HomeMy WebLinkAboutBLD2002-00562 tILDING PERMIT APPLICATtN MRLA02 0eview 0p508
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD02-00562 Received Date: 9/23/2002
SITE ADDRESS: 725 LUDLOW BAY RD
PORT LUDLOW, 98365
OWNER: RANDY L DUHON PHONE: (360)437-7823
CYNTHIA J DUHON
725 LUDLOW BAY RD
PORT LUDLOW WA 98365
SUBDIVISION: LUDLOW BEACH TRS 2 Block: Lot: 7
PARCEL NUMBER: 969000007 Section: 16 Township: 28 N Range: 01 E
CONTRACTOR: DISCOVERY BAY CONST CO INC PHONE: 385-4372
PO BOX 1410
PORT TOWNSEND WA 98368
Contractor's License DISCOBCO90B9 Expires 8/20/2003
REPRESENTATIVE: ROB GRUYE PHONE: (360)385-4372
DISCOVERY BAY CONST
PO BOX 1410
PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 2,017
VALUATION 300,000.00 ADD'L: 862 HEAT TYPE: PRO
CODE EDITION: 1997 HEAT BASE: 67 HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: 549 SHORELINE:
CONST TYPE: DECK: 18 SETBACK: 40
BANK HEIGHT: 35
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL PARCEL TAGS: YES _NO__
BEDROOMS: BATHROOMS: STORMWATER: YES__ NO _AREA
Exist: Exist: Wetland_ Erosion
Prop: 3 Prop: 3 Seismic ___ Streams _
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: F&W— Landslide
�.4-f- (�Z Shoreline--- —Aquifer --
Forest: Commercial Rural
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $2,113.75 MAM 09/23/02 51006
Plan Check $1,373.94 MAM 09/23/02 51006
State Building Code $4.50 MAM 09/23/02 51006
Potable Water Application $50.00 MAM 09/23/02 51006
Total: $3,542.19
• Jefferson Co uity iartment of Community Development
J/ or,
� 621 Shark1an Street,Port Townsend WA 8r68[3601318-4450
\ ! perm._ if A piicA iccArfroca, li. N I El [--
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Project Description:
Building Type: Project Type: 1 Frame Type:
Sin le Family
New �•Wood
Garage Attache Detached Addition Steel
y o u ar Alteration/Remodel _. Concrete
Commercial Repair Masonry
• Multi-family/#of Units - Demolition Other:
Industrial
Other:
Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat:
Choose one: jajtis+k.1,y
Existing: Existing: Sewer 1 Community Sycem Electricity J Oil
Proposed: 2 Proposed: 3 XIndividual System Woodstove `A. Propane
�/Total: ..„ Total: 3 If not sewer,fill out the following: 12 Heat Pump
X Conventional I Alternative Other
Permit# SEP 41't4 4szi G,0
Water Supply:
X Private well _ Two Party Well Public:Name of water system:
Square Footage: •�� For Office Use Only 1
Main Floor a-0 1,1 131 6�
Consistency Review 47.00
2ND Floor U ()a-. 5�cr 1ZrL• • C Base fee �,113. 75.
3rd Floor �",p61 lit 6-7 "L 7'4 • (0 o '�T. Qc
1 Plan Check fee—65 �o
Htd Basement State Surcharge fee CV•5C
C l
Unhtd Basement ��//;; (� Subtotal ��7'�Garage/Carport 5j 4/ I (2' 74• L 3 Pot Water Review fee Si1 • 00
Decks fb'ti. t T) C174.24°' 911/Rd Approach fee
Commercial 1 TOTAL 3 47•Q' ( .
Industrial -` Receipt# io c
Other Cash/Check#
Total Valuation: Initials—~Or Date p
o U
Estimated Cost: ,3°0/
If within 200' o the S oreline, ;
Distance to Bank or Ordinary High Water Mark y J ft. Bank Height 3 5 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 matenal 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: RS Date: `' j<6
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I LHOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01
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Randy L. Duhon
725 Ludlow Bay Road
Port Ludlow, WA 98365
January 21,2003
Jefferson County Dept of Community Development
ATTN: Zoe
621 Sheridan Street
Port Townsend, WA 98368
Dear Zoe:
Due to circumstances beyond my control, I am withdrawing the building permit MLA02-
00508. I understand that I am due a refund of at least part of my permit fees.
Thank you for your help.
Sincerely,
Randy L. Duhon
R[IAN 22 2004
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