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HomeMy WebLinkAboutBLD2003-00494 •UILDING PERMIT APPLICAIN MRAOw00p 49 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00494 Received Date: 8/6/2003 SITE ADDRESS: 200 CONDON LN PORT LUDLOW, 98365 OWNER: DOUGLAS A PRICE PHONE: (360) 493-1904 TERI PRICE 6841 BRITT ST SE- OLYMPIA WA 98506 SUBDIVISION: PORT LUDLOW NO 1 Block: Lot: 39 PARCEL NUMBER: 990400239 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: DESIGNS BY SOUZA, INC PHONE: (360) 379-8338 164 SWANSON AVE PORT TOWNSEND WA 98368 PROJECT DESCRIPTION NEW SINGLE FAMILY RESIDENCE WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,005 VALUATION 218,037.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 3N GARAGE: 1,164 SHORELINE: CONST TYPE: DECK: 606 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 2WELL 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: F&W Landslide �!7 200 � Shoreline Aquifer ✓ Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,676.95 MJA 08/06/03 58274 Plan Check $1,090.02 MJA 08/06/03 58274 State Building Code $4.50 MJA 08/06/03 58274 Potable Water Application $51.00 MJA 08/06/03 58274 Total: $2,822.47 --a �g oN co ' .. .`.4, Jefferson COun party t of Community Development r Sheridan Street,Port Townsend WA 08368[360]370-4450 W -tiff r3 0 U�U0 0 , V� pT OC�Q` 00n JEFFERSON COUNTY DCD Project Description: Building Type: Project Type: Frame Type: 9 Single Family X New Wood Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ 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: Existing: Existing: % Sewer ❑ Community System ❑ Electricity ❑ Oil Proposed: 2 Proposed: 3 ❑ Individual System ❑ Woodstove tit Propane Total: 2 Total: 3 If not sewer,fill out the following: p(Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well ❑ Two Party Well Public:Name of water system: Square Footage: For Office Use Only Main Floor 2r 0OW 4 0 I-o &' I •_ID- Consistency Review 47.00 2ND Floor Base fee / CO 476 5'5-- 3rd Floor Plan Check fee-65% C 6 9'06)/4, Htd Basement State Surcharge fee 95-0--� C Unhtd Basement -Subtotal o r--\ 0 • ti Garage/Carport `/44 00 itsct sp 'cf.-7 'ot Water Review fee B a- Decks 606 . 00 14 a83 ga. J2l1/RdAProach fee - t2O3-PA() Commercial i t. TAL a 00 Industrial dO J n.eceipt# 5 Sa 4 r Other Cash/Check# ag5``1 Total Valu "tion: / d O Initials `/ a Or Date 8 eVaCOZ Estimated Cost: If within 200' of the Shoreline, 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 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 t applicant's property or cture shall be requested and shall occur during regular business hours. W Signature: Date: 7`2 7/C3 OVER H:HOME\PLNCNTR\INFOBLDG\FORMS\BLDpermitApplication 11-8-01 —� 5a dirt' M. Souza 3 379-1327 p. 2 1 " Jeffersee Comity Department of Community levelopmen 1 Sheridan Street.Part Towed WA 88368 0BD)370-44s "-- . PpBa°c©t5©Ct Project Type: , Framef Type: >� New ` Wood fJ Addition Ci Steel CI Alteration/Remodel I i Concrete l LJ Repair 0 Masonry U Demolition 0 Other: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: uv twao: _ Sewer LI CommunitySystem Ystem r7 ElectricityD OilProposed; Total; — El Individual System f 7 oodsto'e ❑ Propane — if not sewer,fill out the following: <I-lcat Pump J Conventional 0 Alternative 0 Other Permit# SEP = aLlc;Name of waters stem For Office Use Only _ Qc. ..f i l 0821.12.., Consistency Review 47.00 Base fee i Cz.74-q S' -- C�g0. 02 I Plan Check fee-65q/q ---- _mac _ State Surcharge fcc .. t}-•50 Subtotal .L}'I . ;"1 e• .-75 G'OS•a7i Pot Water Review fee Z . 00 �� rt` I 2 911/Rd Approach fcc _, I A 3^ 14', —.. cio l'UTAL 2-41 op .47 2Z\ Receipt# Cash/Check# -- [-i.i1 ,.r'° D Initials Date u :'1e Shoreline, - ^ ..n.a•-;r I sigh W2.tcr Mark �ft. Bank Ilczght ft. zc, .rant;owner atLera -hnt tnc rnforrltatiou nrvkticd herein P t is we and a perm to the Lest of knowledge. Any ma[f1iA1 fnlarht><gl or any c*: •t5; aT,p.ieA.tLt/utvnCr with trsptxi to this application packet may reaulr in ilia permit briny;null and void. a^c:emoi;y and hold harmless Jefferson County aEtjiinct all baLilinex,iodgmrnts,Court mats.reunrtable anorney's FecF and exprnxcs which may in any way accrue ---. zs a act:ult of or in consequence of the +gntnong of this permit. zi=1 f c.'ry to Jcffcnon County and it's employers,represcntanves of gents for the city,,, . L .-. h l i l?hourl.of uppliCxlxin review an51 anyh uifYdl latex'tnspCG 1011s. �'` ..:hall be tt ttcs�reel and Fh 9 "9 all occur Tunny,,,n•KttlAr LuFu3CA8 hours. /�. _ Date: 7/2 7It93 V R \ Nn'O BI.1)(.;V,'()RMS\BI.l)perrnirAlif,licsetiota 11-8-01 Aeave 4se <d. err` %E o1 111 N _..—..—..—.. 60A(Y PROPERTY LINE /L0•,- T z r J O) -, \ , 1igi ii 1l ••i)-I i I:!i! \\ \ g2:03 0T14 1t61'` \ 1 rh \*\:+,\\::\r il 0 • X\ \\\ 1 1 I. <\ \� _ _J \ nsl st _:. „,N,\\\„\., I ,1=- • i J 1 i---I 1 i I • I I ' � • —I I1:i' I.• \ �\\:\ �\\\ `\ I 1 ua I �rfr'\_ \\ih \ \\I. ''CArgI 1 \ \ \d r \ :I \\:6 '\, 1 IL ; i\\,„\: IL— 115 3 0 1\, i \\ r11'0'\,'""\ \ gi.,\:., ' \\.\\\ . : A •-•1 1,<' • : ' `\ \\ \\\, \ \ \ ! . cir) ,----,.. �L_ _ \14\ v. .\ �" ` •• .1 4*\\ \ >N>,- _--K. -, ....../..7,), , ff . ..._*. ______ // ,-----_—_ • ) •. • -_,A.• /,--1 i__[ . 4,1 \ \ -' I \911` 4 — co- -. / 9fA 6"CON ---__ _,1, l� —.. �Ol `1 L.A.NE. ,� - ..-. .�� . —. _ _ — ALINEGO \ e'-- \_ ___---------- ,,.-..._.q.... . ,p.... ---.. \N..._........s, ..."-----: -...—..- N i; i•. c•- 1= 17. d 2P e.., ..,, cr.) 1 , ,,, i, , lig Eitil › ,--) . 71 ? ii :? 5 1 i 1ly: 1 il two - - ..L-..:,1 exes—,- ! g ; g i—► i I M�n$ -�� New Residence for 164 Swanson Ave Port Townsend,Washington327h 98368 ,( e I 4 and Douglas Price Voke(360)379-6338 Fax(360)379.1327 henry�deslgnsbysouze.com