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HomeMy WebLinkAboutBLD1990-00219 III 110 .713y.F'FFRSC)TY CTC)TiTig7r V RT7T r.r)T TT(; ,4.1::›1=)T. 1- A9'T C)TT Jefferson County Planning and Ruiidino Department Courthouse - 3rd Floor PO Box 1220 Port Townsend, WA 9R36R 206-3R5-9141 PERMTT # -RT,T)91 -029R SITE ADDRESS RF.F. MTT,T, RD DATE RE.CF.TVED_ - 05/1 7/91 -RRINNON, WA 98320 OWNER -THOMAS BREDA MATT,TNO ADDR- 1 5ROA MAPLEWTT,T) AVE SW PHONE. 244-931 7 SEATTLE WA 9R 1 fife CONTRACTOR. . -NO CONTRACTOR MAILING ADDR - PHONE CONTR. LTC #: EXPIRATION DATE: ARCHITECT/ . . - DES T ONER PHONE MATTING AT)T)R- PARCET, NO. . . - 60213301R LEGALDESC_ _ -STR 1 3-26-02 WWM, TAX # BYAT,TH LOT , BLOCKY' DATE ! SHORELINES ! DESCRIPTION OF TMPROVEMFN _ reapplication or mobile home installation BUILDING TYPE •MOR F.DROOMS- TYPE OF TMPROVRMFNT-NE.W EXIST O EX EXIST. : 0- MAIN FT,. . . _ 0 sf GARAGE/CARPORTRPORT • P S ' 0 2ND FT, 0 sf PROP. . 2 PROP. - • i 3RT) FT, WOOT)STOVE TOTAL. : 2 0 sf TTRC OCCUPANCY C;ROt7P-R 3 TOTAL. :. � 1 BASEMENT. . : 0 s f SEWAGE T)TSP. . -SEPTIC CARPORT. . . ! 0 sf TYPE OF CONST WATER SUPPLY. -PWET,T, UNITS . - 1 STORIES -0 HEAT TYPES. : DECKSDECKSE - 0 sf T)TMENSTONS - MOBILE HOME. sf sf FRAME TYPE: COMMERCIAL- 0 sf MAKE : YR: TNDUSTRIAT, - EST COST. . 0 ST7.E-6O X 1 2 0 ft PROD GRP- - - 391 RANK HT- - _ - O ft SH SETBACK-0 ft Owner/anent Sirtnature- FEES type amount by date recut Date! PRMT $ 75 . 00 AK 05/17/91 55758 R.C. $ 4 . 50 AK 05/17/91 Issued By: Tate - 3) . //779' J $ 79 . 50 TOTAT, ill _T Tr. r"'. r+-TK7R.F, C7iV CC7t7T.J r7r r-sT7T T.T7T T'TC = - T. T C7 ATT C7TT Jefferson County P.ianni.na and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend; WA 98388 206-385-9141 ERMTT # •BLD90-0219 SITE ADDRESS- BEE MILT. RD HATE. RFt^,F,TVF.i}. -(}4i i0/a0 BRINNON,. WA 98320 OWNER -SUSIE BREDA-LOFGRFN T -t r yTATT..�.i.NG ADDR .5605 i 2TH AVE SW /PHOi3E � 244-= 06 SFATTLF. WA 98166 6/g/64 zle.4,-- ;;')c/Y- CONTRACTOR -NO CONTRACTOR MAILING ADDR , PHONE- CONTR. LTC #: EXPIRATION DATE! ARCHITECT!. . DES TGNER PHONE MAILING ADDR ! PARCET. NO. . . ' 602 1 3301 8 LEGAL i�ESC. -STR 13-26-02 HEALTH! LOT WWM. TAX # V BLOCK BY- + ATE.- r SHORELINES: - DESCRIPTION OF IMPROVEME,N T- BY- DATE mobile home BUILDING TYPE •RES BEDROOMS--- TYPF. OF TMPROVEMF.NT-NF.W.� BATHROOMS-- MAIN FL. . . . EXIST. 0 EXIST 0 sf GARAGE/CARPORT , 1 3RD FL 0 sf PROP. . 2 PROF. . • 1 WOODSTOVE TOTAL. - 2 TOTAL. - BAD M • 0 sf UBC OCCUPANCY GROUP_ R3 BASEMENT. . !R ! 0 sf SEWAGE DTSP. . -SEP7'TC 'T`YPr, OF CONST CARPORT. . 0 sf WATER St1PPT.Y - UNITS . - 0 STORIES- HEAT TYPES. GARAGE. 0 sf DIMENSIONS - DECKS • 0 sf FRAMs. TYPE-STET, MOBILE. HOME COMMERCIAL 0 sf EST COST. $ - 5000 YR: TANK HT. .. , 0 sf ST7.F. 60 X 12 RANK HT. . PROJ GRP. . 391 ft SH SETBACK! ft Owner/aaent Sin-nature ! FEES type amount by date PRMT $ recpt late: e 75 . 00 AK 04/10/90 44809 ��'j■��,i _ B. C. $ 4 . 50 AK 04/10/90 44809 issued Ry- ty `idmi D ADDR $ 10. 00 AK 04/10/90 44809 )ate- APR 9Q Jefferson Cowry Planning $ 89 . 50 TOTAL & Building Department .TT P F'1 P TP.. R S C)N C 7 C)T i N'T"Y R T T T T.T)T i\T C; i>F R Ni T 'T' Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend: WA 983Ag 206-385-9141 PERMIT # .BLD91 -02g8 STTF ADDRESS . RRE MTT.T, RD DATE TSSTJF.T). (}5/171g1 -RRTNNON, WA 913320 OWNER •THOMAS RRFDA MAILING ADDR: 1 550r3 MAPT,FWTT,D AVE SW PHONF. 244-93 i 7 SF.ATTT,F. WA 981 sR CONTRACTOR. . !NO CONTRACTOR MA T T,T NO A DDR ! PHONE! CONTR . T,TC #: EXPIRATION DATE PARCi:.T, NO. _ . ' 5O21 3301 R T,FGAT, DESC. . !STR 13-26i-02 WWM. TAX # LOT ; RT,OCk DF.SCRTPTTON OF TMPROVFMFNT. reapplication for mobile home installation ( ) Footinc7/Setharks (Shoreline Setback) /Mohile Home Blocking! ( ) Foundation ! ( ) Underground P l umh i ng/JJndercrround Insulation ( ) Framing/Piumhing/Chimney: ( ) Tnsuiatinn . ( ) Sheetrock. ( ) Sewage Disposal System Final : ( ) Final/Occupancy Approval ! CAT.T, 3R5-9141 24 HOURS TN ADVANCE TO SCHEDULE TNSPF.CTTONS. Office Hours 9 a .m. to 5 p.m. Tnspector 's Hours 9 - 10 a.m. 24 Hour Recorder for Tnspec:t i ons. s UUILU11`Ib 'L'k111I hil l Li. LHl1U14 Jefferson County Buildi . Department.P .O . Box 1220.4t Townsend. WA 98368 r LOCATION SPECIFIC LOCATION SITE ADDRESS _ ///1!X t 4c(SLG POSTAL DISTRICT /SUBDIVISION , LEGAL DESCRIPTION LOT BLOCK DIVIF.ION TAX NUMBER PARCEL NUMBER ii-,-. c " Cis!' 1 / 4 SECTION PLANNING AREA SECTION /-3 /.,TOWNSHIP v NORTH RANGE L�`l WM BUILDING INFORMATION c1 BUILDING TYPE TYPE OF IMPROVEMENT QUARE FOOTAGE ❑ S�YNGLE FAMILY 0 NEW BUILDING M N FLOOR © MODILE HOME 0 ADDITION 2ND LOOR 0 MODULAR HOME 0 ALTERATION BASEM T 0 DETACHED/ATTACHED 0 REPAIR CARPORT GARAGE 0 REPLACEMENT GARAGE ❑ WOODSTOVE 0 WRECKING/DEMOLITION ( COMMERCIAL ❑ MULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIA NUMBER OF UN.: TS ❑ COMMERCIAL MOBILE HOMESA/. 0 INDUSTRIAL SIZE I� / $40 0 HOTEL/MOTEL/DORMITORY YEAR $20 NUMBER OF UNITS MAKE 0 @ $10 ❑ OTHER SPECIFY ESTIMATED COST OF [�] $10 IMPROVEMENTS T TAL FAIR MARKET VAL E UBC OCCUPANCY GROUP $ SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL ❑ WOOD FRAME 0 ELECTRICITY 0 COLLECTIVE SOLAR g,J/4ANUFACTURED 0 WOODSTOVE ❑ PASSIVE SOLAR ❑ STRUCTURAL STEEL 0 GAS 0 COAL 0 REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY 0 MASONRY ( WALL BEARING ) 0 OTHER - DIMENSIONS NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS O BL I C OR PRIVATE NUMBER OF EXISTING BEDROOMS INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM APPROVED DATE T/1 N D I V I D U A L WELL NUMBER OF EX I ST I NG BATHROOM PUD TYPE OF WATER SUPPLY O PUBLIC ( NAME OF WATER SUPPLY) APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY) PLANNING DEPT . WITHIN SHORELINE JURISDICTION O YES NAME OF ADJACENT WATER BODY ®' 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 0 YES 0 NO IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO OWNER ....r / lire, 17(%1 CONT STATE LICENSE NO +ARCH I , THE //OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. e S I! jJCTURE OijF'J" AP ICANT APPL I CART I NR DATE RECEIPT NUMBER CHECK NUMBER OR CASH 1/000 APPROVED BY PERMIT FEES S / / / BASE FEE INSPECTION BLDG SURCHARGE PLAN CHECK ENERGY SURCHARGE (P5516 TOTAL ID 911 NUMBER , REFUND DATE T DATE ISSUED BUILDING OFFICIAL I 2 // Fvkt--,t.to ( , „fry7.479./ 2-. Ceaxe-r4f 7,1 '14f v •• Ce-e-4 (67 )72-er44) • AI • P-1-619et- AP VE * 0 -411‘ C01114 i-vtaiming 4t • Otiportingnt 2/ / 2