HomeMy WebLinkAboutBLD2000-00479I
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 #: BLD00-00479 Received Date: 7/20/2000
SITE ADDRESS: 123 GRAND FIR Issue Date: 9/12/2000
CHIMACUM, 98325 Expiration Date 9/12/2001
APPLICANT: CHRISTOPHE D ADAMS
GERTRUDE L ADAMS
94 ALDER DR
SUBDIVISION: EL CAMANO DIVIDE SHORT PLAT Block: Lot: 2
PARCEL#: 901101029 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER
INSTALLER: JAMES MALLETTE WAINS1669 Expires: 9/1/2001
PROJECT DESCRIPTION MOBILE HOME INSTALLATION
MAKE: KINGSTON
YEAR: 1979
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 9/12/2001.
REQUIRED INSPECTIONS:
[ ] Footing/Setback (If continous footings are used):
VT Blocking/Setbacks/Plumbing: 1
4- -/ i K `j/`z-Z,f Off 7
[ ] final/Skirting/Vents/Porches/St` sp --- /1/4"/Vr^)
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 #: BLD00-00479 Received Date: 7/20/2000
SITE ADDRESS: 123 GRAND FIR
CHIMACUM, 98325
APPLICANT: CHRISTOPHE D ADAMS PHONE: (360)385-4088
GERTRUDE L ADAMS
94 ALDER DR
PORT TOWNSEND WA 983689460
SUBDIVISION: EL CAMANO DIVIDE SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 901101029 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER:
PROJECT DESCRIPTION MOBILE HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: KINGSTON SETBACK:
VALUATION 11,000.00 YEAR: 1979
LABOR & INDUSTRIES APPROVAL?
SIZE: 28 X 60 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
Prop: 3 Prop: 2 AREA Plat Conditions
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
Manufactured Homes $141.00 MAM 07/20/00 33304 ED
Potable Water Application $30.00 MAM 07/20/00 33304
Total: $171.00 +►nnn
Jefferson County Planning
&Building Department
\F_B LD_App_Mob.rpt 10/29/99
' 1
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,_PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
❑ NEW BUILDING 6 REPLACEMENT
SIZE
YEAR �(Lr
MAKE -icxn
COST Se' 11,, l )Qt7
BEDROOMS: BATHROOMS:
EXISTING 3 EXISTING Z--
PROPOSED 3 PROPOSED L_.
TOTAL TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER ❑ COMMUNITY� SYSTEM 0 PRIVATE WELL W TO PARY WELL
INDIVIDUAL SYSTEM C9�ConMUventional F.4_,C40 0 PUBLIC
PERMIT # SEP 0 Alternative / Name of water system:
IF WATERFRONT PROPERTY, /J /71—
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 require later inspections. Access and right of entry to the applicant's property or structure shall be requested and
shall occur during regular busi ess ho •
SIGNATURE DATE 7/2.6>/(27-c-
NAME (PLEASE PRINT)
FOR OFFICE USE ONLY
BASE FEE '. RECEIPT# '`
ADDITIONAL SECTIONS CASH/CK# / ' 5
SUBTOTAL C DATE / �%
POTABLE WATER
A �
91 1/ROAD APPROACH >✓
TOTAL /
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MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00479 Received Date: 7/20/2000
SITE ADDRESS: 123 GRAND FIR
CHIMACUM, 98325
APPLICANT: CHRISTOPHE D ADAMS PHONE: (360)385-4088
GERTRUDE L ADAMS
94 ALDER DR
PORT TOWNSEND WA 983689460
SUBDIVISION: EL CAMANO DIVIDE SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 901101029 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER: Ste;
fletod-7 ;-/-/ 'f,a7/64--
Critical Area
Review $ dT/ L
PROJECT DESCRIPTION MOBILE HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: KINGSTON SETBACK:
VALUATION 11,000.00 YEAR: 1979
LABOR & INDUSTRIES APPROVAL?
SIZE: 28 X 60 BANK HEIGHT:
SEWAGE DISPOSAL: CON ,,
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
AREA Plat Conditions
Prop: 3 Prop: 2 Wetland Erosion
Total: 3 Total: 2 Seismic Streams
Flood Way Food Plane
F&W Landslide
Routing Date: „
Shoreline Aquifer ;
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: Approved/Date
Manufactured Homes $141.00 MAM 07/20/00 33304
Potable Water Application $30.00 MAM 07/20/00 33304
Total: $171.00
:\F_BLD_App_Mob.rpt 10/29/99
•Jefferson County Department of Community Development July 24, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: CHRISTOPHE D ADAMS
GERTRUDE L ADAMS
94 ALDER DR
PORT TOWNSEND WA 983689460
Critical Area Review Case Number: CAR00-00330
Project Description: mobile home installation
Parcel Number: 901 101029 S-T-R: 10-29N-01 W
Site Address: 123 GRAND FIR
CHIMACUM WA, 98325
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.
C. 7
Department of Co munity Development Staff
c: File
i:1F_CAR_Waiver_Standrd.rpt 12/13/99