HomeMy WebLinkAboutBLD1990-00117 .. - , ,
BUILDING 'ERMIT APPLICATION pl.-d N 16- Ci
te.)a---
Jefferson County Building Department•P .O . ''Box 1220iPort Townsend' WA 98368
LOCATION M ki i E VV V t L1 4-&l..
- S P e- 11(
SPECIFIC LOCATION SITE ADDRESS /9/ /(// ,d4 S , / y 1 /
2
,
POSTAL DISTRICT /SUBDIV1S1ON 1/l� Jf
LEGAL DESCRIPTION LO43' BLOCK t DIVISION TAX NUMBER
PARCEL NUMBERc /' / '" 1 / 4 SECTION
PLANNING AREA SECTION / (//O TOWNSHIP U NORTH RANGE / if: - WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
* SINGLE FAMILY 5� NEW BUILDING MAIN FLOOR
❑ MOf1I LE HOME ❑ ADDITION 2ND FLOOR .9".. 5
❑ MODULAR HOME ❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED ❑ REPAIR c 3
GARAGE ❑ REPLACEMENT GARAGE ,S n
❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES ,yam
❑ COMMERCIAL SIZE /77.3 dl @ $3 5 �&V�'r
❑ INDUSTRIAL YEAR )5S'ir @ $ 16 (L
❑ HOTEL/MOTEL/DORMITORY MAKE c-Q,�' 0 07 ;8
NUMBER OF UNITS
❑ OTHER - SPECIFY ESTIMATED COST OF g- 0 a1 ;a
IMPROVEMENTS TO M T VALUE
UBC OCCUPANCY GROUP ; ; FA RKE
/
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
14 WOOD FRAME ELECTRICITY ❑ COLLECTIVE SOLAR
•
❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS ❑ COAL .
❑ REINFORCED CONCRETE ❑ OIL M OTHER - SPEC I FY'�11u Vn
e/a �--
El MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES TOTAL LAND AREAS 2C
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
///J PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
�,/ 1 ❑ 1 ND 1 V 1 DUAL ( SEPT 1 C ) NUMBER OF PROPOSED BATHROOhb2 '/
APPROVED DATE ❑ I ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM,
PUD TYPE OF WATER SUPPLY CAA
I ,alp ( �p p
g PUBLIC • ( NAME OF WATER SUPPLY (�-l�l (� Wa-- Ll�
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY �`
PLANNING DEPT . WITHIN SHORELINE JURISDICTION CSt
❑ YES NAME OF ADJACENT WATER BODY
2
Ql NO 0
APPROVED DATE ' N BANK HEIGHT SETBACK
CT—
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH ,-3,r)
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD Cy
—
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO
IDENTIFICATION
NAME MAILING �
ADDRESS ZIP TEL NO
O W N E R jI X, R o GLrcPr (DQ M Reia d AnP , _ Rd_J'S I,(�-. l,U-07-k/
L.u.DLoL Rg3(0�
CONT
-
SC( e/ `
pop R *ia3 °471
ARCH
SHE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS,
SIG TIME OF APPLICAN APPLIC DATE
E ( RECEIPT NUMBER CHECK NUMBER OR CASH
� - /9
APPROVED BY PE MIT FEES
BASE FEE INSPECTION
BLDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE $ TOTAL
911 NUMBER RErUUD DATE DATE ISSUED
DUILDII1G orr ICIAL
i
.TFFF'F_..R.SCDTT CCDtTT rn'Y i tTT T_.T)T ITC; APPT.T CA.'T'T C)T'T
Jefferson County Planning and Building Department
Courthouse, 3rd. Floor
PO Box 1220
Port Townsend, WA 98368
206-385-9141
PERMIT #. . . . :BLD9O-01.17 DATE RlCETVED. :03/05/90
STTE ADDRESS: 191 WINDROSE DR
:PORT LUDLOW, WA 98365
OWNER •POPE RESOURCES PHONE: 437-2101
MAILING ADDR : 6O M PARADISE BAY RD
:PORT LUDLOW WA 98365
CONTRACTOR. . :POPE RESOURCES PHONE: 437-2101.
MAILING ADDR: 60 M PARADISE BAY RD
:PORT LUDLOW WA 98365
CONTR. LTC #:POPER*12.389 EXPIRATION DATE: / /
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO, . . : 82116-
LEGAL DESC. . :STR 16-28-01 EWM, TAX # 123
LOT 34 , BLOCK , BAY VIEW VILLAGE
DESCRIPTION OF IMPROVEMENT: single family residence
BUILDING TYPE •RFS BEDROOMS--- BATHROOMS-- MAIN FL. . . : 1736 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 2ND FL • 538 sf
GARAGE/CARPORT • PROP. . : 3 PROP. . : 2 3RD FT, 0 sf
WOODSTOVE TOTAL. : 3 TOTAL. : 2 BASEMENT. . : 0 sf
UBC OCCUPANCY GR0UP:R3 SEWAGE DISP. . :SEWER CARPORT. , . : 0 sf
TYPE OF CONST WATER SUPPLY -PUBLIC GARAGE • 508 sf
UNITS. : 0 STORTES: 2 HEAT TYPES. :ERA/ / DECKS • 231. sf
DIMENSIONS : MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE.:WOOD MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $ : 75280 SIZE:
PROD GRP. . : 4t'?86
Owner/agent FEES
Signature: ' A type amount by date recut
» ® PRMT $ 585 . 50 AK ,
(� D _ .
Date: .. PL,CK $ 87. 83 AK
11
�14t � R. C. $ 4 . 50 AK - . . .
Issued By: ' i►t,��J���T.T
Date: /
6 �'Harsofl Gaunt
& Building Qe Y I arming
Department $ 677 , 83 TOTAL
r .
Nei
40.st own
•
eo
MOP
vn494 t" 8►8T9
'604+1
rse D 1Pc, 0,69 N i
�xa�
1
f
j `
I
i 'i
I i
i _ i
At
`°I
CIPri
tel. eV
-,
181
SW Sea, cr.
Iii
_ .00 6 tE+1,062J4..... 0; 2
,, , ie.. iits
le
r rut
a
Olt
r..
,00 Bt► .
fI. r
' 1020
100
20 rl2S .
ca
, : ,irr ...zp,07 i
. ,
. no-
star k011, I 8
gar i a
,' 4 •
00.6t • •21•01
�'� NLa1HI• oSE:k.:1—r llUI . :ST 06r T2 H3d
,+
Nam/ D
34'ii A ryi9iA
<=;4-Z----- ,
_
3//
i
fi6 70
, /, $/r-
- — •f
I. 7:ee c-ii .k.- 64?- -J '52--
r;41.4-4-ti-2 /pdi,„,,,,,." , z3-)E 7 o,,,,,,. 3 L"i,,i
/ / 1 )-
6 72-I/7.J - Wa6C?1A61 -
-7.-
7 7 7- 2c.D
_ ._..., ..,)
0(14.).)
k
b
, 7),\\\I