HomeMy WebLinkAboutBLD1990-00092 41111 •
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Jefferson County Planning and Building Department
Courthouse, 3rd. Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # -BLD90-0092 DATE RECEIVED. :02/20/90
SITE ADDRESS: CAPE GEORGE RD
:PORT TOWNSEND, WA 98368
OWNER -JAMES MTDDLETON PHONE: 437-9489
MAILING ADDR:PO BOX 828
:PORT HADLOCK WA 98339
CONTRACTOR. . :STEVE COOPER CONSTRUCTION PHONE:
MAILING ADDR: 120 S RODODENDRON DR
:PORT TOWNSEND WA 98368 .
CONTR. LTC #:STEVECC120P1 EXPIRATION DATE: 10/18/90
ARCHITECT! . . : PHONE: / ATI
DESIGNER
MAILING ADDR: ac.,ov
PARCEL NO. . . :001193002
LEGAL DESC. . :STR 19-30-01. FWM, TAX # 123
LOT , BLOCK
DESCRIPTION OF IMPROVEMENT: single family residence
BUILDING TYPE •RES BEDROOMS-- BATHROOMS-- MAIN FL. . . : 1499 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 2ND FL - 396 sf
GARAGE/CARPORT PROP. . : 3 -," PROP. . : 2 3RD FL 0 sf
WOODSTOVE TOTAL. : 3 TOTAL. : 2 BASEMENT. . : 1499 sf
UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . :SEPTIC CARPORT. . . : 0 sf
TYPE OF CONST WATER SUPPLY. -PUBLIC GARAGE 0 sf
UNITS. : 0 STORIES: 2 HEAT TYPES. :EBB/ DECKS 0 sf
DIMENSIONS : MOBILE HOME COMMERCIAL: 0 sf
FRAME. TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $ : 97860 SIZE:
PROJ GRP. . : 258
Owner/agent FEES
Signature: type amisilonTby date recpt
wo
Eft PRMT $ , AK 02120/90 44664 TM
Date: k p u R. PLCK $ AK 02/20/90 44664
• B.C. $ 4 . , o AK 02/20/90 446644105
Issued By:
Date.
Jeleraa4""an"fn&Building Department $ --7-2.97-frft• TOTAL 7-3?,
#-
4111__DING 'ERMIT APPLICATION 411 -
artmentoP .O . Box 1220*Port Townsend . WA 98368
Jefferson County Building Dep •
r
J„ocAT 1 oN
SPECIFIC LOCATION SITE ADDRESS li //+v�a•-'�A •/�
POSTAL DISTRICT ' SUBDI091SI .I
LEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBER
PARCEL NU BERC}FTT t / 4 SECTION
PLANNING AREA
SECT I ON TOWNSHIP oe. NORTH RANGE / WM
BUILDING INFORMATION
BU LDING TYPE TYPE -OF IMPROVEMENT SQUARE FOOTAG% .c 1
SINGLE FA
MAIN BUILDING MAIN FLOOR
❑ MO:. ILE HOME ❑ ADDITION 2ND FLOOR . .J..
❑ MODULAR HOME ❑ ALTERATION
BASEMENT / g -- -
• DETACHED/ATTACHED „AI. . ..
■
❑ REPAIR CARPORT
GARAGE ❑ REPLACEMENT ' GARAGE &?l ��-
n
❑ WOODSTOVE ❑ WRECKING/DEMOLITION ' COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES ��' r _ c
❑ COMMERCIAL SIZE _ [�i $A0 /�
❑ INDUSTRIAL YEAR $2 0 CG ����
❑ HOTEL/MOTEL/DORMITORY MAKE a w @ $ Al`��4. -Ape
NUMBER OF UN 1 TS i� ��
❑ OTHER - SPECIFY ESTIMA7FD COST OF "�, a '
I MPRO EMENTS OT • FA R ..ARAE� ALOE
UBC OCCUPANCY GROUP $ �. $ 4M:•�'M� m ,
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF HEATING FUEL
PRI IPLE TYPE OF FRAME
WOOD FRAME ❑ ELECTRICITY ❑ COLLECTIVE SOLAR
❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL U GAS U COAL ,, /
❑ REINFORCED CONCRETE ❑ OIL U OTHER - SPEC1FYG �iY 4/V -
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIE` TOTAL LAND AREA eip
DEPARTMENTAL REVIEW MA k,QQ S nee -•lJ
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOM
❑ P L I C OR PRIVATE NUMBER OF EXISTING BEDROOMS
• 1 NU 1 V! DUAL ( SEPT 1 C ) NUMBER OF PROPOSED BATHROO¢t ��
APPROVED DATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM .. ,
PUB TYP OF WATER SUPPLY
PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
❑ YES NAME OF ADJACENT WATER BODY
vrlo
APPROVED DATE BANK HEIGHT SETBACK
PUBLIC woRKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO
IDENTIFICATION _
--
--
__ M A I L I N G ADDRESS Z I P P TEL NO
OWNER t NAME
�t� -� - rl "t f/�iiTl
CO NT • , • ...: U Cg 1 j 4) ■ ALAI A / C • ) V I e, . v
ARCH J..
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
SIGNATURE OF APPL,1 CANT APP • ICATIq DATE RE E I P,T NUM ER I CHECI' BER OR CASH
APPROVED BY ,• RM I T'FI^'„i* $., SD
-WPB BASE FE,E I t' PECe,1 N
dL-UG SURCHARGE PLG GH
ENERGY SURCHARGE & �� �r 's` ., 4L'
_ 911
NUMB-R REFUND DATE , DATE ISSUED
BUILDING OFFICIAL Chi ft 1 ��
1 1
APP
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