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Home My WebLink AboutBLD2000-00244 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 #: BLD00-00244 Received Date: 4/18/2000 SITE ADDRESS: 183 THOUSAND TRAILS RD Issue Date: 4/26/2000 QUILCENE, 98376 Expiration Date 4/26/2001 APPLICANT: DAVID AUBREY 183 THOUSAND TRAILS RD QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 7 PARCEL#: 601333006 Section: 33 Township: 26 N Range: 01 W CONTRACTOR/ GORST LAND DEVELOPMENT PHONE: DEALER PO BOX 7789 GORST WA 98337 Contractor's License GORSTLD098LI Expires 06/07/2000 INSTALLER: JUSTIN CANTERBURY WAINS00785 Expires: 7/20/200 HUNT HOMES BREMERTON WA 98312 PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT MAKE: FLEETWOOD YEAR: 2000 SIZE: 40X60 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/Setbaclvlf continous footings are used) 614i6)im [1] Blocking/Setbacks/Plumbing: '7( 6/7-CA)0 a:71j [y]�' n 1rting/Vnts/Porches/Ste ®/C -z--/// / / (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 SPECIAL CONDITIONS CASE # BLD00-00244 1.) THE MOBILE HOME WILL BE REMOVED PRIOR TO FINAL INSPECTION. I:\F_BLD_Permit_Mobile.rpt 10/29/99 f � MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00244 Received Date: 4/18/2000 SITE ADDRESS: 183 THOUSAND TRAILS RD QUILCENE, 98376 APPLICANT: DAVID AUBREY PHONE: (360)765-3599 183 THOUSAND TRAILS RD QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 7 PARCEL NUMBER: 601333006 Section: 33 Township: 26 N Range: 01 W CONTRACTOR/ GORST LAND DEVELOPMENT PHONE: DEALER: PO BOX 7789 GORST WA 98337 Contractor's License GORSTLD098LI Expires 06/07/1999 PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION 97,500.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 40X60 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 Approved/Date yp Amount Paid By: Date: Receipt: Permit $141.00 MAM 04/18/00 27193 '' 4 Permit $29.00 MAM 04/18/00 27193 Potable Water Application $30.00 MAM 04/18/00 27193 Total: $200.00 APP. 2 5 2000 Jefferson County Planning & Building Department 1:\F_BLD_App_Mob.rpt 10/29/99 ().& LE T1) e JEFFERSON COUNTY COMMUNITY DEVEL1211,1\LIELLT WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING/ X REPLACEMENT SIZE 4D 1 y 6,62� YEAR Zoo O MAKE /c ee .1Ze_)O 6 o COST 0 7j 6O0 BEDROOMS: 22 BATHROOMS: EXISTING EXISTING PROPOSED O PROPOSED 0 TOTAL 5' TOTAL 2- TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM X 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 hours. �C SIGNATURE 767.---p-7 !G� 'C/� DATE �� /ONAME (PLEASE PRINT) FOR OFFICE USE ONLY BASE FEE , . RECEIPT# ADDITIONAL SECTIONS CASH/CK# SUBTOTAL DATE / / POTABLE WATER 911/ROAD APPROACH TOTAL H:\H 0 M E1PLN CNTR\FORMS\MO BI LEAP.10/99 H , PI \ 41 . d , .7,c,\ c.. 3 .� t b( L' a \ L. I i j 1 i \ .R / •A PO(----- \ , ,S `,4 0 \ \\ \ r:6- --= ,. 1 1 ` �1 C • 5 .., ....-., ."."11/4\\\ ,\ .1 O \ \\ k‘i p Q J Z c)is.\... a I r, I '\ \ l'4„ \\ D \\,5,.. \\.\\ \j `/. a . \ Jefferson County Department of Community Development /� oN cpG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: 2e7/ a F7 I/omE 9 Digit Parcel Identification Number (from your tax statement): / (sue - ASS- 004,, Site Address --- a / 911#: /?3 s Road Name: ihaaswc�p�.v+l Zip Code: Legal Description Subdivision Name: Block: Lot(s): Section: Township: Range: Parcel Size (acres or square footage): Property Owner: D.9 .'c/ �Qu e Pl n . - 76 _3 S 9 9 Mailing Address: /e 3 %ho,/,.5- ,mac otke w 44 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: // /) /"1,�i,v NLa//`�Of' / 'ti/r-S'c r��lJ�tr Phoney 6 _ es^z P// � Mailing Address: .726-9.53 //WY/ol— 5e-VD/ z 9P General Contractor: Or Manufactured Home Installer: r Pi 4.4 c-/ eve/ hJ Phonej4Q-3'33-500 I Mailing Address: <>1 sd ki !CP Lv e s� ��e Ader t(),4 g P-Si 2- Contractor's State License NunWen lz 5 -T g> l ' Expiration Date: 40/7 /z0 0 Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00244 Received Date: 4/18/2000 SITE ADDRESS: 183 THOUSAND TRAILS RD QUILCENE, 98376 APPLICANT: DAVID AUBREY PHONE: (360)765-3599 183 THOUSAND TRAILS RD QUILCENE WA 98376 SUBDIVISION: Block: Lot: T 7 PARCEL NUMBER: 601333006 Section: 33 Township: 26 N Range: 01 W CONTRACTOR/ GORST LAND DEVELOPMENT PHONE: DEALER: PO BOX 7789 GORST WA 98337 Contractor's License GORSTLD098LI Expires 06/07/1999 PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION 97,500.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 40X60 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: STORMWATER: YES NO�AREA Wetland 'e Erosion i.) Exist: Exist: Seismic , Streams kk '3. Prop: 3 - Prop: 2 Flooding ,. E:• Landslide i'\() Total: 3 Total: 2 F&W 1,1, `:. Plat Conditions 0 Shoreline i.j Aquifer ;;;ram`, 4, Forest: Commercial a Rural IC;() Routing Date: Li Proximity , Type Amount Paid By: Date: Receipt: u � Approved/Date Permit $141.00 MAM 04/18/00 27193 ,i ! Yf P' ' AMR Permit $29.00 MAM 04/18/00 27193 0 ) , ,_ Potable Water Application $30.00 MAM 04/18/00 27193evi , D Total: $200.00 sionnwater7 ,nf- / vV F I:\F_BLD_App_Mob.rpt 10/29/99 • • • J are STORMWATER CALCULATIONS Owner/Applicant: 2r4-U C' A �/ / / ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: ` //40 4454-7Q( irk r `s / Drainfield area cleared sq.ft. P / �U ' lGG'z . �c>4 Driveway Length ft. // z-t X Width ft. 9 Digit Parcel Identification No.: COOL Sd3 00 = 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 ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) ZG`YO sq.ft. /4/06'st ❑ 1. North arrow Existing Structures (all roof area) /& sq.ft./(/,40+/ We ❑ 2. All property boundaries and dimensions Sidewalks 3. Names of adjacent streets Concrete Patios O sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: ❑ 5. Major features such as ravines, Driveway Length 50 ft. seasonal creeks, bodies of water, etc. X Width /d ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway 5-400 sq.ft. existing or proposed, and distance to Total Impervious Surface sq.ft. closest structure 0 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: ❑ 8. Wells and/or water lines • Construction Access Route Stabilization: 0 9. Neighboring wells within 150 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 ❑ 11. 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, ❑ 13. 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: • 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of 0 16. Top of bank, if over 10 feet high their intended function. O 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 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name '1D•9 U; cil 4 v I , 7 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 X 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 )( Yes )( 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) 4 4 Q o 9 a r / i i i i i i / / / r' i / / i , ® / rr' �r / //i� i,i' / tics / s ♦ r' ,/ -. iiii i/i ii�ir /'r ' .'' r�r' ' ,„ - ---- (Questionnaire Continues on Back) Page 1 of 2 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 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 70.7-0-p7/(4.-ZDate j z -116 FOR OFFICE USE ONLY ❑ Wetlands 0 Seismic CRITICAL AREAS ON OR 0 Aquifer Recharge Area (zone_) ❑ Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: 0 Frequently Flooded Area 0 Fish & Wildlife Area 2 0 Erosion 0 Landslide ❑Seismic 0 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