HomeMy WebLinkAboutBLD1989-00048 . LDING ,,TRMIT« APPLICATION
Jefferson County B ding Department.P .O . Box 1220 ort Townsend. WA 98368
LOCATION
SPECIFIC LOCATION SITE ADDRESS -
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISION TAx NUMBER
PARCEL NUMBER , .`)„"-, 3 1 / 4 SECTION
PLANNING AREA SECTION iJ TOWNSHIP , -f n/ NORTH RANGE / i, WM
BUILDING INFORMATION
BUILDING TYPE TYPE" OF IMPROVEMENT
SQUARE FOOTAGE
❑ SINGLE FAMILY 0/NEW BUILDING MAIN FLOOR
0 MOOILE HOME ❑ ADDITION
2ND FLOOR
0 "OULAR HOME ❑ ALTERATION BASEMENT
DETACHED/ATTACHED ❑ REPAIR CARPORT
AIQAGE ❑ REPLACEMENT �,� x/�
GARAGE / `� ( �L/
❑ WOODSTOVE ❑ WRECKING/DEMOLITION ( COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL MOBILE HOMES
❑ INDUSTRIAL SIZE 0 q� $35
0 HOTEL/MOTEL/DORMITORY YEAR 0 @ $ 16
NUMBER OF UNITS MAKE---- ����})''ffi� q� $B 5o���/�
0 OTHER SPECIFY ESTIMATED CAST OF _� a� $8 6r/CJU l
IMPROVEMENTS IOTA +FA MARKET VALUE$ elt
UBC OCCUPANCY GROUP $
SELECTED CHARACTERISTICS OF BUILDING
PRI ( PLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL.,„
n WOOD FRAME ❑ ELECTRICITY ❑ COLLE_G TVE WSOLAR
❑ MANUFACTURED 0 WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS ❑ COAL
❑ REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
❑ MASONRY ( WALL BEARING )
❑ OTHER DIMENSIONS
NUMBER OF STORIES,_ -r TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROrOSED B ROOMS
/ L/ // — ❑ P L I C OR PRIVATE NUMBER OF Exl BEDROOMS
AIE-✓✓✓ 1 D I V 1 DUAL ( SEPTIC ) NUMB_ERQF- OrOSFD BATHROOM
APPROVED DATE
ND I V I DUAL WELL NUM ER OF EXISTING BATHROOM
w T,.,
P U D
TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE ❑ PR ATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WIT IN SHORELINE JURISDICTION
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 ❑ yES ❑ NO
IDENTIFICATION
NAME •--�..�..
MAILING ADDRESS ZIP TELNOfNERI < \ "7;/ �/ / ( h / ' 6c✓O N T �
STATE LTR-'EA3I: NO I .._. �,
iRCH
1
HE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS,
I'` '—"AT 0 PLICANT APPLICATION DATE RECEIPT NUMBER CHECK NU ER OR CASH
1 /4 ;) i
ROVED BY PERMIT ' EES
L BASE FEE
•.v9 s` t NSPECT 1 ON
4 Q ' r
•
BLDG SURCHARGE PLAN CHECK
" i+Vy
.., ENERGY SURCHARGE
~/ ` L
911 NUMBER REFUND DATE J DAT xFTA
BUILDING OFFICIAL /
04
V a
_TR-.—W -F:RS (-3iiT ( C3tTTrr"s ' RtTT T.T)T T\TC r'�- FR1VPT "T
Jefferson County Planning and Building DPnartment
Courthouse, 3rcl Floor
PO Box 1220
Port Townsend; WA gR38R
208-3R5-g141
PERMIT # •RLDR9-OO4R DATE TSSTTET). !Ofi/O1 /R9
SITE ADDRESS : 240 BEACH DR
NORD ,AND. WA gR35R
OWNER •TTM MC CLFLT,AN PHONE: 385-3603
MAILING AT)T)R : 24O REACH DR
-NORi3T.ANT) WA 9835R
CONTRACTOR . . !NO CONTRACTOR PHONE :
MAILING AT)T3R '
CONTR . LTC #• EXPIRATION DATE
PARCEL NO. . . : 952200003
T,EGAT. TSESC. . :STR 08-28-01 EWM. TAX #
LOT . BLOCK
1-
DESCRIPTION OF IMPROVEMENT! dPtachPd aaraoP 0 . l „A, cf bAA
( ) Footingr/Sethacks (Shoreline SPthack) /Mnhiie Home Riockintr
( ) Foundation
( ) Underground Plumhino/Tlnderjround Insulation -
( ) Framincr/P1umhing/Chimney!
( ) Insulation !
( ) ShPetrock-
( ) Sewage Disposal System Final :
( )(Final/Occupancy Approval :
CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS .
Office Hours q a.m. to 5 p.m.
Inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.