HomeMy WebLinkAboutBLD1987-00034 lip I LDING PERMIT,APPLICATION i
Jefferson County Building Department• County Courthouse •Port Townsend,".'_•sh.98368 • 385-1310
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I. LOCATION: geographic name S W SIDE OF ROAD ,.l(r A,�p FEET
W S FROM INTERSECTION OF ROAD AND t
l.Q CQ1 0 mi I.J Ve.._-ROAD
other specific location or landmark:
LEGAL DESCRIPTION: 1 (// ?Q J I R O&DI"L-c-
()r)-2 e C L -/�C� Lott Block � � Subdivision � f 1
9(ei �o'5 (p0 v Tax Number 14 Section Section Township Range^
II.TYPE AND COST OF BUILDING - 6 i t&_-4 Le i fv11 t`I7 .e-f I ►7O13C..'
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY •
ew building ' S\ ingle Family CI New County Resident
❑Addition CI Is this structure to serve the residential
❑Alteration number of units 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 CI YES (tiNO
❑Foundation only /
USE
OWNEtjSHIP [Full-time Residence
Private (individual,corporation, ❑Second Home: Recreation Cabin,etc.
nonprofit institution,etc.)
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: f- - ' ❑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 up. (
b. Plumbing �M/I ,�� -r,, cw Z (/� )
c. Heating,air conditioning Y)(u-l. M 112 ,qZjilig llllll cc /17/ ci ,( c
d. Other (elevator,etc.) (�L .,ci2 ..�.7�y `'t_ '570 OD
• TOTAL COST OF IMPROVEMENT $ !. _ 6 D `/� 00 j
III.SELECTED CHARACTERISTICS OF BUILDING - /
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
❑Masonry (wall bearing) •Number of StoriesC7Z
❑Public or Private
ood Frame •Total square feet of floor area,23
Individual (septic tank,etc.) all floors,based on exterior dimensions ,}00
❑Structural steel
❑Reinforced concrete TYPE TER SUPPLY •Total land area,sq.ft.
❑Other—Specify ❑Public .r private company
NUMBER OF OFF-STREET
■ ndividual (well,cistern) PARKING SPACES
Enclosed 1
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas II-` J c;� +'1 2.f Outdoors
❑Oil J ', RESIDENTIAL BUILDINGS ONLY
,Electricity Number of bedrooms x
❑Coal TYPE OF MECHANICAL
Number of Full
Other—Specify bathrooms /
r !t'r- -, 1,i Partial FX,
IV. IDENTIFICATION- •
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
1. _.5 -tA-e. R L>' ZO A -7lo I-t r9 O LoX- K1 k,.)q ` S3 `i 3i?_,=5 15L
?(6wner rnoh1e
2. -.��c ' 1„
pontractor 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
. (1 , -P_Oa--__ ?O' a 74 , I-} I P 1< , u.-.A 0t. i 7><' Ii/"187
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
1 _1C 0 AS7
JEFFER NTY DEPARTMENT
APPROVED PERMMIITDFEE ISSUE DAT RECEIPT NUMBER
e)s-' ' Sa
BUILDING OFFICIAL /5 f
'7 / •ht intery—Port Townsend 716We 7f- /06/82
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.1-Fr TPTPfr.FR5-3CIT4 C.7C-ITTIVir'Y 1V(71- T,T11- 1W3 "Pfr.TRTNAlr 'r
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # -RLD87-0034 DATE TSSUED. : 12/02/87
STTE ADDRESS: 31 HADLOCK AVE
:PORT ffAmocK, WA 98339
OWNER -STEVE MOHLER PHONE: 385-5156
MATLTNG ADDR:PO BOX 276
:PORT HADLOCK WA 98339
CONTRACTOR. . :NO CONTRACTOR PHONE:
MATLTNG ADDR:
1
CONTR. LTC #: EXPIRATION DATE:
PARCEL NO. . . :961803-608
LEGAL DESC. . :STR 35-30-01 WWM, TAX #
LOT 1-6, BLOCK 36 , TRONDALE
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY RESIDENCE
( ) Footing/Setbacks (Shoreline Sethack) /Mobile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Tnsulation :
( ) Framing/Plumbing/Chimney:
( ) Tnsulation :
( ) Sheetrock:
( ) Sewage Disposal System Final :
( Final/Occupancy pproval :
(1
CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a .m. to 5 p.m.
Tnspector 's Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.
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Kok)5Eo R6SiOF,tJCE LOTS I,', 3, 4, 5'4.P3,, L� BLOCK 3(v, TOWN SITE O� i'ROUPAL�, JEF;CRSc.)N Cw oLkO'Ty WINS NI►J'-q-rON.
ORAVIJ /3y fWD 'FOK STEVE MOHL-8, R ANL JULIE dAKUBOViL