HomeMy WebLinkAboutBLD1989-00028 LUILDING RMIT APPLICATION
Jefferson County Building Department P
O ' BoxT1220oPort To end . WA 98368
OCAT 0 • '�,,,.//�(L �- .
SPECIFIC LOCATION SITE ADDRESS POSTAL DISTRICT all
/SUBDIVISION
�
BLOCK
IVISION�TAX NUMBER
LEGAL DESCRIPTION LOT PARCEL NUM ER DO 1 / 4 SECTION fi.
WM
SECTION
TOWNSHIP NORTH RANGE �_
PLANNING AREA
BUILDING INFORMATION
BUI DING TYPE TY E OF IMPROVEMENT SQUARE FOOTAGE
��
�1.....LL//--
SINGLE FAMILY NEW BUILDING MAIN FLOOR ADDITION 2ND FLOOR �.. "�"
❑ MOf.I i LE HOME 0 BASEMENT _�---
0 ALTERATION CARPORT
GA
❑ MODULAR HOME REPAIR
❑ DETACHED/ATTACHED 0 REPLACEMENT GARAGE
GARAGE 00 WRECKING/DEMOLITION COMMERCIAL
❑ WOODSTOVE INDUSTRIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING 0NUMBER OF UNITS MOBILE HOMES �� �. $35 cJC
❑ COMMERCIAL S I ZE 11�� L�� (��
ems' 4
❑ INDUSTRIAL
YEAR lo�l,�^�-r� @ $ 1 6
KOL
❑ HOTEL/MOTEL/DORMITORY MAKE $8
NUMBER OF UNITS -^� 01 $8j f
❑ OTHER - SPECIFY ESTIMATED COST OF
IMPROVEMENTS TO L AIRR MARKET VALUE
UBC OCCUPANCY GROI $
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF HEATING FUEL
PTINCIPLE TYPE OF FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR
- WOOD FRAME PASSIVE SOLAR �`
0 WOODSTOVE 0
O MANUFACTURED 0 COAL �/e<f`6(4,..'
❑ STRUCTURAL STEEL Er-GAS
❑ OIL ❑ OTHER - SPECIFY I77-41-
❑ REINFORCED CONCRETE
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER NUMBER OF STORIES _
TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF EXISTIED BEDRC30AlS-_
-, ` - .
��� ❑ P BL1C UA PRIVATE !_
(t SEPTIC ) NUMBER OF PROPOSED F3A7IiROC�f,1
A\ 1 � �DIVIDUAL
APPROVED DATE ❑ I ND I V l DUAL WELL NUMBER OF EXISTING BATHROO[,l
PUD TYPE OF WATER SUPPLY
PUBLIC ( NAME OF WATER SUPPLY¢_.
APPROVED DATE
PRIVATE ( NAME OF WATER SUPPLY ._
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 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 NO
DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑
IDENTIFICATION z_ I P TEL N—
MAILING ' O
D R E S S
N ME _
O W NERrilIIN IIIIIM •�
CONT - ' •
ARCH
rHE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL CHECKI APPLICABLEI,� LAWS,
F APP ICATR PT NUMBER• 3EQrPLICANT 01 - - O ✓)
PE MIT EE3 /
AP \to�' � V� �Y j� INSPECTION
✓ BASE FEE
A P PLAN CHECK
� BLDG SURCHARGE VV
PR 1 4 1989 \ 1G. , V O ENERGY SURCHARGE „..-------TOTAL
JEFFERSON COUNTY r 9 1 1 NUMBER REFUND DATE DA AO
&BLDG DEPT ♦ i5
BUILDING OFFICIAL (.
'0 ` 1 -� /()
r y
.Tr.F'FPRR5.7; CINT C )TTPTI7 Y FT7T 7".TiiT TvTC R-F.RTvfT `ice
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend WA gR36B
20E -3R5-y 1 4 1
. PERMIT # - RT,f)R9-002R DATE ISSUED. : O4.%1 4 89
S T TF. Aflurcr.; - • 31 COMES PT.
PORT TOWNSEND . WA 9R368
OWNER • R T CHAR i) NELSON PHONE !
✓iATT.TNC ADDR : 3 i COMRS Pf,
! PORT TCOWNSEN) WA gR36S
CONTRACTOR . . :NO CONTRACTOR PRONE!
MATT,TNC ADDR :
CONTR . LTC #! RXPTRATTOiv DATE
PARCEL No. . . - 002244003 II
T.F.GAT, i)FSC . . - STR 24-30-02 WWM, TAX #
T.OT RT.00K
DESCRTPTTON OF IMPROVEMENT- single family residence
i ) Footing/Setbacks (Shoreline Setnark) /rvioni ie Home Blocking!
i , Foundation !
i Underground Plumbing/Underground insulation !
) Framing/Plumbingr/Chimney-
i Insulation -
i Sheetrock•
) Sewage Disposal System Final -
i p<F i na l/Occupancy Approval ! 1 Q Z f� C� / R Al
CAT,T, 385-9 1 41 24 HOURS T N ADVANCE TO SCHEDULE TNSPECTTONS .
Office Hours 9 a .m . to 5 p.m.
inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for inspections.
112.
1 t.
0 •
. •
07
- -
c......t.,
..s.
.,...
1
c./ 1
1 -
0
o
.............,______ _,........
c--
.1401101.4..11944.4•411'.1141441.1.011.012,..4.11.16(4414444.4 4 lVt. 44044,40.0 44. .
"N
f C'S! ...
NIIIIP --7-
1, ,14.)
4:
o
le
—i •
I , LO
i
..
i i 0 I j / ..s , .„,. i 1
1
....){ ..4. ...I i;
1
.
. . i.
- t
_....
, . ....."
-.-
t
I , t
i
i
I ,
If
//
.-
,—
_,,.. I
. ,....,,,,..... ___
c.) _....
-i
''''''.-,,„.,\•"\)....ix:_ '''''',..,. ,-........
\AL?'
\ r, \
.... ..."
.4 N
1' 3 \I
IX I
; I