HomeMy WebLinkAboutBLD1989-00064 40 r JP.
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.Tef fersnn County Planning and Rli i i d i ng Department
Courthouse, 3rd Floor
PO Rnx 1220
Port Townsend; WA ]ts.ir -s
2O6-385-a 1 41
PFRMTT # • RT,nRq-0064 DATE. TSSUFD. :OR i 2.i/R9
STTF AT)TiRFSS ! CHANT)TSF.R
PORT LT1DT.OW, WA 95365
OWNER • POPF. RF.SOTJRC:"S PRONE : 437-21 01
MAILING ADDR : 75 RRFAKFR T,N
PORT T,iifLOW WA qS3 5
CONTRACTOR. . : SAMF.
PHONF:
MAILING A1711R
•
CONTR . T T C #:POPI?R*in2359/ jF]XP T R` AT T ON DATE ! / /
PARCM.T, Tin . . . - AT•.r�0090620V I v 1- t qC2--
TAT///'��J r)F.S C. . C S T R L i � /���Fy/W�ivi�y[ TAX
1 p#�
TOOT (�/ BLOCK 1 �C/i , / llag _
I m:-A;r<1 PTTON OF TMPROJFMF.NT: multi-family resic3P.nce : 2 units with attached garacie
( ) F not i na,Sethackc (Shoreline SP.thacK) /vinhi l e Hnme R l nrk -1 nn'
( ) FrnJndation •
f i Underground Plumbing/Underground Insulation
( ) Framing/Piumhina/Chimney-
P M;z 7pz, vAt __ 1/e 12 2-- 0a
:_
i Tnsuatinn : $1/ �4� 'v - ,Z , _
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G � 8Jid 0
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/,(J ,/� i�7, 7/ :y _-_ _ -.. r
vvv""" 4 /. .57-1-0'Q 3 ?/ Z-% k -. .- ci
t i Sewage n i snnsa i System Final
i i Final/Occupancy Approval :
/Lb 2. 2— C) )4- Z2 ;7-
CAT,T, 385-9141 24 HOURS TN ADVANCE. TO SCHRT3iJT,F. TNSPF.CTTONS .
Office Hours 9 a .m. to 5 p.m.
TnspPctnr ' s Hours 9 - 110 a . m.
24 Hour Recorder for inspections.
BULL`"" TNG 'ERMIT APPLICATION *TIM. PIMft..,• Jefferson County Building •partmentnP .O . . Box 122040PoTownsend. WA 98368
LOCATION Ts-F. L &bLVi/ - 1-;'1VIer door- VI(19e v ) Ie lif
l I, (3 a SPECIFIC LOCATION SITE ADDRESS .SoftI i InIr a .t�)
POSTAL DISTRICT /SUBDIVISION PM' V' v,'a e
LEGAL DESCRIPTION LOTS BLOCK DIVISION TAX NUMBER
�j
PARCEL NUMBER Tali-/ - p 1 / 4 SECTION r
PLANNING AREA SECTION /7 TOWNSHIP p?[g N NORTH RANGE / G WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE rr
❑ SINGLE FAMILY KNEW BUILDING MAIN FLOOR ,Q, crl. Sn
❑ MOBILE HOME ❑ ADDITION 2ND FLOOR Ci-T 1-..510
❑ MODULAR HOME 0 ALTERATION BASEMENT
'r DETACHED/ATTACHED ❑ REPAIR CARPORT p -"" .r
GARAGE 0 REPLACEMENT GARAGE Il40. `0
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
XMULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS 2.
❑ COMMERCIAL MOBILE HOMES
SIZE °� $35 �i� Q
❑ INDUSTRIAL YEAR .
rl $ 1 6 15 /"�. DO
❑ HOTEL/MOTEL/DORMITORY MAKE Q@1 $8
NUMBER OF UNITS 7 /�
❑ OTHER - SPECIFY ESTIMATED COST OF JOL.j1ra�.{CJ @ $8 8 (O ,2g DO
IMPROVEMENTS $ A F 1 ARKET VALUE
UBC OCCUPANCY GROU $ !
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
X WOOD FRAME x ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED 0 WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS 0 COAL zero re0.Yatidiee.,
❑ REINFORCED CONCRETE 0 OIL X OTHER - SPECIFY -ritlerta(be
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES 2. TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS L,,
Njk
pil PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM 4.s
APPROVE DATE 0 INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM .-
PUD TYPE OF WATER SUPPLY " "� ' , I� .�i/-
PUBLIC ' ( NAME OF WATER SUPPLY) L.L&'pLOLL WQ.'Kr
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN 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 0 YES 0 NO
IDENTIFICATION
N///^'x���A///hMMaE /��/� (yT/�,_\� I� MAILING, � �AADDRESS �(J� ZIP TEL NO
OWNER
vo 1 Rest Ltir S loom m P 1 of li ► . Plat/ \. S-41
CONT
pore ReS0 Lore
TA' I CURSE
t `_ (2 71
ARCH
--,
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS, I,
SIGNr OF A I APPLICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH
,/' , ,,, .- L-!//f 7
ROY BY P TT EES
A P P ' V E D ,1. - ( BASE FEE INSPECTION
c BLDG SURCHARGE PLAN CHECK
U6 ' 1 $9
JEFFER50N\COUNtM' �P
/5A..0 ENERGY SURCHARGE (ag ����- ) TOTAL
PLANNING&SLOG GE'rREFUND DATE DATE Sr ED^
' 811 NUMBER 8 ! 8 •
BUILDING OFFICIAL