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HomeMy WebLinkAboutBLD1988-00009 BUILDING PERMIT APPLICATION , Jefferson County Build' partment• County Courthouse •Port Town Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF ROAD /��� / FEET N E /`c 1 Rude `5( 1� � ROAD S W FROM INTERSECTIONOF ROAD AND Ml- other specific location or landmark: \' i l�PT 1r: ..3\/ Lot Block Cr �Subdivision IjV}1cR�O Itt n'��e ���` Tax Number 'Section section Township kki Range II.TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY New building \_.9XIngle Family ❑New County Resident IN Aedition Multi-Family 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 ❑YES ❑NO ❑Foundation only OWNERSHIP USE ilfi 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 cha ed,enter proposed use. b. Plumbing I/y�b/k\-) I/ 0 L'@ 35- 3 3(O rn1 c. Heating,air conditioning J9- {• ° tT�''"/ / / OlJ s( d. Other (elevator,etc.) i 60 VA 7 U tlT;M;34.rd per `�'-" • TOTAL COST OF IMPROVEMENT $ n 71� ^'f III.SELECTED CHARACTERISTICS OF BUILDING - Fri) ' J�53(o(� 6 � PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS 3 ❑Masonry (wall bearing) •Number of Stories El or Private •Total square feet of floor area, Wood Frame . \ igIndividual (septic tank,etc.) all floors,based on exterior ' ❑Structural steel dimensions TYPE OF WATER SUPPLY ❑Reinforced concrete •Total land area,sq.ft. ❑Public or private company ❑Other-Specify NUMBER OF OFF-STREET Individual (well,cistern) PARKING SPACES �q Enclosed +VJ�',LIJ PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY ` , ❑Electricity Number of bedrooms x _J ❑Coal TYPE OF MECHANICAL Ci•Other-Specify WO oel Number of Full x bathrooms Jam— Partial IV. IDENTIFICATION- 0 Name Mailing Address-Number,street,city and State ZIP code Tel.No- l- • Dey►w%s IKotAtem-1uy 751 0 trsoh L& ad 9$3`1 3tc39! Owner @t_ 4 M V0~4- (roLutiS t, Lv 4 2- X ` `� ContraFtof 1001^41,_ State License No. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Sig re of applicant Address Application date 7" 15*. -7s- avaffra, Lk la k 3/ : l'' ' PLANNING AREA FIRE DISTRICT_ SCHOOL DISTRICT WATER DISTRICT APPROVED BY dit. tai >ce? JEFFit ,COUNTY HEALTH DEPARTMENT 3 1 .1\4, , APPROVE B :I. 1 HERMIT FEE ISSUE DATE RECEIPT NUMBER ill 3' ( ` �2.. BUIL�t.1 �' '; FICIA l � � �. � 1/0 'PP+ he'rintery-Port Townsend fq I (1-_- 77D 't-Y ID 'S , ' . . .T1 R-1.RSC)TT C1C7t T Y" 'F tIT T.T7T TT(=, 1 4Tr 'i' Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA R8388 20A-385-9141 PERMTT # •RLD88-0009 DATE. TSSUF:D. !03/22/88 SITE ADDRF.SS! 361 SHTKA RD !PORT TOWNSEND, WA 98388 OWNER -DENNIS MONTGOMERY PHONE! 385-3417 MATT,TNG ADDR ! , , , !PORT TOWNSEND WA 98388 CONTRACTOR. . !NO CONTRACTOR PHONE MAILING ADDR ! CONTR. LTC #! EXPTRATTON DATE ! PARCET, NO. . . ! 7 67C)J V-[5 CO-1 LEGAL DF.SC. . ! STR WM, TAX # 7 LOT , BLOCK S q,-1 i` w DESCRTPTTON OP IMPROVEMENT! single family residence ( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking! ( ) Foundation ! ( ) Underground Plumbing/Underground Tnsulation ! ( ) Framing/Plumbing/Chimney! ( ) Insulation ! z di, 0 14-- ZZ ( ) Sheetroc:k• 2 Z Z ( ) Sewage Disposal System Final ! ( ) Final /Occupancy Approval ! -p -©g6-6?1Cv'i ff.4. 24- �~(f_oef CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE TNSPECTTONS. Office Hours 9 a .m . to 5 p.m. Tnspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. N wm .SCALE �L = 10, M � ' � ^ 1 �S J 2,77 IJ L 0 -7— C21-,o ri7 7 jPower i PLR,N L/ IK[ RD - F"- b, 7 wzv�r✓ s-782s S,"4i1 WbE + D:L2« -- #�Ysi'���1 td- 1Q-�- 4D'-O r..ore..,v 5-2bd4 5ara�5uo� Wow U �, �Ut�o UXL i1R 1 i40 yy M+IOnM FL.00K Pt AtJ FIRST FL DGK ti A PORT TOW (�15�ND, WA aS�s FLOOR PL. — FIRST FLooR Y4 = ►=d' -��-,� � of M�►y 4t �� _ Nww. SLtDEt� FI[ KITLN- 1 N. n-7- Nrr�S: • AL.i, WiNL": i` 1-*Av= '. Tf•RT/,,:•� IiJS)(.r.�E-D Gl-AS� VJITJDOW W0�-K5 Niue _ V 16W tMl.r NII� `�. V. V.0. k= IC s 1. � � � v I,wlr '�4Nwir v JNR I.wNINA swawc. IN * Z&1 9 ib. PL44 - . _`1,I4:_=1=�'