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HomeMy WebLinkAboutBLD1993-00038r 7 ill ' 111 0-EI'I'ERSC31q G©UNTY BBUI LDI NG APPLI CA.TI C)N Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •BLD93-0038 DATE RECEIVED. : 01/26/93 SITE ADDRESS : 130 WERNER RD :PORT LUDLOW, WA 98365 OWNER -GUY MOUG PHONE : 437-2145 MAILING ADDR: 130 WERNER RD :PORT LUDLOW WA 98365 CONTRACTOR. . :NO CONTRACTOR PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 821081-009 HEALTH: d k LEGAL DESC . . : STR 08-28-01 EWM, TAX # BY: 1.bN DATE: /h1lf3 LOT , BLOCK , SHORELINES : BY: DATE: DESCRIPTION OF IMPROVEMENT : 840 square foot addition !� BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL . . . : 840 sf TYPE OF IMPROVEMENT :AD+ EXIST. : 3 EXIST. : 2 ADD 'L FL. . : 0 sf GARAGE/CARPORT PROP . . : 0 PROP . . : 1 HTED BSMT. : 0 sf WOODSTOVE TOTAL. : 3 TOTAL. : 2 UNHT BSMT . : 0 sf UBC OCCUPANCY GROUP : SEWAGE DISP. . :SEPTIC CARPORT . . . : 0 sf TYPE OF CONST WATER SUPPLY. :PWELL GARAGE - 0 sf UNITS . : 0 STORIES : O HEAT TYPES . :HTP/ / DECKS 0 sf DIMENSIONS : MOBILE HOME COMMERCIAL : 0 sf FRAME TYPE:WOOD MAK : YR: INDUSTRIAL : 0 sf EST COST. $ : 37800 SIZ : BANK HT. . . : 0 ft PROJ GRP. . : 3567 SH SETBACK: O ft Owner/agent FEES Signature: type amount by date recpt I PRMT $ 336 . 50 MTM 01/26/93 73813_ ll"Date: Y.. _ . _- "LCK $ 100 . 95 MTM 01/26/93 73813 '�A�.�' B .C . $ 4 . 50 MTM 01/26/93 73813 Ili Issued By: s- Ala late: ti $ 441 . 95 TOTAL , ' • , 4 • (3,1\1- CO T.; UILIT E" JR. 4IT Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # -BLD93-0038 DATE ISSUED. : 02/02/93 SITE ADDRESS : 130 WERNER RD :PORT LUDLOW, WA 98365 OWNER -GUY MOUG PHONE: 437-2145 MAILING ADDR: 130 WERNER RD :PORT LUDLOW WA 98365 OONTRACTOR. . :NO CONTRACTOR PHONE: MAILING ADDR: • OONTR. LIC #: EXPIRATION DATE: LOAN LENDER. : MAILING ADDR: PARCEL NO . . . : 821081-009 LEGAL DESC . . : STR 08-28-01 EWM, TAX # LOT , BLOCK DESCRIPTION OF IMPROVEMENT: 840 square foot addition )41 nS Se(back) : 401C -2 /Z1, ) Underground Plumbing/Underground Insulation: ) 7--:'aming/Plumbing/Chfmney: g•-•// /f"-3 ate_ F'12 AM /2 pkr /9.7 ) r 26 A31/3 0•L 2- 142466- 7 1/3 42 gS---2- ) Sewage ... - posa. System . fnal : CALL ,:;65-9141 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS . Office Hours 9 a.m. to 5 p.m. Inspector ' s Hours 9 - 10 a.m. 24 Hour Recorder for Inspections . • • *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE t4 SINGLE FAMILY ❑ NEW BUILDI ❑ MOBILE L ADDITION 500/500- ❑ MODULAR ❑ ALTERATION ❑ GARAGE ATTACHED/DETACHED ❑ REPAIR ❑ WOODSTOVE ❑ DEMOLITION ❑ MULTI-FAMILY/UNITS ❑ RELOCATION ❑ COMMERCIAL ❑ INDUSTRIAL ❑ HOTEL/MOTEL/DORM/UNITS ❑ OTHER I�\` UBC OCCUPANCY GROUP DESCRIPTION OF IMPROVEMENT: MJ■w L, `cfamt'- (4 t ,i - (� r'�`CA. ` {-4rn:J C�!'rtAw SQUARE FOOTAGE 1 PRINCIPLE TYPE OF HEATING FUEL MAIN FLOOR YAc7 0 fl ELECTRICITY ❑ OIL 2ND FLOOR ❑ WOODSTOVE ❑ GAS 3RD FLOOR Nf HEAT PUMP ❑ OTHER HTD BASEMENT UNHTD BASEMENT CARPORT PRINCIPLE TYPE OF FRAME GARAGE DECKS r I G WOOD ❑ MASONRY COMMERCIAL ❑ MANUFACTURED ❑ OTHER INDUSTRIAL ❑ STRUCTURAL STEEL OTHER pp� TOTAL VALUATION OR ESTIMATED COS \A C1'"'( ❑ INSTALLED 197' TYPE OF SEWAGE DISPOSAL: ❑ SEWER N SEPTIC SYSTEM ❑ NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE RDRILLED WELL OTHER PUBLIC ❑ CITY OTHER: NAME ❑ PUD STATE I.D. NUMBER OF EXISTING BEDROOMS e--1 NUMBER OF EXISTING BATHROOMS .'*- NUMBER OF PROPOSED BEDROOMS f NUMBER OF PROPOSED BATHROOMS I TOTAL NUMBER OF BEDROOMS ..3 TOTAL NUMBER OF BATHROOMS 3 NAME OF ADJACENT BODY OF WATER A/ IA- BANK HEIGHT SETBACK Illii / SIGNATURE !I:/111 /( DATE ` �� �n�APPLICANT NAME (PLEASE P ) G"vG4� ii 1 ii' II 11..1, N Q) ( 0 W N _, 0 Co co �I O) al 4. CO N -` O m ° --4i � O O -i m w d D m 'o o m Z (/) 0 m W pZ 'vZ ° v (1)' � m x m ° ° o ° ym , r o � o c° < . m c• d CD 0- N 01 0 C O m - a ° m N O O ED, (D 5- h a s cn N y ? n• O y m 7 o -I f/) > ''+ O ' m y m r+ m C to 7.„ v r+ t a D -. CD 4 � N tu m , °' C O _ N ) - O < -I r O co_ - m y • a r+ O m CD C CY o CD 0 °' 0) m o o, C '+' `° °1:1) ..?1/4-- c o r+ o m o Ca 0 c m D o. n ° (D 0) ° 0 0 Z _ •7 < a N m C o o a y CO cti c0 O a < °« . a 0 (0) () r+ .-4.. m at N Q' ,0+ N' rm+ C Oi ° o m -, `� o � °. a, v „ - — n. a a c w y v o _D rt tO -. 3 0 m Q) o m t° o d `° c '0 cD 0 0) N v m _. 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Q U -H co rii� Eby "IJ 2 '-sue 5 0 3 A •rl S-0O ri rd m s� of Y —� AL �� - 4-31 4,6a':t 6150, 10W A - - - - - �---- Liax isT�� -ice -ro �PM`f W" F N Z Vl a rC cr I 40 IYIIG4F_ PX I 51-M H 40 1 Lecial Deaccri omm That portion of: 1he North half of the Northvv st quarter of the Southwest quar'br of S-ectiOn 121, Township 8 North., Range I West., W lyin, Eastedy O'f'the' County Road known as Dabob Road, said pare , I comprizillig �4i24 Acres, inoi 1'0 or less. 3 801 312 015 Parcel Size. pamd 2.2.21 r"XcTes .32 Aaes w 319,959.2 or 96,703.2 squ �re . feet., Totcll acres 9.52 or 4,151M .4 square feet. it 1 'Z Z Q) 0 CO 00 4 20 P tl ti. C'S 11,j V) C) C) (� CL cc L . . ..... . .. 00 YZI L P A. P. 00 V16 p4o 14' 0 M. .Q ff Ot �� - 4-31 4,6a':t 6150, 10W A - - - - - �---- Liax isT�� -ice -ro �PM`f W" F N Z Vl a rC cr I 40 IYIIG4F_ PX I 51-M H 40 1 Lecial Deaccri omm That portion of: 1he North half of the Northvv st quarter of the Southwest quar'br of S-ectiOn 121, Township 8 North., Range I West., W lyin, Eastedy O'f'the' County Road known as Dabob Road, said pare , I comprizillig �4i24 Acres, inoi 1'0 or less. 3 801 312 015 Parcel Size. pamd 2.2.21 r"XcTes .32 Aaes w 319,959.2 or 96,703.2 squ �re . feet., Totcll acres 9.52 or 4,151M .4 square feet. it 1 'Z Z Q) 0 CO 00 4 20 P tl ti. C'S 11,j V) C) C) (� CL cc L Vl a rC cr I 40 IYIIG4F_ PX I 51-M H 40 1 Lecial Deaccri omm That portion of: 1he North half of the Northvv st quarter of the Southwest quar'br of S-ectiOn 121, Township 8 North., Range I West., W lyin, Eastedy O'f'the' County Road known as Dabob Road, said pare , I comprizillig �4i24 Acres, inoi 1'0 or less. 3 801 312 015 Parcel Size. pamd 2.2.21 r"XcTes .32 Aaes w 319,959.2 or 96,703.2 squ �re . feet., Totcll acres 9.52 or 4,151M .4 square feet. it 1 'Z Z Q) 0 CO 00 4 20 P tl ti. C'S 11,j V) C) C) (� CL cc L 00 YZI 00 p4o 0 .Q