HomeMy WebLinkAboutBLD1989-00591•
I�UIING '`'ERMI1" APPLICATION V
III
Jefferson County Building Department.P .O . Box 1220'Port Townsend. WA 98368
LOCATION Port Ludlow '
SPEC I F I C LOCAT I ON S 1 TE ADDRESS Site 16 Bay View Village Lot 27
POSTAL D I STR I CT /SUBDIVISION Bay View Village
LEGAL DESCRIPTION LOT 27
BLOCK DIVISION TAX NUMBER
PARCEL NUMBER gQ—//62 1 / 4 SECTION 16
PLANNING AREA SECTION 16 TOWNSH 1 P T28N R1E------- NORTH RANGE WM
BUILDING INFORMATION
BUILDINGUI TYPE TYPE OF IMPROVEMENT
♦' ( , 51NGLE FAMILY 0 NEW SQUARE FOOTAGE
BUILDING /'7//
0 MOLL 1 LE HOMEMAIN FLOOR / iv
0 ADDITION 2ND FLOOR
C 0 MODULAR HOME
0 ALTERATION BASEMENT
❑ DETACHED/ATTACHED ❑ REPAIR CAS-FORT D
GARAGE
0 WOODSTOVE ❑ REPLACEMENT GARAGE �(�
❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS
❑ COMMERCIAL MOBILE HOMES❑ INDUSTRIAL SIZE f ____ @ $35 &O 060
❑ HOTEL/MOTEL/DORMITORY YEAR 0 $ 16
LI NUMBER OF UNITS MAKE �8�� ,� $8 ��0
kri 0 OTHER - SPECIFY � ^
ESTIMATED COST OF r ,� W $8 gr)
UBC OCCUPANCY GROU IMPROVEMENTS TOT F IR ARKET VALUE
SELECTED CHARACTERISTICS OF BUILDING 7
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
[WOOD FRAME [ELECTRICITY
® COLLECTIVE SOLAR
❑ MANUFACTURED
❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS
❑ REINFORCED CONCRETE 0 OIL ❑ COAL
❑ MASONRY 0 OTHER SPEC 1 FY f ply
( WALL BEARING ) DIMENSIONS
❑ OTHER -
NUMBER OF STORIESQ TOTAL LAND AREA6/ O
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS o2
/ Er-PUBL I C OR PRIVATE APPROVED DATE 0 1 ND 1 V 1 DUAL ( SEPT i G ) NUMBER OF EXISTING BEDROOMS
NUMBER OF PROPOSED BATHROOM pZ
❑ INDIVIDUAL WEL L
NUMBER OF EXIST 1 NG BATHR mww,
PUD (A/PUBLIC
OF WATER SUPPLY
Ly PUBL I C ( NAME OF WATER SUPPLY) Ludlow ,C?
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY R.
PLANNING DEPT , WITHIN SHORELINE JURISDICTION
❑ YES NAME OF ADJACENT WATER BODY
0 NO
APPROVED DATE BANK HEIGHT
SETBACK
PUBLIC WORKS DEPT ROAD RIGHT-OF - WAY WIDTH .30 '
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED
❑ YES ❑ NO
IDENTIFICATION
NAME
MAILING ADDRESS ZIP TEL NO
OWNER
Pope Resources 60M Paradise Bay Rd. S.#4 Pt. Ludlow, WA 98365 437-2101
CONT Pope Resources same
S I A ItL I UENSE ND I
Pope 123891
RCH
!"HE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS,
I GNATI�R fOF//DPP, I CANT Af,P 'I C ,.4Q DATEj RECEIPT NUMBER CHECK NUMBER OR CASH
�► %� ,./
�"
P V BY PERMIT FEES
I p �
A P 4 e-ici�tp "t BASE FEE
11 ' �' C,) INSPECTION
L� ' ✓V BLDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE ii` r c;.
JEFFE°i t d TOTAL
PLANNING&BlDG DEf'? /(:) ('l✓
911 NUMBER ' REFUND DATE I DAT IS D
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