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Home My WebLink AboutBLD1989-00051 -fret li ) PL N C- 4'' BUILDING - 'ERMIT APPLICATION P1-411/ 4 Jeffers1Cr "Co ty Building Department•P .O ; Box 1220•Port Townsend . WA 98368 LOCATION / ^ SPECIFIC LOCATION SITE ADDRESS l / Ad aR t[ieR 10L• �10 63 POSTAL DISTRICT /SUBDIVISION 84-y U+ 'moo VI e.--/ L GAL DESCRIPTION LOT IL-BLOCK DIVISION TAX NUMBER 1 6/41V V/ PARCEL NUMBER 1 / 4 SECTION PLANNING AREA SECTION / ' TOWNSHIP `'Rrc NORTH RANGE r.7:7 WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE FI7/i • SINGLE FAMILY 0 NEW BUILDING MAIN FLOOR f ❑ MOBILE HOME 0 ADDITION 2ND FLOOR • ❑ MODULAR HOME 0 ALTERATION BASEMENT �� ❑ DETACHED/ATTACHED 0 REPAIR CARPORT�,..edk GARAGE 0 REPLACEMENT GARAGE C(.2 ❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE HOMES ❑ COMMERCIAL SIZE / 4-0 a $3 5 C 0101p'n O INDUSTRIAL YEAR 0 a $ 16 i- ❑ HOTEL/MOTEL/DORMITORY MAKE q(a,� I @ $8 cczsY) NUMBER OF UNITS ❑ OTHER - SPECIFY =OF n Ci CA @ $8 1O �k ESTIMATED COST IMPROVEMENTS $OTA /FA Ir t�IIJtRKET VALUE 1 UBC OCCUPANCY GROUP. $ r( ( Lr SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL O WOOD FRAME 0- ELECTRICITY 0 COLLECTIVE SOLAR ❑ MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR ❑ STRUCTURAL STEEL 0 GAS 0 COAL l� j/ ❑ REINFORCED CONCRETE 0 OIL ❑'"OTHER - SPECIFY //C41e_c O MASONRY ( WALL BEARING ) DIMENSIONS ///` // ❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA ('�/!fir DEPARTMENTAL REVIEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS c ® PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS i, ❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM APPROVED DATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM ) PUD TYPE OF WATER SUPPLY ❑ PUBLIC '( NAME OF WATER SUPPLY) Lu t Lou) OJaT&' APPROVED DATE 0 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 ❑ YES ❑ NO IDENTIFICATION NAME Q� �/` n!/' MAILING V`7ADDRESS/ ZIP T E L NO OWNER ' Pope_ eso�lclizo / a P t �J"' Ica,: . s •-q,5 _ 4DI C O N T -p®9e_.-' _______ ,it- _q'' ARCHf r THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. SIGNATURE OF APPLICANT APPLICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH , APPROVED BY PERMIT fFEFrS lJUyH I, BASE FEE INSPECTION 3,57) BLDG SURCHARGE PLAN CHECK S,.-( t) ENERGY SURCHARGE $ 519 c,„;r, TOTAL --16-L-0 911 NUMBER REFUND DATE DATE ISSUED BUILDING OFFICIAL ♦ • (3UIL•4G ('ERMIT APPLICATION a /6 — 6- J fferson County Building DepartmentsP ,O. Box 1220'Port Townsend. WA 98368 ;1. Lit ( o NOCAT i ON - C mil • Pt—. ; — ,g SPECIFIC LOCATION SITE ADDRESS `POSTAL DISTRICT /SUBDIVISI� �4pr- ie�,� _to LEGAL DESCRIPTION LOT BLOCK DIVISION j1 ^S / TAX NUMBER PARCEL NUMBER g2 1 / 4 SECTION /PLANNING AREA SECTION �`r TOWNSHIP 7 2 NORTH RANGE 8. WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT [3' SINGLE FAMILY SQUARE FOOTAGE [�"NEW /BUILDING MAIN FLOOR / 734.❑ MOBILE HOME ❑ ADDITION 2ND FLOOR T-3 k ❑ MODULAR HOME ❑ ALTERATION BASEMENT ❑ DETACHED/ATTACHED ❑ REPAIR CARPORT? e d- 3/ GARAGE 0 REPLACEMENT GARAGE C—C'❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL ❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS ❑ COMMERCIAL MOBILE HOMES / ❑ INDUSTRIAL SIZE @ $3 5 67C 7�2e) 0 HOTEL/MOTEL/DORMITORY YEARS $ 16 / D NUMBER OF UNITS MAKE 'zz.Z- / 0 @ $8 /E ❑ OTHER - SPECIFY t �^ G ESTIMATED COST OFI $8 V UBC OCCUPANCY GROU $MPROVEMENTS TOTAL FAIR M RKET VALUE UBC OCCUPANCY GRO25 SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL WOOD FRAME (J ELECTRICITY 0 COLLECTIVE SOLAR ❑ MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR ❑ STRUCTURAL STEEL ❑ GAS 0 COAL ❑ REINFORCED CONCRETE ❑ OIL 0 OTHER - SPECIFY ❑ MASONRY ( WALL BEARING ) ❑ OTHER DIMENSIONS NUMBER OF STORIES TOTAL LAND AREA : ,0-; ; DEPARTMENTAL 'REVIEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS /0/f E" PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS r7 r APPROVED DATE 0 INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOT+,' ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM PUD TYPE OF WATER SUPPLY / �� JJ � 9- PUBLIC ( NAME OF WATER SUPPLY) /P/•L.Gta _01.t) W -7 , APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY PLANNING DEPT . WITHIN SHORELINE JURISDICTION mmammmm 0 YES NAME OF ADJACENT WATER BODY NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH 3,0 ' NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO IDENTIFICATION NAME O W N E R MAILING ADDRESS Pope- Ce. c ('►�1 loa eS-Q.. MI f .-I / "L �K36,5 1437,-Io7 CONT Sa.me, TE LTtENSE �io op,- /�3 t ARCH i'HE OWNER OF THIS BUILDING AND THE I UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS, �TUIE O17.„F., 1 CANT A ,%i%JJ��JJ``' / T�.O�j'1]r'DATE RE �PTlNUMBER CHECK NUMBER NUMBER OR CASH Lr�P P R . G% ( ! y -. L ' J' 0 0 3 I *Jl ��LCJ '�VED B. 1 PERMIT FEES �� I53/.c)1) BASE FEE A INSPECTION . 3 BLDG SURCHARGE / PLAN CHECK U UN 1 89 l0/5 a ENERGY SURCHARGE (p / $ `,_�� -VV� TOTAL ANMW3 r7N 1111 ( 9 1 1 NUMBER WI.nNNINr, g pG�7 E�, i REFUND DATE C7E7UED BUILDINL 7 • 8381 8132 8383 8384 t C.- r LA N cri 8392 839 8385 386 e390 8389 w ' 8380 I\\ e‘e 1138}.2 cn ri cv(;1 Ui cn m FOP 6? tv- 1( L 6-1" ILL Rct,k/ VIP 1,1 -2.D In llac, e_ Pc_)1-1— I— L In, Si \?/.114" 0, 0...> Y.> •0..> c.))v • • Nfo 19• •CV?' .-T F.li~F'F:T� T C f-3 t T NT'T'ST T t T T T.T3 T i\T t; F3 F:1 .64 T 'T' Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend , WA 9i336R 2O6-385-9 i 41 PERMTT # •BT.DR9-0051 DATE TSSUF.D. •06/1 2 /59 STTR ADDRESS : R1 MARTNRR PT. PORT T,UDT,OW, WA 98365 OWNER - POPE RESOURCES PHONE MATT.TN(, ADDR : 7O BREAKER LANF. :PORT T.UDT.OW WA 9i3355 CONTRACTOR. . :NO CONTRACTOR PHONE MATLTNG ADDR CONTR . T.TC #• F.XPTRATTON DATE: PARCEL NO. . . : 821 1 Fi LE(AT. DF.SC . . - STR WM. TAX # LOT . BLOCK DESCRTPTTON OF IMPROVEMENT: single family residence ( ) Footing/Sethacks (Shoreline Sethack) /Mohiie Home Blocking- ( ) Foundation ! ( ) Underground Plumbing/Underground Tnsuiation ( ) Framing/Plumbing/Chimney! ( ) Tnsulation ! ( ) Sheetrock: ( ) Sewage Disposal System Final ( ) Final /Occupancy Approval - CALL 385-9141 24 HOURS TN ADVANCF. TO SCHEDULE TNSPECTTONS. Office Hours 9 a .m. to 5 p.m. Tnspector ' s Hours 9 - 10 a .m. 111 24 Hour Recorder for Tnspections. r-- -40tCLO 4 - - //-ts,y,4-f.,-, .__ cr-t-atAit__ -----61‘- ,---,s0.-- ,, -.7--- 7./. //4 — Prvi-te-/ — , /t 1 i