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Home My WebLink AboutBLD1988-00019 BUILDING PERMIT APPLICATICA Jefferson County Buil.Department• County Courthouse •Port ToL. =nd, Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF C�0 ROAD ' r I I FEET S W FROM INTERSECTION OF ROAD AND 7f qQ)Lr) C3N 0 ROAD other specific location or landmark: L GAL ESCRIPTION: Lot BlockSupision '� =G� 3 0 lki Tax Number Y<Section Section Township Range II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILD (VG TYPE MOBILITY L hew building / Single Family ❑New County Resident ❑Addition ❑ ulti-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 ❑YES ❑NO ❑Foundation only USE OWNERSHIP ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) CISecond Home: Recreation Cabin,etc. El Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: f -`..> ❑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 c'.nged,enter proposed use. b. Plumbing ' P:' /o c. Heating,air conditioning `= or. a g •a it e. f-d. Other (elevator,etc.) L \.A - l V as6 -- Q. A (�( ��" / • TOTAL COST OF IMPROVEMENT $ ,C/�--�l�r , .',3 !J/ 9 III.SELECTED CHARACTERISTICS OF BUILDING - / v 4- PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DIMENSIONS C67 ❑Masonry (wall bearing) ❑Public or Private •Number of Stories �� •Total square feet of floor area, 1 Jr}(�Vood Frame 4dividual ptic tank, tc.) all floors,based on exterior 0 Structural steel / (ase dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. // ?e— ublic or private company 1p ❑Other—Specify ///TTT��\` NUMBER OF OFF-STREET ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE CI Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY Electricity Number of bedrooms Coal TYPE OF MECHANICAL Number of Full "V0 S)C pecify bathrooms "\J l JL�� Partial IV. IDENTIFICATION- • Name Mailing Address—Number,street,city and State ZIP code Tel.No. 1. kVe.i 6 7 C� t)u:f ---C� ?85 5--? / Owner Pi)�s� Id 2. Contractor State License No. 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. '.Signatur f applic ( Add. s Application ate 71 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY GC ems_. , SI \2 �� OILw� JEFFERSON COUNTY HEALTH DEPARTMENT. APPROVVD�BY: /PER AIT FEE ISSUE DA E w R 3� , 5� RECEIPT NUMBER ` ° ° firz../ W - 5 5 7 O BUILDING OF I HYCA 1988 3 ,sue !F. 0h LUUNTY 3 o� t 1/CL h/ � ` % PLANNING&810G OfPT The Printery—Port Townsend �/ r� /� • • _1 ram.F'Tr°FR:=� C3Tv c c)tTNrrn 7 FiT1T i.i)T ,' c t -FlrcNfT `3' Jefferson County Planninn and nui ldino Department Courthouse, 3rd Floor PO Fox 1220 Port Townsend , WA 98368 2.06-3S5-`114 1 PFRMTT # • RT T SR-OO i q T'7ATR TSST F.n. - 05/24/SR S T TF A DRESS • 5 7q0 HTOHWAY 20 : PORT TOWNSF.NT1. WA gRSRR OW'NFR •ivF.TL PORSCH PHONE. : 385-5761 MA T T,T NCB A OR : 5 7 90 H T GHW A Y 20 PORT TOWNSF.NT) WA qR RR CONTRACTOR . . ,NO CONTRACTOR PHONF MATLTNC AnnR • CONTR . LTC #! RXPTRATTON T)ATF- PARCFL NO . . . , OOi2R OO9 T,ROA L DRSC . . -STR Its-3n-n 1 WWM. TAX # T OOT BLoc< DFSCRTP-TTON OF TMPROVFMFNT! single family residence i Footing/Setbacks (Shoreline Sethack) /Mobile Home Rincking i ) Foundation : i undergrnund Piumhi ng/Tinderornund insulation ! i Framing/Plumhinn/Chimney. i insulation - ) Sheetrock! 1 Sewage Disposal System Final : —^ 1 Final /Occupancy Approval ! CALL 385-q1 4 1 24 FOURS TN ADVANCF TO SCHRT)tJT,F. TNSPFCT T ONS. Office Fours q a .m. to 5 p.m. Inspector ' s Hours y - 1n a .m. 24 Hour Recorder for Inspections . • • • t‘p Nil L J -75 � y v ° J�<o a---4 • \9 — C 0 (Aii oo '' ye)( & ,/I I. Y t S — O lI U O - �1 N. ._ ---- -.7.) D sai .•n k 0 n a, a s P4 Cl kik 17 Crush pcec4 P''.Q e 61b v,cA &d 17 pr—ve may . ,gam \'1\- /3 z ,e7,7-4e7 At- A APPROVED MY 2 4 19; /ff/Je /12e4-041-4A 6 IC 44°-- JEFFERSON COUNTY KAMM&OM DEPT (3 k 61) 321(dk3j'-- 5-7 ? Yc/ci) 3 (c/ 5 /.59 76584 k 11 )90 la/lAllit54 L?c aira/ 4.4e,"7•51 11 /1-t/ /) (AAA/A-fl/F- A ,fw, 66-tA-e-e=e6-0,1AL-- - )/Y ie-741171 r4( 4/11r A/ /1-7)/"Ar "i / 144"/ /fr- I Al5G1, 177r7)( 474- - )21)-3 7 d 77f--;/- - IVO /ep_4_,it,It 51/6 ) /kelt' p14-/-'291/ A 'rOffi e 2_ 7 42,74- if 71,-) hir/9- 1/1 V-17 BUILDING PERMIT APPLICATIO Jefferson County BuilDepartment•• County Courthouse •• Port Tond, Wash.98368 • 385-1310 N E LOCATION: geographic name S W SIDE OF ROAD FEET N E j� -1----,�- Loy S W FROM INTERSECTION OF ROAD AND L. v Loy ROAD other specific location or landmark: Pi LEGAL DESCRIPTION: %r__( 4E Lot Block Subdivision 00 1 ,283 wet 02,8 `�lJ 11.() Tax Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY • 7ew building El Single Family ❑New County Resident ❑/ \NAddition ❑Multi-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 ❑NO ❑Foundation only USE OWNERSHIP ❑Full-time Residence ❑Private (individual,corporation, Second Home: Recreation Cabin,etc. nonprofit institution,etc.) ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: I—. ❑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 0T-1 X LA Cs } I6 ( 7 c. Heating,air conditioning CA)1\I b.P. to pw(y mold ed to d. Other (elevator,etc.) ç 'oprty —1—e a porn r y un I- I • TOTAL COST OF IMPROVEMENT $ PgtriPn Ce 10 U I I- . III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS • •Number of Stories ❑Masonry • (wall bearing) ❑Public or Private Y1el J •Total square feet of floor area, --~ ❑Wood Frame �Individu septic tank,etc.) all floors,based on ext dimensions ❑Structural steel TYPE OF WATER SUPPLY • land area,sq.ft ❑Reinforced concrete YPublic or private company "XOther—Specify NUMBER OF OFF-STREET Obi le ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors ❑Gas ❑Oil RESIDENTIAL BUILDINGS ONLY C,is / lectricity Number of bedrooms 'Y0 Q TYPE OF MECHANICAL ❑Coal Number of Full ❑Other—Specify bathrooms Partial IV. IDENTIFICATION- • Name Mailing Address— Number,street,city and State ZIP code Tel.No. 1. Pr)rsch ) C\Pi I (0080 c6e.ver-VG (Ae_y° fZdl `et ¶83(o5 `T32- Owner kioloce, 2. Contractor State License No. 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Sign ure of applicarl't ) Address Application date '�f L— /o/02 8/8 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY JEFFER =WITT,, Al-T'I DEPARTMENT . APPROVED PERMIT FEE ISSUE DATE RECEIPT NUMBER 75U0 i 50 � l �la 8� 5 b � 2 to . o0� BUILDING OFFICIAL `, �-j(0 `�� f The Printery—Port Townsend /0 !7�/ tom! /6. oc6 • •/11SP, 14; iAMY vv 20 tob4 c _ tao Roth 14114Y P1• t i • v) 60-•c\i\'''` JL v u T7 U M — r0 ri — O x — IQ0/ ,`� j Co po C ^ Fitt & A o _ o _ -() >p o Sal k v. O -L"G 0 K _ S • * .-- n 1^vim 1 �_I k, y Cr k QC6O� ipi'Pe v lx v'A ea -.Co&d pr;`1e may 1 ,Se 1 N*- I p I 1 n S ..114 inn vJ n9