HomeMy WebLinkAboutBLD1989-00050 L30_DING '`.'E=RMIT APPLICATION
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� ,. : s'erson County Building DepartmentMP .O. Box 1220sPort Townsend. WA 98368
111ILOCATION ��J (� (it 1��,..'0 4-(..' 6'/ i i`',vcAA---\\A t?,ram ? '
SPECIFIC LOCATION SITE ADDRESS ' /
POSTAL DISTRICT G�..� /�
/SUBDIVISIO 8/4 Vre_e_) VI '4/'
LEGAL DESCRIPTION/) J'� LOT , BLOCK DIVISIONe
�✓/qa{l 0/ PARCEL NUMBER ;�� 1/� E TAXIO NUMBER
PLANNING AREA SECTION i ' TOWNSHIP 7 RT SECTION ,,ce,,��
.-�� NORTH RANGE !-� l 6.7- WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT
[` SINGLE FAMILY L./ NEW /
SQUARE FOOTAGE /` BUILDING MAIN FLOOR 7/6
❑ MOLI I LE HOME ❑ ADDITION
❑ MODULAR HOME 2ND FLOOR
❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED 0 REPAIR
GARAGE CARPORT •
0 REPLACEMENT GARAGE
❑ WOODSTOVE LSD
0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION MOVING
NUMBER OF UNITS / INDUSTRIAL
❑ COMMERCIAL MOBILE HOMES yaff ti @ $3 5 K /VSIZE❑ INDUSTRIAL
❑ HOTEL/MOTEL/DORMITORY YEAR $ 16
$8
NUMBER OF UNITS MAKE 0-Fro VI q�
❑ OTHER - SPECIFY
����
ESTIMATED COST OF17
@ $8 �eG,I1
IMPROVEMENTS
UBC OCCUPANCY GR / u
7` $ $TOTpFf3RKET VALUE
,, c-,
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
❑' WOOD FRAME B ELECTRICITY
❑ MANUFACTURED ❑ COLLECTIVE SOLAR
❑ WOODSTOVE 0 PASSIVE SOLAR
0 STRUCTURAL STEEL 0 GAS
0 REINFORCED CONCRETE 0 OIL 0 COAL //��
❑ MASONRY ( WALL BEARING ) 0 OTHER - SPECIFY /et /9//
❑ OTHER DIMENSIONS
NUMBER OF STORIES i" TOTAL LAND AREA./9
DEPARTMENTAL .REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
A/%yL [ PUBLIC OR PRIVATE NUMBER OF EXISTI JG BEDROOMS
APPROVED DATE
0 INDIVIDUAL ( SEPTIC ) NUMBER OF PROtOSED BATHROOM
0 INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
PUBLIC ( NAME OF WATER SUPPLY) /--4, J k E!.-, _ )
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION ~
❑ YES NAME OF ADJACENT WATER BODY
0 NO
APPROVED DATE BANK HEIGHT
SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF- WAY WIDTH 3 C, '
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE 1 ROAD ACCESS PERMIT REQUIRED
❑ YES ❑ NO
IDENTIFICATION
NAME
MAILING ADDRESS D R E S S OWNER ZIPTEL NO
{P072 R eSoctre fo0 fi l �/ 'Se, a__:' glr .4-4 ri i .•Ai ,► 3 D/
CONT p} j /2JJLGst1 a �.
I tt �� S Ar L I CERS'1:" NO
Popp_ 1a..3<aq1 1
RCH
rHE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
t GNh OF .TIP CI\NT
K.,- APPLICATION DATE RECEIPT NUMBER CHECK
�� NUMBER OR CASH
APPR V Y'* v PERMIT FEES
A P P ( (71. BASE FEE
INSPECTION
JUN 1 2 89 j. `' D BLDG SURCHARGE
PLAN CHECK
JEFFERSON COUNTY / •7 `- t/ ENERGY SURCHARGE $ /
PLANNING &BLDG DEPT ! TOTAL
( 0 ' C 9 1 1 NUMBER REFUND DATE D T IS UED
BUILDING OFFICIAL � � �
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Jefferson County Planning and Building Department
Courthouse, :3rd Floor
PO Box 1220
Port Townsend , WA 98 3 IS
205-355-9141
PERMIT # •RT,D89-OO50 DATE TSSUED. :06/12/89
SITE ADDRESS : 91 MARINER PT,
:PORT T,UDLOW. WA 98 365
OWNER •POPE RESOURCES PHONE:
MAILING ADDR : 70 BREAKER VANE
:PORT LUDLOW WA 95365
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR :
CONTR . LTC #: EXPIRATION DATE:
PARCEL NO.. . . :93 1 90001 1
T,E(;AT, DF.SC . . :STR WM. TAX #
LOT . BLOCK
DESCRIPTION OF IMPROVEMENT: single family residence
( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Insulation :
( ) Framing/Plumbing/Chimney-
) Insulation :
1 Sheetrock:
) Sewage Disposal System Final :
( ) Final /Occupancy Approval :
CALL 385-9141 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a . m. to 5 p.m.
Inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.
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