HomeMy WebLinkAboutSEP1973-00001� A y`umd) /herb
903 E. Caroline
Port Angeles
Court House
Port Townsend
IFZ
�1c?I
OLYMPIC HEALTH DISTRICT_
SLUAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate
75. ?•50
Permit No. 3343
f
Builder
Date
OWNERg %��� M ADDRESS v e L C_9FA6e �Jni , PHONE S 2
DIRECTIONS FOR LOCATING SITE .3 2J f Ur R 1 c..,11 7- Pig s r Buc x /Lt % Zo
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APPLICATION IS HEREBY MADE TO: INSTALL Nal SYSTEM REPAI
�S
YPE OF BUILDING NO. OF.BMROOMS BASEMENT SITE STh
DRAINFIELD LENGTHWIDTH 0DEPTH 3 0" #LINES SE
DRAW A DETAILED PLOT PI AN BELOW. SEE INSTRUCTIONS.
----- _._. - __ raves++ .r.�w. �. vuca it 1 iltaavi.7I LI\JWJ%
PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH
DATE OF INSTALLATION SIGUkTURE OF APPU
PLAN APPROV DATE INSPECTED BY
SANITARIAN'S COMMENTS:
I CERTIFY THAT T STEM ':,AS DIST
HEALTH DEAPRTYIENT - -
EXISTING S
L
TANK SIZE %&O®
1 �t L 'OV9Y
:ON OR ITE, INVALIDATES THIS
IEPARTM TT. a
o
,ANT
DATE
-z
APPROVED BY THE (J�
DATE
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Em
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JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT #....:BLD95-0345 DATE RECEIVED.:06/21/95
SITE ADDRESS:2110 E QUILCENE RD
:QUILCENE, WA 98365
-------------------------------------------------------------------------------
APPLICANT...:HERBERT NYLUND
MAILING ADDR:PO BOX 538
:QUILCENE WA 98376
------------------------------------
PHONE:360-765-3562
CONTRACTOR..:SUKERT CONSTRUCTION CO INC PHONE:385-3210
MAILING ADDR:PO BOX 101
:PORT TOWNSEND
WA 98368
CONTR. LIC #:SUKERCC101BW
EXPIRATION DATE: 08/01/951*,'
---------------------------------------------
ARCHITECT/..:
-----------------------
PHONE:
DESIGNER....:
MAILING ADDR:
----------------------------------------.--
- ----
PARCEL NO ... :701194005
ALT:
CON
LEGAL DESC..:STR 19-27-01
WWM, TAX # BY:
DATE:
f ,.
LOT , BLOCK ,
y: WATER:
DATE:
CAR
: DATE:
DESCRIPTION OF IMPROVEMENT:
Raise existing house,.,put basement under, bind
addition
----------------------- ------------------------------------------------------
BUILDING TYPE ...... :RES
BEDROOMS--- BATHROOMS--
MAIN FL...:
560 sf
TYPE OF IMPROVEMENT:AD+
EXIST.: 2 EXIST.'s 1
ADD'L FL..:
0 sf
GARAGE/CARPORT.....:
PROP..: 2 PROP.... 1
HTED BSMT.:
0 sf
WOODSTOVE..........:
TOTAL.: 2 TOTAL.: 1
UNHT BSMT.:
1008 sf
UBC OCCUPANCY GROUP:
SEWAGE DISP..:SEPTIC
OTHER.....:
' 0 sf
TYPE OF CONST......:
WATER SUPPLY.:PWELL
CRPT/GAR..:
0 sf
UNITS.: 0 STORIES:O
HEAT TYPES.:EEE/ /
DECKS.....:
0 sf
DIMENSIONS:
-------MOBILE HOME------
COMMERCIAL:
0 sf
FRAME TYPE:WOOD
MAKE: YR:
INDUSTRIAL:
0 sf
EST COST.$: 38024
SIZE:
BANK HT... :10
ft
PROD GRP..: 6848
SH SETBACK:50 ft
------------------------------------------------------------------------------
Owner/agent
------- .---------
FEES --------------
signature:
type amount
by date
recpt
PRMT $ 343.00
EMH 06/21/95
108855
Date:
PLCK $ 102.90
EMH 06/21/95
108855
B.C. $ 4.50
EMH 06/21/95
108855
Issued By:
Date:
------------------------------------
$ 450.40 TOTAL
I
BUILDING PERMIT APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00190 Received Date: 4/3/2001
SITE ADDRESS: 2110 E QUILCENE RD
QUILCENE, 98376
APPLICANT:
SUBDIVISION:
PARCEL NUMBER:
CONTRACTOR:
ARCHITECT/
ENGINEER:
HERBERT A NYLUND
PO BOX 538
QUILCENE WA 98376
701194005 Section:
UNIQUE DECKS & PATIOS
6263 SUNSET AVE NE
BREMERTON WA 98312
PHONE: 360-765-3562
Block: Lot: T 7
1.9 Township: 27 N Range: 01 W
Contractor's License UNIQUDPO03RK Expires
PROJECT DESCRIPTION: SUNROOM ADDITION OY1
TYPE OF WORK
RES
SQUARE FOOTAGE:
TYPE OF IMP
ADD
Q
` Q
VALUATION
2,240.00
MAIN:
CODE EDITION:
1997
ADD'L:
OCCUPANCY:
R-3
HEAT BASE:
OCCUPANCY:
Rural
UNHEATED:
CONST TYPE:
5N
OTHER:
CONST TYPE:
GARAGE:
DECK:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 2 Exist: 1
Prop: Prop:
Total: 2 Total: 1
Routing Date:
224
PHONE: (360)779-9297
11/20/2001
PARCEL TAGS: YES
NO
HEAT TYPE:
NO AREA
HEAT TYPE:
# OF STORIES:
Q
` Q
SHORELINE:
Streams
SETBACK:
Floodplain
BANK HEIGHT:
Landslide
PARCEL TAGS: YES
NO
STORMWATER: YES
NO AREA
Wetland
Erosion
Seismic
Streams
Flood Way
Floodplain
F&W
Landslide
Shoreline
Aquifer
Forest: Commercial
$4.50
Rural
Type
Amount Paid
By:
Date:
ri�eceipt:
pity provegffl eons
Permit $83.25 MAM 04/03/01
38239
Plan Check
$24.98
MAM
04/03/01
38239
State Building Code
$4.50
MAM
04/03/01
38239
Total:
$112.73
PLOT PLAN
INDICATE the following information.
Draw to scale. Use 1 square to equal
no more than ten (10) feet.
1. North arrow
2. Property boundaries and dimensions
C!(/ 3. Names of adjacent streets
Q/ 4. Driveway/s and parking spaces
L7 5. Major features such as ravines,
seasonal creeks, bodies of water, etc.
/6.
Septic tank and drainfield location,
existing or proposed, and distance to
closest structure
t3` 7. Sewer lines
[�8. Wells and/or water lines
9. Neighboring wells within 150 feet
O�0. Paved surfaces (patios)
11. Structures, existing or proposed,
together with setbacks (distances to
` property boundaries)
2. Easements for access or utilities
d 13. Arrows showing direction of slope --
assume an elevation of 100 feet at one
lot corner and indicate the other lot
corner elevations in relation to it.
For applications adjoining shorelines,
I
N
high water mark
p of bank, if over 10 feet high
16. Slope of bank in degrees
Indicate scale of plot plan:
One inch equals LA 1-0
Ji
(Grid is in 1/4 inch squares)
I R
V