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Home My WebLink AboutBLD2002-00183 O I 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#: BLD02-00183 Received Date 04/4/2002 SITE ADDRESS: 291 MATS VIEW RD Issue Date 05/17/2002 PORT LUDLOW, 98365 APPLICANT: ERROL I JOHNSON PHONE: (360)437-0467 VIRGINIA L CASANGA PO BOX 65406 PORT LUDLOW WA 98365-0406 SUBDIVISION: Block: Lot: 35&3 PARCEL NUMBER: 821042006 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: EDGEWATER HOMES INC PHONE: 437-2660 53 JACKSON LN PORT LUDLOW WA 98365 Contractor's License: EDGEWHI066BL Expires: 01/04/2003 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION RESIDENTIAL REMODEL REQUIRED INSPECTIONS , / a [ ] SETBACKS Footings: c_c)-4 ,, f '`j l 17.10iY .. � p C 2�Z:t-o [ ] Foundation: e T [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: D [ ] Framing/Plumbing: ek /n 6/pz,,v.,1 JC [ ] Propane Tank/Lines: /A/T- / 2_z ss<-.oZ [ Insulation: p� L /0-A/ .4,A— [ ] Sheetrock: ©,C ., /o— s-.-oo c ( ] Septic System Final Approval: ] Zoning Final Approval: pancy Approval: I0/-11 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 INSPECTION: Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY BUILDING PERMIT APPLI AirION B Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00183 Received Date: 4/4/2002 SITE ADDRESS: 291 MATS VIEW RD PORT LUDLOW, 98365 OWNER: ERROL I JOHNSON PHONE: (360)437-0467 VIRGINIA L CASANGA PO BOX 65406 PORT LUDLOW WA 98365-0406 SUBDIVISION: Block: Lot: 35&3E PARCEL NUMBER: 821042006 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: EDGEWATER HOMES INC PHONE: 437-2660 53 JACKSON LN PORT LUDLOW WA 98365 Contractor's License EDGEWHI066BL Expires 1/4/2002 REPRESENTATIVE(S): PROJECT DESCRIPTION RESIDENTIAL REMODEL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 200,000.00 ADD'L: HEAT TYPE: OIL CODE EDITION: 1997 HEAT BASE: 1,913 HEAT TYPE: RAD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 920 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 1 Exist: 2 Wetland Erosion Prop: 1 Prop: 1 Seismic Streams Total: 2 Total: 3 Flood Way Floodplain Routinq Date: c.. F&W Landslide / 4/ 2 � -- Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,553.75 MAM 04/04/02 46409 Plan Check $466.13 MAM 04/04/02 46409 APPROVED State Building Code $4.50 MAM 04/04/02 46409 Potable Water Application $30.00 MAM 04/04/02 46409 MAY 1 2002 Total: $2,054.38 Jefferson County Planning & Building Department 0 e Stormwater Calculations IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) sq/ft Structures(all roof area) ,. •"/ sq/ft Driveway sq/ft Driveway `.3i*5 O sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Covered/Solid Decks sq/ft Covered/Solid Decks sq/ft Other sq/ft Other �/ ? sq/ft Total New sq/ft Total Existing 7`7 ,6 sq/ft TOTAL NEW+TOTAL EXISTING* - sq/ft *This amount will be used to check total lot coverage Please also indicate the amount of land disturbing activity, in addition to the creation of impervious surface, that will take place: LAND DISTURBING ACTIVITY Drainfield area cleared sq/ft Well, Structures, Utilities, etc. sq/ft Driveway sq/ft Other sq/ft Total Land Disturbance sq/ft - Dr rrn1,n1 I p APR - 4 2002 110 L- J JEf-r Lnovtl uuty 1Y DEPT. OF COMM!_!y v -,,,Cad 1 D O r' n pll Jefferson C.Departnomt of Conemodty Develoment gsoN Crc,� [ i 1 Shan Street,Port Timone WA 18308[360]370-4450 (y } _ � f A APRD � ° ° i � P� pp _ , ,,,,it,on ,,,, HIN JEFI Ln�Liiv D:PT. OF COMMUNITY DEVELOPMENT Project Description: Building Type: Project Type: Frame Type: A Single Family 2 New X Wood Garage Attached/Detached 1.7 Addition I Steel 0 Modular X Alteration/Remodel 1 Concrete Li Commercial 2 Repair 1 Masonry Multi-family/#of Units E Demolition I Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: / Choose one: Existing: Existing: / E Sewer I Community System ❑ Electricity AOil Proposed: / Proposed: / Total: Total: X Individual System ❑ Woodstove I Propane If not sewer,fill out the following: Ei Heat Pump ❑ Conventional ❑ Alternative ❑ Other 4' O144// Permit# SEP E'. IT' • Water Supply: Private well 1 Two Party Well I Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review - 2No Floor i Base fee /) 5 3, '7 5 3rd Floor Plan Check fee LI m (7,1 Htd Basement / 773 State Surcharge fee y ^ \SD Unhtd Basement Subtotal (J 9' 3 Garage/Carport Pot Water Review fee 3 ©, 0 0 Decks (t 911/Rd Approach fee Commercial TOTAL ,, (7 s//, 3 8' Industrial Receipt# 1/ ( CtO q Other Cash/Check# 3j t/ Total Valuation: C'l 3_3 ._ Initials t AZ Or jt-- Date 147� �" Estimated Cast: ��0�, �>[i(,7. �C� 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 entry to the applicant's property or struc • N requested and shall occur during regular business hours. I Signature s ) Date: 2/ _ 41_ 0,7 i OVER ► H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 i�i 1N3Wd013A30 A.LINf ww00 30 1d30 ;`' �!n!nn k!-�u,lar I 'i�O T L� : tr -II fib SCki ,-- , / I.0 6C15- ;i [-.1 . ,,, • i: f'. ;il C Ir N. R !I e 1 Li ,1\ Clel 11, • J Ili ! Jr.! a - K N. 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