HomeMy WebLinkAboutBLD1998-00437 .
MOBILE HOME INSTALLATION APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St .
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD98-0437 DATE RECEIVED . : 07/13/98
SITE ADDRESS : OLYMPIC GREENS DR
: PORT HADLOCK, WA 98339
APPLICANT. . . :OLYMPIC GREENS PARTNERSHIP PHONE :385-0480
MAILING ADDR:JOHN SHOLDS
: PO BOX 179
:PORT HADLOCK WA 98339
INSTALLER. . . : M D CONSTRUCTION
PHONE : (360) 385-4509
6.J 4lrl Sa6Sy 38r— 95-al
LICENSE # :44B4441424 EXPIRATION DATE : / /
CONTRACTOR. . : PHONE:
MAILING ADDR: ,
•
CONTR. LIC # : EXPIRATION DATE : / /
PARCEL NO. : 901024001 landslide plat cond wetland _ flooding
LEGAL DESC :STR02-29-01 W WM seismic _ streams _ erosion _ f & w
LOT , BLOCK , TAX #211
DESCRIPTION OF IMPROVEMENT: mobile home installation
BUILDING TYPE •MOB BEDROOMS-- - BATHROOMS- - CRPT/GAR. . : 0 sf
TYPE OF IMPROVEMENT:NEW EXIST. : G EXIST. : (: DECKS 0 sf
GARAGE/CARPORT PROP . . : PROP. . : COMMERCIAL: 0 sf
UBC OCCUPANCY GROUP : TOTAL. : 'L TOTAL. : INDUSTRIAL: 0 sf
EST COST. $ : 95000 SEWAGE DISP. . :ALT BANK HT. . . : 0 ft
PROJ GRP. . : 5416 WATER SUPPLY. : PUBLIC SH SETBACK: 0 ft
MOBILE HOME
MAKE :SILVERCREST YR: 98
SIZE :42 X 42 .5
Owner/agent /l4 FEES
Signature : Ap` type amount by date recpt
170!,,,
7PRMT $ 136 . 00 LMB 07/13/98 3646
Date : J ` PLCK $ 56 . 00 LMB 07/13/98 3646
Issued By: deffe`s b` "y _POT $ 27 . 00 LMB 07/13/98 3646
$eC
Date: ) j
(bld_apmo. txt) epa i>an4i
$ 223 . 50 TOTAL
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
fa NEW BUILDING 0 REPLACEMENT
SIZE 42x42.5
YEAR 1998
MAKE sj.1vercrest
COST 95,000.00
BEDROOMS: BATHROOMS:
EXISTING EXISTING 2
PROPOSED PROPOSED
TOTAL 3 TOTAL 2
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER XS COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
❑ INDIVIDUAL SYSTEM 0 Conventional PUBLIC
PERMIT # SEP96-0338 #4 0 Alternative Name of water system: Pt. Townsend
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft
SIGNATURE C � _" DATE ?- ice-Pir
NAME (PLEASE PRINT) Irmgard Karrell
FOR OFFICE USE ONLY r
BASE FEE i' tjz,
,fSO RECEIPT # 3(o�4�p
ADDITIONAL SECTIONS 5(0. CASH/CK !1 1 {t.,(D
STATE SURCHARGE -yGi. DATE 7t 13
SUBTOTAL t6.
POTABLE WATER '- 1
911/ROAD APPROACH
TOTAL j.. .- H:\HOMEIPLNCNTR\FORMSIMOBILEAP,5/97
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MOBILE HOME INSTALLATION APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St .
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD98-0437 DATE RECEIVED. : 07/13/98
SITE ADDRESS :23 OLYMPIC GREENS DR
:PORT HADLOCK, WA 98339
APPLICANT. . . :OLYMPIC GREENS PARTNERSHIP PHONE : 385-0480
MAILING ADDR:JOHN SHOLDS
:PO BOX 179
:PORT HADLOCK WA 98339
INSTALLER. . . : M D CONSTRUCTION
PHONE : (360) 385-4509
LICENSE # :MDCON**) 084B4 EXPIRATION DATE : / /
CONTRACTOR. . : PHONE :
MAILING ADDR:
•
CONTR. LIC # : EXPIRATION DATE : / /
PARCEL NO . : 901024001 landslide plat cond _ wetland _ flooding
LEGAL DESC: STR02-29-01 W WM seismic _ streams _ erosion _ f & w _
LOT , BLOCK , TAX #211
DESCRIPTION OF IMPROVEMENT: mobile home installation
BUILDING TYPE 'MOB BEDROOMS--- BATHROOMS-- CRPT/GAR. . : 0 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 3 EXIST. : 2 DECKS 0 sf
GARAGE/CARPORT PROP. . : 0 PROP. . : 0 COMMERCIAL : 0 sf
UBC OCCUPANCY GROUP : TOTAL . : 3 TOTAL. : 2 INDUSTRIAL : 0 sf
EST COST. $ : 95000 SEWAGE DISP. . :ALT BANK HT. . . : 0 ft
PROJ GRP . . : 5416 WATER SUPPLY. :PUBLIC SH SETBACK: 0 ft
MOBILE HOME
MAKE : SILVERCREST YR: 98
SIZE:42 X 42 . 5
Owner/agent FEES
Signature : type amount by date recpt
PRMT $ 136 . 00 LMB 07/13/98 3646
Date: PLCK $ 56 . 00 LMB 07/13/98 3646
B.C. $ 4 . 50 LMB 07/13/98 3646
Issued By: _POT $ 27 . 00 LMB 07/13/98 3646
Date :
(bld_apmo. txt)
$ 223 .50 TOTAL
744
•
Jefferson County Permit Center Date
621 Sheridan Street Fee
Port Townsend WA 98368 Rec #
CRITICAL AREAS QUESTIONNAIRE Ck #
Case #
Applicant Name Irmgard Karrell
_y Building Application Land Use Application Shoreline Application
x On-site Sewage Application Subdivision Application Other:
1. Is there any standing or running water on the surface of the YES y NO
property or on any nearby property at any time during the year?
If YES, please describe:
2. Has any portion of the property or any nearby property ever been YES x NO
identified as a wetland or swamp?
If YES, please describe:
3. Are any willows, skunk cabbage, alders, or cottonwoods present _YES x NO
on your property or adjacent properties?
If YES, please describe:
4. Are there any indications on any portion of the property or on any _YES x NO
nearby property of rockslides, earthflows, mudflows, or landslides?
If YES, please describe:
5. Please indicate which line best represents the steepest slope found
on your property. (Check appropriate box)
Q Q o o ❑
/ / / / / / /
11 / // / / / //
1 // // //
I I / / / / /
I I / / / / // //
I I / / / / /
!1 I / %
iiii// /
////// / / / / --'❑
11///////_ _ --==__ ._____
-�
_ ___
__
• (Questionnaire Continues on Back)
6. Does the site have steep slopes with little to no vegetation? _YES ANO
If YES, please describe:
7. Does the site contain high percentages of silt and/or very fine YES NO
sand?
If YES, please describe:
8. Does the site contain ground water seepage or springs near the _YES y 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 Date
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:
Comprehensive Plan Land Use Designation: Reviewed by:
Community Plan: Date:
•
• • • ' STORM WATER CALCULATIONS
Owner/Applicant: Irmqard Karrell
El PROPOSED LAND DISTURBING ACTIVITY
Site Address: Olympic Greens Drainfield area cleared sq.ft.
Driveway Length 70 ft.
X Width 7f1 ft.
9 Digit Parcel Identification No.: 901-024-083 lot4t19 = Total Driveway _ 400 sq.ft.
Permit Number: Clearing and Grading for Site Development
PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft.
1700 sq.ft.
INDICATE the following information. Total Land Disturbance 2100 sq.ft.
Draw entire parcel to scale. Indicate scale of plot plan:
One inch equals 0 IMPERVIOUS SURFACE
Proposed Structures (all roof area) 2200 sq.ft.
❑ 1. North arrow Existing Structures (all roof areal sq.ft.
O 2. All property boundaries and dimensions Sidewalks 50 sq.ft.
❑ 3. Names of adjacent streets Concrete Patios sq.ft.
O 4. Driveway/s & parking spaces Proposed:
❑ 5. Major features such as ravines, Driveway Length 20 ft.
seasonal creeks, bodies of water, etc. X Width 2-0 ft.
❑ 6. Septic tank, drainfield and reserve area loc.tion, = Total Driveway C4� sq.ft.
existing or proposed, and distance to Total Impervious Surface 2-(2SO sq.ft.
closest structure
❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel
Minimum Requirements:
0 8. Wells and/or water lines • Construction Access Route Stabilization:
0 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible,
limited to one route. Access points shall be stabilized with
❑ 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of
❑ 11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently
transported onto public roads, roads shall be cleaned
❑ 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping.
Street washing should only be done after the bulk of the
boundaries, structures, banks, sediment has been removed by sweeping.
and shorelines) • Stabilization of Exposed Soil:
All exposed and unworried soil shall be stabilized by sodding,
❑ 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base
0 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:
iit properties shall be protected from sediment
corner elevations in relation to Adjacentp p
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 tb ensure continued performance of
O 16. Top of bank, if over 10 feet high their intended function.
0 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:IHOMEIPLNCNTRIFORMS\PLOTPLN.FRM9/97
•
•
JEFFERSON COUNTY MOBILE HOME INSTALLATION 'PERMIT
Jefferson County Permit Center
Castle Hill Mall
021 Sheridan St .
Port Townsend, WA .98368
360-379-4450
PERMIT # •BLD98-0437 DATE ISSUED. : 07/16/98
SITE ADDRESS :23 OLYMPIC GREENS DR
:PORT HADLOCK, WA 198339
APPLICANT. . . :OLYMPIC GREENS PARTNERSHIP PHONE : 385-0480
MAILING ADDR:JOHN SHOLDS
:PO BOX 179
:PORT HADLOCK WA 98339
i
PROPERTY OWNER IF DIFFERENT FOM ABOVE PHONE:
MAILING ADDR:
INSTALLER. . . : M D CONSTRUCTION PHONE :
INSTAL LIC # :MDCON**) 084B4 EXPIRATION DATE: / /
CONTRACTOR. . : PHONE :
MAILING ADDR:
CONTR LIC # : EXPIRATION / /
PARCEL NO. . . : 901024001
LEGAL DESC. . : STR 02-29-01 WTM, TAX # 211
LOT , BLOCK ,
DESCRIPTION OF IMPROVEMENT: mibile home installation Lot 19
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 07/16/99 .
( Footin etbacks (If continuous footings are used) :
S IAf/j &k 7' - -/Y
( Blocking/Setbacks/Plumbing: 400a_ 7-
( Final/Skirting/Vents/Porches/Steps : / /Fj - /6 -? j t/)
(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