HomeMy WebLinkAboutBLD1989-00014 (3IOING 'ERMIT APPLICATION0
Jeffersor County Building Departrnent'P .O . Box 1220+Po, r Townsend . WA 98368II
LOCATION �j� dd�� ����—
SPECIFIC LOCATION SITE ADDRESS /`�- ' A el. .c \�
POSTAL DISTRICT_ • _/SUBDIVISION
LEGAL DESCRIPTION PLOT BLOCK
DIVISION
PARCEL NUMBER -I o{ 1 32 4 0 / DJ 1 / 4 SECTIONNUMBER ;
PLANNING AREA SECTION ..732... TOWNSHIP ,�11 NORTH RANGE.L i WM
BUILDING INFORMATION
B LDING TYPE TYP F IMPROVEMENT SQUARE FOOTAGE/2 /�T
SINGLE FAMILY t,d� NEW BUILDING MAIN FLOOR !30o
❑ MODILE HOME ❑ ADDITION 2ND FLOOR 1
O MODULAR HOME ❑ ALTERATION BASEMENT ! 0
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
❑ WOODSTOVE 0 WRECKING/DEMOLITION ( COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES /` / � �/S71
O COMMERCIAL SIZE /,. ' A@ $3 5 ✓ C/U
❑ INDUSTRIAL YEAR 0 @ $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE , I CO VI @ $8 /( 4O0
NUMBER OF UNITS
O OTHER SPECIFY ESTIMATED COST OF $8
IMPROVEMENTS TOTAALIUR_ MARKET VALUE
UBC OCCUPANCY GROUP/ $ $ r)
SELECTED CHARACTERISTICS OF BUILDING
PR -NCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
[Lr WOOD FRAME [JJ ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 0 WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING ) DIMENSIONS
• ❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW /
FIEALTH DE A TMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
c )r--CoL`�y ,/ '. 0 PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
7 CS( 1 ND I V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOMc
APPROVED DATE , (A4.-- [/I ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
0 PUBL I C `( NAME OF WATER SUPPLY)
APPROVED DATE PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WFI YEISN NA OF NEA D TATO BODY
j
,CIO w
/
APPROVED DATE BANK HEIGHT / d t SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES ❑ NO
IDENTIFICATION
NAME • MAILING ADDRESS ZIP TEL NO
o70
CONT YR-WO--
- STATE L 1 CENSP" NO I
ARCH
, THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
SIGNA E OF APPLIC T APPLICATION DATE RECEIPT NUMBER 1CHE11ER
OR CASH
APPROVED BY
PERMIT FEES
(Aik
�1--//, 6 (3ASE FEE INSPECTION
5' PLAN CHECK
l� ' ��BLDG SURCI IAf2GE /
"`� WM f i ) • O O ENERGY SURCHARGE d �.1/77� OO TOTAL
J$Fi yid?; �� V 9 1 1 NUMBER i-q.ANh�1"d JII)i3(IF'f REFUND DATE I ?Ai 1 S
BUILDING OFFICIAL C
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.TPffersnn County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend , WA 9836S
206-3 5-9141
PERMIT # •RT.DR9-OO 1 4 DATE. TSSURD. •03/25/59
SITE ADDRESS ! 201 MATS VIEW RD
PORT LTTDT.OW, WA 98365
OWNRR FRANK OAKS PHONE.! 437-2704
MAILING ADDR ! 2O i MATS VIEW ROAD
PORT I,UDT.OW WA 98365
CONTRACTOR. . !NO CONTRACTOR PHONE:
MAILING ADDR
CONTR . LTC #: EXPIRATION DATE-
PARCET, NO. . . -921324012
T.EGAT. DESC. . ! STR 32-29-01 FWM. TAX #
LOT , BLOCK
DESCRIPTION OF IMPROVEMENT! new single family residence
f i Font i ng/Sethacks (Shoreline Sethack) /Moil i i e Home Flocking:
( ) Foundation -
f i Underground Plumbing/Underground insulation .
( ) Framing/Plumhing/Chimney-
( ) Insulation -
( ) Sheetrock
( ) Sewage Disposal System Final !
( ) Final/Occupancy Approval e d"� ��� /.-g7' 1, C.chb�
- - -z _
CALT. 555-91 4 1 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS .
Office Hours 9 a .m. to 5 p.m.
Inspector ' s Hours 9 - 10 a . m.
24 Hour Recorder for Inspections.
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