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Home My WebLink AboutBLD1999-00198 MOBILE HOME INSTALLATION APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD99-0198 DATE RECEIVED. : 04/09/99 SITE ADDRESS : 5782 CENTER RD :CHIMACUM, WA 98325 APPLICANT. . . :MARGIE ANN BRAZIL 'PHONE: (360) 732-4003 MAILING ADDR:5782 CENTER RD :CHIMACUM WA 98325 INSTALLER. . . :GUY JONES PHONE: LICENSE # : EXPIRATION DATE : 0/ /di CONTRACTOR. . : PHONE : MAILING ADDR: CONTR. LIC # : EXPIRATION DATE : / / PARCEL NO. : 801091006 Landslide 1'` Plat Cond _ Wetland [_ Flooding LEGAL DESC:STR09-28-01 W WM Seismic Streams Erosion F & W LOT , BLOCK , TAX #8 Shoreline Aquifer y .3 Area Com. Forest : Adj . 11U/) 300" DESCRIPTION OF IMPROVEMENT: manufactured home replacement BUILDING TYPE •MOB BEDROOMS--- BATHROOMS-- CRPT/GAR. . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 DECKS 0 sf GARAGE/CARPORT • PROP. . : 3 PROP. . : 2 COMMERCIAL: 0 sf UBC OCCUPANCY GROUP: TOTAL. : 3 TOTAL. : 2 INDUSTRIAL: 0 sf EST COST. $ : 60700 SEWAGE DISP. . :CON BANK HT. . . : 0 ft PROJ GRP. . : 11057 WATER SUPPLY. : 2WELL SH SETBACK: 0 ft MOBILE HOME MAKE :WESTWOOD YR:98 SIZE: 60 X 26 Owner/agent FEES Signature : type amount by date recpt PRMT $ 137 . 00 RAC 04/09/99 13790 Date : _POT $ 27 .00 RAC 04/09/99 13790 Issued By: Date : (bld_apmo.txt) $ 164 .00 TOTAL \ / 9 j qq ekiwe • MOBILE HOME INSTALLATION APPLICATION Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD99-0198 DATE RECEIVED. : 04/09/99 SITE ADDRESS :5782 CENTER RD :CHIMACUM, WA 98325 APPLICANT. . . :MARGIE ANN BRAZIL PHONE: (360) 732-4003 MAILING ADDR:5782 CENTER RD :CHIMACUM WA 98325 INSTALLER. . . :GUY JONES PHONE : LICENSE # : EXPIRATION DATE : '7/ /4l CONTRACTOR. . : PHONE: MAILING ADDR: CONTR. LIC # : EXPIRATION DATE: / / PARCEL NO. :801091006 Landslide Plat Cond _ Wetland _ Flooding _ LEGAL DESC:STR09-28-01 W WM Seismic _ Streams Erosion _ F & W LOT , BLOCK , TAX #8 Shoreline Aquifer Area Com. Forest : Adj . 300" DESCRIPTION OF IMPROVEMENT: manufactured home replacement BUILDING TYPE -MOB BEDROOMS--- BATHROOMS-- CRPT/GAR. . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 DECKS 0 sf GARAGE/CARPORT PROP. . : 3 PROP. . : 2 COMMERCIAL: 0 sf UBC OCCUPANCY GROUP: TOTAL. : 3 TOTAL. : 2 INDUSTRIAL: 0 sf EST COST. $ : 60700 SEWAGE DISP. . :CON BANK HT. . . : 0 ft PROJ GRP. . : 11057 WATER SUPPLY. :2WELL SH SETBACK: 0 ft MOBILE HOME MAKE :WESTWOOD YR:98 SIZE: 60 X 26 Owner/agent FEES Signature : type amount by date recpt R V7 PRMT $ 137 . 00 RAC 04/09/99 13790 Date : ' _POT $ 27 . 00 RAC 04/09/99 13790 Issued By: I JU F 1999 Date : Jefferson County Pinning (bld_apmo. txt) & Building Department $ 164 . 00 TOTAL 1 4 JEFFERSON COUNTY MOBILE HOME INSTALLATION PERMIT Jefferson County Permit Center Castle Hill Mall 621 Sheridan St . Port Townsend, WA 98368 360-379-4450 PERMIT # •BLD99-0198 DATE ISSUED. : 06/17/99 SITE ADDRESS : 5782 CENTER RD :CHIMACUM, WA 98325 APPLICANT. . . :MARGIE ANN BRAZIL PHONE : (360) 732-4003 MAILING ADDR: 5782 CENTER RD :CHIMACUM WA 98325 PROPERTY OWNER IF DIFFERENT FROM ABOVE PHONE : MAILING ADDR: INSTALLER. . . :GUY JONES PHONE : INSTAL LIC # :WAINS0254 EXPIRATION DATE : 07/01/01 CONTRACTOR. . : PHONE : MAILING ADDR: CONTR LIC # : EXPIRATION / / PARCEL NO. . . : 801091006 LEGAL DESC. . : STR 09-28-01 WWM, TAX # 8 LOT , BLOCK , DESCRIPTION OF IMPROVEMENT: manufactured home replacement 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 06/17/00 . ( Footing/Setbacks (It continuous footings are us ) : Z,L 2-2d'-`Ilr 4,,,40,1,4 ( 4--flocking/Setbacks/Plumbing: 724n44._ ) ) Final/Skirting/Vents/Porches/Steps : LiE 19 L -� ( ) 0- /,�' - (bldmobpt . txt) SPECIAL CONDITIONS MAY APPLY - SEE REVERSE 6/t A-1-1. - cm) 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 Conditions of Approval - Permit no. : BLD99-0198 For: MARGIE ANN BRAZIL Page : 2 1) THE EXISTING MOBILE HOME WILL BE REMOVED PRIOR TO FINAL INSPECTION. (bld cond. txt) t ' JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING I$ REPLACEMENT SIZE tv(.5 X ?.(, YEAR 149e MAKE L,)&st woo 6 t I+lurcra_5t COST (1 j 7OO oO BEDROOMS: BATHROOMS: EXISTING q STa�w� 0 EXISTING 0 PROPOSED j PROPOSED TOTAL ) TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL TWO PARY WELL I% INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC PERMIT # SEP 0 Alternative Name of water system: IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE /V' i� ft BANK HEIGHT /V;` ft SIGNATURE 4,10/10 au, DATE NAME (PLEASE PRINT) OA, R4tot U z( /r 9te-AAn, -exw FOR OFFICE USE ONLY BASE FEE / 3?- 6 d RECEIPT # /3 -2 `�/� ADDITIONAL SECTIONS CASH/CK # W / SUBTOTAL / O O DATE / / 9 / 9 9 POTABLE WATER 911/ROAD APPROACH TOTAL H:\HOME\PLNCNTR\FORMS\MOBI LEAPS/97 !� y STORMWATER CALCULATIONS Owner/Applicant: ��p� pt`a2► 1 1 ;`� ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: 5'$a. C Ze +QX' 1�4• Drainfield area cleared sq.ft. c vi'arum tUa 983a5 Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 1(OC_sq.ft. INDICATE the following information. Total Land Disturbance f(; C; sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals C IMPERVIOUS SURFACE Proposed Structures (all roof area) j5&0 sq.ft. 1. North arrow Existing Structures (all roof area) I sq.ft. E 2. All property boundaries and dimensions Sidewalks sq.ft. 3. Names of adjacent streets Concrete Patios sq.ft. F. 4. Driveway/s & parking spaces Proposed: 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. ✓C7 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface sq.ft. closest structure 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: er8. Wells and/or water lines • Construction Access Route Stabilization: Zi 9. Neighboring wells within 1 50 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with ▪10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 11. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned `f. 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, Z(13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base ? 14. Arrows showing direction of slope on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best Management Practices (BMPs). INDICATE: • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of C 16. Top of bank, if over 10 feet high their intended function. ❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 • Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Namkd.,R \ \ ill ary Ce Bra ti I 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 NO property or on any nearby 't property at any time during the year? W If YES, please describe: est . c`O U . c5 L¢5 ak -ertrr►/t, ay. h bofS wt,A-leek w hi%c..,n vtc-twies a.. , -ma.,(.1 di F • 2. Has any portion of the property or any nearby property ever been ✓ YES NO identified as a wetland or swamp? 1 If YES, please describe: 1-1m.�}' ?rovix Lt I I vta- ' S '55 ' crag,. rtn.1 1-,bo 6 t,s ti.lavul. 3. Are any willows, skunk cabbage, alders, or cottonwoods present /YES NO on your property or adjacent properties? If YES, please describe: Atckr 4. Are there any indications on any portion of the property or on any YES ✓ NO 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) / / / / / / /, / / / / / / / / / / / / / / / / / / / / / i/ / / / / / / /r / / / / / / / / / / / / / / / / / / / / / / // // / / / / / / / / // / / / / / / / / / , / / / / / / / // // // ", / / / / / / / // // /// / /////// /// // Cl.......Li (Questionnaire Continues on Back) • 6. Does the site have steep slopes with little to no vegetation? YES /NO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES /NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES %/Nil0 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 �"'Q' 9 FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone ) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion ❑ Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: rt4, •4:„ -t."7 (rco "7..\ , c.,55 &.„ - I 1,1c> sc.,7 11" —J 71 1 ) {1{{ '{{{, '- cn r a 0 D 0 a 0 r -I 5 y m a) 3 r Z CD a 0 co D Eli 'v "Cl u ox. Tj m -P09 /i:-D''' (U tfn or c7 Xv - 1T(6 m do 5Gt nmc-) Z ,s< ,D 9�c mH m H r — z m fl D Y v •< -o zi r - o o illO -< \ o r- O -0 c z U) tb o in o ri c s. tv z c U n SETBACKS m Z. N 0\ o I A. Ell f Y A no r 5erg om � b b n . aIt �pp � �R ° °sp 0 p�"(11ii oa .. atv a p a Ca- rD rD 4,nV (n ar v, , Ci7 V I p + B - c a. p r, o o 3 o p Q Pj Q is ~ co co .n ►Z :1 g R i i - N t p p. <lT 15 3 :.?F:! s--,i. 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