HomeMy WebLinkAboutBLD1989-00095 FAIRWAY VILLAGE 4-
BUILDING HERMIT APPL 41 Site 17-B
ICATION Plex
Jefferson County Building DepartmentoP . O . Box 1220ePort Townsend, WA 98368
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locATIoN 500 feet south of Teal Lake Road SGe4.-edf)\r
SPECIFIC LOCATION SITE ADDRESS _
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT5 BLOCK DIVISION TAX NUMBER
PARCEL NUMBER 821-212-001 1 / 4 SECTION NW
PLANNING AREA SECTION 21 TOWNSHIP 28N NORTH RANGE lE WM
BUILDING INFORMATION .
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
O SINGLE FAMILY N NEW BUILDING MAIN FLOOR
O MODILE HOME 0 ADDITION ZND FLOOR
O MODULAR HOME 0 ALTERATION
- loOr
O DETACHED/ATTACHED 0 REPAIR GorReeiTT (2
GARAGE 0 REPLACEMENT GARAGE / 2 4/
D WOODSTOVE 0 WRECKING/ DEMOLITION COMMERCIAL
y( MULTI - FAMILY U RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS4
MOBILE MS HOMES 5
0 COMMERCIAL
SIZE a $ 379S7V
O INDUSTRIAL
YEAR , ,.32201,1:6 b ?"3,2,,,,
LA HOTEL/MOTEL/DORMITORY
NUMBER OF UNITS MAKE :71 '5,6E5c/J @ $ a q3(620,9
4-
O OTHER - SPECIFY
ESTIMATED COST OF
IMPROVEMENTS TOTAL FAIR MARKET VALUE
UBC OCCUPANCY GROuity $ $
'
- tt, 60
SELECTED CHARACTERISTICS OF BUILDING
---- —
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
lAs WOOD FRAME V ELECTRICITY 0 COLLECTIVE SOLAR
•
U MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL 0 GAS 0 COAL
I
O REINFORCED CONCRETE 0 OIL D OTHER - SPECIFY
--.
O MASONRY ( WALL BEARING ) o \
DIMENSIONS 40-(7r-r. s ik )
O OTHER - NUMBER OF STOR I --) TOTAL.
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT T TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
KPUBLIC OR PR I VATE NUMBER OF EXISTING BEDROOMS
0 INDIVIDUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM ,
APPROVED DATE
U INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
p< PUBLIC ' ( NAME OF WATER SUPPLY 1,--tfl- Lo( .) ,(-1-1111eS
APPROVED DATE LI PRIVATE ( NAME OF WATER SUPPILY J1
,..,....a.....o - M4
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
K 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 NO
IDENTIFICATION
----- — —
NAME MAILING ADDRESS T. I r I TEL NO
F5-WIT E p I
Bay Rd . Suite #4
Po e Resources 60M Parad '
Pt . Ludlow, WA 98365 [437-21'1
coNT same .
POPER*12389 ,-- —:
RCM
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' OWNER 0 - THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
i IT' pF L N APPLE ATION DATE REC IPT NUMBER CHECK NUMBER E CASH
1
elQ/S7 /57S 1 Q137
VD
cFERSI3 0 UIVTV PERMIT EEES
BASE FEE INSPECTION
10,51) BLDG SURCHARGE , PLAN CHECK
ENERGY SURCHARGE $S3Q),06
NOV 1 •
VINO&SLOG DEPT TOTAL
— -, -
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4
.TF.FFFTR C7N C77C7TT1V`T'V' 13TTT T.T)T NC, "F Tr:RNfT '17
Jefferson County Planning and Building Department
Courthouse, 3rcd Floor
PO Box 1220
Port Townsend WA 9R388
206-:385-9141
PFRMTT # •RT,T)R9-0095 DATF. TSSTIF.T). : 11 /15/R9
S T TF. ADT)RF.SS : 80 FATRWAY T,N
:PORT T,TTT)T,OW. WA 98385
OWNER -POPE RESOURCES PHONE ! 4:37-21 01
MATT,TN(; AT)T)R : F30 FATRWAY T,ANF.
PORT T,TTT)T,UW WA 9R385
CONTRACTOR. . :SAME. PHONE!
MATT,TNG AT)DR :
•
CONTR. LTC #:POPFR*1 2:3F39 FXPTRATTON DATE.: / /
PARCFT, NO. . . : 821212-001
LEGAT, DFSC. . : STR 2 1 -28-01 FWM. TAX #
T,OT :3 . BLOCK FATRWAY VTT,T,
T)FSCRTPTTON OF TMPROVFMFNT: MTTLTT-FAMTLY: 4 PT,FX
( ) Footing/Setbacks (Shoreline Sethack) /Mobile Home Blocking!
( ) Foundation :
( ) Underground Plumbing/Underground Tnsulation :
( ) Framing/Plumbing,/Chimney:
( ) Tnsulation :
( ) Sheetrock :
( ) Sewage Disposal System Final :
( ) Final /Occupancy Approval :
CALT, :385-9141 24 HOURS TN AT)VANCF. TO SCHF.T)TTT,F. TNSPFCTTONS .
Office Hours 9 a .m. to 5 p.m.
Inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for Tnsnections.