HomeMy WebLinkAboutBLD1991-00269 _TFF WFRSC)N C,'C)T71\1T' V RT7T T.T)T T'3C� RFRMT m
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend; WA 9836A
20E-3A5-9141
PFRMTT # •RT.D91 -02F9 DATE TSSTJFD. .05/1 . ).-1—
SITE ADDRESS !F321 BEAVER VALLEY RD
PORT T.TJDLOW, WA 9A365
OWNER -FRANK TRAFTON PHONE.- 3A5-3264
MATT,TNO ADDR ! PO BOX 1064
PORT HAT)T,OCK WA 9A339
CONTRACTOR. . -NO CONTRACTOR PHONE!
MATT.TNO ADDR
CONTR . LTC #• FXPTRATTON DATE-
PARCEL NO. . . - A21073003
LEGAT. DESC. . -STR 07-2A-01 EWM, TAX #
LOT , BLOCK
T)ESCRTPTTON OF IMPROVEMENT- mobile home installation /��
( ) Fontina/SPthacks (Shoreline SPthack) /Mobile Home Blocking.
i? Jo_ bIA=4 (
( ) Foundation !
( ) Underground Pi umhi ng/TJndercrround Insulation
( ) Framing/Plumbing/Chimney!
( ) Tnsulation !
( ) Sheetrock
( ) Sewage Disposal System Final !
( ) Final /Occupancy Approval •
CAT.T, 3A5-9141 24 HOURS TN ADVANCE; TO SCHEDULE INSPECTIONS .
Office Hours q a .m. to 5 p.m.
Inspector ' s Hours q - 10 a .m.
24 Hour Recorder for Inspections.
•
A r F Tom.R 5 C7 rsT (7.`, €:,i i T'i7 F T T T T..T)i i\TC; Ta r=- r'�e. T (7 s'-a si' i ()'aV
Jefferson County Planning and Building Department
Courthouse, 3rd Floor
PO Box 1220
Port Townsend; WA 9R3F6
206-3R5-914 1
PERMIT # •RT,D9 1 -026i9 DATE. RRCR T VT+it. • 05/Oh/9 1
S T TF. ADDRESS : n32 1 BEAVER VALLEY RD
:PORT T,T/DT,OW, WA 9R365
OWNER -PRANK TRAFTON PHONE.: 3R5-3264
MAILING ADDR :PO BOX 1O64
!PORT HADLOCK WA l ei.S.S:f
CON'T RACTOR. . :NO CONTRACTOR PHONE.
MAT T,TNc ADDR :
•
CONTR. LTC #: N.XPIRATION DATE!
ARC:I-T T TFCT/ . . _ PHONE!
DESIGNER •
MATT,TNc ADDR •
PARC:F.T, NO. . . : R21073003 HEALTH: jG.,447 /
�ll�!1
T.RC AT, T)RSC. . :S T"R 0 7-25-01 F.WM. TAX # RV:: L{ DATE : /
LOT , BLOCK SHORELINES !
R Y: DATE!
DESCRIPTION OF TMPROVFMF.NT: mobile home installation
RTTTT,DTNG TYPF •MOR BEDROOMS-- BATHROOMS-- MAIN FT.. . 0 sf
TYPE OF TMPROVEMENT:NEW EXIST. _ 0 EXIST. : 0 2ND FT, 0 sf
GARAGE/CARPORT PROP. . • 1 PROP. • 1 3RD FT. 0 sf
WOODSTOVR •
TOTAL. : 1 TOTAL. ! 1 BASEMENT. . : 0 sf
URC OCCUPANCY CROTTP:R3 SEWAGE DTSP. . : SFPTTC CARPORT 0 sf
TYPF OF CONST WATER SUPPLY'. :PWR.T,T,
GARAGE 0 sf
UNITS. : 1 STORTF.S : i HEAT TYPES. :F.F.F•/ / Rc KS 0 sf
D T MENSTONS :4OX1 4 MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE : STET, MAKE. :SKYT,T NR 'rR: R2 TNDTTS TRTAT,: 0 sf
FST COST. $ : 900O STZF.:4OX14 RANK HT. . . :0 ft
PRO.T ( RP. . _ 1465 SW SF.T BACK:0 ft
Owner/agent FRS
S i crnatur tune amount by date recant
PRMT $ 75 . 00 MM 05/O6/91 54226
Date: jiiif R. C. $ 4 . 5n MM 05/06/91 54226
Issued By.
a
C-2- 9
Date : • TOki ! 1
19 . 50 TOTAL
\'' IN,,.17,
' t•I
. clA t
r
.-.
.,. ,
......,4r.
....... 776:—/e.;..,:x0
I ): of f:L : :IN _.__...--------- ':-1 .4.--0.....
I ir
..—.----.....„,,:z,
41111101 _ „ .. __,.,
.,
\/ /I ./:— —..-- .....-,...: ..,•1 .:- - 1
\
, .. .0._ , , ,
• - . 7-,..4..../...,s- I \
V \\&A 0 Af E.-
'-'D••• 40 \ 1 ,t 'I PC..)
•••••• i, ,
1AM
jil 0 ...„4,0, NOM,. .411111111111111 \
I Uj
, .. 1
l' i,e.,.. 1 ; I (1 ' _ t‘ \
1 ......0 (-c '', A .. ' :„---,. I .
-1..., )q,
- ,...,
ifl.i r 'Cll.; '''''‘ _____
, ..., ,. tit; ' 1
\ l'' \ . >.k'".. \ \ 2 0 e
1. 1 .I
\.0 1:1 \ 1.,. 1
1
r•Cs(s\
t. \ \ l
,
,
\ \: \•'-'11 \t- \ 1% '1,
'‘fti V/
'. • i '. • 1 '\ if\
ti ) IL
? ....
,i, 7::":1-1)
\ a'''‘
.1
' ).
'''' '.
li -6
1 I
. .
• \
, \
,..„, . .
( 1)
\ ,
. .
\ ,
. . .
\ ,..
. . ,
\ .
$
\
1
\ .
\ .
.
41+42604V '. 4 /
4/44F MO \ .
--------
ge-Al v--e• 4._ (J AU,;.-i.k.( ..5-71-r,4,4.—
. ii0ILDING ';'ERMIT APPLICATION / ,;',S.
Jefferson County Building DepartmentsP .O . Box 1220 ort Townsend. WA- 9 368
LOCATION
SPEC I F I C LOCATION 'BITE ADDRESS '/c'S 2/ Cgl, ' C/r9-1/e V '
. POSTAL DISTRICT : ' )SUBDIVISIONLEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBER
PARCEL NUMBER tea/ Ell$ 6JCJ_: 1 / 4 SECTION ILL
SECTION TOWNSHIP NORTH RANGE / C WM
J
BUILDING INFORMATION
B ILDING TYPE TYPE \OF IMPROVEMENT SQUARE FOOTAGE '
SINGLE FAMILY ❑ NEW BUILDING MAIN FLOOR
' MOBILE HOME ❑ ADDITION 2ND FLOOR
O MODULAR HOME ❑ ALTERCATION BAaEMENT ,
❑ DETACHED/ATTACHED 0 REPAIR CARPORT
EGARAGE ❑ REPLACEMENT GARAGE
/L) WOODSTOVE ❑ WRECKING/DEMOLITION COMMER& IAL
❑MULTI -FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS DECKS
❑ COMMERCIAL MOBILE HOM rS/
i ❑ INDUSTRIAL
SIZE �i / �,{ R $.a 0
1/6
❑ HOTEL/MOTEL/DORMITORY YEAR E '
$ 20
NUMBER OF UNITS /> KE i' kra t @ $ -1 0 _..
0 OTHER - SPECIFY ' $ 10
EST OATEd= COST OF @
IM91OVEMENTS 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 ❑ PASSIVE SOLAR
"(STRUCTURAL STEEL ❑ GAS ❑ COAL
❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS
D. OTHER - NUMBER OF STORIES TOTAL LAND AREA
•
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS " -
O PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
J I ND I V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATfROOM 1''
- APPROVED DATE 3.4.. INDIVIDUAL WELL eCiv` iSt G-NUMBER OF EXTI BATHROC_ _
PUD TYPE OF WATER SUPPLY
❑ PUBLIC ( NAME OF WATER SUPPLY
APPROVED DATE ❑ PRIVATE (NAME OF WATER SUPPLY
PLANNING DEPT , WITHIN SHORELINE JURISDICTION
❑ YES NAME- OF ADJACENT WATER BODY
NO
APPROVED DATE BANK HEIGHT SETBACK .
PUBLIC WORK DEPT ROAD RIGHT-OF/WAY WIDTH a
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES ❑ NO 1
IDENTIFICATION '
\NAME MAILING ADDRESS ZIP TEL NO
bWNER
P.0,Bq %64Y, /-/-42%Gc* _ 8 . • , 3.;2i t
CONT
' ATE LTC -1SE NO
_
ARCH
•
rHE OWNER OF THIS BUILD G AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS;
5)GNA ,URE A CA APPL I AT I67 ATE RECEIPT NUMBER CHECK NUM/VI OR CASH
(/ , 51-1 Qk3((- 1 /
APPROVED BY PE IT EES
BASE FEE INSPECTION
Lf. BLDG SURCHARGE PLAN CHECK
ENERGY SURCHARGE ��0
$7,_ '
TOTAL
911 NUMBER REFUND DATE DATE ISSUED
BUILDING OFFICIAL y
_._.
f
OFFICE OF THE ASSESSOR, JEFFERSON COUNTY • . • • • . . j
MOBILE HOME QUESTIONNAIRE
•
RP Account I
PP Account .II
DATE
***9cAc******* cat****it*****************************************9t***************4c*****
Please read the entire form and provide as much
information
mationmas posss. ible.
t This
hisowill
ill
help us identify the unit correctly and avoid double
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) 121 .
Street or Box 7' (1), 1°L- ,D&, CI
City A- ��� 1 c.. -
• State/Zip c/en -> > .
t /3 ` s-
Home phone 3�5- 32 (3 `/ Work phone '
Best time to call
(specify home or work)
NOTE: If you rent the mobile home give name, address, and telephone number of
owner here •
*****************
MOBILE HOME DATA: t
Length (exclude hitch)
L Q Width / 6 Model Year �2
C // i // cees .
'c�
Make �(� �i71,t� --G= - Model •
Serial number 0 2,q,s----0 L/o '
.
MOBILE HOME LOCATION - IN PARK
Park name
Space # Date placed iri'park
(PLEASE COMPLETE REVERSE SIDE) 1
.
.
MOBILE HOME LOhTION - NOT IN A PARK
Do you own (or are buying) land on which mobil eme_is located or do you . ' , , r'
rent the land? (CIRCLE) OWN IIUYING� RENT '! '
Assessor's Real Property account (parcel) number (The 9 digit number on the tax
statement or valuation notice) .
- M 01 '2j 00 .
What is the street address of this land? ' "' 14.
Street Z-( ' o. L2A--1, (i. .r 16-1) „
Q�
City �,p2--"�— � �C7U'' / ,:�
If youlrent the land what is the name andailing address of the land owner?
Name •
Street or Box
City
. �m ,,_ State/Zip
:1 i
Telephone number '. '
***********
MOBILE HOME HISTORY
,
Date you purchased e /� 89
Purchase price 7,()02
How did this mobile home get to its present location:
Moved into Jefferson County from
(County or State)
Delivered by dealer (name)
Moved from another Jefferson County ,location? 414110kr NO. If yes, please give
previous address/location.
W3320 0 '2 . /e -� /0--
/
"4,C S 21 bc.�' I L)Ktd .fi . / CZ lkA. -..,/ e-c,e
Didn't move - purchased in place. .Yes or NO
Name of previous owner - (0i.. -
Addresses 2-7/ /••-e> fgZ
l
/� State/Zip LcJ�i -- � 5'';
City C.,46 i1p,9-�G�'/t//
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? YESor (NO75
If this is a replacement, to whom and where did the previous mobile home go?
.
as
Thank you for your assistance. If you need help or information about
theoassessment
of your mobile home call the Assessor's Office at 385-9105. Q
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.) 11 ,
Please send completed form to JEFF'ERSON COUNTY ASSESSOR OrrICE { ;
PO Box 1220 , ; f
PORT TOWNSEND, WA 98368 '" j
Ile
c
,
�� 1 tips ,.
..'�u* mwuua
111
1 Off%III 0
I xj P 4 us
_ D IIII 11 Tl0214 �. 11 N,,,,,,
m�� a IpllH l� - i-y- ul p110 .v} 1,0111 OI IIIN ohd
.„... .,...-....„ jil
��''''' ir eL,it i i Diu '�i�iMr9
(-----`,) __.,,,,,, ..)..s..,
Will)pllllll i� "'
1.I
•
Ial