HomeMy WebLinkAboutBLD1989-00024 9
BUILD 'ERMIT APPLICATION
>eP .O . Box 1220IPorttownsend' WA 98368
� efferson County Building Department
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LOCATION
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SPECIFIC LOCATION' SITE ADDRESS � �_ 7 �°� 1401&
POSTAL DISTRICT �„r,--- /SUBDIVISION
`i' LEGAL DESCRIPTI N LOT 7.= BLOOC�K DIVISION 6 TAX NUMBER
\ PARCEL NU,M < C� J 4 SECTION
PLANNING AREA SECTION TOWNSHIP NORTH RANGE WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
❑ SINGLE FAMILY EJ-'NEW BUILDING MAIN FLOOR
❑ MO1711LE HOME 0 ADDITION 2ND FLOOR
OME ❑ ALTERATION BASEMENT
DETACHED 'ATTACHED 0 REPAIR CARPORT y
GARAGE' 0 REPLACEMENT GARAGE
❑ WOODSTOVE 0 WRECKING/DEMOLITION ( COMMERCIAL �,,...
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES
❑ COMMERCIAL SIZE
0@ $3 5
O INDUSTRIAL YEAR !] @ $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE @ $8
NUMBER OF UNITS
❑ OTHER - SPECIFY ESTIMATED COST OF 0 2 $8
IMPROVEMENTS TOTAL FAIR MARKET VALUE
UBC OCCUPANCY GROUP $ $
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF--
FRAME PRINCIPLE TYPE OF HEATING FUEL
a WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOtAiR
❑ STRUCTURAL STEEL 0 GAS .0-COAL
❑ REINFORCED CONCRETE 0 OIL - -''^ j❑ OTHER SPECIFY
O MASONRY ( WALL BEAR 1 NG ) -=" "DIMENSIONS 4--)`E ?�
ft ❑ OTHER NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
0 PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS ,
®' INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM
APPROVED DATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM,
PUD TYPE OF WATER SUPPLY
❑ PUBLIC -( NAME OF WATER SUPPLY)
APPROVED DATE 0/ PRIVATE ( NAME OF WATER SUPPLY :" ' . Ch - ?per %n{m(_m4,1
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
O YES NAME OF ADJACENT WATER BODY
D NO
APPROVED DATE BANK HEIGHT SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH .._...
NAME OF PUBLIC ROAD Lly I-- C ;gal <.b `f
NAME OF PRIVATE ROAD (J
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO
IDENTIFICATION
NAME MAILING ADDRESS Z I P T E L NO
OWNER / L A / Ida/#b e 1 -- I �- - ,� �
COf�i�lfd>` T. �:uC1 ���i✓> ,GG)1 s? 9/7
CONT <c,a,-7e et.,,,,
STA'1 L L I CENSE NO
e9.&)f I-
ARCH _..
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
S WIATURE O�L I CA SIT APPLICATION DATE RECEIPT. NUMBER CHECK NUMB,ER,.,.OR CASH
APPROVED BY PERMIT FEES
\ 1 BASE FEE INSPECTION
LDG SURCHARGE PLAN CHECK
APR 1 4 ENERGY SURCHARGE s 7s� SOTOTAL
JEFFERSON COUNTY 9 I I NUMBER REFUND DATE DAT I D
pi_!n;p11Nf, 3l G D E!
BUILDING WAIAL .1 , / 7
4
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C7CITITNT'T':-,7 P`F:RFv1T m
Jefferson County Planning and Ruilding Department
Courthouse; 3rd Finor
PO Rnx 1220
Port Townsend : WA 9R3 R
206-3R5-9 i 4 i
PFRMTT # •RT.DR9-0O24 DATF. T SSUF.D. : O4/i 4/€ 9
S T TF. ADDRESS : 1 i O FAO T,F V T F.W T,N
:PORT LUDLOW, WA 98365
OWNFR • DANT F.T, RROTHFRTON PHONF :
MATT,TNO ADDR : 2n i NORTH RF.ACH DR
PORT LUDLOW WA 98365
CONTRACTOR. . :NO CONTRACTOR PHONF:
MATLTNO ADDR :
CONTR . LTC St: F.XP T RATTON DATF
PARCFT. NO. . . : 9354O0019
T,FGAT, DF.SC . . : STR OR-27-01 F.WM, TAX
TOOT 9 , BLOCK • RRTDOEHAVF.N
DFSCRTPTTON OF TMPROVFMFNT: detached garage
i Font incr/Sethacks (Shoreline Sethack) /Mohi ie Home Riockincg:
i Foundation :
•
i Underground P l umh i ng/Undernround Tnsu i at i nn
i i Fram iri umh i ng/ h i mnev:
l ) Insulation :
i Sheetrock :
i Sewage Disposal System Final :
1 Final /Ocotnancv Annrovai
•
`7 ._...__.5_it_ ._ ____ __._.
CAT,T, 385-a 1 4 i 24 HOURS TN AD V ANCF. TO SCHFDULF. TNSPFCT T ONS.
Office Hours 9 a . m. to 5 p.m.
Tnsnectoris Hours q - 10 a .m.
24 Hnur Recorder for Inspections.
i
ha ue.�-
`I 5/6 ,
3 ''/8 Y
ROOF RAFTER DIMENSION DIAGRAM
Sces.L E �4aL� SIZE
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12 LO
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pANeL "o'I
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fit
LOFT FLO(
Sc-o 2
PLAN
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— 7
14,
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1
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4- Zii,4i, Fob m
I = �
NEnGER SJ bPOi!T Q
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W =
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0 j i � q'-o" c '1''0° OVEkI-VEAD
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' SE'G'jiold6L px�� �l/ Z • Z"< Iz':
01 VzUI&PcR L
wJBL °C1
FIRST FLOOR
Sea. Lra
3
T I'-4 q'-4AL LAN NT RAY," �yZp
F16L µ pucL 'J'
"LAN 6 61 P- 2024 SHEET 4
= I,�_. TOTAL 5