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Home My WebLink AboutBLD1989-00106 BUILV 'ERMIT APPLICATION 410 Jefferson County Building Department.P .O . Box 1220*Port Townsend/ WA 98368. r,____ ' LOCATJON SPECIFIC LOCATION SITE ADDRESS_ vnl— qupiler 1----ks POSTAL DISTRICT /J7 /SUBDIVISION LEGAL DESCRIPTION LOT CT _-' BLOCK DIVISION TAX NUMBER .,...., PARCEL NUI %5(--) /1)366:2A 1 / 4 SECTION PLANNING AREA ) SECTION TOWNSHIP r') NORTH RANGE ' WM BUILDING INFORMATION c_c7,__LDING TYPE T pE OF IMPROVEMENT SQUARE FOOTAGE INGLE FAMILY 1 NEW BUILDING MAIN FLOOR O MORILE HOME t 0 DDITION 2ND FLOOR O MODULAR HOME 0 ALTERATION BASEMENT O DETACHED/ATTACHED 0 REPAIR CARPORT GARAGE 0 REPLACEMENT GARAGE O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL O MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS MOBILE HOMES O COMMERCIAL SIZE O INDUSTRIAL YEAR 0 @ $ 15 O HOTEL/MOTEL/DORMITORY MAKE 0 @ $8 NUMBER OF UNITS O OTHER - SPECIFY ESTIM ED COST OF IMP VEMENTS 1 ;0_45n0a14ARKET VALUE UBC OCCUPANCY GRa :77) $ — — SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME -- PRINCIPLE TYPE OF HEATING FUEL `NJE Ds2WOOD FRAME . LECTRICITY 0 COLLECTIVE SOLAR O MANUFACTURED , WOODSTOVE 0 PASSIVE SOLAR O STRUCTURAL STEEL 0 GAS 0 COAL O REINFORCED CONCRETE , 0 OIL 0 OTHER - SPECIFY O MASONRY ( WALL BEARING ) DIMENSIONS 0 OTHER - NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW HEALTH DE TMENT TyPEBOFCSEWAGE OR IDISPOSN-T ,VWR OF PROPOSED BEDROOMS )- - 7 .\c_k) i fr'NUMBER OF EXISTING BEDROOMS I ND I V I DUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM____ 1P/ APPROVED DATE ' INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM r t----- —.....,..-a., ..- IV7ST - TYPE OF WATER SUPPLY r 0 PUBLIC ( NAME OF WATER SUPPLY ) APPkED DATE 0 PRIVATE ( AME OF WATER SUPPLY --- . .. ....PLANNING DEPT . WITHIN SHO ELINE JURISDICTION 0 YES E OF ADJACENT WATER BODY Orr 0 NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAME OF PUBLIC ROAD )' ) e NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO OWNER ...-- )111,,,, t(}4._ r!D,z r -7v67— ___. co FIT -s r A rr L--T-r a Isr's E N U 1 — ,— — ARCH T HE OWNER OF THIS BU aING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS; , SIGN .,U OP A. LI T/2_____ APIPLICASN RECEIPT NUMBER CHECK NUMBER OR CASH /(-9-''I (4) APPRON, B PERMIT FEES - ite . 0- . <7?-j / 0 BASE FEE I NSPECT ION 4. Yle;1411.14111\ t(C)1)13LDG SURCHARGE — PLAN CHECK JEFFERSON COUNTY , ENERGY SURCHARGE $::2 S7 ,s--?') TOTAL PLANNING&BLDG UPI ......i.Q.41:1. 9 I 1 NUMBER REFUND DATE I DATE SSUED BUILDING OFFICIAL f 76 _ 1 4 .T WF'FRSC)TT e:CIT7TTTY 1F3TIT T,T)T ITC; .F.-F:Tzmir7r Jefferson County Planning ane4 Building Department Courthouse, 3rd. Floor PO Box 1220 Port Townsend, WA. 98368 / 206-385-9141 PERMIT # •BLD89-0106 DATE TSSUF.D. s12/21 /89 SITE ADDRESS: MOUNT JUPTTER RD :RRTNNON, WA 98320 OWNER •BARNETT JOHNSTON PHONE: 795-4803 MAILING ADDR:PO BOX 88 :BRTNNON WA 98320 CONTRACTOR . . :NO CONTRACTOR PHONE: MAILING ADDR: CONTR. LTC #: EXPIRATION DATE: PARCEL NO. . . : 502103-002 LEGAL DESC. . :STR 10-25-02 WWM, TAX # T,OT , BLOCK DESCRTPTTON OF IMPROVEMENT: STNGLE FAMTLV RESIDENCE ( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking: ( ) Foundation : ( ) Underground Plumbing/Underground Tnsu l a t i on : ( ) Fr ing/Plimhinn/Chimneys ( ) Tn.su1ati.on: Zyi- „4t -liZ of 0/2 ( ) Sheetrock: ( ) Sewage Disposal System Final : ( ) Final /Occupancy Approval. : CALL 385-9141 24 HOURS TN ADVANCE. TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 5 p.m. a Tnspector ' s Hours 9 - 10 a .m. 24 Hour Recorder for Inspections. ,x * JOB /1jj, L— ' 'V P.r7/42,f )►d II ._,SHEET NO, OF h k w CALCULATED BY TO DATE 7 /YT�7 A_�_a/?L1-� q t , ... ' CHECKED BY DATE SCALE f - r s 1� 0 ,- P�PaL' 42 r 'V 6 i R. T P 1 e 56 0! r9 _ i - G +0ii I t t t il 1\'? 4' C 177/ 9' `u 0 4' *N •••• oz,' 0 / S Q. a o ti k. /aa --7 P_or�r'vE Jj', urs r fi' TME 2>R4/ / F 1 71, _ Rl $ER1/E_fi'Rz—i9i, I RECEIVES Q. 1. ,,49 0 7'89 JEFf 14! HEAL i ?Roma 20S ?ROW1�Inc Graoe,Mau 01471.To Order PHONE TOLL FREE 1-800 n-aso I '-.. ,. .4., . .. 0 .. . - . - . - , ;- .-• •. • . < . • ' _.:_, __- .. . . ;:.,,•:•.• -. - -.,•... ',..... • - .` cit. ..-.- ,•:. - • U*)••• - • _ . . 4`;'-..s.,.; ---: ,- -..• _(f) • . ;";,1,-4-,..,;.•.,.._.,., ,. - . Iii . . - : .. . • ,„4,....,,„...• ,•.,,.. -:, - •• , --.• • .. , , , _ et' E3.3 ...... . . . • • - °;...;,-..-....... -.,•'',.7 ;-,, ..- - •.,_ • .. --a „. . -c• .. .-. • • , , i , _............ 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'''... .: ' , .. - ; ' '.,. • N.N. \ - . ... • • Org.E9 I -. . •. i,""`• . . • . 1 ; , -_, •-x.Er3noo '.33,..1 ‘-) 3 Li r_-_ P-8,L 0 3111 V..-.J CO ... ci 11A13.4i--1 ........, in-. • 1---,1 il u) .._- 1 i 01 51 4 (s) ,—, , . .. .---z- ,...,-,J _ 1 i. . • . ii - . !. .101 t 1 . JEFFERSON COUNTY CERTIFICATE OF OCCUPANCY Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD89-0106 SITE ADDRESS:710 MADRONA RIDGE DR :BRINNON, WA 98320 OWNER •JOANN MOSER PHONE: MAILING ADDR:710 MADRONA RIDGE :BRINNON WA 98320 PARCEL NO. . . :502094002 LEGAL DESCRIPTION: STR 09-25-02 WWM, TAX LOT 20 , BLOCK , MADRONA RIDGE AREA APPROVED: SINGLE FAMILY RESIDENCE AREA APPROVED COMPLIES WITH REQUIREMENTS OF UBC FOR OCCUPANCY GROUP: R3 TYPE OF CONSTR CTION: BUILDING OFFIC iv Michael Ajax Date ' _7/ q -`2P\