HomeMy WebLinkAboutBLD1988-00027IBUILDING PERMIT APPLICATION
Jefferson County EIuildingliartment• County Courthouse • Port Towns.Wash..98368 •0 385-9141
N E
I. LOCATION: geographic name S W SIDE OF ROA FEET
N E �>
S W FROM INTERSECTION OF ROAD AND O ROAD
other specific location or landmark: PI e 0/1/4 ( /
E A D S IPTION: — .3 '
Lot Block Sub 'vision
C(Ki t a 3_ J Tax Number %Section ection ownship —7Vj
Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
❑New building XS,ingle Family ❑New County Resident
Addition 1-- R.Q,yytQ,-�d ❑\\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 /7 ❑NO
❑Foundation only ,'
USE
OWNERSHIP
Full-time Residence
❑Private (individual,corporation,
nonprofit institution,etc.)❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: P ❑Second Home: Recreation Cabin,etc.
� ❑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 r` �fJ 1� /0 3
p
c. Heating,air conditioning 7®T(q ! ? SOD
d. Other (elevator,etc.) e 1110d4 . \✓ i y
• TOTAL COST OF IMPROVEMENT $35-0-0
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE Da MENSIONS
Masonry (wall bearing) C R 10 •Number of Stories
❑ 9 Public or Private--_� •Total square feet of floor area,
r Wood Frame Individuaeptic tan etc.) all floors,based on exterior
❑Structural steel dimensions
❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft.
❑Other—Specify ❑Public or private company
NUMBER OF OFF-STREET
❑Individual (well,cistern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors
❑Oil RESIDENTIAL BUILDINGS ONLY I 5V(5("IA
"ectricity , Number of bedrooms I a�i4 )
❑Coal TYPE OF MECHANICAL (
then—Specify Number of Full r add(1(Jr
GOO,., bathrooms
C-JG[ -)Ve.,_ Partial
IV. IDENTIFICATION -
Name Mailing Address—Number,street,city and State ZIP code Tel.No.
1. 5 a 66/7 —.� 7?& --
Owner m t//c.r 6 „[/Jg�3
2. (
Contractor State License No.
3.
Architect 60 Ple " C� ,,,- 7 9{- 9g,5 ,z-n y-
/3
The owner of thi ui ing d the undersigned agree to conform to all applicable laws.
Sign ture of app' a Address Applicatio date
'62,20,4,4 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
JEFFERSON COUNTY HEALTH DEPARTMENT
APPROVED BY: PERMIT FEE ISSUE DATE RECEIPT NU :ER
/53. CD91(
3 ,SC) _
BUILDING OFFICIAL �4 �t t 916(,7��I
6) :S D
„�' �f lJ-opal The Printery—Port Townsend l� �13 '7/��
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PJ.A.E.4: 118 U r i I I I �E; I
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APPROX. EDGE PVMT,
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" APPROX. LOCATION OF
TWIN 50' DRAINFEILD LINES—�
NOTES:
I . NEW ADDITION CONSISTS OF 648 S . F .
TO BE ADDED TO EXISTING RESIDENCE
IN FORM OF A SECOND FLOOR ADDITION.
2 . RESIDENCE CURRENTLY IS A TWO BEDROOM
HOME. NEW DESIGN SHALL HOLD TO SAME
TWO BEDROOM DESIGN CRITERIA, WITH MASTER
BEDROOM SUITE TO BE CHANGED TO SECOND
FLOOR ADDITION.
Ej-r :6) :6)
VICINITY MAP
N.T.S. /
I N / k—1 \,/ I L L �+ V. J/
MARTIN DRAFTING SERVICES
DEVELOPED AND DESIGNED By
I ICHAEL B. MIARTIN
CERTIFICATED PROFESSIONAL iNSTRUCTOR
IN
3. SITE CONDITIONS REFLECT LOW BANK ARCI-IITECTURAL DRAFTING AND DESIGN
FOR
WATER FRONT
THE WASHINGTON STATE COMMUNITY COLLEGE SYSTEM
4. STRUCTURE HAS BEEN LOCATED ON PLOT SIGNED OFF BY
PLAN BY MEASUREMENT TO EXISTING
MONUMENTATION ON PROPERTY. ALL SETBACKS
REFLECT EXISTING INFORMATION.
?AP4QS SCALE
4 8 15
2 8 10 20
SCALE: 1' = 10'
.REVISIONS
BY
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Date 7- 7-88
scale 1 ,
- 10"
Drawn M.B.M.
Job 88-05-01
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RIGHT EDGE RIGHT EDGE RIGHT EDGE
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.T :: 4T -W P.TR CI T4 ( C)t 1 TQ MY 1 T T i i.-)1 T ( 1 :"FR iv1 T ffl
Jefferson County Planning and Building DepartmentCou Courthouse, :3rd Floor J
PO Box 1220
Port Townsend, WA 98388
2O8-385-9 1 41
PF.RMTT # -RT,r)RR-nn27 DATE TSStJF.l. - O7/25/Ars
STTF. A DRESS - n50 RHOr)OT)FNnRON T,ANF.
RR T NNON. WA 98320
OWNER -C;FRA D MT LFR PTRONF - 798-4243
MATT.TNO AflT)R - ROX 227
RR T NNON WA 98320
CONTRACTOR. . -NO CONTRACTOR PHONF. -
MA T T,TNC=, AffR -
•
CONTR . LTC #: FXPTRATTON flA-T F -
PARCF.T, NO. . . - 9Firs5O0033
T,Ft=,AT, T)RSC. . - S T R 1 8-25-O2 WWM. TAX #
LOT BLOCK
fFSCRTPTTON OF TMPROVRMFNT- single family addition
( ) F oot i ncc /Setbacks (Shoreline Sethack) /Mnh i i e Home Blocking:
1
( ) Foundation -
( ) underground P i nmh i ncr/tindercrround Insulation :
( ) -ramina lumhinn/ 'mney-
-.2.‘-- as' i4g .
t i C-
( su iatinn - (t --6 -S8' Mlle
i-r'sheetroc-k D .../7 - W it / r ,
) Sew "e Disposal System Final :
( ) Final /Occupancy Approval • C e / f) _ /3 bo,,,A
,..........1--
CAT,T, :385-91 41 24 HOURS TN AT)VANCF TO SCHFfTlT,F. TNSPFCTTONS .
Office Hours P a .m. to 5 p.m.
Inspector ' s Hours 9 - in a .m.
24 Hour Recorder for Tnsnections.