HomeMy WebLinkAboutBLD1989-00443 1
AIDING 'ERMIT APPLICATION 410 ( ,7 /od 66/
Jefferson County Building Department•P .O . Box 1220+Port Townsend, WA 98368
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LOCATION --41VIeR ilifk U// ,1Jf It
,
SPECIFIC LOCATION SITE ADDRESS i►"ti -""-". '"POSTAL DISTRICT /S 1-DIVISION /H f) I LT /
LEGAL DESCRIPTION LOT / BLOCK DIVISION TAX NUMBE
PARCEL NUMBER///- 1 / 4 SECTION 1,2.
PLANNING AREA SECTION /(� f/ TOWNSHIP -;- `' NORTH RANGE / WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE C SINGLE FAMILY Q NEW BUILDING MAIN FLOOR 14--
❑ MOBILE HOME ❑ ADDITION 2ND FLOOR --Q�
❑ MODULAR HOME ❑ ALTERATION BASEMENT 1-7,-/3
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE
❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS �/
❑ COMMERCIAL MOBILE HOMES /r.73 fi a $3 51 s5/J55�/
SIZE
❑ INDUSTRIAL
YEAR --- 0 @ $ 1 6 p pOS
❑ HOTEL/MOTEL/DORMITORY MAKE /3 /.: VI @ $8 '/ /C /
NUMBER OF UNITS
❑ OTHER SPECIFY ESTIMATED COST OF @ $8
IMPROVEMENTS TOT L FAI R�c�T VALUE
UBC OCCUPANCY GROU $ G'G'
may, ; /
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
,El WOOD FRAME O ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS ❑ COAL
❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS 77 /�
❑ OTHER - NUMBER OF STORIES . TOTAL LAND AREA\J DO '0")
D PARTMENTAL REVIEW
LTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS --
� S
s. a' ❑ PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS `'+�.�,
ASS. ,tia ❑ INDIVIDUAL ( SEPTIC ) 8
NUMBER OF PROPOSED BATHROOM ``�C
APPROVED DATE
❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM-�"
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ' ( NAME OF WATER SUPPLY
APPROVED DATE ElPRIVATE ( NAME OF WATER SUPPLY 2.--r,'' O •� ` �.. 1
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
ZLT%-,
❑ YES NAME OF ADJACENT WATER BODY D
( `+
0 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 J'�
IDENTIFICATION I �(/
NAME ~ - MAILING ADDRESS ZIP TEL NO
wNaR o . keSoc.�vice\S 1perr) Pa, isP1 is A 37-
_ . lam
CONT _ Sc € -
ARCH
-
rHE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
SIGNA OF I A APP ICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH
/`
P OVED BY , ERMIT FEES t
AP VET �
7s .CC BASE FEE INSPECTION
C1 9 4rSL) BLDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE $ 4/ J7 TOTALJaHRSONCOUNTY
\
NANMNG u BLUG[IEPT ` /
l./ .CC 9 1 1 NUMBER REFUND DATE DATE I. SUED
BUILDING OFFICIAL /
b.
ON COUNTY
CERTI F2 CATE OF
OCCUPANCY
OWNER: POPE RESOURCES
70 BREAKER LANE PORT LUDLOW 98365
LEGAL DESCRIPTION AND ADDRESS
PARCEL #969400001
STR 16/17-28-01E
AREA APPROVED: 20 FAIRWIND COURT
PORT LUDLOW WA 98365
AREA APPROVED COMPLIES WITH REQUIREMENTS
OF UBC FOR GROUP R DIVISION 3 OF
OCCUPANCY.
THIS AREA APPROVED FOR USE AS CLASSIFIED
ABOVE.
UILDING OFFCIAL DATE
l4//`7 /1(
rD
Q C 1 1991
Jefferson County Planning
& Building Department
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