HomeMy WebLinkAboutBLD1988-00047 BALDING PERMIT APPLICATION Agi
Jefferson County Buildi Dep,rtment*P .O .-' Box 122031grt Townsend. WA 98368
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LOCATION 1i" 4
SPECIFIC LOCATION SITE ADDRESSs / ' /
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT Y BLOCK DIVISION / TA/NUMBER
PARCEL NUMB R -(7p7777706J 9�, 1 / 4 SECTION
SECTION '9f TOWNSHIP tU NORTH RANGE WM
BUILDING INFORMATION
BUILDING TYPE TYY E OF IMPROVEMENT SQUARE FOOTAGE
❑ SINGLE FAMILY NEW BUILDING MAIN FLOOR
❑ MOBILE HOME ❑ DDITION 2ND FLOOR
❑ MODULAR HOME ❑ ALTERATION BASEMENT
• TACHED/ATTACHED 0 REPAIR CARPORT —Z
GA-AGE 0 REPLACEMENT GARAGE A _'7 y7a
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI -FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL MOBILE HOMES X C 'r(,�.--o
SIZE $35
❑ INDUSTRIAL �0o T
HOTEL/MOTEL/DORMITORY YEAR 3
a7 $ 16
El HOTEL ^� ,
NUMBER OF UNITS MAKE ' 't �L-f-0 Q@ $8-4---" i,� ;��
[I OTHER - SPECIFY 10� Vi @ $g� (p%/
ESTIMATED COST OF
.T, IMPROVEMENTS TOJAE MARKET VALUE
UBC OCCUPANCY GROUPfli
$ $
SELECTED CHARACTERISTICS OF BUILDING co ., - f
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE AR
❑ ANUFACTURED 0 WOODSTOVE 0 PASSIV OLAR
❑ STRUCTURAL STEEL 0 GAS ❑ C
❑ REINFORCED CONCRETE 0 OIL OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENS S
❑ OTHER - NU h1B R OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
❑ PUBLIC OR PRIVATE NUMBER OF EXISTING BEDR S
❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSE THROOM
APPROVED DATE
0 INDIVIDUAL WELL NUMBER OF EX NG BATHROOM
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER S LY)
APPROVED DATE ❑ PRIVATE ( NAME OF ER SUPPLY
PLANNING DEPT . WITHIN SHOREL JURISDICTION
O YES N OF ADJACENT WATER BODY
O
APPROVED DATE BANK HEIGHT SETBACK
PUBLIC WO DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO
IDENTIFICATION
/J�� NAME
-�1f / J�� MAILING ADDRESS �y�tZIP
�/ TEL NO
OWNER ( 11 Niit �u,/, t,,,c � V LIJ 7 �X
CONT
` SrATh LIctNDB NU 1
• RCH
HE OWNER OF THIS BUILDING AND THE UNDERSI D AGREE TO CONFORM TO ALL APPLICABLE LAWS.
1TUR�OF A P ANT �?aL CATION ATE ,acEIPT NUMBER CHECK MBE CASH
/ 7 /J~ II{ (i/lam/,
APPR,. 0 PERMIT FEES
A P P ! ® _ „2 -BASE FEE INSPECTION
t _ S�BLDG SURCHARGE PLAN CHECK
HIV 211'1
ENERGY SURCHARGE __ _
JF.FFERSON COUNTY
TOTAL
PLANNING&BIDG OPT 9 1 1 NUMBER
BUILDING OFFICIAL ! REFUND DATE DAT ISS ED
` 1 J 2� 88
r .
111 _PAGE
OF P F1 141., RECOR
REQ� f
NOTICE TO TITLE P13
GAB7,,:Y 7
Filed for the record at the request of: wet.-1( ,rERson � A
ioniv
Jefferson County �1 fFU1Y
County Courthouse
Port Townsend, Washington 98368 357701
When recorded, return to:
Mr. Arnold Smith
PO Bos 102
Brinnon WA 98320
NOTICE IS HEREBY GIVEN TO Arnold Smith, his heirs and assigns, and the general public.
DESCRIPTION OF REAL PROPERTY AFFECTED: Lot 56, Lazy C Ranch, Division 1, Section 34,
Township 26 North, Range 2 West, WM Parcel # 966 900 069
STRUCTURE TYPE INVOLVED: Detached garage
ADDRESS OF STRUCTURE: 191 Palamino Ln, Brinnon
NOTICE IS HEREBY GIVEN THAT due to the lack of an approved final inspection, the Jefferson
County Planning and Building Department will not and cannot attest that the garage and non-
approved residence were constructed consistent with the requirements of the 1988 Uniform Building
Code and RCW 19-27.
Dated this 'Z 4 day of `tJ , 1993.
Craig Ward, directo
Jefferson C unty Planning and Building Department
Acknowledgement
41..,
Subscribed and,,sworn to before me this
day of . e.0,2z(c ,
t',h'73,1441.,;:›0°"k
6_,2,031/2ixi:J 1`I Notary publicn an or he State of , t+BA,�7d .;z �residing at t C�LC�"y1 if�l' .4'V '
My commission expires ' 0/.1g1j , NI\'[
Al va 404 ' ^ ; 4
68
241993
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.TF'.F WF:F?5 C")N C:C)TTNT'Y RtTT T.T)T NCB 1P1R7RNf - 'r
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98366
206-355-9141
PERMIT # •RT,DRR-0047 DATF. TSSUED. . 11 /22/RR
SiTE ADDRESS 101 PAT.AMTNO T,N
RRTNNON,. WA 9R320
OWNER •ARNOT,D SMiTH PHONE! 796-4653
MAILING ADDR PO BOX 102
RRTNNON WA 9R32O
CONTRACTOR NO CONTRACTOR PHONE-
MATT.TNO ADDR :
CONTR. T,TC #. EXPIRATION DATE .
PARCET, NO. . . : 966900-00
T,F.ciAT, DESC. . .STR 34-26-02 WWM, TAX #
T,OT 56 , RT.00K , LAZY C RANCH DTV 1
DESCRIPTION OF IMPROVEMENT. DETACHED GARAGE
( ) Footincj/Sethacks (Shoreline Sethack) /Mohile Home Blocking!
( ) Foundation
( ) Underground P l umh i ntr/Underaro jnd Insulation :
( ) Framinj/Plumhinn/Chimney.
( ) Insulation !
( ) Sheetrock.
) Sewage Disposal System Final .
( ) Final /Occupancy Approval .
CAT,T, 385-91 41 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.