HomeMy WebLinkAboutBLD1989-00440r------ •
BUILDING . 'ERMIT APPLICATION FAIRWAY VILLAGE 4-
•
Plex 1
Site 17-B
Jefferson County Building DepartnenteP .O . Box 12.206Port Townsend ' WA 98368
500 feet south of Teal Lalce Road
i SPECIFIC LOCATION SITE ADDRESS -- .
POSTAL DISTRICT_ /SUBDIVISION
LEGAL DESCRIPTION LOT / BLOCK DIVISION TAX NUMBER
, .
PARCEL NUMBER 821-212-001 I / 4 SECTION NW
PLANNING AREA SECTION 21 TOWNSHIP 28N NORTH RANGE lE wmi
BUILDING INFORMATION .
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BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
O SINGLE FAMILY . NEW BUILDING MAIN FLOOR
O MOBILE HOME . 0 ADDITION . ZIND FLOOR
O MODULAR HOME 0 ALTERATION . -BASEIP ( V
I ±i0Or C7 (
O DETACHED/ATTACHED 0 REPA I R _
GARAGE 0 REPLACEMENT GARAGE .----
• WOODSTOVE . 0 WRECKING/ DEMOLITION COMMERCIAL ----
p( MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
$ NUMBER OF UNITS4
1 ---
O COMM Eli I AL MOBILE HOMES
AT
0 INDUSTRIAL SIZE , $35
4.44'40 a -4-
7 9
YEAR @ ; i 6 :,:,..,&
O HOTEL/MOTEL/DORMITORY _
NUMBER OF UNITS MAKE
O OTHER - SPECIFY - 0 $5
ESTIMATED COST OF ----1
..
t ''J IMPROVEMENTS TOTAL FAIR MARKET VALUE
UDC OCCUPANCY GROUP
*.1 )
—
• $— •
SELECTED CHARACTERISTICS OF BUILDING
--...._ ----
-t, PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL AA
Kym OWOOD FRAME V ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED WOODSTOVE 0 PASSIVE SOLAR
p STRUCTURAL STEEL 0 GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY _
—
CI MASONRY ( WALL BEARING ) DIMENSIONS --) -11-( 017i_Q
- L. '?k4C
H OTHER - NUMBER or sTon I ES TO) TOTAL LANE) AR A4'2— ,
—
DEPARTMENTAL REVIEW .
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED 19 E D0C,NAS "..-
1 PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS-
0 INDIVIDUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM
APPROVED DATE
4.7.) 0 INDIVIDUAL WELL NUMBER OF EXISTING BATHROCAM
TNI PUD TYPE OF WATER SUPPLY
. "' 144eC
A PUBLIC ( NAME OF WATER SUPPLY)._ /.--U1)j,.1).cA.) ,A , N , 1 .—_,
APPROVED DATE M PRIVATE ( NAME OF WATEI_I=ILmor
, .
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
t .
.
Kr- K NO
APPROVED DATE BANK HEIGHT SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF - WAY WIDTH ---- -- —
NAME OF PUBLIC ROAD .
. ,
NAME OF PRIVATE ROAD
I APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES N NO
IDENTIFICATION
NAME MAILING ADDRESS 5 ZIP TEL NO
--- - --*--1
67-amn
Po e Resources 60M Paradise Bay Rd . Suite
Pt . Ludlow, WA 98365 437-21_ 1
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CONT same
sTArE Lirir1s-r-mr-------
POPER*12389
%RCM
, .
. --.
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
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'S I GNA I OF A I N APPLIC TION DATE . rElpTNymnEn CHECK tHHIBER OH CASH
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A p p BASE FEE INSPECTION
T A-) - B L DG S UR CI-IARG E AF-J20 f 33 PLAN CHECK
JE 5 89 ENERGY SURCHARGE .. tiliet .d) 1. -C61_35r01•
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FFERSON COU TY
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DEC-29-'85 12:37 ID:M I THEW PARTNERS TEL NO:2O6-646- 3776 4350 P05/05
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FROM: PLANNING AND BUILDING DEPARTMENT
- ,
ADDRESS REQUEST
.PLAWED:
I . ' X NEW ADDRESS ADDRESS CHANGE
2 . NAME : POPE RESOURCES
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3 . MAILING ADDRESS: 60M Paradise Bay Road Suite #4
_
4 . TELEPHONE: 437-2101
------------__________
5 . LOCATION: Please attach map.
LEGAL DESCRIPTION: 21___________
(Fairway Village)
--------------------.T.2_a______ Site 17 -B
_PIE
SECTION 21 TOWNSHIP 28N RANGE 1E
LOT / BLOCK PLAT
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6. ROAD E: ---5--- .
. • .
---------------.-_____
BETWEEN ST. & ST.
_______ _
500 FEET ;WI olf -7-ia-es A2117 -
7 . FEIGHBORS :
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NAME:
N S E W - - '
ADDIESS.--- ---------
-----------------
_ _
NAME:
N SEW -- .-
ADDRESS -----______
_ .
NAME :
N S E W -
ABT)ii." -----
------ _
8 . FEE PAID CASH ___ CHECK NO.
• 1
----------------_______--- -- ------------_____--- 1
1------------_____
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NEW ADDRESS
STREET:
-------------------.__.___________
. If
CITY:
----------------------.--____,_______- T REAL MILE POST
---------.__,______
date entered sent
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1
ON COLTN'r
CERTS FS CATE OF
OCCUPANCY
ER: POPE RESOURCES
OWN
70 BREAKER LANE PORT LUDLOW WA 98365
LEGAL DESCRIPTION AND ADDRESS
PARCEL #821212001 STR 21-28N-1E
20 FAIRWAY LANE PORT LUDLOW WA
98365
AREA APPROVED: MULTI-FAMILY
AREA APPROVED COMPLIES WITH REQUIREMENTS
OF UBC FOR GROUP R DIVISION 3 OF
OCCUPANCY.
THIS AREA APPROVED FOR USE AS CLASSIFIED
ABOVE.
BUILDING OFFIC DATE
MICHAEL AJAX
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