HomeMy WebLinkAboutBLD1988-00048 ELDING PERMIT APPLICATION
Jefferson County Buildi ,g Department•P .O . Box 12200ort Townsend. WA 98368
LOCATION /' n
SPECIFIC LOCATION SITE ADDRESS &. / - 1 Q C xoc' r 1a ,
'TA-A_ I POSTAL DISTRICT /SU DIVISION
LEGAL DESCRIPTION
ESCRIPTION LOT BLO DIV S 1�1 3 0 1/4 A XII C NUMBER
% � 1A� PARCEL NUMBER00p!) k� 1 / 4 SECTION
„ SECTION, ..TOW LNORTH RANGF { WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
'.SINGLE FAMILY NEW BUILDING MAIN FLOOR
❑ MOBILE HOME ❑ ADDITION 2ND FLOOR
❑ MODULAR HOME ❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE ❑ REPLACEMENT GARAGE
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL MOBILE HOh1ES0
SIZE $35 a�ab
❑ INDUSTRIAL ( J/ j
❑ HOTEL/MOTEL/DORMITORY YEAR `� $ 16 � G=�
NUMBER OF UNITS MAKE $8
❑ OTHER - SPECIFY ESTIMATED COST OF 0 @ $8
IMPROVEMENTS TOT FA MARKET VALUE
UBC OCCUPANCY GROUP .I.,,: $ $
.
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAME S ELECTRICITY ❑ COLLECTIVE SOLAR
A.
❑ ANUFACTURED 6 WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ AS ❑ COAL
❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HE LTH DE ARTMENT TYPE OF SEWAGE D I SPOSAL NUMBER OF PROPOSEQ BEDROOMS (--
CIS-
❑ PURL I C UMBER OF EXISTING BEDROOMS
I ND I V I D UA ( SEPT I C; N NUMBER OF PROPOSED BATHROOM /
APPR VED DATE
❑ I ND I V I DUAL - NUMBER, OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY �4C3
OACA 1 < U r/ 'PUBLIC ( NAME OF WATER SUPPLY) ifs
APPROVED DATE ❑ PRIVATE ( NAME .OF WATER SUPPLY)
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
❑ YES NAME OF ADJACENT WATER BODY
( ho
APPROVED DATE BANK HEIGHT SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO
IDENTIFICATION
NAME MAILING ADDRESS ZIP TE^L/(/NO
OWNER 5 —/c2 4
CONT .P / ,
ARCH
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS;
_ SIGMA RE OF APPf�1CANT APP CA ON D E RECEIPT NUMBER CHECK NUMBER OR CASH
_..-/' 3(1e(14) C7_,
APPRO ED BY PERMIT/ ^E-b
FEES�,
-5 Q. S C BASE FEE 1 NSPECT I ON
A P
R w�. cn BLDG SURCHARGE PLAN CHECK
948
\--------__ /5, (`0v Q ENERGY SURCHARGE 9f � TOTAL
PIJEFf SON UbitizE v a 0 9 1 1 NUMBER REFUND DATE DA 1 SSU=D N.
BI. IVOfaf FICIAL 9# ♦f
111
* .TF: TRSC)N C:CYt i\TPV 1Rt7T T.T) r NCB 3�FRMT rn
Jefferson County P l ann i ncr and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMTT # .RT,T)AA-004A DATF, TSSUED. :09/23/AA
STTE AT)T)RESS: 651 1 CAPE GEORGE RD
:PORT TOWNSEND, WA 98368
OWNER •AT,TSON SNRF.T) PHONE: 385-1 254
MATT,TNO ADfR :PO ROX 292
:PORT TOWNSEND WA 98368
CONTRACTOR. . :NO CONTRACTOR PHONE:
MATT.TN( AT)DR :
CONTR. LTC #: EXPTRATTON DATE:
PARCEL NO. . . :.OA-1 rWY t--0 o /-3°/- O3`47
T,F.(AL T)F.SC. . :STR 30-30-01 WWM, TAX # 21
LOT A , 'BLOCK
T)ESCRTPTTON OF TMPROVF.MENT: single family residence
( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking:
( ) Foundation :
( ) TTnderoround Plumbing/Underground Tnsu l at i on :
( - ) raminc7/P umhnrr/rhimnev:
( Y1 Tnsulation : 5 I vLv/
5eT ShPPtrnrk : dK
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approval : e'&yc ( y0-3'
CALL 385-9141 24 HOURS TN ADVANCE TO SCHF.T)UT.F. TNSPECTTONS.
Office Hours 9 a .m. to 5 p.m.
Tnsnector 's Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.
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