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Home My WebLink AboutBLD1984-00013 odA 1 % h..1-P !'-'+ F,.RF; i t TNT i C') V -i"Y T T'I f %.T J 1 1'V' F'� t'.1 1 V j f _-I r Jefferson County Pinning and Ruiidina Department Courthouse . 3rd Fl nor PO Rnx 1220 Port Townsend, WA 953 65 206-355-9141 FJ MTT # -RT.T)R4-nn13 IJATF. TSST1FT). : O5%11 /R4 ST M. A111T.RF.SS ' 1 1 nn T.T NCF.R LONGER T,N ]O11'i TAI:r.ii . WA 98376 OWNER ' F'...K. H TCKMAN PHONE.: 2853-91433 MATT,T NC AlfR • 27OE5 W F.T.MORF. STREET ! SEATTLE WA 95199 .;ON RACTOR . . -Nn CONTRACTOR PHONE ! 'vlATT,'ING Ai)TJR - ;ONTR . LTC St! F.XPTRATTON DATE ! ▪ARC:r.T, NO . . _ r 70224 1 -O2n L EGAL iJF.StC . . ' STR 25-27-02 WWM . TAX # 26 7,nT BLOCK iFSC:R I P T TON OF TMPROVRIv1FNT: single family residence j F opt i nrj/Sethacks (Shore.i i ne Se hark) I Mnb i l e Home Blocking! Foundation ! Underground Piumhincc/iinderccirounn Tnsulatinn : 7i Jmn�nG1/. .n�.r�•� Tnsulation ! i Sheetrock • ; Sewage T)i snosa l System Final ! ( ) r'i a i i Jcc Jnancy Approval ! CAT.,. 355-9141 24 HOURS TN ADJVANCF. TO SCFEDULF. TNSPFCTTONS . Office Hours 9 a . m_ to 5 p.m. Tnsnectnr ' s Hours y - 10 a .m . 24 Hour Recorder for Tnspectinns. • s s . BUILDING PERMIT APPLICATION Jefferson County Building Department• County Courthouse • Port Townsend, Wash.98368 • 385-1310 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET NE / S W FROM INTERSECTION OF ROAD AND OAP Imo!. A.'J/I afrdl,l A.A ROAD /,�/ //g J r / / other specific location or landmark: .e�1�(�'/ !yy 2,!a LEGAL DESCRIPTION: Lot Block Subdivision Tax Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY 'h�1New building ❑Single Family ❑New County Resident ❑'AAddition ❑Multi-Family Is this structure to serve the residential number of units ❑Alteration or commercial needs of those employed ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or ❑Repair,replacement number of units Indian Island Facilities? ❑Wrecking p Mobile Home ❑Moving (relocation) ❑Other/�—Specify, ❑YES- ❑NO ❑Foundation only QiLLJ , USE OWNERSHIP ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑Second Home: Future conversion to permanent residence — COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food • Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary To be installed but not included school,secondary school,college,parochial school,parking garage for in the above cost department store,rental office building,office building at industrial plant. a. Electrical If use of existing building is being changed,enter proposed use. b. Plumbing c. Heating,air conditioning d. Other (elevator,etc.) • TOTAL COST OF IMPROVEKAIT/ D2 III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS j Number of Stories / • ❑Masonry (wall bearing) ❑Public or Private •Total square feet of floor area, ❑Wood Frame J.pdividual (septic tank,etc.) all floors,based on exterior (� ❑Structural steel dimensions l ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft ❑Public or private company ❑Other—S.-cify_ NUMBER OF OFF-STREET .a )/ /2, icOndividual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors ❑Gas ❑Oil -- J RESIDENTIAL BUILDINGS ONLY icity f Number of bedrooms I ❑Coal TYPE OF MECHANICAL ❑Other—Specify - - Number of bathrooms Full • .-__._.-� - Partial IV. IDENTIFICATION- ' Name Mailing Address—Number,street,city and State ZIP code Tel.No. Owner -3 C? Cis' / .// W9 9'40 2. Contractor State License No. I 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. .i. atu - .f applicant Address Application date ........ . �, r� ? .`fir>? C(j(_ (z ,4 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT c APPROVED BY Cp.It- , gY .3.D,p. ti 6. p JEF RSON COUNTY HEAL H DEPT Cl. m. 1 APPR4 E 1�: . PERMIT FEE ISSUE DATE PERMIT NUMBER ` y IV 116"�� 2 �� BUILDING OFFICIAL V./.,\(13i 11k� � of ............. v F . n CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT #: BLD84-00013 APPLICANT: E.K. HICKMAN PHONE: 2706 W ELMORE STREET SEATTLE WA 98199 SITE ADDRESS: 1100 LINGER LONGER RD Issue Date: 08/11/1984 QUILCENE, 98376 Final Date: 7/30/2014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702251020 Section: 25 Township: 27 N Range: 2W PROJECT DESCRIPTION: single family residence THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE EDITION. OCCUPANCY GROUP: R3 TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes _ no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/30/2014 1 \\tidemark\data\forms\F_B LDOccupancy.rpt 7/30/2014 , - Div. .3 f t4 7 JEFFERSON COUNTY COMMISSIONERS 1—Health Dept. Port Townsend, Washington BUILDING PERMIT APPLICATION IMPORTANT — Complete ALL items. Mark boxes where applicable. Nu r ands eet Subdivision I Lot I Block Census tract i. I i LOCATION t I OF N I l i i e,*7; , :---,—, ,Jr',;,,�r j .t7` BUILDING E W side of feet E W from interse ion of (Other local geographic, political, or legal subdivision identification) II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For "Wrecking" most recent use 1 ew building Residential Nonresidential 21 1 Addition(If residential, enter number 121 1 One family 18 Amusement, recreational of new housing units added, if any, in Part D, 13) 131 I Two or more family -Enter 19 Church, other religious number of units------0- 3 1 1 Alteration (See 2 above) 20 Industrial 14 Li Transient hotel, motel, 41 I Repair, replacement or dormitory -Enter number 21 Parking garage 5 1 I Wrecking(If multifamily residential, of units- -0- 22 Service station, repair garage enter number of units in building in 151 I Garage 23 Hospital, institutional Part D, 13) r 16 E]Carport 24 Office, bank, professional 6 I I Moving (relocation) 171 I Other -Specify 25 Public utility 71 I Foundation only 26 School, library, other educational B. OWN ERSHI � 27 Stores, mercantile 8 rivate (individual, corporation, 28 Tanks, towers no profit institution, etc.) 411131•6115t.- 29 Other -Specify 9 rii Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement $ school, secondary school, college, parochial school, parking garage for To be installed but not included department store, rental office building, office building at industrial plant. in the above cost If use of existing building is being changed, enter proposed use. a. Electrical b. Plumbing c. Heating, air conditioning d. Other (elevator, etc.) 11. TOTAL COST OF IMPROVEMENT $ 6�J�- III.SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS / 301 1 Masonry (wall bearing) 401 I Public or private company 48. Number of stories 31 Wood frame 49. Total square feet of floor area, I 4 ndivi ua1 e tic tank, etc.) all floors, based on exterior ��[v�� 32 pi Structural steel dimensions r/` 331 I Reinforced concrete H. TYPE OF WATER SUP LY 34 Li Other -Specify 42{ ] Public or private company 50. Total land area, sq. ft �/ 43 Individual (well, cistern) K. NUMBER OF OFF-STREET � + P_ PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51, Enclosed 351 I Gas Will the be central a' 52. Outdoors conditioni -? 361 I Oil L. RESIDENTIAL BUILDINGS ONLY 3 ectricity 441 I Yes 451 I No 53. Number of bedrooms 381 I Coal 391 I Other -Specify Will there •e an elev.tor? Full 54. Number of j 46111 es 47 all No bathrooms )( Partial IV. IDENTIFICATION — To be completed by all applicants Name Mailing address -Number, street, city, and State ZIP code Tel. No. ow I'X*'(-. 71j‘L.11. C / C°t-4-12J7‘ /T/ T . , `vas' ""fl 914.7..? 2- Contractor State License No. I 3. Architect // The owner of this building and the undersigned agree to conform to all applicable laws of (name of permit jurisdiction))u-7C Sign e of applicant Address Application date moo- y.� T DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Dat ermi is u d Permit number �4'f � / � /■,, e -K-� n&ea g-6.- 1 .....64,4 \ 4