HomeMy WebLinkAboutBLD1989-00073 _T1 ..'r r..R i3Tv c; i3t;iT4f v 17-1t1 i a.i i i T3c rr+. rF TV l' -s
.Teffersnn County Planning and Rui 1ciina Department
Courthouse . 3rd Floor J
PO Rnx 1220
Port Townsend , WA `-Ies. nm
206-355-9 1 4 1
PERMIT # •RLD59-0o 7 3 DATE T SSfiRT. : O9 /1 5 89
RITE. ADf)RESS : 6190 BEAVER VALLEY Rn
: PORT LTIT)T,OW. WA 955365
1WNRR •RANl1Y HO!ICHTAT,TNO PHONE ! 732-451 1
MAILING A DR : n1 9O BEAVER VALLEY RD
: PORT T,unLnW WA 955365
CONTRACTOR . . :NO CONTRACTOR PHONE.
MAILING A DR :
•
:ONTR . LTC #: F.XP T RAT i O DATE:
PARCET, NO. _ . : 82 1 073-010
T,RCAT, TJF.SC . . : S-T R 07-25-0 1 RWM, TAX #
TOT 3 RT4-1 K W T T TRR SP
ORSCRTPTTON OF -IMPROVEMENT: garage and home occupied business
i Footing/Setbacks (Shoreline Sethack) i Moh i i e Home Blocking:
i Fnllnriation .
f i iindercground Plumbing/Underground T nsu i at i nn •
i Framing/Plumbing/Chimney:
t i Insulation •
i i Sheetrock: 442
•
i i Sewage Disposal System Final :
Final /Occupancy Approval : ,e �{ T 13� `1�_ ____
�
CAT,T, 355-9141 24 HOURS TN AIJVANCF. TO SCHEDULE INSPECTIONS .
Office Hours 9 a .m. to 5 p. m .
Inspector ' s Hours 9 - 10 a . m.
24 Hour Recorder for Inspections.
BIDDING , 'ERMIT APPLICATION
..
Jefferson County Building DepartrnenteP .O . Box 1220e7rrt Townsend. WA 98368 •
v , e
LOCATION 10 (.1 I/'
IP
SPECIFIC LOCATION SITE ADDRESS._ C7 _ •,,, . 1_ ., -A . .'. , /&....
POSTAL DisTna CT ,,./SURD I V I S ION Ai'
(-2
LEGAL DESCRIPTION LOT '',- BLOCK DIVISION TAX NUMBER
/7 PARCEL NUMBER5L2 / 07.: / 1 / 4 SECTION
PLANNING AREA SECTION -27 TOWNSHIP NORTH RANGE IC . WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
O SINGLE FAMILY /NEW BUILDING MAIN FLOOR
O MOL3ILE HOME 0 A DITION 2ND FLOOR
O MODUL OME 0 ALTERATION BASEMENT
• 5-/-'
DETACHED ATTACHED 0 REPAIR CAIMORTI j
'
G RAGE (a) e--/0 0 REPLACENT IGARAGE '
O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS -
—0 COMMERCIAL MOBILE HOMES
SIZE --
O INDUSTRIAL
YEAR V.1 @ 1 6
O HOTEL/MOTEL/DO $RMITORY __,— :
mAKE ' - 0 @ $8 5/9-,C)
. NUMBER OF UNITS
' OTHER - SPECIFY
EsTIU TED COST OF
Vite-I-C f kia m-2 Ckc guitAteis
IMP OVEMENTS TOTAL F) lB MARKET VALUE
UBC OCCUPANCY GROUP $
-- —
SELECTED CHARACTERISTICS OF BUILDING
— .
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
(;i5rOOD FRAME 0 ELECTRICITY 0 COLLECTIVr AR
0 ANUFACTURED 0 WOOUSTOvE 0 - , VE SOLAR
0 STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 ' 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING ) DIMENSIONS
0 OTHER - NUMBER OF STOR I ES r-Q TOTAL LAND AREA
--. —,
DEPARTMENTAL REVIEW •
— —
HEALTH DEPARTMENT TYPE OP SEWAGE D I SPOSAL NUMBEST OF PROPOSED BEDF1•••,,.=
0 PUBLIC OR PRIVATE NUMBER OF EX " .- BEDROOMS
0 I raDivi 0111,L ( SEPT I C ) .. - . • OF PROPOSED EATHRoom
APPROVED DATE
0 I ND I VI DUAL NUMBER OF EX I sT t r•r:; BATHROOM
•••••••PORAT.Mrt . , ,'., , I
BUD T__Y-P'E-OF WATER SUPPLY
___.-------- 0 PUBLIC ( NAME OF WATER SUPPLY
.... 13 DATE 0 PRIVATE ( NAME OF WATER SUPPLY'
____,..
PLANNING DEPT . WITHIN --! )RELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
0114T 0 NO
.....
APPROVED DATE BANK HEIGHT SETBACK
---
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
t\.1 ( i .-- NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED D YES 0 NO
— _ - -------
IDENTIFICATION
NAME MAIL.. ? !3G A'TDRESS ZIP TEL NO
OWNER -2---7----77—
-...-.
CONT
-TTTT=E-FrETT-77-1TU-1 ' -
_ --- -
ARCH
THE OWNER cf, THIS BUILDING AND THE UNCERSIGHED AGREr TO CONFORM TO ALL APPLICABLE LAWS;
G4iTUR: OF APPL,ke N AICATI TE RECEIPT NU HER CHECK
1 N7OR CASH
litijailL 4.11n Ai 'r0 7 5
_
AP-kbiED . .Y PERMIT FEES
i
1 (.12.41A2 BASE FEE
A P * - t V I NSPECT I ON
1 •I
q 4 C-7
.. BLDG SURCHARGE PLAN CHECK
. . 1 5 1
AFFERSONCOUNTY -,,UR1/t•
1- r1(..,F
m.,---- — • , - '- ‘ / 30:,s,_. TOTAL
-----
PUNNING&1.3t OG OFPT 9 I I riumsm REFUND DATE DA E ISSUED
BU I LB I NG OFF I C I AL -454?--- :
“ -
..... .
:-77-
7
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