HomeMy WebLinkAboutBLD1990-00302 1
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Jefferson County P l ann i nfT and Building Department
Courthouse, 3rd Floor
'PO Box 1220
Port Townsend, WA 98368
206-385-9141
PFRMTT # •RT.D90-0302 DATE. RBCF.TVRD_ : 05 l09l90
S T TF. ADDRESS : KAT..A i~FTC-;WTS DR
-PORT TOWNSFND; WA 98368
OWNER •NF.W KAT.A POINT T.T MTTFD PF;ONF. : 385-2986
MA T LTNC ADDR : 2RO KAT.A POINT DR
:PORT TOWNSRND WA 9R36R
CONTRACTOR. . :KF.T,T.Y/S'r.TBT..DS WONF.: 385-7 1 5n
MAILING ADDR : 42 PROSPECT
• PORT TOWNSFND WA 9R36R
CONTR . TIC #:KF.T.T.FST 1 5OT.F F.XPTRATTON DATF : 05/2R l90
ARCT4 T TF.CT! . - :L ir. 4- l �.. PPS 1NF. :
DF.STCNF.R. . . .
MAILING ADDR:
PARCFT. NO. . . : 9R5800013 FiF.AT.'"'r'. :
T:FGA "F.SC. . : STR '27-30-01 WWM. TAX # RV: 1AT F. : arj /
LOTBl OCK , KAT.A HRTGHTS B SWORF.T.INF.S : / l �,►
RV! DATF:
DFSC IPTTON OF IMPROVEMENT: single family residence
BUILDING TVPF -RFS RFDROOMS--- RATNROOMS-- MAIN FT. . . . : 2574 sf
TVPF. OF TMPROVFMRNT. :NFW FXTST. " 0 FXTST. " 0 2ND FT. 0 sf
C-;ARAC,F.!CARPORT - A PROP. . : ,2 PROP. . .• 2 3RD FT. - 0 sf
WOODSTOVF. • TOTAL. : ,, 3 TOTAT.. : 2 RASF.MF.NT. . : 0 sf
TTRC OCCUPANCY C;ROTiP:R3 SF.WAC=,F. DISP. . - SFPTTC CARPORT. . . : O sf
TYPE. OF CONST - WATFR SUPPT..V. :PRTVATF CARA(;F - 600 sf
UNITS . . 0 STORTFS : F+FAT TYPES . :WTP! / DFCKS 0 sf
DTMFNSTONS: MORTT.R HOME COMMFRCTAT. : 0 sf
FRAMF. TYPE :WOOD MAK F.: VR : INDUSTRIAL: 0 sf
F.ST COSTA : 108960 ST7F.: RANK FT. . . : ft
PRO.T GRP. . _ 475 SF SFTRACK: ft
Owner!auen F F.F.S
S i crnature- � VP type amount by date recpt
5 9 PRMT $ 671 . 00 AK 05/O9!9O 45401
Date: 4 ‘('
� PT.CK $ 100 . 65 AK 05/09/90 45401
R.C. $ 4 . 50 AK 05/O9l90 45401
Issued By: N.
Date: MAY 1 �
$ 776 . i 5 TOTAL
Jefferson County Planning
&Building Department -45-'-# ),
51e? J90
BUILDING 'ERMIT APPLICATION
Jefferson County Buiing Department•P .O . Box 12 =Port Townsend. WA 98368
LOCATION 17:-n»r.t 0 t ' {,.�
SPECIFIC LOCATION SITE ADDRESS
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT fir' ` BLOC` DIVISION TAX NUMBER
PARCEL NUMBER 1 / 4 SECTION
SECTION 9-1 TOWNSHIP NORTH RANGE ./ ''' I WM
BUILDING INFORMATION
BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE
[i---g1NGLE FAMILY a NEW BUILDING MAIN FLOOR *'
❑ MOBILE HOME 0 ADDITION 2ND FLOOR
❑ MODULAR HOME ❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE ❑ REPLACEMENT GARAGE
❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES
❑ COMMERCIAL 0 @ $35
❑ INDUSTRIAL SIZE
❑ HOTEL/MOTEL/DORMITORY YEAR 0 @ $ 16
NUMBER OF UNITS MAKE QJ $8
❑ OTHER - SPECIFY ESTIMATED COST OF 0 @ $6
IMPROVEMENTS TOTAL FAIR MARKET VALUE
UBC OCCUPANCY GROUP $ $
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL
Gr WOOD FRAME [,ELECTRICITY 0 COLLECTIVE SOLAR
O MANUFACTURED 0 WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL 0 GAS ❑ COAL
❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY
O MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER
NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
❑ PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
L 1 ND I V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM
APPROVED DATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY) 1� ( ..-
APPROVED DATE ❑- PRIVATE ( NAME OF WATER SUPPLYL 1- � Car-
PLANNING 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
NAME OF PUBLIC ROAD _
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES 0 NO
IDENTIFICATION
- LN_�A�qM E MAILINGl�/-ADDRESS� ZIP T E L NO
OWNER - �iW ( 1 `' �iK-
Tip
CONT ' aLLI !6 ZS' 7 f7201/9 C:1--
5 rAT-E I LENSE NO
ARCH / 7/
AFDC-.
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
SIGNATURE OF P ICAf'T APPLI AT ON DATE RECEIPT NUMBER CHECK NUMBER OR CASH
APPROVED BY P M T FEES
BASE FEE INSPECTION
BLDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE $ TOTAL
911 NUMBER REFUND DATE DATE ISSUED
BUILDING OFFICIAL
APPROVED
“Ay 1 8 1990
Jefferson County Planning
& Building Department —
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