HomeMy WebLinkAboutBLD1989-00055 .T-F -F r.R:; C)7'Ti' c CI- TT'J`i' ST' RTi7T T.T)T TJC rT 1~.RT'4T `7
Jefferson County Piannina and Ruiiding Department
Courthouse: Srd Floor
Pig Box 1220
Part Townsend, WA 98368
.206-385-9141
PFRMT-T # • R D89-nn55 T)ATF. TSSiir.P. : 07/26/FSq
S T TF AT1T)RF.SS • :372O F QtiT T,CFNF RT)
:QUTLCFNF . WA 98376
OWNFR -RR T AN BARKER PHONE : 228-9302
MATLTN( ADDR • 1 633 KFNNF.W T CK CRT SF
RFNTON WA 98055
CONTRACTOR . . :NO CONTRACTOR PHONF
MATLTNG AnnR
CONTR. LTC #- FXP T RATTON DATE:
PARCF.T, NO . . . : 7O1 :31 i OO4
T,FCAL T)FSC . . ' STR 1 -2 1 -O i WWiV1. TAX #
LOT RT,OCK
)FSi RTPTTON OF TMPROVFMF.NT : detached garage
( ) Fontincr/Sethacks (Shoreline Sethac:k) /Mnniie Home Rinnkincr-
i Foundation -
ilndercrrround P i umh i na/iinderc round insulation :
( ) Framing/Piumhingr/Chimney.
( ) insulation :
( ) Sheetrock
( ) Sewage Disposal System Final :
( ) Final /Occi ancy 'pnr vai !
CALL 385-91 41 24 HOURS TN ADVANCF TO SCHF.DIILF. TNSPFCT T ONS .
Office Hours y a .m. to 5 n. m.
inspector ' s Hours q - 10 a . m.
24 Hour Recorder for inspections.
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L3UTI DING 'ERMIT APPLICATION ' N
Jefferson County Buildip•Department®P .O . Box 1220++I•t Townsend. WA 98368
LOCATION /--��
SPECIFIC LOCATION SITE ADDRESS `3 707 V ' P , ( )) rc.(on e-
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBER 8
PARCEL NUMBER 701 -„5I t Q9 1 / 4 SECTION PLANNING AREA SECTION H J1 TOWNSHIP f NORTH RANGE ! ( WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
❑ SINGLE FAMILY ❑ NEW BUILDING MAIN FLOOR
❑ MORALE HOME ❑ ADDITION 2ND FLOOR O
MODULAR HOME)4
ALTERATION BASEMENT
DETACHATTACHED ❑ REPAIR CARPORT
GARAGE/5HE.Od U REPLACEMENT GARAGE
❑ WOODSTOVE p�4.A. 1❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY ----- ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
MOBILE HOMES
❑ COMMERCIAL 0 a $3 5
SIZE
❑ INDUSTRIAL YEAR W @ $ 16
• HOTEL/MOTEL/DORMITORY MAKE � 1(J 0 @ $8 LI) 2.0
NUMBER OF UNITS
❑ OTHER SPECIFY ESTIMATED COST OF a $a
IMPROVEMENTS TOTAL FAIR MARKET VALUE
UBC OCCUPANCY GROUP „ $ $
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
`g WOOD FRAME 2ELECTRICITY ❑ COLLECTIVE SOLAR
T❑'`MANUFACTURED ❑ WoODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS ❑ COAL
❑ REINFORCED CONCRETE U OIL ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS / �' ,.,
❑ OTHER - ... NUMBER OF STORIES TOTAL LAND AREA ' ;
DEPARTMENTAL REVIEW
HEALTH, DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
tJ
r( ((j` l ❑ PUBLIC OR PR I VATE NUMBER OF EXISTING BEDROOMS
u�v I ND I V I DUAL ( SEPT 1 C ) NUMBER OF PROPOSED BATHROOM
APPROVED DATE I ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE or WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
K. YES NAME OF ADJACENT WATER BODY
ex(c�L
VI 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 TEL NO
OWNER '
,(3ri al_sPa r er- , 1(03?) Keay r1 Pw(ck, C c . , , �( 5 9_2(v
CONT �Pj�
11r1-X'T M L T'C 1'•1T E rfl5
ARCH
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
" IGATUt)E OF APP CA T APPLICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH
a
v ,
'''A ' OVED BY PERMIT FE _S
4 p / OR . ( BASE FEE INSPECT ION
V (� •50 BLDG SURCHARGE PLAN CHECK
89 ENERGY SURCHARGE $ 15 50 TOTAL
JEEFERSON COUNTY - REFUND DATE DAT ISSUED
14441�IN6 'MO b f fl 9 1 1 NUMBER
BUILDING OFFICIAL /
bL Y —C `. H 7/5
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JEFF COUNTY ____
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HEALTH : -- .__._ Q }C-.CEVJ E A
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903 E. Caroline OLYMPIC HEALTH DISTRICT Permit No. 3't Port Angeles, Wash. SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate' Builder
Courthouse /�
Port Townsend, Wash. is l ,(,`
S/EF' ef .6a0 _ /V 5-6--C., o°t Qc,N ^!�. S e ez t//Late // 3/G+�
OWNER ADDRES • PHONE'�y /p
DIRECTIONS FOR ING SITE ,� '� d eJ" '' 3cZ /7
APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM I" REPAIR EXISTING SYSTEM
PE 0 IL,D NO. IEDROCt4S BASEMENT/ /SITE IZE N
„ � li�JSTALLER
DRAINFIELD LENGTHV4O WIDTH DEPTH - -`
#LINES ) SEPTIC C TANK SIZE C 1 a-C
DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE
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ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS
' PERMIT UNLESS PRIOR APPROVAL OBTAINED FRC1 THE HEALTH DEPARTMENT.
�� STALLATION
SIGNATURE OF APPLICANT_ ,�c �' 1 t (C
APPROVED DATE 30c, INSPECTED BY ✓
r�,'`mil �,uy.1.1 ATE J
SANITARIAN'S COMMENTS: J
I CERTIFY T S SYST 'WAS TAL ,11t-'THE MANNER APPROVED BY THE HEALTH
DEPARTM
—.`• '' DATE
IlVSTAr,T,FRg-
CHD 6{75
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