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Home My WebLink AboutBLD2000-00435 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 #: BLD00-00435 Received Date: 6/29/2000 SITE ADDRESS: 46 OLD STARK RD Issue Date: 7/28/2000 PORT LUDLOW, 98365 Expiration Date 7/28/2001 APPLICANT: IDA MAE TESTER 1721 SHINE RD PORT LUDLOW WA 983659512 SUBDIVISION: Block: Lot: 56 PARCEL#: 821344010 Section: 34 Township: 28 N Range: 01 E CONTRACTOR/ OWNER PHONE: DEALER PROJECT DESCRIPTION MOBILE HOME INSTALLATION MAKE: PEERLESS YEAR: 1980 SIZE: 14 X 70 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 7/28/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): [ ] Blocking/Setbacks/Plumbing [ Final/Skirting/Vents/Porches/Steps. Cc)l� �� 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 4 'o MANUFACTURED! MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00435 Received Date: 6/29/2000 SITE ADDRESS: 46 OLD STARK RD PORT LUDLOW, 98365 APPLICANT: IDA MAE TESTER PHONE: (360)437-9250 1721 SHINE RD PORT LUDLOW WA 983659512 SUBDIVISION: Block: Lot: 56 PARCEL NUMBER: 821344010 Section: 34 Township: 28 N Range: 01 E CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: PEERLESS SETBACK: VALUATION YEAR: 1980 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 70 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 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 06/29/00 32067 A All" • E i Potable Water Application $30.00 MAM 06/29/00 32067 Total: $171.00 'J U , 2C0 Jefferson County Planning &Building Department is\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 ❑ REPLACEMENT ' SIZE I t) X YEAR I O MAKE -Peer le s COST (I ac j O )ilea BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED TOTAL TOTAL — TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: • SY ❑ COMMUNITY SYSTEM LL TWO PARY WELL INDIVIDUAL STEM Conventional y] PUBLIC_ a.,0 C PERMIT # SEP ❑ 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. a �^' SIGNATURE t,2 DATE - 9-emt3 NAME (PLEASE PRINT) Je,S "t e ' - /14, FOR OFFICE USE ONLY BASE FEE Ct RECEIPT# 1132111004' 4 ADDITIONAL SECTIONS CASH/CK# 101, SUBTOTAL 4 I`.- c r DATE /21_ • POTABLE WATER . l 911/ROAD APPROACH ' x f TOTAL I �`( ()i_I 'j- t 1 x , H:AHOMEVPLNC \FORMS\MOBILEAP.10/99 '' , C.T1 R OO-• MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00435 Received Date: 6/29/2000 SITE ADDRESS: 46 OLD STARK RD PORT LUDLOW, 98365 APPLICANT: IDA MAE TESTER PHONE: (360)437-9250 1721 SHINE RD PORT LUDLOW WA 983659512 r ti SUBDIVISION: Block: Lot: 56 PARCEL NUMBER: 821344010 Section: 34 Township: 28 N Range: 01 E CONTRACTOR/ OWNER PHONE: DEALER: Critical Area Review 77/oc- storaiharaw* PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: PEERLESS SETBACK: VALUATION YEAR: 1980 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 70 BANK HEIGHT: SEWAGE DISPOSAL: .CON i 5 WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditi ps Prop: 2 Prop: 1 Wetland Erosion V Total: 2 Total: 1 Seismic Streams lip Flood Waa Food Plane 1t F&W Landslide . %Routing Date: _ Shoreline , Aquifer � }_, -`�:�� .<<(C,�s (E E' Forest: Commercial Rural II Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 06/29/00 32067 Potable Water Application $30.00 MAM 06/29/00 32067 Total: $171.00 T_BLD_App_Mob.rpt 10/29/99 Jefferson County Department of Community Development July 17, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: IDA MAE TESTER 1721 SHINE RD PORT LUDLOW WA 983659512 Critical Area Review Case Number: CAR00-00291 Project Description: Parcel Number: 821344010 S-T-R: 34-28N-01 E Site Address: 46 OLD STARK RD 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. Depar ent of ommunity Development Staff c: File i:\F_CAR_Waiver_Standrd.rpt 12/13/99 -1, 111 I U) •- __. r T.) -0 ),i! i i 1 "'2* 1 ! r75. K , -0 --"----":: ---- I r"--. \ i P , ...i .2\..) - # .."--!--" n : \/. . <-- / , . . . H --; FT) --1 1...) 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