The URL can be used to link to this page

Home My WebLink AboutBLD2000-00055 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 #: BLD00-00055 Received Date: 1/21/2000 SITE ADDRESS: 92 S CARNEGIE AVE Issue Date: 1/27/2000 I Expiration Date 1/27/2001 APPLICANT: M V STONE PO BOX 624 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 149 Lot: 23-28 PARCEL#: 962114923 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ M & E TRUCKING INC PHONE: (360)379-0799 DEALER PO BOX 524 PORT HADLOCK WA 98339 Contractor's License METRUI*055MU Expires 10/21/2000 INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/1/2001 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: GOLDEN WEST YEAR: 2000 SIZE: 27X53 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 1/27/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): %_ci' �e-?.A. [ ] Blocking/Setbacks/Plumbing: [14 Final/Skirting/Vents/Porches/Steps: 82C ,3C. [f-c'-06 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 1 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00055 Received Date: 1/21/2000 SITE ADDRESS: S CARNEGIE AVE PORT HADLOCK, 98339 APPLICANT: M V STO NE PHONE: (360)379-0799 PO BOX 624 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 149 Lot: 23-28 PARCEL NUMBER: 962114923 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ M & E TRUCKING INC PHONE: (360)379-0799 DEALER: PO BOX 524 Crittca ._, PORT HADLOCK WA 98339 rea Contractor's License METRUI*055MU Expires 10/21/2000 INSTALLER: JAIME KOZELISKY WAINS0626 7/1/2001 (360)385-321 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 of *uked %kji o 01 tr:(' PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATIN TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDEN WEST SETBACK: VALUATION 52,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 27X66 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWPTER: YES NO AREA Wetland Ng, Erosion Exist: Exist: Seismic 1, Streams NO Prop: 3 Prop: 2 Flooding .0 Landslide IV0 Total: 3 Total: 2 F&W Plat Conditions t. Shoreline v Aquifer Routing Date: Forest: Commercial 0 Rural 1• Zt-1•0 Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/20/00 23142 Potable Water Application $30.00 MAM 01/20/00 23142 Total: $167.00 I:\F_BLD_App_Mob.rpt 10/29/99 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00055 Received Date: 1/21/2000 SITE ADDRESS: S CARNEGIE AVE PORT HADLOCK, 98339 APPLICANT: M V STO NE PHONE: (360)379-0799 PO BOX 624 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 149 Lot: 23-28 PARCEL NUMBER: 962114923 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ M & E TRUCKING INC PHONE: (360)379-0799 DEALER: PO BOX 524 PORT HADLOCK WA 98339 Contractor's License METRUI*055MU Expires 10/21/2000 INSTALLER: JAIME KOZELISKY WAINS0626 7/1/2001 (360)385-321 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATIN TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDEN WEST SETBACK: VALUATION - eo. YEAR: 2000 4-7`Soo SIZE: 27X66 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? 27%S 3 SEWAGE DISPOSAL: OSS 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 ZLI' c7l Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/20/00 23142 �� . - ®� Potable Water Application $30.00 MAM 01/20/00 23142 Total: $167.00 �, - I p O Jefferson County Planning & Building Department I:\F_BLD_App_Mob.rpt 10/29/99 STORMWATER CALCULATIONS Owner/Applicant: 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: Drainfield area cleared sq.ft. 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 (DO 6 sq.ft. INDICATE the following information. Total Land Disturbance 100 D sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) / )7.) sq.ft. • 1. North arrow Existing Structures (all roof area) sq.ft. • 2. All property boundaries and dimensions Sidewalks sq.ft. - 3. Names of adjacent streets Concrete Patios sq.ft. 4. Driveway/s & parking spaces Proposed: E. 5. Major features such as ravines, Driveway Length L{5 ft. seasonal creeks, bodies of water, etc. X Width IC.— ft. - 6. Septic tank, drainfield and reserve area location, = Total Driveway VS sq.ft. existing or proposed, and distance to Total Impervious Surface Z.Zy S sq.ft. closest structure E. 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: 8. Wells and/or water lines • Construction Access Route Stabilization: 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with E. 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned 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, 1 3. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base E. 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 2 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 Name Earl Green X 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 X NO property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been YES X NO identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present YES X NO on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any YES X 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) 4 D 4 Q g o 0 tiiii i ♦ �' .fl --- ----0 (Questionnaire Continues on Back) J J ' 6. Does the site have steep slopes with little to no vegetation? YES X NO If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES X NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES X NO 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 ��ed Date /— - r'o • FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR 0 Aquifer Recharge Area (zone_) 0 Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: 0 Frequently Flooded Area 0 Fish & Wildlife Area 2 ❑ Erosion O Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: R Q) 1 •i.. 0 A6 CC V 0 LL Q IS Cl) crL 0all YL VM ) C It VM MOFwM.Idp - _- 0 Tr 2 r C o d c Cn CI) 3 ttIJ COEl 73 r '6 C in A U) d L CO CI N., s > 1... rt 1Q sleop O ------- 2 wa `L W _:::- ✓ r O1 F r 11114: O I. °Siw 0 d O A rrM vrolruj Idp o! i co [n a 3 'it CO Ull FD i 0 CC Z o all ,^ i CO8n 0 _Y C cC d L 113 0 a t — — a O w - - — •• cc a'... rn o'a _ O coK 1 MMC▪U CO 01 F W cc N 0 go a 3 0 C < a tfil u a ,: O y •-1—'--;'-'-'-'1;':':::'‘;: ^f 0 ` —, o CIIII .\-..____- 0 3 Ir�,� _ ---------- 0/r�▪ C 0 o ofj Cn O— ;frj iab Mti Q 13 --— o -_ - Aerl 1W idp 1- V 0 a.. el v C N O C E r - - .9-. .9-.tt O.Niip 1 ,.., f7C0 V hiwi, ch 0 JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT 27 'x 66 ' SIZE 2000 YEAR MAKE GOLDEN [TEST HOMES COST $52 ,000 . 00 BEDROOMS: BATHROOMS: EXISTING EXISTING 0 2 PROPOSED 3 PROPOSED 3 2 TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: • 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL C.(INDIVIDUAL SYSTEM 0 Conventional X] PUBLIC PUD PERMIT # SEP 99-0228 ❑ Alternative Name of water system: PUD #1 IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE 1000 ft BANK HEIGHT ft SIGNATURE DATE /- /FI - .04) NAME (PLEASE PRINT) EARL GREEN FOR OFFICE USE ONLY BASE FEE : 3-1 RECEIPT # 2,$t ADDITIONAL SECTIONS CASH/CK # 0-74 C�\ SUBTOTAL ' ✓�� DATE I /W/ 0 V POTABLE WATER 30 911/ROAD APPROACH TOTAL lgo') H:\HOME\PLNCNTR\FORMS\MOBILEAP.5/97 . ¢�orr Jefferson County Permit Cater * Department of Community Development 4� °4, 621 Sheridan Street Port Townsend WA 88368(360]379-4450 uRoversid cn? 0160 7ett eade 44 co•foletely a4f : Project Description: INSTALLATION OF NEW MANUFACTURED HOME 9 Digit Parcel Identification Number(from your tax statement): Site Ac ots CA-a-r1c4 98368 911#: Road Name: Zip Code: Legal Description Irondale 149 Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): 150 x 100 ' Property Owner: M.V. STONE Phone: 379-0799 Mailing Address: P . O. BOX 624 Port Hadlock, WA 98339 Applicant/Occupant: Phone: 3 7 9-0 7 9 9 (if different from owner) Earl Green Mailing Address: P.O. Box 524, Port Hadlock, WA 98339 Authorized Rep: Prestige Properties , Inc . Phone: 385-9033 Mailing Address: 11524 Rhody Drive, Port Hadlock, WA 98339 General Contractor: M & E Trucking Inc. 379-0799 Or Manufactured Home Installer: Kozel isky Home Service Phone: 385-3215 Mailing Address: M & E P, 0, Box 524 Port Hadlock, WA 98339 Kozelisky 1112 Jacob Miller Rd. Pert Tewl-s-on.d,, WA 98368 Contractor's State License Number: M & E METRI05 5MU Expiration Date: 10-21-0 2 Septic Designer: Kozelisky -O626V1ALNs Phone: Exp - 7-22-01 Mailing Address: Tillman Engineering 379-9661 141 Oak Bay Rd. Port Hadlock, WA 98339 Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: CAS C Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area. School District: Zone: 4/98 H:\home\pincntr\foffis\universal plot plan I< A ti 1.444,1 /-- N: • .81 4i414:1140 / , .,7 *V 1011 I r� / �111�/ Vila* r1 / d M.14 c`r } -_a ,�IYtI►i ��i� `f `; • fee. lealo Y/1111 /111 Ie - • , 1 11 'gill *it if t 1 �11�11ei • k 4 . \ \J / / ,f,;) -r ,L . 1 W /' I ir,„Le&I t4 i ,; �.....,-., i fr..,4711,1# 1 ii .4_ _liti. / r);' 1 ( --_,7__________________. .., ik . -- co ( / li e • 1. v\ ty L ,\ _ 0- vl m.; 1 Y y ., J Q . ,11