New ��1ood
Garage Attached/Detached • Addition Steel ;
Modular
Alteratio ;'Remodel Concrete
Commercial 'epair . Masonry
Multi-family/#of Units Demolition _ Other:
Industrial , f
Other: �kiN /ZoP S rrPCfs�fj./G/Wr (rt"7itAl
Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: +
Choose one: j
Existing: Existing: Sewer Community System • = Electricity Oil I
i
Proposed: Proposed: Individual System Woodstove ropa ee
Total: Total: If not sewer,fill out the following: 1 Heat Pump • 1
Conventional -: Alternative _ Other kitp6our fesseK I
Permit# SEP
Water Supply:
Private well Two Party Well Public:Name of water system:
Square Footage: For Office Use Only -
;j
Main Floor UBC OCCUPANCY GROUP
2`D Floor
Base fee 05. c9,5
3rd Floor Plan Check fee 37 , 5-e
Htd Basement State Surcharge fee / - 5D
Lnhtd Basement Subtotal Ito 7 • 33
Garage/Carport Pot Water Review fee -'' _
Decks 911/Rd Approach fee
Commercial TOTAL /6 7, 33
Industrial Receipt # _
Other Cash/Check# 0L)V
Total Valuation: Initials
0 Date /
Estimated Cost: # ‘, 0 ,
If within 200' of the Shoreline, • .
Distance to Bank or Ordinary High Water Mark ft. Bank Height ft.
lie 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„r:1r..
,mission 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.iccr:e
ainst Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide acce:"and right of entry to Jefferson County and it's ployees,representatives or agents for the purpose of application review and any required later inspec::,,is.
lccess and right of entry to applicant's prop• or structure shall be requ sted and Shall occur during regular business hours.
. Signature: ..5 - Date: /0 fa. -C9
ILIIOME\PLN(N" 'R\INI�OBLIX; FORMS\Bl.l) ermitApplicationI,,2000
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OCT 12 2001 ' )-.
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JEER i N LOuNFY
21 DEPT. OF COMMUNITY DEVELOPMENT 1