HomeMy WebLinkAboutBLD1989-00052 UILDING ('ERMIT APPLICATIO,
Jefferson County Builaing DepartmentsP .O . Box 122u=°Port Townsend. WA 98368
r •
LOCATION SPECIFIC LOCATION SITE ADDRESS Q 0 �/�
L
. _
POSTAL !STRICT ( L /SUBDIVISION/ � C-
•
LEGAL DESCRIPTION LOT BLOCK DIV O TAX NUMBER
PARCEL NU ER 70709 1!/ 4 SECTION
PLANNING AREA SECTION TOWNSHIP c RTH RANGE WM
BUILDING INFORMATION
BUILDING TYPE TY E OF IMPROVEMENT SQUARE FOOTAGE
SINGLE FAMILY NEW BUILDING MAIN FLOOR
`-' 1_J MOn I LE HOME 0 A DI T ION 2ND FLOOR
❑ HOME 0 ALTERATION BASEMENT
DETACHE /ATTACHED 0 REPAIR CARPORT
G RAGE 64/401041"7 0 REPLACEMENT GARAGE
O WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL MOBILE HOMES $35
SIZE --- �.
O INDUSTRIAL YEAR
❑ HOTEL/MOTEL/DORMITORY � `p�q� $ 16
NUMBER OF UNITS MAKE � $8 �
'�
r
O OTHER - SPECIFY ESTIMATED COST OF /S c>) $8 �"! ( c�O.
IMPROVEMENTS TOTAL FASj1R�M ET VALUE
UBC OCCUPANCY GROUP $ $ ( �
SELECTED CHARACTERISTICS OF BUILDING
P INCIPLE TYPE OF FRAME
PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAME 0 ELECTRICITY 0 COLLECTI_yE'SOLAR
❑ MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS 0-COAL
❑ REINFORCED CONCRETE 0 OIL - ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DI MENS''1 ONS ,.r
❑ OTHER - NU-ER OF STORIES .c TOTAL LAND AREA
G
DEPARTMENTAL REVIEW
EALTRTMENT TYPE OF SEWAGE D I SPOSA' " I BER OF PROPOSED BEDROOMS
/.111i57A
30
O P U B L 1 C OR PR 1 VATE 1 +"����*'BER OF EXISTING BEDROOMS--
���1 ND I V I DUAL 4--5_f� � yT I C /�{ NUMBER OF PROPOSED BATHROOM'
APPROVED DATE INDIVIDUA WE L rU ------414,64INUMBER OF EX ST 1 NG BATHROOM=
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
❑ YES NAME OF ADJACENT WATER BODY
/ v //Pr
❑ 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� TEL^/ENO
OWNER ' 73�'' 7 (���..1 -37./
t:rsCI G� ,�1 .s )
CONT
STKTE L I CL.NbL. NO f
ARCH
THE OWNER OF THIS BUILDING AND THE UN ERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
NATU E F APPLI ANT A P I C7,1 ATE IRECEIPT,PWSZIER CHECK BER OR CASH
1t � ! CHECK
APPR --MX PERMIT FEES Po c , so
1 L c) BASE FEE INSPECTION
A P / BLDG SURCHARGE PLAN CHECK
JAN 3 ,1989 ENERGY SURCHARGE ( / 52)
�j $ TOTAL
JEFFryEyyRSO d COUNTY t i .1/L_/9 1 1 NUMBER REFUND DATE DA E I S UED
EMI ` DF#1'ICIAL I I / gc)�
4=7:R i 3 T3 c ().3 T\T m i.'s T TNT C-3 1= :F?T•/f-i' f
.Tef ferson County P l ann i ncg and Building Department
Courthouse, 3rd F 1 nor
PO Box 1220
Port Townsend, WA 98368
206-385-9i41
PERMIT # ('• 14LD89-0052 DATE. TSSTTFT). : 0 1 /3O/89
SITE. ADDRESS : COTTRSFV T,N
! PORT LTTfL0W. WA 98365
OWNER •CHRTS RASCWAR PHONE.: 437-9560
MAILING ADDR :ROX 56
�.
• POrr s LUDLOW WA 98.365
CONTRACTOR. . :NO CONTRACTOR PHONE
MAILING ADDR
CON-T R_ T.T C #! EXPIRATION DATE !
PARCEL NO. . . : 9 e7
/ b83 c o 2S�J�
LEGAL DESC . . ! STR 08-28-01 FWM. TAX #
iT RT K T, /f9x'4 7
DESCRIPTION OF IMPROVEMENT ! garage with plumbing
( ) Footing/Setbacks (Shoreline Setback) /Mobile Home R l oc k i no -
l i Foundation !
( ) Tlndergrcnind Plumhincg/TTnderorcn]nd Insulation !
( ) Framing/P iumhina/f himney.
( ) Tnsulat-ion •
( ) Sneetroc.k
( ) Sewage Disposal System Final :
( ) Final /Occupancy Approval !
CALL 385-91 4 i 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 Inspections :
Z L Id 3.ft v.- • 4. % gm_ el"
22.
Pile 0.( ' '
,‘ . 44' - , '
, 0
. I
f gc(
/307- # -
0
aLk-k- 'iC LArue,(Apu-e}b c.:,-.6.,
e ,
AppRov....
D 6
ihti 3 0 '''9 ----- 15 tie_ .e7e..__• ? -er,, ,,,,i
JEFFERSON COUNTY
WNW&SLOG OEVI
\b S. -
. , ....,
1 1. i
,P.--dt. (-7'0 ,-,--,•50.21,71- C-birLeLkka____
1/5 /61670.44U4 C/2 11 S.. .e.e_..e.-erl ''
71111 \I&A?-24)t- i
i (t,
—
1,7 a•- •'(
P.(j ilk i 1 (Ott UeXru-kat 1-LN '', ?el‘0 e-^-0‹. I axta ?-e_rt cm, •---- .6.3/(,,,,
\j,)T- 6 1,-, 14,,4 L a f\tti 1 rt cr ti'°,-At--0 1\., (‘. I4'j Is 0
tS
slisk.i\-(
(31(--- At4-----
-----_------------------
\ 0
33t
12.0
�a _ �--
66O
7r�
a as4 Me. C` 13o
R�S\dP�gL
�Ur hY i \7C Sc.`noh
y.., �_. 4
y � Sac. , S ^ p . 14F
a
I taW+paY�1
t jVo�"
C. T. I
I
I '
r
goo
Cj1 dr,fr:plkas L� 3'0� -
�r1PIy sPi.;.�
lnfea...—
L�G,r
O
1'6
41o„X
rn aT
3c)
1
4"x
310 0
Xb,r
I
0
:i.
te«•pkai• t�MpKet�
20'XSo
1 �I
I.;y'o
,{o°+
3'0" —
S11der ! •'I,
6'o"x
36•
(` A /
wraa
GF1
p ro pa he dl
' S{•av-ir �
OF
AWN
\ j y nar,
1 I - i_ —
$ ma ha
posfi
C�SEr�dwt
FI
f z_'x1: sky-I,y+.t
\� cj
—
Q�Q>>�uvs(,Q COr C�<t+• fJa 1G�s'J y4}%'cT S'F�1
o��4S 5 QeK2rv� n IL
I'6' x ?.'6 ` aw.I"\