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HomeMy WebLinkAboutBLD2000-00447 I 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 #: BLD00-00447 Received Date: 7/3/2000 SITE ADDRESS: 1284 GRIFFITHS POINT RD Issue Date: 10/10/2000 NORDLAND, 98358 Expiration Date 10/10/2001 APPLICANT: PATRICK MCNERTHNEY 1532 NE BROCKMAN PL SEATTLE WA 98225 SUBDIVISION: ART PRICE SHORT PLAT#2 Block: Lot: 3 PARCEL#: 021321073 Section: 32 Township: 30 N Range: 01 E CONTRACTOR/ DEALER PROJECT DESCRIPTION MOBILE HOME INSTALLATION MAKE: SKYLINE YEAR: 1968 SIZE: 12x60 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 10/10/2001. REQUIRED INSPECTIONS: L� Setbacks: (0)1- \ Q - l-Q—O\ [�Footing(Ifcontinous footings are used): [ / Blocking/Plumbing: © /i0 )0 `01 [1// Final/Skirting/Vents/Porches/Steps: (9fK 42.- 7 )"0/ec- 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. 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 #: BLD00-00447 Received Date: 7/3/2000 SITE ADDRESS: 12t'1 GRIFFITH POINT RD NORDLAND, 98358 APPLICANT: DAMES BECRAFT PINT{2.tcx- ML kler4kNk j PHONE: (503)693-6486 '2278 NE BARBERR -GF- 1#IttSB Zoto•3(0'4 • 212(p SUBDIVISION: Block: Lot: T 47 PARCEL NUMBER: 021321023 Section: 32 Township: 30 N Range: 01 E CONTRACTOR/ DEALER: PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: 4,:x r_,1 h E SETBACK: VALUATION 1.00 YEAR: i Zxt,r BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: iG14•r`3 SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL 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 LMB 07/03/00 32074 Pi fi' Potable Water Application $30.00 LMB 07/03/00 32074 Total: $171.00 OCT 1 Jefferson County Planning &Building Department is\F_BLD_App_Mob.rpt 10/29/99 • • JEFFERSON COUNTY COMMUNITY DEVELOPMEN 621 ShERIDAN ST, PORT TOWNSEND WA 98368 + ` MANUFACTURED HOME INSTALLATION PERMIT APPLICATION • NI NEW BUILDING 0 REPLACEMENT SIZE ) :t:k I 0 X(y.� YEAR 19 MAKE COST 4 I BEDROOMS: BATHROOMS: EXISTING 2...- EXISTING __[__ PROPOSED © PROPOSED 0 TOTAL 2.-- TOTAL D TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 9' SEWER 0 COMMUNITY SYSTEM 41 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC PERMIT # SEP95- 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. _..s..V_______ SIGNATURE <� .. 4i. - 1/t.. �. DATE NAME (PLEASE PRINT) • FOR OFFICE USE ONLY , BASE FEEJ.c// c? l� ,r �t; e , ADDITIONAL SECTIONS j Y d � 4 SUBTOTAL iitV.�/{.o:_� POTABLE WATER \ t 60 I t e `r,' 911/ROAD APPROACH - .i42-", • / � TOTAL !' I Dr) '', ; e, w H:IHOMEIPWCNTRJ ORMSWOBILEAP.10/gS ' , e ' ! : ,.x, 13 A ROO- 2.9 firLYvC MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00447 Received Date: 7/3/2000 SITE ADDRESS: 1173 GRIFFITH POINT RD NORDLAND, 98358 APPLICANT: JAMES BECRAFT PHONE: (503)693-6486 2278 NE BARBERRY CT HILLSBORO OR 97124 SUBDIVISION: Block: Lot: T 47 PARCEL NUMBER: 021321023 Section: 32 Township: 30 N Range: 01 E CONTRACTOR/ DEALER: Critical Area Review 773/b0 ,,d Stormwater P's Required ,17( "4067-q PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SETBACK: VALUATION 1.00 YEAR: 1970 LABOR & INDUSTRIES APPROVAL? SIZE: 10x60 BANK HEIGHT: SEWAGE DISPOSAL: ALT = )R ¶ 5 WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO V.: Exist: Exist: AREA Plat Conditi s N o Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 Seismic Streams Flood Way Food Plane Routing Date: F&W Landslide.4 /. / Shoreline— c, �... /Aquifer Forest: Commercial It d , Rural Ill J Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 LMB 07/03/00 32074 Potable Water Application $30.00 LMB 07/03/00 32074 Total: $171.00 i:1F_BLD_App_Mob.rpt 10/29/99 Jefferson County Department of Community Development July 12, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: JAMES BECRAFT 2278 NE BARBERRY CT HILLSBORO OR 97124 Critical Area Review Case Number: CAR00-00292 Project Description: mobile home installation Parcel Number: 021321023 S-T-R: 32-30N-01 E Site Address: 1173 GRIFFITH POINT RD NORDLAND WA, 98358 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 Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 Q 0 01/0 0 1 10/03/00 13:46 FAX -.-- 7 Do not complete shaded areas _ ••4•.•,',,,r".47 4-,ati.•_-s ' * /,'..g4L- Wit,I.-:''e.k,' ''.5.'-rrii '' -NI 1,,,it.,:'?tiiii," INSTRUCTIONS- . ,-/-.- . . ,... ,! .4..,,.,*- ,„ Qmplete all spaces,inchtdirtvthe signature box(marked with an X). wit map on reverse side° WHIT copy only. ,z...,. ..., ::t; i... ,'.c.',:,.:A - "ik'. •••0'.,,i.t.,4,P.',.:.',.:'.e,`'4.',?•,,e.:.:1,1i.'x'.-0:11-,'..;,.::::::.-..i.:‘ ••••'''..-:sf:'::,. fiKL orward completed pernilt and fees to the nearest L&I office. See list on reverse. " t',...'.;;;; .",:i*.` ?::::';',4',..,'.,,,..".1,.,,*.•',,t.,::_..!%:7.,.., i.:•,.... s...'...,..,.: Contact and schedule the inspection with the same L&I office within 15 days. .....:....4,k,m..-'1,;•.••,.,...-,-;..t 4.,. .., i.!.:4'..i,..-',. .:;••-•:,--7"."..,..;" ‘",i*f.:A14q?"4,'1.74'..V.1'‘r4VN'',N -4.2... ..?.".1..r.P..---....'i.:.,V Owner last name first name Day time phone Date Addre ___ A-M.ice.... _ ss City State ZIP --..... -.. •?, I 69- i'\)Ni. isTzoc K._Ithatv•-) PL 't-..A-71z (A-4 q&15,b Installer/Contractor/Dealer Phone Contractor's registration number , • ( ) • .. _, ---. — ____ Address • - City 'State Z1P+4 • Check the appropriate boxes in section A and section B. FEES - A 1 r--i. [... Commercial Coach B Ca Alteration Inspection(check appropriate boxes below) $ - *. Air Conditioning/Heat Pump leiiiiilito. -AVF-:.!;:zts.'"i"...*-;*.i::::,-1.-ifs-;44.-•:4-:*'1..,:...... ...."%2c...'„:-,_:;.•,...;...'4.-...,,".:.,':;'..4.4,*i....,....,.-t..›...;:g.,,:a•vtie:,;-7-At-ri;":.,••"-,4 Electrical '=•••.i,:-',=•;.;•,'4C-Ir.,Z;;.,:.. .-4-•:,;?.i _ •,Ta-E Electrical Appliances LI Mobile Home 7.i ire Safety --.-- 7se-r—is.t. No.&0441R-7.:.;"71',;‘,11....‘,.-7.-7r,.,„.e,,x,;....:-..4.*:•.‘..',....,',.4,..","4.4.is.,-„&„,',:.''.":: Gas Furnace ... . ...74:T.......!...„r,,, . . Itti.":21.204p.t? ..1.::,....7.i.,:p.:5,t, Gas Piping . . HUD No.0,10,-f•ti--;4:4'.1r4i. 1•10.47;.'ehriggP.4"- Plumbing ?AkNvgi4O5O4804iif6g-',, . Structural LI ,-.L.-.0!,-J- -f.'5t"Reoreational Vehicle or Li Park Trailer Wood/Pellet Stove-- ;6‘,1,-;q1j:*:t*.;. '",51,;-Ae. ..;cfs.-^-'iti,-.6,,i'Y.'.1",'N''%'1•-*. Plan Review $ RV Inspection 1197.g.'4J,V.OV,1.51'.,•', .4`. .1tei: $ ..,:-....,...z=z;,-,-•.7•,,Z-IV"•:.:::-,..:,:"..,.,...,77ta.'.:7•:,.."-'.,..7i:.40•'1"-ry'..--.., - Technical Inspection $ tt Note: This permit expires one year after date ofpurchase.: (Non-refundable) ' rs.„.. of licant or authorized representativefj4:1/ Make check payable to: Dept.of Labor&Industries_ k._X N1A ci---,A. . rt"..-.- FEES DUE $rse,_xr----- -,:be •. -,••..•,.. ,...-..„:„.„,•,•,-,....„:„.„,::„.,..x,0„,„,:--,-*-4,0,4••,:t•,;-,:;;;:zsa.•:,,,,,&.0 ••,-,,.:,•,-..:pepi,tuie!!!",oigt,:,-;.._.:,-_:.--•,::::::::::,1:::;,-..ii-;,,,:--,•;,...:•;.*;:4:-!::; ...,:J.:-.:., ;;;::..,,,,i..•:::;.. :-:.:::.;.,„-;,,:,-..,...:_ -,•-•,,.-,..,,:_;;;;.;,,,,o,;_i=-,,,-,-4.!,,,,...5:,,,,,,Id,-,,,:,,.!w.,•„,,;,,z,,,....,,,,-%,„,..,,,,i,..4.„4---;,-,..v.,fr.',..-..0. :I:1 Itici!iii4jitiiii.oireit*,41:,italatitiitio*kic,00f .**ecinefl., #)t, ,,.......,...: , ..4iiiiiid‘iitiiiiiiiiikliiii'rogii*4:04 10.14.4*f :0041 -a001.',7#4. iifl#,*#W011'Ses-`n4041.11*-4.4,' iiiiii.Diitrei'ittiikiiii4iiii;.::"..Tridi.i‘ikOiit..-.`11p*O *OSOitiSPOCIkiiii0;`-it**!, 11.k";: 'fii.:. --#Wi #11###:*Ai - iii:iiiiiPiiiii.Pl.'iolitiiii'onN4-'''...:'"iiiiiini'aiiiiii c.likacti Orrielwatkl'Ojii'vihiele..t:::::*•-"--.:J.-'..*.s..".:... 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