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HomeMy WebLinkAboutBLD2000-00217 • 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#: BLD00-00217 Received Date: 4/5/2000 SITE ADDRESS: 22 J POPPER WAY Issue Date: 6/9/2000 PORT TOWNSEND, 98368 Expiration Date 6/9/2001 APPLICANT: JERRY LINDSEY PO BOX 1471 PORT TOWNSEND WA 98368 SUBDIVISION: MAT'S LONG PLAT Block: Lot: F PARCEL#: 970600006 Section: 07 Township: 30 N Range: 01 W CONTRACTOR/ OWNER PHONE: DEALER PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: EL CAR YEAR: 1961 SIZE: 8X50 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 6/9/2001. REQUIRED INSPECTIONS: [t" Footing/Setback (If continous footings are used): ( B`cking/Setbacks/ lumbing: 2�K 1 ju, eo.,$) Ei. 7 2( L 2 keoe ( [e A- jC 7 [ Final/Skirting/Vents/Porches/Steps: / - `7- 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 i kL-Ill) VV1c-2-- . _ MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00217 Received Date: 4/5/2000 SITE ADDRESS: 22 J POPPER WAY PORT TOWNSEND, 98368 APPLICANT: JERRY LINDSEY PHONE: (360)385-1076 PO BOX 1471 PORT TOWNSEND WA 98368 SUBDIVISION: MAT'S LONG PLAT Block: Lot: F PARCEL NUMBER: 970600006 Section: 07 Township: 30 N Range: 01 W CONTRACTOR/ JERRY LINDSEY PHONE: (360)385-1076 DEALER: PO BOX 1471 PORT TOWNSEND WA 98368 Contractor's License LINDSJR187P2 Expires 10/01/1999 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW VALUATION 200.00 MAKE: EL CAR SETBACK: YEAR: 1961 LABOR & INDUSTRIES APPROVAL? SIZE: 8X50 BANK HEIGHT: SEWAGE DISPOSAL: CON ,2 ,r� , WATER SYSTEM: PWELL (� BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion PS Prop: 2 Prop: 1 Seismic Streams Yye� Flooding Landslide Total: 2 Total: 1 F&W C-S Plat Conditi hs Shorelin S Aquifer , Routing Date: Forest: Co ercial MO Rural /u 0 kAl -- - a Rroximity Type Amount Paid By: Date: Receipt: ■ 9 A Rro d/ Permit $141.00 MAM 04/05/00 27169 C 1�A C 'act Potable Water Application $30.00 MAM 04/05/00 27169 Total: $171.00RevielikgliaL, t N \ sionnwater:&o.,t,.,,,,. 0 (:\F_BLD_App_Mob.rpt 10/29/99 • Jefferson County Department of Community Development April 7, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: JERRY LINDSEY PO BOX 1471 PORT TOWNSEND WA 98368 Critical Area Review Case Number: CAR00-00133 Project Description: Parcel Number: 970600006 S-T-R: 07-30N-01W Site Address: 22 J POPPER WAY 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. i Depar m nt of ommunity D.-111pment aff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 PLEASE MAIL TO: JEFFERSON COUNTY ASSESSOR JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOT A TAX STATEMENT NAME: The purpose of this questionnaire is to obtain information 0 regarding either the current location of a mobile home or the ADDRESS: / © ' A (9X ? / previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already / ✓e,e,t. ^t f,7^at' on the tax rolls in Jefferson County or if it has been moved to this county from another area. Please see reverse side for TELEPHONE NO: ) O 3 5'J" - ✓ 8 76 additional information. 1) MOBILE HOME DATA: (A) MAKE /`"L_ e A i' (B) MODEL 60 - (C) YEAR /�EJ/ (D) LENGTH 50 (E) WIDTH ( (F)SERIAL NUMBER C,000 ei 1 /a.0 3/ (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) C"C-1 (H) PURCHASE DATE ' / �2(-5&0 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ati(V/ '`J / . cp ,"Y4 ( ( ADDRESS R y 6, 6 �f/,P ,/1C)fr4 G&W (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? ES NO (IF NO, WHAT COUNTY? IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? ' 36 5! , 7) 1 /''j /49s„.frjtik,to 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NOS (B) IF LOCATED IN A MOBILE HOME PARK: NAME 8i ADDRESS OF PARK /)(, , SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: j %i���L'li 1,.r j,t-% LOCATION (ADDRESS) l -r REAL PROPERTY PARCEL NUMBER/DESCRIPTION -/ 7c 60O 006 Lp; API;_J 19C4; . C THANK YOU FOR YOUR HELP! NATURE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00217 Received Date: 4/5/2000 SITE ADDRESS: 22 J POPPER WAY PORT TOWNSEND, 98368 APPLICANT: JERRY LINDSEY PHONE: (360)385-1076 PO BOX 1471 PORT TOWNSEND WA 98368 SUBDIVISION: MAT'S LONG PLAT Block: Lot: F PARCEL NUMBER: 970600006 Section: 07 Township: 30 N Range: 01 W CONTRACTOR/ fkl ER Y LINDSEY C :!AJtnt✓1�. PHONE: (360)385-1076 DEALER: OX 471 R O /JJSEND WA 98368 r Contractor's License L1N61"B7P2 Expires 10/01/1999 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: EL CAR SETBACK: VALUATION 200.00 YEAR: 1961 LABOR & INDUSTRIES APPROVAL? SIZE: 8X50 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Wetland Erosion Exist: Exist: Seismic Streams Prop: 2 Prop: 1 Flooding Landslide Total: 2 Total: 1 F&W Plat Conditions Shoreline Aquifer Routing Date: Forest: Commercial Rural _: 4 0 P.,roximity Type A proved/Date yp Amount Paid By: Date: Receipt: �1, �r-,.�-,� ,..�� , c,,.,� -,.-,� Permit $141.00 MAM 04/05/00 27169 A6. ri `' V c,Lg Potable Water Application $30.00 MAM 04/05/00 27169 Total: $171.00 .iS 2900 Jefferson County Planning & Building Department li I:\F_BLD_App_Mob.rpt 10/29/99 t JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION 7 NEW BUILDING ❑ REPLACEMENT SIZE 3 ' Sd YEAR /476 MAKE /2 C (Air COST 26Q + BEDROOMS: BATHROOMS: EXISTING Z. EXISTING PROPOSED Ci PROPOSED 0 TOTAL a TOTAL __i_ TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER ❑ COMMUNITY SYSTEM PRIVATE WELL 0 TWO PARY WELL INDIVIDUAL SYSTEM, Conventional 0 PUBLIC PERMIT # SEP 0 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 inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business ho s. SIGNATURE L s,._c -6 U'Z DATE j i/f ` CJ NAME (PLEASE PRI ) Z Z QR' L /^jam /2 FOR OFFICE USE ONLY I lI(a BASE'FEE , RECEIPT# ADDITIONAL SECTIONS CASH/CK# i ' SUBTOTAL {Li I + DATE POTABLE WATER r 911/ROAD APPROACH TOTAL 1 I i , H:\HOME\PLNCNTR\FORMS\MOBILEAP.10/99 7j0. vv 111 1ty 1 VJ 113'� c}nps / \11111rjr n sd • ^'1 •. 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