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HomeMy WebLinkAboutBLD1994-00344 JEFFERSON COUNTY MOBILE HOME PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0344 DATE ISSUED. : 05/27/94 SITE ADDRESS: 181 BOWEN ST :QUILCENE, WA 98376 APPLICANT. . . :WILLIAM KAPLAN PHONE: MAILING ADDR: 18801 171ST PL NE :WOODINVILLE WA 98072 PROPERTY OWNER: PHONE: MAILING ADDR. . : CONTRACTOR. . :OWNER PHONE: MAILING ADDR: CONTR. LIC #:OWNER EXPIRATION DATE: / / PARCEL NO. . . : 937201105 LEGAL DESC. . : STR 24-27-02 WWM, TAX # LOT 2 , BLOCK , CLARKS TRAILER PAR DESCRIPTION OF IMPROVEMENT: mobile home installation permit;existing mobil park has 7 mobiles, owner wants to add an 8th-SEE CANCELLED BLD91-0069 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 05/27/95 ( ) Footing/Setbacks (If continuous footings are used) : ( ) Blocking/Setbacks/Plumbing: s tem Final: Sewa e Disposal S ( ) P Y ( ) Final/Skirting/Vents/Porches/Steps: 64c, CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9 a.m. to 4 : 30 p.m. Inspector's Hours 8 - 10 a.m. 24 Hour Recorder for Inspections • s . JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0344 DATE RECEIVED. : 05/26/94 SITE ADDRESS: 181 BOWEN ST :QUILCENE, WA 98376 OWNER •WILLIAM KAPLAN PHONE: MAILING ADDR: 18801 171ST PL NE :WOODINVILLE WA 98072 CONTRACTOR. . :OWNER PHONE: MAILING ADDR: • CONTR. LIC #:OWNER EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 937201105ALT: CON: ' ` -r LEGAL DESC. . :STR 24-27-02 WWM, TAX # WATER r` raAT.544 ,:r LOT 2 , BLOCK , CLARKS TRAILER PAR SHORELINES:' BY: DATE: DESCRIPTION OF IMPROVEMENT: mobile home installation permit;existing mobil park has 7 mobiles, owner wants to add an 8th-SEE CANCELLED BLD91-0069 BUILDING TYPE *MOB BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf GARAGE/CARPORT PROP. . : 2 PROP. . : 1 HTED BSMT. : 0 sf WOODSTOVE • TOTAL. : 2 TOTAL. : 1 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP:R3 SEWAGE DISP. . : SEPTIC CARPORT. . . : 0 sf TYPE OF CONST WATER SUPPLY. :CWELL GARAGE • 0 sf UNITS. : 1 STORIES: 0 HEAT TYPES. : EEE/ / DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE:STEL MAK : YR: INDUSTRIAL: 0 sf EST COST. $: 1000 SIZ : 12 X 50 BANK HT. . . : 0 ft PROJ GRP. . : 1158 SH SETBACK: 0 ft 7 Owner/agent FEES Signature: type amount by date recpt PRMT $ 0. 00 DE 05/26/94 PER MIKE Date: PLCK $ 0. 00 DE 05/26/94 PER MIKE Issued By: r p , 2112191 Date: $ 0. 00 TOTAL /7y ' . r, ,, _ 0 * do., i 4 24.4, - \;', 01,-)0t, a___, ,i--- , . 70 , \ I 2 e).\\\\\II ft, \*\\\N\N\\\\ 1 i \ -.....- roPt?Se • t36 :101 ;r4, CO c— ! _____lt __ t -,: 4-2L1 \ 1 t i /00 i \ --..... or' ,,.... \a^ --,,, ________ ........._ 1,„,F ,5 1 ez) 1 iti,„ 1 . , 1„-- c10 1 ' .3H _ ! ..., , L . 40i- 4-7 1 i i k 1 1 • ) 4- 6 4 :,' , r :: ,yam • c Ai t' .-.' ?....0G, r---,-.., _, i 'S r J. • f k VI I i L.—� !Y ."---..\\) -1" y 1 > b o x� 4 I ; I t anr !` ?—'_— If x+ ` tl\ 41/4,,,;_i41 , t ?__--_ 1. \'"i\,...._,'-z, I 1 ) . ... 1 it ! ......2,_ _ (' N rO lif' 3 Z..."' imI I .>, r , ...._,...s r _. ...„. •• , ,-, -it - , A Ii 0 j • N c - . AMR -----1------a ...., , ,.... .....- '1\-) , , , .„< _ If tr. it _.. ....„ --. .., x q (--,.... ......) „,, „........ It, cu 4—,,-, sheet no. project oy ACOFFMAN iocation date -_ NGINEERS ckent checked j°°no date ill . . 111 '- .; i+•N-H t+. 1"C 5^s C J 1'V C� C-/t'J T ST T-Y TVt T 1 T.1 J i TV i; H 1=` T. E H-i 1 C J'1 V Jefferson County Planning and Ruilding Department Court}inuse . 3rd Floor Pt) Box 1220 Port Townsend , WA 4t5.- r s 208-385-54141 PF.RMT T" # • RT.Dyi -OC)fig T)ATF RFCF.TVFD. :O i1 4/y i STI TF. ADDRESS! ROWw,N ST :C)TiTT,CFNF. . WA 98378 C)WNRR •WTT,LTAM KAPT.AN PHONE ! 48,E-8832 MATTING ADDR : 1 RRC)1 171ST PT. NF -WOODTNVTT.T.F. WA yrsu ti CONTRACTOR . . :NO CONTRACTOR )--'''// P'riCiNR MATTING ADDR , J (9 -5(-(J CC)NTR - ,TC #! FXP T RAT T ON pAT4-. , --- - -� I , raRCr, 1 TF.0 1T r - - - Y / P'r'.C) vr. DF.S T GNF.R l/ ,/ MATT.T NG ATTR, • PARCFT. NO. . . : gR7201 1 C^h/0-7 RF.A'."'?_ T.FtGAi. T)t+.SC . . : STT 41 ' 7 /a IV WM. TAX # y! I JATF: .�.�.,-... - 2 RI�OCK CLARKS TRA T T.FK PARK SHOR F.TNRS : ✓"CE RV! T)ATr.7 DFSCR T PT TON OF T MPROVF.MF.NT : mobile home installation permit :eX i st i nc7 mobile nark has 7 mobiles, owner wants to add an 8th i '511 i I.TTNG TYPE •MOR 137'1ROOMS--- RATHROOMS-- MATN F-T.. . . - 0 sf TYPE. OF TMPROVRMRNT :NF.W FXTST. " C) Fri T ST. _ 0 2ND FT, 0 sf GARAGF/CARPORT PROP. . "• 2 PROP . . .• 1 3Rll FT. • 0 Sf WOODSTOVF • TOTAL. ! 2 TOTAL. ! 1 RASRMFNT. . . 0 sf URC OCCUPANCY GROUP:R3 SEWAGE T)T SP. . : SFPTTC CARPORT. . . " 0 sf TYPE OF CONST WATER SUPPLY. :CWFT.T, GARAGF C) sf UNITS . . 1 STOR T FS : O HEAT TYPES . : FF.F., / TIFCKS • 0 Sf T)T MFNSTONS : MOR T TSF 74Oi✓17 COMMFRC T AT, : f) sf FRAMF TYPE . S-I L MAKE. : YR ! T NT)T%STR T AT, : 0 sf FST COST. $ : 1000 ST7F - 1 2 X SO RANK HT. . . :.0 ft PROJ GRP. . . 1158 SW SFTRACK: O ft Owner/agent F"F F.S Signature! type amount by date rec-nt PRMT $ 75 . 00 AK 02/12/q1 53512 pate: R.C. $ 4 . 50 AK 02 /12 /a1 Tssned Ry: Date: ' '-`' 7c) . 50 TOTAL, u 7 ulLutivu i�ril i ttl' I'L1l LAI lUly f;t�,� ' r- i�� - , Jefferson 'County Buildin410epartment+P .O .' Box 1220.P Townsend. A 98368 LOCATION ::j/1 -'/ s ��)f1/1-Z/c f i 'Y ' � F��4-� Zili.T - SPECIFIC LOCATION SITE ADDRESS /�,C,44-: 'A` _S7.42tI / '71.1 ' 41-'-': li '/. z LT' _3 �F�4 5✓ 7 POSTAL DISTRICTQt.i:LG�/L`ti'/SUBDIVISION AL,c,<-0 /4,(,), (•nlivigi%t5 Add' it (Nt.- Lc:tA f, %c 7 U-�;'4'f1 Vic-r'�7� � t,�:.ri c.�� ��f� ✓*.. - � �' `;�'�` l�J,�J`�f�.�9 ��` 7 Nc' - L G bE''S,CRIPTION LOT BLOCK DIVISION TAX NUMBER ei A 1,1 rill- ' PARCEL NUMBER 1 / 4 SECTION PLANNING AREA SECTION TOWNSHIP NORTH RANGE WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE ❑ SINGLE FAMILY t`NEW BUILDING MAIN FLOOR • MOBILE HOME ❑ ADDITION 2ND F OR ❑ MODULAR HOME 0 ALTERATION BASEMEN ❑ DETACHED/ATTACHED ❑ REPAIR CARPORT GARAGE ❑ REPLACEMENT GARAGE ❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL \J ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL __ NUMBER OF UNITS ❑ COMMERCIAL MOBILE HOMES O INDUSTRIAL SIZE, .eePoS.ED /2 X Ste, _ 0@ $a0 ❑ HOTEL/MOTEL/DORMITORY YEAR ° �"(Cr4tV , �r, 0@ $20 n (�( IU a $10 MAKEy A�/'f NUMBER OF UNITS ❑ OTHER - SPECIFY ESTIMATED COST .�0 (tU`I��i 0 @ $10 IMPROVEMENTS �t� ^�LN,4 TOTAL FAIR MARKET VALUE UBC OCCUPANCY GROUP $ ( � , $ SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL ❑ WOOD FRAME ELECTRICITY ❑ COLLECTIVE SOLAR MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR ❑ STRUCTURAL STEEL ❑ GAS 0 COAL ❑ REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY O MASONRY ( WALL BEARING ) DIMENSIONS t ❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW HEALTH DEPARTMENT I TYPE OF SEWAGE DISPOSAL ! NUMBER OF PROPOSED BEDROOMS_ U PUBL I C OR PRIVATE ' NUMBER OF EXISTING BEDROOMS 1 g I ND I V I DUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM f APPROVED DATE - INDIVIDUAL WELL NUMBER OF' EXISTING BATHROOM_ _ PUD TYPE OF WATER SUPPLY O PUBLIC ( NAME OF WATER SUPPLY) /— APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY fr -i Lt,"- �_ I-t " ltf�I� PLANNING DEPT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY O NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF-WAY WIDTH NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES 0 NO IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO OWNER (,y.i:ri-r,tin. 4-114/1- i'kS4. -11/ sr ANL k)c10-J',Ny`rat-- bih" X1 1' '- A-,;"4:V.5- .CONT STATE LICENSE NO I ARCH THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. SIGNATURE OF APPLICANT APPLICATION DATE RECEIPT NUMBER CHECK NUMBER OR CASH APPROVED BY PERMIT FEES BASE FEE INSPECTION BLDG SURCHARGE PLAN CHECK ENERGY SURCHARGE $ TOTAL 911 NUMBER REFUND DATE DATE ISSUED BUILDING OFFICIAL u •