HomeMy WebLinkAboutBLD1988-00044 DING PERMIT APPLICATION
Jefferson! , f County Build , ng Department‘,,' .O . Box 1220• ort Townsend WA L8368
LOCATION
SPECIFIC LOCATION SITE ADDRESS , 7 /p W) o,. ma r-
POSTAL DISTRIjr;T /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISION- TAX NUMBER
PARCEL NUMB d 5OLrj 1 / 4 SECTION
SECTION TOWNSHIP SC) NORTH RANGE ( e., WM
BUILDING INFORMATION
✓,9I LDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE C
JJXX�s_ INGLE FAMILY NEW BUILDING MAIN FLOOR
❑ MOBILE HOME ❑ DDITION 2ND FLOOR 1
• MODULAR HOME ❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE ❑ REPLACEMENT GARAGE
❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
D MULTI -FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL Y MOBILE HOMES
UINDUSTRIAL SIZE ] @ $35
❑ HOTEL/MOTEL/DORMITORY YEAR rS7(0 @ $ 1 6
NUMBER OF UNITS MAKE 0 @ $8
T.
❑ OTHER - SPECIFY ESTIMATED COST OF J @ $8
IMPROVEMENTS TO. IF MARKET VALUE
UBC OCCUPANCY GROUP $ ...�o� $_(� �7 (Tn
SELECTED CHARACTERISTICS OF BUILDING
PR CIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAME ELECTRICITY ❑ COLLECTIVE SOLAR
❑ MANUFACTURED WOODSTOVE 0 PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS 0 COAL ,
❑ REINFORCED CONCRETE ❑ OIL OTHER - SPECIFY �i ('�`
❑ MASONRY ( WALL BEARING ) DIMENSIONS 777 "
❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA 7?1
DEPARTMENTAL REVIEW •
HEA TH DEP TMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED F3EDPOOMS
/ ❑ PUBLIC OR PRIVATE_ NUMBER OF EXI ST I NG BEDROOMS
/// !! I N D I V I D UA L S E P T I C) NUMBER OF PROPOSED BATHROOM
APPROVED DATE I ND I V I DUAL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY)
PLANNING DEPT . WI HIN SHORELINE JURISDICTION 1-
YES ME. OF ,ADJA 'E WAT Y
❑ NO /
APPROVED DATE BANK HEIGHT (moo• SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES ❑ NO
IDENTIFICATION
NAME MAILING ADDRESS ZIP TEL NO
OWNER .
I a
CONT i) / f?2 �o
5 �/ ,,' t/
i')-ir 9-1 UA6I_-Sil_tireq Mt/(10 7
ARCH
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS,
S NA(T OF PPLI • APPLI ATION ATE RECEIPT NUMBER CHECK NUMBER OR CASH
A P �pi I/ - PERMIT FEES
ASE FEE INSPECTION
' ./ ,S) BLDG SURCHARGE PLAN CHECK
JEFFERSONIt1 /
PLANNING&BLDG DEPT ' ENERGY SURCHARGE
S e !S� TOTAL
911 NUMBER REFUND DATE DAT4 ISgUED
BUILDING OFFICIAL ( ( / /
76 Wl3 4* •
A
.TF.F'FF.RSC)N C.C)TIN'V Y T3t7T T.T)T NC; F'FRMT T
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend; WA 98388
20f -385-9141
PERMIT # •RT,DRFi-0044 HATE ISSUED. : 1 1 /O3/gg
SITE ADDRESS- 880 SCHWARTZ RD
!NORDT,AND. WA 98358
OWNER •WAT,T,Y RARCT,AY PHONE:
MATT,TNC ATDR: 7O0 W LEE
SEATTT,E WA 98119
CONTRACTOR. . -NO CONTRACTOR PHONE-
MAILING AflDR
CONTR. T,TC #: EXPTRATTON DATE!
PARCET, NO. . . :O21282-O25
T,F,(;AT, T)F.SC. . :STR 28-30-01 EWM, TAX #
LOT ; BLOCK
DESCRIPTION OF TMPROVEMENT- single family residence
( ) Footing/Sethacks (Shoreline Setback) /Mobile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Tnsu1ationr
( ) Framing/Piumhincr/Chimney.
( ) Insulation :
( ) Sheetrock.
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approval :
CAT,T, 355-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a .m. to 5 p.m.
Tnsnectnr ' s Hours 9 - 10 a .m.
24 Hour Recorder for Tnsnections.
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SHORELINE SETBACK EVALUATION
APPLICANT : tV/14 ( c _ Lal e 4_
ADDRESS: 2gQ J .,/,t .` inir
TELEPHONE: (home ) (business )
PROPERTY DESCRIPTION
PROPERTY SITE NUMBER: (9Z( Z .Z. 2 f
LEGAL:
Owner :
Address :
Tax ParceL Number:
ReaL Property Description:
S ') -1".30A/ , _ / 6..
ADJACENT WATER BODY: 44-i,e/ £
EVALUATION
i BLUFF HEIGHT: 6 o _ SOURCE: �,,�
—
BLUFF STABILITY: U
7f. 2£�-. lab SOURCE: (1
❑ STANDARD SETBACK: feet
This minimum setback shaLL be measured from the ordinary high water
mark to the most waterward edge of the proposed structure.
/ 7� BLUFF SETBACK: 62) feet
ThisIminimum)setback shaLL be measured from the bank' s edge to the
most waterward edge o the p posed structure .
r
-(Z.G .h E. .A.. ,le �4,-,.d ,.�., d-o,.s 4 v/ -Co �...,_ 4.--. f.r.,
. 4 s
❑ AVERAGE SETBACK : feet
r
This minimum setback shaLL be measured from the bank' s edge to the
most waterward edge of the proposed structure . This setback is
based on the foLLowing caLcuLations of adjacent residentiaL
structures .
Right House (facing waterward) :
• Setback from bank or ordinary high water : feet
• Distance to the proposed structure: feet
Left House (facing waterward) :
• Setback from bank or ordinary high water : feet
• Distance to the proposed structure: feet
❑ SUBDIVISION SETBACK : feet
This minimum setback shaLL be measured from:
This setback was estabLished by the approvaL and fiLing of the pLat .
VARIANCE
REQUEST:
❑ APPROVED ❑ DENIED DATE:
ACKNOWLEDGEMENT
The above evaluation was determined on information provided by the
appLicant. ShouLd any of this information be found inaccurate, the
setback requirement may be re-evaLuated .
---..., -..-40"------- 10 /1 /1;
plan r (date)