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HomeMy WebLinkAboutBLD2000-00052 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 #: BLD00-00052 Received Date: 1/21/2000 SITE ADDRESS: 996 FOUR CORNERS RD Issue Date: 2/4/2000 PORT TOWNSEND, 98368 Expiration Date 2/4/2001 APPLICANT: PATRICK LUNDGREN JUDITH LUNDGREN 121 FLAMINGO RD SUBDIVISION: MICRAELUND SHORT PLAT Block: Lot: 2 PARCEL#: 001334038 Section: 33 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JUSTIN CANTERBURY WAINS00785 Expires: 7/20/200 HUNT HOMES BREMERTON WA 98312 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: FLEETWOOD YEAR: 2000 SIZE: 27X60 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 2/4/2001. REQUIRED INSPECTIONS: [A Footing/Setback (If continous footings are used): ri I yry C-C)6_ [ I Blocking/Setbacks/Plumbing: `1) oa L ? r Petro oy:ck [ aI/Skirting/Vents/Porches/Set ps cf)tz /--c`)z� 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 cR oD- 66,0 ql / • CrT :i 7-003,5 , -- -- MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00052 Received Date: 1/21/2000 ` SITE ADDRESS: 996 FOUR CORNERS RD PORT TOWNSEND, 98368 APPLICANT: PATRICK LUNDGREN PHONE: (360)385-0101 r. JUDITH LUNDGREN 121 FLAMINGO RD PORT TOWNSEND WA 98368 i-; SUBDIVISION: MICRAELUND SHORT PLAT 7-7y Block: Lot: 2 PARCEL NUMBER: 001334038 Section: 33 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: Critical Area R9VIewthz INSTALLER: HUNT HOMES/GORST LAND DEVELOP GORSTLD098LI 6/7/1999 (360)683-281 3450 SR20 GORST WA 98337 Stormwatr B e 0,114— Requited I PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION 73,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 27X60 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: STORMWATEfj:l YES NO A A Wetland /V 0 Erosion o Seismic � � Exist: Exist: '� , Streams !1 c� Total:Prop: 3 Total: 2 Flooding /U d Landslide IV 0 F&W Plat Conditions (/ i // Shoreline Aquifer ,,I ,,-' y— , -� Routing Date: f ; , / Forest: Commercial '0 Rural /V d . iLI-� Proximity RR: 20 Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/20/00 23144 Permit $28.00 MAM 01/20/00 23144 Potable Water Application $30.00 MAM 01/20/00 23144 Total: $195.00 is\F_BLD_App Mob.rpt 10/29/99 • Jefferson County Department of Community Development January 24, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: PATRICK LUNDGREN JUDITH LUNDGREN 121 FLAMINGO RD PORT TOWNSEND WA 98368 Critical Area Review Case Number: CAR00-00041 Project Description: Parcel Number: 001334038 S-T-R: 33-30N-01 W Site Address: 996 FOUR CORNERS RD PORT TOWNSEND WA, 98368 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, additions or relocation of proposed development activities will require further review pursuant to the Jefferson County Critical Areas Ordinance. ✓ 1. j _ Depa ent of Commt�lity Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 11 '►. r • III CO L C OD OJ 1 lilirl II rt r 8 <- mx - / — miz / L M 1 om U .x A N • iTI r ® OPf.O'HEAO ' IO,- r. N�� o. T r �Te NY nT A . x ' m s 0 1 BATH i 1.... of 12 O { .0 EOM:S.G.D_ p11I 7 p O .c I. Z^ wD to Dx-Zi mZ o. m o O A O O rD �� iir..;._...._;.. m I N b a rD �c P I I,_, o ...._...... G. A W A o 6-, p — 0O co Z W CD . 1 0- �+- - PANTRY +rTL/ ___ ---i- ,.._ 0 O 1 Cn 0 ^D Nn p0 Z oy • ;w IQ _drC O L Wpm 1tN A !i a+ ICO1� •IoAi �l .... 0 0) C A-) CD m CD CD r+ • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00052 Received Date: 1/21/2000 SITE ADDRESS: 996 FOUR CORNERS RD PORT TOWNSEND, 98368 APPLICANT: PATRICK LUNDGREN PHONE: (360)385-0101 JUDITH LUNDGREN 121 FLAMINGO RD PORT TOWNSEND WA 98368 SUBDIVISION: MICRAELUND SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 001334038 Section: 33 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: HUNT HOMES/GORST LAND DEVELOP GORSTLD098LI 6/7/1999 (360)683-281 3450 SR20 GORST WA 98337 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION 73,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 27X60 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 2WELL 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 Permit $137.00 MAM 01/20/00 23144 11 Permit $28.00 MAM 01/20/00 23144 Potable Water Application $30.00 MAM 01/20/00 23144 Amir A Total: $195.00 v E �, F` 0 Jefferson County Planning &Building Department I:\F_BLD_App_Mob.rpt 10/29/99 • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT ( .r SIZE c7 CO = �G' 1q { ^� X 3-O =„?SI YEAR 1/ V M a 000 MAKE Ek 4- U.:CC'c\ COST (rJV i,)(b4 cam— J a�)�a BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED 217, TOTAL TOTAL Z TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 4, PRIVATE WELL 171 TWO PARY WELL III INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC PERMIT # SEP ❑ Alternative� Name of water system: IF WATERFRONT PROPERTY, t /.; + DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT 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 regular business hours. SIGNATURE DATE o l 1201e9c) NAME (PLEASE PRINT) `—'� y1e1 v � FOR OFFICE USE ONLY BASE FEE ( -3 0 RECEIPT I/ i } 't ADDITIONAL SECTIONS # 1 CASH/OK SUBTOTALS DATE �(_! C ' POTABLE WATER A. 911/ROAD APPROACH TOTAL 3b' H QH O ME\PLN CNTR\FORMS\MOB(LEAP.10/99 itor, IMF1 , • v, -.--- — ,) 1 _-_-_- -----O ..3 31,os 1 o N N --1- -I.- %) .---_,_ •• ti 1 16..... 0 — • — .. z:. „.....1 -t- • ,, „._-• ./- 1. -... .... , ." , •?' • . ,.., c,II b, ccq , ...... _ 'V.:. '4' ' I, )4\ \ \--. )--1 IA -at r---- . ./,--- , distil, ,'-- . 4.4,;fr • Lii tip_... _ . ,., . ) o /1"...t10, =t-ao c ,.. . D / L <•`-'' \ AATIVIL8 'C‘) Alkilk 101011. i e..--<-1541 : '..." 1 ogg01111111.1..... A ‘1101111to 0 ii" . 4/vig siolIkocli- -a,#1/80$10 . .1000., ., ' i'-'4. •P :;17. \ -f) qa - Tr, l v.i_ .< / kil, .) i-•0:,1 . \\ , -,,,-- _''' 03.- , ...-.. V1 R-'20 0 . 0 - . . . _.. • ._ — -* _ --c\1 + ___ q___Ce2J. _119.__3S:-17OEjdui:: 1 -----,, 1 - (47 _ _ .. .. •--. I , I 1 - . gsoly �` Jefferson County Permit Center * Department of Community Development t. 621 Sheridan Street.Port Townsend WA 98368(3601379-4450 ti q rC p Uovr . P ©t 711 ea de ki14446e9 atio44 as came aQ didee: Project Description: rY)()to -raL...4.0kred, vvte 9 Digit Parcel Identification Number(from your tax statement): Site Address 911#: Ci 76/ Road Name: `t gr 'S Zip Code: Ct72 r Legal Description Subdivision Name: G`16 cgA ! Ce� ` oksil,r Block: Lot(s): Z.. Section: "33 Township: 301,3Range: . .. \At Parcel Size (acres or square footage): PropertyOwner: Phone: tC }}tL ; � 0,Lieilt v t Nam' ` 0i t3 Mailing Address: la( 611 On 0 a: 3,e;,.'2.2, Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: {- -1,1A-k \fA,1 \ k � Phone:36,C S 7 3 $cep l Mailing Address: CV L C1 Contractor's State License Number: C, ,1 Date: ! , fig--D r� 1 �-- �- ( Expiration ).-7/06, Septic Designer: — Phone: tzs Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: ............... FOR OH-JC US. ONLY> Fii e Disti ct 'lanriin Area: Sch�I g ,;..... Distri Zcrrie: .. 4/98 H:\home\pincntr\forms\universal plot plan