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HomeMy WebLinkAboutBLD2000-00231 • 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 #: BLD00-00231 Received Date: 4/10/2000 SITE ADDRESS: 396 ARCADIA WEST Issue Date: 4/13/2000 PORT TOWNSEND, 98368 Expiration Date 4/13/2001 APPLICANT: DAVID DIPRETE DIANE DIPRETE 396 ARCADIA WEST SUBDIVISION: ROBINSON SHORT PLAT Block: Lot: 1 PARCEL#: 001171026 Section: 17 Township: 30 N Range: 01 W CONTRACTOR/ BLYN CITY BUILDERS PHONE: 683-9522 DEALER PAT RICHARDSON 251 OLD BLYN HWY Contractor's License BLYNCB066CZ Expires 02/14/2001 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: SILVERCREST YEAR: 2000 SIZE: 1750 SQ 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 4/13/2001. REQUIRED INSPECTIONS: Footin /Setback 'f continous footings are used ' `> [ 1- Blocking/Setbacks/Plumbing: Jc L .---,'-I -can nal/S it ng/Vents/Porches/Steps: f~ / ` , �)f ...c 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 v t MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00231 Received Date: 4/10/2000 SITE ADDRESS: 396 ARCADIA WEST PORT TOWNSEND, 98368 APPLICANT: DAVID DIPRETE PHONE: (360)385-6521 DIANE DIPRETE 915 M STREET PORT TOWNSEND WA 98368 SUBDIVISION: ROBINSON SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 001171026 Section: 17 Township: 30 N Range: 01 W CONTRACTOR/ BLYN CITY BUILDERS PHONE: 683-9522 DEALER: PAT RICHARDSON PO BOX 777 CARLSBORG WA 98324 Contractor's License BLYNCB066CZ Expires 02/14/2000 • PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SILVERCREST SETBACK: VALUATION 124,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 1750 SQ BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL 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 Proximity Type Amount Paid By: Date: Receipt: Approved/Date Permit $141.00 MAM 04/10/00 27211 A pR O Potable Water Application $30.00 MAM 04/10/00 27211 Er� Total: $171.00 us ar C7-1D-ca- on t & EiuitiY Planning neaarta;lent I:\F_BLD_App_Mob.rpt 10/29/99 I. JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION fi NEW BUILDING ❑ REPLACEMENT SIZE I 7.5-© ;a,. ,::=4 YEAR ;.pp p MAKE g t lotirGJ'Git COST M 7-L'I II BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED TOTAL TOTAL , TYPE OF SEWAGE DISPOSAL: ++WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM i�PRIVATE WELL 0 TWO PARY WELL .INDIVIDUAL SYSTEM X Conventional 0 PUBLIC rr PERMIT # SEP 0 Alternative Name of water system: Ieal�tn>o+c's c.v.' G'- .5 y.S cat, 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 hours. :1) SIGNATURE «' 5 �Z"� DATE 1 NAME (PLEASE PRINT) FOR OFFICE USE ONLY BASE FEE i RECEIPT# f , ADDITIONAL SECTIONS CASH/CK# SUBTOTAL DATE / / , POTABLE WATER 91 1/ROAD APPROACH TOTAL i I, (I" ', H\HOME\PLNCNTR\FORMS\MOBILEAP.10/99 • • � ) y�j STORMWATER CALCULATIONS Owner/Applicant: V[ ✓t V I © � 1 0 PROPOSED LAND DISTURBING ACTIVITY Site Address: b �d Gr iu� (`Ul W�S� Drainfield area cleared sq.ft. oir ` b1 5�tt a Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: Ov + / 7 / k = 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 '=.e yl i._f ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) I F ).7 sq.ft. 1. North arrow Existing Structures (all roof area) I .Lt 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: O 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface sq.ft. closest structure 2 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 O 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 2 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). • Maintenance: EJ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of O 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 • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00231 Received Date: 4/10/2000 SITE ADDRESS: 396 ARCADIA WEST PORT TOWNSEND, 98368 APPLICANT: DAVID DIPRETE PHONE: (360)385-6521 DIANE DIPRETE 915 M STREET PORT TOWNSEND WA 98368 SUBDIVISION: ROBINSON SHORT PLAT Block: Lot: 1 PARCEL NUMBER: 001171026 Section: 17 Township: 30 N Range: 01 W CONTRACTOR/ BLYN CITY BUILDERS PHONE: 683-9522 DEALER: PAT RICHARDSON PO BOX 777 CARLSBORG WA 98324 Contractor's License BLYNCB066CZ Expires 02/14/2000 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SILVERCREST SETBACK: VALUATION 124,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 1750 SQ BANK HEIGHT: SEWAGE DISPOSAL: CON (� t' WATER SYSTEM: PWELL 1`• BEDROOMS: BATHROOMS: STORMWATER: YES NO ki 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 is Rural (j . 1 [// Proximity Type Amount Paid By: Date: Receipt: e , Ap ro d/Date Permit $141.00 MAM 04/10/00 27211 urgIc 1 et Potable Water Application $30.00 MAM 04/10/00 27211 t- Total: $171.00 * q i TO CC 4S a , L t. .,.IN /Ll l . ,, I:\F_BLD_App_Mob.rpt 10/29/99 > Jefferson County Department of Community Development . 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name �L3;>itk ,P, 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 ,\ 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 . No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders', or cottonwoods present 1\ Yes _ No on your property or adjacent properties? If YES, please describe: Alias 0w►Ae44. �,A, c\,-` V^c r0lA i� t Ce-Clar 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) g Ei 4 Q o q o , , , , / / ,' ,,' ,,-- , , , , , , , .' ,' .' , , , , , / . ,• ,, �,' , , , , / / . --El , , , / / / . ,',,'�,'' -' ,,,,,, , , , . .fl ,,,,,,, •,, ,' - ,,,/,// ,, _-fl „/////i, . (Questionnaire Continues on Back) Page 1 of 2 6. Does the site have steep slopes with little to no vegetation? _ YES c No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES >c NO sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES ;,', NO surface of the ground? If YES, please describe: 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 hours. Signature Date `t(o b-o FOR OFFICE USE ONLY ❑ Wetlands ❑ Seismic CRITICAL AREAS ON OR E Aquifer Recharge Area (zone_) E Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 ❑ Erosion E Landslide :Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1/00 N I L(cb fo c�r��eJ ale�tr�`c 1o6 ' r�a � I D C lam' in'a. `r Well 1:we V 3 310 �-� Artik Je,5t '• t•( W1-1 ...... r`I p N o <,) fy o a� d u 0 0 0 0 0 o N. .� H • a P. P. P. W a a P. 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