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HomeMy WebLinkAboutBLD2002-00245 IP BLD02-00245 11 BUILDING PERMIT APPLIC TION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00245 Received Date: 4/26/2002 SITE ADDRESS: 580 RAINIER LN PORT LUDLOW, 98365 OWNER: MICHAEL W BULLEN PHONE: (360)437-7623 580 RAINIER LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 40 PARCEL NUMBER: 990700040 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: REPRESENTATIVE(S): PROJECT DESCRIPTION INTERIOR REMEDEL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: VALUATION 13,500.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 3 Exist: 3 Wetland Erosion Prop: Prop: Seismic Streams Total: 3 Total: 3 Flood Way Floodplain Routing Date: F&W Landslide 'Z�0��Z_ � Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date -1 Permit $237.25 MAM 04/26/02 47517 APPROVEDED Plan Check $154.28 MAM 04/26/02 47517 State Building Code $4.50 MAM 04/26/02 47517 APR 3 O ZUOZ Total: $396.03 0 DEPT.OF COMM`�,�N�1'DEVELOPMENT, SIGNATURE: 'lIK-�-'l • 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 #: BLD02-00245 Received Date 04/26/2002 SITE ADDRESS: 580 RAINIER LN Issue Date 04/30/2002 PORT LUDLOW, 98365 APPLICANT: MICHAEL W BULLEN PHONE: (360)437-7623 580 RAINIER LN PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO. 3 Block: Lot: 40 PARCEL NUMBER: 990700040 Section: 8 Township: 28 N Range: 01 E CONTRACTOR: OWNER PHONE: LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION INTERIOR REMODEL REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: /A [ ] Foundation: A// [ ] Underground Plumbing/Underground Insulation: AJsA [ ] Shear Wall: A0 [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: [ ] Zoning Final Approval: [ ] Final/Occupancy Approval: gn4,� Z_7 pG HEALTH DEPA E /- —NT APPROVAL REQ IRE P'i 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 , r t _ ,, , i til f 11 ., I t o ___ ri --,-; :: IA it, ,t- , 4p ii 2 6 - pT'OFri,,,• __ J t4 M , s- p t f t- C � � \ a _ f i J LI N ' '± �' Hv e' to 4 - {{ ` � I U _. _ _ 40 , . (1,_- t1 tt4 _ k... ;t-rk - 1 - .. , -.1. 4 L. ,„. - , i - , ,,,,„„ ,„ 4 j �. .. , 1 A (. = iI 44) 1-t.' ' 1N4 ' : * &C'w.1) 4,1,,,4' 0 ..b... + T _ 40 R r. F lor .44.*:'"' '- -----......... ...*: .47_ . .,.' ,_,. ' :, At 4 ', ' I\ " k..., 15. !' li ""II N +--,.-.... - 3 = " P O4---.. _ _ _ t It' ..: , ` , I M ' Y + �e eh 1 M ' qi.0 Of A I'''' '% ryt .> ? S i I s r 1 , a -- i .....4- 1 , . z , ,,, , _ 4 ,4,7 ' . -4 11 i ' ') 1 r r COr:1 �` a ,e•cd*t�+ d , ,:g �ti � �„� � R _--1 APR 2 6 2002 :-.. . 1. �}1 DEPT. OF CO'. 4 _ ry DPMEI . � r 1 �� R C 1 ; , S I s I E —a_— ems,,.■. I. i f l'"--C"'C.2 ' Iligr i 9 to f li 4F' SC� lw hI1 3 v "Z d F775 i ,d ' ' _____ k e e a v CI) . ii- 1 , 5 0+I 1421 -a'NI SON r,0 • Jefferson Department of CommunityDevelopment �w G 621 Sheridan Street,Port Townsend WA 88368(38M 378-Ub0 „ "-: .$ ©rmo1 � o ° ° -o _ ocap tor0 ,„ -, Project Description: APR 2_6 2002 1, '--,1 . Building Type: Project Type: Frame Type: '7Q 'j Single Family E New -1 X Wood Garage Attached/Detached E addition teel Y DEPT _'vf.aQPMFNT Modular X Alteration/Remodel I Concrete Commercial Repair E Masonry Multi-family/#of Units I. Demolition Li Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: t ( Choose one: Existing: 2 Existing. 7C? Sewer i Community System X.Electricity I Oil Proposed: Proposed: ElIndividual System 1 Woodstove K Propane ` Total: 1 - i Total: 3 If not sewer,fill out the following: i Heat Pump ❑ Conventional I Alternative Other Permit# SEP Water Supply: Private well I Two Party Well , Public:Name of water system: Square Footage: For Office Use Only Main Floor Consistency Review 2ND Floor Base fee 2;? • 25' 3rd Floor Plan Check fee I 511 . 2S Htd Basement State Surcharge fee 4't • Unhtd Basement Subtotal 443, d' Garage/Carport Pot Water Review fee 0 Decks 911/Rd Approach fee T ?al/ p 4°3 Commercial TOTAL Industrial Receipt# i•rt i 4-1 Other Cash/Check# 20m 9 Total Valuation: �----- Initials 42"i453 Or /‘ Date 4-/26/Q 3. Estimated Cost: / 3 5-o d If within 200' oft me, ,- 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 structure shall be requested and shall occur during regular business hours. Signature: / Al� f - j z-- OVER ► l i:HOME\PI,NCNTR\INFOBLDG\FORMS\BLDpermitApplicadon 11-8-01