HomeMy WebLinkAboutBLD1989-00074 111
• .7 14.-FP FR C3-N %C)TT-NT97V Ri7T T.1 3T ivT( "RFRFN4T 7'
Jefferson County PlaJ'Jnincs and Building Department
Courthouse, 3rd Floor
PC1 Box 1 220
Port Townsend , WA 98366
206-355-9141
PFRMTT # - RT,nisq-0074 DATE. TSSiiFil. • 09/ 5/89
SITF. At111Kr.`)n : .1.-su HAYC;T.I t t ifl
PORT Tc,7..WNSEND, WA-4n.znrs
OWNER -.�'i .L?r'sTl(; i ATTS f Q rt,kk. .- PHONE :
M A I T.T N C A I 1 I J R :P O tS O X 261
F-�-
PORT TOWNSEND WA 98365
CONTRACTOR . . :NO CONTRACTOR PHONE :
•
MATT.TNC ADDR
•
•
CONTR . LTC 4: FXPTRATTON DATE!
PART;F.I. NO. . . : 965000-148
T,FGAT. DESC . . :STR 27-30-01 WWM. TAX #
LOT 262 , BLOCK KAT.A POTNT
i1F.SCRTPTTON OF TMPROVFMFNT- single family residence
j Fontina/Sethac-ks (Shoreline Sethac.k) Mohiie Home Blocking-
) Foundations
3 underground Plumbing/Underground insulation :
1 Framing/Piumhina/Chimnevc
) Insulation !
Sheetrock :
i Sewage Disposal System Final :
; Final /Occupancy Approval
CALL 365-91 4 1 24 HOURS TN ADVANCE TO SCHEDUl E.. 'I NSPECTTONS .
Office Hours 9 a . m. to 5 n. m.
inspector ' s 'Furs 9 - 10 a . m.
24 Hour Recorder for Inspections.
I --\
arLDING , 'ERMIT APPLICATION
Jefferson County Building Department*P .O . Bpx 1227,1ort Townsend, WA 983D8
. . N
;&)SPECIFIC LOCATION SITE ADDRES ---_ 7775
POSTAL DISTRICT TV /SU DIVI I N
LEGAL DESCRIPTION LOT24 )- BLOCK DIVISION 3 TAX NUMBER
PARCEL NUMBER Cifra,. OnOre 1 / 4 SECTION
PLANNING AREA SECTION „2-7 TOWNSHIP NORTH RANGE AI WM
BUILDING INFORMATION
-----
crLDING TYPE , IBE OF IMPROVEMENT SQUARE FOOTAGE
ES_ENGLE FAMILY 1.,.. NEW BUILDING MAIN FLOOR /6C)CD
O MOBILE HOME 0 ADDITION 2ND FLOOR ___
O MODULAR HOME 0 ALTERATION BASEMENT ---
O DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
O wOODSTOVE 0 WPECKING/DEMOL ! TION COmmERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS 1- --,
MOBILE HOMES
O COMMERCIAL (S01)Vi SIZE @ $3 5 L23.00
----- .
O INDUSTRIAL YEAR ---0 2 s16
O HOTEL/MOTEL/DORMITORY
MAKE 5-7 ,.----
111 @ $8 -YZ.121--
NUMBER OF UNITS----
O OTHER - SPECIFY ----0 @ $3
EST I MATED COST OF
- I MPROVEME.rf( S UDC TO T-j jrAy A E E VI) eARKT VALUE
L....),..-)OCCUPANCY GRO $ S
-----
''--
SELECTED CHARACTERISTICS OF BUILDING
INCPLE TYPE OF FRAME
PRINCIPLE TYE= OF HEATING FUEL
XP
WOOD FRAME CIXELECTRICITY 0 COLLECTIVE SOLAR
D MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
0 REINFORCED CONCRETE 0 OIL (00THER - SPECIFY ...::PJ_; ; .
--
O MASONRY ( WALL BEARING ) DIMENSIONS
O OTHER - NUMBER OF STORIES ( , TOTAL LAND AREA_----- , -
DEPARTMENTAL REVIEW
- -- ---------
H "ALT' DEPARTMENT TYPE OF SEWAGE DI SPOSAL NUMBER OF PROPOSED BEDROOMS
O _ -
91 I
PUBLIC OR PRIVATE'
Ilk INDIVIDUAL ( SEPTIC !UMBER OF EXISTING BEDROOMS
Li
NUMBER OF PROPOSED BATHRCI
APPROVED ATE --E,
O INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
_ - . -_ ,... -.......
PUD TYPE OF WATER surPLy
\ 0 PUBLIC ( NAME OF WATER SUPPLY
. ---
APPROVED DATE 11010' -RIVATE ( NAME OF WATER SUPPLY
. PLANNING DEPT . WITHIN SHORELINE JURISDICTION
O YES NAME OF ADJACENT WATER BODY
oli------
Li MO .#, ‘
APPROVED DATE BANK HEIGHT SETBACK -----
C ----
puBLI WORKS DEPT ROAD RIGHT-OF -WAY W / DTH
/
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD -------
F)--
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO
IDENTIFICATION
... -
----
NAME MAILING ADDRESS ZIP TEL NO
.--- ---,
ZA:s Z6/ pz A,G415-
.,.. ,
CON T E OV
---— Elc461-9reil - 6.--V. -E_ -
_ --24'- ) ke
- Tr:rivrE o• _T
c,A. /,,,,.S-1 N 1
I, gW _ __ — —
R C H
_ — _ .—
rHm OWNER,OF TN S BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
IGNATURAWA CANT APpLICATION DATE R IECEkr H- NUMBER CECE1P21. R CASH
4-
0 m ,
APPF4yE, BY PERMIT FEES
,
A P .R V \ . ..7.5:c. SASE PEE , I mspEcrl ON
2 _ , BLDG SURCHARGE PLAN CHECK
, P 5 1989 ---
_t, t, 00 ENERGY SURCI fAR GE c
JEFFERSON COUNTY 0 TOTAL
PLANNING&RUM OPT /0,7"- d
9 1 I NUMBER REFUND DATE i nit ISSU(5%
BUILDING OFF I C AL
- .----- .
,MM==MMI
. .. . •
• . . ,1 I .
. .
. . . ,.
• ; . ,
, I i I
• ,
i ! I t , , . . I . •° 1 i , • I • I I I ' • I
.. 1 • t . • .- 1 • .
, ...
I I
, I , •
• • . , . . . . . •
• •; , : 105•0 q• , • t ,
t ..:..
. I
. . . . . .
. r 1
'Pis :1 7 .
.
.
N.
i',....sL.3 .
•
•
•,
. . _ - - - - _ - . , -..... . . •, -
1,
, 1
',..
•".... . te,
. (3-
.to,
_ _ __ •- ...
• '. _ ____ .E -:- .. . . .
.
.
• t- ,- A_S t...LI ...3 •4) '
' .., ,
. - — L — . . .
- .-.
- - __ _ ,
.
z, •
. . _. .. .
. . . .
' . . .
4 J . zA
_ .
.st...,,a.. •N .
. . .
I '
1--0 , I
. .
•<) ,
•-. I
. •
ci. \fli
..:j.;
. 41S/_-/ •-•-, •
.....
. . . . .
. . .
) . .. .
. i
. . „
. . _ . .
. . - . . • . . ,
, I i
... .• . . .
• • • • - - • • • . , . ,
. ..
• . • . • • • •
. •
: 1
. ' . . .
•
' .
. . . . .
. . ., . . ., . . . .
• •
II,
. . . . . . . , . . . . . . .
1 0.5.
. . . . . . ' . .
.... . . . . . .. . .
• . . .
. . : • • • •
, .. , i
. .
.
. .
, 1
4 .. . .. . . •
. •
. . .. H .
.
, ,i
.
. ,
. : . .
.
1 . i .
. .. .. ,.. 1 ....4 1
...,....4._ 1 .._ 4 , : i.. . .. .: ..... 1 ... Carl 6 4.4. itI24 ..4(yrifY11 ..-.! • . . I
I ; I
t t ; 1
•1 I ! 1 1
e
44 r
C./...) kiks-r— GI (a_T-,e...t,
'_?---J `-tv
,,i-71 sc-51. 7., 4('j''.
A--1
I/( Z7 Fa
_ t Aire c,,Fe--01
gr 01/ 0 --7f*T dd BV1-.
7i
0
m c-i 1
r x H
Th in Z S.41 .'
n -4 P zz --
1 z '-.1.7-7,•:. ii — e/
n 0 17,
›r ,„, i
0 0
0
r9 1 n 0
0
G) .A
> P ,
F
0
x 0"rItt- 4
f rec----14-4
'-------7" -tr 2 I ,
go A e:„ :, .i/ .1: 00-fre
1 '
A7p/1,------ ie -0-9v
og_ . -°-
///7v--ci-,e- -
,,, ,