HomeMy WebLinkAboutBLD1989-00115 III /e RA,/ 1-T-8
ACING 'ERMIT APPLICATION k
ferson County Building Department'F .O : Box 1220'Port Townsend. WA 98368LOCATI
SPECIFIC LOCATION SITE ADDRESS NoIZ C � I'/ '��'I, �'
POSTAL DISTRICT 4JSUBDIVISIONlhher �R13m2 V16,e_
LEGAL DESCRIPTION LOTOC� BLOCK DIVISION TAX NUMBER
PARCEL NUMBER Sot l/ /.y- O 1 / 4 SECTION
PLANNING AREA SECTION /7 TOWNSHIP c A NORTH RANGE / E. WTI
BUILDING INFORMATION _
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAG/ME1
❑ SINGLE FAMILY l4 NEW BUILDING MAIN FLOOR 30(73.- 40 ;
❑ MOn I LE HOME 0 ADDITION 2ND FLOOR ac(Q[' 64,
❑ MODULAR HOME 0 ALTERATION BASEMENT y'.
❑ DETACHED/ATTACHED „ ❑ REPAIR CARPORT -
GARAGE 0 REPLACEMENT GARAGE ` 02 Q - C/^�2
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
MULTI - FAMILY ,/ ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS !� MOBILE HOMES ��•77
❑ COMMERCIAL SIZE 3d03� , 07_ I<3 5 1051/037. 7
❑ INDUSTRIAL
YEAR c�j� @ $ 1 6 y7 39 36.
• HOTEL/MOTEL/DORMITORY MAKE 0 a7 $ e
NUMBER OF UNITS y / /
❑ OTHER - SPECIFY ESTIMATED COST OF /(`•'2a-W.@ $5 /// 376 /[G
IMPROVEMENTS T'O AL FA IM;ARyZ VALUE
UBC OCCUPANCY GROUP,J _/ $ S
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
Af WOOD FRAME AI ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS ❑ COAL Zev-o C/eir�U�
❑ REINFORCED CONCRETE ❑ OIL y OTHER - SPECIFY _bike IF'
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW •
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS g
yl PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
❑ I ND I V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM ,
APPROVED DATE ❑ I ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY)54 � W �
PUBLIC ' ( NAME OF WATER SUPPLY) LAcD� oc
APPROVED DATE ❑ 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 ❑ NO
IDENTIFICATION
NAME MAILING ADDRESS ZIP TEL NO
OWNER ��. , Re5ourcr (e9 M 1)6IWcI 'm. tcv 1K, -'/4.{-(41/- 1/37-alcf
CONT _�
T A it-I E 3 7�
ARCH TI�� K
t
EME OWNER OF THIS UILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
S I CNA OF A 1I// APPLICATION
��^�O �DATE �RECEIPT�� !NUMBER I CI ��N�R OR CASH
PROVE BY PERMIT FEES
63.31E) BASE FEE INSPECTION
A p ((:)� q -BLDG SURCHARGE PLAN CHECK
NOV 1 }n9 ENERGY SURCHARGE d•�Q„ I'`l TOTAL
JEFFERSON&aLo I 911 NUMBER REFUND DATE PAl I 5U�E'
•P1:9N 1N6 161D� p F//
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7-
01,
0-EIPB'ERGON COUNTY BUI LD2 NG PERMIT
Jefferson my Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
5 ort Townsend, WA 98368
I o 206-385-9141
PERMIT # -BL 4— DATE ISSUED. : 11/01/89
SITE ADDRESS: 81/N CHANDLER CT
:PORT LUDLOW, WA 98365
OWNER -POPE RESOURCES PHONE : 437-2101
MAILING ADDR:
:PORT LUDLOW WA 98365
CONTRACTOR. . :NO CONTRACTOR PHONE:
MAILING ADDR:
CONTR. LIC #: EXPIRATION DATE:
LOAN LENDER. :
MAILING ADDR:
g C)°('') 7/30g_f e965/, C)
PARCEL NO. . . : INNER -002
LEGAL DESC . . : STR 17-28-01 EWM, TAX #
L O T ; BLOCK 6..i-2,0 .-12 /4 72- /3
DESCRIPTION OF IMPROVEMENT: four-plex
( ) Footing/Setbacks Shoreline etb ck) /Mobile Home Blocking:
( ) Foundation: lG
( ) Underground Plumbing/Underground Insulation:
( ) Framing/Plumbing/Chimney:
( ) Insulation: Z
( ) Sheetrock:_1,A'.a . �.,
( ) 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 .