HomeMy WebLinkAboutBLD2000-00154 11
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 #: BLD00-00154 Received Date: 3/8/2000
SITE ADDRESS: 244 CHINOOK DR Issue Date:
BRINNON, 98320 3/24/2000
Expiration Date 3/24/2001
APPLICANT: DAVID LOVELESS
38204 46TH AVE S
AUBURN WA 98001
SUBDIVISION: TAX, 40 Block:
Lot:
PARCEL#: 502293007 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR/ NEW CENTURY ENTERPRISES
DEALER PO BOX 1815 PHONE: (360)275-2841
BELFAIR WA 98528
Contractor's License NEWCEELOO4C9 Expires 02/01/2002
INSTALLER: SAM MILLER WAINS0846 Expires: 11/1/200
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
MAKE: GOLDENWEST
YEAR: 2000
SIZE: 41x56
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 3/24/2001.
REQUI INSPETIO
Footing/SettwScontinous footings are used): d7- ‘013/D0J'
/6/
[ ] Blocking/Setbacks/Plumbin ( ;C,Dp /cD,ti e J C fc ,chN/e26
[ ] Final/Skirting/Vents/Porches/Steps: FDIC G(s4) p,\X'
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 #: BLD00-00154 Received Date: 3/8/2000
SITE ADDRESS: CHINOOK DR
BRINNON, 98320
APPLICANT: DAVID LOVELESS PHONE:
38204 46TH AVE S
AUBURN WA 98001
(253)385-9444
SUBDIVISION:
Block: Lot:
PARCEL NUMBER: 502293007 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR/ NEW CENTURY ENTERPRISES PHONE: (360)275-2841
DEALER: PO BOX 1815
BELFAIR WA 98528
Contractor's License NEWCEELOO4C9 Expires 02/01/2002
INSTALLER: SAM MILLER WAINS0846 11/1/2001
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: GOLDENWEST SETBACK:
VALUATION 69,900.00 YEAR: 2000 BANK HEIGHT:
SIZE: 41x56
LABOR & INDUSTRIES APPROVAL?
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
STORMWATER: YES NO AREA
BEDROOMS: BATHROOMS: Wetland Erosion
Exist: O Exist: 0 Seismic Streams
Prop: Z Prop: Z Flooding Landslide
Total: .� Total: 2. F&W Plat Conditions
Shoreline Aquifer
Forest: Commercial Rural
Routing Date: Proximity
,
Approved/Date
Type Amount Paid By: Date: Receipt: a
Potable Water Application $30.00 LMB 03/06/00 25451 AP PR ors
ED
Total: $30.00 5‘41,..L. cSZ BL.
M A? 2 4 2000
Jefferson County Planning
& Building Department
I:\F_BLD_App_Mob.rpt
10/29/99
u
JEFFERSONN COUt‘N'i Y COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
NEW BUILDING ❑ REPLACEMENT
SIZEgFt-,,:f4b.6 L f 5 6
YEAR d000
MAKE c-v\A.eti.►
COST 65 gt70
BEDROOMS: BATHROOMS:
EXISTING EXISTING
PROPOSED PROPOSED
TOTAL TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER 0 COMMUNITY SYSTEM PRIVATE WELL 0 TWO PARY WELL
S INDIVIDUAL SYSTEM 0 Conventional ❑ PUBLIC
PERMIT # SEP?S--q 73 ❑ Alternative Name of water system:
IF WATERFRONT PROPERTY,
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 in pections. Access and right of entry to the applicant's property or structure shall be requested and
shall occur during regular business hours
SIGNATURE DATE 3-2 2 C)C>u
NAME (PLEASE PRINT)
F5 OFFICE USE ONLY
BASE FEE i�t RECEIPT# Z } 5 I
ADDITIONAL SECTIONS -C/ CASH/CK# V O I ZO2-4
SUBTOTAL I iUr' DATE '3l (,, 0-0
POTABLE WATER
-)O ;
911/ROAD APPROACH
TOTAL �., ,
H:SHOME\PLNCNTR\FORMS\MOBILEAP,10/99
•
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00154 Received Date: 3/8/2000
SITE ADDRESS: CHINOOK DR
BRINNON, 98320
APPLICANT: DAVID LOVELESS PHONE:
38204 46TH AVE S
AUBURN WA 98001
(253)385-9444
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 502293007 Section: 29 Township: 25 N Range: 02 W
CONTRACTOR/ NEW CENTURY ENTERPRISES PHONE: (360)275-2841
DEALER: PO BOX 1815
BELFAIR WA 98528
Contractor's License NEWCEELOO4C9 Expires 02/01/2002
INSTALLER: SAM MILLER WAINS0846 11/1/2001
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: GOLDENWEST
VALUATION 69,900.00 SETBACK:
YEAR: 2000
LABOR & INDUSTRIES APPROVAL?
SIZE: 41x56 BANK HEIGHT:
SEWAGE DISPOSAL: CON Pj2,
WATER SYSTEM: PWELL
STORMWATER: YES
BEDROOMS: BATHROOMS: 311i Wetland A}U� NO "AREA
Exist: Exist: n Seismic I Erosion i i
Prop: Prop: , ') Streams MOe11.)Il/ Flooding Landslide wr PTotal: Total: W Plat Conditions
Shoreline Aquifer
Routing Date: Forest: Commercial Rural
Proximity
Type Amount Paid B Date: Receipt: Approved/Date
Potable Water Application $30.00 LMB 03/06/00 25451 CrItical a
Total: $30.00 04 Revi.ew-mv 5AD&
Stomwater S
I:\F_BLD_App_Mob.rpt 10/29/99
s
Jefferson County Department of Community Development March 22, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: DAVID LOVELESS
38204 46TH AVE S
AUBURN WA 98001
Critical Area Review Case Number: CAR00-00099
Project Description:
Parcel Number: 502293007 S-T-R: 29-25N-02W
Site Address: 244 CHINOOK 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,
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
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