HomeMy WebLinkAboutBLD1989-00109 411F.LDING 'ERNIT APPLICATION .
Jefferson County Building DepartmentfPP .O . Box 12200Port Townsend . WA 98368
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LOCATION _
SPECIFIC LOCATION SITE ADDRESS (-; -7 Pit P(aj- (;_ _
POSTAL DISTRICT PT /SUBDIVISION all
LEGAL DESCRIPTION LOT BLOCK DIVISION . _TAX NUMBER
PARCEL NUMBER -1/1-r) c3C)C) o-K) 1 / 4 SECTION
PLANNING AREA SECTION 1,2, TOWNSHIP c;0 NORTH RANGE 2(._-( ) WM
BUILDING INFORMATION
BUILDING TYPE : TYPE OF IMPROVEMENT SQUARE FOOTAGE
SINGLE FAMILY
MOBILE HOME a_NEw BUILDING
. 0 ADDITION MAIN FLOOR
ZND FLOOR 13,2 I-)
20
O MODULAR HOME 0 ALTERATION BASEMENT
O DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGEAMUM 9 O n
O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
O MULTI - FAMILY 10 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
MOBILE HOMES
O COMMERCIAL ....3-.2.LIA @ $3 5
SIZE
O INDUSTRIAL
YEAR 4 @ $ 16
O HOTEL/MOTEL/DORMITORY
MAKE 1,- L 0 @ $8
NUMBER OF UNITS .2, )
_
O OTHER - SPECIFY Inr 0 @ $8
ESTIMATED COST OF
IMPROVEMENTS TOTLFA91FLIZARKET VALUE
UBC OCCUPANCY GR124 , $ $
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME . .
PRINCIPLE TYPE OF HEATING FUEL
05 ts5:1 ANce,
0.,WOOD FRAME ELECTRICITY 0 COLLECTIVE SOLAR
' 0 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
HE LTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROIOST.77F13ROMS7-
1 ')- /01/ 7
7
, 0 PUBLIC OR PRIVATE
XINDIVIDUAL ( SEPTIC ) NUMBER OF EXISTING BEDROOMS
NUMBER OF PROPOSED BATHROOMIti
APPROVED DATE
D 'INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
0 PUBLIC ( NAME OF WATER SUPPLY)
APPROVED DATE 13 RRIVATE ( NAME OF WATER SUPPLY e__
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
YES NAME OF ADJACENT WATER BODY
8 aF c5-1-rci ri---, nf I Oikn d P__ FO CC(
/ 0 NO ,. .. • /,,,-
,...-- 6,-,s ' 0 s--
, 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 0 NO
IDENTIFICATION ,-
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NAME MAILING XDORESS ,,.ZIP TEL NO
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ARCH
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THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREET-b--C-gNFORM TO ALL APPLICABLE LAWS.
_ ---.
SI AT RE OF PPLICANT APPLICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH
[3`1 -1 -'3-2)9._-'_,-,
APPROVED BY PERMIT FE S
1. 7 7, 50 BASE FEE I NSPECT ION
A 0.
- - P * )6111, ---r-,
,-" BLDG SURCHARGE PLAN CHECK
' 4/OM= ENERGY SURCHARGE s ..,4 ,
, cx ,,, TOTAL
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3 1989 911 NUMBER REFUND DATE DATE IsspEo
C
nIjEFeWhqA NG OFFI IAL ileA-34. 7
ttr• L'II/VI'v 4
6 BLDG DEPT TO 1---li_. ).z/o5 —
.7F711FF.RSC)1V CC)TITTT'Y 1T.7T T.T)T TTC; T=�FRMT 'T'
Jefferson County Planning and Ruiiding Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 983B8
208-385-9141
PERMIT # •RT.D89-01 09 4 DATE ISSUED. : 1 2/1 3/89
SITE ADDRESS: 2/FTR PL
:PORT TOWNSEND, WA 98368
OWNER •FTNN,/THOMAS PHONE: 385-6197
MATLTNG ADDR: 737 CALHOUN
!PORT TOWNSEND WA 98368
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR :
CONTR . T.TC #: EXPTRATTON DATE:
PARCEL NO. . . :940500-070
LEGAT. DE.SC. . :STR 12-30-02 WWM, TAX #
LOT 71 , BLOCK , CAPE GEORGE DTV 3
DESCRIPTION OF IMPROVEMENT! SINGLE FAMILY RESIDENCE
( ) Footing/Sethacks (Shoreline Setback) /Mobile Home Blocking:
( ) Foundation :
( ) Underground Plumbing/Underground Insulation :
( ) Framing/Plumbing/Chimney:
( ) Tnsulation !
( ) 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.
Inspector 's Hours 9 - 10 a.m.
24 Hour Recorder for Inspections.
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