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HomeMy WebLinkAboutBLD2002-00303 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 #: BLD02-00303 Received Date 05/28/2002 SITE ADDRESS: 550 N BEACH DR Issue Date 06/3/2002 PORT LUDLOW, 98365 APPLICANT: ROGER B GILLETTE PHONE: MARJORIE L GILLETTE 550 N BEACH DR PORT LUDLOW WA 98365 SUBDIVISION: BRIDGEHAVEN DIV 1 Block: Lot: 7 PARCEL NUMBER: 933900008 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: GREAT NORTHWEST BUILDERS PHONE: (360)598-3144 PO BOX 3194 SILVERDALE WA 98393 Contractor's License: GREATNB013BJ Expires: 01/11/2004 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION ROOF REQUIRED INSPECTIONS: [ ] SETBACKS / Footings: [ ] Foundation: [ ] Underground Plumbing/Underground Insulation: [ ] Shear Wall: [ ] Framing/Plumbing: [ ] Propane Tank/Lines: [ ] Insulation: [ ] Sheetrock: [ ] Septic System Final Approval: _ [ ] Zoning Final Approval: [ ] Final/Occupancy Approval: /- e 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 BUILDING PERMIT APPLIAION B RD02-003( 3 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00303 Received Date: 5/28/2002 SITE ADDRESS: 550 N BEACH DR PORT LUDLOW, 98365 OWNER: ROGER B GILLETTE PHONE: MARJORIE L GILLETTE 550 N BEACH DR PORT LUDLOW WA 98365 SUBDIVISION: BRIDGEHAVEN DIV 1 Block: Lot: 7 PARCEL NUMBER: 933900008 Section: 9 Township: 27 N Range: 01 E CONTRACTOR: GREAT NORTHWEST BUILDERS PHONE: (360)598-3144 PO BOX 3194 SILVERDALE WA 98393 Contractor's License GREATNB013BJ Expires 1/11/2004 REPRESENTATIVE(S): GREAT NORTHWEST BUILDERS PO BOX 3194 SILVERDALE WA 98383 PROJECT DESCRIPTION ROOF TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 2,350 VALUATION 29,000.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 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 Routing Date: F&W Landslide 21 1 o2— et Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: P O /E D Permit $431.65 MAM 05/28/02 47723 V Plan Check $280.57 MAM 05/28/02 47723 JUN 0 1 2002 State Building Code $4.50 MAM 05/28/02 47723 Jefferson County Planning Total: $716.72 & Building Department 11111 Jefferson , `1 I ;'I artm�it of Community Dovelopmont ��� ON c°� 621 Sudan S ; : 1 Townsend WA 88368 13601 378-4450 ieerAft-Pft“.-4' ..,, .. , _ D O A 10 (�mot Ppcfl© ° r _ o0rn N \N._ . . . Project Descri p ., . . ± D I i Building Type: ; Project Type: Frame Type: ,< Single Family I ❑ New Wood ❑ Garage Attach•d�jD ached. Y' El Addition ❑ Steel ❑ Modular VEP L" - �OPMENt Alteration/Remodel ❑ Concrete ❑ Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial (� CI Other: 0k Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: ❑ Sewer ❑ Community System ❑ electricity-. ❑ Oil Proposed: Proposed: ❑ Individual System ❑ Wooditove ❑ Propane Total: Total: If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well❑ Public:Name of water system: Square Footage: 1 f,� For Office Use Only NV M 0Q1 D Main Floor a J�V Consistency Review -- "' 2ND Floor Base fee 4 3ry^I . 1GiS' 3rd Floor Plan Check fee—65% ZW `S7 Htd Basement State Surcharge fee /4 •sa Unhtd Basement Subtotal 1!h •7 2- Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee f2t Commercial TOTAL If 6.72. Z Industrial Receipt# 41'7Z3 Other Cash/Check# 31 I S Total Valuation: Initials Or # Date 51 2V o Estimated Cost: �"'19NCI IO00 If within 200' of the Shorelin� Distance to Bank or Ordinary High ater 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 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: _,_ Date: O5 a--Da. OVER P LI:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 I Stormwater Calculations IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) -- sq/ft Structures (all roof area) 2.%.3 sq/ft Driveway sq/ft Driveway I/000 sq/ft Sidewalks sq/ft Sidewalks A/o sq/ft Patios sq/ft Patios /v0 sq/ft Covered/Solid Decks sq/ft Covered/Solid Decks Xlips sq/ft Other sq/ft Other /•1CG� sq/ft Total New sq/ft Total Existing 315 'C) sq/ft TOTAL NEW+ TOTAL EXISTING* 3' SAC: 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 /ECG sq/ft • rg � J MAY 2 8 2002 ' • <--- N U" a LWA m � "pap tioG� y L)FG4L D�ES�/PTidlV &,9- 7. P A-T C��. , 1,2,k) � VF�V Le Y/5/oov / t45 RF-C 1>0 OV 1)46,65 Cyr- P s,,JArFB'Scol Cov� w4KbIlAcrcy� pw1.1E+Z & RoCr; II 6+t, PRc3 EGT I-o 550 Noszrt+ g Ar(A+ U►z�V�, 4�v21D ��t1,1 235v 5`L. -FT. Bvl�aE►�' G��T N�r,W�sr Qu�wc.RS Ou v 4NC-Y � � o 02-030 JEFFERSON COUNTY DCD D ry slimD DEPT, OP C. Y rLOPMENT