HomeMy WebLinkAboutBLD2000-00278 - CANCELLED THIS BUILDING IS
NOT FINALED .
THIS IS AN INCOMPLETE
BUILDING APPLICATION . THE
PERMIT WAS NEVER ISSUED .
\
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— MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00278 Received Date: 5/5/2000
SITE ADDRESS: 30574 4 HWY 101
BRINNON, 98320
APPLICANT: HAO VAN NGUYEN PHONE:
HUONG HUYNH
23604 100TH AVE W
EDMONDS WA 98020
SUBDIVISION: Block: Lot: T 14
PARCEL NUMBER: 602352010 Section: 35 Township: 26 N Range: 02 W
CONTRACTOR/ OWNER PHONE:
DEALER:
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: BUDDY SETBACK:
VALUATION 1.00
YEAR: 1976
LABOR & INDUSTRIES APPROVAL?
SIZE: 12 X 56 BANK HEIGHT: 100
SEWAGE DISPOSAL: CON n ,(;
WATER SYSTEM: PWELL }C iIC
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO /
Exist: Exist: STORMWATER: YES NO I/
AREA Plat Conditior)s� /UU
Prop: 2 Prop: 1 Wetland M Erosion AJ C7
Total: 2 Total: 1 Seismic N Streams .5
Flood Way Food Plane &)t) /
Routing Date: F&W r Landslid3 ' `1....Pi
Shoreline i Aquifer !Manilla'
Forest: Commercial AFT Rural p c, •
Type Amount Paid By: Date: Receipt: /� Approved//Daate
Permit $141.00 MAM 05/05/00 30724 Critical Area
Potable Water Application $30.00 MAM 05/05/00 30724 ®®�j Q�.p
Total: $171.00 G v iVn-+�-=��a: !'F iti
Stommwate. ^" -
446F
I:\F_BLD_App Mob.rpt 10/29/99
• Jefferson County Department of Community Development May 12, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: HAO VAN NGUYEN
HUONG HUYNH
23604 100TH AVE W
EDMONDS WA 98020
Critical Area Review Case Number: CAR00-00193
Project Description: manufactured home installation
Parcel Number: 602352010 S-T-R: 35-26N-02W
Site Address: 305744 HWY 101
BRINNON WA, 98320
FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on
an identified critical area nor any associated buffers.
CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County
Ordinance 05-0509-94.
CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation,
additions or relocation of proposed development activities will require further review pursuant to
the Jefferson County Critical Areas Ordinance.
Ad)6 /
Department of Comm nity seve opment Staff
c: File
I:1F_CAR_Waiver_Standrd.rpt 12/13/99
ii
PLEASE MAIL TO:
JEFFERSON COUNTY ASSESSOR
JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE
ASSESSOR PO BOX 1220, PORT TOWNSEND WA 98368
(360) 385-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME / MAILING ADDRESS: THIS IS NOTA TAX STATEMENT
NAME: 4610 Var. iN J IA y ea The purpose of this questionnaire is to obtain information
ADDRESS: a342 04 1 0 U-t"` AAA/ , W regarding either the current location of a mobile home or the
previous ownership and location of a mobile home. This will
L Cl �O�1�5 J w ��Q help our office determine whether a mobile home is already
1. on the tax rolls in Jefferson County or if it has been moved to
this county from another area. Please see reverse side for
TELEPHONE NO: 2O(p • Si* • 2s0 g additional information.
1 ) MOBILE HOME DATA:
(A) MAKE In-b b y (B) MODEL (C) YEAR 1 i
(D) LENGTH 1 2 X Sic, (E) WIDTH (F) SERIAL NUMBER
(G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) -/. °C) (H) PURCHASE DATE
2) PREVIOUS OWNER / LOCATION OF MOBILE HOME:
(A) FROM WHOM DID YOU PURCHASE MOBILE nQQ ) r f r I k�A ff
ADDRESS P• O • 'COX (-(3 fdr2T 6 tb)e
(B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO IF NO,WHAT COUNTY?
IF YES, WHAT WAS PREVIOUS ADDRESS OF MOBILE?
3) WHERE MOBILE HOME IS TO BE LOCATED:
(A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO
(B) IF LOCATED IN A MOBILE HOME PARK:
NAME ez ADDRESS OF PARK SPACE NO.
(C) IF NOT LOCATED IN A MOBILE HOME PARK: ilk)NAME OF LAND OWNER: if ea �i/V t/t(In
e /
LOCATION (ADDRESS) 30 S 7(7 c- /0 I
REAL PROPERTY PARCEL NUMBER/ DESCRIPTION 4,02 3c-
THANK YOU FOR YOUR HELP!
SIGNATURE
KELLI LARSON, •roperty Technician
THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION.
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MEMO:
TO: Greg Ballard, DRD
FROM: Molly Pearson, Code Compliance x458
WHEN: Wednesday March 23, 2005
RE: unfinaled building permit for mobile home BLD00-278
Greg:
g
Please check on the following and then pass the file on to RoseAnn,
with this note attached:
• Check on wetlands, FEMA, etc. for any hits on parcel number
602352010, address 305744 Highway 101, Brinnon.
Mr. Hao Nguyen (pronounced "How Winn") is going to call in
Friday morning March 25th between 9 and 1, when you'll be the POD.
Mrs. Nguyen told me in a phone conversation today that the mobile
home DOES have electricity, but they have never lived in it because
there is no water. I asked if we could access the property to confirm
it is unoccupied and she said she would have to speak with her
husband, because there is a locked gate due to thefts in the area.
According to RoseAnn, the mobile home will need to be removed if
unoccupied and with no source of potable water.
Mr. Nguyen is going to call to see what needs to be done. Their
address and phone number is 23604 1000th Ave. W., Edmonds, WA
(
98020, 206-546-2508. Thanks!
cg . a .rictIckvs„. s. /fxsi\r. Nu.j.411 '3 - 42-s---0S--
, ,:Q.,kk viscet.,0, ({1/45/.6
jaf
• •
.
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00278 Received Date: 5/5/2000
SITE ADDRESS: 30574 4 HWY 101
BRINNON, 98320
APPLICANT: HAO VAN NGUYEN PHONE:
HUONG HUYNH
23604 100TH AVE W
EDMONDS WA 98020
SUBDIVISION: Block: Lot: T 14
PARCEL NUMBER: 602352010 Section: 35 Township: 26 N Range: 02 W
CONTRACTOR/ OWNER PHONE:
DEALER:
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: BUDDY SETBACK:
VALUATION 1.00 YEAR: 1976
LABOR& INDUSTRIES APPROVAL?
SIZE: 12 X 56 BANK HEIGHT: 100
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
AREA Plat Conditions
Prop: 2 Prop: 1 Wetland Erosion
Total: 2 Total: 1 Seismic Streams
Flood Way Food Plane
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $141.00 MAM 05/05/00 30724
Potable Water Application $30.00 MAM 05/05/00 30724
Total: $171.00
I:1F_BLD App_Mob.rpt 10/29/99
S •
•
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST. PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
X. NEW BUILDING ❑ REPLACEMENT
SIZE 12 x cLo
YEAR 19 -No
MAKE 511 cuoy
COST
41 a D
BEDROOMS: BATHROOMS:
EXISTING EXISTING
PROPOSED Z PROPOSED 1
TOTAL Z TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER ❑ COMMUNITY SYSTEM XI' PRIVATE WELL ❑ TWO PARY WELL
' INDIVIDUAL SYSTEM X Conventional ❑ PUBLIC
4o be ctr;iled
PERMIT # SEP ❑ Alternative Name of water system:
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE I 'a ft BANK HEIGHT 1 0/ ft
By signing the 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 any 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 accrue 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 inspections. Access and right of entry to the applicant's property or structure shall be requested and
shall occur during regular business hours.
_____11: 7: 1
/SIGNATURE DATE 3 - 5 20
NAME (PLEASE PRINT)
FOR OFFICE USE ONLY
30 BASE FEE I (I I•OO RECEIPT# � 2
ADDITIONAL SECTIONS CASH/CK 4 a V�
SUBTOTAL j/ v0 I� r DATE '/C l 0=
?Q 'vO
POTABLE WATER
911/ROAD APPROACH
TOTAL , -7 !r OO
H:IH O M EIPLN CNTRIFO RM S\MOBILEAP.1 O/99