HomeMy WebLinkAboutBLD2000-00396 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 #: BLD00-00396 Received Date: 6/16/2000
SITE ADDRESS: 245 GARDINER CEMETERY RD Issue Date: 10/6/2000
SEQUIM, 98382 Expiration Date 10/6/2001
APPLICANT: SAM KYLE
PO BOX 3398
SEQUIM WA 98382
SUBDIVISION: Block: Lot: T 96
PARCEL#: 002344016 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR/
DEALER
INSTALLER: ALAN FAKKEMA WAINS0565 Expires: 6/1/2001
PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT
MAKE: FLEETWOOD
YEAR: 1999
SIZE: 27 X 56
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 10/6/2001.
REQUIRED I�PECTIONS:
[ ] Footing/Setback (If continous footings are used):
[ ] Blocking/Setback 1?.ff bin.: Coc,K r ;,c . en,,c ,-/j ."-,, "--T- /I'--c��r.
j'GU/''�/3 Q(C f ftr�L L r� 2 ly,�r.'` 'TAG , �C/
c , final/Skirting/Vents/Por h s/Steps,/C _-3/"R/e z
C/Id/IL//A)> V'7' t 6 Cr--A, i E Q"" e-, . T)
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
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Jefferson County Department of Community Development
/ .�yoN coG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
�4
Universal Plot Plan
Fill in the following blanks as completely as possible :
Project Description:
ifie:VP eF4... A4 /- .42 ,,, ,-,
9 Digit Parcel Identification Number (from your tax statement):
C)CO Z 'i'/( /1
Site Address
911 ' q_ 'r"
Road Name: ,a; ,) / ,,Zip Code: /'F _>t.'. `'
d y-�r m.w;,�;
Legal Description
Subdivision Name: Block: Lot(s):
Section: _3 z/ Township: JC' Ai Range: 2/
Parcel Size (acres or square footage): 7 C---
Property Owner:
; °7 ieyC Phone_ - 7,7- 7// 7
Mailing Address:
f C box ..33 9.g ,S:ce,,,, ,,-) t4)4 9a :V. "-2-
Applicant/Occupant: Phone:
(if different from owner) A./ i
Mailing Address:
Authoriz Phone:
eiliA kiVLE 4 o - 797- 7/)' 7
M:it Address:
i -
General Contractor:
1 Or Manufactured Home Installer: U j3E" As/6.-A,,,0 �,, Phone:
Mailing Address:
Co'. .ctor's State License Number Expiration Date:
Septic Designer: Phone:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder: N�
Mailing Address:
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan
+ CATION APPLICATION
MOBILE HOME INSTALLATION
MANUFACTUREC� M artment of Community Development
op98368e
Jefferson County Department Port Townsend,
621 Sheridan Street Received Date: 611612000
gLD00-00396 (360)797-7117
PERMIT #: 245 GARDINER CEMETERY RD PHONE:
SITE ADDRESS: GARDINER, 98382
SAM KYLE
APPLICANT: PO BOX 339898382 Lot: T 96
SEQUIM WA Block:
Section: 3
SUBDIVISION: 002344016 4 Township: 30 N Range: 02 W
PARCEL NUMBER:
DEALER:
. o� EZ
DEALER: F#4 !4l 4 C Nl/7
MANUFACTURED HOME REPLACEMENT SHOD
PROJECT DESCRIPTION A1 �L 1 SETBACK:
MANUFACTURED HO EETW�D
MOB
TYPE OF WORK NEW MAKE: 1999 BANK HEIGHT:
TYPE OF IMP 50,000.00 YEAR: 27 X 56
VALUATION SIZE:
LABOR&INDUSTRIES APPROVAL? NO
DISPOSAL: CON PARCEL TAGS: YES NO
SEWAGE PUN gTER: YES—_—____.
WATER SYSTEM: STORMWplat Conditions
BATHROOMS: AREA— Erosion
BEDa S Exist Wetland Streams
Exist prop: 2 Seismic Food Plane
Prop: 2 Total: 2 Flood WaY Landslide
Total: 2 F&W aquifer
Shoreline Rural
/ Q Forest: Commercial
Routing Date: �� 6 f -- O Approved/Date
Date: Receipt: �� � �'
By: �a.
Amount Paid 06116100 31686
Type $141.00 MAM n
Manufactured Homes 0 t►W
$141.00 (.
Total:
_ "Ainr$euCopenartmentMilling
&Building
10129199
- .A..h rnf
i
.---*..". MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD00-00396 Received Date: 6/16/2000
SITE ADDRESS: 245 GARDINER CEMETERY RD
GARDINER, 98382
APPLICANT: SAM KYLE PHONE: (360)797-7117
PO BOX 3398
SEQUIM WA 98382
SUBDIVISION: Block: Lot: T 96
PARCEL NUMBER: 002344016 Section: 34 Township: 30 N Range: 02 W
CONTRACTOR/
DEALER:
PROJECT DESCRIPTION MANUFACTURED HOME REPLACEMENT
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK:
VALUATION, ;, 50,000.00 YEAR: 1999
LABOR & INDUSTRIES APPROVAL?
SIZE: 27 X 56 BANK HEIGHT:
SEWAGE DISPOSAL: CON I + 227
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO X
Exist: Exist: STORMWATER: YES NO y -
Prop: 2 Prop: 2 AREA Plat Conditions/
Wetland WO Erosion ,//0
Total: 2 Total: 2 Seismic A/C) Streams AID
Flood Way tad Food Plane/1/l)
Routing Date: F&W /vO Landslide ,vE-,osTr�, `y k
67 — ` 7_ 00 Shoreline /1/O Aquifer A/
Forest: Commercial /✓U Rural
Type Approved/Date
yp Amount Paid By: Date: Receipt: a "x
tiVirjW atit . A4 I
rc
Manufactured Homes $141.00 MAM 06/16/00 31686 . s
I`J
Total: $141.00 ;� ;
\V\-----------
Requiretta...0i
I:\F_BLD_App_Mob.rpt 10/29/99
Jefferson County Department of Community Development '' June 19, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: SAM KYLE
PO BOX 3398
SEQUIM WA 98382
Critical Area Review Case Number: CAR00-00247
Project Description: manufactured dwelling replacement
Parcel Number. 002344016 S-T-R: 34-30N-02W
Site Address: 245 GARDINER CEMETERY RD
GARDINER WA, 98382
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
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
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JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
❑ NEW BUILDING REPLACEMENT
SIZE Z 7/ .$1
YEAR /92 l
MAKE i1 i v
COST OM) &
BEDROOMS: BATHROOMS:
EXISTING EXISTING
PROPOSED �-- PROPOSED
TOTAL TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
DIVIDUAL SYSTEM 0 Conventional r0-'PUBLIC
PERMIT # SEP 0 Alternative Name of water system: 4),�'-1
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE /.Lr//= 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.
SIGNATURE DATE
NAME (PLEASE PRINT) ,�1.1•t 127
FOR OFFICE USE ONLY
BASE FEE / / 0 O RECEIPT# (011110
ADDITIONAL SECTIONS CASH/CK# /S
SUBTOTAL / f_ O U DATE (U`I/61 o o
POTABLE WATER
911/ROAD APPROACH
TOTAL 0
H:\HOME\PLN C N T RI F O R M S\M O B I L EA P.10/9 9