HomeMy WebLinkAboutBLD1989-00029 (3U.ING • 'ERMIT APPLICATION ö
Jefferson County Building Department'P�O.BBox 1220'Po:,t Townsend. WA 98368
LOCATION SPECIFIC LOCATION SITE ADDRESS /1 0 70)1n r0 0 T� �� ��.��
(((��� POSTAL DISTRICT, `F3 /SUBDIVISION 1--02 � 11 V` A' w �
LEGAL DESCRIPTION LOT , , _BLOC)(\ DIVISION [2-) TAX NUMBER
PARCEL NUMB R -/ 'Zto q/ 1 / 4 SECTION
PLANNING AREA` _ SECTION TOWNSHIP f NORTH RANGE WM
BUILDING INFORMATION
BUILDING TYPE TYP F IMPROVEMENT SQUARE FOOTAGE
❑ SINGLE FAMILY NEW BUILDING MAIN FLOOR
❑ MOBILE HOME 0 ADDITION 2ND FLOOR
❑ MO' LAR HOME 0 ALTERATION BASEMENT
►) • • AT •ACHED 0 REPAIR CARPORT
GA- • 605 0 REPLACEMENT GARAGE /e52411
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES
❑ COMMERCIAL _____J4 a $35
SIZE
❑ INDUSTRIAL YEAR @ $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE $6 r7
NUMBER OF UNITS
❑ OTHER - SPECIFY ESTIMATED COST OF ct] $8
4
T4 IMPROVEMENTS TOTA� ` ARKET VALUE
UBC OCCUPANCY GROU $ $ '�,6��_L1�
SELECTED CHARACTERISTICS OF BUILDING
PRI CIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAME 0 ELECTRICITY 0 COLLE E SOLAR
❑ MANUFACTURED 0 WOODSTOVE SSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS 0 COAL
❑ REINFORCED CONCRETE ❑ O ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) `DIMENSIONS
❑ OTHER NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOS EDROOMS
1 ❑ P BL I C OR PRIVATE NUMBER OF TING BEDROOMS
ND I V I DUAL ( SEPTIC ) NUM OF PROPOSED BATHROOM
APPROVED DATE
❑ INDIVIDUAL WELL MB ER OF EXISTING BATHROOM___
UD TYPE OF WATER SUPPLY
.,�� ❑ PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE -
)
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
❑ YES NAME OF ADJACENT WATER BODY
tj----NO
APPROVED DATE BANK HEIGHT SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
OS NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES ❑ NO
IDENTIFICATION
g.›/71.40-00
MAILING ADDRESS ZIP TE L(/� NO
OWNER •PO Bo( c/�,S L7G�'" �'d��l✓i OJT/ . '3/
CONT �
S-IATE LIOENSt NO t
ARCH
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
,
SIG TURF OF JT APPLICATION DATE RECEIPT NUMBER I CHE7t3uM7 OR CASH
APP V BY PERMIT FE �58'7 G /` °
A P P ' ,e1 �V E D •-I:*B E FEE INSPECTION
A , ,� ` c BLDG SURCHARGE PL CHECK
I
JEfr'E(i$GN COUNTY ENERGY SURCHARGE I/W, S
TOTAL
i'IAMNING&BLDG DEFT
911 NUMBER REFUND DATE I DAT ISSUED
BUILDING OFFICIAL ��/(�
lift ` r .
NOTICE TO TITLE
Filed for the record at the request of:
Jefferson County
County Courthouse
Port Townsend, Washington 98368
When recorded, return to:
Mr. Grant Rember
PO Box 215
Brinnon WA 98320
NOTICE IS HEREBY GIVEN to Grant Rember, his heirs and assigns, and the
general public.
DESCRIPTION OF REAL PROPERTY AFFECTED: Section 34, Township 26 North,
Range 2 West, WM. Parcel #966 900 211
STRUCTURE TYPE INVOLVED: Detached Garage
ADDRESS OF STRUCTURE: 110 Morocco, Brinnon
NOTICE IS HEREBY GIVEN THAT the structure has not successfully passed
a final inspection; therefore, the building department will not and
cannot attest that the construction is consistent with the requirements
of the 1988 Uniform Building Code and RCW 19-27.
Dated this C& day of , 1992
Craig Ward Director
Jefferson County Planning and Building Department
Acknowledgement
Subscribed and sworn to before me this �/
day ofV be� , 1992 . /7
�• Cp4j�;,,
ig-/I-Z,1,2 Cei>yet%-
4„ V � C�ros Notary public in and or the State of Washington,
� Wachinntnn
A y R
F s ,r E` p 7`/9
- 941
o
•
.1- r^. r T C PINT (7, cyur i nr v
;F-si1TT.r)T34c;
Jefferson County P i ann i na and Building Department
(Courthouse, 3rd Floor
PO Box 1220
Port Tnwnspnn, WA yR368
206-3R5-q 141
STTF Ai)fRFSS . 1 1(7 MOROCCODATE TSSIJFi�.
: BRTJVNON, WA `lti.SXU
OWNRR. . . . . . . :(;RANT RF.ivJRF.R
MAILING ADDR : PO ROX 2 1 5 FHCiJ3F. -
Tan-4631
RRTNNON WA an320
CONTRACTOR. . :NO CONTRACTOR
MA T T,T NG ADDR - PHCJJdF -
•
F.XP T RATTON DATF
PARCFT, NO. . . : g6ri9OO21 1
T,FCAT, DFSC. . :STR
T.O T WM. TAX #
BLOCK
DFS(CRTPT T ON O)W T MPROVF.MRNT. detached garanp
i Fnntinn/Setbacks (Shoreline SPthack) /MnhiI Rome Blocking
:
Foundation
rin4Pr7T;-(7 d PJ)Jmhina/JJnder(yrnunci Tns))latinn
) Framing/Fiumhincr/C;himney:
i Insulation :
i Sheetrnek
SPwaoe Disposal System
Final :
i F i na 1/Occupancy, Annrova i • ---___
C=AT,T, 3rs5-9 i 41 24 Hi)JJ^. _....
rrS TN ADVANCE TO SCHFrr T,F TNSPFCTTONS .
Office Hours y a .m. to 5 p.m.
inspector ' s Hours q -
24 Hour1 (1 a .m.
Recorder for inspections.
765
, ..
..,,,
• . -
. ..
. .
,.
, .
1 ::2)
.\H
, -TA, 42t4
, .
.._
$
I t
f ,
A
)
,.
...,..
0) .. .
..„ .
,
.,.„,
V
---4....
a ,.
...,„
'ZS
a
. \ ., ..
rhs. .. ,.
0 4 „I>
1 , ,
,
3
....„„...- ,
1 .... , ',\...„.....„,*