HomeMy WebLinkAboutBLD1988-00049 \Aiik
BUILDING PERMIT APPLICATION
Jefferson County Building rtment• County Courthouse • Port Townse, Vash.98368 • 385-9141
N E
I. LOCATION: geographic name S W SIDE OF • . , ROAD FEET
N F of �c-f-
S W FROM INTERSECTION OF ROAD AND C� L ROAD
other specific location or landmark:
LEGAL D ESCRIPTION: R
parc.et . Lot Block Subdivision
t�D I O LI-OAS ( LC)
( Tax Number %.Section ection 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
number of units
❑Alteration or commercial needs of those employed
❑Repair,replacement ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or
number of units Indian Island Facilities?
❑Wrecking ❑Mobile Home
❑Moving (relocation)
Other—Specify ❑YES ❑NO
❑Foundation only
Otorcte-
J USE
OWNERSHIP
❑Full-time Residence
❑Private (individual,corporation,
nonprofit institution,etc.) /���' ❑Second Home: Recreation Cabin,etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: !"" ❑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 proposed use.
b. Plumbing C9,2 > 11.0
_ 5 I r.(., P Q 1 /) f�/j /
c. Heating,air conditioning 1 (p X I LC, r��� tt e_ (8- y O�(8), -
d. Other (elevator,etc.) / (
• TOTAL COST OF IMPROVEMENT $ �W\/ (Q LA
III.SELECTED CHARACTERISTICS OF BUILDING - �/
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
Masonry (wall bearing) Private--
_________-- •Number of Stories
❑ 9 ❑Public or •Total square feet of floor area,
Wood Frame 0.IAdivival (septic tank,etc.) all floors,based on exterior
0 Structural steel dimensions
❑Reinforced concrete TYPE OF WATER SUP •Total land area,sq.ft. ,4
❑Other—Specify CIPublic o ' ate company
__EfTndividual (well,cistern) NUMBER OF OFF-STREET
PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors
❑Oil RESIDENTIAL BUILDINGS ONLY
❑Electrici Number of bedrooms
❑C TYPE OF MECHANICAL 1�
Other—Specify Number of F '
_ bathrooms
Partial
IV. IDENTIFICATION - •
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
Owner &bet', t{cpkirts .1.0 I N 5-harr3 'Tar nmcc., aaLIU3 ()2' -
(1Co 2(0 (..)�
2. rz.-7 a.
Contractor State License No. ()NQ 6-4)
l
3.
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
Signature of applicant Address Application date
d (lb\AlOr g _ f J l b2�88
c '
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY /V 4 0IC 4r—i
;PEP
FO [ C� tIEAL,T-I DEPARTMENT
vV {{ PERMIT FEE ISSUE DATE RECEIPT NUMBER
BUILDING i l t4A NTY �
' 7/131cA/sSC)
PIANN4146&LUG DEPT I O 3 - SO
The Printery—Port Townsend
• ". S t
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Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PC Box 1220
Port Townsend , WA 9R368
206-3R5-9141
PF.RMTT # •RT,T)RR-0049 DATE. ISSUED. : 09/1 3/RR
STTF ADDRESS 590 BROAD SPIT RD
-OUTT,CF.NF. . WA 98376
OWNER -RORERT HOPKTNS PHONE: 272-3ROR
MATT.TNC ADDR - 261 3 N STARR
!TACOMA WA 98403
CONTRACTOR . . -OWNER PHONE :
MATT.TNC ADDR
CONTR. LTC #: EXPIRATION DATE.: / /
PARCET, NO. . . : 701204005
LEGAT, DF.SC. . :STR 20-27-01 WWM. TAX #
LOT . RT.00K
DESCRIPTION OF IMPROVEMENT: storage building
( ) Footi a Setbacks (Shoreline Setback) /Mobile Home Blocking
( ) Foundation !
( ) Underground Plumbing/Underground Tnsu l a t i on :
( ) Framing/Plumbing/Chimney:
Insulation !
( ) Sheetrock:
( ) Sewage Disposal System Final
( ) Final na 1 Occupancy Approval !• - 7 -cf
. y . . - � C Y
CALL 3R5-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS. f
Office Hours 9 a.m. to 5 p.m.
Inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.