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Home My WebLink AboutBLD1994-00820 THIS BUILDING IS NOT FINAL ED • PERMIT WAS CANCELLED PRIOR TO RECEIVING ALL INSPECTIONS AND HAS NOT BEEN ISSUED A CERTI FICATE 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 justifiab|ecauseforanextension. PaymentofaUaccruedrenevva|feesisrequiredpriortoappoova| ofanextension.^ 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 permiis 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. • I JEFFERSON COUNTY MOBILE HOME PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0820 DATE ISSUED. : 11/30/94 SITE ADDRESS: !gk pa-- ; td tN� v��-�- :Aw 1. Pa-v(i_ :PORT HADLOCK, WA 98339 APPLICANT. . . :�rT� MORE ANn aaUir Oilug n6 t I►lWeinGo.nj YPHONE: 379-8318 MAILING ADDR:-PA-BOX 746., l t26 4 Tk(j)Jy ' :PORT HADLOCK WA 98339-0746 PROPERTY OWNER:DOUG JOYCE PHONE: MAILING ADDR. . : 990 CHIMACUM RD :PORT HADLOCK WA 98339 CONTRACTOR. . : PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / PARCEL NO. . . : 901113002 LEGAL DESC. . : STR 11-29-01 WM, TAX # LOT , BLOCK , DESCRIPTION OF IMPROVEMENT: Mobile home in Mobile Home Park mountain view mobile home pk, site 12 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 11/30/95 ( ) Footing/Setbacks (If continuous footings are used) : ( �BlorkJ/ ticks/Plumbing: ( ) Final/Skirting/Vents/Porches/Steps: 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 • • JEFFERSON COUNTY OFFICE OF THE ASSESSOR PLEASE READ THE ENTIRE FORM AND PROVIDE AS MUCH INFORMATION AS POSSIBLE. THIS WILL HELP US IDENTIFY THE UNIT CORRECTLY AND AVOID DOUBLE TAX ASSESSMENTS. IT WILL ALSO AID IN PLACING A CORRECT VALUE ON YOUR PROPERTY. be modb DID YOU APPLY FOR A MOVING PERMIT?: Circle one: YES NO Td Sef IN WHICH COUNTY DID YOU APPLY FOR A MOVING PERMIT?: fgW°e - WHAT WAS THE PREVIOUS ADDRESS OF THE MOBILE HOME?: ( dm �S 1�� q80 Lay zMobIc. #'ark A309 WHO WAS THE PREVIOUS OWNER OF THE MOBILE HOME?: Pe.r 'r tla 11 e/oemerli CE Previous Owner Mailing Address: (o O �fa a. SI.✓ Sl,�,t{�, fa( 1 t�)OQI ten. 920.3(P DID A MOBILE HOME DEALER DELIVER THE MOBILE HOME?: Circle one: 40 NO WAS THE ADVANCE PROPERTY TAX PAID?: Circle one: YES NO To which County was the tax paid? //A ? WHAT DATE DID YOU PURCHASETHE MOBILE HOME?: b�� WHAT WAS THE PURCHASE PRICE?: ('1('DC," DOES THIS NEW MOBILE HOME REPLACE A MOBILE HOME?: Circle one: YES NO If this is a replacemelnt, to whom and where did the previous mobile home go? m o ta �h '� �ce, t, ted. tic � �e,eakd c U��x�, !:2 MOBILE HOME OWNERSHIP/OCCUPANT DATA: / ,{/ p NAME(S) l/ ' a vt 6 . ��2?�/7 C�.�Oh `/ 67a/C, ). /! d. ha/1 MAILING ADDRESS ,leo :ix r74 CITY /o!t /K1e lOc ', STATE/ZIP CODE WA 9 W 90710 HOME PHONE ?062 • 7 9. 8 /8 WORK PHONE J& 6 O/() NOTE: If you rent the mobile home, give name, address, and telephone number of the owner: • • JEFFERSON COUNTY UNIVERSAL PLOT PLAN AND DEVELOPMENT APPLICATION (This is not a permit) Fill in the following information as completely as possible , PROPERTY OWNER NAME 101,(C`\ I h PHONE 73,1 ' 14).(/, MAILING ADDRESS 9O ( ,nl4,6!unq /d . SS# Arf I4a. '(i ZIP 7 SEPTIC DESIGNER PHONE MAILING ADDRESS CONTRACTOR MAILING ADDRESS PHONE STATE LICENSE NUMBER EXPIRATION DATE FEDERAL I.D. NUMBER ARCHITECT PHONE MAILING ADDRESS LOAN LENDER NAME/BOND HOLDER NAME MAILING ADDRESS PHONE - SITE ADDRESS: /! / 911#/ROAD NAME fi rir.°.i ..sh Qrt /ICtri 1 P . ZIP CODE JLEGAL ei SUBDIVISIONINAMEN 1' lOLL i,i,r V+f'io tle2Ele, Ar 1.0T /; _BLOCK DIVISION TAX NUMBER 9 DIGIT PARCEL NUMBER IL*) II 13 k- '2- SECTION ZSECTION TOWNSHIP NORTH RANGE WM �t_ f DESCRIPTION OF IMPROVEMENT: I Irl� (I (;1 �;i ^�`i/�_� I/ 1 ��:'i Ll rirriOrP1 / I L' - MObI I, // PLEASE FILL OUT ALL OF APPLICATION Dear Property Owner: Please fill this form out as completely as possible. The legaldescription and 9 digit parcel number may be obtained from your tax statement or from the Assessor's Office in the Jefferson County Courthouse. Please make yourself at least one copy of this form so that you may use it for future development of your property. **** Mailing address: Jefferson County Planning & Building Department, PO Box 1220, Port Townsend, WA 98368 r All III JEFFERSON COUNTY BUILDING APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St. Port Townsend, WA 98368 206-379-4450 PERMIT # •BLD94-0820 DATE RECEIVED. : 11/29/94 SITE ADDRESS: 4,.,_Q .-, { ' -fl`4“, AA.A b"i. P(11k' :PORT HADLOCK, WA 98339 OWNER •GALE MORELAND-BAULIG PHONE: 379-8318 MAILING ADDR:PO BOX 746 :PORT HADLOCK WA 98339-0746 CONTRACTOR. . : PHONE: MAILING ADDR: • CONTR. LIC #: EXPIRATION DATE: / / ARCHITECT/ . . : PHONE: DESIGNER MAILING ADDR: PARCEL NO. . . : 901113002 ALT: CON : LEGAL DESC. . : STR 11-29-01 WM, TAX # BY: DATE: LOT , BLOCK , WATER: DATE: CAR : DATE: DESCRIPTION OF IMPROVEMENT: Mobile home in Mobile Home Park mountain view mobile home pk, site 12 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: SEWAGE DISP. . : SEPTIC OTHER • 0 sf TYPE OF CONST • WATER SUPPLY. :CITY CRPT/GAR. . : 0 sf UNITS. : 0 STORIES: 0 HEAT TYPES. : / / DECKS • 0 sf DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE: MAKE:FLEETWOOD YR: 79 INDUSTRIAL: 0 sf EST COST. $: 8000 SIZE: 14X56 BANK HT. . . : 0 ft PROJ GRP. . : 6287 SH SETBACK: 0 ft Owner/agent FEES Signature: > `i .e type amount by date recpt Date: ' IIIIIIR PRMT $ 125. 00 AMW 11/29/94 100953 B.C. $ 4 . 50 AMW 11/29/94 100953 `f 1 Issued By: w Q ' �� d Ifers�rf C csrsa, Date: �o- ( "'I{ ?la�:rj,��F�"{j 0VfP;Ix/1.003/ u7 .0 $ 129 . 50 TOTAL **JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT APPLICATION IN A MOBILE HOME PARK BUILDING TYPE IMPROVEMENT TYPE UBC OCCUPANCY 4f MOBILE ❑ NEW BUILDING GROUP SIZE / lAc7P YEAR f q7 `f t7 MAKE /'�t', /..J-r) w- � fd• �.�5' 'i7Q' /I '03 COST 4,51a74.7:),4 DESCRIPTION OF IMPROVEMENT: / lC ltjelrlt V1°tc� J 1(T L',+�P_ i4 rot' 1/fC ,�, C �y, Li, TYPE OF SEWAGE DISPOSAL: 0 INSTALLED 19_ ❑ SEWER INDIVIDUAL SEPTIC 0 NOT INSTALLED TYPE OF WATER SUPPLY: PRIVATE 0 DRILLED WELL OTHER PUBLIC CITY OTHER: NAME ❑ PUD STATE I.D. NUMBER OF EXISTING BEDROOMS NUMBER OF EXISTING BATHROOMS / NUMBER OF PROPOSED BEDROOMS J NUMBER OF PROPOSED BATHROOMS / TOTAL NUMBER OF BEDROOMS 1 TOTAL NUMBER OF BATHROOMS IF WATERFRONT PROPERTY NAME OF ADJACENT BODY OF WATER '" BANK HEIGHT 4f SETBACK S I GNATURE-.,,,G 24 /eD• ,kAtOitnel•is& DATE /Vet) cj0 APPLICANT NAME (PLEASE PRINT) /attain e / I1 1.e.0 'oi 1, 11.4 ore ')d FOR OFFICE USE ONLY PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT BASE FEE PLAN CHECK R EIPT # 00 K3 STATE SURCHARGE d y TOTAL L i CASH/CH 91'1571k_ h:\HOME\PLNCNTR\FORMS\MOBILE.APP