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Home My WebLink AboutBLD1988-00045 BUILDING PERMIT APPLICATION Jefferson County Building N artment• County Courthouse •Port Towns c Wash.98368 • 385-9141 I. LOCATION: geographic name S WE SIDE OF OAD FEET ik NE S W FROM INTERSECTION OF R AD AND 9(00 l r ROAD other specific location or landmark:r , e_ Z12,1•01:-C...,6 Gl.2 Q� Ai � ( ! t LEGAL / _ DES R PTION: j 1 _OT V� Pi--(), Lot El lurk Subdivision 2 ( "O! .J �OC: ---(ki " Tax Number 'A Section c ' n Township Range 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 _4 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 ❑YES ❑NO ❑Foundation only I ' El AO OWNERSHIP �� , / / USE ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:1/ 3 ❑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 Chan enter proposed use. • b. Plumbing --- 9 D (��//-) 2 c. Heating,air conditioning - 15� 3 d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SE❑Public o Private WA g,ql,� DIMENSIONS I ❑Masonry (wall bearing) �l t/ •Number of Stories •Total square feet of floor area, Wood Frame �I�ndivid (sep altic tank, tc.) all floors,based on exterior ❑ tructural steel dimensions TYPE OF WATER SUPPLY Total land area,sq.ft. ❑Other—Specify ❑Public or e company NUMBER OF OFF-STREET lodivid I (well, 'stern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE CI Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY a CN1 1, ;.A.lectricity Number of bedrooms ' 1`�d � ❑Coal TYPE OF MECHANICAL //-- `` 7` _ Number of Full Other—�5peclfy vl/�� 5/(J)/-� �)i^ ,` bathrooms ( /or Partial IV. IDENTIFICATION- Name Mailing Address—Number,street,city and S ate ZIP code Tel.No. 1. ZIP1( z-A,),() aen,,,,‘,,,, ki\iN , gg'...?6.52 70QV owner OC")8 'e_... 2. ✓ 2(� Contractor State License,No. .)`� 05 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. /Signatif�.plicant / / Address Appli .tion dat ''jjn// ."4 = 3 188 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY ,/6- /j S7-c ye /Z« ctJ A/ 0 Ga -� clpy-- ---) /'/./8e — ck JEF •N COUNTY HEALTH DEPARTMEN APPRO �:•: ' E I'D MIT FEE ISSUE DATE RECEIPT NUM ER use I I // ilz/ (,5* _5/ ? ( 3195 G BUILDIAI[b ` LSC ANN PLING 6 806 Dui. The Printery—Port Townsend Jay - , BUILDING PERMIT APPLICATI . Jefferson County Bu g Department• County Courthouse • Port T Wend, Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET NE ^ S W FROM INTERSECTION OF R '' D AND _ -_.�_,�zt�_ROAD other specific location or landmark: / LE AL DEC 'PTION: Lot Sub jv�on Tax Number 'A Section Secti n Township ange I.T PEA 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 ❑Alteration number of units or commercial needs of those employed ❑Repair,replacement El Hotel,Motel, Dormitory at either the U.S.Navy's Trident or number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ❑Moving (relocation) / ther—Specify � ❑YES ONO ❑Foundation only I OWNERSHIP , re USE ❑Full-time Residence ❑Private (individual,corporation, nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: / y J ❑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 propos d use. b. Plumbing J(�- ( r 0 c. Heating,air conditioning frAM d. Other (elevator,etc.)• VVVV • TOTAL COST OF IMPROVEMENT $ III.SELECTED CHARACTERISTICS OF BUILDING - PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS ❑ asonry (wall bearing) ❑Public or Private •Number of Storiesl Wood Frame •Total square feet of floor area, W ❑Individual (septic to lc.) all floors,based on exterior ❑Structural steel dimensions ❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area,sq.ft. 0,Priblic or private company ❑Other—Specify NUMBER OF OFF-STREET ''❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY ❑Electricity Number of bedrooms ❑Coal TYPE OF MECHANICAL El Other—S city Number of Full bathrooms Partial IV. I TIFICATION- • Name Mailing Address— Number,street,city and State ZIP code- Tel.No. 1. (74'CIV 1 LI (0 0 02/ 1/1/11 ,i3,/,‘4, mezr . - 70,;)-(7 Owner 2. Contractor State License,No. 3. Architect The ow er of this building and the undersigned agree to conform to all applicable laws. S7ropplicant Address Appli9ation date .0 PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY JEFFERSON COUNTY HEALTH DEPARTMENT APPROVED BY: PERMIT FEE ISSUE DATE RECEIPT NUMBER BUILDING OFFICIAL hi l + The Printery—Port Townsend - • .TFFFT:R CIN c c)TTNT'Y RZTT T.T)T 7V� F F.RMT 'T' Jefferson County Planning and Building Department Courthouse . 3rd Floor PO Box 1220 Port Townsend, WA 88368 2O6-3AB-9 i 41 PERMTT # -RLfRR-0O45 DATE TSSUET). ! 11 /O1 /RR SITE ADT)RESS : 46O DENNTS ELVD PORT TOWNSEND. WA 88368 OWNER -WICK T)OYLF. PHONE! 385-7O24 MAILING ADDR!4R0 T)F.NNTS RT.VD PORT TOWNSF.ND WA 88368 CONTRACTOR. . -NO CONTRACTOR PHONE.! MAILING AMR CONTR . LTC #! EXPIRATION DATE PARCEL NO. . . - 8398O0-012 LEGAL DF.SC. . -STR 1 2-30-02 WWM. TAX # LOT 11 ; BLOCK , CAPE GEO VTLL DTV1 DF.SCRTPTTON OF IMPROVEMENT! STN(,LF. FAMILY ADDITION & ALTERATION ( ) Fnnting/Sethacks (Shoreline Sethack) /Mnhile Home Blocking ( ) Foundation : ( ) Underground Plumbing/Underground Insulation ! ( ) Framing/Plumbing/Chimney! ( ) Tnsulatinnr ( ) Sheetrnck! ( ) Sewage Disposal System Final : ( ) Final /Occupancy Approval : CALL 385-8141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS . Office Hours 9 a .m. to 5 p.m. Inspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. s. ++: +n.'er'�,. n......aY"' "�'r'^*�*".:m�er+c,e ,-P• - ^.-.�m.,.M'w�.,v _ .,q 'a�yp -s .) i PAGE PREPARED OY i NO amp . - �_ - DATE SEP 15 1 :9 JEFFERSON COUNTY C a d C —®47 a G - 0 b ._ . 0 ,17r X e ► � 71. • E z• th. A- ''I L--c ! x Se o • IQ o p -C.IDSEi I I3a Zoo.- i _ .121 .f--- 1 - i.c 21C4,`w K—tt. ___ \ .sx►sr/ (t) o `° . 71f > 70V o -d —..C.: 4 � �_) ro 0 1 --b g 1\ 4 '... rt. LI • _ L ,..,,...,......._ -7-, • .,,. . 4 . 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