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HomeMy WebLinkAboutBLD2000-00071 • 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#: BLD00-00071 SITE ADDRESS: 56 7TH Received Date: 1/31/2000 PORT HADLOCK, 98339 Issue Date: Expiration Date 10/2/2 2000 APPLICANT: RICHARD GIFFORD 10/27/200 11524 RHODY DR PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE PARCEL#: Block: 2 Lot: 25-28 961800207 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ PRESTIGE PROPERTIES DEALER 11524 RHODY DRIVE PHONE: PORT HADLOCK WA 98339 (360)385-9033 Contractor's License PRESTP1066CM Expires 11/13/2000 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: GOLDEN WEST y, Q a.L.J 0 0 YEAR: c,qto C9 G SIZE: s 27X 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 10/27/2001. REQUIRED INSPECTIONS: [1 Footing/Setback (If continous footings are used): I Blockinnc/Setbacks/Plumbing: OK ' 11 6 l Final/Skirting/Vents/Porches/Ste s. tlfi HEALTH DEPARTMENT APPROVAL RE UIRED 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 #: BLD00-00071 Received Date: 1/31/2000 SITE ADDRESS: 7TH ST .4 51 PORT HADLOCK, 98339 APPLICANT: RICHARD GIFFORD PHONE: (360)732-4092 11524 RHODY DR PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 2 Lot: PARCEL NUMBER: 961800207 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ PRESTIGE PROPERTIES PHONE: (360)385-9033 DEALER: 11524 RHODY DRIVE PORT HADLOCK WA 98339 Contractor's License PRESTP1066CM Expires 11/13/1999 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: . SHORELINE: TYPE OF IMP NEW MAKE: - GOLDEN-VEST' SETBACK: VALUATION 44,200.00 YEAR: BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 2 SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Seismic Streams Prop: 3 Prop: 2 Flooding Landslide Total: 3 Total: 2 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural ' ?vk Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/31/00 23696 Potable Water Application $30.00 MAM 01/31/00 23696 Total: $167.00 I:\F_BLD_App_Mob.rpt 10/29/99 JEFFERSON COUNTY PERMIT CENTER, 621 SHE,RIDAN T. PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT SIZE 27 X 44 YEAR 1995 MAKE Golden West Homes 44 200.00 COST ' BEDROOMS: BATHROOMS: EXISTING 3 EXISTING 2 3 2 PROPOSED PROPOSED TOTAL 3 TOTAL 2 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL Ea INDIVIDUAL SYSTEM 0 Conventional C PUBLIC PERMIT # SEP 0 Alternative Name of water system: Port Townsend IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft SIGNATURE �� if � DATE / 26- NAME (PLEASE PRINT) it o C. 86 t t / FOR OFFICE USE ONLY ` `- BASE FEE ,✓' 3 ). L" RECEIPT # U V ADDITIONAL SECTIONS CASH/CK # 7(9 3/ SUBTOTAL /' ?- (J O DATE L./2L/ 0 POTABLE WATER 3c - (3° 911/ROAD APPROACH I /• 0 TOTAL 6 , n H:HOME\PLNCNTRTORMSIMOBILEAP.5/97 . , I ; . SON a #ry • Jefferson County PerMit Cann(' * Department of Conmuiity Development , 621 Sheridan Street,Port Townsend WA 88368 (360) 379-4450 -4 ft?NGè" Uuvrd Po©Pool pko jJL&Cd de iollooi4cg G1444 44 corn/444 cid (c: Project Description: . Installation of New. Manufactured Home 9 Digit Parcel Identification Number(from your tax statement): . . 961 800 204Site Aress Legal Description , , Subdivision Name: Irondale 2 Block: 2- I Lots): 25-28 Section: -- Township: I Range: Parcel Size (acres or square footage): Property Owner: Richard Gifford l Phone: ' Mailing Address: J 732-4092 11524 Rhody Drive, Port Hadlock, WA 98339 Applicant/Occupant: Phone: (if different from owner) 4l1en Bell 1 379-6953 Mailing Address: 6062 Highway 20, Port Townsend, WA 98368 Authorized Repirestige Properties, Inc, ,Lowell Matthew PhO°e' 385-9033 1 ti(:rilingAddress: f _ _. ----- - 11524 Rhody Drive, Port Hadlock, WA 98339 General Contractor: Prestige Properties , Inc. Or Manufactured Home Installer: Jamie Kozelisky I Phone: 385-9033 Mauling Address: 11524 Rhody Drive, Port Hadlock, WA 98339 Contractor's State License Number: PRESTPI065CM ! Expiration Date: 11-13-99 Septic Designer: I ['hone: ' Tanet WPIrh-Sept_ 96-0315 11 Mailing Address: lArchitect:/Engineer: I Phone: Mauling Address: Loan Lender/General Phone:Bond Holder: I Mailing Address: 1 FOR OFFICE:USE ONLY. .....;<. Fire District: ..: Plannin Area: . :: g School District: Zone: 4/98 HA borne\pincnu\foams\universal plot phut P e MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00071 Received Date: 1/31/2000 SITE ADDRESS: 7TH ST PORT HADLOCK, 98339 APPLICANT: RICHARD GIFFORD 11524 RHODY DR PHONE: (360)732-4092 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 2 Lot: PARCEL NUMBER: 961800207Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ PRESTIGE PROPERTIES DEALER: 11524 RHODY DRIVE PHONE: (360)385-9033 PORT HADLOCK WA 98339 Area Contractor's License PRESTP1066CM Expires 11/13/1999 CritIcal RevIew4 10 0 14" sammetw: Ai„- Root 2-a 007 a--- PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: TYPE OF IMP NEW SHORELINE: MAKE: GOLDEN WEST SETBACK: VALUATION 44,200.00 YEAR: 1995 LABOR & INDUSTRIES APPROVAL? SIZE: 27X44 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion ! Prop: 3 Prop: 2 Seismic Streams A/0 Total: 3 Total: 2 Flooding Landslide F&W Plat Conditio Shoreline Aquifer / " Routing Date: . Forest: Commercial �c. Rural 77 `' Proximity l��a _5 1" I • Type Amount Paid By: Date: Receipt: Approved/Date Permit $137.00 MAM 01/31/00 23696 Potable Water Application $30.00 MAM 01/31/00 23696 Total: $167.00 I:1F_BLD_App Mob.rpt 10/29/99 STORMWATER CALCULATIONS Owner/Applicant: \\. ', Ck• t L 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: - / \ Drainfield area cleared sq.ft. 1-} Driveway Length `-( ft. t/ X Width I ft. 9 Digit Parcel Identification No.: /(` C =�c. / = Total Driveway ) sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. sq.ft. INDICATE the following information. Total Land Disturbance \ )‘) sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 0 IMPERVIOUS SURFACE Proposed Structures (all roof area) sq.ft. ❑ 1. North arrow Existing Structures (all roof area) - sq.ft. 0 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: 0 5. Major features such as ravines, Driveway Length �( ft. seasonal creeks, bodies of water, etc. X Width ft. 0 6. Septic tank, drainfield and reserve area location, = Total Driveway ) (Q ' sq.ft. existing or proposed, and distance to Total Impervious Surface I �( ) sq.ft. closest structure 0 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel 0 8. Wells and/or water lines Minimum Requirements: • Construction Access Route Stabilization: 0 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, ❑ 10. Paved surfaces (patios) limited to one route. Access points shall be stabilized with quarry spalls or crushed rock to minimize the tracking of sediment onto public roads. If sediment is inadvertently ❑ 11. Structures, existing and/or proposed transported onto public roads, roads shall be cleaned ❑ 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. boundaries, structures, banks, Street washing should only be done after the bulk of the sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, 0 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base 0 14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within assume an elevation of 100 feet at one seven days during the period from May 1 to September 30 and within two days during the period from October 1 to April 30. Mulch shall be applied to a minimum depth of two inches. lot corner and indicate the other lot • 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 INDICATE: Management Practices (BMPs). • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of ❑ 16. Top of bank, if over 10 feet high their intended function. 0 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 *,,,CA‘44 % . , 0. Qilott . 1 NGp0�y�OQM - __ -__ EpSO �tyo l ``Q rn m Oi ,,' w pCOI' 1 N ' 1 N LLL 1 O a �_1 - _---- - � i B 1 l 17 i i a _ U ty / / t? . 1 ♦ N i• • �' i k .I —4 • ---L: )1 1 1 1 3 W • L. 4 i 1 —+ to -; ill l? • � � 1 d i �o c -- �_ A Z Q 1 rof : .. \ —d- I fi® m c7) >-. o 44 ! lc' 1,,,na .4 Li-_,::::1. .1.lip i _,f _ _` L .1_ __ 1 -.._ 232323 11'YM •—� ----4. /1'YM— u O ', , frM.1 ill --Jj I 0 1� O b] 6 !I el - . -MEEZ—Fal a r ` C ' o 4rya r) o anCO rn n„n b.m on ao20b U :H�.wo i _____\-___ Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name Ellen C. Bell 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: x 2. Has any portion of the property or any nearby property ever been YES 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) a a 4 Q a o p I .' I I I / / / / II ; / / / I I / / / / / / I I / / / / / ' '' '' ''O III / / / / ' ////// //''� Iliii,, ',' .' III////.�'.'�'' uiaiir :' a_________ ____ ----a (Questionnaire Continues on Back) 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. C Date /'` __ Signature FOR OFFICE USE ONLY 0 Wetlands 0 Seismic CRITICAL AREAS ON OR 0 Aquifer Recharge Area (zone ) 0 Fish & Wildlife Area 1 0 Frequently Flooded Area 0 Fish & Wildlife Area 2 IMMEDIATELYADJACENTTO SITE: 0 Erosion 0 Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Date: Community Plan: a-c&ie / 1 . N ' io /.>e so ' lazI/elci/d L .. ....,„„ ,._ 2) , 0 YN%1( (-k r\ v, AI -> c ati' (1) z•-• It---- .k"-, <------ ?-= . (i4 ti) Us Al 1 0 . 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