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HomeMy WebLinkAboutBLD1988-00412 BUILDING PERMIT APPLICATION Jefferson County Build'Separtment• County` Courthouse •Port Towi�'l, Wash.98368 • 385-9141 N E I. LOCATION: geographic name S W SIDE OF ROAD FEET NE S W FROM INTERSECTION OF ROAD AND '�.J other specific location or landmark: Pd L Ucd.(0(.u._ -ifs LEGAL DESCRIPTION: Lbt BlockS divpr n � �� 9 /�- qy D O O o! i Tax Number Y4 Section Section ownship Range II. TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILD ING TYPE MOBILITY New building 'id Single Family ❑New County Resident ❑ dition IN ulti-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 USE OWNERSHIP ❑Full-time Residence ❑Private (individual,corporation, ` nonprofit institution,etc.) ❑Second Home: Recreation Cabin,etc. . r ❑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,offi e building at industrial plant. a. Electrical If use of r existing buildin• is� h `nter proposed use. 61 x b. Plumbing �` 4.'•' 91/ / c. Heating,air conditioning 17 O m' c7 2 f - / J d. Other (elevator,etc) / 7 • TOTAL COST OF IMPROVEMENT $ r--h IY 1 3 77 °. .J. i III.SELECTED CHARACTERISTICS OF BUILDING - ' '- "l�Y 1 4 s yt/'Y`' PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS Masonry (wall bearing) •Number of Stories ❑M y ll ( I:ublic or Private •Total square feet of floor area, � ood Frame `j ❑Individual (septic tank,etc.) all floors,based on exterior []S ructural steel dimensions TYPE •F WATER SUPPLY ❑Reinforced concrete Ah, •Total land area,sq.ft. ID Other—Specify i' ' blic or private company NUMBER OF OFF-STREET ❑Individual (well,cistern) PARKING SPACES Enclosed PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE ❑Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY electricity Number of bedrooms ❑Coal TYPE OF MECHANICAL Ojh@r—Specif _ Number of Full '1/1 LIJ, bathrooms Partial IV. IDENTIFICATION - Name Mailing Address—Number,street,city and State ZIP code Tel. No. 1. L© ,2__ - c. 5"(o t I t- e_ -..)G; (02 Owner CA:,fry,„ :. 7 , /3 - tractorIiiii 'A.11 aC J ense . C ----- 7/33 3. Architect /The owner of this building and the undersigned agree to conform to all applicable laws. Sign ure of applicant Address A lion �P2e!1'"- v v `bate PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT APPROVED BY JEFFERSON COUNTY HEALTH DEPARTMENT APPROVED BY: PERMIT FEE ISSUE DATE RECEIPT NUMBER 7Sd ,S-0 3 , 5 ,.. y 3c __s— 3(47 BUILDING OFFICIAL l/5 . 0-0 9-0 �jQ 7 ` Q ( Townsend • (.4,4 X4,1.2: -- .9 1 N1 1/7 C'e.) ___ WIE11111.111111r. W 1 • _ . 1 , 1 1 ti•.) . ! -i- , - 1 I - ....,s . 1 T Ilk ... .i , 137• 1\AI 111 .... .. _ 71 N ' f ....,0 , .....,3 , . . N _ . , c I - . 4111/ ------iz".-'1 0 . ( i A 1hii ' 2 , )4- q v _ I. _...... , .....z, ,..t . , , • • SHORELINE SETBACK EVALUATION APPLICANT : /14 G_. c`D ADDRESS: ( TELEPHONE: (home) (business PROPERTY DESCRIPTION PROPERTY SITE NUMBER: LEGAL: Owner : Address : Tax ParceL Number: 1 2 O ` e&t col/ ReaL Property Description: L-� S 7 Z, AI ADJACENT WATER BODY: o d j EVALUATION vi///t@ d(// ly /-4 ,4/ BLUFF HEIGHT: Si-)„ ( _ SOURCE: (-„?>Lc f ./r BLUFF STABILITY: t6tt t.)t':S SOURCE: 47//f44 ❑ STANDARD SETBACK: feet This minimum setback shaLL be measured from the ordinary high water mark to the most waterward edge of the proposed structure . ❑ BLUFF SETBACK: feet This minimum setback shaLL be measured from the bank' s edge to the most waterward edge of the proposed structure . /1-..1 TC.,* ell- ,10 C 1-, v /�._s� .--(1O1 / r- AVERAGE SETBACK : 2 U feet This minimum setback shaLL be measured from the bank's edge to the most waterward edge of the proposed structure. This setback is based on the foLLowing calcuLations of adjacent residentiaL structures . Right House (facing waterward) : / • Setback from bank or ordinary high water : 70 feet • Distance to the proposed structure: Zoo/ feet Left House (facing waterward) : • Setback from bank or ordinary high water : / feet • Distance to the proposed structure: / feet ❑ SUBDIVISION SETBACK: feet This minimum setback shaLL be measured from: This setback was estabLished by the approvaL and filing of the pLat. VARIANCE REQUEST: ❑ APPROVED 0 DENIED DATE: ACKNOWLEDGEMENT The above evaLuation was determined on information provided by the appLicant. ShouLd any of this information be found inaccurate, the setback requirement may be re-evaLuated. —Th \ _,A7/1-://R:P Aa. ner (date 111, mm1"11,10111 1 ....------, -- r •••••••••""'"'""1 i , c? it0 t ( ,. _,. v.. , I , k . 1, ? f i Cr r Z fi' i t 1 . 1 l t li• .- ] 1 ,i , ' , : 0 4. _..$) I (o I (0 NA) ..) -.. 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