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HomeMy WebLinkAboutBLD1989-00076Fr- a 4 ..r r.r T�T T'•T C7 c)ff T r i v r=s•i i 'i.T-3 i i V'c; - c Jefferson County Planning and Ru i i d i ng Department Courthouse . ,srd Floor P(1 Rox 1 220 Port Townsend , WA Irs.I m 206-385-9 i 4 1 PERMIT # • RLDRy-OO7n DATE T SSTJF.D. : O /06/8`J SITE. ADilrcmn:1 : 15i) Rl1RNS RD PORT HADT,OJC K . WA gR33a OWNER •R T CHARD MACDONALD PHONE. ' 43 7-`=1 i 63 iv1A'+ T,TNC AD111R : 1150 R(1RNS RD !PORT HAD1 OCK WA CONTRACTOR . . c NOJ CONTRACTOR PHONE ! iv1A T T,TNC ADDR • CONTR. T,TC #' EXPIRATION DATE ! PARCEL NO. _ _ : q2 1 11q-4-O 1 4 LEGAT, DESC . . : ST'R 1 9-29-O I F.WM. TAX # um.�c;rc 1 r I TON of IMPROVEMENT : single family addition plus new _ ; ion o t nri/Set ^ac (Shoreline Snnre 1 ine? SP.T'1"]a('K l jTvinni icy Home R ic�ckincr- /-2_,/),/ 1 Underground P l umh i ncr i ijndercrounn insulation-___ Framing/Plumb-in :Chimney! e: 4/9. t- / /L` /) G/Z!! 7/I © / Z i veZt a • i Tns,liai inn 0- 4e - i SPWarie Disposal System F i na' na i iccunannv A nva i • l(��_..__ .!✓�� �G� ,_ CALL 355-y 14 1 24 FOURS TN ADVANCE TO SCHEDULE TNnrr.c; 1 T QJNS . Office Hours y a .m. to 5 p.m. Tnsnec:tnr ' s Hours y - 10 a .m. 24 Hour Recorder for inspections. BUILOG '07ERMIT APPLICATION . % ..•-• fferson County Building Department.eP .O . Box 1220*PorL Townsend. WA 98368 LocAT I Oft SPECIFIC LOCATION SITE ADDRESS_ , POSTAL DISTRIC /SUBDIVISION LEGAL DESCRIPTION LOT BLOCK D VISIO TAX NUMBER PARCEL NU BER C)/ 1 / 4 SECTION PLANNING AREA SECTION_ TOWNSHIP NORTH RANGE. / WM BUILD } INFORMATION 6)03 BU ING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAG54, 71(11' SINGLE FAMILY 0 r-4 :W BUILDING MA! N FLOOR 1-10+181)-Cd 4)( 16 O MOBILE HOME !..! ADIEITION 2ND FLOOR ..' O MODULAR HOME a . LTERATION BASEMENT O DETACHED/ATTACHED 0 REPAIR CARPORT GARAGE 0 REPLACEMENT ' GARAGE O WOODSTOVE 0 WRECKING/DEMOLITION ! COMMERCIAL O MULTI - FAMILY 0 RELOCATION/MOV/ I,E; INDUSTRIAL NUMBER OF UNITS MOBILE HOMES / a 3.)". 0 COMMERCIAL 32-i _A a $3 5 SIZE. O INDUSTRIAL _ ______, 41.4,. • ,3_, ' YEAR E 0 - ---- MOTEL/MOTEL/DORMITORY MAK -. 0 a $8 NUMBER OF UNITS 1SCOTHER - SPECIFY 0 @ $8 ESTIMATED COST OF 32 /11/41)0721^‘ -1.- /V ("27;" IMPROVEMENTS TOTAL FAIR MARKET VALUE UBC OCCUPANCY GROUP $23 $ // S--E-.\,) --- / SELECTED CHARACTERISTICS OF BUILDING INCIPLE TYPE OF FRAME ; PRINCIPLE TYPE OF HEATING FUEL WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR 0 MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR O STRUCTURAL STEEL 0 GAS D COAL O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY O MASONRY ( WALL BEARING ) DIMENSIONS O OTHER - NUMBER OF STORIES TOTAL LAND AREA DEPARTM NTAL REVIEW 11 E A A D E P AR T M E N T P TYPE OF S E W AG E: D I S P 0 9 A L 1 NUMBER OF PROPOSED BEDROOMS t11 0 PyBL I C OR PRIVATE NUMBER OF EXISTING BEDROOMS ILA ND I V I DUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM APP VED DATE 0 INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM , PUD • TYPE OF WATER SUPPLY 0 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 ......- - 0 No ..,, APPROVED DATE BANK HEIGHT SETBACK -,- PUBLIC WORKS DEPT ROAD R I GHT-OF -WAY WIDTH ' NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO IDENTIFICATION *-- "--- NAME ........- MAILING ADDRESS ZIP TEL NO 10 ick _ o4- 9n3_1 , 4 -- ,,. )NT I/2 /- S r A T E L --- tCH ww.w.....*.q. - ..,. . E OWNER OF THIS BUILDING AND TAN UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS; 5ATCMICANTplyryarATON DATE RECEIPT NVMBER 1CHECK NUMSOR CASH ''A ad. .r4 tar ii OM ,....,,,,git ', .1 Awl t_— S7 7U I1PROV=0 BY PERMIT FEES P .. I V - '11' i r- /..;5- ';---- --- I3ASE FEE INSPECTION . — ' -[ .6, ,. Imo-mw - , E,LDS SURCHARGE PLAN CHECK _ / cs ENERGY SURCHARGE $ TOTAL3 EFFERSON COUNTY ....... NNING&ROG DEPT 9 1 1 NUMBER =• REFUND DATE 17EC , BUILDING 0 icuu. IP lif . , 4 4:3 , Cis (ID . \9 NA g . . , . 4,..D . . , • ..,..1. .. . , CI ,...- . . .. . ,r . . ,-,..„.t. ...),4 -• 43*, 4 1 V q . , . . , • .71 a CO i • . , , • , , • , • j i i ; I 1 1 I i , , ' I , . • i , i 1 1 i i : • 1 . i 1 '. ! • ' 1 • ': :- ; '',--' -t--1 -.1.-r."' •' , , i 1 i : , i I ', • 1 i ! ', '' 1 1 I t i I 1 '1 ' ' 1 '' , 1:- Ii4...,4ti: , T.I- I i I : 1 -, T 1 I 1 I -i •-, 1 , , 1 I I • 1 i •• 4 , 1 4 ! 1 11 ''' 4 Lt ' 4 1 I ,t,....... , .,. I I.i.. i t i. ""4 t • i- i, i i 1 . t i t, i t i t i i I I i 1 , f4I i I, . i I t t ' i t •i)(. 't ' 1 t i --!'J',-,:_,,, 1 I: Ill t I q1117 ):4-ti, ., , ..2 \ 0 • • 1 . I 1 a . .., 4 I I 1, I .1 I '• •I . I . • • 1 J1 r'' Sr E • 1 • I 4 . • •, c(1 , , -- . , , . . *) ....4....: I , ... , . .; . . , . 4 • 5'4r ".; ' '• I i r 4 4 , r ' I t ' ...'...C" .k.) I i . r ' i i I I 1 ...,,,,,,_,,,,,. . ,, , r . , ,.,ro,a; • • ' ' ,i -1....'• j ' f I .1 i••l• '....4 I , I , .... 4411 , 1 • I I 1 , 1 ,