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HomeMy WebLinkAboutBLD1989-00091 "'IJILDINGE(t(1IT APPLICATION Jefferson County Building Departn1ent P .O . Box 122u.�,'ort Townsend., . WA 98368 r LOCATION / cce /2cr j SPECIFIC LOCATION SITE ADDRESS�� �/ SUBDIVISION POSTAL DISTRICT I BLOCK DIVISION TAX NUM ER LEGAL DESCRIPTION LOT BLOCK 1 / A SECTION LJ� L /veS& PARCEL NUMBER >oZ 3C 7g C 3 PLANNING AREA SECTION , TOWNSHIP 2 Z/V NORTH RANGE ? CJ WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAG;?`B v NEW BUILDING MAIN FLOOR SINGLE FAMILY ZND FLOOR ❑ MOE] I LE HOME [] ADDITION ALTERATION BASEMENT ❑ MODULAR HOME �-� CARPORT ❑ DETACHED/ATTACHED ❑ REPAIR GARAGE 0 REPLACEMENT GARAGE ❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE HOMES �] �I.=�-0 $3 5 �. ❑ COMMERCIAL SIZE " -'* [ L ❑ INDUSTRIAL YEAR _ 0 @ $ 16 ❑ HOTEL/MOTEL/DORMITORY MAKE 0@ $ g NUMBER OF UNITS______. $g • OTHER SPECIFY ESTIMATED COST OF IISPROVEIAEPI'I'S TOTAL/- FAIR2 MARKET VALUE UBC OCCUPANCY GROU .I $ t�' �s'�(, SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF HEATING FUEL PRINCIPLE TYPE OF FRAME y COLLECTIVE SOLAR l�'`/WOOD FRAME /` ELECTRICITY ❑ ❑ MANUFACTURED A WOODSTOVE ❑ PASSIVE SOLAR ❑ GAS ❑ COAL ❑ STRUCTURAL STEEL ❑ OIL ❑ OTHER - SPECIFY ❑ REINFORCED CONCRETE ❑ MASONRY ( WALL BEARING ) DIMENSIONS ❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW • P JJ HEALTH DEPAR' MENIT .TYPE OF SEWAGE DISPOSAL NUMBER or PROPOSED BEDROOMS mow`' d ,= ye4� v.F�` �'0 PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS y .1.Y- 3•g ` f ,' :> 0 INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM APPROVED DATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM PUD TYPE OF WATER SUPPLY • PUBLIC ( NAME or WATER SUPPLY) APPROVED DATE LI PRIVATE ( NAME OF WATER SUPPL.Y)•a. PLANNING DEPT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY ❑ NO BANK I:EIGHT SETBACK ..._....- APPROVED DATE --T^'—"' - -- ' PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES 0 NO IDENTIFICATION zIP TEL NO _ NAME t4 A I L I NG ADDRESS OWNER �? �.,��r,,,-r t�� G�a 31 4_...____�___...--.---.�.- COI_..NT---4 �/t (%/11C." R.Ts.F_"_"T7u .,._..........- 4 ARCH ' THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS; JJ// APPLICATION DATE T 71L.CEI"T HUMMER CHECK NUMBER OR CASH ATURE OF A PLICT '7. 1I 7 7.?03 09'. AA RO ED BY rE MIT FEES `2 &-.-1 5✓'J, BASE FEE — INSPECTION i7:° PLAN CHECK BLDG SURCHARGE -� ENERGY SURGFlAE2C�E � TOTAL ------------ EF 1 1 NUMBER REFUND DATE DATE ISSUED BUILDING OFFICIAL `` 1 16 r M1Q 1 • w < J { � 11 G y -•"1 jrt . 54,1115) tr / i • �.Y �y C4uvt1--a .e-/ -N1“- f- rj f tx-s) J\(/ . pc"/ '`p. z�'24• rt.� i4,04 ,k,u 4 `�C leirj -F7' r < I YAK .r \ ______....._._ _- . . . \ NN,,,.....„..,....„..,.....„. Sc-,-g" DRWe1YdY • I ( I t IVi' vl D a °� * hfuDiv �, 30i-0" c4 4'� �_4"� 3' g't .. .. . .. . __:.... ' 7 .9'..-----;(1 ci'. ,r t I � ZC�e,� I _ � glg�� .a.. � `-f---Gov��2 ED p ---! Do tZ c N. I -1 .7 I 1 tR 0 m' -0 -0,7 I — ICI�to - —fb l C7EGIL ,� \ - (Tap of Pd.►.a.L.. ,` \ • .. ,_ 9 . '0 ' S / • r ! , . , _1-F.FFF7RSC7TT C-;C)TITZ9 V RT7T T.T)T NC; 1PF:RMT 'T' Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend; WA 98388 2O8-3R5-9141 PERMIT # •RT,DS54-O091 DATE TSSTTFT). : 11 /14/R9 SITE AT)DRF.SS : 282 FTTT.TON CREEK RT) :RRTNNON. WA 9R320 { OWNER •RARRY VAN TRO.TF.N PHONE: 852-8585 MATLTNr ADDR : 23028 100TH AVE SF. KF.NT WA 98031 CONTRACTOR . . :NO CONTRACTOR PHONE.: MATT.TN( ADDR : CONTR . T.TC #: RXPTRATTON DATE! PARCFT. NO. . . : 502304-003 LEGAL DFSC. . : STR 30-25-02 WWM. TAX # LOT . BLOCK DESCRIPTION OF IMPROVEMENT: STN(ThF FAMTLV RFSTDF.NCF ( ) Fontino/SPthacks (Shoreline SPthack) /Mohile HnmP Blocking: ( ) Foundation : ( ) Underground Plumhincr/Underground Tnsulation : ( �l�r_am-inq/Plumhing/Chimney) -( -qt. ( V) Insulation : ©A_ 0z-8' ?6 0,....,,,ke..62_ ( ) Sheetrock: ~ A,02—/_5--- / e , .„ („U .. ( ) Sewage Disposal System Final : ✓ a i ( �Finai /Occupancy Approval : 04' 3— ?— 44elfg CALL 385-91 41 24 HOURS TN ADVANCE TO SCHEDULE TNSPF.CTTONS . Office Hours 9 a .m. to 5 p.m. Inspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. i-eir-r--4_ ::4—.•te LA)/ ...f t / • ., 1 I R EC t. V E DI [RECEIVED --, 4253 NOV 15 sal , .3 ff1 Piz kl-s- JEFFERSON COUNTY RaNgo#NG&FROG OF.!T 3EFF. COUN i V HEALTH OE Pt I 1 1 I I I . 1 1 i : io' 1 1, 1 1 4-A 1 1 . 1 . c.) _ , . , - \ \ i I ' ' . /i I."' 9' --- \ Sete C. •,-,,,,,, \‘. • \ T . 1 \ \ 1\ 1 C.--2..4„,,,.. , ,, ; --------.._ ----> i 1 , ,...21, .. ! , i 1 .. , .' . / (- 1 , ' , 1 1 i I / / , I , // — e ' RECE1\f'f'.:1) / „,- JNI27.89 r‘ SNi '.. S9-4F" 9 234.�c� — - Lj. L� N t--1 V DRIve-wav f I ' 34' q hfL'DIU i ('J -��—�rU2E F'�12EEZE\VA�I Gov%(2 EO ADO � i p 'rGc_ µ t3D hGl�l,� 1 r _ i0o I - Cam;' QopzT"A p 'rGc_ µ t3D hGl�l,� 1 r _ i0o I - Cam;' QopzT"A