HomeMy WebLinkAboutBLD1988-00423 BUILDING PEHIVII I. APPLICA I ION
Jefferson County 8uildin oartment• County Courthouse •Port Towns.Wash.98368 • 385-9141
N E
I. LOCATION: geographic name S W SIDE OF OAD FEET
NEW 16 j // r ROAD
S FROM INTERSECTION OF ROAD AND !!!! (
other specific location or landmark:
rt LEGA�SCRIPTION: dZ / - C./f" TR4C.- 'l L. Lot Block Subdi rs' n 9 /�40 3dZY Ua 3 Tax Number '4Section Section ownship Range
PE AND COST OF BUILDING-
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
❑New building ❑Single Family El 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)
ther—Specify Cl YES ❑NO
❑Foundation only
60
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:72...-3
CISecond 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 'y
c. Heating,air conditioningtt��
d. Other (elevator,etc.)
• TOTAL COST OF IMPROVEMENT $
. .; III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
Masonry (wall bearing/) •Number of Stories
,.. ❑ 9 ❑Public or Private •Total square feet of floor area,
❑Wood Frame ❑Individual (septic tank,etc.) all floors,based on exterior
❑Structural steel dimensions
TYPE OF WATER SUPPLY
-'--.: ❑Reinforced concrete •Total land area,sq.ft.
ID Other—Specify ❑Public 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
CI Electricity '/ Number of bedrooms
❑Coal TYPE OF MECHANICAL
CI other—Specify
Number of Full
bathrooms
Partial
IV. IDENTIFICATION- •
Name__ Mailing Address—Number,street city nd State ZIP code Tel.No.
t. I62 ( tinier Y '3 - yc
Owner
e H II33(w
2louvrtr'-.. n•- State License No.
YR O Pr, iTh'--- _
3.
Architect - —
'The owner of this building and the undersigned agree to conform to all applicable laws.
Signature of applicant
Ci"'7,--/ge�>,..
� Address A li lion date PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
I .I \----r- ,, O\C 4424—
JEFFER30 C HEA TH DEPARTMENT
APPRAIDEFE E PERMIT FEE ISSUE DATE
�-�✓� � RECEIPT NUMBER
r 1 3's 3(...y
'SUILDINj r9FSINIAL ,...) ��7,D �`
PLANNING O&BLDG DWI �J S
The Printery—Port Townsend
APPROVED
*U6 t 7 19$6 — � z �1 L- Z: E " �tit c:lc
JEFFERSON COUNTY
PLANNING 8 BLD6 DEPT
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JEFFERSON COUNTY
,f 1►1 . ' PLANNING AND BUILDING DEPARTMENT
�, ' `./�; "T1A) P.O. Box 1220
'Ir $ 3r s of Port Townsend, Washington 98368
1 �.,e
fl����t JR �i �y. Planning (206) 385 9140
1' : r cr*:., 1 . �,= .;?'; .)'' ' Building (206) 385-9141
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JEFFERSON COUNTY COURTHOUSE David Goldsmith Director
September 12 , 1989
Ms . Robin Bailey
161 Hiller Road
Hadlock WA 98339
Re: Woodstove Permit Cancellation: Section 7 , Township 29 North,
Range 1 East, WM.
Dear Ms . Bailey:
A woodstove permit was issued to you on August 17 , 1988 . On August
18 , 1988 , an inspection of the existing masonary chimney, found
that it lacks the required minimum clearance of two inches and
therefore was not approved. On August 3 , 1989 a renewal notice was
sent to you stating that a final inspection was required or that
reapplication is necessary to maintain a valid permit . Due to lack
of renewal or final inspection your permit is hereby cancelled in
accordance with the Jefferson County Building Code Ordinance.
If you have any questions, please contact me between 9 :00 and 10 :00
a.m. , weekdays at 385-9141 .
Si e e
•
Michael Ajax
Building Official
MA:mkg