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Home My WebLink AboutBLD2000-00274 } t { 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 #: BLD00-00274 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR Issue Date: 5/12/2000 PORT HADLOCK, 98339 Expiration Date 5/12/2001 APPLICANT: STAN SOUTHWORTH MARY SOUTHWORTH 403 CEDAR AVE SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL#: 986401005 Section: 02 Township: 29 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 REPLACEMENT MAKE: SKYLINE YEAR: 1999 SIZE: 1296 SQ F 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 5/12/2001. REQUIRED INSPECTIONS: [ .] Footing/Setback (If continous footings are used): () J � —1 [ Bloc ing/Set•ac' "lumbin•: �� _ -21 O c) L / e3( Final/Skirting/Vents/P ches/Steps; C/c '`?('C-),/ -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 ,, MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00274 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR PORT HADLOCK, 98339 APPLICANT: STAN SOUTHWORTH PHONE: MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR/ BLYN CITY BUILDERS PHONE: 683-9522 DEALER: PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 43,787.00 YEAR: 1999 LABOR & INDUSTRIES APPROVAL? SIZE: 1296 SQ F BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Food Plane Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date APPROVtD rnOn SiLfIob 3C1)3 Total: .AY 1 2 2000 Jefferson County Planning & Building Department I:\F BLD_App_Mob.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368' MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING V REPLACEMENT SIZE ija 9 6 SQ. FT YEAR / 7 97 MAKE reehbria.r iie 6301 COST 7 3 7 I> 7, cC BEDROOMS: BATHROOMS: EXISTING 3 EXISTING PROPOSED 3 PROPOSED .Z TOTAL 3 TOTAL eZ TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL ttrINDIVIDUAL SYSTEM Conventional 2/PUBLIC PERMIT # SEP79-3 7 0 Alternative Name of water system: Pal't TOGJlisend IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE 4//4 ft BANK HEIGHT /v/i1 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, 8,1 e)0, (,akee.)r(7 l DATE V`2?-00 NAME (PLEASE PRINT) 5-ran L e y p Soa1-h worth FOR OFFICE USE ONLY BASE FEE /y/�.v.G RECEIPT# f:36 7 7:: ADDITIONAL SECTIONS CASH/CK# SUBTOTAL 0 DATE0 . . POTABLE WATER �� 911/ROAD APPROACH "C�' 7, TOTAL /'// 1�� H:\HO ME\PLNCNTR\FORMS\MOBILEAP.10/99 Jefferson County Department of Community Development � �olv coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 ``1So$ Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: RepL gCe. :`yin e/ vide-4416., hoinebAddrt oh with ero dbt wide 1 t; 9 Digit Parcel Identification Number (from your tax statement): Site Address Pd p r /fad l cack' 911#: %Q3 Ceda,t,4yehtie Road Name:Cedar Ave e Zip Code: 9 3 ' Legal Description Subdivision Name: P4iLL/PS a It'On deli Block: A*0 Lot(s): Section: 0/ Township: g Range: ( ° Parcel Size (acres or square footage): / g l - 50 fT Property Owner ! May South wort Phone 46 3 - . .2 Mailing Address: Po- BOX //7 Port 11adt cc k` W, 9 3 3 ? Applicant/Occupant: �:� Phone: (if different from owner) /' / Mailing Address: Authorized Rep: 4/41 Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: @Lf y Joke 5 Phone: 6— t2ft Mailing Address:, r Da rrk/ac4ter Rd. R,rt..4 des ?k 4 Contractor's State License Number: /4 l4/so_25 Expiration Dato-!,� 0 Septic Designer: Jc h OL U J Ex.Ca,va tl 11 a ritic Phone:. l / �J Mailing Address: «r ,3 0* 3 F . r' Pam. BOX/ 77 Port fiedlock Architect:/Engineer: // /4 Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: le054ii7tbii keeil " d 2 J5 ! , Mailing Address: ,:bitS t !Q�ns�° lf/4 $7 41 FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan i < -- ------ S r A ._P-.... fe leo K — i/g 'yiii" Dr-i v:iw,-/y Di-i fre tivAy 9_3\ky , q4( • " 1- ,41-hot rs )" , -, , p Pole _x/ Se4.er, f - 0 ;5,7,7r7,6,-(k:_, i 1----• 1 : / 1 Sefoor,, D Vm'e '' Z ii V ---" , .iY ri l'''‘ L., 6., Sep? Taht neV- , .1 1 iii , • v t 1 , , Qe. 0 La "i 4' , 014 4 ' /'s 1 f--- s. 1 %/5"- of h 1 (-1) ........4 ..„,.. (:,, sip r- ee Q4w \ , 13441 Room . Q ,--1/1 " ...), \L 6.k ---1\\ R 1-6 3 51 ei 1 : I I. 3 --- - _ , - — ___ i --•-• -- - - z71 G.J *0-- 13' \\\ -. \ LE -' .- --'. 442fX4.1 -- -. -I -- -- _ ,- --- --1 - ---- ..,....1*0*.A.j•I --- -- ,_ ICY ---)1 1 ' ire i av 76"--- 1111 Etryli , i CEDAR ' 7- RF- E-i- r-r WOO — OO ( 7 s " MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00274 Received Date: 5/4/2000 SITE ADDRESS: 403 CEDAR PORT HADLOCK, 98339 APPLICANT: STAN SOUTHWORTH PHONE: MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 SUBDIVISION: PHILLIPS ADDN TO IRONDALE Block: 10 Lot: 7-9 PARCEL NUMBER: 986401005 Section: 02 Township: 29 N Range: 01 W CONTRACTOR/ BLYN CITY BUILDERS PHONE: 683-9522 DEALER: PAT RICHARDSON 251 OLD BLYN HWY SEQUIM WA 98382 Contractor's License BLYNCB066CZ Expires 02/14/2001 PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 43,787.00 YEAR: 1999 LABOR & INDUSTRIES APPROVAL? SIZE: 1296 SQ F BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC /2 Al_. / PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO n� Exist: Exist: AREA Plat Conditions NU Prop: 3 Prop: 2 Wetland A70 Erosion Total: 3 Total: 2 Seismic NO Streams r/O Flood Way- Fbod Plane Yes Routing Date: F&W 1JC Landslide Nei Shoreline ND Aquifer }/ i Forest: Commercial Mtn Rural AI c..) Type Amount Paid By: Date: Receipt: ■ pp oved/Date LrLca Area \,,.c�n v� �C.tv�� 4vW� I`t I MA�'1 S'`f I� 30-7�.�Total: Review 51 (n* MOM/rater lijiiffs, I:\F_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: STAN SOUTHWORTH MARY SOUTHWORTH 403 CEDAR AVE PORT HADLOCK WA 98339 Critical Area Review Case Number: CAR00-00187 Project Description: Parcel Number: 986401005 S-T-R: 02-29N-01W Site Address: 403 CEDAR PORT HADLOCK WA, 98339 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. Department of Community evelopment Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 1 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 NOTA TAX STATEMENT NAME: ,S1anLey D Sogthicoorth The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home the ADDRESS(PQ BOX /17) "70,3 Cedar 4�'- previous ownership and location of a mobile home. This will Port Had LOC k W�' j'' 3,3� help our office determine whether the mobile home is already , on the tax rolls in Jefferson Countyor if it has been moved to this county from another area. Please see reverse side for TELEPHONE NO: 346 377542.09additional information. 1) MOBILE HOME DATA: /� (A) MAKESkyL, I he (B) MODEL6teeni*utr (�/30 I (C) YEAR /97 7 (D) LENGTH 3' (E) WIDTH a S' (F) SERIAL NUMBER 0;4 6 7 --L (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 737 °O (H) PURCHASE DATE Pe kid 1 k/enwe bole Perm ;7- 2) PREVIOUS OWNER / LOCATION OF MOBILE /HOME: /� (A) FROM WHOM DID YOU PURCHASE MOBILE �oL den Homes l/VC (3Go)611"7 56 ADDRESS .261531 MO'/el Se u I rn ir/A (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?' YES NO (IF NO, WHAT COUNTY? N/A V IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? /A 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO (B) IF LOCATED IN A MOBILE HOME PARK: ,1 NAME ai ADDRESS OF PARK /V /A SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: 51707k Arty -560h `' t .- W LOCATION (ADDRESS) 03 Ceclai-- fillet/tee r1 tee R Had L.Qc/C 4 ! f}, 33 7 REAL PROPERTY PARCEL NUMBER/DESCRIPTION Li 4"qC,/ 65 / P fi I 095 To Zi-ohdaLe stock /Ca Lois 445,E 9 sector, a �.*A5 ip ,2? Rave 1-W f. THANK YOU FOR YOUR HELP! SIGNATU KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. (045!azion • s, a+ sc ' Secitim, Wra Display Model # 5 Base Price $ 44,360 I I 1 T l T -T I T. I II OP1, M■■■■■WA ORY *1 11 • 1• ■■■�■■■■ ■■■/■■■■■■i •fi a I i � N��'I � l � ul AHTRY � •' Il �tl.i 11111111 KITciENm iNG! I I■min■■ ■■■ ■■■�■■■■■■�■�■■■■ 19'-4" ■■■■■■■■: ,r.. ,tea 111/11 1�111 RE ■■■■■■■■1 I E ! BEDROOM '��•��' ■�■■� iiiiii.E....:1L. A ■rah* u ■■■■� (a.1� ■ET No. 2 �r■■��i a ■■■■a. _H�_�__�a_n. •_■■■■M.d,I■■■ ■I■I■I■■■■■■■■■■■■■■■■■■■i ��■■ 10' ■■■■■I�■■■�a■■ t■■■■■■aaII..■■■■■■■■■■■■■lillilSi I ■�■ b'I■■■a■■■■■■■■■■ ■■■■■■■■� � �- ?in 7 CATrEOAAI iNiU4V1 1 MASTER BEDROOM BEDROOM LIVING ROOM No. J _-_-y y No. 1 ' 13'-4" 1,(19'-4" N i ,.....L....A 6301CT/4828 3BEDROOM - 2BATHS - CATHEDRAL THRU-OUT 11,296 SOFT.) The Display Model Has The Following Options Not Included In The Base Price * 9 Lite Rear Door * Deluxe Range * 10' Accent Dormer * Dishwasher * 2 6' Accent Dormers * Microwave / Range Hood * 1 m' Eave Front Side Only *Adj Kit Overhead Shelves * Sun Burst Above Window * Opt 6 Door Pantry *.Brass Porch Lights *Adobe Frost Paneling * Perimeter Heat Duct System *40 gal Water Heater * Tape / Texture Lr / Dr / Kit * 5 Arm Brass Dr Light * Basic Option Package *White / Porcelain / Popups * 3 ea. Bedroom Ceiling Lights * 36 x 8 Window Over Tub * 46 x 46 Kitchen Skylight * 10" Solatube * 4" Backsplash Kit * Garden Tub * Carpet Upgrade * Finished Tape / Texture * 62 x 39 Window Exch Price As Shown Including Options $ 50, 135