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HomeMy WebLinkAboutBLD1988-00016 BUILDING PERMIT APPLICATION ' Jefferson County Building partment• County Courthouse •Port TownsMili Wash.98368 • 385-9141 ,N E I. LOCATION: geographic name S W SIDE OF ROAD FEET NE S W FROM INTERSECTION OF ROAD AND �U ON j ROAD other specific location or landmark: 5------ \ ( - LEGAL DE C PTION: CQ d.--�i /�G /6 p Block Subdivision a©V ©` Tax Number %Section Section ownship Rang II. TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY XNew building Single Family El New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential number of units ❑Alteration or commercial needs of those employed ❑Repair,replacement ElHotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ❑Moving (relocation) ❑Other-Specify El YES LINO ❑Foundation only USE OWNERSHIP ❑Full-time Residence El Private (individual,corporation, �� nonprofit institution,etc.) jJam�__ J2uSecond Home: Recreation Cabin,etc. El Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:yP /❑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 bia,cp . .,._ 'Co,} Xa y(g4-17€ 37/a c. Heating,air conditioning afg'1.; — a ' !' q — S 1r$Q-- age- d. Other (elevator,etc.) IJ a�/" /5- — 4 6 (0 • TOTAL COST OF IMPROVEMENT $ 3jCjDCO''1 III.SELECTED CHARACTERISTICS OF BUILDING - ( oC PRINCIPAL TYPE OF FRAME TYPE OF SEW O DIMENSIONS ❑Masonry (wall bearing) ❑Public or Private •Number of Stories C^]`/ ,� J •Total square feet of floor area, I `ICI Wood Frame Individu I (septic tank, c.) all floors,based on exterior �/❑Structural steel dimensions ID Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. El Other-Specify El Public or py ie-corn any ❑Individu I (well,cister/ NUMBER OF OFF-STREET PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY Electricity Number of bedrooms 1{ ❑ oal TYPE OF MECHANICAL ther-Spe if Number of Full bathrooms V Partial IV. IDENTIFICATION- • Name Mailing Address-Number,s reet,city and State ZIP code Tel.No. Owner =-Al ct) pj ?s—&0 1),,.._ ea,,,,. . Q,k P,r\a 1..L., -,-- 2. Contractor State License IJo. 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. ignature of a lica Address App5cation dgze? '-**'"--.._ "7,.077214. i-2 ,e? ''' 4 37// ( PLANNING AREA FIRE DISTRICT SCH L DISTRICT WATER DISTRICT APPROVED BY /C 4 ( _ C /+/ 3 /6438 V�-.-4.K.e. O i 2-1.1 JEFFERSON COUNTY HEALTH DEPARTI NT .�,3 , t$ APPROAEL BY: PER.I.T FEE ISSUE DAT - P�01114 3�a � RECEIPT NUMBER 4'III� S V (_7/v/c BUILDING OFFICI�e �, i S 'U`-„Pc) ri C C-7 JfFrfA ( � �/ p�A4114/6&87g 1py 3 .7 r " - 'he Printery-Port Townsend f y; / ,//� / • 7N" .T±.Tr'r r=r.R 5 f-)T'J C C)i T i\T 9 'Y' r=s t T T T.T7 T T'J C; Jefferson County Planning and Building department Courthouse, 3rd Floor PO Rnx 1220 Port Townsend , WA 96368 2Oi -.s65-9141 PSRM T T # - RT,flRA-OO 1 6 T)A-I F. I SSTJF.d. : 114/O4/RR S T TF. AdfRF.SS : 7l1 SUNNY SLOPS RRTNNON, WA 96320 OWNER •THOMAS MCKAY PHONE : 262-95( O MATT,TNG AfTR : 14:1 VTSTA RT) :CHEHAT,TS WA 98532 CONTRACTOR . . :NO CONTRACTOR PHONE.: MA T T,TNG AdnR : CONTR . LTC #: F.XP T RATTON DATE : PARCET, NO . . . : 99720001 4 T,FC-;AT, DF.SC . . : STR 1 1 -25-02 WWM. TAX # LOT 17 BLOCK SUNNY STOPS.. PLAT T)ESCRTPTTON OF IMPROVEMENT: single family residential ( ) rooting/Sethacks (Shoreline Sethack) /Mohi )e Home Blocking: ( ) Fnundation : ( ) Underground Pl iimh i ng/Tlnderground Insulation : ( ) Framing/Plumhing/Chimney- ( ) Insulation : ( ) Sheetrock : ( ) Sewage Disposal System Final : ( ) Final /Occupancy Approval : -7 .1"'Zlif z CALL 65-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a .m. to 5 p.m. Inspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. 99 r 1900//v,o, /9", z I l f°1 eo7.s-h/lovis P_hyd lord , 1-7b xroyg ,S2' V /A/07 jO doh.- I ,QE A , sz Jti '< ,,z > e07$ gef075 •• 7! 63s9dobd h,be 30N 3Q l53 I N5N{9W2+5d ,67 f----- i0/ t 1 (P Id NrtINi 0 N--)! ,as ,oil '7fr X)4/ \ AllgiO\ - - - - - - - - - - - - - - - - - alv!� 3.2101 - - - - - - 7 -- l�aM3n7Q aNni8d, gift f °7 : L t 0 ( Q � f 7 � � f -7 at oct LJJt!n 93 G7 0