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HomeMy WebLinkAboutBLD1999-00008 t _ MOBILE HOME INSTALLATION APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD99-0008 DATE RECEIVED. :01/05/99 SITE ADDRESS :422 9TH AVE :PORT HADLOCK, WA 98339 APPLICANT. . . :JOSEPH PADEN PHONE: (360) 385-2646 MAILING ADDR:CARRIE PADEN :PO BOX 1351 :PORT HADLOCK WA 98339 INSTALLER. . . : PHONE : LICENSE # : EXPIRATION DATE: / / CONTRACTOR. . :OWNER ��\� PHONE : MAILING ADDR: 4- 9- CONTR. LIC # : EXPIRATION DATE: / / PARCEL NO. :961806817 Landslide Plat Cond _ Wetland Flooding _ LEGAL DESC:STR34-30-01 W WM Seismic Streams _ Erosion F & W LOT 21-24, BLOCK 68, TAX # Shoreline Aquifer IRONDALE Area Com. Forest : Adj . 300" DESCRIPTION OF IMPROVEMENT: mobile home installation BUILDING TYPE MOB BEDROOMS--- BATHROOMS-- CRPT/GAR. . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 DECKS 0 sf GARAGE/CARPORT PROP. . : 2 PROP. . : 2 COMMERCIAL: 0 sf UBC OCCUPANCY GROUP: TOTAL. : 2 TOTAL. : 2 INDUSTRIAL: 0 sf EST COST. $ : 17000 SEWAGE DISP. . :CON BANK HT. . . : 0 ft PROJ GRP. . : 5921 WATER SUPPLY. :CITY SH SETBACK: 0 ft MOBILE HOME MAKE:FLEETWOOD YR:78 SIZE: 14 X 66 ! Owner/agent Iv , FEES Signature: I II type amount by date recpt �`��;"_� l r RMT $ 137 .00 RAC 01/05/99 10070 Date: ��� 1[=� / B.C• $ 4 .50 RAC 01/05/99 10070 9 . _POT $ 27 . 00 RAC 01/05/99 10070 Issued By: �B4. > '9 — Date: i �� �`d9v (bld_a mo.txt) 4/ „ $ 168 .50 TOTAL JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT R EC Ef�" ` I SIZE I �l (c ro t YEAR 19 7,s/ • MAKE /�P,,�w 00d. J.C. PERMIT CENTER COST ) 7(a''p,u�' 4 s /11,e RECEIVED BEDROOMS: BATHROOMS: FAN – 1111/1 EXISTING a EXISTING a C. PERMIT CENTER PROPOSED —0-- PROPOSED 0, J. TOTAL a TOTAL _ TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER ❑ COMMUNITY SYSTEM ❑ PRIVATE WELL ❑ TWO PARY WELL ❑ INDIVIDUAL SYSTEM Conventional Fk.. PUBLIC g PERMIT # SEP 'J 'b -3o ❑ Alternative Name of water system: CI41 eF viir( �'../E.X.A. IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE --' ft BANK HEIGHT ft SIGNATURE & e A/ DATE 1– �'�'/ / NAME (PLEASE INT) S 0 ,e 11-)Ad eGL .R FOR OFFICE USE ONLY BASE FEE .... 7. ( RECEIPT# (. ., J ADDITIONAL SECTIONS ! CASH/CK # 2(; STATE SURCHARG E •( ) �' ; DATE �! '� _�a g SUBTOTAL � T I t i ,..F ,..•• POTABLE WATER -C CJ : :°" ` 911./ROADAPPROACH _ *.-C-:-1--:- 1 TOTAL J (J: : H:IHOkI \P C rnmiorrvisER ----: P. ° 3 n D CD a 0 m -1 3 en O m r Z . o ' M . 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Q z ;,: _ 11 I 0 o U N aay 'ff. b . •M L -- %., .,6 � � ..i:-.) 1, , -- ....s4 Vj� L -. cal x. Es . , . (------ .), L .., a P l- .-.................t:1-1) E - o e� w V s o- Z+ Ste_ vJ o o' /�Grl /9 /�('u'-id.9£X,o/ C PeR aAofas- 7 91X,2./ O -t `0 i 49,E i MOBILE HOME INSTALLATION APPLICATION 4 4114L Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 r 01/4 PERMIT # •BLD99-0008 DATE RECEIVED. :01 03 99 SITE ADDRESS :422 9TH AVE :PORT HADLOCK, WA 98339 APPLICANT. . . :JOSEPH PADEN 'PHONE: (360) 385-2646 MAILING ADDR:CARRIE PADEN :PO BOX 1351 :PORT HADLOCK WA 98339 INSTALLER. . . : PHONE: LICENSE # : EXPIRATION DATE : / / CONTRACTOR. . :OWNER ‘` v 6, PHONE: MAILING ADDR: 11)+D 21 -2,11— • CONTR. LIC # : EXPIRATION DATE: / / PARCEL NO. :961806817 gelftl- Landslide'Q Plat Con , Wetland Floodin LEGAL DESC:STR34-30-01 W WM= Seismic Streams'( Erosion'( F & W LOT 21-24, BLOCK 8, TAX # Shoreline '(\C) Aquifer IRONDALE Area Com. Forest : Adj . _ 300" DESCRIPTION OF IMPROVEMENT: mobile home installation BUILDING TYPE -MOB BEDROOMS--- BATHROOMS-- CRPT/GAR. . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 DECKS 0 sf GARAGE/CARPORT • PROP. . : 2 PROP. . : 2 COMMERCIAL: 0 sf UBC OCCUPANCY GROUP: TOTAL. : 2 TOTAL. : 2 INDUSTRIAL: 0 sf EST COST. $ : 17000 SEWAGE DISP. . :CON BANK HT. . . : 0 ft PROJ GRP. . : 5921 WATER SUPPLY. :CITY SH SETBACK: 0 ft MOBILE HOME MAKE:FLEETWOOD YR: 78 SIZE: 14 X 66 Owner/agent FEES Signature: type amount by date recpt PRMT $ 137 .00 RAC 01/05/99 10070 Date: B.C. $ 4 . 50 RAC 01/05/99 10070 _POT $ 27 . 00 RAC 01/05/99 10070 Issued By: Date: (bld_apmo.txt) $ 168 . 50 TOTAL (\ e / Jefferson County Permit Center Date 621 Sheridan Street Fee Port Trovnsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name 0 OSip& '694 11 LS Building Application Land Use Application — Shoreline Application On-site Sewage Application Subdivision Application Other: • 1. Is there any standing or running water on the surface of the YES -440. property or on any nearby property at any time during the year? r i If YES, please describe: 2. Has any portion of the property or any nearby property ever been YES \ NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES NO on your property or adjacent properties? If YES, please describe: it 4. Are there any indications on any portion of the property or on any YES NO nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: II 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) 0 0 4 Q 0 4 P ;';' �,� .--RECEIVED rI ii i i i . /i i i�i � ,�' r ��.fl J i OA' �� ��❑ - .- .-- „ r PER MIT CENTER (Questionnaire Continues on Back) I 6. Does the site have steep slopes with little to no vegetation? YES NO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES X/NO sand? • If YES, please describe: • • • 8. Does the site contain ground water seepage or springs near the YES )/NO surface of the ground? If YES, please describe: The applicant hereby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by Jefferson County based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. Signature as. ::,IA... Date l- 9— q FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: ,www Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: -• J STORMWATER CALCULATIONS Owner/Applicant: o�jeo p PG a-P _ ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: L11�c 9 �� op Drainfield area cleared ,E)0,54-/r7 sq.ft. Q o rt-1l4nl./aC I (x)14 9'0.3 Driveway Length (7). ft. X Width 90 ft. 9 Digit Parcel Identification No.: 9 6 /- go(ta g I. 7 = Total Driveway x(5-7" sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance IA Lf sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 1'3 (o!) sq.ft. ❑ 1. North arrow Existing Structures (all roof area) sq.ft. ❑ 2. All property boundaries and dimensions Sidewalks --.- sq.ft. ❑ 3. Names of adjacent streets Concrete Patios ' sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length a f ft. seasonal creeks, bodies of water, etc. X Width 190 ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway - �. C7 sq.ft. ( existing or proposed, and distance to Total Impervious Surface ( `_ O sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: ❑ 8. Wells and/or water lines I; • Construction Access Route Stabilization: ❑ 9. Neighboring wells within 150 feet : Construction vehicle access shall be, whenever feasible, Las limited to one route. Access points shall be stabilized with ❑ 10. Paved surfaces (patios) ..J quarry spells or crushed rock to minimize the tracking of ❑ 11. Structures, existing and/or proposed "°'� sediment onto public roads. If sediment is inadvertently 1—:>"' I — transported onto public roads, roads shall be cleaned ❑ 12. Setbacks (distances to property U thoroughly at the end of the day by shoveling or sweeping. L.., Street washing should only be done after the bulk of the boundaries, structures, banks, CC W sediment has been removed by sweeping. and shorelines) a' • Stabilization of Exposed Soil: • 13. Easements for access or utilities U All exposed and unworried soil shall be stabilized by sodding, --� seeding, mulching, plastic covering, application of gravel base ❑ 14. Arrows showing direction of slope on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices (BMPs). • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of ❑ 16. Top of bank, if over 10 feet high their intended function. ❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLN CNTR\FORMS\PLOTPLN.FRM9/97 4 Y a C a . JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD99-0008 DATE ISSUED. : 01/12/99 SITE ADDRESS :422 9TH AVE :PORT HADLOCK, WA 98339 APPLICANT. . . :JOSEPH PADEN PHONE : (360) 385-2646 MAILING ADDR:CARRIE PADEN :PO BOX 1351 :PORT HADLOCK WA 98339 PROPERTY OWNER IF DIFFERENT FROM ABOVE PHONE: MAILING ADDR: INSTALLER. . . : PHONE: INSTAL LIC # : EXPIRATION DATE: / / CONTRACTOR. . :OWNER PHONE: MAILING ADDR: CONTR LIC # : EXPIRATION / / PARCEL NO. . . : 961806817 LEGAL DESC. . :STR 34-30-01 WWM, TAX # LOT 21-24 , BLOCK 68, IRONDALE DESCRIPTION OF IMPROVEMENT: mobile home installation THIS PERMIT IS VALID FOR ONE YEAR ONLY AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 01/12/00 . ( ) Fo`oo!in g/Se bac}ys (If continuous footings are used) : �t�-r, ( /1 ' .. - . - • ... ' ._ . © < 3. � • , �✓ ( / Final/Skirting/Vents/Porches/Steps : ,. �.: (j-A 1- /o -- G D LP 1 (bldmobpt .txt) CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 4 :30 p.m. Inspector' s Hours 8 - 9 a.m. 24 Hour Recorder for Inspections Ail