HomeMy WebLinkAboutBLD2002-00482 BUILDING PERMIT APPLICAWN MR�OwTUpe4:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00482 Received Date: 8/21/2002
SITE ADDRESS: `fi'A WELLS RIDGE CT
PORT LUDLOW, 98365
OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: (360)437-2101
70 BREAKER LN
PORT LUDLOW WA 98365-9766
SUBDIVISION: PORT LUDLOW NO 7 Block: Lot: 5
PARCEL NUMBER: 990100005 Section: 17 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 DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,448
VALUATION 112,944.00 ADD'L: HEAT TYPE: EEE
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
CONST TYPE: GA 602CK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: 2 Prop: 2 Seismic Streams
Total: 2 Total: 2 Flood Way Floodplain
Routing Date: ItitZZ. a�.. Mr' F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $1,066.55 MAM 08/21/02 49513
Plan Check $693.26 MAM 08/21/02 49513
State Building Code $4.50 MAM 08/21/02 49513
Potable Water Application $50.00 MAM 08/21/02 49513
Total: $1,814.31
' ,;iiiti',, ':',4ii
PORT LUDLOW ASSOC I A11, 8- 8- 2 ; 3:17PM : 1 360 1.522- 3603794451;# 3/ 6
. - . • tao Qg County 'tmont of Commontty DAY®lemoot
C:Nt; ' V.L f-- .__,., _
821 tMal Street,Port lQtI ousel WA UMW Mil$7S AA68
erit6t
PPTdt AppG0°ccifiLlc)n
Project Dee iplaon: s 46�Pa d /q Y6
�Btau ry�pe; ,,,t
Ingle Fa Pr
elect h'ram .,e;
,; ... ,..
_ ti.� __J Wood
,fri ' angel At aeheel/Octet 1 Addition
?`. Stee
Modular Alterationlltemodel Concrete
,t' Commercial acpYtir Mammy
M'�ta family!#ofr'nirs Demolition
` Other:
` InduatriatE I
Other,
.Bethroomr: •�Bedrooms: , Xype of Sewage Diopasel: _ Type of Heat:
Choose one:
Existing: E:oa
Psapoar:d: - —�y.. "'reposed: � `de`*`eY- Community System /C„�tect=iciry
�iiil! Total: ` individual Oil
.��. ��,�: TS oodatowe propaae
1 If not sewers ff1 out the following; Heat Pump
Conventional Alternative Other
I
Permit# SEA 41111 -, j
Water Supply: . — t�..��� �„�
Private well Two Party Well Public:N#n a of water-'ate,_f 7 2.e 6 a
r Squire Footage: thitiot ,
i
Maim Floor S S, LA k err 1 1 a+ n.n ,t! °°
•
"AND Floor ��.; � �,,� q '� /"]iy �, d b.
S u ^ 9
°' ` ltd Basernent -, _. State Surcharge fee i/r 5
Unhtd Basement __ Subtotal i 'y/fr .3 1 I 'sa�-04
i Garage/Carport a/Catptart z /4/ i49,IV ��
'Pet geitR•aview Fee f
Decks �.v / :,
Commercial __, ,� • D 3. d c
induet.ty.a1 +•- /
Receipt# _ Il Jr 3 1t; Other r Chi# ,(�"3 b
Total Value
f.di ` ii 24 T iT T41118 .
Estimated Cost. ,
If within 200'of the Shoreline,
Distance to Bank or Ordinary High Water Mark ft,Batik Height t k
:
5y signing the appkation form,,the applicant/owner otatatg that the infosraatiart provided*berm is true and coma to the box of Rhea ltrowiedg. An; mace:tial falscito zd:Jr any
omission eFel matnrirl fart mode by the appiiant/ownes with ntspset to this application packet may result in thin pemtic beingaull and void.
TM eIfe moo Jefferson I further pee to save indemnify and hold Weeks, oar '
J Countytispinet all iistrilieity judgments.eon+t amen,reasonable accOrttay s face aed ex nsoa+vlric.4 nray in any"'Y Urn'
against County so a rrault of oe in mnsequeaee of Om panting of this permit.
1 further agree:o provide seem and net of entry to efferson Canary and ir's em lo•erg, msetltative,or �1,
1 > p } rep agar uanc purpose afoppGtatagruteviewand soy requited sarrr:as ya,w,
t Acmes and right of every to:Ra appiieaet's panperty or alnactura shall be ceyuaed and Shag mew during aphis'bussrttas hours,
i Signature,. Dot '
(-9 J
�'CC C OVER illy. d
Ht1-10 ME\PLNCN R\INFOBLDG\FORMS\BLDm peaatAppticatlon 11-8-01 )C s
a . J ' YJ\ . A l"
�ftt Sty `k . V)S1 g�
q)e,-
" t
£a 3Dad aoa oo �A3r O t;t�ta6L£o9£ rate :ee zoIaz168rso
• 0
n '
L
Lk
t.
v,=t :� .1k ram• `
'1 i
!a-7_2 2a,-7,1179.-- r,;.- ,-7- ir ', ''' \d''< ''''. ..''': .
---f- . fl
1 I
of <1--- r.-.4.17E; lh,,; i:
1 I'L-PI 14 I Ott - 4.i.
ri / g , ,
-'S) \ \ _ ... „ TZ-- _ L. '
0"f. Li e-
r, ,/
•
e.-1-Cib.C_.:,•, ..0;.? ... L...t,- \__\42,_,\ ___ a'.4., 614LiriA2-r
'" �! A _�,�1/17 \ �o (�2'k.l f 4A-30 ( 1, !1,
\ .,:iTO);1 P711 ,75 '...1 1,1' .
�^''�0 ' -�/ 1 1 s r f / N _ /
1
- , l'-';1314P-4.-- 1-i- -
_____ ;,.,.:4_,ffa.p..fuq 1 , -Floc' 1,-A-,
„.
'•
. .,,fr,;'
.A
.
,.
.. ,
. .
, .
,
.
---”"
. . „.
r
'0
4, '
..,,,,, r,',.
z, ,
#0 ,;,',‘-' S .,,/../,',
, .
. ' k'.<
, ,,:.
., 0
',,, ,
.
- , # 4
A , ,
,,,.-
.,.
, ,
# i. '
• o .
,
' Si