HomeMy WebLinkAboutBLD1989-00026 BUILDING `'ERMIT APPLICATION
Jefferson County Building DepartmentgiP .O'. Box' 1220IPort Townsend . WA 98368
LOCATION t, ►
SPECIFIC LOCATION SITE ADDRESS � 7 1111c 0/( / P
4-e*Q
POSTAL DISTRICT Pl /SUBDIVISIONII
BLOCK DIVISION TAX NUMBER
LEGAL DESCRIPTIO LOT ,� / / q SECTION
PARCEL NU BER WM
PLANNING AREA
SECTION (2 TOWNSHIP ORTH RANGE
BUILDING INFORMATION
B ILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGFr, 1
SINGLE FAMILY 0 NEW BUILDING MAIN FLOOR i2
❑ PILE HOME
-S DDI T ION 2ND FLOOR C.�� i
❑ MODULAR HOME • ALTERATION BASEMENT
❑ DETACHED/ATTACHED 411.41 EPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
❑ WOODSTOVE ❑ WRECKING/DEMOLITION ICOMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES 2
❑ COMMERCIAL t/ q@ $35
SIZE
❑ INDUSTRIAL YEAR @ $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE 0 @ $g
NUMBER OF UNITS
OTHER - SPECIFY 0 @ $8
❑ ESTIMATED COST OF
UBC OCCUPANCY GROU j `! IMPROVEMENTS $$O s, FL7I'(J __) VALUE
�f
SELECTED CHARACTERISTICS OF BUILDING
NCIPLE TYPE OF FRAMENr)
PRINCIPLE TYPE OF HEATING FUEL
OOD FRAME ❑ 4ECTRICITY 0 COLLECTIVE SOLAR
0 MANUFACTURED WOODSTOVE 0 PASSIVE SOLAR
/ 0 STRUCTURAL STEEL AS ❑ COAL
❑ REINFORCED CONCRETE i OIL 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES_. TOTAL LAND AREA
P n
DEPARTMENTAL REVIEW ,`„e;.6
HEALT DEPART ENT TYPE OF SEW GE D i SPO-fSA ��.OF PROPOSED BEDROOMS 0
--U B L 1 C O PR 1 V AT E--}// � �MBER OF EXISTING BEDROOM _
�i �� ■ ND I V I DUAL ( SEPT I C ) t9 I NUMBER OF PROPOSED BATHROOM
APPROVE DATE IF ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM 4111
'1
t2l
UD ' TYPE OF WATER SUPPLY
0 PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY w
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 ❑ YES NAME OF ADJACENT WATER BODY
0 ❑ NO
APPROVED DATE BANK HEIGHT SETBACK
PUBLI W RKS DEPT ROAD RIGHT-OF -WAY WIDTH
J1 NAME OF PUBLIC ROAD
./ NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES ❑ NO
IDENTIFICATION
N/A�M�E-�(J( MAILING
/yA II L I N G D D R E S fi ZIP T E L NO
OWNER lice
�I ) 7 I f 1 � / a i 4" ,Iir 1 /,r..� �/� y�`_. , /�
CIS_- ✓
CON. H♦ _r.__..
STATE LICENSE NO 1
1
ARCH t
THE -9 NER OF THIS B ILDING AND THE UND BSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS,
1 TUR Ei F PIPE FM9—
A
APP 1 T�i- i ATE I RECE I PT NU ER ICHECK7R
CASH
1(4°
/ APPROV D BY \
PERMIT FEES
L,! INSPECTION
vc�r�' �'�� ASE FEE
iQ ii A .7.S( 1 BLDG SURCHARGE PLAN CHECK
*')
'`.1/ �I� l 0 C) ENERGY SURCHARGE ��1 "
r4 f ,�l•, TOTAL
JF,., ' 91 1 NUMBER REFUND DATE DATE I SSUED
BUILDIf ` `FfN,JCIAL '�
..-,- 11 ,_ {Ili Li 7 41.
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_Tr.Rr 1 R$ C) \T t7CJt7N9''Y RTTT i.i)T7V'C:". 1JT "..RF.'l T 9
Jefferson County Planning and Building Department
Courthouse, Ard Floor
PO Box 1220
Port Townsend, WA 9836S
2O6-355-9141
PERMIT # •RT,fls9-OO2n DATE. T SSTTF.fI. : O4 i O7/S9
STTF. AD1DRESS 5O7 MTDDT.EPO T NT RT)
:PORT TOWNSEND, WA 98365
OWNER •C:HART,F.S MOORE PHONE : 385-662 i
MA T T,T Ni( AD)DR : 5O7 M T DDT,RPOTNT RT)
PORT TOWNSEND WA 9836a
CONTRACTOR . . :NO CONTRACTOR PHONE:
MATT,TNC ADDR :
CONTR . T,T l #: EXPTRAT T ON DATE.
PARCEL NO. . . : OO i On 1 OO 7
F.CAT, DESC . . : STR 06-3O-O 1 WWII, TAX #
LOT BLOCK
DF.SCR T PT T ON OF T MPROVF.MENT: single family addition and a i teraton
) Fontina/Sethacks (Shoreline Sethack) lMnhile Home Blocking:
6"9 l�
) 'Foundation: 3J7 $'q Ag,51
Tnderground P i umh i n / inderarnund insulation :
•
i ) rraminci/r'slumhin�./'Chimney.
j Insulation : „a•-410 ?J
{ ) Sheetrock: K
) Sewage Disposal System Final :
F inai iOcci pancy A y n��al v
CALT, 3R5-9 i 41 24 HOURS TN ADVANCE. TO SCHEDULE INSPECTIONS .
Office. Hours 9 a . m. to 5 n.m.
inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for inspections.
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