HomeMy WebLinkAboutBLD1981-00006 THIS BUILDING IS
NOT FINALED .
PERMIT WAS CANCELLED
PRIOR TO RECEIVING ALL
INSPECTIONS AND HAS NOT
BEEN ISSUED A CERTIFICATE
OF OCCUPANCY .
•UILDING PERMIT APPLICATION
q( )�
Jefferson County Building Department• County Courthouse • Port Townsend, Wash.98368 • 385-1310
._-,0
N E
I. LOCATION: geographic name S W SIDE OF ROAD FEET i
', 1 -
NE
S W FROM INTERSECTI N OF ROAD AND ROAD
11 _
,�,e,. 2 /, MM /�,y�y ;ti—,
other specific location or landmark: `` S 30 1'r a. ✓ 14 i ✓t4"L1..�-� /
LEGAL DESCRIPTION: ,:+.,--l.D .[_\ Yin. 0 ,C-
�/;}c / , Lot ' ^ Block Subdivision /�
2 ��(� Tax Ni'//m/ber Y<Section Secti n ownship Range
II.TYPE AND COST OF BUILDING
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
El New buildingingle Family ❑New County Resident
/��S/LAddition /❑Multi-Family Is this structure to serve the residential
E Alteration number of units or commercial needs of those employed
❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or
❑Repair,replacement number of units
- Indian Island Facilities?
❑Wrecking El Mobile Home
❑Moving (relocation) El Other—Specify ❑YES LINO
❑ Foundation only
USE
OW���N,,,ERSHIPull.time Residence
pp Private (individual,corporation,
`nonprofit institution,etc.) Li Second Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑Second Home: Future conversion to
permanent residence
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary -
To be installed but not included school,secondary school,college,parochial school,parking garage for
in the above cost department store,rental office building,office building at industrial plant.
a. Electrical If use of existing building is being changed,enter proposed use. J1 a
h. Plumbing InOn �,(�! .- -�,l 1 )c. Heating,air conditioning O i eJ (
d. Other (elevator,etc I `J
• TOTAL COST OF IMPROVEMENT $ 50'0
III.SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS /
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL
•N umber of Stories f
❑Masonry (wall bearing) ❑Public or Private
•Total square feet of floor area,
p4Nood Frame .Individual (se is to tc.) all floors,based on exterior 5I-7
k Q".�, o; ,c%h- dimensions
El Structural steel t e
TYPE OF WATER SUP LV •Total land area,sq.ft. 1h�C
❑ Reinforced concrete k,(_,. {9�� i`
❑Public or privatJ�co�*+q� (1 .t,J
❑Other-Specify qlJ / / NUMBER OF OFF-STREET
Individual (well _cisrkr ) n PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas ///��� Outdoors
❑Oil A I // y.. RESIDENTIAL BUILDINGS ONLY
El Electricity fv(//� Number of bedrooms / (/
17 Coal
TYPE OF MECHANICAL ( JN(
❑Other - Specify a
Number of Full
1 i bathrooms
M. I�1 'e 1 Partial
IV. IDENTIFICATION- 5 3o yf c(/ w ` i
Name 1 Waffling Address—Number,street,city and State ZIP code Tel.No.
1.Owner —I DAVID STEVENSON 460 MART IN ROAD D� , 1i ����
2.
)5l0 94y (Ake �L:� i
Contractor .yr,r���v�'1 )f'`Q /e fiv 3. n� K ,
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
$jQner t. plicant Address 6A,ppp icatiq/date
a '
F //,.,
' PLANNING AREA FIRE DISTRlE -
T--11/ SCHOOL DISTRICT WATER DISTRICT
3 .
c p
APP. OVED BYtl,
J E ) I r iY r ALCC
� . ��...:
�2 • 1\.C4 ,
APPROVED BY: PERMIT FEE ISSUE DATE PERMIT NUMBER
-'LO3.Q o y,{)
�NG OFFICIAL 4/ /� / dos
�/1/ 'j
• r
,. '.*( . N
___ ___ _____ ____ __
2.e Sew v e l
1
- — — — HU` p
- ‘ C2���IiE i■r.F f�r.�� S
'�c�rad �°' �1 ;
( 5 -'s;.,1;11-0..4 ; o's ` NO
5 °
#-18 LA_s e OA" CVe2--i (A el.d .
- og On pa�j P 114,c d h
3) C aP e• a s c- A in,r� 1;rrC
2 p /' 1 l a� 1n,„Pec±1OIL `ce reA
'V p'' ie.,,- -: 0 bac -c;11 ; r.s •
?1 ease ca\\ t...1n Erg ready
1
•
Oi
Ni)
CV
lt..
V d