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HomeMy WebLinkAboutBLD1988-00018 IDG MATION Jefferson County Building De,' I. .1 N IN CountyPER CourthouseITAPPLIC• Port Townsend, h.98368 385 91 1 N E lik I. LOCATION: geographic name S W SIDE OF ROAD FEET N E i /�Jt I S W FROM INTERSECTION OF 7 [(ROAD AND I I $ L � ��_ 1" ROAD Tiother specific location or landmark: r�.cr7' 1 ...--, A} LEGAL DESCRIPTION: PJ n Q 4 Lot Block Subdi ision O1,3 0 1 OS—Li Tax Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING- TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY wi..building r'` Single Family ❑New County Resident ❑Addition ❑lMulti-Family Is this structure to serve the residential number of units ❑Alteration _ or commercial needs of those employed ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or ❑Repair,replacement number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ❑Moving (relocation) ❑Other—Specify ❑YES El NO ❑Foundation only USE OWNERSHIP ❑Full-time Residence ❑Private (individual,corporation, CI Second Home: Recreation Cabin,etc. nonprofit institution,etc.) ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: El 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 g\`^fl rt 11 /' 3l„44 - .._ !G f @.3<— S 7/ /// 0 c. Heating,air conditioninI \N�"\ `v wD[,q d. Other (elevator,etc.) ea TA " 310X x,Z =l lsa rc '7 a.i • TOTAL COST OF IMPROVEMENT $ iS `�Ol O III.SELECTED CHARACTERISTICS OF BUILDING - �� 9 3(�, i`v `�\r 7 9 ENSIGNS PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE t j��S •Number of Stories / ❑Masonry (wall bearing) ❑Public or Private •Total square feet of floor area, Wood Framefdivid . septic tank tc.) all floors,based on exterior Li]Structural steel dimensions TYPE OF WATER SUPPLY •Total land area,sq.ft. 1 /)C J❑Reinforced concrete ❑Public or p ' e company ❑Other—Specify NUMBER OF OFF-STREET idividu I (well, istern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY (Electricity Number of bedrooms �GZ U�`tL ❑Coal TYPE OF MECHANICAL lir Number of Full O her 00C bathrooms 1111 >-(f(�Jwr�p Partial -- -'-- IV. IDENTIFICATION - Name Mailing Address—Number,street,city and State ZIP code Tel. No. 1. p o .-_ 01 IUk.) 3 7 --- / 7 /7— Owner l Jl '_r,L / /Co 2. Contractor State License No. - 3. Architect The ner f this building : d the - • gned agree to conform to all applicable laws. r n ture o applicant Address Applica ion dot) 4001401 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY G t S tSoT L` MC A- \-- (ro 51(oLc00 JEF W Jt5FY HEALTH DEPAR\ JFO APPRO a� PERMIT FEE ISSUE DAT RECEIPT NUMBER 3.SA) JFfRSO ` J,OCS/// 3 S- PI � C ci(.3 B � v L i©q Li 7r 5 he Printery—Port Townsend7-0 H1 I /(n/gC( R r .iF.r r+-T7..FR.=. C)i\F F7, CYCIN m'T F t1Ti T.i�T iVC� r=- r+.RivTT T Jefferson County Planning and Ruiicling Department Courthouse . .srd Floor PO Box 1220 Port Townsend , WA 98368 2O6-3F 5-9 i 41 PERMIT # • RT.fRR-O0 i 8 DATF. TSSTTF.D. - 05/1 3/RH SITE Auurcr.nn - ini i ( RTFFTTHS POINT Rn -NORDT.AND . WA 98358 OWNER • DON COTE PHONE : 547-4769 MAILING ADIJR • 20 1 NW 39 T'H - SEATT E WA 98107 CONTRACTOR. . -NO CONTRACTOR PHONE! MATTING AD1JR - CONTR . LTC #: EXPIRATION DATE : PARCET, NC). . . -02 1 32 1 054 YY LEGAL DRSC . . - STR 32-30-01 EWM. TAX # LOT RLOCK DJESCRIPTTON OF IMPROVEMENT- single family residence i Footing/Setbacks (Shoreline Setback) /Mobile Home Riockinevi- i Foundation • i tinderffround Plumbing/underground insulation i Framing/Plumbing/Chimney! 1 Insulation - i Sheet-rock ! Sewage Disposal System Final - i Final /Occupancy Approval • CALL 355-9141 24 HOURS TN ADVANCE. TO SCHEDULE INSPECTIONS . Office Hours 9 a . m. to 5 n.m. Inspector ' s Hours 9 - 10 a . m. 24 Hour Recorder for Inspections. ,---............... JOB--- EL---1111iK717 NORTHWEST SEP• P.O. Box 1341 SHEET NO 2.- OF MT. VERNON, WASHINGTON 98273 (206) 336-6121 CALCULATED BY DATE -- C.L. #NO-RT-HS-*205LE ,. ---- k CHECKED BY DATE_ • SCALE • , . , , • k..,.,,„.2.,„ , • . ...,, s,. "M I ir• '' '• • : •:e. c\ •• •-'/7'./., ' . .• ..... . /--- -/i_____±_.. ._) 64T_ . • - ,.I : . • f . ; N- . . •s, , . : : -, , r \ - _.4c . . . .• , ' •, .... . 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' t:12,,c-.)• 7, :-:: '11 9" ":".i • • • O • , i , ,II i . . •.: --- II I Mt I N•,, ,. r..,....h."1 arm 41 • • 1 SHORELINE SETBACK EVALUATION APPLICANT : �, � art ADDRESS: 70 ( /V "V l -C Jam. ��"�- 7,707 G TELEPHONE: (home) S`17 - 4-(7Gp (business ) PROPERTY DESCRIPTION PROPERTY SITE NUMBER: LEGAL: Owner : Address: / 7 7 67R, ` 7"' Tax Parcel Number: Lg 7 7 6 4, f : r ReaL Property Description: ADJACENT WATER BODY: /7(__CY&v Ary j EVAL UATION (ass 14-^ l 1 BLUFF HEIGHT: SOURCE: 20 �--y�o PJ p--t'4 BLUFF STABILITY: k-4 4_ SOURCE: C 4 74/ c ❑ STANDARD SETBACK: c / feet This minimum setback shaLL be measured from the ordinary high water mark to the most waterward edge of the proposed structure. 0 BLUFF SETBACK: feet This minimum setback shaLL be measured from the bank' s edge to the most waterward edge of the proposed structure . 410 ❑ AVERAGE SETBACK: feet This minimum setback shaLL be "measured from the bank's edge to the most waterward edge of the proposed structure. This setback is based on the foLLowing caLcuLations of adjacent residentiaL structures . Right House (facing waterward) : • Setback from bank or ordinary high water : feet • Distance to the proposed structure: feet Left House (facing waterward) : • Setback from bank or ordinary high water : feet • Distance to the proposed structure: feet ❑ SUBDIVISION SETBACK : feet This minimum setback shaLL be measured from: This setback was estabLished by the approvaL and fiLing of the pLat. VARIANCE REQUEST: ❑ APPROVED ❑ DENIED DATE: ACKNOWLEDGEMENT!, The above evaLuation was determined on information provided by the appLicant. ShouLd any of this information be found inaccurate, the setback requirement may be re-evaLuated . �.. --- g-,/ Ire Canner) (date 5 /31'97 ` -'2- f^k) 172--6/9NJWsjoi_ 71 ei/..71-4/1 ez(, o bAr 071103i er? J 71/417q° / 77q0 C 1/'`--—Le) 0 6 (I- 5111 /17 ( /)4 6/6-