HomeMy WebLinkAboutBLD1989-00034r : --.
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BUILD , 'ERMIT APPLICATION
Jefferson County Building Department•P .O . Box 1220.Port Townsend . WA 98368
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LOCATION \yy4v0- --
POSTAL SPECIFIC LOCATION SITE ADDRESS/ DISTRICT /SUBDIVISION �'�
LEGAL DESCRIPTION LOT . BLOCK DIVISION 3 TAX NUMBERU
PARCEL NUMBER 1 / 4 SECTION
PLANNING AREA SECTION/ TOWNSHIP 2D NORTH RANGE WM
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BUILDING INFORMATION
BU ING TYPE TYP OF IMPROVEMENT SQUARE FOOTAGE Th m
SINGLE FAMILY NEW BUILDING MAIN FLOOR `�,(
❑ MOBILE HOME 0 ADDITION 2ND FLOOR // ,•
❑ MODULAR HOME 0 ALTERATION BASEMENT ✓ t.
❑ DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE �e
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES
❑ COMMERCIAL SIZE /444L0 a $35 4/���
❑ INDUSTRIAL YEAR q� $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE 45'C /L- @ $S
NUMBER OF UNITS
❑ OTHER - SPECIFY ESTIMATED COST OF &V 0 @ $B C '"
/-X,
IMPROVEMENTS TOTA AIR MARKET VALUE
UBC OCCUPANCY GROUP $ 1()
SELECTED CHARACTERISTICS OF BUILDING
PR CIPLE TYPE OF FRAME PRIN PLE TYPE OF HEATING FUEL
WOOD FRAME ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS 0 COAL
❑ REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS
.�f❑ OTHER
NUMBER OF STORIES / , TOTAL LAND AREA{ • pi--
DEPARTMENTAL REVIEW
H5ALT DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS -)
/ ' ❑ P IC OR PRIVATE NUMBER OF EXISTING BATHROOMBEDROOMS
/
�/ INDIVIDUAL ( SEPTIC )
NUMBER OF PROPOSED / ,
A PROVED DATE ❑ INDIVIDUAL WELL _ NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
❑ P LIC ( NAME OF WATER SUPPLY ,T
APPROVED DATE PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
O 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
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO
IDENTIFICATION
-- NAME MAILING ADDRESS ZIP T E L NO
OWNER /yVmO /e ` ( -/ - ��3
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CONT -W-
STATE LICENSI NO 1
ARCH
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/// THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
S IS. 1/}TUR �{-AP,f'GI` rNT 1 % AT�NDATE I RE I_PT Ni1MBER CHECK NUMBER OR CASH
sIIJ� t(�C�/i// / 5 ��l}—r-)r UJ� r `mil/'/� //'�I / CC
SAPPRO1 B PERMIT FSZ13 / 3W /� I /, L'/(7n �����
f� BASE FEE ((((CC//// ! I NSl/P/EEC(T ION
A P V I,
'� BLDG SURCHARGE PLAN CHECK�
AY 2 1989 //G�...J ENERGY SURCHARGE — � C�Ti J
AL
JEFFEM f,QUNp / 0 `— 9 1 1 NUMBER REFUND DATE r DAT ISSUED
PLANNING k tugy
BUILDING''C7tbftEfC1AL
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Jefferson County Planning and Ru i i ri i ng Department
Courthouse, .srd Floor
PO Box 1220
Port Townsend , WA 98368
2O6-3A5-q 1 41
PERMIT # •RT.D8q-0034 DATE TSSUED. -05/22/Sc
SITE ADDRESS - 7 1 SAN JUAN DR
: PORT TOWNSEND, WA g8368
OWNER - STEVEN ANTHONYPHONE ! 883-582zs
MAILING ADDR : PO BOX 1 5 1 5
PORT TOWNSEND WA 98368
I ONTRACTOR. . :NO C0NTKACTOK PHONE.
MAILING ADDR :
CONTR. LTC 4.! EXPIRATION DATE. -
PARC:F.T. 1'VO. . . - y3A4OJOf'9 1 0 ---
LEGAL DRSC. . - STR i3-30-02 WWM, TAX #
LOT 10 STOCK CAPE GEORCE n T V .'S
DESCRIPTION OF IMPROVEMENT: single family residence
( ) FootinaiSetnacks (Shoreline Sethack) /Mohile Home Rlockino
f ) Foundation !
i tinderaround P lumhing/iinderarrnind Insulation !
) Framing/P iumhingr/Chimney.
i ) Insulation !
) Sheetrock
) Sewage Disposal System Final :
abi/4,0
) Final /Occupancy Approval : �— - —
/05p/
CALT. 555-g141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS .
Office Hours a a .m. to 5 p. m.
inspector ' s Hours y - 10 a .m.
24 Hour Recorder for inspections.
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