HomeMy WebLinkAboutBLD1987-00019Pr
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I. LOCATION: praprspticname
S W SIDE OF 40_ROAD FEET
N E j (Q CjC F��J ROAD
S W FROM INTERSECTION OF ROAD AND an
other specific location or landmark: , f 4
��E,LEGAL DESCRIPTION: t Block(-C subd�� i U n
Cj 6 Tax Number Y.Section Section Township Range
II.TYPE AND COST OF BUILDING •
-
TYPE OF IMPROVEMENT BUILDING TYPE
PUBLIC WORKS APPROVAL
❑New� building Single Family
Addition 0 Mu Fa o f units
number Road Access Permit No.
Alteration 0 Hotel,Motel,Dormitory
Utility Permit No.
❑Repair,replacement number of units •
Wrecking 0 Mobile Home E ergenCy Services No.
Moving(relocation) 0 Other—Specify Street Width A:
❑Foundation only A /V'�
B:
� ,w-4 Additional Permits Required:
OWNERSHIP ti),�I AO
Private(individual,corporation,
nonprofit institution,etc.)
❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP:
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g..food
• Cost of improvement S 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.
If use of existing building is being cha d,enter proposed use.
l
b. Plumrrbing
a. El bing 70-D e '' _ 9/ VO 5 FrA X
c. Heating,air conditioning
d. Other(elevator,etc.)
• TOTAL COST OF IMPROVEMENT S
III.SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS �'
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DI •Number of Stories
O Masonry(wall bearing) 0 Public or Pri \ •Total square feet of floor area,
Frame Individ =' -tc.) all floors,based on exterior
dimensions `'
Structural steel "+
TYPE OF WATER SUPPLY •Total land area,sq.fL
Q Reinforced concrete D Public or private company
0 Other—Specify NUMBER OF OFF-STREET
0 Individual (well,astern) PARKING SPACES •
Enclosed •
.
•
PRINCIPAL TXPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors --
0 Gas/ r i GL-YN-Q_.
V RESIDENTIAL BUILDINGS ONLY a_ E l�l
Oil Number of bedrooms Y. nci, r'
ti��
(]Electricity TYPE OF MECHANICAL f, f
0 Coal Number of Full lilt z51
I_Vitfi er—5p 'fy bathrooms Partial t
V
1 Q 7
.
IV. IDENTIFICATION
Name Mailing ress—Number,st 'ty and State ZIP code Tel.No.
1 - �---- (........._
0) d )k.,) C o . f-cam :. .s9' -y277
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2 -State License No.
Contractor
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Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
1 Apple date
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PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT �.
APPR V D BY, , t 1� APPROVED 3Y APPROVED BY
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0� =ISHOVELINE DEPT. PLANNING DEPT.
JEFFE7250N I-�ALTH DE-
APPROVED BY: st wigs EE ISSUE DATE RECEIPT fI
(2,i, 4,e-----'4- 3 ,s-c) -7_0_,-) „K----2 Q53 1 q
BUILDING OFFICIAL 1 0 0 ,
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Jefferson County Planning and Rif i i d i na Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend , WA 98388
2O -.sc=s5-9141
PFRMTT # •RT,1757-001 9 DATE T SSt11Ffl. ' 0 7 /2 7/57
STTF ADDRFSS ' 1 OO HAYIIFN ST
PORT HAi1T,OCK . WA 98339
OWNFR DOtUG DF.CKF.R PHONF• 385-4277
MA T T,TNC ADDR • P. O. BOX 845
PORT HAI1T,OCT< WA 955339
CONTRACTOR. . 'NO CONTRACTOR PHc7NF.-
MATT,TNC AlfR :
CONTR. i,TC a#: F.XPTRATTON i1A-T F
PA RCFT, NO. . . : 9864006O5
T,FCAT, f)FSC. . : STR 02-29-0 i WWM. TAX
LOT BLOCK
T)F.SCRTPTTON OF TMPROVFMFNT" : single family addition
1 Footinn/Setbacks (Shoreline Setback) /Mnhilp Home Blocking:
i Foundation :
i tlndernround Piumhincr/tindercrround insulation :
1 Framincr/Plumhina/Chimney.
i insulation :
1 Shpptrock •
i Sewage. T)isposai System Final :
i Final/Occupancy Approval': /(4 rz)
CALL 385-91 4 i 24 HOURS TN ADVANCE TO SCHFi1tJT,F T NSPFCT T ONS.
Office Hours 9 a . m. to 5 p.m.
inspector ' s Hours 9 - 0 a . m.
24 Hour Recorder for inspections.
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT#: BLD87-00019
SITE ADDRESS: 100 HAYDEN ST Issue Date: 07/27/1987
PORT HADLOCK, 98339 Final Date: 4/4/2013
APPLICANT: DOUG DECKER PHONE:
P.O. BOX 646
PORT HADLOCK WA 98339-0646
SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: Lot:
PARCEL NUMBER: 986400606 Section: 2 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: single family addition
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION: --
SPRINKLER SYSTEM yesI
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/4/2013
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