Loading...
HomeMy WebLinkAboutBLD2000-00203 a • 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 #: BLD00-00203 Received Date: 3/30/2000 SITE ADDRESS: 96 CARROLL AVE Issue Date: 4/26/2000 Expiration Date 4/26/2001 APPLICANT: JONATHAN D MILLS COLLEEN L MILLS 70 CARROLL AVE SUBDIVISION: GISE'S ADDITION Block: 20 Lot: 1-4 PARCEL#: 953102001 Section: 16 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 11/13/2000 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: GOLDEN WEST YEAR: 1999 SIZE: 27X52 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 4/26/2001. REQUIRED INSPECTIONS: [.] Footing/Setback (If continous footings are used): C`/ i. , irvt Cog It-08 {-'I , Blocking/Setbacks/Plumbing: rW. C. (0-`,/,—Crb Final/Skirting/Vents/Porches/Steps: - 64 7 6. h c> .y. ti 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 #: BLD00-00203 Received Date: 3/30/2000 SITE ADDRESS: ) CARROLL AVE PORT TOWNSEND, 98368 APPLICANT: JONATHAN D MILLS PHONE: (360)385-6224 COLLEEN L MILLS 70 CARROLL AVE PORT TOWNSEND WA 983689364 SUBDIVISION: GISE'S ADDITION Block: 20 Lot: 1-4 PARCEL NUMBER: 953102001 Section: 16 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 WEST SETBACK: VALUATION 50,000.00 YEAR: 1999 LABOR & INDUSTRIES APPROVAL? SIZE: 27X52 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL 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 Proximity Type Amount Paid By: Date: Receipt: O /beV E iD Permit $141.00 MAM 03/30/00 25542 Potable Water Application $30.00 MAM 03/30/00 25542 Total: $171.00 APR 2 6 2000 Jaff4rsun County Planning &Building Department I:\F_BLD_App_Mob.rpt 10/29/99 JEFF ERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION Zs] NEW BUILDING 0 REPLACEMENT 27 ' x 52 ' SIZE YEAR 1999 MAKE Golden West CpST 50 ,000 BEDROOMS: BATHROOMS: EXISTING 0EXISTING 0 3 2 PROPOSED PROPOSED TOTAL 3 TOTAL 2 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM EI PRIVATE WELL ,TWO PARY WELL ❑ INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC l PERMIT # SEP Pending 0 Alternative Name of water system: �J6 44, a5 by Dick Shold r,1(v e Well IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft SIGNATURE/ l i) 211/4 DATE 3 -ex) NAME (PLEASE PRINT) VG:/k)v4+1/1 • 1 1 1 11 I S FOR OFFICE USE ONLY BASE FEE RECEIPT # ADDITIONAL SECTIONS CASH/CK # 7c'/' 1(c)(")%. SUBTOTAL M DATE / / L� POTABLE WATER Jai 91 1/ROAD APPROACH TOTAL rT • H:\HOME\PLNCNTR\FORMS\MOBILEAP.5/97 Jefferson County Department of Community Development ti ON cb 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 co • Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: `_� ' �` 4-y\ ` ..12 9 Digit Parcel Identification Number (from your tax statement): rt.rt. S3 1(S1 l©5— Site Address 911#: Road Name: _Zip Code: Legal Description t \\ s.- Subdivision Name: Block: Zv Lot(s): \,y Section: `i Township: 3 p Range: w Parcel Size (acres or square footage): \ s ` v -`- Property Owner ,EtlinPhone:(% SS5- ZZ I Mailing Address: rfO e P o\\ eeo142.2—c u6 (-1-) 5(8 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: r� Phone: Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: Phon . Mailing Address:p`!)• C(�j� e�` ( Q ' tU( _ 9,6 Q Q Architect:/Engineer: � Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Ly V V W d) �Cjir'Gt Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pinrntr\forms\universal plot plan I i . I0I-,v: \\ TVP I 1 © "1 1\,I 1 „...:: zA0 \::::-)C N-. -A l k-3(_, \ 1 1 ' t , / : zLr. LL _, 5-e 53 \O\ 4)�/ 'it w%sl I 1 1=X`jz ,v�- 2U i .e . 10,Lstk-otil-Y i 15° 1 - - it I -K�.r k_,Q, (off 1 126(0 5‘..0P I --i'S3 10 Z. oo s,‘_ii, ,,:ij i I- - - -I / • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BI_D00-00203 Received Date: 3/30/2000 SITE ADDRESS: CARROLL AVE PORT TOWNSEND, 98368 APPLICANT: JONATHAN D MILLS PHONE: (360)385-6224 COLLEEN L MILLS 70 CARROLL AVE PORT TOWNSEND WA 983689364 SUBDIVISION: GISE'S ADDITION Block: 20 Lot: 1-4 PARCEL NUMBER: 953102001 Section: 16 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 WEST SETBACK: VALUATION 50,000.00 YEAR: 1999 SIZE: 27X52 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? I l a SEWAGE DISPOSAL: CON 0 `'l I WATER SYSTEM: 2WELL c/A'cLOO� BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Wetland 0- Erosion Exist: Exist: Seismic Streams N Prop: 3 Prop: 2 Flooding Landslide Total: 3 Total: 2 F&W C; Plat Condhtio s Shoreline l Aquifer Forest: Commercial h7C) Rural t3 Routing Date: v L -0Proximity Type Amount Paid By: Date: Receipt: Approved/Date . Permit $141.00 MAM 03/30/00 25542 urine& Aitiet Potable Water Application $30.00 MAM 03/30/00 25542 Total: $171.00 Revegw q/(4/1,0 ! /GF . (1/711:411, I.\F_BLD_App Mob.rpt 10/29/99 • John & Colleen Mills STORMWATER CALCULATIONS •Owner/Applicant: ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: Drainfield area cleared 2500 sq.ft. Port Townsend, WA 98368 50 Driveway Length ft. 953102001 X Width 20 ft. 953101105 1 , 000 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. - r 2000 sq.ft. INDICATE the following information. Total Land Disturbance r 5500 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals 20 ' ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) 1500 sq.ft. • 1. North arrow Existing Structures (all roof area) 0 sq.ft. • 2. All property boundaries and dimensions Sidewalks 3 X 50 150 sq.ft. • 3. Names of adjacent streets Concrete Patios 0 sq.ft. Yf 4. Driveway/s & parking spaces Proposed: - 5. Major features such as ravines, Driveway Length 50 ft. seasonal creeks, bodies of water, etc. X Width 20 ft. • 6. Septic tank, drainfield and reserve area location, = Total Driveway 1000 sq.ft. Total Impervious Surface 2650 sq.ft. existing or proposed, and distance to P q• • closest structure -, 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 1 50 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with - 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 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 INDICATE: Management Practices (BMPs). �1 • Maintenance: -. 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly • 1 6. Topof bank, if over 10 feet high inspected and maintained to ensure continued performance of g 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 1 --F c I. 4 • ---<-, v‘ G,,. to 4- 3 3 ' ik a 719b+i{i J --____�� /b�►.1 did 04/ 7C, 5 I /1 0"n 9/1 a tr?_. \ J QC I v1 �, O0\ Z. t itl 'C, \\. n , tr-vo ' ,.14,140- ----) ' '. 4 ' 1/Atli* ' 1 ''. 1 I litrit'aut . Ni- 1-% 0 .1 c--( vas ' ,�Q \ . t \ --..1 '' % _ ic------i -- , I Sit - Nostat •• it- of . sk W "' n, - 1( i 4 >t< .' o tu -4 it -.i ),0.' ,y, . cA IY- -3,^ gl ' lf-ft _j . 11-95, 1T t . tr' 0 Q r 1 7-' (\ -1141 :' • / 7 ro 1w d` c I ,I nn11 ,,, Iv t/'— ( 1 8 ` c 0 pzi cb Kr 1 , _!,_ 17 I \ o 04 :1118,k____. \ ri) _ x , ., . ,,:„t f>,,e , 1 iv 1 -,-. , , ., , rr, rj R 1 .•• 1. ...c_____j i , rti v \-crr i - . rr `", Imo_ N fa,_ L �1 1 �)c IC Ic N r1 I I / p t 3 � 4 i NI I r 5- j I r' i - - FL E I 6- 11 N l '''- s. v R o ____c (c'f'- -D r' -; ri 1 '''-f, `)- ''NN- r- (, 1 . 7?1-. %.. . 0 r % ---. 1;1 Id ;c\-4-- 4 N , U ' \---N1 - . (-2..' • Jefferson County Permit Center Date 621 Sheridan Street Fee Port Townsend WA 98368 Rec # CRITICAL AREAS QUESTIONNAIRE Ck # Case # Applicant Name John & Colleen Mills X Building Application Land Use Application Shoreline Application On-site Sewage Application Subdivision Application Other: Septic Pending — — 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) a o 4 Q a a ❑ 1-1 I / / / . , Am% iiiiiii'i',". - ❑ ///„,, ', -❑ ///„ii%, (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: X 8. Does the site contain ground water seepage or springs near the YES 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 �� d�', '� "' Date FOR OFFICE USE ONLY 0 Wetlands El Seismic CRITICAL AREAS ON OR 0 Aquifer Recharge Area (zone 1 0 Fish & Wildlife Area 1 IMMEDIATELYADJACENTTO SITE: ❑ Frequently Flooded Area 0 Fish & Wildlife Area 2 ❑ Erosion 0 Landslide Zone: Parcel Size: Status: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: