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HomeMy WebLinkAboutBLD2001-00613 BUILDING PERMIT -. Jefferson County Department.of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 (800) 831-2678 PERMIT #: BLD01-00613 Received Date 10/25/2001 SITE ADDRESS: 1420 E QUILCENE RD Issue Date 11/14/2001 QUILCENE, 98376 Expiration Date 11/14/2002 APPLICANT: ALLAN J KOLLAR PHONE: (206)323-2153 MARY E KOLLAR 1421 E ALOHA ST SEATTLE WA 981123931 SUBDIVISION: Block: Lot: T 15 PARCEL NUMBER: 701191012 Section: 19 Township: 27 N Range: 01 W CONTRACTOR: QED BUILDERS INCORPORATED PHONE: (360)385-5743 477 N JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License: QEDBUL*043D1 Expires: 6/7/02 LOAN LENDER/ BOND HOLDER: PROJECT DESCRIPTION NO MLA REQ'D -CONVERT DECK TO KITCHEN (NO CHNG IN FTPRNT) REQUIRED INSPECTIONS: [ ] Setbacks (Shoreline Setbacks): [ ( Footings: Off-- l i 1 !4fd t /"tti [ Foundation: 0� i (C, ) 4.� , ,,: , [ y/ _Underground Plumb,, /Underground Insulation: 1( t`S� 0 ( �,I 11,011417 i [ ] Shear ramin /Plumbi : 0K (der hi I S iit.o 1":; t 2-2 Two`+ [ ] Propane Tank/Lines: ✓✓ [-( Insulation: 0 ' U"" f--,--0-Z [ ] Sheetrock: [ j Final/Occupancy Approval: Q --- 7-Jr-`:- -" HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION. THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY is\F_BLD_Permit_Buildng.rpt 10/29/99 I � BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00613 Received Date: 10/25/2001 SITE ADDRESS: 1420 E QUILCENE RD QUILCENE, 98376 OWNER: ALLAN J KOLLAR PHONE: (206)323-2153 MARY E KOLLAR 1421 E ALOHA ST SEATTLE WA 981123931 SUBDIVISION: Block: Lot: T PARCEL NUMBER: 7011910( Section: 19 Township: 27 N Range: 01 W CONTRACTOR: QED BUILDERS INCORPORATED PHONE: (360)385-5743 477 N JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License QEDBUL*043D1 Expires 03/18/2001 REPRESENTATIVE(S): QED BUILDERS 630 CROSS ST PORT TOWNSEND WA 98368 PROJECT DESCRIPTIO NO MLA REQ'D - CONVERT DECK TO KITCHEN (NO CHNG IN FTPRNT) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ALT MAIN: 150 VALUATION 8,683.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 120 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: l F&W Landslide �1�(oR2e Shoreline Aquifer Forest: Commercial Rural Proximity .r1w., r: ,,-,,., - - Type Amount Paid By: Date: Receipt: Permit $167.25 MAM 10/25/01 42352 Plan Check $50.18 MAM 10/25/01 42352 NOV 1 4 ZOOS State Building Code $4.50 MAM 10/25/01 42352 Potable Water Application $30.00 MAM 10/25/01 42352 'JEFFERSON COUNT- DEPT. M NI D LO\ SIGNA liflic JEFFERSON COUNTY D E c 7 M . E ti 04 DEPARTMENT OF COMMUNITY DEVELOPMENT '*N 621 Sheridan Street • Port Townsend • Washington 98368 OCT 2 5 2001 jNG 360/379-4450 • 800/831-2678 • 360/379-4451 Fax —.. -- DEPT. OFJEf COMMUNITY DEVELOPMENT BUILDING PERMIT APPLICATIO Project Description: Building Type: Project Type: Frame Type: Ingle Family New vod Garage Attached/Detached vetridition Steel Modular Alteration/Remodel Concrete Commercial Repair . Masonry Multi-family/#of Units Demolition _ Other: Industrial Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: gin "� Choose one: n1n�IJY�O Existing: -^ Existing: •1-• Sewer Community vstem Electricity Oil {j Y Proposed: Proposed: : Individual System VWoodstove Propane 1 I Total: `Y Total: v If not sewer,fill out the following: 1 Heat Pump Conventional - Alternative _ Other Permit# SEP 2D j_ Water Supply: V Private well Fvo Pam Well Public:Name of water system: Square Footage: For Office Use Only ® / { Main Floor � 1 1"5 • UBC OCCUPANCY GROUP 'ND Floor ----441 ' I rlD� -2-S�Base fee 1 I 3rd Floor Plan Check fee 551 - 17 Htd Basement State Surcharge fee l , SO �,A f i U w�nhtd Basement 9l` -- - Subtotal ��� —R S Garage/Carport � �", Pot Water Review fee 3C9. ®C) irr5i° Decks 911/Rd Approach fee CP Commercial TOTAL 2 i . ( 3 Industrial Receipt# 4`2.3 52- Other Cash/Check# l 11,2-. • Total Valuation: 4b,, Initials Pa-5 Or Date 1O/ZS/D �j gd OOP Estimated Cost: �P 1 If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark 1�0 ft. Bank Height 0 ft. L. lIy signing:he application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or oft�J omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way.uct''e against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspec::nns \ccess and right of entry o the applicant's p erty or structure shall be requested and shall occur during regular business hours. Signature: Date: / /2 v( IL � N! 2 I IOt IL•:\I L� N tR� M'OBI.11C�' 'OR,b[S\bl.11pecmitrlpplicadonl;_000 ` �r ` ` ' ^ ^ | ` ' ................ Til pl / PAID rap cj CD no m CD CD / | JINN Z 144 .53' , ,,,, •P i---- -------...'---.- ------"7 ' Iv ----.---.-+ --..-.-----_.--sLit--441-/A,.. i-:-_L:tlit\_ ._ ..,,„ sl' .P n -- 0 •Th Z. _ � �, AP I-r �� o O ;J /lb N ` © �X/57•co bEC - • ---- ....- cri g �' I` r l I I O OA ' �i� Ox / kil_i \ , . "'! •lilt! ® iczio is. ‘\ -4-1)ci,: 1 , •!\l CC -I ;DO (' *1 1 •!1 • 1 N N - , II[ ! C p i I � � op. ( (Pi ,• l �� mx OZ ...,. tin°° - .. v'[i10 _%1l•NO. :OGkERl---,ley _......."7-----ID : i U; r1 `\ a 20 `', YVI . 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