Loading...
HomeMy WebLinkAboutBLD1987-00029 a BUILDING PERMIT APPLICATI•, ' Jefferson County Buitdmg Department• County Courthouse.•Port Towrrsand, Wash.98368 • 385-1310 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET • S W FROM INTERSECTION OF ROAD AND 1 O I �C., P q O Ir"+ _ROAD other specific location or landmark: P L--• LEGAL DESCRIPTION: _ �aIl c' e Lot Block Subdivision y o2'- -_► F . 17, 1 O'-13 O'CD 2 Tax Number '4 Section Section Township Range II.TYPE AND COST OF BUILDING - TYPE O F IMPROVEMENT BUILDING TYPE MOBILITY building nle Family ❑New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential number of units ❑Alteration or commercial needs of those employed ❑Repair,replacement ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ' ❑Moving (relocation) ❑Other-Specify ❑YES ❑NO ❑Foundation only USE OWNERSHIP ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) El Home: Recreation Cabin,etc. El Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:1/C, ❑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. b. Plumbing Garage.. LI 8L �."'d,' E . 3� R .2_.c. Heating,air conditioning ( t 1 Si©/ c-$35 - ,L/C- OH 5 d. Other (elevator,etc.) r - .I f , I I D9 1 '� e 41 I co 1jj 7 (O 1 (0 • TOTAL COST OF IMPROVEMENT $ 1 l 76(13) fQ 13 III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS Masonry (wall bearing) •Number of Stories `❑ 9 ❑Public or Private `e w •Total square feet of floor area, Ind Wood Frame >Individ I (septic tanj etc.) all floors,based on exterior E.]Structural steel / \ dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. ❑Other-Specify ElPublic or private company NUMBER OF OFF-STREET Individu I (wel)istern) PARKING SPACES \ Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors Doi' RESIDENTIAL BUILDINGS ONLY 4lectricity ;• Number of bedrooms ❑Coat//--___. TYPE OF MECHANICAL Number of Full ❑Other-Specify r bathrooms Partial I IV. IDENTIFICATION- • Name Mailing Address-Number,street,city and State ZIP code Tel.No. . R is' 4 } as I 5oo-f-k Pni n+ -Rd � 43 `1`83 (0 LI 3 7 - Owner C©nnte (Yl u 2. Sel-P Contractor State License No. 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Signature of applicant Address Application date aiifi _174g' (O//9/8�? PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY ' � (O o� of t aI /� , �, t5 ippro 1, lo•z�•�r JEFFERSON C UNTY H ALTH DEPARTMENT APPROVED B • PERMIT FEE ISSUE DATE "-'� ` I r OO REGE I SST NUMBER 15 r DO :' I°JQ7/ BUILDING OFFICI4, 509 r SO The Printery-- Port Townsend TO f tb E-(/ owher I b f q 87 a a , s C C,t 1 T'Irn i j-r i.T)T C Jefferson County Pianning and Ruiinino Department Courthouse; 3rd Fioor PO Box 1220 Port Townsend, WA 9836R 206-38 -9i41 PERMIT # - RT,D87-0029 DATE TSSiiED. : 1 O/27/A7 SITE AffRF.SS: 1001 SOUTH POINT RD PORT UDLOW, WA 98365 OWNER •RTCHARD MUC( T,T PHONE : 437-996 7 iv1A T T,T Nc=, ADDR : i O01 SOUTH POINT RD :PORT LUDLOW WA 98365 CONTRACTOR . . :NO CONTRACTOR PHONE ! MAILING AfDR : CONTR . LTC #! EXPIRATION DATE! PARC;r.T, NO. . . : 721043-002 LEGAL DESC. . :STR 04-27-01 FWM. TAX # LOT 2 BLOCK DESCRIPTION OF TMPROVEMENT: s i no i e family residence 3 n-ont i nc7/SPtharks (Shoreline i ne SPthack) i• Mohr ie Home R ioc:kincr: 1 Foundation : Unnercrround P i umh i na/iJnderc round insulation ! 1 Framing/P1i]mhin(- /Chimney. /2-4 , / r -_ I� � 3/ 2- ) Shpetroc'. At C �./ .. ., .. 4 O`L 7i ) Sewage Disposal System Final : i 1 Final/Occupancy Approval ! 4193__. ���� CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE TNSPECTTONS Office Hours 9 a .m. to 5 p. m. Tnsnector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. I f�J I i f- - - - - - 4CG' -- - - - ' --� i v j MuJND SEPTIf,. I c I �d ► �5w+h Pot n+- Road_ FDRGH T 4(a I GAK C� < j` � +TRY eb W v A