HomeMy WebLinkAboutBLD1994-00776 THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY.
• • go ' .
JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0776 DATE RECEIVED. : 11/07/94
SITE ADDRESS: 392 RICE'S LAKE RD
OWNER *PETER ALLEN PHONE: 3 - C1 13,s-
MAILING ADDR: 112 THOREN RD
:PORT LUDLOW WA 98365
CONTRACTOR. . : PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. . . : 702125001 ALT: CON: t A '4
LEGAL DESC. . : STR 12-27-02 WWM, TAX # 321 WATER:,(_, DATE: iisTf
LOT 1 , BLOCK , LELAND CREEK TRTS SHORELINES:
BY: DATE:
DESCRIPTION OF IMPROVEMENT: Residential Cabin sep90-0230
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 384 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT • PROP. . : 1 PROP. . : 1 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 1 TOTAL. : 1 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . :SEPTIC OTHER 0 sf
TYPE OF CONST • WATER SUPPLY. :PWELL CRPT/GAR. . : 0 sf
UNITS. : 1 STORIES: 1 HEAT TYPES. :WOD/ / DECKS 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $: 18347 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 3937 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 198 . 00 AMW 11/07/94 100863
Date: 7) , PLCK $ 59 . 40 AMW 11/07/94 100863
A iV1 B.C. $ 4 . 50 AMW 11/07/94 100863
Issued By: 1c l Q qLI
Date: Jefferson County Planning
tr & Building CepartmeE,t
$ 261. 90 TOTAL
1 �
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•*JEFFERSON COUNTY BUILDING PERMIT APPLICATION
BUILDING TYPE IMPROVEMENT TYPE
67 SINGLE FAMILY Lli' NEW BUILDING
❑ MOBILE ❑ ADDITION 500+1500-
E1 MODULAR ❑ ALTERATION
❑ GARAGE ATTACHED/DETACHED El REPAIR
❑ WOODSTOVE ❑ DEMOLITION
El MULTI-FAMILY/UNITS ❑ RELOCATION
❑ COMMERCIAL
❑ INDUSTRIAL
❑ HOTEL/MOTEL/DORM/UNITS
❑ OTHER UBC OCCUPANCY GROUP
DESCRIPTION OF IMPROVEMENT:
SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL
MAIN FLOOR 3 55'4 ❑ ELECTRICITY ❑ OIL
2ND FLOOR [( WOODSTOVE ❑ GAS
3RD FLOOR El HEAT PUMP ❑ OTHER
HTD BASEMENT
UNHTD BASEMENT
CARPORT PRINCIPLE TYPE OF FRAME
GARAGE
DECKS Kt' WOOD ❑ MASONRY
COMMERCIAL ❑ MANUFACTURED ❑ OTHER
INDUSTRIAL ❑ STRUCTURAL STEEL
OTHER
TOTAL VALUATION �j
or
ESTIMATED COST It (Q6 O O Q 12✓ 4�J
1 cS MAXIMUM HEIGHT
rs" INSTALLED 19"►3
TYPE OF SEWAGE DISPOSAL: ❑ SEWER [ 1 SEPTIC SYSTEM
❑ NOT INSTALLED
TYPE OF WATER SUPPLY: PRIVATE 5/DRILLED WELL OTHER
PUBLIC ❑ CITY OTHER: NAME
❑ PUD STATE I.D.
NUMBER OF EXISTING BEDROOMS I NUMBER OF EXISTING BATHROOMS I
NUMBER OF PROPOSED BEDROOMS doe NUMBER OF PROPOSED BATHROOMS ,/4,/
TOTAL NUMBER OF BEDROOMS i TOTAL NUMBER OF BATHROOMS I
IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER
BANK HEIGHT SETBACK
FRONT SETBACK �� SIDE SETBACKS / REAR SETBACK
SIGNATURE V Q- ,` -
■. DATE ( Z \ ( y
APPLICANT NAME (PLEASE PRINT) V' eT E ALLAN
FOR OFFICE USE ONLY
TYPE OF ACCESS RD
❑ Primary Arterial ❑ Secondary Arterial El Collector ❑ Access
FOOTPRINT (incl decks over 30" from ground)
LOT COVERAGE (footprint divided by total
sq ft of property)
BASE FEE c.1, (2 J\ / 0980
PLAN CHECK ( /l RECEIPT #
STATE SURCHARGE 4.50 DATE I I i%'‘
RADON KIT
TOTAL cqP CASH/' <-2-0.ri
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A
JEFFERSON COUNTY BUILDING PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
206-379-4450
PERMIT # •BLD94-0776 DATE ISSUED. : 11/15/94
SITE ADDRESS: 392 RICE'S LAKE RD
:QUILCENE, WA 98376
OWNER •PETER ALLEN PHONE:
MAILING ADDR: 112 THOREN RD
:PORT LUDLOW WA 98365
CONTRACTOR. . : PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE: / /
LOAN LENDER. :
MAILING ADDR:
PARCEL NO. . . :702125001
LEGAL DESC. . :STR 12-27-02 WWM, TAX # 321
LOT 1 , BLOCK , LELAND CREEK TRTS
DESCRIPTION OF IMPROVEMENT: Residential Cabin sep90-0230
( ) Footing/Setbacks (Shoreline Setback) :
( ) Foundation:
( ),,7 (underground Plumbing Underground Insulation: G f i, `i✓-
( Framing/Plumbing/Chimney: Vt._ / -/f -`7N
( j "Insulation: Z`
( Sheetroc . p g* '�•- `��S - '� P
( ) Final/Occupancy Approval:
CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS
Office Hours 9 a.m. to 4 : 30 p.m.
Inspector's Hours 8 - 10 a.m.
24 Hour Recorder for Inspections