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HomeMy WebLinkAboutBLD2002-00481 l,,,. L BUILDING' PERMIT APPLICA ION MRReOw00443 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00481 Received Date: 8/21/2002 SITE ADDRESS: 300 PUGET LOOP PORT LUDLOW, 98365 OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101 70 BREAKER LN PORT LUDLOW WA 98365-9766 SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 44 PARCEL NUMBER: 990400144 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: PORT LUDLOW ASSOCIATES PHONE: (360)437-2101 70 BREAKER LN PORT LUDLWO WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2004 REPRESENTATIVE: JEFF EVANGER PHONE: (360)437-2101 PLA 70 BREAKER LN PROJECT DESCRIPTIOI SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,448 VALUATION 112,900.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: DERAGE: 648 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 2 Seismic Streams Total: 3 Total: 2 Flood Way Floodplain Routing Date: S. �'„ F&W Landslide •�,,,,•�Q �'�at" Shoreline Aquifer Forest: Commercial Rural Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,066.55 MAM 08/21/02 49514 State Building Code $4.50 MAM 08/21/02 49514 Potable Water Application $50.00 MAM 08/21/02 49514 Total: $1,121.05 SENT BY:PORT LUDLOW ASSOCIATE: 8-14- 2 :12;10PM : 1 360 44/522-- 3603794451:# 2/ 2 WWI"!Dainty Aarrrtmo t d Connolly Rent ti�- `;, =4 t AUG ; r 1141 n met.Port Townsend WA 8 tl 218-4.5(1 ::•� t� 2 1 2002 ,,, > 404 , ..„.....i.„,„.. .,, _____„. PErnIgT , A r-)p I ii° ,cz, a D'PT... OF COS .,,3ITY DEVELOPMENT , Lvdl �; ! Pro ect Deocri•don: v•t0� p/dn /f el t Building Type: Project Type: Prune Type.: iSingle Fa: y"� C 1.o<,fi�j Garage ttac]:edfDet. t�e � r Addition odtshr Sic el Alteration/Remodel Con cr@te Commercial Repair Matte nr)' Mali-familyJ#of Unite Demolition Other. Industrial 1 Other. _ Bathroorna; r Bethrvottte; Type of Sewage Diaposab Type of Heat: Choose one: Rxintittg: __o Exiatitag: _ �,� CommunityCommunity5YSystem l✓lectrici • Oil Proposed: — Proposed: �� individual System Woodstovt Propane Total 2_, Total. — If not sewer,fill out the following*; Heat Pump Conventional Alternative Other Permit# SEP vrete�supply. ._. ,. _ — — ..._ _ — — 1?::care well eAvo P• Well Public Name of water stem ©Z/ f Square footage: .�„ ' ethe y' Oyain floor S3se i � oRr ctn Ai - �r • •2`' ]Floor Batse fee /° 6A=CS zrd Floor 0, 0 Flail /4/y g Htd Basement tell ►stige fee / �7 7 SO ^ M Unhtd Basement '' Subtotal l!� �5 . g—s Garage/Carport (l 1 _9! t Pot Water Review fee Ell r beds 4/ 8 31 . -5 1 911/Rd Approach f:. 1q r , a Commercial c, 4 TOTAL J3 (/Dr O Industrial 10 , Receipt# ii9} /ei • Other — "--- Cash/Gieal.* . ''� f� 35 T:t*1 Valua ' . i l 2L _ Taitmoles yr„z/ bale S'J7 lam— ' Estimated Cost:_ „ 1�� If within 200' of the Shoreline, _.. lDistance_to Bank or Ordinary High Water Mark ft.13*x k Height ft. r.y eiynin8 the application form.the apphtent/Uw-uet attests thu the infomution pro eel hceein ie true and correct to the heft of the.knpvltegc. Any marenti;a thane]or try t" ornisnon of a.satatial fact made by the epptitanrJnunarwith re&pect to this r.pplicarion psdcct may ranch in this petnait being null end vtrid. r further agree t0 true,iedenmify sod 110rd Wades/Jrffereon County against all liabilitita,judgn,mu,court=o13,reasonable anomtv'b fees sod eaptruaei ahich mn in and way accrue againtr Jeffet,oci C:aunty as a must of or in txmseq rmmat of du granting of this permit" r feather twee to provide scup tad tight of entry to Jefferson County and its erhploycxs. p:esentati-etnr mono for the putpotc of application rcv'.ew and any aytrirad(trier ir:spettiunt. Access and right of entry to the appiicarti s itoperty of structure shad be requested and shill occur dorms rapist business!,ours. Signature: Date: 7-r; l•i•FiomE`iri.,,Nc sit\INFORLDG\F'ORMS\6LOperinirAppluation 11.8-01 Q r�R TO/TO 2.9t/d COG 03 dd3F T9t't'ELECI9E ,T:9T ZOOZ/bT/RA r u tV If /: -)0,22 1 :I . • , _4) i ,r,,,.-i , ,\ • . ,,,, 4 _%, 7,,,-„, \ cf , -,,i) ,,,, , b<bc ai.10. 76u-.7,2 -ro fin' ;J ,�� P--....,L V� j \ al lit pp-- 0,, _ , --‹-.,______24, TE ,a Nj API +4- N.�i . 1Li,T 1' / - Nx 6 loki ' 31' ......---------A.1 r; , n; i.._ - i I I , j Wit" 4-4- , l?o p-�T E U D �.r) l ,: � I off=-=6-144 _-- / « ^ „ � ® ) ~ f � 4 � . . « \ /^ � « ? . . y: . {< z \ ` 2 . 9 � .. .