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HomeMy WebLinkAboutBLD1987-00434r ___ . N,E I. LOCATION: mographic name A4, & • 'S W SIDE OF - f6'J CvAROAD 3 t half FEET E �t j � HA4leatt4•JSTc>�e. ROAD S W FROM INTERSECTION OF • r��`� ROAD AN D •' c- other specific location or landmark: / P LEGAL ESCRIPTION: t�� , a„.„Lp ! 11) Lot Block Subdivision �a I �� oo ��/ C'A I / --, Tax Number Y.Section Section Township Range II.TYPE AND COST OF UILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY • New building Da Single Family J New County Resident ❑Addition 0 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 US.Navy's Trident or number of units Indian Island Facilities? i ❑Wrecking ❑Mobile Home k ❑Moving(relocation) 0 Other—Specify 0 YES L54ND • ❑Foundation only i i • USE OWNERSHIP I. CalPrivate(individual,corporation, Full-time Residence nonprofit institution,etc.) ❑Second Home:Recreation Cabin,etc. ❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: 7---S 0 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. _ i --) b. Plumbing ,f n�'.ti ArA_ 170 0€ 35 6 6.6 05 !.- `` ��C) v`� c. Heating,air conditioning L/ (� � l C i. K d. Other(elevator,etc.) r�: • TOTAL COST OF IMPROVEMENT $ L f 5 7G / 0 III.SELECTED CHARACTERISTICS OF BUILDING - ,i."7. * 0?3?512) ,. �"'•- PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS ^ •.m_ Masonry(wall bearing) •Number of Stories d :'`; Ii',J Public or Private •Total square feet of floor area, ®Wood Frame ®Individual (septic tank,etc.) all floors,based on exterior Structural steel dimensions TYPE OF WATER SUPPLY ❑Reinforced concrete •Total land area,sq.ft- `4 ❑Other—Specify D Public or private company J 0 0 0 F'' NUMBER OF OFF-STREET )"K{ rid� Individual ( I,aster n PARKING SPACES =+ V Enclosed "= PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ®Gas Outdoors E!-_- DOil 1 ' I iSoIl7 RESIDENTIAL BUILDINGS ONLY P R- Electricity Number of bedrooms - .: �Coal TYPE OF MECHANICAL ❑Other—Specify Number of Fula )-''' bathrooms Partial 14, - iyt IV.IDENTIFICATION- t;` Name t.Mailing Address—Number,street,city and State ZIP code Tel.No. 1. E. ': f" A�`'7r?``fi O c` 7 oA+°`,. A/ Al , r'?.) :' ' ,. L4 . . (- ` „� .»�. ; f t Owner 2. a 'v+.)r'vi. Contractor State License No. i 3_ .. 'A, 0,6 4 A v z,t J Ls-J C;.F ` • ef(*t`f Y Tr,o !°'�+` . A 3 C.' C. L„i...;..-r s." `-. ,''; ^ `,;.- *,:t? }.11 Architect The owner of this building and the undersigned agree to conform to all applicable laws. rp of a Si9� PPI3 Address Potion date ,74: PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED B CHC� 1-____,, �j,�.„e,—c �l Ho'St 444.c,k,at 17tereSe.d) Ik...8 s o . - JEFFERSON C NTY HEALTH DEP NT ke $' -U M�. APPROVED �j /C'PERMIITFEE) ISSUE DATE Rg�/ NUMBER �� Li 5- 71 / �. s�(� —�a BUILDING OFFICIAL S . CYZ_D Cf----- ..---n / ( P ..2 y — Pc,( To.+»srnd j 1-0 \--1 70 q-a 7 t .«_. , i, , I. : . ,.._ l' • t s • It • i ; : ' ! r ; s _ -i ' 1 --.-a......t-Ar--14.- '---''.4 i j , i z i i . #b......,. , -4------ - --:(f/-s.-"‘132Citi-i\:‘.. . I 1 .t. . N i 1 4, i 40,4.6- t I : .3 / i C‘ / 1 1 ir5• '' RtssFkq,R� I i - —,. - -- --.. _ i 1 I 1 $ rwP-3c)-N,f2st1wSri! 1• .,,:.•' t : ` LIS ; 1 p_.. I- . . # f_ — _ iKcs.Ke-- _ ../ � i ._ - . ..1 _. t i,i 1 _ : • .,..2.2_,A1 ..Ni1/41_,...1 .31 ' ii!:;\ _. ,. - f W e,k1-s`er L • V • • • . 1 _ To S«514 b (4.1 %� (e a r I, eA,c/h wAy f'cc_ WAlls W/,''r each wo,, ffJ 51 ti 6 ',-)/ T 8,• eacte, way ►'cc � kev„)61 r I A 81 • Un 1 x 'r 4‘kr p _ :� v� Qp c OIC, so; ) 101 q i 0 C 0-4101e_s �i7` F ��oO r # /s i II tt J y ` 1 ( , S 1t.� _ f see a--}�a C�, e cl cm�, eK�s a� !U' I- a'6p i� Rwe ta�� 1 prr0 ��` 7, " -- 7 a Pomp. 0 ia.v.k ea0 -'`° 1 d -0 `O \ d - ,0 M r r rfi C-3 COO,/1-V c_ 7'77r y A?'/790,,r I Gas OIL Pk,": . _:. ROVED V� � � UQ �'" 2(L ©� imiltv Mg, S zz 82 t 7 v� � e�cc Sl a�t C.�+tea -� p /� bed / U \ /7 I Ak\L r1221 4`•• \ I t) Sul ' 1J r, E K v e4 �c i-- r ailFs v(e e' 12_8A. - S�Q� ----- //3 /82 C.6 A Ilaw,o 1,1,7 Iti /cN ///0\ M 12.e.ce:et_s2, 0-t6ifr (.- r2eit_ei52--€) 44-- LS„R57, 6 t'i •( 189)