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HomeMy WebLinkAboutBLD1987-00466 I. LOCATION:&graphic name S©SIDE OF 0L--el)u 0 �, ROAD COO O FEET S W FROM INTERSECTION OFQ _l /. ROAD AND/" �® IW LvAto I'8fi'-D ROAD other specific location or landmark:. / LEGAL ESCRIPTION: x 39 T it ®L tiny o S T3 Block Subdivision .p .7 k g e59 x !67- '., Tax Number Y. Section Section Township Range II.TYPE AND COST OF BUILDING TYPE OF IMPROVEMENT BUILDING TYPE PUBLIC WORKS APPROVAL d 0 a, building ❑Single Family ` 0 Multi-Family Addition number of units Road Access Permit No. ❑Alteration ❑Hotel,Motel, Dormitory Utility Permit No. ❑Repair,replacement number o/units 0 Wrecking :,(Mobiie Home Emergency Services No. Moving(relocation) ®Other—Specify Street Width A' ❑Foundation only B: • - Additional Permits Required: OWNERSHIP Private(individual,corporation, nonprofit institution,etc.) � ' ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: /2- '`,\S COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,es.,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 userof existing building is being changed,enter proposed use. b. Plumbing /,, f� fie, ,ova-x'SD dconditioning �l.Ce_ ELL-' ,WOO 1. c. Heating,air I d. Other(elevator,etc) V ttit r / • TOTAL COST OF IMPROVEMENTS i k`p III.SELECTED CHARACTERISTICS OF BUI WING i DIMENSIONS ,, gym, PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories _ .1__ Masonry (wall bearing) Ej Public or Private •Total square feet of floor area, Wood Frame Individual (septic tank,etc.) all floors,based on exterior /� dimensions 107 l Structural steel "`* TYPE OF WATER SUPPLY *Total land area,sq.ft. 7b, 0 Reinforced concrete l Public or private company • Other—S fyNUMBER OF OFF-STREET YnaA1( ❑individual (well,cistern) PARKING SPACES ; ,: Enclosed '!5 ' • PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE �.°V`'_ Outdoors 3 Gas es ST D (�� JI ❑Oil RESIDENTIAL BUILDINGS ONLY 1 Number of bedrooms / 11,0 Electricity TYPE OF MECHANICAL ❑Coal Number of Full >V / ❑Other—Specify C`Gz, i>�u,LC.a /}-11�- bathrooms - Partial K / IV. IDENTIFICATION - b, Name Mailing Address—Number,street,city and State ZIP code Tel.No. E. f S 5 4AUU 6 (/1710A 1 4/6/ -91tf >A'2-2'� r • Owner (I \ ‘-21- 5Salo ail / (etJl) i. 4 2. - ' State License No. r I Contractor j f 3 1. a owner o this buil ing d the undersigned agree to conform to all applicable laws. Signal cent Address Application date l 3 ' ' n ,J t / r341 ( _. PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVE B( APPROVED 3Y APPROVED BY or) orDINT I-iE t'I ALT DE SHOPEL I NE DEPT. PLANNING DEPT. APPROVFci b--94-- --7 , EDY Y: ' PE MIT FEE ISSUE DATE RECEIPT MASER 7S -', - , OF. -,, ) i 4Sk (0 '-'R 7 a, c., BUILDING OFFICIAL 37 r (J'.�:^a/ b 11( O E,ce,.nlivy - Poe( To.' itrnd .-��O /-� n .tY81U . Iek1, ( 5 `%2 Manufactured Home: Year 1984 Make BARR Width 24 Length 52 Vehicle Identification Number WAFL2AD36314918 Registered Owners: ROBERT D. SCHILLING Names KATHLEEN C. SCHILLING Signatures' Legal Owners: Names NORTHWEST FARMERS INSURANCE Signatures' 'SIGNATURES OF OWNERS INDICATE TERMINATION OF INTEREST IN THE MANUFACTURED HOME THROUGH TITLE PROVIDED BY CHAPTER 46.12 RCW AND INDICATE INTENT TO PERFECT INTEREST IN THE MANUFACTURED HOME AS REAL PROPERTY WITH THE LAND HE/SHE/THEY OWN AND TO WHICH IT IS/IS BEING AFFIXED. Land to Which Manufactured Home is Being Affixed: Property Tax Parcel Number 978900 025 978 900 059 Legal Description TRACTS 39 ANT) 4O OF THE PT.AT OF OT,YMPTTS BEACH ROBERT D. SCHILLING Owners' Names KATHLEEN C. SCHILLING Signatures2 'SIGNATURES OF OWNERS INDICATE CONSENT TO HAVE THE MANUFACTURED HOME ADDED TO THE REAL PROPERTY LISTED ABOVE. Building Permit Office Certification: I certify that the " .nu .ctured home ha been affixeARRIT rQV ribed above and/or building permit number ha been issue a for the purpose of affixing the manufactured home to the land and will be inspected upon c a • - s'on. OCT 23 1990 M,c -kut.\ �;t 1 , k _ `�"'C 3b r-l/`y/ NAME SI ATU'EJ _, ...,,_, ;BLDG.PENf ' fl County Planning DATE PHONE NUMBER & Building Department County Auditor/Agent Licensing Office Approval: (Not for use by subagents) I certify that the above application appears to have been completed correctly, and that the applicant has sufficient documentation to proceed with the recording of this form. NAME SIGNATURE OFFICE/CAAP OPERATOR NUMBER DATE Recording Office: I certify that this form has been recorded in the county records. NAME SIGNATURE COUNTY DATE RECORDING NUMBER Note: Every person who falsifies or intentionally omits material information required in an affidavit is guilty of a gross misdemeanor punishable in accordance with RCW 9A.20.021. TD-420-730 MFG HOME TITLE ELIM IN/1/90)Page 2 of 2 , • • r-'f:a -- ti JEFFERSON COt\Ti PLANNING ADD BUILDING )E %RI11E Tf , ^ � ' A f 4.,./4 • i 'W..'Wers-..‘c_ , ...,,,.._,..,,,. '-;;',/:- r„', „F 3,4,. ---e ...._ , .‘,. r, 4. P.O. Box 1220 7 b -P ,::: t J' �' 11��;1er ., t. • Port T wnsend, Washington 98368 _' ""4- ., ,-,, ,,_.,- ,;.� ,Ai Telephone (206) 385-1427 1D?;- t _ JEFFERSON COUNTY COURTHOUSE David Goldsmith, Director June 22, 1987 Mr. Robert Schilling 1595 Northwest Gilman #14 Issaquah, Washington 98027 Re: Shoreline Setback Variance Request, Robert Schilling, 290 Olympus Boulevard Dear Mr. Schilling: On Monday, June 22, 1987 the Jefferson County Board of County Commissioners approved your request for a shoreline setback variance. You may place your proposed mobile as close as forty-five feet from the top edge of the bluff on your property. Please contact me if you have any questions regarding this matter. Sincerely, --" ;e: :•47.1/1".--,.. Bob Duffy Assistant Planner BD:mkg cc: Building Official • 6/4/87 Jefferson Co . Commissioners Jefferson Co. Courthouse Pt. Townsend, WA Dear Commissioners, I am requesting a setback variance for my mobilhome that I wish to place at 290 Olympus Blvd in Pt Ludlow. My bank is 59 foot high. I 've attached two drawings showing a 40 foot and a 45 foot setback. My drain- field prohibits the mobilhome from being back any further. THANK YOU ROBERT D. SCHILLING 1595 NW Gilman Blvd #14 Issaquah , WA 98027 0 2441K 59/ ---- — /oti >. A- I 1 1 1 I , • la Ni 'p i LI:i 1 1 . ; 0,209' 1(501 .. ...,. it),7 4 00- 4-,- - cy Ni 19 t't 7 \ t i/6) 1 1 1 0;9 1 ----4 I e-19------------7-1( :---‘11:7 ------- 1 1 ,410 0/11-0 7 1-vi.„ CPT- bibt-00-). OW4 Lieu's" BA-kik g9 1 \\‘,. eve, --//171/ k V ci 4652: pr S airrit ever e ' . Tr 0 •?1 1 C/4/11)V3 /i) PT 1„.0 to), M A 1136( 0(. 11oZieb / - r ee- received -rot- L5hor44 me- vct,' c`� rec_vet ; recur pL * �8018 { "e I Z -67 — 4,.&ek \L'ti 4S C:› moo. APPROVED JL 2 3 Slo 3 )3,4-2 �a 2 z 42 /-7 ' _ 0.6/A7 G 11 r\/'