HomeMy WebLinkAboutBLD1989-00114 1
J'EFFER.SON COUNT • DUI LDI NG PERMI `T
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend, WA 98368
,ee�q 206-385-9141
PERMIT # -BLD C� ` r63//4 DATE ISSUED. : 04/28/92
SITE ADDRESS : 131 MARKET ST
:PORT HADLOCK, WA 98339
OWNER •MICHAEL COXEN PHONE : 385-5527
MAILING ADDR: 131 MARKET
:PORT HADLOCK WA 98368
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR:
•
CONTR. LIC #: EXPIRATION DATE:
LOAN LENDER. :
MAILING ADDR:
•
PARCEL NO . . . : 961803-903
LEGAL DESC . . : STR 35-30-01 WWM, TAX #
LOT 11 , BLOCK 39 , IRONDALE
DESCRIPTION OF IMPROVEMENT: single family addition
( ) Footing/Setbacks (Shoreline Setback) /Mobile Home Blocking:
( ) Foundation:
( ) Underground Plumbing/Underground Insulati
( ) Framing/Plumbing/Chimney:
kra_.-( )
Insulation:
( ) Sheetrock:
( ) Sewage Disposal System Final :
( ) Final/Occupancy Approval :
CALL 385-9141 24 HOURS IN 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 .
[3U. ' ING ,'ERMIT APPLICATION
Jefferson County Buildingbepartment+P .O . Box 1220.P• Townsend. WA 98368
` LOCATION !! /�
SPECIFIC LOCATION SITE ADDRESS l 3 / UI° /q/lAY
POSTAL DISTPICT ` k. /SUBDIVISION
i /2o.-toac6
LEGAL DESCR I PT ON LOT ///�- OCK, — /D 1-�I S 1 ON TAX NUMBER
1)'�:
%/ ✓ PARCEL NUMB `r 1 { 4 SECTION
PLANNING AREA SECTION 3 S H 1 5 3,* NORTH RANGE / //V WM
BUILDING INFORMATION 11,-
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
/ SINGLE FAMILY 0 NEW BUILDI G MAIN FLOOR
/❑ MOI:3I LE HOME ( ADDITION 3 P“1- 2ND FLOOR {y)
❑ MODULAR HOME ❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT R-A-GE- vccK._ 1/0
O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL MOBILE HOMES J r )
❑ INDUSTRIAL
SIZE 2 q�, $3 5 / ��v
❑ HOTEL/MOTEL/DORMITORY YEAR +- $ 16 ']��
NUMBER OF UNITS MAKE Vb 0 a $8 av9. 0
❑ OTHER - SPECIFY ESTIMATED COST OF -0 @ $8
1
IMPROVEMENTS $ L7 1�2 MARKET VALUE
UBC OCCUPANCY GROUP /1
a
SELECTED CHARACTERISTICS OF BUILD 1 NG 2s�a7 �tor.y /No bb 1 •.
P INCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
WOOD FRAMEELECTRIGITY 0 COLLECTIVE SOLAR
MANUFACTURED ❑ WOODSTOVE '"./ 0 PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS
0 OTHER - NUMBER OF STORIES 2 TOTAL LAND AREA
DEPARTMENTAL REVIEW
77i
HLTH D RTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMSj ❑ PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
p�i X INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM.
APPROV ATE
0 1 ND I V I DUAL WELL NUMBER OF EXIST 1 NG BATE ROOM
PUD TYPE OF WATER SUPPLY
O PUBLIC ( NAME OF WATER SUPPLY)
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 0 YES 0 NO
IDENTIFICATION
,
NAME MAILING ADDRESS ZIP TEL NO
OWNER
Z/c r x V/ 73/ 4C s i coat 7d339 3 8f=
ss-242
CONT G.)c(64-
-
S [ATE LICENSE NO ' I
ARCH
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
S OF Il ICAN APPLICATION TE RECEI T NUMBER CHECK NUMBER OR CASH
.7 .Ion -� ).-- --� I JcS5Zc I c O7
APPROVED BY PERM FE S
BASE FEE INSPECTION
77
3, S l,A3LDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE $Ill, S1) TOTAL
911 NUMBER REFUND DATE I DATE ISSUED
BUILDING OFFICIAL
(2061812 1710
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