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HomeMy WebLinkAboutBLD2000-00417 } Y 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 #: BLD00-00417 Received Date: 6/22/2000 SITE ADDRESS: 288982 HWY 101 Issue Date: 8/9/2000 QUILCENE, 98376 Expiration Date 8/9/2001 APPLICANT: MATHESON ENTERPRISES INC 31 SUMMERSET COURT SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 17- PARCEL#: 802242002 Section: 24 Township: 28 N Range: 02 W CONTRACTOR/ DEALER INSTALLER: GUY JONES WAINS0254 Expires: 7/1/2001 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: SILVERCREST YEAR: 2001 SIZE: 28 X 60 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 8/9/2001. REQUIRED INSPECTIONS: £'X , � [ '` Footing/Setback (If continous footings are used): -`/ 6) / (,PCs) , � I kJ /V I' 404 o r dJ) [ ocking/Se `acks/PI b g. err/ � � ,� - Final/Skirting/V nts/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 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00417 Received Date: 6/22/2000 SITE ADDRESS: 288982 HWY 101 QUILCENE, 98376 APPLICANT: MATHESON ENTERPRISES INC PHONE: (360)681-3291 31 SUMMERSET COURT SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 17- PARCEL NUMBER: 802242002 Section: 24 Township: 28 N Range: 02 W CONTRACTOR/ DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION ,1,I TYPE OF WORK MOB MANUFACTURED HOME: F4(14ncr SHORELINE: TYPE OF IMP NEW MAKE: SILVERCRE T SETBACK: 210 VALUATION 66,000.00 YEAR: 2001 LABOR & INDUSTRIES APPROVAL? SIZE: BANK HEIGHT: 3 %5 SEWAGE DISPOSAL: ALT 2-7 )c(P D WATER SYSTEM: PWELL 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: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 06/22/00 31649 j� R O D Potable Water Application $30.00 MAM 06/22/00 31649 Total: $171.00 4 Jefferson County Planning &Building Department I:\F_BLD_App_Mob.rpt 10/29/99 JEFFERSON CQUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT SIZE YEAR e e MAKE 5/ COST 1/ ‘ BEDROOMS: BATHROOMS: EXISTING !✓' EXISTING +" PROPOSED PROPOSED TOTAL 4-'` TOTAL ti TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM PRIVATE WELL 0 TWO PARY WELL INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC PERMIT # SEP}W. l ❑ Alternative Name of water system: IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE c l � ft BANK HEIGHT .3 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. f 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 Co my and it's employees, representatives or agents for the purpose of application review and any required tater inspections. Access and ri t of entry to the applicant's property or structure shall be requested and shall occur during regular busin is hours. SIGNATURE � � �� DATE r T mac, i NAME (PLEASE PRINT) Z49 A/g///r c FOR OFFICE USE ONLY BASE FEE I y 1 ,� RECEIPT# (04%°\ ADDITIONAL SECTIONS CASH/CK# SUBTOTAL 141 ,Q4') DATE L,/73' '. POTABLE WATER , 911/ROAD APPROACH TOTAL . H:\HOME\PLNCNTRIFO RMS\MO BI LEAP.10/99 • • • S Jefferson County Department of Community Development 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 , Universal Plot Plan Fill in the following blanks as completely as possible : Project Description: VV\ckt1 c& v\n W\e_, 9 Digit Parcel Identification Number (from your tax statement): Site Address .� 911#: 2 Cj / Road Name: :(1)/ /a'/ Zip Code: Legal Description Subdivision Name: Block: Lot(s): Section: z Lt Township: 2 Range: Parcel Size (acres or square footage): f �' ,f C1 / Property .fi1(C2� ( #4 / C3+ Phone4, 44 z �t Mailing Addrdss: r- $ A 7 � � � G am/ 1 ijt ,fps--- - Applicant/Occupant: !�/�,� ` Phone: (if different rent f Address:om owner) j/K o / e41 //f ( - _,,_` CAA ' 3 Z 1 MAuthorized Rep: Phone: Mailing Address: General Contractor: Or Man . Home Installer: .OW Phone: c�1 Mailing e s. S#INtto +0 txr delerw, .� Contr ' t icense Number. Expiration Date: Septic Designer: I 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 #: BLD00-00417 Received Date: 6/22/2000 SITE ADDRESS: 288982 HWY 101 QUILCENE, 98376 1 APPLICANT: MATHESON ENTERPRISES INC PHONE: (360)681-3291 31 SUMMERSET COURT SEQUIM WA 98382 SUBDIVISION: Block: Lot: T 17- PARCEL NUMBER: 802242002 . Section: 24 Township: 28 N Range: 02 W CONTRACTOR/ DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW Li&cR7-Y VALUATION 66,000.00 MAKE: ERCRE SETBACK: 210 YEAR: 2001 BANK HEIGHT: _'3 LABOR & INDUSTRIES APPROVAL? SIZE: 28 X 60 V° � O� SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL 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: / F&W Landslide (42 `ZIP,00 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: !. `,, Manufactured Homes $141.00 MAM 06/22/00 31649 Ni!i - i.).. Potable Water Application $30.00 MAM 06/22/00 31649 c. q �I :41 Total: $171.00 ° t. RV\ f/ ` - (� leqUileit t 687) I:\F_BLD App_Mob.rpt 10/29/99 Jefferson County Department of Community Development July 10, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: MATHESON ENTERPRISES INC 31 SUMMERSET CT SEQUIM WA 98382 Critical Area Review Case Number: CAR00-00257 Project Description: Parcel Number: 802242002 S-T-R: 24-28N-02W Site Address: 288982 HWY 101 QUILCENE WA, 98376 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 0 'posed development activities will require further review pursuant to the Jefferson County Crit , - Areas Ordinance. 441aLk1161 Department of Community Development Sta c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 • tol • R R O d= = Aio rg, ci ® 1 i : a y V r_fl . .1 ond III 11"I I II":„..>j eC .4' S ' �' f Q 22....../-45 a .F-.L..... O • v Z 6 w — il • Ix O a • 7 a • _cx •= O • " • '' 47 "E"4Q I CC r if n clit Ca 100 ... ^ i_____________ ( (I)• 0 a c . E r--,., —L c < 6 E Lare CC W = •E a } Ro >i ^ �' � �7 op _ � •-O sO � aa ° 0 va _ • .... .------------, ... 1 T—q11—\ - 2 o ° 0 °g.) \ I---• ••... o• E . _________ F- Q--- gr °pV Q - aE aMN . L ag 7, CO c o o `°c ICI o- o ° � ._ ■ oul asO-0c0 In a ° •` �� CI N� � 70 a) E s F. v -O o a- a ° 'at / ' _ a in c s ° 0 V TII �V �V O -O CO ° i C �11 ~ � J � 112 flfi] LJJ N a QS -I G J _ Wog = a, 0 o a� v \ Q - =� c a a F 1 I 1...'-L 5:9 f I mi I I•im"I.I v c � c ff �`` r a O O v-vi °a .o o LL.1 ..., ,41.(:'...‘.%., ._ * E ..-.,-' °, 0-4 3 , u r_/ 0- Ea) O a) O ,.,-.7, ,... .i 1 / „.t N N N,O O - ° Q 0 7 O_ C ai J s ._ a RETURN ADDRESS JEFFERSON TITLE COMPANY PO BOX 256 PORT TOWNSEND, WA 98368 APPLICATION n,LT4artmmt f SFIINGTON MANUFACTURED HOME ' AS CH CK ON ®TITLE ELIMINATION IICEflSIflG ❑TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,Imprisonment,or both.(RCW 46.12.210) 0 MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) & 198084 2001 PALMH 62 X 29 PH204828 B LAND LEGAL DESCRIPTION ON PAGE MANUFACTURED HOME WILL BE [ AFFIXED 0 REMOVED R8 2 oP y T) P�grEL NUMBER LOT BLOCK PLAT NAME L UUSECTIION/TOWNSHIP/RA GE 4 24 , 28N, zW 0 GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 2 1 NAME OF REGISTERED OWNER MICHAEL W. MCFADDEN NAME OF ADDITIONAL REGISTERED OWNER JOY E. MCFADDEN ADDRESS TE ZIP CODE 33 E. TOANDOS ROAD d1UILCENE Tn� 98376 NAME OF LEGAL OWNER WASHINGTON MUTUAL BANK NAME OF ADDITIONAL LEGAL OWNER ADDRESS CITY STATE ZIP CODE GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFOi;MATION IS ACCURATE: , Signature of Rey,;,tered Owner and Title,IF APPLICABLE Signat �+ ey tared Owner and Title,IFAPPLICABLEL----R� UTA � NOTARIZATION/CERTIFIC�k O ,FOR REGIS EDOWNER(S)SIGNATURE N t� State of Washington County of tt before me on f7 1 , lD EXP.5/7/2007 ill i&il - I' fli!A1k4lI�i / — b Signature/ ` ' n t y PRINT NAME OF REGISTERED OW ER ,..� TARY OR AGENT 9 opvBu N`���® by `Z Al �I 1 }'3t1�'i %t bizi WAJ PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY 7-.q_' County/Office No.OR / Title s 1 AND: Dealer No.OR -) i //,(04',3 DEALERSHIP POSITION/AGENT/NCITAFiY Notary Expiration Date 4 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMITOFFICE CERTIFICATION I certify that: ' -the manufactured home has been affixed to the real property as described. ❑ a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME YPED OR PRINTED) BLDG PERMIT OFFICE/PHONEFF #, c_ BLDG PERMIT# A-Kkt t, Al/or p) ��ct--�tAto , (0- oo4ll SI N RE!P SITION .-" 7Jo CTD-420-7 MANUF HOME PPL(R/8/98)0 age 11 of � 7 ///4. 4 Ai it. --� C F4 F •„ hl ,,, iv o • -----,........______D a ' ... G1 *??;34if E` go Z 0 N. • • \\\\\\ \\\\ \`\\ N 01• 2 6. ip, :, p ° . iii7",L i\s\\\ s g! i 1 . I" 100•MIN. SETBACK FROM �\\\\ \ ,\\ \I \D • WATER TO DRAINFIELD• I\\\\\ \\\\\:\- N c> O \ m \N1\\ --i\ sd E •\\, 0 N 1:1\\23 N\ \ m m A � . �M -`-' ' •..Z\'•rl.,..0�1 m 6 % I\ Z "O,•y C P '\ .. m\ �� c"' O N 1 m\• 'l \ rA*t *E • l\ \-\\ \\\ . \ \\0, `� l\ "o\\ ►o l'\� _ \\ , . \ \I i a i of 1� 61b\ i eA-1 s r:', . • m s tee` \ \�\_�__� :11.D �`k. Def PRUP — ' o Z • / .',> DRIVEWAYS w if / v ' _ vM 3IN 03SpdObd r �I c • /`,, �� _ iji Z r F O (' ,r" r 01 X BcJ. r. �� 4 �$• / i •r IZ • I w C7 IA o hi) 1 0 p j IQ Zi:: '------------------------ -------------------I \ ., .,\ 30' 0 0 0 0 0 01 0 0 0 0 I 0 '0 0 0 0 • 0 0 oc -1\ \ Z O t267• -�-- HIGHWAY 1 0 1 --0.- 161 c> ,0 hC2-T,2 0 O�0 o z2 R�� Z C 2O�O pl. / Dm C t. fJ ✓� co,ow, ? �� o >� -D 5Ty �� 2q�, - Z2 rn P o-A .v) i at , s .2 `\ � r- mo .n -I O RF 41. -° 0 C SQ N to �'1 r mm — in \) s 0 F 111LE. WASTEWATER SYSTEM PLANS ` JOHN SCOTT FLEMING ENGINEERING, INC. o TAX PARCEL # 802-242-002 JSF Pi' o III o o o CLIENT: LARRY MATHESON W 0 31 SUMMERSET COURT PORT AN P.0 L S, WA 98362 - SEQUIM, WA 98382 (360) 452-8500, FAX: (360) 452-3383