The URL can be used to link to this page

Home My WebLink AboutBLD1989-00120 MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360) 379-4450 FAX (360) 379-4451 (800) 831-2678 PERMIT #: BLD89-00120 Received Date: 2/25/2000 SITE ADDRESS: 9385 FLAGLER RD Issue Date: 8/25/1989 NORDLAND, 98358 Expiration Date 8/25/1990 APPLICANT: WILLIAM MORRIS 7401 FLAGLER RD NORDLAND WA 98358 SUBDIVISION: Block: Lot: PARCEL#: 021202051 Section: 20 Township: 30 N Range: 01 E CONTRACTOR/ DEALER PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: REDMOND YEAR: 1989 SIZE: 28x64 THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 8/25/1990. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): [ ] Blocking/Setbacks/Plumbing: [Li Final/Skirting/Vents/Porches/Steps: Q (L d.� HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY - _ FZc» 411LDINO tIRNIT APPLICATION Jefferson County Building DepartmentP .O . Box 1220ort Townsend. WA 98368 101 LOCATION /� FF SPECIFIC LOCATION SITE ADDRESS 7/ 'd 4 _F7U /eIV" .- Ik POSTAL DISTRICT 0 /SUBDIVIS 4N LEGAL DESCRIPTION LOT BLOCK,�l DIVISION TAX NUMBER j4 PARCEL NUMBER 11 l c ](61, CI f 1 / 4 SECTION PLANNING AREA SECTION c() TOWNSHIP NORTH RANGE l WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE ,M❑ INGLE FAMILY NEW BUILDING MAIN FLOOR OTILE HOME ❑ ADDITION 2ND FLOOR ❑ MODULAR HOME ❑ ALTERATION BASEMENT ❑ DETACHED/ATTACHED ❑ REPAIR CARPORT GARAGE ❑ REPLACEMENT GARAGE ❑ WOODSTOVE ❑ WRECKING/DEMOLITION ' COMMERCIAL ❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS ❑ COMMERCIAL MOBILE HOMES /� �� V 35 ❑ INDUSTRIAL YEAR 1/� ❑ HOTEL/MOTEL/DORMITORY -jIR`\��, $ 16 NUMBER OF UNITS MAKE q� $g ❑ OTHER - SPECIFY ESTIMATED COST OF 0 @ $8 IMPROVEMENTS T AL FAIR MARKET VALUE UBC OCCUPANCY GROUP $ a SELECTED CHARACTERISTICS OF BUILDING PRINCIPLE TYPE OF FRAME PRIM IPLE TYPE OF HEATING FUEL ❑ WO FRAME ELECTRICITY ❑ COLLECTIVE SOLAR L11�MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR ❑ STRUCTURAL STEEL ❑ GAS ❑ COAL ❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY ❑ MASONRY ( WALL BEARING ) DIMENSIONS ❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA 0 DEPARTMENTAL REVIEW . HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BED OOM` B/u 4,1 (� ❑ �B L I C OR PRIVATE NUMBER OF EXISTING BEDROOMS ar'-II N I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATH'*• ,_,,. APPROVED DATE ND I V I DUAL WELL NUMBER OF EXISTING BATHROOM PUD TYPE OF WATER SUPPLY ❑ PUBLIC ( NAME OF WATER SUPPLY) APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY x- as PLANNING DEPT . WITHIN SHORELINE JURISDICTION ❑ YES NAME OF ADJACENT WATER BODY L4YE V 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 ❑ YES ❑ NO IDENTIFICATION NAME MAILI,NG ADDRESS - I ZIP ! TEL_ NO OWNER �� WV S�c, —3 — r► • it .apa) CONY11111=1 i 7 51 / r0 br ' s - ,erry •RCH HE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. IIGNAT E OF AP i A T APPLICATION DATE RECEIPT CHECK NUMBER OR CASH APP 0 ED BY PERMIT ES IAPp BASE FEE INSPECTION 5 BLDG SURCHARGE PLAN CHECK AUG 2 5 1989 ✓ $ 7 ENERGY SURCHARGE . t>JEFFERSON C TOTAL Pf�NY1�G g etoG for 9 t t NUMBER REFUND DATE D,o,T 1 ss BUILDING OFFICIAL (��/( OFFICE OF THE ASSESSOR, JEFFERSON COUNTY MOBILE HOME QUESTIONNAIRE RP Account # PP Account II DATE ********************************************************************************** Please read the entire form and provide as much information as possible. This will help us identify the unit correctly and avoid double assessor-ants. It will also aid in placing a correct value on your property. ******************************* REASON FOR INQUIRY: Field visit Excise tax Building Moving by deputy affidavit, permit permit Dealer report Application Delinquent State transfer by sale for title taxes report ******************************* MOBILE HOME OWNERSHIP/OCCUPANT DATA Name(s) W I //tI A r i f D E vy /VJ OR �? S Street or Box / L1•Q1 ��aI�� Roa d City N LAND State/Zip () ?jJ' S,c.) Home phone a 06 _ �� ,,S(o Work phone (.....10C - Lti 2•- / ?5(-) Best time to call //OM t• - CUE /U W .S J LU oR k i 7Ia 3'3C/* (specify home or work) NOTE: If you rent the mobile home give name, address, and telephone number of owner here ***************** MOBILE HOME DATA: Width ci 8 ' Model Year ` 9 e Length (exclude hitch) �j Q Make RE D, 1 Q'V Model ,3 2q5 - 4-SON PAR/< Serial number ***************** MOBILE HOME LOCATION - IN PARK Park name Space 4I Date placed in park (PLEASE COMPLETE REVERSE SIDE) MOBILE HOME LOCATION - NOT IN A PARK Do you own (or are buying) land on which mo11111.0 ho e is located or do you rent the land? (CIRCLE) OWN BUYING RENT Assessor's Real Property account (parcel) number (The 9 digit number on the tax statement or valuation notice) . 6.2 / 02CJ2 a `/ What is the street address of this land? Street 9110/ c lc)' Road oad City NOR D LA" D (JM If you rent the land what is the name and mailing address of the land owner? Name Street or Box City State/Zip Telephone number *********** MOBILE HOME HISTORY Date you purchased J-01. Y1 Purchase price i 71/ y3S /7 How did this mobile home get to its present location: Moved into Jefferson County from pi CP) (Ginty or State) Delivered by dealer (name) Bj el/C.r E/o4t es Syste itAs1 -23005 /7'/yhi 41 a ` y DM0/UPSi CtJ�/�I��J2O Moved from another Jefferson County location? YES or NO. If yes, please give previous address/location. Didn't move - purchased in place. .Yes or NO Name of previous owner Address City State/Zip If moved, was advance tax paid? YES or NO. If yes, to which County Does the mobile home replace a previous mobile home at this new location? YES o NO If this is a replacement, to whom and where did the previous mobile home go? Thank you for your assistance. If you need help or information about the assessment of your mobile home call the Assessor's Office at 385-9105. Questions about taxes call the Treasurer's Office at 385-9150. (NOTE: If mobile home is new to this county a valuation notice will be mailed to you when it's valued and added to the assessment roll.) Please send completed form to: JEFFERSON COUNTY ASSESSOR OFFICE PO Box 1220 PORT TOWNSEND, WA 98368