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HomeMy WebLinkAboutBLD1988-00043 .BUILDING PERMIT APPLICATION Jefferson County Building...,.partment• Couniv Courthouse •Port Townsel�,,, Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF 1 ' ROAD FEET NE S W FROM INTERSECTION OF ROAD AND 5 170 11 1 c (l r R CL ROAD other specific location or landmark: P LEGAL DESCRIPTION: ► ar(el -* Lot Q Block Subdivision Iw) 00a © 1` 0v2- Tax umber '%Section Section Township Range 9 II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY (New building ❑Single Family ❑New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential El Alteration number of units or commercial needs of those employed ❑Hotel,Motel, Dormitory at either the U.S. Nav ❑Repair,replacement number of units Y"s Trident or ❑Wrecking Indian Island Facilities? ❑Mobile Home ❑Moving (relocation) Other—Specify CI YES ❑NO ❑Foundation only Shot 4 Cara je. USE OWNERSHIP ❑Full-time Residence ElPrivate (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: Y I 4 ❑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 /oof existing building is being changed,enter proposed use. f b. Plumbing f V K. }7 } 04 ge W dp T___V a�) ioo c. Heating,air conditioning d. Other (elevator,etc.► • TOTAL COST OF IMPROVEMENT $ III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS IDMasonry (wall bearing) ❑Public or Private ne� •Number of Stories ❑Wood Frame •Total square feet of floor area, Individual (septic tank tc.) 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 ('Qr'Crett°. a lock XIIndividu weI), istern) PARKING SPACES // Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL.BUILDINGS ONLY Electricity (In -�u1-Cre Number of bedrooms ❑Coal TYPE OF MECHANICAL _ ❑Other—Specify Number of Full bathrooms Partial IV. IDENTIFICATION- Name Mailing Address—Number,sttreeet,city and St to ZIP code Tel.No. 1. II�n1'�_ gent 0���� � ;�`� r (�C2� cf�0. .3 8 8 Owner 2. Se.(-F O(O90 Contractor State License llo. 3 Architect The er of this building a th undersigned agree to conform to all applicable laws. gnature o�^LC%C Address Application date jela.:" 0 h //�f� PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT ((( APPROVED BY -/ JEFF SD COU HEALTH DEPARTMENT APPRO PERMIT FEE ISSUE DATE `�W'\ RECEIPT NUMBER MAR , •------------ '� a33 , ssc, 3//g/ -R F 8 1988 h O0S BUILDIP� FERS�NCp �3 / • 50 4G NET The Printery—Port Townsend AMOOMMWM '..1FFF-:R� C")N C:C)TINTV I RTTT T.T)T NCB 1 1 1 TVTT 'T Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Rox 1220 Port Townsend; WA 9R36R 206-385-9141 PE.RMTT # •RT,DRR-0043 DATE TSSTJRn. : 1 1 /01 /RA SITE ADDRFSS ! 570 MCMTNN RD !PORT TOWNSEND; WA 98368 OWNER RTCHARD VF.DAA PHONE! A6R-O690 MAILING ADDR: 20607 NE RTH !REDMOND WA 96053 CONTRACTOR. . :NO CONTRACTOR PHONE.: MATT,TNO AnnR • CONTR. LTC #! EXPIRATION DATE: -,\7- PARCET, NO. . . :002014-002 T,F.GAT, DESC. . : STR 01 -30-02 WWM; TAX # 26 LOT : BLOCK DESCRIPTION OF TMPROVE.MF.NT. shop and garage ( ) Footing/Sethacks (Shoreline SPthack) /Mohilp Home Blocking! ( ) Foundation : ( ) Underground Piumhinor/TJnd.rcgrnund Insulation : ) Framing/Plumbing/Chimney ( ) Tnsulation . ( ) Sheptrnck- ( ) Sewage Disposal System Final ! ( ) Final/Occupancy Approval ! CALL 365-91 41 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS . Office Hours q a.m. to 5 p.m. inspector 's Hours q - 10 a .m. 24 Hour Recorder for inspections. . \\ ; . . • • • I Ci_ k i1I I W Y /rl I . ,., k,,,,,..,..-----;,. ' \ ., I , 5 J Y S e . , -..‘ -s._ \ 1 n ___., , ('• ( - ,;• � �v _ V i , 31 f &vsi v 1 a o u t ' 'a h Q - 0 r ` 1 ' I f 1 , . ` 1 i , � ; I i I I ' • 1 1 v , _.� --- 'I ' f "----"'1! ( "\ 1ve: kit 161 - \1/4.../.... ) /0_,--..n?, ‘„4..:41,e,, Cil7r ei2<-<22/ 7 ...A ez, _dee-metre_ d lc' 446_ /ID /id 16 ,riisce-t - 05;11'4 vii.„ 6,— 76 ; io----.) eert.. _it.....' ° / / ? >°e' t'.171-. 1,7e ,„,,j.., ,00 3 ._Q 0--- t,1177 , ,/, 0 /q 7 — iz /q— /g I 1 4