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HomeMy WebLinkAboutBLD1989-00006 I3UILDIA .'ERMIT APPLICATION Jefferson County Building DepdrtmentipP .O . Box 12200Port ensend, WA 98368 rLOCATION / J / ("y\ vim SPECIFIC LOCATION I SITE ADDRESS 1` (.2 i `du?"` """���'��� At- POSTAL DISTRICT /SUBDIVISION LEGAL DESCRIPTION LOT / / BLOCK DIVISION TAX NUMBER 1 "'7'T 1°1)(l j'" PARCEL NUMBER 1 / 4 SECTION PLANNING AREA j /r) SECTION /4 TOWNSHIP oC NORTH RANGE a k( WM BUILDING INFORMATION BUILDING TYPE TY E OF IMPROVEMENT SQUARE FOOTAGE ❑ SINGLE FAMILY NEW BUILDING MAIN FLOOR [VODILE HOME ADDITION 2ND FLOOR ❑. MODULAR HOME ❑ ALTERATION BASEMENT ❑ DETACHED/ATTACHED ❑ REPAIR CARPORT GARAGE ❑ REPLACEMENT GARAGE ❑ WOODSTOVE ❑ WRECKING/DEMOLITION ( COMMERCIAL ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE ,H�OMES S! ❑ COMMERCIAL SIZE t0""f X /2_, h A&. $35 ❑ INDUSTRIAL YEAR 1974 0 q@ $ 1 6 ❑ HOTEL/MOTEL/DORMITORY MAKE "Firttuccrls(I 0 @ $8 NUMBER OF UNITS ❑ OTHER SPECIFY ESTIMATED COST OF V $8 IMPROVEMENTS TOTAL FAIR MARKET VALUE UBC OCCUPANCY GROUP $ $ SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL ❑ WOOD FRAME ELECTRICITY ❑ COLLECTIVE SOLAR MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR O -STRUCTURAL STEEL ❑ GAS ❑ COAL O REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY ❑ MASONRY ( WALL BEARING ) DIMENSIONS ❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW 3OeltAt11 t -I- 14�4- ttOLI.A.tiF1v.4 11,LC(..vPt.�c' dy,,,,,tA,s,) . HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMSA/ r"/ HE as � / 0 PUBLIC OR PR 1 VAT NUMBER OF EXISTING BEDROOMS p*L L�� �L �( �+Y I ND I V I DUAL ( SEPT I C NUMBER OF PROPOSED BATHROOM . /APPROVED DATE ' -)(G ❑1 INDIVIDUAL W NUMBER OF EXISTING BATHROOM` PUD TYPE OF WATER SUPPLY ❑ PUBLIC ( NAME OF WATER SUPPLY) APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY) _, _ ,wiminimmim PLANNING DEPT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY ❑ NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD o� APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO _ OWNER ' �c;c4, f ►-vim ())III rJ, • - _ - - L. Il,ar �/ 1-0J1/ Crtr fri 1 .'_ '' CONT NC-- Af — STATE LICENSE NO ARCH THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. SIGNATURE OF APPLICANT APPLICATION DATE RECEI T NUMBER CHEC UMBER OR CASH ,1 8c) Icy APP V ��BY PkRM I T FEES AP R E ® -75-/ l) BASE FEE INSPECTION 5;,S� BLDG SURCHARGE PLAN CHECK ENERGY SURCHARGE S-n TOTAL JEFFERSON COUNTY PLANNING &BLDG DEPT 9 1 1 NUMBER REFUND DATE 1 1 DATE S D BUILDING OFFICIAL // 7 --- - -._ 1 /a/ I tO d 1 ' /' . i 3 � 1 . j E . 1 i f 1 ti , J, , "",ri S :0 i (A) 4 I . 1' _____.___.___ T- i-._ N Qa > 0 F W v .',s 3p, Ifie v L 1 I • < r I' 6Oo i T—__ � o6 ,.'b: <;. i I *• 3 a y A n41 I5o Iks Q A Mori1L I4or+t Z wtI1 / D / 1 Noufl /,fv4-5 p T. w P �1 c.'� by K. • _I h/O u l it W O y „< '{ Mousy. _ 4Rc. ^.&—. ----/00„____ E, 21, 0f JV.- I pelt Y__ ______ SUB Di v : sic w of : 1\1.E. QupRtER © ' SEC, / L)) LL / > M 13 r shop IR Lot_ hi0. i i MAC MCCL URG IOPOSED HOME • ,i-) SCALE fg"= j' p,' It JAN. Illy D 4'S) 4ey P .2 6'-0' .. bb'" __- -� 'o RAMP \�• IS v �, 3 UP \ . .- I \ . /QV, \\,/, s-vx3op \\-5`,,,\ e: ,\ 0+ \\ 0 oi o .\:, \\ N z „,„ \\.... 4 \ \ '' \ \ os ,_ 3`5�°n 3 6 { 5,, _.> ei 1‘ \'''ri KI HEN o� _ Vp sm ENSION < Tr o v O O L 3'--0' -0631 o -1 z i o O -. E3'O v°+ ti r 2 4 6`-5?_>.< 12' _—.— i ex i ti — - W \t. i/ .1 PORCH i . N, y 5,--— -- - 13''s i .341.41 ___ ° -, C\ i C 7 I 1 G\ il-- ii+ r k k Tr.r-r r.TR5--; TNT C n1:7TNT—Tr Ell'T I.I)T T,TC--71 r Tr.R1\ T m Jefferson County Planning and Building department Courthouse, 3rd Floor PO BOx 1220 • Port Townsend, WA 9836n 2O6-385-9 1 4 1 PERMIT # • RT,)A9-0006 DATE T SSURD. : O2 /O1 i R9 STTr. ADDRESS : 243 WTT.1WOOf Rd :QtiTT.C:F.NE. WA 98378 OWNER •NORVA MCC:T iiRG PRONE : 385-33 7 F MAT T.TNG Aili1R :PO R•OX 417 :PORT HAfT.00K WA g8339 CONTRACTOR . . :NO CONTRACTOR PRONE : IAA T T.TNG AdfR : • CONTR . LTC C XP T RAT T O'IV DATE.: PARCM.T. NO. . . : 93270OOA4 LEGAL D SC. . : STR 14-27-02 WWM. TAX # LOT 11 BT.00:x. DF.SCRTPTTON OF TMPROVEMENT : mobile home i Fontinn/Sethac-:ks (Shoreline Sethack) /Mnhiie Home Rinckina : • i Foundation ! f i Underground P i umh i nn/UndercTTrnund Tnsu i at i nn i r^ramina/Piumhing/Chimney! • i insulation ! l She.etrnck : i t Sewage fl isposa i System Final ! 1 Final /Occupancy Approval ! CAT.T. 385-9 1 4 1 24 HOURS TN AfVANCF. TO SCHEDULE TNSPECTTONS . Office Hours 9 a .m. to 5 p. m. Inspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for inspections . , . . APPROVED _ FEB 1 3AA9 --E, /Ss° e- r16--t-''' 64 a- aickj, / . 14, JEFFERSON COUNTY PLANNING&BLDG DEPT . i 5 I 11 Ci D ,, ... ,,,t- .2 --- (..1'....-etAkiy.' _,---47----7 r (:), 2..1z.t,.9 — -F -------..... --5,„ .i.- _ r\ (...!): _a-- 6(,..A.A.„,,, 57,,_tc_s_ ,,o, _0_,-.11.0.,..,..._. _ C`7L) --- d 0 i.,, (---,,...,..., -,,,,c _____,,... , ,,,.„ _ G215 1 tlb 9 . r, /k1 pi ... (- 01-ia.: - /6 // ' / /, /- e---:Z .,.. ,.....-----