HomeMy WebLinkAboutBLD1989-00045 l
BING ERMIT APPLICATION
o .0 . Box 1220•Po"1, Townsend . WA 98368
Jefferson County Building Department P .
•
LOCAPr
TION r
r �t Kb .
SPECIFIC LOCATION SITE ADDRESS ��', J 1 c lc-t TT e1
POSTAL DISTRICT /SUBDIVISION (-il eG ER.`IA. N
LEGAL DESCRIPTION LOT i BLOCK DIVISION TAX NUMBER
PARCEL NUMBERC/# G 3 / !2 0 0 0 3 1 / 4 SECTION,
PLANNING AREA
SECTION ' TOWNSHIP 30 NORTH RANGE L. WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
SINGLE FAMILY ❑
NEW BUILDING MAIN FLOOR f" `(. `"
❑ MOBILE HOME DI ADDITION 2ND FLOOR
❑ MODULAR HOME 0 ALTERATION BASEMENT
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE
❑ REPLACEMENT GARAGE 12. L,
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL ,
NUMBER OF UNITS MOBILE HOMES ii )❑ COMMERCIAL Nk,4,- -=-- LA @ $3 5 1l)
(7> (7n
SIZE
❑ INDUSTRIAL YEAR �) q� $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE —1 '7 r,% V @ $8 <� ` .(NT
NUMBER OF UNITS
OTHER - SPECIFY 0 2 $8
i ESTIMATED COST OF
C��� � i1�D'a �`�"`i Q IMPROVEMENTS TOT �. FA_I MARKET VALUE
UBC CCUPApCY GROUP,j $ 1s c, C";,c;, ... C; 3 $ - "y
L k o,,.., �t,w�(Cc 1&.-�. 8Q c.1 j /7
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF HEATING FUEL
PRINCIPLE TYPE OF FRAME
O WOOD FRAME K ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS ❑ COAL ,t. '� D 14. t �:
O REINFORCED CONCRETE ❑ OIL 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING ) DIMENSIONS 3PC. ISO
❑ OTHER - .„ NUMBER OF STORIES =4w, TOTAL LAND AREA 2VC./C Si Cr
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSFO BEDROOMS 0
❑ PURL 1 C OR PRIVATE NUMBER OF EXISTING BEDROOMS �-
7sI ND I V I DUAL ( SEPT 1 C ) NUMBER OF PROPOSED BATHROOM C
APPR VED DATE WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY) P ii\ r) I
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
�jF 10 ' A' YES NAME OF ADJACENT WATER BODY
b t S- C ivt- E(C ' i j ,- Y
CAI\\Vv 0 NO //�� ,( vv. hx gZ�
APPROVED DATE -' BANK HEIGHT 5-it J t SETBACK 41V�t .6-j d Il rt
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH :2, 1
NAME OF PUBLIC ROAD R&. c i 1. 7. T P'vrALT'
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES
Iiiy` rJ0
IDENTIFICATION
1 ♦
MAILING ADDRESS ZIP TEL NO
1 NAME
-/" VV OWNER -T r, b
rc� .�
�` C O N T (,ti,'t L i R-E D j,Z<F c G iT-Z12 ._ '
J , STATE LICENSE TVS
1
ARCH V>ILt-RErts L 'RCEi_ER.
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
SIGNATURE OF APPLICANT APPLICATION ��E � RECEIPT� NUMBER � CHECK T����R CASH
- ��, 3 1 1 '
PP V BY ,..\\ PERMIT FEES
`\ r)', U`r\\l BASE FEE INSPECTION
A P \ \ \3 JBLDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE $ `'9, 1 0r \)� TOTAL
UN 8 1989
911 NUMBER REFUND DATE 16;;SFDT
pp��.rIqyEFF��EyyNSQN COUNr1�
BU1�L"O (d(5I VCIAL
' t- 5 6 / 1
. TFFF'F R C7N ' t-7.7C7TTNT'Y Ri`7T T.17T NCB FF.RMT T
II
Jefferson County Plannincr and Building Department
Courthouse; 3rd Floor
PO 'Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT # •RLD89-0045 DATE ISSUED. ! OFi/08/89
SITE ADDRESS- 830 RECKETT POINT RD
!PORT TOWNSEND, WA 98368
OWNER •WTLFRF.T) WACHTF.R PHONE
MATLTNG ADDR : 830 REC KF.TT POINT RD
!PORT TOWNSEND WA 98368
CONTRACTOR. . -NO CONTRACTOR PHONE-
MATLTNG ADDR
CONTR. LTC #- EXPIRATION DATE.-
PARCEL, N0. . . : 931920003
LEGAL DESC . . - STR 23-30-02 WM. TAX #
LOT 1 . BLOCK
DESCRIPTION OF TMPROVEMENT! single family residence addition
sinrrie family residence addition
( ) Fontinc/Sethacks (Shoreline Sethack) /Mohiie HnmP Blocking!
( ) Foundation -
( ) Underground PiumhinU/Underground Tnsuiation
( ) rFramincr/Plumhincr/Chimney:
( ) Insulation !
( ) ShPPtrock-
( ) Sewage. Disposal System Final
( Yin /Occupancy Apprrno ,_ ljt •-
CALL 385-91 41 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a .m. to 5 p.m.
Inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for Tnsnect i ons.
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