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HomeMy WebLinkAboutBLD1988-00440 BUILDING PERMIT APPLICATI' Jefferson County B ng Department• County Courthouse •Port - isend, Wash.98368 • 385-9141 N E LOCATION: geographic name S W SIDE OF /�')/ROAD /y� FEET N E 5 � L!t 4 C.l 1 a.4-,Q,r' ROAD S W FROM INTERSECTION OF ROAD AND ���JJJ other specific location or landmark: 401.' OX 5 6 µ' S'-/p ' V LEGAL DESK IPTION: . 4 imp .S'v67,t?i v!S«.z.,' Lot Block Su..i ision f (f�l Z. _i / *,;Z - /33 -�� h 9 a u�gs( w.�r Tax Number 'A Section , Section Township Range II.TYPE AND COST OF BUILDING - TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY )/New building LIK6ingle Family New County Resident ❑Addition ❑Multi-Family Is this structure to serve the residential number of units or commercial needs of those employed ❑Alteration P Y ❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or ❑Repair,replacement number of units Indian Island Facilities? ❑Wrecking ❑Mobile Home ❑Moving (relocation) ❑Other—Specify ❑YES XrNO ❑Foundation only I USE OWNERSHIP WFull-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 M ri .,� !1 ao-rti��}�Q 3c 5 c /f� c. Heating,air conditioning l.'Lc 7 �f 0-l�� `y' /c t fff _-__ d. Other (elevator,etc.) • TOTAL COST OF IMPROVEMENT $ I ' „� III.SELECTED CHARACTERISTICS OF BUILDING - /X y PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DIMENSIONS ElMasonry (wall bearing) LiPublic or Priv •Number of Stories •Total square feet of floor area, Wood Frame Lndivid al (septic tank,>?tc.) all floors,based on exterior ElStructural steel ,./ dimensions TYPE OF WATER SUPPLY ❑Reinforced concrete •Total land area,sq.ft. ❑Public or pricompany ❑Other—Specify NUMBER OF OFF-STREET .' Individu I (well cistern) PARKING SPACES Enclosed ' PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Cr- LI Gas Outdoors ❑Oil RESIDENTIAL BUILDINGS ONLY ,' Electricity Number of bedrooms r"2- ❑Coal TYPE OF MECHANICAL , th, r—Spe i Number of Full a_ bathrooms �►."* �, "� L�.�� C1 V -- Partial ; IV. IDENTIFICATION - . Name Mailing Addre —Number,street city and State ZIP code Tel.No, Owner -. pr lam' -t ;�-. 2. k ' _ 5 V .. ���d� O a-*_,. (fir` . �(' .3U- fr-rn l l Contractoo lS.ta4 ep.�����s7lJ__ j 7z/ 99to — ((� 3. Architect The owner of this building and the undersigned agree to conform to all applicable laws. Agnature of applicant Address AApplication date 5--7'3,/ 4/2 PLANNING AREA FIRE DISTRICT SCHOOL DIST ICT1 WATER DISTRICT APPROVED BY6L .--� �` 83 JEFFERSON COUNTY HEALTH DEPARTMENT APPROVBY: �0gRN S,FEE ISSUE DATE RECEIPT NUMBER MAR 2_ r o-C, Ste- o*o .yet) 3 8 `7 Z BUILDING OFFICIAL1+0S /�j r`0�) 1FElFg4N COUNTYa J PLAAt�lNF g ElO6 DFf, The Printery—Port Townsend 7-0 IL/ ! 3 * le TT ! Y1 w u 1 i w r \ 240. 70' • sc_cc i e 1 '4 4 i rtIFCEIVE_ ::' SEP 21 '87 • / . ,,,LlNl Y -ALTH DEPT. i \9 CcC,./n f y Rd # 1 Oz , in I'V-- Pro pos e<IL X 3 •� w e ( I j i" /c 1 ,-. st gyp" W~ _ � Neigtit bay s A � , �e p —_ 6.tlt1l w ay r_ — , ..\_,::5 i O __ J ' , I iN"i° -� 7,op c 4 K O Sim Q I s e n P►.n'p c;' a"bitr ------- 1p,0, Box 391 20e' :. 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I1i 1, 0 I/ y ril p / C isi L 'fr vi Los v r) / id..9 C.0 4..1 rt •-& y 3.1 41_i I‘ *i' 1 02. i in IQ— , 1 _ , Pro pcs e<I X 3 J I"u i 0 4C- cr— • /00 , i e,4- ..,. ' XI (I) (--------- I 00/----- f 0\ -------- 11 N . Nei,y4 lionr.'S \)---ft14-----------x-z----' LA, eli z„ \ \\ /04., -- , - p i, , N.,/ _ . -.0 ........._ .._....._ ... ...Tim 01Sen R'6.92 clui‘oe ---. ps0, Box 39i jjtvre) ad°1 k i 0 e.1 ‘tv bt 4 1- — --- VVest port .00 6 ' . ! \iv 3. Bcire Pa r 14' 111 oi Ij A-1_ 36 .1..., , 4 • SHORELINE SETBACK EVALUATION ' •APPLICANT : JIM OLSON ADDRESS: PO BOX 391 , WESTPORT, WA 98595 • TELEPHONE: (home) (business ) PROPERTY DESCRIPTION PROPERTY SITE NUMBER: LEGAL: Owner : JIM OLSON Address: Tax Parcel. Number: 902133007 Real. Property Description: OLSON SHORT PLAT WITHIN SECTION 13, TOWNSHIP 39 NORTH, RANGE 2 WEST, NM ADJACENT WATER BODY: DISCOVERY BAY EVALUATION BLUFF HEIGHT: FOUR FEET SOURCE: DUKE SHOLD BLUFF STABILITY: N/A SOURCE: DI STANDARD SETBACK: 30 (THIRTY) feet This minimum setback shaLL be measured from the ordinary high water mark to the most waterward edge of the proposed structure . o BLUFF SETBACK: feet This minimum setback shaLL be measured from the bank' s edge to the most waterward edge of the proposed structure. • • J AVERAGE SETBACK: 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 : feet • Distance to the proposed structure: feet Left House (facing waterward) : • Setback from bank or ordinary high water : feet • Distance to the proposed structure: feet 0 SUBDIVISION SETBACK : feet This minimum setback shall be measured from: This setback was established by the approval and filing of the pLat. VARIANCE REQUEST: El APPROVED ❑ DENIED DATE: ACKNONLEDCEMENT�� 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. SEPTEMBER 24, 1987 planner] (date) b g/17.Y/c et-c /V (-444 J � OR-4.J.... A atai.4.0tp-c 17"1