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HomeMy WebLinkAboutBLD1996-00647 THIS BUILDING IS NOT FINALED . PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTIFICATE OF O Ordinance No. 12-1203-12. "Pursuant to this Ordinance, effective January 1, 2013, if your permit is less than five years old, additional renewals may be approved at the current annual renewal rate. If your permit is older than five years from the date of issuance, in order to be considered for an extension, you must submit a request in writing to the building official and must provide a justifiable cause for an extension. Payment of all accrued renewal fees is required prior to approval of an extension." R105.5 Expiration. Every permit issued shall become invalid unless the work authorized by such permit is commenced within 180 days after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of 180 days after the time the work is commenced. The building official is authorized to grant, in writing, one or more extensions of time, for periods not more than 180 days each. The extension shall be requested in writing and justifiable cause demonstrated. R105.6 Suspension or revocation. The building official is authorized to suspend or revoke a permit issued under the provisions of this code wherever the permit is issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any ordinance or regulation or any of the provisions of this code. JEFFERSON COUNTY MOBILE,HOME INSTALLATION PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0647 DATE ISSUED. : 11/08/96 SITE ADDRESS:275 DOGWOOD LN :BRINNON, WA 98320 APPLICANT. . . :CARMEN BOLING PHONE: MAILING ADDR:PO BOX J :BRINNON WA 98320 PROPERTY OWNER IF DIFFERENT FROM ABOVE PHONE: MAILING ADDR: INSTALLER. . . : PHONE: INSTAL LIC #: EXPIRATION DATE: / / CONTRACTOR. . : PHONE: MAILING ADDR: CONTR LIC #: EXPIRATION / / PARCEL NO. . . :502151034 LEGAL DESC. . :STR 15-25-02 WWM, TAX # LOT 2 , BLOCK , BOLING SHORT PLAT DESCRIPTION OF IMPROVEMENT: replace manufactured home 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 11/08/97. ( ) Footing/Setbacks (If continuous footings are used) : ( ) Blocking/Setbacks/Plumbing: ( ) Final/Skirting/Vents/Porches/Steps: SPECIAL CONDITIONS MAY APPLY - SEE REVERSE 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 411 • MOBILE HOME INSTALLATION APPLICATION f Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0647 DATE RECEIVED. : 10/15/96 SITE ADDRESS: 275 DOGWOOD LN :BRINNON, WA 98320 APPLICANT. . . :CARMEN BOLING PHONE: MAILING ADDR:PO BOX J :BRINNON WA 98320 INSTALLER. . . : ,L) PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / PARCEL NO. . . :502151034 ALT: CON : LEGAL DESC. . :STR 15-25-02 WWM, TAX # BY : DATE: LOT 2, BLOCK , BOLING SHORT PLAT WATER: DATE: CAR DATE: /0-- DESCRIPTION c,-_DESCRIPTION OF IMPROVEMENT: replace manufactured home 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:R3 TOTAL. : 2 TOTAL. : 2 INDUSTRIAL: 0 sf EST COST. $: 0 SEWAGE DISP. . :ALT BANK HT. . . : 0 ft PROJ GRP. . : 7230 WATER SUPPLY. :PUBLIC SH SETBACK: 0 ft MOBILE HOME MAKE:FUQUA YR: 96 SIZE: 28 X 44 Owner/agent FEES Signature: type amount by date recpt PRMT $ 125. 00 AK 10/15/96 1127855 Date: B.C. $ 4 . 50 AK 10/15/96 1127855 POT $ 25. 00 AK 10/15/96 1127855 Issued By: Date: -' kYk,u On $ 154 . 50 TOTAL q�- D30- -- MO cA-s 4 rt6 Eml eA er ±I �, P 4 he/ G r� —B , it_ (uk 1 ;y --� („)4_).1\.(,, l Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name /� ?-v` �/71 e,t3 eo,L /,/G X 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 kNO 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 ,\VNO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES0 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 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) 4 a 4 4 0 4 i i i i i / i� •� 1 / / / / / i / // // // , �0 / / / / i i i / / i / i / / /iiiiii i /iiiiii /' 0 (Questionnaire Continues on Back) • • 41110 6. Does the site have steep slopes with little to no vegetation? YES KNO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES NJO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES AVNO 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 /l0 �/Gf'y V FOR OFFICE USE ONLY 0 Wetlands ❑ Seismic CRITICAL AREAS ON OR 0 Aquifer Recharge Area (zone_I ❑ Fish & Wildlife Area 1 ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 IMMEDIATELY ADJACENT TO SITE: ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: JLFt'I✓KJU1N LUUINi i tIOJn.»vn JACK WESTERNOT III eFERSON COUNTY COURTHOUSE ASSESSOR PO 1220,PORT TOWNSEND WA 98368 (360)385-9105 MOBILE HOME INFORMATION FORM TAX YEAR 1996 PLEASE CORRECTMAILINGADDRESS HERE: I/� � �, NAME: !c n PiA�t 1- f AC/LC] 1 l 02 ► i 6 I.S.- (7 l iC THIS IS NOTA TAX STATEMENT ADDRESS: OoA. 1V COMPLETE AND RETURN THIS FORM Qu(kW/ Ct) TO THE ASSESSOR'S OFFICE TELEPHONE NO: <3 Q 61S ie 6 77 A) MOBILE HOME DATA(CHECK AND COMPLETE AS APPLICABLE). (1) GENERAL DESCRIPTION A �/ C�(�/ (A) MAKE FLA. Q LI. (B) MODEL ' V� /.O (C) YEAR -r'I d <(D (D) LENGTH ! ! QP r (E) WIDTH 2 I e (F)SERI�L NUMBER /J2/ / 7 (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 4"OJ (AC )Q (H) PURCHASE DATE 4/4 G�&q( ` B) PREVIOUS OWNER OF MOBILE HOME: W IV / / (1) PREVIOUS OWNER NAME: 6 d vt 0 / !• / ‘--"-' ADDRESS: (2) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO IF NO,WHAT COUNTY? No £:-: IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? C) LOCATION OF MOBILE HOME: �� (1) IS YOUR MOBILE HOME IN A MOBILE HOME PARK? YES 0__ (2) IF LOCATED IN A MOBILE HOME PARK: (A) NAME&ADDRESS OF PARK (B)SPACE NO. (3) IF NOT LOCATED IN A MOBILE HOME PARK: y <;• ., (A) NAME OF LAND OWNER: Cl- -+el;tri 3:,174 ' .; ._'a z = '�'z` �`., Y : - ,1°4 'u"' (B) LOCATION,STREET,ROAD,ETC. tz N 0 v pOC-VW 00 D INA hied : ie - g�t'1i'1at� . o Spo 1e (C) REAL PROPERTY PARCEL NUMBER S�0 a.- is / "` 03 THANK YOU FOR YOUR HELP! 1ti1+ �z SIGNATURE OF MOBILE HOME OWNER / (I PORTANT: THIS LISTING AND STATEMENT CANNOT BE ACCEPTED BY THE ASSESSOR IF NOT SIGNED BY OWNER OR HIS DULY QUALIFIED AGENT) ' 1 011P cu.4.6 ______ KELLI LARSON,DEPUTY ASSESSOR THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. f• • • JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN ST., PORT TOWNSEND, WA 98368 (360) 379-4450 1-800-831-2678 SHORELINE SETBACK EVALUATION APPLICANT: C1, /77 r7 /c"7 7 - ADDRESS: Q7S &&<J00,® ,4 AJe,' Po 616x -� Oe( "11TELEPHONE: (p O 7 6 -5/7a..3 — PROPERTY DESCRIPTION SITE ADDRESS R,7 j 100 6-ujo0,p 1v9-/2 TAX PARCEL NUMBER: 3-02 /-S7 02 7 ,� REAL PROPERTY DESCRIPTION: �)eC ('7 (,l ,5-/7,�,-r P/a r A,7- 2 S, //��S/� mss' /'d2 ADJACENT WATER BODY: A490 Q/ i, / EVALUATION Bluff Height: off,0 Source: Bluff Stability: So x.r /0 Rock Source: • STANDARD SETBACK: l 0 Q feet Where the bluff is less than 10 feet the minimum setback is 30 feet. This setback shall be measured from the ordinary high water mark to the most waterward edge of the proposed structure. • BLUFF SETBACK: 'C feet Where the bluff is 10 feet or greater the minimum setback is 30 feet or one foot for every foot of bluff height to a maximum of 100 feet. This setback shall be measured from the bank's edge to the most waterward edge of the proposed structure. Averaging setbacks applies only if the nearest residences within 300 feet of the proposed structure have lesser setbacks than the standard minimum setback. • AVERAGE SETBACK /63 O feet This minimum setback shall be measured from the bank's edge to the most waterward edge of the proposed structure. This setback is based on the following calculations of adjacent residential structures. Please attach a plot plan showing the nearest residential structures and their shoreline setbacks. Nearest House on the Right(facing waterward): • Setback from bank or ordinary high water mark: .Q - feet • Distance to proposed structure: 5-0 O feet (<300) Nearest House on the Left(facing waterward): • Setback from bank or ordinary high water mark: feet • Distance to proposed structure: �l) feet (<300) ACKNOWLEDGMENT The above evaluation was determined on information provided by the applicant. Should any of this information be found inaccurate, the setback requirement may be re-evaluated. / r r6\7;rile0 go/ /7 cci- evelo % went Review Division Staff P � Date H:\home\pincntr\infoping\avgstbck.doc III r . • r a MOBILE HOME INSTALLATION APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD96-0647 DATE RECEIVED. : 10/15/96 SITE ADDRESS:275 DOGWOOD LN :BRINNON, WA 98320 APPLICANT. . . :CARMEN BOLING PHONE: MAILING ADDR:PO BOX J41. 4‘t)3 :BRINNON WA 98320 INSTALLER. . . : 01,07.101_:) PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: / / CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC #: EXPIRATION DATE: I ' % � / CO PARCEL NO. . . :502151034 ALT: CON : LEGAL DESC. . :STR 15-25-02 WWM, TAX # BY : DATE: LOT 2, BLOCK , BOLING SHORT PLAT WATER: DATE: CAR : (& DATE: DESCRIPTION OF IMPROVEMENT: replace manufactured home i 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:R3 TOTAL. : 2 TOTAL. : 2 INDUSTRIAL: 0 sf EST COST. $: 0 SEWAGE DISP. . :ALT BANK HT. . : : 0 ft PROJ GRP. . : 7230 WATER SUPPLY. :PUBLIC SH SETBACK: 0 ft MOBILE HOME MAKE:FUQUA YR: 96 SIZE:28 X 44 Owner/agent FEES Signature: type amount by date recpt A - PRMT $ 125. 00 AK 10/15/96 1127855 Date: 41F B.C. $ 4 . 50 AK 10/15/96 1127855 Issued By: . ,� r-- _POT $ 25. 00 AK 10/15/96 1127855 Date: 96 arson n & BJr«in9 pePtn errt 9 $ 154 . 50 TOTAL JEFFERSON COUNTY PER• CENTER, 621 SHERIDAN ST, PORT T•NSEND WA 98368 MOBILE HOME INSTALLATION PERMIT APPLICATION NEW BUILDING /❑ REPLACEMENT SIZE '7/L YEAR 19 Q ea MAKE L� u A COST 44/© �'- l ! � P BEDROOMS: BATHROOMS: EXISTING EXISTING • PROPOSED PROPOSED TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: - SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL INDIVIDUAL SYSTEM 0 Conventional PUBLIC �' PERMIT # SEP2. ,3.ZS , Alternative Name of water system: P1eatticrI (6165 IF WATERFRONT PROPERTY, A DISTANCE TO BANK OR HIGH WATER LINE _ /00 ft BANK HEIGHT 50 ft SIGNATURE 7V1-1-0-1/:/6) /74‘,41--e-/— DATE 9/u l`i -4 L4 T - r��K� �, Nsrc� NAME (PLEASE PRINT) E0�.111jG. ��t'Yi!�•� � FOR OFFICE USE ONLY BASEFEE RECEIPT#'. 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