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Home My WebLink AboutBLD2000-00282 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#: BLD00-00282 Received Date: 5/5/2000 SITE ADDRESS: ??C`+ E EUGENE ST Issue Date: 5/19/2000 PORT HADLOCK, 98339 Expiration Date 5/19/2001 APPLICANT: RICHARD L GIFFORD PO BOX 304 CHIMACUM WA 983250304 SUBDIVISION: IRONDALE Block: 2 Lot: 15-19 PARCEL#: 961800204 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ WASHINGTON HOME CENTER PHONE: (800)648-1113 DEALER PO BOX 176 CHEHALIS WA 98532 Contractor's License WASHIHC0770A Expires 03/19/2001 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: SKYLINE YEAR: 2000 SIZE: 28 X 48 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 5/19/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): [ ] Blocking/Setbacks/Plumbing: [ ] Final/Skirting/Vents/Porches/Steps: 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 44%. C;L.0C - C O( 83 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00282 Received Date: 5/5/2000 SITE ADDRESS: G E-uc t sr PORT HADLOCK, 98339 APPLICANT: RICHARD L GIFFORD PHONE: PO BOX 304 CHIMACUM WA 983250304 SUBDIVISION: IRONDALE Block: 2 Lot: 15-19 PARCEL NUMBER: 961800204 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ WASHINGTON HOME CENTER PHONE: (800)648-1113 DEALER: PO BOX 176 CHEHALIS WA 98532 Contractor's License WASHIHC0770A Expires 03/19/2001 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 67,202.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 28 X 48 BANK HEIGHT: SEWAGE DISPOSAL: ALT 12 WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland A)c Erosion &)D U C Total: 2 Total: 2 Seismic Streams /0 U Flood Way A) 0 Food Plane i3 C) Routing Date: F&W A,) 0 Landslide 1 0- OD Shoreline 1) 6 Aquifer i.!a • ,{A%A Forest: Commercial Mt Rural A (74 Type Amount Paid By: Date: Receipt: .,; -C tp /ate Permit $141.00 MAM 05/05/00 30776 �� Potable Water Application $30.00 MAM 05/05/00 30776 Review 466, t fl7Cf Total: $171.00 . /' 7 L I:\F_BLD_App_Mob.rpt 10/29/99 Jefferson County Department of Community Development May 10, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: RICHARD L GIFFORD PO BOX 304 CHIMACUM WA 983250304 Critical Area Review Case Number: CAR00-00183 Project Description: mobile home installation Parcel Number: 961800204 S-T-R: 34-30N-01 W Site Address: 56 7TH ST 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. jdb De rnent of Con muni Dee pment Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 • 1-3Y • 7J z H H H C) • 4 • T - J �� wa x _�. al N X Cofw W N 'IY\\Z ) r � O( � �: v- RJ w� • ...: O 1 • s g --- cn c:. 'Tr: may/ N 1. :l W Ol q. = W • OM I /Fri I ' I � � I I I 1 U I I I I 1 1 1 1 1 p �< I 3 — CI — . 1 im.11m1a 1`IN�•—I.. — ` I iwlc;tIaIa1N1 '� 1(-I-I 111111 r\ 1 'I —I „cox alala a a c.�Inlca11n� f UIElfoil 1INlU1a 1r ^' mlmlw—Im alw�i— O III W I I I 1 ixl I I �z L. III mil_ I I 1 I 1NI211,2IipINIw % �� oI REVISIONS `Q f� mL I 1 I I I I t; ED 9 o• In Iz iy En ri Et a T 1. O ---_ O L N i n 11 .1 1 0 NII ,,.c Im . g 0 ..._. o to o 0 =gig 1I ! iLiiI ; I-1>K '0 r•-4 i I E W l0 CO 'MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00282 Received Date: 5/5/2000 SITE ADDRESS: Ti a E-UL NE_ yT PORT HADLOCK, 98339 APPLICANT: RICHARD L GIFFORD PHONE: PO BOX 304 CHIMACUM WA 983250304 SUBDIVISION: IRONDALE Block: 2 Lot: 15-19 PARCEL NUMBER: 961800204 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ WASHINGTON HOME CENTER PHONE: (800)648-1113 DEALER: PO BOX 176 CHEHALIS WA 98532 Contractor's License WASHIHC0770A Expires 03/19/2001 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 67,202.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 28 X 48 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC 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 r Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: / LI� " , ,-.,, Permit $141.00 MAM 05/05/00 30776L. 11 �✓'��` Potable Water Application $30.00 MAM 05/05/00 30776 `�'�� °''�, Total: $171.00 MA Y I 9 2000 Jefferson County Planning & Building Department I:\F_BI.D_App_Mob.rpt 10/29/99 SPECIAL CONDITIONS CASE # BLD00-00282 1.) The applicant is to provide a reservation letter from the City of Port Townsend To Jefferson County within 120 days of issuance of the building permit. The owner proceeds at their own risk in full knowledge that the County requires this approval and documentation form the City of Port Townsend. I:\F_BLD_Perm it_Mobile.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT SIZE >3 x yS I Zot Z Pr -P DX S6L f'r. YEAR ,2QaD MAKE SKl "Nk ENi32Ti1 R (0305 c COST (o 7 D 2 . 1 � BEDROOMS: BATHROOMS: EXISTINGAC1 EXISTING lootiiir PROPOSED _ __ PROPOSED sta,- TOTAL _ TOTAL Z, TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL ,INDIVIDUAL SYSTEM 0 Conventional ): PUBLIC PERMIT # SEPC(p`3 I ❑ Alternative Name of water system: C� W A K- FzCNcH 3a✓�, -Q2.c,5.sues � I IF WATERFRONT PROPERTY, ..4) 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 SIGNATURE cc(,. DATE LI I ,, 1 L,tb NAME (PLEASE PRINT) Fat4.1AV-, (.1.)•-i ,-n- ( P, 5,-Ezio4s, -;- FOR OFFICE USE ONLY BASE FEE - RECEIPT# ADDITIONAL SECTIONS CASH/CK# SUBTOTAL DATE ( / POTABLE WATER • is 911/ROAD APPROACH TOTAL • H:\HOME\PLNCNTR\FORMS\MOBI LEAP.10/99 4 s x Jefferson County Department of Community Development 7-4 ' oN� cod 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 AskZN�o Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: 9 Digit Parcel Identification Number (from your tax statement): en ` _ o® - 2 p y Site Address I E Lt esE N E S-T- 911#: 6 • CO fgE"NE: 57 Road Name: - y 1,1,c)Pc>x Zip Code: ( 3 .35 Legal Description Subdivision Name: Z 1.4 bP,LE- Block: 2.- Lot(s): 15 - i 9 Section: 3 Township: 0 1.4 Range: O I L., ,f Parcel Size (acres or square footage): 13,5 ., i 0 0 ' Property Owner: Phone: Mailing Address: IQ. U .yriz,y 1 .n0 fgT l _. ;,4-CC , LA) P, C7 Z 2, 9 Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: _ Or Manufactured Home Installer:l� S N( i Nrn�;- o ( -_ V Phone: O Q - y R O-992,1 Mailing Address: .rr;«r. c. 0 . . Cam`( 1"1 fo S}..- Z.T cif . G 01'3 3., r?av P> tit. 1-`/6.'2 l Contractor's State License Number: CORS i-�I h1 co-7-7 O Expiration Date: 3119 (.. ..0.01 Septic Designer: c,2 f_.® � cc.,N j' cl_:S ZStJ Phone: 4 y,:- 3 2- Mailing Address: • 0 . ›bX 30H ii-+Via')-, CL.A',.-�- ; A)P e: -C Architect:/Engineer: Phone: top - 5,2,. - 3cs."1 A ON\z,-1,1 c cp E N 62N :,.E.E C h 'o-Pr ,.. cis-r'rLv r 'Mailing Address: oil, -{ i -`.'t i...%%C-,7" r)-1 C3 ?r4'tij {% OLD nr-q : -'+ 0 pi c Loan Lender/General (- ,2-c-DQ.A P b mogrc'C-rp,fs� Phone: ,p C> Z ty\ - -1 1 07 Contract tr's Bond Holder: 6 y /‹._ op,V -.St"N *` Mailing Address: 4 FOR OFPICE;USEZWLY i Fire District: = Planning Area: School District: Zone: a A. 1!OF'H: iome\pincntr\forms\universal plot plan a ` - ^ ^ ' � ~ ' -1 - `- - - - - - � -- --- ! | i � ) \ � | > �w / _ | ' ~ ` 7 •