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HomeMy WebLinkAboutBLD1989-00086 Dgl ' DING YERMIT APPLICATION Jefferson County Build' ng DeoartmentP .O . Box 1220e. ,rt Townsend.. WA 98368 V . —....109SALL9.A...------ , SPECIFIC LOCATION SITE ADDRESS__ . _11 1 K-----4" POSTAL DISTRICT; /SUBD(OVISION LEGAL DESCRIPTION LOT // . ,BLOC DIVISION _TAX NUMBER PARCEL MUIBER ' C 1 / 4 SECTION PLANNING AREA SECTION / i TOWNSHIP . NORTH RANGE . WM . " BUILDING INFORMATION — --- BU LDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE - ko SINGLE FAMILY LW BUILDING MAIN FLOOR . O MOBILE HOME ADDITION 2ND FLOOR 0 MODULAR HOME 0 ALTERATION BASEMENT .0 DETACHED/ATTACHED 0 REPAIR CARPORT ..- GARAGE 0 REPLACEMENT 1GARAGE .. --,.‘-? MOM r \, O WOODSTOVE 0 WRECKING/DEMOLITION ' COMMERCIAL O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS -- -- ' — a-Q-C20 MOBILE HOMES O COMMERCIAL SIZE __ a $35 O INDUSTRIAL YEAR O HOTEL/MOTEL/DORMITORY MAKE 0 a $8 NUMBER OF UNITS --... ilWa.: 20- -- O OTHER - SPECIFY ESTIMAT @ $8 E COSTOF .Vi -- ImPRo :MENTS$ TOTA .,„F-41r_trKET VALUE UBC OCCUPANCY GROUP )$ -7-.7)E_., -- ------ SELECTED CHARACTERISTICS OF BUILDING PLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL PRI CI WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR O MANUFACTURED 0 WOOUSTOVE 0 PASSIVE SOLAR O STRUCTURAL STEEL 0 GAS 0 COAL O REINFORCED CONCRETE U OIL W.- HER - SPECIFY O MASONRY ( WALL BEARIN/G ) 0 OTHER - E DIM NSIONS — Numticn OF STORIES <: TOTAL LAND AREA DEPARTMENTAL REVIEW , --- ---_____-- -------- . .0 HEf iTHIEPAR/TmE 7! TYPE OF SEWAGE DI SPOS AL J NUMBER or PROPOSED BEDROOM , 0 PUBL I C OR PR I V/ " NUMBER OF EX I ST I MG F3 EDRCOMS ' AO VI ND I VI DUAL ( SrI C f *lc NUMBER or PROPOVED BATHROOM APPROVED DATE DATE /141,.. 0 INDIVIDUAL 'NELL n NUMBER OF EX I ST I NG EINi 11F?OCAM , LZ---- — ..----- .... PUD TYPE OF WATER surrLY 0 P BL I C ( NAME OF WATER SUPPLY). ... _ APPROVED DATE L P R 'VA T F. ( NAME OF PLANNING DEPT . W I 11 I N SHORE L I NE. JURISDICTION YES NAME OF ADJACENT WATER BODY ...... ., - , APPROVED DATE BANK HEIGT1 " OSETB K - PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH --- NAME OF PUBLIC R )AD -- --_—_ NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES LI NO , . _ — ------ , — IDENTIFICATION -_ NAME MAI ING ADDRESS '.ZIP TEL NO ,---.--- ' (75/T - - - ---- , . - - J, /711E ------ CONT ----- - . - . siAl-r-UTC7=-7To 1 .‘,,., - -- -- --- ARCH — --------- . . THE OWNER OF THIS BUILDING AND THE UNDERSIGNED ArrE TO CONFORM TO ALL AFFL I CABLE LAWS; - --- ---- S URE a7FLICANT ilp .-E: I RIM" tr R i O 11 E.-C NUM BE R OR.__EASH /,•int E MIT V CT 1 ; .. - (....) BASE FEE ......,........a...... I NSPECT I or4 LA,/v eLcc; SURCHARGE 3F- AN LP CHECK JEFFERSON'COUNTY- PLANNING&BLDG DEPT . ENERGY SURCHARGE -.....)....-..--,...- .,-. ^ ----' TOTAL .*" ".-'''" 7.. :S hi- 911 NUMBER RErtmo DATE BUILDING OFFICIAL 2211 :01if ,---- , r JEFFERSON COUNTY HEALTH DEPARTTJIEi T 1 V ` ~ H ` 802 SHERIDAN AVENUE AE / INSTALLER-.I-v'7— ( �'c jRT TOWNSEND, WASHINGTON 983EV 1 CEIPT NO. `/7- 79 7 Ld.�i7 (206) 385.0722 ,T ( BUILDER (? SEWAGE DISPOSAL PERMIT HeAL i-{ ��,'� Submit in Duplicate -777/10i-/ EC/// L /0:2/V/L5% 'j7:;:7v ,_�,E ��G "✓!iE (,<J4 9PC,0 2 __ Owner Address Phone //- a7�/ m 0 D Directions for locating site,tl,9,f'e 7214,) /,v17 /L 4 ¢z, ,el/e20/101-e--jr- illB,Ja,<F , ',1f ,Soar7/ r- �,,J7--lei). Mb 'r- /{! ,a//,.� were,-�.�E f'.,e/ !.rl,�/D,l. ,44xE aE Ai 1A) / c.‘ �,riv .Jo e77y o,J o )1/4ez , e,f,t./ ZWir/. . 7DeJ, d ,B7?1 , Wi) GV .S�a/T. ,Cor// /S ,ir 1.Eo/q Ly ,tbei77i , FAP� n 4i ,i,J Ll'W,th' /S a„/ ,Co 7-/2 AV Ag;47-..Sim—O� ,a90 �44,4a,.J --571� m INSTALL NEW SYSTEM REPLACE SYSTEM ❑ PARTIAL REPAIR❑ TANK/DRAINFIELD❑ -a O TYPE OF NO. OF SITE //,�,..,, z BUILDING /�,e401E BEDROOMS o2 BASEMENT /V SIZE Cc /496--- 6DRAW DETA{LED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING CD n "-C/74 : J '= an' /oS/ SOIL LOGS SEE A,»ac/vfv ,e�/cT a O o 7 1 •�' z y f.,.c, �" ' \s,h L pJ 1 1 ° � \�, t� -� � - . .„ . IV fi is o/J/J/){ (F L^ p � t I i CO 0 V O Dig two holes per site. (min.) _ x .� ' deep - 2' dia. -50' apart & flag APPLICANT • Drainfield Length,4 / Width } Depth ' # Lines -3 Tank Size /0u0 Gal. D COMMENTS: (TWO COMPARTMENTS) c D /.�.Ie'. DQ>21,tJr)4 G�✓,<J.vir. J,AL /1,4eodr/L r' �/22/7q do 7— rS�7S � J r- m i) pep lv tv,ci,\ 'l a?r'cleep ki J1 j\) P-3 4-\ ;y,ck,04 Y i'J i v c C v. (i V 2,v..j(` % P I cl 7,S ip9 Q -' APP VED DATE INSPECTED PARTIAL/FINAL DATE I certf hat this system was installed in a manner approved by the Health Department. ��4 INSTALLER'S SIGNATURE DATE DATE INSTALLED J C H D11.78 ` �w. • • • )2-e-Df'&-x7y !✓NE' i>o.co' • ,'/P ,€AP B41L.K1EM P A ./J MI,7, 672 /7 C il 4/ . .P ,, 9„J 6 ///:74e,e;s" b tee.' t' 's..-.. ;,•# Lr.2,-, :.. o ,USG '0 /Z-d /-�� I Z -0s.i / ' i I, ii \ -; r , ¢ I I I I I ( I 1 ' I. I I I I o ,F4/i1-1)/A1 AREA• /, 5 d 3.'7 s4 F T 1 I ;� 1 I N ,acctGs 220. 66 .sQ Fi I 1 ,p 1 I I NI °�, Loi G.o/EkA( 27.3C 7 I I 7 t I1 .. i u i �i I I 11 /1f-8 Z-o _ — l • I V , e..,‹ ------ - -- - - --- -yam at -o 0 . `9 /ODn wA1... M +. 1 l . . _T F Wes' FrSC)Tv- �'CStI1`T' 1t3T T.T)T NT( 1-F-.1R1viT' rn Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 PERMIT # •RT.f89-0086 DATE ISSUED. : i 0 i 05 89 STTE ADfiRF.SS : 51 1 NORTH REACH DR PORT LUDLOW, WA 98365 OWNER -,F SKAFTUi3 MATLTNC ADDR • 0l w ? 5! f470 Lio CONTRACTOR. . -NO CONTRACTOR PHONE, MATT.TNC ADDR - CONTR . LTC #: FXPTRATTON DATE- PARCEL i NO. . . : 933900-01 3 T.FCAT, DF SC . . :STR 1 6-27-0 1 FWM. TAX ## LOT 11 BLOCK DESCRIPTION OF T MPROVEMF,N T: single family residence i i Footing/Setbacks (Shoreline Sethack' /Mnhile Home Blocking: ! i Foundation : i Underground P i umh i ncr/Underground insulation : i 1 Framing/Piumhina/Chimney: i i Insulation : i i Sheetrock: i i Sewage Disposal System Final : Final /Occj nano y Approval : CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE TNSPFCT T ONS . Office Hours 9 a .m. to 5 p.m. Tnsnector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. SHORELINE SETBACK EVALUATION APPLICANT : BIF C /&i4g-71/1!6 ) ' ADDRESS: /©O /, / c1R776- U/Y3, TELEPHONE: (home) (business ) PROPERTY DESCRIPTION PROPERTY SITE NUMBER: LEGAL: Owner : X4 G� �/� ,721, Address : /6O /5 WA1-6/,14,On/a /Ne- I. Sc l If Imo, 8 / Tax ParceL Number: ReaL Property Description: ,ti"OT // 6:/l/45/Q/0 ADJACENT WATER BODY: /460 fl-ecl /-. • (//re/P6E/4 -r/&--xi /.4600 Ai) EVALUATION / BLUFF HEIGHT: f r SOURCE: BLUFF STABILITY: SOURCE: ❑ STANDARD SETBACK: feet This minimum setback shaLL be measured from the ordinary high water mark to the most waterward edge of the proposed structure . ❑ BLUFF SETBACK: feet This minimum setback shaLL be measured from the bank' s edge to the most waterward edge of the proposed structure. AVERAGE SETBACK : feet This minimum setback shaLL be measured from the bank' s edge to the most waterward edge of the proposed structure . This setback is based on the foLLowing caLcuLations of adjacent residentiaL structures . Right House (facing waterward) : l • Setback from bank or ordinary high water : feet • Distance to the proposed structure: lj, yi. 20 feet Left House (facing waterward) : • Setback from bank or ordinary high water : feet • Distance to the proposed structure: feet Y., SUBDIVISION SETBACK: feet This minimum setback shaLL be measured from: Pi ,/Z. This setback was estabLished by the approvaL and . iLg of the pLat. VARIANCE REQUEST: ❑ APPROVED ❑ DENIED DATE: ACKNOWLEDGEMENT'. The above evaluation was determined on information provided by the appLicant. ShouLd any of this information be found inaccurate, the setback requirement may be re-evaLuated . pL ner (date