HomeMy WebLinkAboutBLD1991-00861r
i r
Y
_TF7.-WW"R7.F?5;C)TT C7C)TITT'V V TTT T.T)T TTC� ATPT.T T ATT C]TT
Jefferson County Planning and Building Department
nurthou se, 3rd Floor
PO Box 1220
Port Townsend., WA 98368
206-385-9141
PERMTT # •RLD91 -0861 DATE RECRTVED. : 1.2/03/91
STTE ADDRESS : 180 CHERRY AVE.
:CHTMACUM, WA 98325
OWNER •NTT,S NORDSTROM PHONE: 732-4359
MATLTNG ADDR:PO BOX 24
:C:HTMACUM WA 98325 ciLW r C
(,1 G Liu, Atzot
CONTRACTOR. . :NO CONTRACTOR 1
MATT,TNG ADDR: e ,r_ oC t"
G(Ld fin-{ 1 ta..V t
CONTR . T,TC #: EXPTRATTON DATE: UJc G� r ,
ARCHTTECT/ . . : PHONE :
DESTGNER
MATLTNG ADDR :
PARCF.T, NO. . . : 963000-204 HEALTH: rp
LEGAL DRSTR 1 0-29-01 WWM, TAX # RY: I TR : ( �///
LOT 9 , BLOCK 2 , TRONDALF. ORCH TRA SHORELINES :
BY: DATE:
DF.SCRTPTTON OF IMPROVEMENT: installation of new mohile home
RTTTLDTNG TYPE. •MOR BEDROOMS--- BATHROOMS-- MATN FL. . . : 0 sf
TYPE. OF TMPROVF.MF.NT:NEW F.XTST. : Ci EXIST. : 0 2ND FT, 0 sf
GARAGE./CARPORT PROP. . : 2 PROP. . : 2 3RD FT, • 0 sf
WOODSTOVF. • TOTAL. : 2 TOTAL. : 2 BASEMENT. . : 0 sf
TJRC OCCUPANCY GROTTP:R3 SEWAGE DTSP. . : SFPTTC CARPORT0 sf
TYPE OF CONST WATER STTPPLY. :CTTY GARAGE 0 sf
UNITS. : 0 STORTFS:O HEAT TYPES . : EFF./WOD/ DECKS 0 sf
DIMENSIONS : MORTLF. HOME. COMMERCTAL : 0 sf
FRAME TYPE.:STEL MAKE. : SKYLTNF, YR :92 TNDTTSTRTAL : 0 sf
EST COST. S : 30000 ST7.E:.RAa+4,4- BANK RT. . . :0 ft
PROJ GRP. . : 2306 'Z SH SETBACK:O ft
Owner/anentFR.RS
Signature:
"\ type amrnlnt by date recut
PMS 750MM 01 611685
Date:
7 �.,: C
f 4 a l` r//I
T SS17P.d By: '16,4 err �//
nate: 4419Denat ening 3
/q. $ 79 . 50 TOTAL
.T E F F E R 5 O N C O U N T Y
CERTIFICATE OF O C C U A N C Y
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # • BLD91-0861
SITE ADDRESS : 180 CHERRY AVE
:CHIMACUM, WA 98325
OWNER •NILS NORDSTROM PHONE: 732-4359
MAILING ADDR:PO BOX 24
:CHIMACUM WA 98325
PARCEL NO. . . : 963000-204
LEGAL DESCRIPTION: STR 10-29-01 WWM, TAX #
LOT 9 , BLOCK 2 , IRONDALE ORCH TRA
AREA APPROVED : installation of new mobile home
AREA APPROVED COMPLIES WITH REQUIREMENTS OF UBC FOR OCCUPANCY GROUP : R3
TYPE OF CONSTRUCTION:
BUILDING OFFICIAL
Michael Ajax Date - - _
.TEIPIPERSGN COUNTY BUI LDI NG PERM2 T
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # • BLD91-0861 DATE ISSUED. : 12/13/91
SITE ADDRESS : 180 CHERRY AVE
: CHIMACUM, WA 98325
OWNER -NILS NORDSTROM PHONE: 732-4359
MAILING ADDR:PO BOX 24
:CHIMACUM WA 98325
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE:
PARCEL NO. . . : 963000-204
LEGAL DESC . . : STR 10-29-01 WWM, TAX #
LOT 9 , BLOCK 2 , IRONDALE ORCH TRA
DESCRIPTION OF IMPROVEMENT: installation of new mobile home c f1,_6 alb �fi7
( ) Footing/Setbacks (Shor line Setback) /Mobile Home Blocking:
ddoe-tc-vi 2 ` 7 / 0 Ai -
( ) Foundation:
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation:
( ) Sheet rock:
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approv- l :-�—
CALL 385-9141 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.
P/ 1-c,
_. / tti' h °ti1c �c,! ���>, ��� Chir; e� Ave
i' /e4Vedi o,/// //ome , /0ca-14e 4 14)57`o./11' a_ 10ew P ° /e Li) ,de
(/IloiLe) 7 , s No eeiry i F L a+ 4- 1 J e cL i , LJ i +I, �o Dace_ i Iv a.3e
pilot ii.kns
Cti-erre / INe
IT-.-"28.x- 4 p Ps' ete U e 0(ea: UV.,Q
r
• i
c Ex`s-k,/L5 ) t.N /
lA
DULey �;; - i��1n
ry.�-......... . ..521._— , ik.. . . { `.:0 g , .. 1-E,J6dd
— _ -
\ ( \ Y r }u
t .at 1' R
.A
k-X:.5ti'/Uc-3 t t3., 1
y6 x3 SRP
��O COZ/' , .
tI Yu,i (_........__..."‘_ _._ . . _ 4 .
I. `-
" .e,11„...1.]it 1
I �
3LTod/C/io,ve ( j
1 r
/Oe Y►7o6 /e /4ome •
3Y-' ''aSCdi uOt i SUILuI:TG p'L R=MIT 'PLIC N
, .. .._ ;
ROPERTf OWNER NAME N/1S ^ aF'n rig iiii_g!yL !L.e z IE_ '73 a -4/3, --._',�a>°r,: cwY
t
40,v-cid--
SAILING
SAILING ADDRESS__ BQY_�. SS: ,539-3g-47 /3
„-
el,'eel dt-- -' -----SAL --ZIP 9?3 a i"-______
CONTRACTOR JO/---- ---"
MAILING ADDRESS______ _�_PHCNE
STATE LICENSE NUMBER _ EXPIRATION DATE
FEDERAL I.D. NUMBER
ARCHITECT -IV PHONE
MAILING ADDRESS
LOAN LENDER NAME/80ND HOLDER NAME W�SE-ELNG-ib(\) A( KTUA-1,-- T--N_g`
?
MAILING ADDRESS u,OyE�����_��--- -----
r(� i
SITE LOCATION O Cliee.k,Y ye. el'l1 42,c. ZIP CCOE13.832_s-
LEGAL
83 sLEGAL DESCRIPTION: T LOT____ BLOCK ____ DIVISION
SU80[VISIONQNAMEQ( _CIe_liRG 14--___ ---- ----- '--
TAX ?LUMBER 943-Ooo'2O'J 9 DIGIT PARCEL NUMBER
SECT ION /0 TOWNSHIP 243. NORTH RANGE I 1...1.-7-1
-- YJM
81.111.I)I NG
U DING TYPE j,MPROVEMENT TYPE
SINGLE FAMILY l�' NEW BU[LD[NG
MOSILE 0 ADDITION 500+/500-
0 MODULAR 0 ALTERATION
0 GARAGE ATTACHED/DETACHED 0 REPAIR
V W000STOVE 0 DEMOLITION
O MULTI-FAMILY/UNITS 0 RELOCATION
O COMMERCIAL
O INDUSTRIAL MOBILE HOME
O HOTEL/MOTEL/DORM/UNITS SIZE en.X 0 1
• OTHER YEAR __J.9._ .2.____
MAKE__ _ _ .11 g.
UBC OCCUPANCY GROUP / COST 31_310,p11.1315
DESCRIPTION OF IMPROVEMENT: j/1)-5/4 Sb[l CIle 4 .---Ar11-411./E-L-)-4 --mom -
PLEASE COMPLETE BOTH SIDES OF APPLICATION
• •
•
S:j.:ARE FOOTAGE PNIrCIPLE T•rrc OF HEATING FUEL
MAIN FLCCRNl _ _ i
D� E_. ,RICITY OIL
2'40 FLCOR GEV' W000STOVE 0 GAS ,'
3R0 FLOOR ❑ HEAT PUMP ❑ .•._-OTHER
HTO BASEMENT
UNHTD BASEMENT
DEM PRINCIPLE TYPE OF FRAME
CARPORT �_� ❑ WOOD ❑ MASONRY
GARAGE _ ❑ MANUFACTURED ❑ OTHER
STRUCTURAL STEEL
INDUSTRIAL_�__�w
TOTAL VALUATION .etatL pip OR ESTIMATED COST____
TYPE OF SEWAGE DISPOSAL:
❑ SEWER INDIVIDUAL SEPTIC
TYPE OF WATER SUPPLY:
PUBLIC 0 PRIVATE ❑ COMMUNITY WELL ❑ INDIVIDUAL WELL
NUMBER OF EXISTING BEDROOMS _c2,_ NUMBER OF EXISTING BATHROOMS
NUMBER OF PROPOSED BEDROOMS NUMBER OF PROPOSED BATHROOMS
TOTAL NUMBER OF BEDROOMS ��
TOTAL NUMBER OF BATHROOMS
NAME OF ADJACENT 80DY OF WATER 1"1 A
BANK HEIGHT SETBACK
SIGNATURE_ „ „ggaj‘ DATE -a - 9i
BASE FEE 75-,`o 0
RECEIPT S W I 5
PLAN CHECK x
STATE SURCHARGE `)v
•
TOTAL 7 l ` v CASH/CHECK ;
G:\GROUP\PLANNING\BLDAPP.FRM