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Home My WebLink AboutBLD2000-00032 a . • 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 #: BLD00-00032 Received Date: 1/12/2000 SITE ADDRESS: 16 HILTON AVE Issue Date: 1/25/2000 PORT HADLOCK, 98339 Expiration Date 1/25/2001 APPLICANT: SUSAN RISING 301 FLAMINGO PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE DIVISION 4 Block: 101 Lot: 19-24 PARCEL#: 962110106 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAIME KOZELISKI WAINS0626 Expires: 7/20/200 1112 JACOB MILLER RD PORT TOWNSED WA 98368 PROJECT DESCRIPTION MANUFACUTRED HOME INSTALLATION MAKE: FLEETWOOD YEAR: 1989 SIZE: 14X66 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 1/25/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): [ ] locking etbacks/Plumbing � ��.�(' [--] Final/Skirting/Vents/Porches/Steps: Q 14 ,,—I--c 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 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00032 Received Date: 1/12/2000 SITE ADDRESS: 10TH AVE APPLICANT: SUSAN RISING PHONE: (360)385-7362 301 FLAMINGO PORT TOWNSEND WA 98368 SUBDIVISION: Block: (o / Lot: Iq - PARCEL NUMBER: 962110107 Section: ''t Township: 130 N Range: t C\AJ) CONTRACTOR/ DEALER: INSTALLER: JAIME KOZELISKI WAINS0626 7/20/2000 (360)385-321 .5 1112 JACOB MILLER RD PORT TOWNSED WA 98368 37e? q® c5 PROJECT DESCRIPTION MANUFACUTRED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION YEAR: 1989 LABOR & INDUSTRIES APPROVAL? SIZE: 14X66 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Wetland Erosion Exist: Exist: Seismic Streams Prop: 3 Prop: 2 Flooding Landslide Total: 3 Total: 2 F&W Plat Conditions Shoreline Aquifer _ Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: Approved/Date APPROVED Permit $137.00 MAM 01/12/00 23119 Potable Water Application $27.00 MAM 01/12/00 23119 Total: $164.00 „I 2 5 t► I 14a b ` ram. e erson County Plannin & Building Department I:\F_BLD_App_Mob.rpt 10/29/99 r ,. JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MOBILE HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING 0 REPLACEMENT SIZE I LI L ( YEAR I9S9 MAKE �LCeTvuooi) S of o1r.T'" . COST ( 9 o 0 0 BEDROOMS: BATHROOMS: EXISTING � EXISTING PROPOSED PROPOSED TOTAL TOTAL e TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL `>rl INDIVIDUAL SYSTEM Conventional 1 PUBLIC PERMIT # SEP l 339 0 Alternative Name of water system: IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE Ail A— ft BANK HEIGHT ft SIGNATURE----1/4 - �., j DATE --- NAME (PLEASE PRINT) 0 S if-A.i i2-.1S eel 6- FOR.OFFICE USE ONLY BASE FEE RECEIPT# ADDITIONAL SECTIONS CASH/Cif # ".� STATE SUR•CHARG•E• DATE /1./ SUBTOTA! 5 Ci G1 POTABLE WATER 9111fi0AD APPROACH .: TOTAL ` •}t:imomE\PLNCNTRIFORMSIW(OBILEPIf:DOC 4f96 , Ck j" (C- C'C Cl MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 1- PERMIT#: BLD00-00032 Received Date: 1/12/2000 - I SITE ADDRESS: 10TH AVF P. (• Z APPLICANT: SUSAN RISING PHONE: (360)385-7362 (-` 301 FLAMINGO PORT TOWNSEND WA 98368 r� SUBDIVISION: Block: 1 c ! Lot: I q - 5 r ` PARCEL NUMBER: 962110107 Section: t 4 Township: 130 N Range: I C v\.l) J,' v,' CONTRACTOR/ DEALER: Critical Area Review o .L.,....."`? o��/ INSTALLER: JAIME KOZELISKI WAINS0626 7/20/2000 (360)385-321 1112 JACOB MILLER RD PORT TOWNSED WA 98368 Ohmmeter Mrs PROJECT DESCRIPTION MANUFACUTRED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION YEAR: 1989 LABOR & INDUSTRIES APPROVAL? SIZE: 14X66 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWAT R: YES NO ARA Exist: Exist: Wetland Erosion Al, Prop: 3 Prop: 2 Seismic t, Streams F4 u Total:rop: 3 Total: 2 Flooding 1 Landslide #t F&W c? PlatCondfons ' ;> Shoreline 0Aquifer --_c 77-,i � `T. i c- Routing Date: Forest: Commercial 0Rural ® Proximity '��, r Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/12/00 23119 Potable Water Application $27.00 MAM 01/12/00 23119 Total: $164.00 I:\F_BLD App_Mob.rpt 10/29/99 • Jefferson County Department of Community Development January 18, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: SUSAN RISING 301 FLAMINGO PORT TOWNSEND WA 98368 Critical Area Review Case Number: CAR00-00033 Project Description: Parcel Number: 962110106 S-T-R: 34-30N-01 W Site Address: 10TH AVE PORT HADLOCK WA, FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. 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