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HomeMy WebLinkAboutBLD2000-00038 (-/-)/7,(,c, -G"'C,'' _. " MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00038 Received Date: 1/14/2000 SITE ADDRESS: 510 FOREST DR BRINNON, 98320 APPLICANT: LUETTE STULL TRUSTEE PHONE: (425)334-4900 c .' OPAL BAY LIVING TRUST 2819 103RD AVE SE i ,I , J EVERETT WA 98205 L`r s �� t S / S I,v J SUBDIVISION: T S' Block: 4 Lot: 4 �' /�cl cl , �'� c�- r PARCEL NUMBER: 971100405 Section: 31 Township: 25 N Range: 2 W r CONTRACTOR/ '< DEALER: Celt. , .,.„; ReviewjJ' /00,0id ''''' Motrnwr MOW ' ' 66\7 5,CL PROJECT DESCRIPTION MOBILE HOME INSTALLATION (TITLE ELIMINATION) TYPE OF WORK T.E. MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: KENTWOOD SETBACK: VALUATION YEAR: 1978 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 24X40 SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Wetland [1/ , Erosion �ilc Exist: Exist: Seismic ft e , Streams �L'9 Prop: 2 Prop: 1 Flooding y ti �° Landslide / r Total: 2 Total: 1 F&W �V C Plat Conditions ✓ Shoreline A , ,I Aquifer ;',5 -s < <t. ,� `-, t T Forest: Commercial A- a Rural /Lc Routing Date: — ; — Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/14/00 23998 Potable Water Application $30.00 MAM 01/14/00 23998 Total: $167.00 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: LUETTE STULL TRUSTEE OPAL BAY LIVING TRUST 2819 103RD AVE SE EVERETT WA 98205 Critical Area Review Case Number: CAR00-00035 Project Description: Parcel Number: 971 100405 S-T-R: 31-25N-2W Site Address: 510 FOREST DR BRINNON WA, 98320 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. CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation, P P P Y additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 PLEASE MAIL TO: JEFFERSON COUNTY ASSESSOR JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR PO BOX 1220, PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOTA TAX STATEMENT NAME:Li{ E. S u LC_ /JaL[S7—E.- 0 The purpose of this questionnaire is to obtain information © P(A2 7 L-/ U/ 'u - regarding either the current location of a mobile home or the ADDRESS: previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. Please see reverse side for TELEPHONE NO: additional information. 1) MOBILE HOME DATA: (A) MAKE KFAirCe-Y30t25 /412(. ?(B) f 1VlC2#0".- (C) YEAR (D) LENGTH (E) WIDTH (F)SERIAL NUMBER k(4) (0I CLI (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) (H) PURCHASE DATE 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO (IF NO,WHAT COUNTY? IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO (B) IF LOCATED IN A MOBILE HOME PARK: NAME az ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: II 8 ill NAME OF LAND OWNER: (,( F-�/�� � �T ,.cc 4s tee j' O I AIJIA I tt�s LOCATION (ADDRESS) / C.) g-7— /e-or_ khuo eu REAL PROPERTY PARCEL NUMBER/DESCRIPTION �? / -"/O-0-' 7o 5 A-/---c ,lT/ S %AL. 1 ✓J 177 al-7 '. e cd • THANK YOU FOR YOUR HELP! Do c SIGNATURE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. R 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 #: BLD00-00038 Received Date: 1/14/2000 SITE ADDRESS: 510 FOREST DR Issue Date: 3/2/2000 BRINNON, 98320 Expiration Date 3/2/2001 APPLICANT: LUETTE STULL TRUSTEE OPAL BAY LIVING TRUST 2819 103RD AVE SE SUBDIVISION: MARSHALL ADDITION Block: 4 Lot: 4 PARCEL#: 971100405 Section: 31 Township: 25 N Range: 2 W CONTRACTOR/ DEALER PROJECT DESCRIPTION MOBILE HOME INSTALLATION (TITLE ELIMINATION) MAKE: KENTWOOD YEAR: 1978 SIZE: 24X40 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 3/2/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): [ ] Blocking/Setbacks/Plumbing: [ Final/Skirting/Vents/Porches/Steps: c5 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 SPECIAL CONDITIONS CASE # BLD00-00038 1.) This permit has been approved for a one (1) bedroom unit. The sewage disposal permit on the property is for one bedroom only. No additional bedrooms are approved without prior Health Department approval and increased septic capacity. wo I:\F_BLD_Permit_Mobile.rpt 10/29/99 i , i to : MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00038 Received Date: 1/14/2000 SITE ADDRESS: 510 FOREST DR BRINNON, 98320 APPLICANT: LUETTE STULL TRUSTEE PHONE: (425)334-4900 OPAL BAY LIVING TRUST 2819 103RD AVE SE EVERETT WA 98205 SUBDIVISION: TRITON COVE ESTATES Block: 4 Lot: 4 PARCEL NUMBER: 971100405 Section: 31 Township: 25 N Range: 2 W CONTRACTOR/ DEALER: PROJECT DESCRIPTION MOBILE HOME INSTALLATION (TITLE ELIMINATION) TYPE OF WORK T. E. MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: KENTWOOD SETBACK: VALUATION YEAR: 1978 LABOR & INDUSTRIES APPROVAL? SIZE: 24X40 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Wetland Erosion Exist: Exist: Seismic Streams Prop: 2 Prop: 1 Flooding Landslide Total: 2 Total: 1 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: A pved/Date Permit $137.00 MAM 01/14/00 23998 FilO Potable Water Application $30.00 MAM 01/14/00 23998 v Total: $167.00cAA2defiC 4nty P/ann/ v ©uPart,nentn9 I:\F_BLD_App_Mob.rpt 10/29/99 - i H --i i _-", L ) Al (- n .I( C,} JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING 0 REPLACEMENT SIZE ( / -a C---�``---� C ri VEI YEAR nm C.- T MAKE iCE'Gal tc.-'�`� f`��/)�� GTCJ� C� z � (� c o f(�U A-)/ `` z .P COST !`J fI�- c c o c BEDROOMS: BATHROOMS: o o p rm ffil EXISTING EXISTING / o z CD PROPOSED PROPOSED / TOTAL `� TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL0 TWO PARY WELL *INDIVIDUAL SYSTEM C Conventional X PUBLIC �_J Lj)PERMIT # SEP(// 0 Alternative Name of water system:/ -47?fl4 CaVt i-s7-)4a5,-p'i IF WATERFRONT PROPERTY, 99 /� DISTANCE TO BANK OR HIGH WATER LINE 'lay/I A ft BANK HEIGHT (I�IA' ft By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities, judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during reg r businesslI hours. ,N SIGNATURE P 63I 1 fit . DATE /-I a -v.) ( NAME (PLEASE PRINT) VA—L ----.: [° /-/-//J -eZ- ((2-6.."-e /27. ..("4.77-TY / 0-€) FOR OFFICE USE ONLY BASE FEE j _` . 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