HomeMy WebLinkAboutBLD1989-00126 (3 DINERMIT APPLICATION gli
ent^P .O . Box 1220 Fort Townsend.fla 98368
Jefferson County Building Departm / r.,''��,,�
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SITE ADDRESS SPECIFIC LOCATION POS
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AL DISTRICT 1'S4 B D JVISION .
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LEGAL DESCRIPTION LOT "I]1 I:_ .__ IVIS1ON_ _ _._.TAX NUMBER R
• GEL NU* r51 - ' 1 / 4 SECTION_
Vag
NORTH RANGE
PLANNING AREA
SECT I OrI , TOWNSHIP _., _
A
BUILDING I NFORMAT l ON _-------^-
TYP
OF IMPROVEMENT sQUARE FOOTAGE
BUILDING TYPE h3A 1 1`I FLOOR
EW BUILDINGSOBILE FAMILY ADDITION ZND FLOOR A .
OIJ OBI LE HOME 0 BASEMENT
❑ MODULAR HOME 0 ALTERATION CARPORT
❑
❑ DETACHED/ATTACHED 0 REPAIR REPLACEMENTT
' COMMERCIAL
GARAGE
GARAGEAA
COI,iT,IERC 1 AL
WOODSTOVE ❑ WRECKING/DEMOLITION��
❑ _^`T.__ �
0 RELOCATION/MOVING INDUSTRIAL
O MULTI - FAMILY
NUMBER OF UNITS _, MOB I LF. 1 O'�IjE;� /� -,-- ] @ , 3 5
o COMMERCIAL S I xE �� b " - ( ] I $ 1 6
❑ INDUSTRIAL YEAR 4' �.-.-._ --^-- ^""" `/ $a
QORMITORY '
O ffOTEL/I JTEI / MAKE
NUMBER OF UNITS :_--T F F3
O OTHER - SPECIFY ESTIMATED COS
1 MP OV ES -N 'S T' TAL FAIR MARKET VALUE
UBC OCCUPANCY GROUP__ $ �
SELECTED CHARACTERISTICS OF -BUILDING
PR I N'"' PLC TYPE OF HEATING FUEL
PR I TIC I LE TYPE OF FRAME
_-,LECTRIGITY 0 COLLECTIVE SOLAR
❑ W D FRAME ❑ PASSIVE SOLAR
;;OODSTOVE ❑
ANUFAGTURED 0 GAS 0 COAL❑ STRUCTURAL STEEL 0 OIL TAER SPECIFY '���
❑ REINFORCED CONCRETE ._ ��
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER NUMBER OF STORIES _
'IO'I'AL LAND /1REA
.—
DEPARTMENTAL REVIEW __ _R� ^mil—_..---_ ��F F?OI JSED BEQR
HEALTH DEPARTMEII T TYPE OF SEWAGE D I SPOsA►-
' NUMBERF t�
❑ PUBLIC OR PRIVATE NUMBER OF EXISTIt13 BEDROOMS
II , ® D I V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM
.� `` �j IIU(+iDER OF EX S71I!'� BATtiR00t
'I C - PA t r OV E D'«U A T" ❑ INDIVIDUAL y1 E I-L ,_._..�...Eft _.--
PUD TYP - OF WAT,';n SUPPLY
6 PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE ❑
PRIVATE ( NAME OF WATER SUPPLY
_ _------ _-.----
PLANNING DEPT . WITHIN P IOREL I NE JURISDICTION
❑ YES .AME Or ADJACENT WATER BODY
BANK HE I GILT_
SE�7-B.ACK e C;1 S'
APPROVED DATE .� ---- - ')C- V,
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 ___, ZIP TEL NO
MAILING A I L I f I G ADDRESS T,�,_„�._-
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NAMF_ �`' C
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__________________ .*
CANT /%� _:
ARCH _ .... ..
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALLAPPLICABLE LAWS;
E �Ttr 1'7- fl r. IGR CHECK T ;� OR CASH
"��...�_....�... Ai'F'L � .r I . .i T C
NATURE O - AP L CAiiT
t>arm I T FEE APPROVED BY BASE FEE INSPECTION
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lJ PLAN CHECK
BLDG SURCHARGE C7
_..__,...�_ ENERGY SURCHARGE / TOTAL
,S ' ? 5
9 I I NUMBER REFUND DATE DATE I SSUED
BUILDING OFFICIAL I
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MANUFA•URED/MOBILE HOME INS1LATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD89-00126 Received Date: 11/19/2009
SITE ADDRESS: 50 N MAPLE ST Issue Date: 11/19/2009
PORT HADLOCK, 98339
APPLICANT: RONALD ALLEN
DONNA ALLEN
50 N MAPLE ST
PORT HADLOCK WA 983399615
SUBDIVISION: GARFIELD'S ADDITION Block: Lot:
PARCEL#: 952800312 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER
PROJECT DESCRIPTION: TO CREATE COMPUTER RECORD OLD MFH PERMIT
MAKE: FLEETWOOD YEAR: 1989 SIZE: 26X66
Directions
To Site:
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
JCS' l Qt_ - —
FINAL INSPECTION
i! 2 3 ..; 11M-,0.1
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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I.IDUAL SEWAGE DISPOSAL INSPECTIllkORM Date ft-/C.-
APPROVED YES NO ENVIRONMENTALIST
Address 1444.-rig Owner to {g/ ,L7/
Legal Description S 1 ;�` 't c41 - .— (4 Add,t t�p/s�s � 1—±
Residence ✓ Commercial # of Bedrooms System Installer1t.G-
System Designer
SEPTIC TANK Commercial J/ Non commercial Measurements: L W WD
Construction Material C'e_:yrenr, Lig. Cap. tC Q
DISPOSAL FIELD
Exc. Depth 3 `t Width IS ff: Total Length toe f. Sq. Ft.
Rock Type �{, ;�, r��_k Depth Under C-E' Over
Engineer Design Yes Type Engineer Approval Letter Yes
Well 50 feet from tank 100 feet from leach field
Well installed at time of septic system inspection Yes No Public Water ✓`"
Comments:
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