HomeMy WebLinkAboutBLD1989-00069 • .,,
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.Tefffersnn County Planning and Ruiidino Department
Courthouse . 3rd Floor J
PO Rox 1'220
Port Townsend, WA 9a36a
2O -3R5-9 14 1
PERMIT # • RT,na9-OOfi9 T)A T-F. T SST'/RD. :OR/2a!R9
STTF. A flRFSS ! 9O RECKFTT POTNT Rn
PORT T owNsENTi . WA 98368
OWNER •C HR T ST T NR SCHOPF.R PHONE:
MAILING ATifR : 9O RF.CK'F.TT POTNT RD
! PORT TOWNSF.NTi WA 9a.9na
;ONTRACTOR . . -NO CONTRACTOR PHONE:
MAILING A OR :
•
CONTR . LTC #: F.XPTRATTON TiATF.
PARi F.T. NO. . . :002242-025
LEGAL DESC . . :STR WM; TAX #
LOT BLOCK
OFSC rr T PTTON OF T MPROVEMENT:
i Fontinc/Sethacks (Shoreline Sethack) /Mohile Home Riockinci:
s ) Foundation
i TTnderarnund P i umh i nci i Tinderaround insulation !
F ram i nn/P i limh i na/Ch i mney:
i Insulation :
i Sheetrock :
•
} Sewage Disposal System Final
i Final/Occupancy A rnva' • 1�J
CALL 3R5-91 41 24 HOURS T N AnVANCF TO SCT—TE iti T,F. TNnrr.c i uNS .
Office Hours 9 a .m. to 5 n.m .
inspector ' s Hours 9 - 10 a .m .
24 Hour Recorder for inspections.
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BIDING 'ERMIT APPLICATION
Jefferson County Building Departmen,t0P .0 . Box 1220P4Ik Townsend. WA 9836w
LOCATION
SPECIFIC LOCATION SITE ADDRESS
POSTAL DISTRICT -/ /SUBDIVISION '
LEGAL DESCRIPTION LOT _BLOCK DIVISION TAX NUMBER/
A
PARCEL NUMBER• .-70c3 „ -242. W.41 / 4 SECTION
PLANNING AREA SECTION )C2-1 TOWNSHIP K 50 NORTH RANGE v 2- kiLestITIM
BUILDING INFORMATION ------1
B ILDING TYPE
TYPE OF IMPROVEMENT SQUARE FOOTAGE Ie
SINGLE FAMILY
O monILE HOME
O NEW BUILDING MAIN FLOOR
O ADDITION
2ND FLOOR
O MODULAR HOME *ALTERATION BASEMENT
O DETACHED/ATTACHED ' 0 REPAIR CARPORT
GARAGE D REPLACEMENT GARAGE
O WOODSTOVE 0 WRECKING/DEMOLITION ' COMMERCIAL
D MULTI - FAMILY D RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS '
HOMES
O COMMERCIAL MOBILE 14La-10 @ $35 i57%
SIZE
O INDUSTRIAL
YEAR jil @ $ 16
O HOTEL/MOTEL/DORMITORY
MA 0 @ $0
NUMBER OF UNITS ----
*OTHER - SPECIFY 0 @ $8
ESTIMATED COST OF
' 0 F ck 1.?.$G
IMPROVEMENTS TOTAL FAIR -e MArT VALUE
UBC OCCUPANCY GROUPp. ..7.. $ $
....--. r-
1 SELECTED CHARACTERISTICS OF BUILDING
PINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAME KELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
El REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
--
O MASONRY ( WALL BEARING ) DIMENSIONS
O OTHER - NUMBER OF STORIES2
__ TOTAL LAND AREA ,
DEPARTMENTAL REVIEW
H77.- TM r)FP PTm5NT TYPF OF srwAar DISPOSAL NUMBER OF PROPOSED DEDROOMS
E P I C OR PRIVATE NUMBER OF EXISTING BEDROOMS
I ND I V I DUAL ( SEPT IC ) NUMBER OF PROPOSED BATHROOM
AP ROVED DATE E IND I V I DUAL WELL NUMBER OF EXISTING BATHROOM AI
....r, _
PUD sz)ZIP: OF WATER SUPPLY
PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
----
prai
APPROVED DATE . BANK HEIGHT SETBACK --
-- — -
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
—7m-----
NAME OF PUBLIC ROAD ....-
0
NAME OF PRIVATE ROAD a
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES D NO
---
IDENTIFICATION
NAME MAILING ADDRESS ZIP TEL NO
OWNER
)(114'.5 t j144:10,..'' q° Ekket' F"4-- ("A Pr' 3?-5-
-r-r)
--
CONT
sTArm LILLN5E NO
. 1 ARCH
_ 1 —THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
l
SIGNATURE OF APPLICANT APPLICATION DATE RECEnT gla CHECK NUMBE OR CASH
- PI
APP-,4 ‘'D. BY PERMIT ry,Ep
ri
A P P 1 "' '" /08
BASE FEE INSPECTION
'
1
10-
...,..4 _4 _
1 ' I 9119 BLDG SURCHARGE PLAN CHECK
5 a
JEFFERSON CMITY \ , . ENERGY SURCHARGE S /42
TOTAL
KANMNIGgtA01609:0T
911 NUMBER REFUND
BUILDING OFFICIAL
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