HomeMy WebLinkAboutBLD1989-00100 ..,,• BODING 'ERt1IT' APPLICATION 410/7/-/ /e)K
PLAN /1 - B
Jefferson County Building DepartmentgP .O . Box 1220IPort Townsend . WA 98368,
LOCATION I /�/1i' �� ��/�
SPECIFIC LOCATION SITE ADDRESS //orb C- wwwl'll 111 i� `^H�1
POSTAL DISTRICT /SUBD I V I S I ONi�PY' RF.O/?
LEGAL DESCRIPTION LOT / BLOCK DIVISION TAX NUGIBER
PARCEL NUMBER Y07,//7 1 / 4 SECTION
PLANNING AREA SECTION /7 TOWNSHIP pV? NORTH RANGE / E. WM
BUILDING INFORMATION _
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAG//E''yy1�
❑ SINGLE FAMILY )4 NEW BUILDING MAIN FLOOR 3 3 -49 S
❑ MOD I LE HOME 0 ADDITION ZND FLOOR d9(Q/- 9'
•
❑ MODULAR HOME ❑ ALTERATION BASEMENT --
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE ❑ REPLACEMENT GARAGE .7 o2 (q - n ./._
❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
AMULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS L- MOBILE HOMES !1 �7 7❑ COMMERCIAL SIZE 3vo3.4 as $3 5 1051'�/7 5
❑ INDUSTRIAL
YEAR � � .l @ $ 1 6 ! 3 /369
❑ HOTEL/MOTEL/DORMITORY MAKE $ 9 7
NUMBER OF UNITS !� /J� / //
❑ OTHER - SPECIFY EST 1 MATED COST OF /laa-�`q� $8 �/j 376 /6
IMPROVEMENTS TOTAL FAI MAR VALUE
UBC OCCUPANCY GROUP1t $ $ /6. , �
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME ' PRINCIPLE TYPE OF HEATING FUEL
At WOOD FRAME AI ELECTRICITY 0 COLLECTIVE SOLAR
•
0 MANUFACTURED ❑ WOODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL ❑ GAS ❑ COAL Cif ,C
❑ REINFORCED CONCRETE 0 OIL NI OTHER - SPECIFY _ j•ne 4
❑ MASONRY ( WALL BEARING ) DIMENSIONS
O OTHER - NUMBER OF STORIES ,-.2, TOTAL LAND AREA
DEPARTMENTAL REVIEW
HE TH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS S
Cam- � 154 PUB L I C OR PR I VATS NUMBER OF EXISTING BEDROOMS
❑ 1 ND I V i DUAL ( SEPT i C ) NUMBER OF PROPOSED BATHROOM
API, OVED DATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY / , �
g PUBLIC ' ( NAME OF WATER SUPPLY LuD�c.v I, 2
APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY ,...,.,.,.,..
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
❑ 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 ❑ YES 0 NO
IDENTIFICATION
NAME MAILING ADDRESS ZIP TEL NO
owIIgR o . fesaurC.f3 (o ?a�rY�.d-is tcy Rd.. S'ai-eq. 'z�37Wc/
N T `, }M e-
V!A3 ' R
ARCH
I
rHE OWNER OF THIS BUILDING AND ,THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS,
SIGN E O C NT APPLICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH
�
APP 'CoV U BY PERMIT FEES
A P P , 0 E it 3, SASE FEE INSPECTION
rw
(U LDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE $ fi1 (t•�. ' TOTAL
+ 911 NUMBER REFUND DATE AT O E 1
: 1 HG orrICIAL _ id /is
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Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Rox 1220
Port Townsend, WA 95368
206-355-9141
PF.RMTT # •RT.DR9-0100 DATE TSSTTF.D. . 11 /01 /A9
SITE ADDRESS :91 N CHANDLER CT
:PORT LUDLOW, WA 95365
OWNER POPE. RESOURCES PHONE: 437-2101
MATT,TNC ADDR:70 BREAKER T.ANF.
!PORT LUDLOW WA 98365
CONTRACTOR. . :NO CONTRACTOR PHONE:
MATT,TNc ADDR:
CONTR. LTC #: E.XPTRATTON DATE:
PARCET, NO. . . : INNER - it,/ „" /
LEGAL DFSC. . :STR 1 7-28-01 EWM, TAX #
T,OT 1 , RT.00K , INNER HAR VTT,T.
DESCRIPTION OF IMPROVEMENT: 4 unit multi-family residence
( ) Footing/Setha .ks (Shoreline Setback)'/Mobile Home Blocking:
--_
( ) undation • 1 Z
( ) Underground Plumbing/Underground Tnsulation:
( ) _ ,_ , :).Ch i mney: 1 c/-/ F- 9 Y bLf 6.2J
( ) Tnsu1ation f /-/ -9' .4-( d�__�Q�
( ) r§-heetrock. CTC V'64.6--1 q 0 .L.( )1)-a--
( ) Sewage Disposal System Final :
( ) (Final/Occu.pancy Approva �IA/Da \ 7-b —9 H .„9...4.,y� ..Rs
CALL 385-9141 24 HOURS TN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a .m. to 5 p.m.
Tnspector 's Hours 9 - 10 a .m.
24 Hour Recorder for Inspections.