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:
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2112191
Date:
$ 0. 00 TOTAL
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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,
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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
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