HomeMy WebLinkAboutBLD1989-00079r
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Jefferson County P lannina and Rui ldincg flepartment
Courthouse, 3rd Fl nor
PC) Rnx 1 220
Port Townsend , WA yn.shn
2O6-38 -9i41
PERM T T. # •Ri.il5q-0O7q IlA T r. T SS Ff). r i)L)i i17 i nS
STTF A DRESS - 4r51 A T RPORT CUTOFF RI)
:PORT TOWNSF.NfI . WA cR3FS
•
OWNER -ROSS SWOPF. PHONF' 732-4065 •
MA T L T NC AIlf1R : 23O F.ACT.F.MOUNT RT)
: PORT TOWNSF.NT) WA c1FL ER
CONTRACTOR . . [NO CONTRACTOR PHOIV F.
MAILING A PJR :
•
CONTR . ..T C #: XP T RATTON IIATF :
PART:F.I. NO . . . ' OO1 252-02R
T.FCAT. DFSC . . : STR 28-30-01 WWM. TAX #
LOT 2 BLOCK SF.TON SP
FJFSCR T PTTON OF TMPROVFMF.NT pole building
Footing/Setbacks (Shoreline Sethack) %Minh i i e Home R l ock i ng:
1 Foundation :
1 Underground r iumninaifinderarnund Tnsillation :
i Framing/Plumbing/Chimney:
; Tnsu latinn
S eetrock•
Sewage f)i sposa l System Final :
I Final/Occupancy Approval :
CAT.% 5-M 14 i 24 HOURS TN AIIVANC F TO SCHF.T)UT,R 11'VSPFCTTONS .
Office Hours q a .m. to 5 p. m.
Tnspector ' s Hours y - 10 a .m.
24 Hour Recorder for Tnspections.
, - 7
BUI4IONG ‘e.:}ERNIT APPLICATION
Jefferson County Building OepartmentcP .O . Bv 12201Pol, Townsend. WA 98368
-
.
LOCAT I OR,
1
SPECIFIC LOCATION SITE ADDRESS_ -
POSTAL DISTRICT 1 /SUBDIVIS ON
LEGAL DESCRIPTION LOT22------'BLOCK DIVISION TAX NUMBER
--- PARCEL . 1)%•BER C.(4 (:)> 31 / 4 SECTION
PLANNING AREA SECTIO TOWNSHIPC) NORTH RANGE WM
BUILDING INFORMATION ,,
•
BUILDING TYPE TYPEwOFIJIMPROVGEMENT i'irrkIFT.LFiZTAGE
O SINGLE FAMILY
O MO. -LE HOME
O _1:11J-64 .1,9mE
LIfp_LATTACHED 0 REPAIR
2r7m24 0 ADDITION
0 ALTERATION
2ND FLOOR
BASEMENT
CARPORT
GARAGE 0 REPLACEMENT IGARAGE
O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS 1 -----
MOBILE HOMES
O COMMERCIAL A a $35
SIZE —
O INDUSTRIAL
YEAR 0 @ 16
O HOTEL/MOTEL/DORMITORY $
'
MAKE si7aA @ $6 2:? ?
JNUMBER OF UNITS ,
--- --- -
..2rOTHER PECIFY _____O a $8
EST1M ED COST OF
IMP OVEMENTS TOTA3,4/F418 MARKET VALUE
UBC OC UPANCY GROUP
—— --- —
- ---
SELECTED CHARACTERISTICS OF BUILDING
. --
INCIPLE TYPE OF FRAME
yP...
MANUFACTURED PRINCIPLE TYPE OF HEATING
WOOD FRAME FUEL
O ELECTRICITY 0 COL SOLAR
L
O WOODSTOVE SSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 0 OTHER - SPECIFY
O MASONRY ( WALL BEARING ) ' DIMENSIONS
4
0 OTHER - NUMBER OF STORIES TOTAL LAND AREA
- -
DEPARTMENTAL REVIEW •
---,--
HEALTH DEPARTMENT TYPE 9F SEWAGE DISPOSAL NUMBER OF PROPOSED BE ----
O P LIC OR PRIVATE NUMBER OF EXI BEDROOMS
INDIVIDUAL ( SEPTIC ) NUMB FROF,OSED BATHROOM
APPROVED DATE
0 INDIVIDUAL WELL PBER OF EXISTING MUR-fROOM
PUD TYPE OF WATER SUPPLY ,•
O PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE D PRIVATE ( NATE: OF WATER SLI_IML_I)
- — .q-,,.-aq..,....-.4...,... ...,......1
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
O 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
-------
NAME
,..iiimemirtaft. MAILING ADDRESS ZIP TEL NO .
'*.
0 W N E."R
70D-2
. . ........, ....m
CONT
- • — .- -1-7CT=E7TE17.71'1717TM i— -
ARCH
_ -
) 1 THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS
/Ae/tSiGN ' . OF APPLICANT APPLCAII ''ATEREASH
:41/9P
/".?7-• ' .,.,.... . , b70-(2
A BY . . P IMI FEEa
/ .
( P'SE FEE INSPECTION
AP
1 BLIDG SI27.CIL'IRGE PLAN CHECK
?
ENERGY SURCHARGE
I. i(0 TOTAL
. —
JEFFERSON COUNTY
PLANN :
ING&BLDG DEPT 911 NUMBER rFUND DATE ITyrep
I BULDING OFFICIAL
i... 4
..
7 ci ' . . .
EXAMPLE OF A SITE PLAN
FOR A BUILDING PERMIT
' -e_fx,--,z5v-‘ adyt--f- ietil— ji.z.--. 2
Qy PROPERTY BOUNDARIES fAtmtie , tk)
•ti' R
,KP
440P DRIVEWAY
yr 0���
O
`''
(90D'4+
l / N..,
L0
SETBACKS IN FEET r"" PROPOSED BUILDING.
LOCATION ' \ `'.) /414-'&
13\ OF SEPTIC 1
AND i 4
DRAINFIE 7s 's7t
1 J,
X&:tr6rx (--<' /0144-
LOCATION OF
� WELL
TOP OF BANK ( IF APPLICABLE)
ERSO CO
PlAtdiJttdG&BLDG DEPT
cs-k
9)/ / D
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5/3/17/ 77-00-=71—'./..„ ,
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E PAAS3 Cce�,t ✓/115St.c —
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