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HomeMy WebLinkAboutBLD1994-00365 JEFFERSON COUNTY BUILDING PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend206-379-445098368 °°(C1 PERMIT # •BLD94-0365 � � � DATE ISSUED. : 06/27/94 SITE ADDRESS: CEMEPARY -RD-- °6� OGS 7 ' TEW111, e114CA 9 ',3 OWNER *JEFFREY PEDERSEN PHONE: 206-323-4789 MAILING ADDR:1526 BELLEVUE AVE :SEATTLE WA 98122 CONTRACTOR. . :NSC GENERAL CONTRACTORS PHONE: MAILING ADDR:2518 TAYLOR DR :EVERETT WA • CONTR. LIC #:NSCGEC113104 EXPIRATION DATE: / / LOAN LENDER. : MAILING ADDR: • PARCEL NO. . . :964508901 LEGAL DESC. . :STR 13-29-02 WWM, TAX # LOT 7&8 , BLOCK 89 , JUNCTION CITY DESCRIPTION OF IMPROVEMENT: Single Family Residence ( noting Se%•. 44N----�� line Setback) : ri .moi � . .M6= ( ) oundatio -Apv4211E2PARMARRAMMEAME040w ( ) • der• ound Plumbi, • Underground I su a io • ow 1 ra*,,,��r ` EMr ( ) raming/P umbin• , Chim ey: cmi 1 - di n��1I ( ) nsulatio w,t1• 411ff 7 ( ) Sheet o • . ( ) Sewage Disposal System Final: ( ) Final/Occupancy ApprovaColt • CALL 379-4455 24 HOURS IN A VANCE TO SCHEDULE INSPECTIONS Office Hours 9 a.m. to 4:30 p.m. Inspector's Hours 8 - 10 a.m. /f 24 Hour Recorder for Inspections . i I JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0365 DATE RECEIVED. : 06/07/94 SITE ADDRESS: OLD G- e-D//J iL4z. V4 pl--,jb GARDIA BR, WA 98358 OWNER •JEFFREY PEDERSEN PHONE:206-323-4789 MAILING ADDR: 1526 BELLEVUE AVE :SEATTLE WA 98122 CONTRACTOR. . :NSC GENERAL CONTRACTORS PHONE: MAILING ADDR:2518 TAYLOR DR :EVERETT WA : .k:,-- 3 S - ti 6 / CONTR. LIC #:NSCGEC113104 EXPIRATION DATE: / . ,°/ , ARCHITECT/ . . :DENNIS MORTENSON PHONE: DESIGNER • 3702 EAST ALDER ST >-tuov. 4 \ 7-1,k. _ '32_Z1 6V`,t MAILING ADDR: :SEATTLE WA 98122 4i-irL'rfl PARCEL NO. . . :964508901 ALT: CON: `13A LEGAL DESC. . :STR 13-29-02 WWM, TAX # WATER-T-1' I DATE: 61- , LOT 7&8, BLOCK 89 , JUNCTION CITY SHORELINES: BY: DATE: DESCRIPTION OF IMPROVEMENT: Single Family Residence BUILDING TYPE *RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 4482 sf .56 TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf „i6 GARAGE/CARPORT •A PROP. . : 3 PROP. . : 3 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 3 TOTAL. : 3 UNHT BSMT. : 0 /511 UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . :SEPTIC CARPORT. . . : 0 sf TYPE OF CONST • WATER SUPPLY. :PUBLIC GARAGE • 736 sf ' Si. UNITS. : 1 STORIES: 1 HEAT TYPES. :GAS/ / DECKS • 958 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:WOOD MAKE: YR: INDUSTRIAL: 0 sf EST COST. $: 218630 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 5656 SH SETBACK: 0 ft Owner/agent FEES Signature: type amount by date recpt PRMT $ 1052 .50 AK 06/07/94 92496 Date: PLCK $ 315.75 AK 06/07/94 92496 B.C. $ 4 .50 AK 06/07/94 92496 Issued By: 111 RADO $ 10.00 AK 06/07/94 92496 Date: ' $ 1382 .75 TOTAL • •• *JEFFERSON COUNTY BUILDING PERMIT APPLICATION BUILDING TYPE IMPROVEMENT TYPE SINGLE FAMILY X1 NEW BUILDING ❑ MOBILE 0 ADDITION 500+1500- O MODULAR 0 ALTERATION O GARAGE ATTACHED/DETACHED 0 REPAIR O WOODSTOVE 0 DEMOLITION ❑ MULTI-FAMILY/UNITS 0 RELOCATION ❑ COMMERCIAL ❑ INDUSTRIAL O HOTEL/MOTEL/DORM/UNITS ❑ OTHER UBC OCCUPANCY GROUP DESCRIPTION OF IMPROVEMENT: seQ, . g 4 )..411(IdLe, SQUARE FOOTAGE PRINCIPLE TYPE OF HEATING FUEL 4 MAIN FLOOR !Lin ,,,), // ( ` ` 0 ELECTRICITY 0 OIL 2ND FLOOR 0 WOODSTOVE ] GAS 3RD FLOOR 0 HEAT PUMP 0 OTHER HTD BASEMENT UNHTD BASEMENT !- CARPORT 72)10 13 L' C PRINCIPLE TYPE OF FRAME GARAGE �� � DECKS `/ 8 c/• S-d-c' 0 WOOD 0 MASONRY COMMERCIAL 0 MANUFACTURED 0 OTHER INDUSTRIAL IPI STRUCTURAL STEEL OTHER TOTAL VALUATION X')/ J , ' -' L' OR ESTIMATED COST C-)16/6)0 , 0 INSTALLED 19 TYPE OF SEWAGE DISPOSAL: 0 SEWER SEPTIC SYSTEM NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE 0 DRILLED WELL ,, }►OTHER T PUBLIC 0 CITY OTHER: NAME hlt 3-:tK) ) 1✓3teic3r...40"1 0 PUD STATE I.D. c(6 0 NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS NUMBER OF PROPOSED BEDROOMS 3 NUMBER OF PROPOSED BATHROOMS 3 TOTAL NUMBER OF BEDROOMS 3 TOTAL NUMBER OF BATHROOMS _?j IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER BANK HEIGHT SETBACK SIGNATURE '_;�� '049 DATE - b/ f 1 4914 APPLICANT NAME ASE PRINT) �1 7d' r5ek 1 1 ^A >2 ti 1:, lV x 1-1 tf o f,,�Ly 0 T c,;.:1 .^ rt O -i ate~ •FJ•y�' O +, ro H F ,.. 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