HomeMy WebLinkAboutBLD1991-00876I .
• 0
JEF
FERSON COUNTY
G PERMIT APPLICATION TION
SITE LOCATION � -+S - 4t�Qh � Q e '0'r 4P CODE
LEGAL DESCRIPTIOR %'yo EN
SUBDIVISION NAME_ 2� ( � v,.GLLOT BLOCK
DIVISION
TAX NUMBER__ AS— 9 DIGIT PARCEL NUMBER L'/ _-z A(
SECTION .� TOWNSHIP7n_ � NORTH RANGE ICI 1i. WM // 9j .Qc;
BUJDING TYPE IMP$AYEMENT TYPE
I�' SINGLE FAMILY �( NEW BUILDING
❑ MOBILE ❑ ADDITION 500+1500-
0,./ MODULAI
00+/500-0MODULA' - ❑ ALTERATION
GARAa ATTACHED 'ETACHED ❑ REPAIR
WOODSTOVE 0 DEMOLITION
❑ MULTI-FAMILY/UNITS 0 RELOCATION
❑ COMMERCIAL
❑ INDUSTRIAL MOBILE HOME
❑ HOTEL/MOTEL/DORM/UNITS SIZE
❑ OTHER YEAR
MAKE
UBC OCCUPANCY GROUP_ COST
DESCRIPTION OF IMPROVEMENT: �I )
SQUARE FOOTAGE / �i0 g a PRINCIPLE TYPE OF HEATING FUE
MAIN FLOOR -04,14:,-/- ( tv ❑ ELECTRICITY ,( OIL
2ND FLOOR - WOODSTOVE 0 GAS
3RD FLOOR R; HEAT PUMP 0 OTHER
HTD BASEMENT
UNHTD BASEMENT
DECKS PRTYPE OF FRAME
CARPORT WOOD ❑ MASONRY
vg---
►+t� _ INCI
GARAGE -q(7D
❑ MANUFACTURED 0 OTHER
COMMERCIAL ❑ STRUCTURAL STEEL
INDUSTRIAL cc``
TOTAL VALUATION ____l-0_ b_6 O_•_ OR ESTIMATED COST
TYPE OF SEWAGE DISPOSAL:
❑ PUBLIC 0 PRIVATE m INDIVIDUAL SEPTIC
TYPE OF WATER SUPPLY:
❑ PUBLIC O PRIVATE 0 COMMUNITY WELLINDIVIIDnDUAL WELL
NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS ¢Ya -
'
NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS _AVIS TOTAL NUMBER OF BATHROOMS _Aoya,
f
NAME OF ADJACENT BODY OF WATER 164-,
BANK HEIGHT ��77 / .' SETBACK
PROPERTY OWNER NAME/9At'Ec/ 1. PHONE_ L S7 U
MAILING ADORES
_1A_ �__f_�/art ' ZI �+ K 9Z_f -717
CONTRACTOR ___ /L114Jjz; 4., . ..e_Ar ge=c'ClJ .,/,_
MAILING ADDRESS PHONE
STATE LICENSE NUMBER EXPIRATION DATE
FEDERAL I.D. NUMBER
ARCHITECTOOPAOPHONE
A 40
SIGNATURE _ � � DATEC'_t_ � ie'
``
BASE FEE ___(p__ 2. 6):,.• .
STATE SURCHARGE[ ?ii-: RECEIPT A (71 76 0
PLAN CHECK �i • /4S‘ Q
TOTAL 7‘90. ‘) 5' CASH/CHECK A •,
G:\GROUP\PLANNING\BLDAPP.FRM
a
411
4
.:EFFER.SOIV COLJT.TT' E T.J3: LD3 TTG APPLICATION'
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # •BLD91-0876 DATE RECEIVED. : 12/10/91
SITE ADDRESS : 1930 S DISCOVERY RD
: PORT TOWNSEND, WA 98368
OWNER •AMEDEO GERALDINI PHONE: 885-7896
MAILING ADDR: 16120 NE 57TH STREET
:REDMOND WA 98052
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE :
ARCHITECT% . . : PHONE:
DESIGNER
MAILING ADDR:
PARCEL NO. . . : 001203-012 HEALT `: ?A€Q
LEGAL DESC. . : STR 20-30-01 WWM, TAX # 15 BY: D : ,cam a3
LOT , BLOCK SHORELINES:
BY: DATE :
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 2392 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 2ND FL 0 sf
GARAGE/CARPORT •A PROP. . : 3 PROP. . : 2 3RD FL • 0 sf
WOODSTOVE TOTAL. : 3 TOTAL. : 2 BASEMENT. . : 0 sf
UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . : SEPTIC CARPORT. . . : 0 sf
TYPE OF CONST WATER SUPPLY. :PWELL GARAGE • 912 sf
UNITS. : 1 STORIES : 1 HEAT TYPES . :OIL/ / DECKS 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE:WOOD MAKE : YR: INDUSTRIAL: 0 sf
EST COST. $ : 104800 SIZE: BANK HT. . . : 0 ft.
PROJ GRP. . : 2342 SH SETBACK:O ft
Owner/anent FEES -
Signature: ' type amount by date recpt
PRMT $ 657 . 00 AK 12/10/91 61760
Date: PLCK $ 98 . 55 AK 12/10/91 61760
B. C.Issued By: $ 4 . 50 AK 12/10/91 61760
/\
Date :
maw
&Building 0: �r f
f di
$ 760 . 05 TOTAL
-7:E'.FEREl0N C0L7NTY
BUILDING PERMIT
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT #. . . . :BLD91-0876
SITE ADDRESS: 1930 S DISCOVERY RD
DATE ISSUED. :O1/07/92
:PORT TOWNSEND, WA 98368
OWNER. . . . . . . :AMEDEO GERALDINI
MAILING ADDR: 16120 NE 57TH STREET PHONE: 885-7896
---_REDMOND-WA 98052
-- --------
CONTRACTOR. . ;N0 CONTRACTOR
MAILING ADDR: -------------
PHONE
CONTR�-LIC-#�- EXPIRATION DATE :
---------------
PARCEL NO. . . : -----------------
001203-012 ---------- _
--------------------
LEGAL DESC. . :STR 20-30-01 WWM, TAX # 15
LOT , BLOCK
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
-------------
------------------------------- _
(Shoreline Setback --------------
/Mobile Home Blocking:
( A ounda �-�
---------------------------------------
------------
Underground Plumbing/Underground Insulation:
------ -----
•) 40- 44116151T /Chimney-:----- ------.-..-.__-___--------_-_--
( j.KInsulation: -
____ ----------- - ii=i
( / heetrock:_. ;.J._ ` �,-
( ) Sewage aD sposal System—Final - �` y--''
( ) Final/Occupan y Approv 1 : ^ _ -`-
�j� ;J_
_ '
CALL 385-9141 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS .
Office Hours 9 a.m, to 5 p.m.
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