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HomeMy WebLinkAboutBLD1987-00032 Jefferson County Builc partrnent• County Courthouse • Pnrt Tor. ch.98368 • 385-1310 6 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET N E • -7 1,6 I Or—A ROAD S W FROM INTERSECTION OF _ROAD AND f other specific location or landmark: O.EGAL DE RIPTION: S� S I )1" 7 L Block Subd' ision Tax Number i Y.. ecti Section Township Range II.TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY ' New building El Single Family D New County Resident Addition ❑Multi-Family Is this structure to serve the residential number of units❑Alteration or commercial needs of those employed ID Repair,replacement ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking obile Home ❑Moving (relocation) Other—Specify ❑YES ONO ❑Foundation only r ...."---V(16-\_(2._c( USE OWNERSHIP `\\\\\\\ ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't-) UBC OCCUPANCY GROUP: ./ ❑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 3( / `�0 ._6J )4' f` �J 7 c. Heating,air conditioning d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS ❑Masonry (wall bearing) ❑Public or Private •Number of Stories '�1 •Total square feet of floor area, M ood Frame ❑Individual (septic tank,etc./ all floors,based on exterior ❑ ructural steel dimensions O ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft- O ❑Public or private company ❑Other—Specify NUMBER OF OFF-STREET 1 ❑Individual (well,cistern) PARKING SPACES Enclosed r\�., PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ' C) ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY ❑Electricity Number of bedrooms M ❑Coal TYPE OF MECHANICAL Full Number of Other—Specify bathrooms Partial • IV. IDENTIFICATION- - • Name Mailing Address—Number,street,city and State ZIP code Tel.No. 1. e3L /O, i .3 a- S -- ho f L , -e'D % i4 / 55/ _)o6� Owner Co tri I i X 7aS '/Y7� /y /7J 1-1a_ rn V c) enio- cr_) a r tate License No. J 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. S' nature of a licant Address Application date ... at,re, 71; e-r----- --g -Le 4.__-,. lei--b aNe ,,._„----g-s----7 . PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY ��f0 S—fet,(Alej ��� JEFFERSON C DEPARTMENT - APPROVED BY PERMIT FEE ISSUE DATE RECEIPT NUMBER r �� _ 97 BUILDING OFACI L''' ?© ; V f County Bldg. Dep`t —S-5 e P intery — Port Townsend .i.0 1.1/10 ..--7 ----c7/7 S JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan St. Port Townsend, WA 98368 INSPECTION RESULTS Owner: /-.41 c . a Date: � /1�Jfr Address: 7/// " /NGI puo e fv ° Contact Phone: Permit #: 8 7 3 Z Type of Insp: ;itZ'. :c. 3:2 ^r Results: Approved Approved with conditions ❑ Failed I Must call for reinspection prior to proceeding Failed with penalty ❑ Must call for reinspection and pay reinspection fee prior to proceeding CONDITIONS: $61R,I - 1�r, #j O, 4- if/ 923/eY K .Cor 43t 10/6/® Inspector & Date _ • c� BUILDING DIVISION i (360) 379-4,50 INSPECTION HOTLINE (360) 379-4455 FAX: (360) 379-4451 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE H:/Permit/Plnctr/Infobldg/Forms/Inspection Results Form ' .7 r.W r+-W.R5 T\7 cRt-3I77\Ti 'Y F 7 i i.T7 i T3� RTv1T rF' Jefferson County Pl ann i nn and Ru i i d i nc Department Courthouse; Ard Floor PO Box 1220 Port Townsend WA 98368 206-385-9 1 4 1 PERMIT # •RT.fl87-O0,52 DATE TSSII D. :O5/1 2 f r57 SITE ADDRESS : 7 1 1 1 TWORNi)VKR RTi :PORT T.t7T)T.OW, WA 98365 OWNER • F.R T C CAMPRF.T,T. PRONE : 7 2 5-44 7 3 MATT.TNc AfDR : 552,E AN T HONV PT. S : SEA TTT,F. WA 98144 t" OvTRACTOR . . :NO CONTRACTOR PRONE: MAILING A i TJR : • CONTR. LTC #: EXPIRATION DATE ! :PARCEL NO. . . : gg2600011 MEGAT, DF.SC. . : STR 36-27-01 WWM. TAX # LOT 5,. n, BLOCK DESCRIPTION OF IMPROVEMENT: detached garage i 1 Fnnt i ncr i Sethac:ks i Shore l i ne Sethac:k i /Mnh i i e Home R i nc:k i na 0 t. t 0 r u d , - irs. , , . ki J 1, ❑ �. > i' -1 -fN , t. .0 01 2 I _ J ° � S N I- C L 19 L —. o '! 1 —I a. M f� /, J o �, . 11 tS. \ 0. 0 Q) C.ii+. v ° W Z w Q, Uq. N Ili4 314. 0 0o N a io , � � w IA) ,' L11.1 Cr CC — rO, J 3 w UI (t, VI Ct J v a a }. V 1i.j NS V, Z LL 0 k . '� c . .l 4.. C. i 1 N 0 2 .---------..."--"-- --.."--.."Th_...... r , _ :;, t.:1 *V....NI ,,,____ _,,--''.----------------------e'-'''''''/1/ n i" ,J 0 0 , \ \> / ['f) \ < 7 U— o -�¢ 1 rat rj ct 0� ' Z W ) i i \.\).4.. \ W 4 < --I 1,1) ki‘ k NI IA '\ \-,, N