HomeMy WebLinkAboutBLD1988-00033 Bk 'LDING PERMIT APPLICATION
Jefferson County Building Depart t• County Courthouse • Port Townsend, Wa 8368 •• 385-9141
•
N E
I. LOCATION: geographic name S W SIDE OF ROAD FEET
N E
S W FROM INTERSECTION OF ROAD AND OAD
other specific location or landmark:
LEGAL ES IPTION:
P /Lot Block S d ' 'on
I0
3 Tax Number /.Section ion Township ange
II. TYPE AND COST OF BUILDING -
TYPE •F IMPROVEMENT BUILDING TYPE MOBILITY
,ice New buildingSingle Family ❑New County Resident
❑Addition 0 ulti-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
USE
OWNERSHIP
❑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 changed,enter proposed use.
b. Plumbing.... // - 76 e7@ 35--. a� U CJ-o
Tl
c. Heat*
conditioning wf r . .?,5-� e j(/ jy f� •
. Other (elevator,etc.) � L
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING - M l.N
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DIS NSIONS
❑Masonry (wall bearing) Number of Stories
❑Public or PrivatE..___ L
�.�].fl/ood Frame •Total square feet of floor area,
77�t dividu (septic tan(, tc.) all floors,based on exterior
['Structural steel dimensions
❑Reinforced concrete TYPE OF WATER SUPPLY
•Total land area,sq.ft.
❑Other—Specify ❑P •lic or private company
NUMBER OF OFF-STREET
i�i lndividua (well,cistern)
PARKING SPACES
PRINCIPAL TYPE OF HEATING FUEL Enclosed
TYPE OF FIREPLACE
❑Gas Outdoors
❑Oil
RESIDENTIAL BUILDINGS ONLY
'electricity Number of bedrooms
❑Cpal TYPE OF MECHANICAL
Full —)
QJ[h r—Spe fy Number of f�
tt//%%"'��11 bathrooms
���I.VJ/��V..// Partial
IV. IDENTIFICATION -
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
1. \ _.1ACAACf 60)/_/.'-- .. 621- 9---- .?'n3? 7?0-- .,.
Owner
2. (60_, _000
Contractor State License No.
X317
3.
Architect
M
The owner of this building and the undersigned agree to conform to all applicable laws. •
Signature of applicant Address
( � CP -n,, A is tion 1,s.)
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY H 1 oi
EP
iV <e _
JEFFE C U HE L.TH DTMENT
4PPROV PERMIT FE
ISS E D•TE RECEIPT NUMBER
3
3UILDING O dC e, / ' •, ---"/" .5-7.5.-- ,
,
PL INNINc a BIDG LIEF!' .i
ry—Port Townsend 7v W/i1D L /
1111
_1 w w 1:FR c,zv C-3 ) T TNT Y1=1 t T r.r -r Tv c-3 r.F?rvr 1•
m
Jefferson County Planning and Ru i i d i ntg Department
Courthouse, 3rd Flnor
PO Rnx 1220
Port Townsend , WA yrs.-Snrs
206-38 5-`1 1 41
PF.RMTT # • RT,P88-0033 ilATF TSSTiFD. : 08 /1 i /86
STTR AIJT)RFSS : 4615 CFNTFR VAT,T,FV Rn
:C RTMACtTM. WA yrs.uir)
OWNER •R'f CHART) BARROWS PRONE: 71 4 --.. ..
MATT,TNC At711R , PO BOX 622
: PORT HAT)T,OCK WA 98339
CONTRACTOR . . :NO CONTRACTOR PT-TONF:
MATT,TN( ADDR :
•
•
CONTR . LTC #: F.XP T RA T"TON DA T F. :
PARCFT, NO. . . : 80 1 t034-0 i 3
T,F.( AT, DFSC . . : STR 03-2R-01 WWM. TAX #
LOT i BLOCK , JOHNSTON SP
i)FSCRTPT-TON OF TMPROVFMFNT: single family residence
1 Fnni-ingiSethanirs (Shoreline SPthac-ir) /Mnhi ie Home Rinririncr:
; Foundation :
i Underground P l umh i ng/tindernrnund Insulation :
i Framinrr/Plumbing/Chimney
i Insulation :
; Sheetrock :
i Sewage Disposal System Final :
( Y i Final/Occupancy Annrnva'
CALL 3R5-9141 24 HOURS N AT)VANC'F. TO SCHRDULF. TNSPFCTTONS.
Office Hours 9 a .m . to 5 n.m .
inspector ' s Hours a - in a .m.
24 Hour Recorder for Tnsnectinns.
Nr
11, xo
1
Wvv k. C.e,- ev
l
f
s,
' ----_----- —I ------7-In '''! { L-1—Th':—.—
i t
•
rV f
„,fir
z4 ` ,__ _... _ '
it .
Co 4e4 D k.
�. �,_ _y .,,.,,..�. A„
1
t �� "°�'�. Tye
cg
�
C �.
a
... . --Zcl
w
Vl
t �r
t
a
�T Irti 4, .j 4., ...
v
{{A
In /\r,. J —o
P4�
\I (tom `�
7.
._.. i A ..._p,_
vi,,, i
...
_____
ri,„ , 0 [1.„4-:t
..,,,,,...,,,D ‘1,. _ _ iii 1 I , v-
(-1
M 4 --i
Sid si
M
E
ia t t 3
i It. to,-f T
;.,,- , 1 ....-N
9c
wo
N.
P
.V
1) {0 r
0
QJ 4
•
d" 'I" a
r2
1 � t.
r s
0
-. 1
al
�.A-C
C
f
1..0--:
`P\ �1 \J IN � 4' s 'y� do
t, I71
i-'t- _.1 __. •
v� 1:— h'L�'1 • 6� F
42 --0 t
f.dl
L::..ci
h ,
_ CJ i
M Val y�b 3tTt -IS
v
"� 'i J 61,
__.._.__.
t • i
,) .;
r—c`r.
W
- b
J
!1.► __....
.
0
(,
V
J
V J
P.) .
1 0
a J
1 U
/_
3 •
,
of
x
14 ,p-,t't >
u- 0`3.El „q ,fit
�r Y
14-
11
SN
� OIW cf.",
dj 7r1 �,
t
o
_, , 0 oi ipte ,,,4 ,)jx. §C*
iVf P.
{
z
, _1,14 , 4 _
...e. ,,,-
Ne • 1 i 'ri*4
-,__,14' j*#itt--1 1_ , i ,:\ - .
--,-; —.L-1.-
rT +ih , 1 t L. : ._ i
9vr
�q N
. 1 1 , ,
-
.{!. '---,-.....%---
-4- $
�•� + • r ' M
00 b
ot�— 7I Ile '•\;\
4 eh
Ool O • Y .. aka v_.
Mom/ J
00 /
,-_,''""—•.-------. 111, -- k
t- 1
74-reill, iri
K n b4',4 Sa`�_' g
ti
o ff t
~``I r fii r � t I, ate 7
U�
1 ` ;9"ITC i'i tr1 9 e s_: I
-------14m''.4:!
1 _ 4—t 1_ ,____Ili 1 1v4,A. A(A li-.'' \
1 Ai _
LI -ilk.
31 fh I
i
,,,.. A ,
/ ,
._ ,,
d ? I
I
`n pf
LL \ R H
c4 9 ti
16 F 4L 5;\'`.
— 1. tb. \ \ -2
•
J t
X