HomeMy WebLinkAboutBLD1991-00517 r
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Jefferson County Planning and Ruildinn Department
Courthouse, 3rd Fl nor
PO Box 1220
Port Townsend , WA 98368
206-385-9141
PF.RMTT # •RT,D91 -0517 DATE RFCETVFD. : 07/15/91
STTF. ADDRESS : 31 MARTNF. VTFW PT,
:PORT TOWNSEND . WA 98368
OWNER •ORVTT,T.F. TOSTFNSON PHONE. : 385-1334
MATLTNG ADDR :PO BOX 7317
SOCIAL SFCURTTY #:
: FVFRFTT WA 98201
CONTRACTOR . _ : STAPH CONSTRtICTTON PHONE. : 38i-- 3
MAILING ADDR : 2727 HASTINGS AVF. r1l
FF.DF.RAT, TT)_ #:
:PORT TOWNSEND WA 98368
CONTR. LTC #:STAPFC*249.T8 F.XPTRATION DATE: 04/19/91
ARCHTTF.CT/ . . : PHONE
DF.STGNF.R
MATLTNG ADDR :
PARCF.T, NO. . . : 940500001 HF.AT,TH: . 11 .<
LF.GAT. DF.SC . . : STR 13-30-01 WWM, TAX # BV! • TF. n •
LOT 1 . BLOCK . CAPE GEO VTLL DTV3 SHORF.T,TNFS :
RV! DATF.:
DF.SCRTPTTON OF TMPROVF.MFNT: modular home (i.1k^\aey-c
RtITLDTNG TYPE. •RF.S BEDROOMS-- BATHROOMS-- MATN FL. . . : 0 sf
TYPF. OF IMPROVEMENT:NEW EXIST. : 0 FXTST. : 0 2ND FT. 0 sf
GARAGE./CARPORT PROP. . . PROP. . . 2 3RD FL 0 sf
WOODSTOVF. TOTAL. : - TOTAL. : 2 RASF.MF.NT . . _ 1750 sf
URC OCCUPANCY GROUP:R3 SEWAGE. ' 'P . : SFPTTC evdi + CARPORT. . . : 0 sf
TYPE OF CONST WATER SU"T.Y. :PTIRLTC J GARAGE 0 sf
UNITS. : 0 STORTF.S :O HEAT TYP .S. :F.F.F./ / DF.CKS 0 sf
DIMENSIONS : ORTLF. HOME COMMFRCTAT.: Ci sf
FRAME TYPF. : MAKE. : TNDTISTRTAT. : 0 sf
EST COST. $ : 22500 ST9.E: 'I 9 RANK HT. . . : 0 ft
PROJ GRP. . : 283 l� 1 SH SFTRACK:O ft
Owner/went 1 FF:F.S
Signature: " J• 1. AAR type amount by date rernt
WOWS PRMT $ 234 .00 07/12 /91 57508
Data : PRMT 0 . 00 / i
L 1 `� -LCK $ 35 . 10 07/12 /91
Tssued Ryc = lu mamma,- R.C . $ 4 . 50 07/12 /91
J& unt
Jefferson Coy Fannin• `k
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I De artment�P .O .`Box 122�ort Townsend WA 98368
'Jefferson County Buil g p
c
! OC • T OI
jy ?
� SPEC I F I C LOCATION SITE ADDRESS �J
SUBDIVISION
. . POSTAL DISTRICT /
DIVISION .3 TAX NUMBER
LEG DESCRIPTION LOT I BLOCK 1 / 4 SECTION
f., PARCEL NU BER NORTH RANGE ■ Wm
�# qD�.-� -WO/ SECTION r� TOWNSHIP
BUILDING INFORMATION .
BUILDING TYPE TYPE \OF IMPROVEMENT SQUARE FOOTAG
NEW BUILDING MAIN FLOOR —
�-SINGLE FAMILY IJ ADDIION 2ND FLOOR
MOBILE HOME ❑
ALTER\AT I ON BASEMENT _12_,„,t09
ODULAR HOME ❑ CARpPRT
D ❑
REPAIR
DETACHED/ATTACHE \ C,ARAG�E
I' GARAGE ❑ REPLACEMENT
Q WOQT S TOVE
❑ WRECKI
NG/D
EMOLITION COMMERS IA
L
_
❑ ULT I •FAMILY 0 IND UsTR i` L
INUMBER OF UNITS DECKS
pp r
A�
MOBILE HOMES
❑ COMMERCIAL SIZE •- —•--J„y� f"n $ 40
•I ❑ INDUSTRIAL .
YEAR ; 'zo
❑ HOTEL/MOTEL/DORMITORY MAKE . 0 @ SA °
NUMBER OF UNITS a � .
10
❑ OTHER - SPECIFY ESTI/IGATED COST OF 0 VI
1M9IZOVEMENTS TOTAL FAIR MARKET VALUE
UBC OCCUPANCY GROUP • Is ;
SELECTED CHARACTERISTICS OF BUILDING
i . P NCIPLE TYPE OF HEATING FUEL,
PRINCIPLE TYPE OF FRAME ELECTRICITY ❑ COLLECTIVE SOLAR
❑ •OD FRAME
jgsMANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
• El COAL
STRUCTURAL STEEL ❑ GAS
❑ OTHER - SPECIIFY
El REINFORCED CONCRETE
❑ MASONRY ( WALL BEARING ) DIMENSIONS
! ❑. OTHER - NUMBER OF STORIES , TOTAL LAND AREA, •
1 0
HEALTH DEPARTMENT TYPE OF SEWAGE D 1 SPOSAL NUMBER OF PROPOSED BEDR•• - -
❑ PUBLIC OR PRIVATE -' ( NUMBER OF OpOSED I pR BAT
EXISTING
INDIVIDUAL NDI VIDUAL ( SEPEPTIC )
APPROVED DATE 0 INDIVIDUAL WELL NUMBER OF EXI^-TIAG BATHROOM '
PUD TYPE OF WATER SUPPLY .
❑ PUBLIC. ( NAME OF WATER SUPPLY
APPROVED DATE 1 PRIVATE (NAME OF WATER SUPPLY rw•
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
�[1 ( ❑ YES NAME' OF ADJACENT 'WATER BODY
I�JI O NO
APPROVED DATE • BANK HEIGHT SETBACK,
PU L Ir_ WORiFS DEPT ROAD RIGHT-oF-WAY WIDTH N
\ CI NAME OF PUBLIC ROAD
{ \ NAME OF PRIVATE ROAD
ACCESS PERMIT REQUIRED ❑ YES ❑ NO 1
ROAD ACCE
AppROVED DATE ,
IDENTIFICATION ZIP TEL NO
NAME MAILING ADDRESS �V`
"TIN" MilirAIIMIIIIIrk. ..4 -
CoNT 'MM,1 MIN.a� ��i�. `
I 41
ARCH •
rHE• OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS;
TUBE •A LICANY----.._ AP C T ON DATE RECEIPT NUM ER CHE K NUMB OR CASH
c
APPROVED BY PERMIT
j F'E9
_ P ✓ dASE FEE �. .�_ INSPECTION
J
V BLDG SURCHARGE - '/J PLAN CHECK
^!! ENERGY SURCHARGES�l TOTAL
• 1111 NUMBER REI'UND DATE DATE ISSUED
BUILDING OFFICIAL
w_. _ • .
•
F P"WF..F2F; C-3T\7 C7C'1TTT.JffiY TavTTT T.T)T T7C' 1:71 i TTT f
Jefferson County Planning and Rui lning Department
1ourthouse, 3rd Finnr
PO Rnx 12211
Port Tnwnsend, WA 9368
20h-385-9i41
PERMIT # •RLTl91 -051 7 T)ATR TSSTIRTl. : 07/30!91
STTE. ADDRRSS - 31 MARTNF. VTRW PT.
-PORT TOWNSEND, WA 98388
OWNER •ORVTLT,E TOSTFNSON PHONE. : 385-1334
MATT,TNG ADDR -PO ROX 7317
F.VRRF.TT WA 98201
CONTRACTOR . . : STAPH CONSTRUCTION PHONE- 3R5-3199
MAILING ADDR : 2727 HASTTNC,S AVR
!PORT TOWNSRNTI WA 98388
CONTR . T,TC #: STAPFC*249.TR F.XPTRATTON DATE: 04/19/91
PARCF.T, NO . . . : 940500001
T,FG;AT, DESC . . : STR 13-30-01 WWT•1. TAX #
T,OT 1 BLOCK CAPR CEO VTT,L DTV3
DFSCRTPTTON OF TMPROVFMENT- mnduiar home with unheated basement
ntin ./Sethac s (Shnreiine Sethack) /Mnhile Home Rlocking:
,fir / i�� _-I -
( unw •: ,∎ ' -
( -417Z3erarOjund P1umhinn/Tlndergrnund Tnsuiatin - .
( Alrant Plumbing/Chimney-
( ) Tnsu l at i nn :
( ) Sheetrnck -
------ -------------------- -------- --- -- -- ---------
j Sewage Disposal System Final -
( ) Final ,/ Annrn 5 Occupancy - Oi, kh , 4_
Le. 4/CALL 385-9141 24 HOURS IN ADVANCE.. TO SCHF.T)TJLF TNSPF.CTTONS.
Office Hnurs 9 a . m. to 5 p. m.
inspector ' s Hnurs 9 - 10 a . m.
24 Hnur Recnrder for Inspections.