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Home My WebLink AboutBLD2000-00269 CA41.00 -0o tc(c-( ''MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00269 Received Date: 5/4/2000 SITE ADDRESS: 131 HEMLOCK ST PORT LUDLOW, 98365 APPLICANT: PATRICIA CRUTCHER PHONE: 131 W HEMLOCK PORT LUDLOW WA 98365 SUBDIVISION: PARADISE VIEW ESTATES Block: 1 Lot: 10 PARCEL NUMBER: 984000910 Section: 22 Township: 28 N Range: 01 E CONTRACTOR/ BLYN CATY BUILDERS PHONE: 683-9522 DEALER: PAT PICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SILVERCREST SETBACK: VALUATION 50,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 27 X 42 BANK HEIGHT: SEWAGE DISPOSAL: CON j '(� �S- WATER SYSTEM: LUDLOW I�-- BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way " Food Plane tJ Routing Date: F&W Landslid _- (,ct...a S - ] Shoreline N Aquifer rr Forest: Commercial Rural N( Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 05/04/00 30770Crtca Area Potable Water Application $30.00 MAM 05/04/00 30770 �/�7"1 ��J v/�" Total: $171.00 Review _ ,taswlrater s � Rem 1:1F_BLD_App Mob.rpt 10/29/99 • Jefferson County Department of Community Development May 12, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: PATRICIA CRUTCHER 131 W HEMLOCK PORT LUDLOW WA 98365 Critical Area Review Case Number: CAR00-00194 Project Description: manufactured home installation Parcel Number. 984000910 S-T-R: 22-28N-01E Site Address: 131 HEMLOCK ST PORT LUDLOW WA, 98365 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. ThL2h\ i Department of ommunity ev to ment Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 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 #: BLD00-00269 Received Date: 5/4/2000 SITE ADDRESS: 131 HEMLOCK ST Issue Date: 5/25/2000 PORT LUDLOW, 98365 Expiration Date 5/25/2001 APPLICANT: PATRICIA CRUTCHER 131 W HEMLOCK PORT LUDLOW WA 98365 SUBDIVISION: PARADISE VIEW ESTATES Block: 1 Lot: 10 PARCEL#: 984000910 Section: 22 Township: 28 N Range: 01 E CONTRACTOR/ CONSOLIDATED BUILDERS PHONE: (360)683-9522 DEALER 251 OLD BLYN HWY SEQUIM WA 98382 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: SILVERCREST YEAR: 2000 SIZE: 27 X 42 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 5/25/2001. REQUIRED $:[ ] noting/Setba continous footings are used): ' -'7(< 67 , 00,\7' [ Blocking/ tbac /P • g: onie 7 1,y 00,7 [ Final/Skirting/Vents/Porches/Steps: ale 2 Q17// 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 #: BLD00-00269 Received Date: 5/4/2000 SITE ADDRESS: 131 HEMLOCK ST PORT LUDLOW, 98365 APPLICANT: PATRICIA CRUTCHER PHONE: 131 W HEMLOCK PORT LUDLOW WA 98365 SUBDIVISION: PARADISE VIEW ESTATES Block: 1 Lot: 10 PARCEL NUMBER: 984000910 Section: 22 Township: 28 N Range: 01 E CONTRACTOR/ ufvartiatvir, cov,500 tort66 8vtii_O"c .8 PHONE: 683-9522 DEALER: 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License Expires 02#4402604 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SILVERCREST SETBACK: VALUATION 50,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 27 X 42 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Food Plane Routing Date: r'z F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 05/04/00 30770 APPROVED Potable Water Application $30.00 MAM 05/04/00 30770 Total: $171.00 HAY 2 5 2000 Jaffarson County Planning D pa tinent I:\F_BLD_App_Mob.rpt 10/29/99 Aer t � JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT SIZE 41 *4 Li 7. YEAR 2boo MAKE S ‘v e rc 1e * . 6<` COST 50,000 BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED r2 PROPOSED TOTAL TOTAL 2 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 91 INDIVIDUAL SYSTEM . Conventional 0 PUBLIC PERMIT # SEP'S'1 ❑ 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. SIGNATURE 00-1 DATE L 11 100 NAME (PLEASE PRINT) t"OT ►Cket[GSoA FOR OFFICE USE ONLY BASE FEE / r { RECEIPT it t._ ADDITIONAL SECTIONS ( CASH/CK# 6"4; r A r.; SUBTOTAL 'i ' DATE / / T1 POTABLE WATERl (' 91 1/ROAD APPROACH TOTAL / f ° H:\HOME\PLNCNTR\FO RMS\MOBILEAP.10/99 0 '7 l 10o' r o C C 0 to v C*"rn • C� LJr' l $ ' y `2 N G oN O apt(a is(c8° / ! n )-{erh Poek) S1 rl X .. r N! t•sf 1 ri D N A i7- e a o Y 1 1,6 O T 3 faia O r r rn d cu � ro o o NI 8 0 U tx 0 0 0 0 0 0 0 o rn rd H u. a c W a a o '—� 0NIf) i� a.) 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