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HomeMy WebLinkAboutSEP1972-00041Ca o in :.. OMW B�ALTB TRICT Pers�it No � 0 seat. Free PaIA ,. SEWAGE DISPOSAL PERMIT �Tii?N w Submit in Duplicate 5'96'5 Caa- -- �......" aue' 7 •.7�- t`T -�-- fat `�,8! ©- �st'o 9� C) 7°Z- Vii.:: DIRF=ION.S -FOR LOCATING tL.c4e1C APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSUM tl/REBAIR EXISTM SYSTEM PE "0F BiTILDINt BYO, OF BEDROOMS BASDIEPIT _SI'D'E SIDE NAME OF INSTALLER �arr.w41AR d1 m . +a++ Y +.iL1rN.L'1 V iLJ:.i * Lfl,x yr . x .uu.c ao,y+.uJ+i - a .tiry s _ - -_. -• -. - - - — - - 1. -fro yperty- lines 7. +Dr veweys, patios, CarPOttt etc. 2. ,Ijocati'on of . Sra•eams .or.. bodies of water nearby u g ration �oi"�se�a�ic'.tan�._.,_.. ..,.:_ _ . 9� Lcoa.'�.on of percolation test ho2�s 4.�n of drai.nfiel.dd 10. S�I:x'ic tank size I.0 � � Saslow � Slope of land 11. Lcr,,th of proposed drainfiela fr.later lines & well(if applicable) 12. Depv% to water if encountered. PERCOLATION TEST RESULTS Depth Time required to Percolation rate Type vi ov.-y of hose seep last 6 in. (divide time by Pere. No�. , 3. Pert• No' o, 3. DRAINFIELD LENGTH WIDTR DEPTS -f-" 4 N0, OF LINES °SIR �J r.r.w. -�..� - syrdrtsJ J,% HE AGREED T THE PROP06EFINSTALLATION ILL BE MADE IN T13E MANNE AS-J= ' AND APPROVED ON THIS APPLICATION. 9� C Liu gmature of APP.Llcant .APPRUXX;.��E 4F INSTALLATION SAKTTARM4S COMMENTS: `_L NSTITUTES A PERMIT WIM HEALTH OFFICER'S SIGNATURE APPEARS AS APYHVV i O PLA - .APPROVED DISAPPROVED. W t REMARKS: e 5U , ud ' .H �i � Ie S T i CERTIFY THAT THS � v APPP �VED BY Tom R491i � DEPARTMENT. 1't' INSTALL.M S NAME DATE 5 -4ii CLAvt` �a. C7) 7 TO:-_ Please Cali v� Returned Your Call DATE TIME Was Here To See You Will Call Again A MESSAGE OR YOU nts to see You M Left Information SCAN No. OH SCAN No. OF MESSAGE: Y SF 8023 QW 3 t INITIALS d a. � y Jefferson County RECEIVED Planning and Building Department JAN S 986 county courthouse DEPCOUNTY L port townsend, washington 98368 �EHEALTH JEFF. telephone (206) 3854427 david goldsmith, director January 7, 1986 Mr. William W. Montgomery III 4755 - 49th Northeast Seattle, Washington 98105 Re: Building Permit Violation, Stop Work Order; Section 3, Township 26 North, Range 1 West, WM Dear Mr. Montgomery: I noticed on January 3, 1986 that a two car garage with attached living area was constructed adjacent to your residence at 1117 Lemonds Drive in Quilcene. The construction of a garage or residence without a valid building permit is in violation of the Jefferson County Building Code Ordinance; therefore, a stop work order was posted on the structure. The stop work order remains in effect until you apply for and receive a building permit. Any further construction is prohibited. Call me at 385 -1310 between 9:00 a.m. and 11:00 a.m., weekdays, if you have any questions. S' c r \ Michael Ajax Building Official MA:ve cc: .Taf€e n yaTth Departmei}t Jefferson County Assessor's Office gU ILL) ING I'I,Rr.11 i ,+i f•111.rat '%-I 1v t { Jr'Iraontevnh B,�•,dtnp Den�rtmrnl • Court Is, Cnu►thousr • Pon Towrisrrtd, M1111 95'3L8 •- 3SS 1310 N E � - - 'ROAD � 1. LOCAL IDN. �ursoMid no-W S w SID[ 01 _ % f ROAD AND SIM FwOa11Nil RSECt1ON 01 J grow •scenic Iorataf/ of sanamarr .. LEGAL DESCRIPTION: syVdrrrsrpa /' /(�' Lot -' - ' � F1s tl► / �` '� tJrCtrOn lownthlp 1' At" Nurrtbe� Y. S 11. TYPE AND COST OF BUILDING MOBILITY �t - BUILDING TYPE TYPE OF IIYI►ROVEIEEfYT _ D New County RnrOertt C I �° 0 ❑Srnplt Family ED New b,,,Ipnp .Is this structure to srrvs the rn4►ntr/ D Mulu mbef O or toa+ff1ererai needs of Ihpe rrhpto"a Q rednon numbr, Ol unit: J�� 1 �; f86 at either the US Navy's Tiidem or Q Mutation D Hotel, Motel, OormrlorY Q Repair. Induct Island Far.haest erpiwAvornt number of Unify QYateking JEFF. CULINT 4 DMob,te Horne QNO 0mov:.l Irelomion) HEAD ® D Oty„e - SpecitY ' D YES Q Fotrtdtaon only USE ❑ Fu11,trme Residence OIYNE RSHM D Second Homy: Recreation Cabwl, i+tt DPr.vate l 1. eon pore »on, _ nonprofe wMawrwn. etc_) (D Second Home: Eaters eon•enon IS ❑Public IFedera:.State or locos gewt.3 UBC OCCUPANCY GROUP: peritasnrnt resoe++ce �� /Om,r eenttl use of hospitals. t fn food Nonresidential - Describe m detail proposed -n � hospital. etementarl O ��ss.ng pant. rasch.ne shop. laundry bu O l rk.n � Ice S r hoop_ college. parochial school. ps 4 4a' • from of irwaiie rent- _ .. _ ...:.. school, secondary K TO be rmtar,eebut not rncruded department story, rental office bu-Idtnl- o((-t2 bv-td -n9 st industtu in the a5ot'e CLGS .n changed. ente- gwopmed u=- It use o l building is bring _ ! Of easnn bud 9 a Eserna i'- -- ---- --- --- � i b. Pluhanfr------------------ C twwmg. am mradn.oning jNr d. Other fit-* r, etc-1- - - - - - TOTAL COST OF IIJIPROVEM SELECTED CHARACTERISTICS OF BUILDING - 111.SELF tongs DIME NS TYPE OF SEWAGE DISPOSAL •Nurrtberof Stories ------------- PRINCIPAL TYPE OF FRAME / - []Patbtic m Priarte *Total square feet o1 flow arcs. . fFayonry Iw II bearing) all floors. based on a :terror Individual (septic tank. etc -) dimensions ------------------ -, thoOd Frame E]Struasssed ttq- ft.._...--- ao TYPE OF WATER SUPPLY *Total land•- ea, QRtmtormtrmrvete Opubtic or private company NUMBER OF OFF - STREET 0pcher- Sp*city %]1 iar,datal ivvyy��tl,eistem) PARKING SPACES Enclosed . ... ............ ..... - Outdoors - PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE _ 13 Gas RESIDENTIAL BUILDINGS ONLY - ❑Dil Number of bedrOOraf ---------- ®EreariotY TYPE OF MECHANICAL Full........ _ - Nurnner o1 ❑ Coat - bathrooms Partial -_ _ - - - ❑ Other - SpeptY IV. IDENTIFICATION - Tess - NerrrttCr, street. otY and rate 21P code TM� f1M . Mailing Add ZIC Owner 2. late L"wnse No. 3 ' +\ svct.nect agree to conform to alt apPltcable laws. The ow+tet of this builidwS aryl the undersigned ag - Aoo•t+to►.ir•► Add+ess f �.. r ! SCHOOL DISTRICT_— WATER DISTRICT ,a FIRE DISTRICT---- PLANNING AREA APPROVED BY ,X xAEnS�C�PWV. 04C^&w a OE•'r PERt-ttT ylll/ktf�Q o p RMIT FEE ISSUE OATS a. - t APPROVED Slf_ • � Bu1tDfAGOFesCsAL N, '• ,sue. J BUILUiti'G VOil.lil At l Lit,r+s luiv oS3G8 385,1310 t r , rfiarlmrnl • Court IV CfiurlhooW . Pon TO•+ Pnd. ISat�h - i , XlfrsPn Cn.rnl/ a.n d e_ , N I WOAD vat'! 1. IOCAIION. ruP••nr►r na'r•► S w SIDE Of RD16D E ROAD AND Sw FROM INit RSECI ION 01 ROrsaA _ f o►nrr sor'[dur IacatMn or ranomarr LEGAL DESCRIPTION: Los Suuol•n.on /� Bior► R 61.5 aZ ._-- -- lion 7orvnlhiP a ^�' rri d i 14 srct •on bee Tar Nutnbei 110 TYPE AND COST OF BUILDING TYPE OF IMPROVEMENT QNew bwldulp vAddnron D Aaerauon D Repair. replacement DYntcking D Moving Itelors`ionla D FoWaroat.on only OWNERSHIP �'FF•� D Private ilndrndual. CA?FPDryXV -'* nonprofit OwduliOn- et'" 0Publuc (Federal, State or loos go✓tJ COST • Cost of impoaement. To be insrafird bur not iricloded .n thr above colt a. Etectrrvl ------------------- b. Plumbing.---- ---- ---- - - - - -- C. Heating, air Condit ioning . - - .. - d. (),her fttiew, iw, etc -I ---------- • TOTAL COST OF IMPROVEMENT BUILDING TYPE OSrnglr Family D Multt- Family number of unto D Hotel, Motel, DormllwY number of rrnrtt D Mobile Home Other - Specify UBC DCCUPANCY GROUP:—L -3-- /Omit cents] MOBILITY D New County Resident '1t Ihr$ slruClure O shire the reberMSa• a Cumnletcial needs of those emPtoyed at either the US Naw't Tr/derit of Indian Island Fardn.ny D YES ONo P•M• LOSE D Full time Residence DSecond Home: Recreat•onCab•e.eM. ❑ Second Home: Future eonrenlo^ a Permanent resiMnce s in detail proposed use at buildinlp. e4g -- tow Nonresidential — Desvitsr laundry building >~ trDlpi181. elementary p.o=ysing Want. rrtach.rie shoe. rpchial scho 1. Parking parade tw school, secondary school, College, Pa cleAnment store. rental Office burldrng_ Olirce building in industria' Want sr of e■/strng building is bung ehan toed amen Pro» �e z y�Z 11L %6 &is- 4 (> • 64, Ill. SELECTED CHARACTERISTICS OF BUIE.DI , G PRINCIPAL TYPE OF FRAME 0 Masonry, lull bearing) fA%iod Frame '''O Structural steel D Reinforced canoete D Other - Specify PRINCIPAL TYPE OF HEATING FUEL D C"n �D. oil 1�C.Fneetr'.OIy TD coat - ❑ piher - SprOty IV. IDENTIFICATION - . Name 1. Owns* z. TYPE OF SEWAGE DISPOSAL CD Public 0' Private - *ridividual (seplic tank, etc.) TYPE OF WATER SUPPLY D Public or private company n Individual (vxe -1, cistern) TYPE OF FIR TYPE OF MECHANICAL ... rl G 9 .Number of StorleS ------------- •Total agora fen of floor area. all floors, based On a "teriw .J dimensions----- ------------- • Total land a, ea. s4.ft----------- *3-0 NUMBER OF OFF - STREET PARKING SPACES Enclosed ----- -- ------ - ----- -- putdoors --------------------- RESIDENTIAL BUILDINGS ONLY Number of bedrooms ---------- Full-- . - - - -- Number of bathroonR partial ------ Z Mailing Address — Number, treat, otY and State ZIP code !M iM W A. gem 9 9L MEN. ---*s 3 2 Z Z se.NO. 3. Arcrrren i and the undersigned agree to Conform to all applicable taws- The ouild ng ddrmua0 -- c PLANNING AREA P FIRE DISTRICT � APPROVED BY 0 o jffFvw cuwCOsr"s'ro c,�.LTw OED IL PERM E IT F t APPROVED BY- ISI�'Td eaCIAL a A17:iro"•Ni eao SCHOOL DISTRICT WATER DISTRICT ISSUE DATE s ,c gull DII.G Oi 0 � • _ _ __ - - - i