HomeMy WebLinkAboutBLD1988-00052 E _DING 4,''ERMIT APPLICATION 410
Jefferson County Building Department*P .O . Box 1220SPort Townsend. WA 98368•
LOCATION ()/� / / `v'
SPECIFIC LOCATION 517E ADDRESS
./ V V r ` �
POSTAL DIS
TRICT /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISIONT/ X NUMBER
PARCEL NU BE � 1 / 4
/ 4 SECTION
SECTION TOWNSHIP NORTH RANGE , WM
BUILDING INFORMATION
B ILDING TYPE 0 ._ TYPE OF IMPROVEMENT SQUARE FOOTAGE
SINGLE FAMILY ❑ NEW BUILDING MAIN FLOOR
❑ OnILE HOME ADDITION 2ND FLOOR •
� � 0, (-�
Cie6
❑ MODULAR HOME U ECLTERATION BASEMENT
QETACHE' AT ACHED 0 REPAIR CARPORT
—
GARAGE I J > 0 REPLACEMENT GARAGE
❑ WOODSTOV "wa �' \o' f
❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES
❑ COMMERCIAL SIZE _____J4 a $35 r�
❑ INDUSTRIAL YEAR &c� ,0 @ $ 16 5 //Q 5
❑ HOTEL/MOTEL/DORMITORY MAKE L(O�-)0 @ $8 Z7G7D
NUMBER OF UNITS
❑ OTHER - SPECIFY ESTIMATED COST OF a $8
IMPROVEMENTS T$O AL E.AIIR? MARKET VALUE
UBC OCCUPANCY GROUP $ ��-// ( � �
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD.FRAME 0 ELECTRICITY 0 COLLECTIVE SOLA
❑ ANUFACTURED 0 WOODSTOVE 0 PASSIVE SO
❑ STRUCTURAL STEEL 0 GAS 0 COAL
❑ REINFORCED CONCRETE 0 OIL ER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIO
❑ OTHER - NUM OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW •
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSE
❑ PUBLIC OR PRIVATE ,--P6181BE Z OF EXISTING BEDROOMS
❑ I ND I V I DU TIC ) NUMBER OF PROPOSED BATHROOM
APPROVED DATE �1-IQ'6I V I DUAL WELL NUMBER OF EXISTING BATHROOM
UD TYPE OF WATER SUPPLY
N C/ 0 PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
O YES NAME OF ADJACENT WATER BODY
/67 ' ❑ NO
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 0 YES 0 NO
IDENTIFICATION
�-..-- . ZIP T E L NO
NAME MAILING DOTESS
( 1� 2 7 � r. (j9�y iI 1 (\/J �/yy�^}2-A7�-_ �f
OWNER 1 JX k C� ( J �4� �\ lilI ��'l/��/�\ 1 -�1JL� G V�D"X 7 7/J !lJ
S
i
CONT
STAT1. L I CEN51. NO
II
ARCH
T OWNER OF THIS B 'ILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
I NA URE OF APPL: NT APPL AT Oft TE RECEIPT NUMBER CHECK NUMBER OR CASHr-),
_ 1 IA; IC,
J APPR'VED BY PERMIT FEES
A P P ',. 0
'� l/-7._(A- BASE FEE 1 NSPECT I ON
DE! 1 �, 3 .5—t..--) BLDG SURCHARGE PLAN CHECK
JEFFER'IN -I UNTY ENERGY SURCHARGE $ k9 c_a j TOTAL
BANNING&9LDG DEFT
911 NUMBER REFUND DATE DATE SS ;E D '°,
BUILDING OFFICIAL I 4 /� `0 !�
_ I
r
.7-Fr.FPFPF.R.F4CIT4 CICIT7149r'Sr
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98388
206-385-9141
PFRMTT # •BLD88-0052 DATE ISSUED. : 12/05/88
SITE ADDRESS : 2038 W VALLEY RD
:CHTMACUM, WA 98325
OWNER •DENNTS SHTF.LDS PHONE: 7324182
MAILING ADDR : 2036 WEST VALLEY Rn
:CHTMACUM WA 98325
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR :
•
CONTR. LTC #: EXPIRATION DATE:
PARCEL NO. . . !901224011
LEGAL DESC. . ! STR 22-29-01 WWM, TAX #
LOT 05 , BLOCK
DESCRIPTION OF IMPROVEMENT: SINGLE FAMILY ADDITION/ATTACHED GARAGE WITH STORAGE
LOFT
( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking!
( ) Foundation :
( ) Underground Plumbing/Underground Tnsulation :
( ) Framing/Plumbing/Chimney:
( ) Tnsulation :
( ) Sheetrock:
( ) Sewage Disposal System Final :
( ) Final/ ccupancy Approval :
CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a .m. to 5 p.m.
Tnspectnr ' s Hours 9 - 10 a .m.
24 Hour Recorder for Tnspections.
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