HomeMy WebLinkAboutBLD1988-00037 iiiiw
ILUING I'LIU'II I r+l r'L1( Al ION c,53GB • 385 t310 !
Jr,lerapn Co4nt►• B.r'rdi^fv r tartmrnt • County Courthouse. •sPprt To s ttas^
aN E FEET
I. LOCATION- mop an�•s name
SW SIOE OF ROAD r
N E J� ROAD
Sift F ROra INIE RSE Cl ION OF _ ROAD AND 17t••- (.iz�u_7i t
Olney 1DetrrlrR rarllran Or ranOmars
3Lot (a - 10 Dems
PLC �,piPT10N 5 '•'►'o^
1 L 0 V 0 3Lf 3 l ownanro Range
7aa Y.Number .Section Section t
II.TYPE AND COST OF BUILDING I
TYPE OF IMPROVEMENT
BUILDING TYPE MOBILITY
pSrngle Family
0 New County Resident !-
„th
Adw boilding
MuIU•famrly Is tart structure to serve the r[srdrmrN
A
[]AlterUo^ •
number of unrn Or commerr;ral needs of those employed
0 Alte»rion 0 Hotel,Motel, Dormrlory at either the US Naw's Trident or
[]Repair•replacement number of units Indian Island Facilities'
❑Wrecking 0 Mobile Home •
0 Moving lreloca`ron) ❑
Other -Specify ❑YES ydNO
❑Foundation only _ ` —'
USE
jig Full-time Residence ,
OWNERSHIP
Private (individual,corporation. _ { ❑Second Home. Recreation Cabm,etc.
nonprofit rnstrtutron,etc.) _ �,�j 1 ❑Second Home' Future ConversrOn to
t ✓I.) UBC OCCUPANCY GROUP:.119 --- permanent residence
❑Public (Federal.State or rocs go
(Omit cents) Nonre dential- Describe in detail proposed use of buildings.e g.food
COST S f�� / l 0 I,elementary
_ proorssrn plan,, mach.n shop,laundry wl4rng at lips Pi[
• Cost of imq oKlMnl Ilrye,par school.parking race for
in be installedboecostbut not included
school,srco a+Y scnool,c
department sto rental oltr building.ofir building at 'rid bits.plant
tE aboca If use of existing 'td'ng is being changed.enter proposed use.
a. Electrical 1�(� I � ''� �a-� S i- - G 3 ?lb—
b Plumbing 1 t�il I h iI �Ve (�
=LV\,5YIeJJ PaSeMeVIr — /a5 / 5/ - ?ooL -...
C. Heating,sir condruonrng - r f 1 I Z -
�f, c. __sty _� -i I
d. Other INevaror,tic ) (,,.�1( Z` '
• TOTAL COST OF IMPROVEMENT S7,2 (?& - ec4Selrvtevlrt- s-f-U eta Ge_ - S/ � -- =
III.SELECTED CHARACTERISTICS OF BUILDING -
DIMENSIONS J
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL *Number of Stories
0 Masonry (wall bearing) Public or Private •Total sowre leer of floor area.
all floors,based on eaterror
*crioil Frame 0 Individual (septic tank,etc.) dimensions
[]St,uaurat steel �� ! �`�TYPE OF WATER SUPPLY •Total land area,sq.ft.
0 Reinforced concretePublic or private company
NUMBER OF OFF-STREET
0 Other-Specify 0 Individual (well,cistern) PARKING SPACES
_ Enclosed• �f
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE t Outdoors /"
❑Gas / - (e_d-/2ct v,c e_ Lt h t r '-
RESIDENTIAL BUILDINGS ONLY
❑Oil M e G�� _ Number of bedrooms
Oc1en"city TYPE OF MECHANICAL 2
y� _ F u l l
❑Goal FUf�C2]7 /71i2 �1(t2V1ctG`tZJ Number of
yyJJ 1�-}r-/�,, y/- bathrooms panral
❑Oltier- specify f/'2.Cfie_tt- r11e__CI- 1I_Yrt
--_------ _ s7 aye
IV. IDENTIFICATION- 21P code Tel.No.
Nance Mailing Address- Number.street,city and State
^r f( -La( w,g�--
a w �// _ pc). /�d x �� o L u.c//arc) ii 7-Ad-V ,/
2. �Cal
�I/V1� /7`� ra(�s L.aen /No. r7 �i Le. ?4/3 4,4
Contractor ClJy!S/ L n L. �Ll � L 'K rY'< 7�r �
I a 5'7 6 3• a ue j 110 .
A+cNtect ` a p 2 P... cJ�.(3 f r� 1K.J�J .
The o er of this building and the undersigned agree to corrform to all applicable Taws. g�3 cr Apa�r/u))ton lase
9/ JAdderis// /� /f.(.� Or-lO / l/ �ci r 1 XVJ// V tt 1
1.
e FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT I
PLANNING AREA
I APP VED BY
43 /yoofc /L
tCir.Lin.Of`�r
o J �aws+o•v �u 1 PENM9T NUMBER
a pcF�RM i FEE ISSUE D D.
(PO •
4.
A629 /s lac(
3 CI (0
D .
,�cT� 7
JEFFERSON COUNTY --�,—y -
PLANNING 8&BLDG DEPT lip 3(
0/5 Qc 1 0 C e
/ o • oo
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•
OF
.1- r..F'r i'F'R i33v' C-171T'JmV F TT T T.T5TT'TC; P eRiviTn
Jefferson County P i ann i ngr and Ru i 1 d i nor apartment
Courthouse, 3rd Floor
PO Box 1220
Port Townsend . WA yr33FR
Oh-3is5-`1141
PFRMTT # -RT,F8-0037 T)ATF. TSSUFD. : Oc3 /2giRR
STTF. ADDRESS ! JACKSON T,N
PORT T,TTTDT,OW. WA c R3n5
OWNER -RORF.RT HERRST PHONF '
MAT T.i NC Aflf)R : JACKSON T,ANF
: PORT T,ITDT,OW WA gR365
CONTRACTOR . . :NO CONTRACTOR PHONF. r
MATT,TN( AflflR :
CONTR . LTC #• F.XPTRATTlll'V TlA T F. e
PARCFT, NO. . . : M 111171111-.54.3
T,FGAT, T)F.SC . . - STR WM . TAX # •
LOT T RT,OCK
fiRSCR T PT T ON OF TMPRO V FMFNT-
; Footing/Setbacks (Shoreline ,etoac:k) ,'M )f i `e Home Rinc K ink
i Foundation !
) Underground P 1 umh i ncr/TTnderground insulation :
i Framing/Plumhinn/Chimney.
f ) insulation !
i Sheetrnnk
i Sewage Disposal System Final !
Final/Occupancy Apnrnva i
CALL S5-91 4 1 24 HOURS T N AT)I ANCF TO SCHF.TITTT,F. T NSPFCT T ONS .
Office Hours 9 a . m. to 5 p. m.
inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for inspections.