HomeMy WebLinkAboutBLD1991-00455 4
.TFW'W 1 . C)T\T C:C)tIN'T''Y RT7T T.T)T i\TC pRT.T C, A►'VT C)1I
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
Building y
PO Box 1220
Port Townsend , WA 98368
206-385-g141
PERMIT # • RLD91 -0455 DATE RECFTVED. :06/27/91
SITE ADDRESS : 631 GRIFFITHS POINT RD
NORDT,AND, WA 98358
OWNER •RTTSSET,T, TILLMAN PHONE! 385-1319
MATTING ADDR : 631 GRTFFTTHS POINT RD
NORDT,AND WA 9R35A
CONTRACTOR :NO CONTRACTOR PHONE :
MATT,TNO ADDR :
•
CONTR . LTC #: EXPIRATION DATE:
ARCHITECT! . . PHONE :
DESTONER
MATT,TNG ADDR
PARCEL NO. . . : 021324030 HEALTH:
LEGAL DESC . . :STR 32-30-01 EWM, TAX # 89 BY: !�[--(011 DATE ! ri/C /
LOT . BLOCK SHORELINES :
BY! DATE
DESCRIPTION OF IMPROVEMENT: single family residence
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . _ 2213 sf
TYPE OF TMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 2ND FT, 0 sf
GARAGE/CARPORT PROP. . . 2 PROP. . . 2 3RD FL 0 sf
WOODSTOVF. C'.5 TOTAL. : 2 TOTAL. : 2 BASEMENT0 sf
UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . : SEPTIC CARPORT. . . ! 0 sf
TYPE OF CONST WATER SUPPLY. :PWELT, GARAGE 0 sf
UNITS . : 1 STORIES : 1 HEAT TYPES. :EEF./ / DECKS 0 sf
DIMENSIONS : MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPF.:WOOD MAKE: YR : INDUSTRIAL ! 0 sf
EST COST. $ : 88520 SIZE : BANK HT. . . : 3 ft
PROJ GRP. . : 1695 SH SETBACK: 32 ft
Owner/agent FEES
Signature , type amount by date rcpt
PRMT $ 590 . 00 MM O6/27/91 56240
Date l I PLCK $ 88 . 50 MM 06/27/91 56240
' B.C: . $ 4 . 50 MM 06/27/91 56240
Issued By: SEP 6 1991
Date, Jcffersean County Piannnng
&Building Department $ 683 . 00 TOTAL
/LiA! 15' 2,7
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Jefferson County Bulling P
ng Department'P.O . Box 122Uort fownsenu. w++ , UJUU
S
'.i;r .0 p -
f�1' LOCATION T-
06;3 i G� ',:,SPEC 1 F I C 2 CATION ..S I TE A ` SS a'3 ,e/f��Tt[5 P! ° 2Li•
44�: . . POSTAL 7*T tritic'i•IOAPht4/ UBD 1 V I s I oN
;I n , =SCR I pT 1 ON LOT BLOCK DIVISION
TAX NUMBER; �
` tZ 1 / 4 SECTION
.„ T I O N 3Z- T O W typal P ,=. fD NORTH . . .G.E , 1 Lam^'" W M
BUILDING INFORMATION
BU 1 LD 1 1W9Yp1 TYPE \OF t1404,0VEMENT SQUARE mgmApa ,
MA 1 N FLOOR ���
1' 0, SINGLE FAMILY NEW• BUILDING ^
ADDI'tION 2ND FLOOR
�❑ MOBILE HOME ❑ BASEMENT
01 MODULAR HOME ❑ ALTER�AT I ON _—'
❑ DETACHED/A fTACFIED ❑ REPA 1 R\ CARPPRT
• I' GARAGE ❑ REPLACEMENT GARAGE
CI woo;pSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
' ❑IMULTI -FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER or UNITS____ DECKS
• MOBILE HOMES ;'A0
❑ COMMERCIAL .SIZE,
❑ INDUSTRIAL YEAR 0 @ $ 2.0
/0 HOTEL/MOTEL/DORMITORY MAKE . 0 a $ _10 _ -
NUMBER OF UNITS \
❑ OTHER SPECIFY a ; 10
TOi
I M9f2 YOV EMENTS TOTAL FAIR MARKETQ VALUE S-
UDC �
OCCUPANCY GROUT? • s Zo
SELECTED CHARACTERISTICS OF BUILDING
. PRINCIPLE TYPE OF i#3'6 FUEL.
,PRINCIPLE TYPE OF , .ME
WOOD FRAME DI ELECTRICITY ❑ COLLECTIVE SOLAR
• ❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS ❑ COAL
❑ REINFORCED CONCRETE
❑ OIL ❑ OTHER - SPECIFY .
❑ MASONRY ( WALL BEARING ) DIMENSIONS
V ❑. OTHER - NUMBER OF 1126994MS TOTAL LAND AREA
. 14 •
t '!.•
BEDROOMS oC.
HEALTH DEPARTMENT TYPE OF ' tE -D I SPOSAL NUMBER OF
❑ PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
is I ND I V I DUAL ( SEPTIC ) NUMBER OF 191111111199Kila,13ATAROOM '
APPROVED DATE INDIVIDUAL WELL NUMBER OF EX STiNNG BATHROOM '
PUD TYPE OF i ,;;T.Ef SUPPLY
❑ PUDLIC" ( NAME OF WATER SUPPLY)
• APPROVED DATE PRIVATE (-NAME or WATER SUPPLY //cam/LLEJ� Ll1E�-L'
PLANNING DEPT .
WITHINI„a$€, JURISDICTION
• g YES NAME- OF ADJACENT -WATER BODY
g I41 5 u T 1-.I.A ,2t30 oie____
NO , I ..., I
APPROVED DATE • BANK HEIGHT SETBACK
•
PUBLIC tvoRKs DEPT ROAD RIGHT-OF-WAY WIDTH
• NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO 1
IDENTIFICATION TE; . M
ER Fte55ELL G 45 r 67.4/rf/1- . 1'roplgzsSi50:-/3>7
L Au>?/€ -,7', 7"rLL1-2 A,N /1/ le.,ULAN17� I A , • -
CON1' 'S-T7t- E LICENSE HOJ
• ARCH
rHE- OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAMS;
OIP .APPLI ANT Al aEATO DATE RECEIPT NUMBER CHECK NUMBER OR CASH
M l-/.2/g i 2 4° I.
goy
l
APPROVED BY PERMIT FEES,ip,
. . SID d ASE FEE G INSPECTION
• , , • , _ b D. , BLDG SURCHARGE /' G<6 PLAN CHECK
•
...-...� S tp ENERGY SURCHARGE O j • rAL
9 1 1 NUMBER 11 REFUND DATE `DATE I SSIIED' _
BUILDING orFIcIAL
_ , .. . _
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0
T I TNT T IT)7r." 3.\T C-; r\'1
n! (•01-1n4v P-1 .11n1rin- anc3 Rui1cjn0 Denartment
(:cr)rtnnuse 3r RI nor
P0 Fox 1220
Pn'-'t Tnwnsecl , WA '- -sir -s
208-385-g14.1
PFRMTT #. . . . : 19LDg1 -0455 T)ATR TSSURD. : Oq/06/q1
STTR ATIORFSS : 831 GRTFFTTFS POTNT PT)
NORDLAND, WA -les.-inm
OWNER -RUSSRLL TTLLMAN PFONR : 385-131g
MATLTNG ADDR : 831 GRTFFT7FS POTNT RD
:NORDLANfl WA g2258
CONTRACTOR . . :NO CONTRACTOR PFONR :
MATLiNC-; AnaR ,
CONTR . LTC #: RXPTRATiON DATR7
PARCRL NO . . . : 021324030
LRGAL DRSC . . : STR 32-30-01 RWM, TAX # Rg
LoT FLOCK ;
OF iMPROVRMRWT : single family residence 521411,e4Z C9../( t7
) Fontinc/Setbacks (Shoreline Sethack) /Mobile Fome Flockino:
FC5-141- /-/ / 74 e
2)--
1 ) Fnun atinn :
) Undergrnund Plumhina/Underground insulation :
Aradloili 42164— z
-37(e/00
) Tnsu 1 at on ! e9A . 0 o
) sheptrn,k ,
( ) Sewage Disposal System Final :
) ;-,- n-a7 /0ccupancy Apprnval -
CALL 385-q141 24 HOURS TN ADVANCR TO SCFRDULR TNSPRCTTONS .
Office Hours g a .m. to 5 p. m.
Tnspector ' s Hours q - 10 a .m .
24 Hour Rpcorder for inspections.