HomeMy WebLinkAboutBLD1988-00057 •
OLDING PERMIY APPLICATION I
Jefferson County Building Department• County"Courthouse • Port Townsend, Wash.98368 • 385-9141
I. LOCATION: vozaphic name S W SIDE OF . ER/yL)Z[-0 ROAD ,,i FEET;,.;
IN E.- p
SW FROM INTERSECTION OF,l'r°',''rl•.A1N6 ROAD AND .. ,! '"AF ..4G"". ,€:'?"'•-t.--" ROAD
other specific location or landmark:
LEGAL DESCRIPTION: 351 3 S oj7 eA1 pi P/VISW:Z
Lot Block P Subdivision
99S 7no- OW 70 z Eg/S/ Ol/e f,.,U/f
_ Tax Number Y.Section Section 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
Alteration number of units 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 [I Mobile Home
❑Moving (relocation) Other—SpecifyTL-.3 ❑YES J NO
❑Foundation only
L ,nr. .—a ei ct 1 ti\
\--\\ N:Sa USE
OWNERSHIP
Full-time Residence
NO Private (individual,corporation, J Second Home: Recreation Cabin,etc.
nonprofit institution,etc.) ra
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP:.f� ❑Second Home: Future conversion to
permanent residence
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement • $ ///1/44,,e.,,, 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 j f irt~ If use of existing building� is being changed,enter proposed use.
b. Plumbing ,5— +'!.�3d VAT— f IFS*,4', r4/L.e.,I.LAB'/:3/''.t,'� E",T.I.,"�'�r.,...,,,44.74141
c. Heating,air conditioning '""'
,e" City' ram.,f'* 1,-7/,'en i .,47/1`4444 /AE i<"°.
d. Other (elevator,etc.) ( tae-/r'EP1'..#7, .... VAC A7/14^4P ZTe?}
• TOTAL COST OF IMPROVEMENT $ •9 i
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
0 Masonry (wall bearing) Public or Private •Number of Stories
•Total square feet of floor area,
[ (Wood Frame pil Individual (septic tank,etc.) all floors,based on exterior f
Structural steel dimensions 2! '
❑Reinforced concrete TYPE OF WATER SUPPLY •Total land area• ,sq.ft. rr/
❑Public or private company2 r`"
❑Other—Specify NUMBER OF OFF-STREET
❑Individual (well,cistern) PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
❑Gas Outdoors r,,,r_.
CI oil / //74"' e RESIDENTIAL BUILDINGS ONLY SE'
Electricity Number of bedrooms
❑Coal TYPE OF MECHANICAL 4/
Number of Full
❑Other—Specify 1 4�/7;ri7 ` - bathrooms
Partial �-
IV. IDENTIFICATION- '
Name Mailing Address—Number,street,city and State ZIP code Tel.No.
1. f96,7ERE. th• c`6 �.0/7PAr?APIZ C 8.4� b' 1- .1tarL//o 't ' 9&...G.,S `�37 2/oI
Owner 7
2. �',rL`-/,-ze ozioce eb �` r t '' •' . , , , .
Contractor State License No.
3.
Architect
.,a14.4 r C e— ',4•A. 2 333 WA, 472,A,4,0,4 . iS%'r~;/t?t A-7 ,- __9 A 3/6 19713-173'
The owner of tl ' building and the undersigned agree to conform to all aprplicable laws.
Signatur f applica Address Application date //
/fii\--" '''C' 6jPIIGD�'fPA p,ite l.3,'f,".Pd,Fd'r•Criez..!/+r_z. _. . , ` j/ a
ANNIN AREA IRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
ad � ..t__ a
,..,,,,......c.JCFF4F'§+,1 COUNTY HEALTH DEPARTMENT
f�PPROV D :YR 1 g1T FEE I SUE DAT RECEIPT NUMBER
JU: 62 lf7 / ri 0 0
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JEFFERSON COUNTY
CERTIFICATE OF OCCUPANCY
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD88-0057
SITE ADDRESS: 140 DEER HOLLOW RD
:PORT LUDLOW, WA 98365
OWNER •LEROY WATTS & JEANNE WATTS PHONE:
MAILING ADDR: 140 DEER HOLLOW RD
:PORT LUDLOW WA 98365
PARCEL NO. . . :995700034
LEGAL DESCRIPTION: STR 20-28-01 EWM, TAX # 231
LOT 34, BLOCK , SOUTHBAY #3
AREA APPROVED: single family residence
AREA APPROVED COMPLIES WITH REQUIREMENTS OF UBC FOR OCCUPANCY GROUP:
TYPE CONSTRUCTION:
BUILDI G O FICIXL
///2_ 77
Mich Ajax \ Date
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