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Home My WebLink AboutBLD1990-00910 171 ek e V/Se D ,"" BUILDING u 'ERMIT APPLICATIO DU , e PlA14 lq,A Jefferson County Building Department'P .O . ' t1ox 12200Port Townsend. WA 98368� " 1-+. • Likal? O - �vlvie r -1- rho r- U.�I l • 'e - ..'i- I I- LOCATION SPECIFIC LOCATION SITE ADDRESSe/..�•41 a /� POSTAL DISTRICT /SUBDIVISIO TY1ivy. Y Or J �' e LEGAL DESCRIPTION LOT:#- BLOCK DIVISION TAX NUMBER PARCEL NUMBER Rat 11 - ��jj 1 / 4 SECTION cF J PLANNING AREA SECTION /7 TOWNSHIP j NORTH RANGE, / WM BUILDING INFORMATION BUILDING TYPE TYPE OF IJPROVEMENT SQUARE FOOTAGER391. 510 nr ❑ SINGLE FAMILY KNEW BUILDING MAIN FLOOR 3 9 5n ❑ MOD I LE HOME ❑ ADDITION 2ND FLOOR q-iif.5o ❑ MODULAR HOME ❑ ALTERATION BASEMENT '( DETACHED/ATTACHED ❑ REPAIR CARPORT /� GARAGE ❑ REPLACEMENT GARAGE R 4n4 Ko � ❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL XMULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIALtiJ . NUMBER OF UNITS 2, MOBILE HOMES I� ❑ COMMERCIAL Si MOBILE tg a $35 �(� `-' , ZE ❑ 1NDUSTRiAL YEAR @ $ 1 6 ( LI 'b-C) r U HOTEL/MOTEL/DORMITORY MAKE 0 @ ;8 NUMBER OF UNITS 8 [ V\/�(r ,nl ❑ OTHER SPECIFY ESTIMATED COST OF R�Q. !7�i a7 IMPROVEMENTS TOTAL FAIR M KET VALUE UBC OCCUPANCY GROUP $ / --5j 74 SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL X WOOD FRAME ELECTRICITY ❑ COLLECTIVE SOLAR ❑ MANUFACTURED ❑ WOODSTOVE 0 PASSIVE SOLAR O STRUCTURAL STEEL ❑ GAS U COAL 7PV-0n_Gleartalle� ❑ REINFORCED CONCRETE ❑ OIL MOTHER - SPECIFY -Kl°LPArt e, ❑ MASONRY ( WALL BEARING ) DIMENSIONS ❑ OTHER - NUMBER OF STORIES 2 TOTAL LAND AREA DEPARTMENTAL REVIEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS L/ N PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS_ ❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM (/J APPROVE ATE ❑ I ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM .-- PUD TYPE OF WATER SUPPLY 1 �u�� PUBLIC • ( NAME OF WATER SUPPLY) APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY PLANNING DEFT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY TA NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WITH NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD .,,,q APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES 0 NO (S IDENTIFICATION � NAME • MAILING ADDRESS Z I P I T E L NO yam--,e�/y� I�h DA ,^-�/+_�•-�1y, /� �/� P i O W N H R "1 U'l e A� too M 1 a ` f/�` ,i. lJLi1. j l , ---____ F+ • L.(A N 0(A ). __ I a .3(0 ‘137,401 CoNT �Q� L�� 'Y 'n rcesT 1 cF_rZ �a I � ` h ARCH - P IRE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. 'SIG TUBE OF APPL CANT APPLIC TION ATE ' RECEIPT NUMBER CHECK NUMBER OR CASH APPROVED BY PE MIT S BASE FEE INSPECTION BLDG SURCHARGE PLAN CHECK ENERGY SURCHARGE d TOTAL AlI NUMCIFR REFUND DATE • DATE ISSUED BUILDING orrICIAL l (SU ING ERMIT APPLICATION . NA' /-1L-$ Jefferson County Building Department.P . O . Box 1220'Port Townsend, WA 98368 r • LOCATION SPEC 1 F I C LOCATION SITE ADDRESS Se)e keel WP/-14pL(}Lti POSTAL DISTRICT /SUBDIVISION l liier gaR1302r// LEGAL DESCRIPTION Lof / BLOCK DIVISION TAX NUMBER PARCEL NUMBER S�//q-4 )< 1 / 4 SECTION PLANNING AREA SECTION /7 TOWNSHIP p18 NORTH RANGE / E. WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGEy ❑ SINGLE FAMILY P4 NEW BUILDING MAIN FLOOR 3073 -45 ❑ MOBILE HOME ❑ ADDITION 2ND FLOOR o2(--;10' C4 ❑ MODULAR HOME 0 ALTERATION BASEMENT --e— ❑ DETACHED/ATTACHED 0 REPAIR CARPORT GARAGE ❑ REPLACEMENT GARAGE /1a a - nr, ❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL NMULTI - FAMILY ,/ 0 RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS 4 ❑ COMMERCIAL MOBILE HOMES ❑ INDUSTRIAL SIZE 3V03�O as $35 105,/a775 YEAR ' e /� ❑ HOTEL/MOTEL/DORMITORY MAKEE a__ • �,F`r� @ $ 1 6 .Y7J37�36. NUMBER OF UNITS $8 ❑ OTHER - SPECIFY ESTIMATED COST OF ��f 702- @ $8 // L 76 IMPROVEMENTS UBC OCCUPANCY GROUP ;O/A ;OR 7 VALUE SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL WOOD FRAME ELECTRICITY ❑ COLLECTIVE SOLAR ❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR ❑ STRUCTURAL U AL STEEL ❑ GAS ❑ COAL � ❑ REINFORCED CONCRETE ❑ OIL OTHER SPECIFY Zete,0 r ~� ❑ MASONRY ( WALL BEARING ) �ne �� ❑ OTHER - DIMENSIONS NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS S p/ PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS" APPROVED DATE ❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM ' PUD TYPE OF WATER SUPPLY //// g PUBLIC '( NAME OF WATER SUPPLY) LUDLOW W9e -k _ APPROVED DATE 0 PRIVATE ( NAME OF WATER SUPPLY PLANNING DEPT , WITHIN SHORELINE JURISDICTION 0 YES NAME OF ADJACENT WATER BODY x 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 IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO IER .Por. Resources 6 v cL/t 1a sr. 'M Rd,. S'fA;eLf �3 T SIIn Lu 1�la(,c> c �'�1D S { .Al sal\ I Ep ye + 4 OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS, Ayj(1�OF�A C NT ', � APP 1 AT I N DATE RECEIPT NUMBER CHECK NUMBER OR CASH APPROV . P IT E \ Fy[i� FEES w '7,3 .., � ASE FEE INSPECTION lig t � BLDG SURCHARGE PLAN CHECK 4Ex-PERaw CQ _� A) ENERGY SURCHARGE �C/(/ (JC`\ NAtit 8CO ?Y S C TOTAL QfP, . /V tJ 9 1 1 NUMBER REFUND DATE DATE ISSUED BUILDING OrrIc1AL I ( 7 / 7 Mie mill) , Pope Resources A Limited Partnership 60 M Paradise Bay Road,Ste.4 Port Ludlow,Washington 98365 (206) 437-2101 FAX (206) 437-2522 July 23 , 1990 Mike : Just a quick note to re-cap the enclosed revisions. Bay View Village : JLot 53 changes from a 16-C plan to a 16-A plan. Lot 50 has a setback revision. Lot 51 has a setback revision. Inner Harbor Village : vLot 13 changes from a 4-plex to a duplex - Plan 14-B to 14'--A. :/4; t:0:6.- '-'Lot 14 changes from a 4-plex to a duplex - Plan 14-B to 14-A. �� Please ask Michelle to adjust building permit fees . Thank you and have a great day' ' ' ' l AP fl VED ) ' \ „I 1 t9 s's JEF SUN C NTY PIMPutNr&fiLOG Frf 6 Li 0 I, 013 e C4,1 ' I ,,,j ..._..„.. (lac, . . /6:-4.11: '.-'7 6/6;c , .0, —e ' 4 4 i