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HomeMy WebLinkAboutBLD2000-00683 • 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#: BLD00-00683 Received Date: 10/13/2000 SITE ADDRESS: 513 SEATTLE DR Issue Date: 11/8/2000 PORT LUDLOW, 98365 Expiration Date 11/8/2001 APPLICANT: ED MARENTIS SHIRLEY MARENTIS 2310 MULHOLLAND BLVD SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 18 PARCEL#: 950100415 Section: 16 Township: 27 N Range: 01 E CONTRACTOR/ DEALER INSTALLER: FRED GARCEAU WAINS1690 Expires: 10/1/200 164 HEUHELEIN RD PORT ANGELES WA 98362 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: GOLDEN WEST YEAR: 2000 SIZE: 40X56 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 11/8/2001. REQUIRED INSPECTIONS: [11--- Footing/Setback (If continous footings are used): f f " ,Z- d --------- (1t o ram) a( - s lb re. e „ Ire o ( Blocking/Setbacks/Plumbing: U 214) /--.2 .2 4 / [ Final/Skirting/Vents/Porches/Steps: }/ J,d22- k trek_ 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 I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00683 Received Date: 10/13/2000 SITE ADDRESS: 513 SEATTLE DR PORT LUDLOW, 98365 APPLICANT: WALTER H PEDERSON PHONE: PO BOX 9 QUILCENE WA 983760009 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 18 PARCEL NUMBER: 950100415 Section: 16 Township: 27 N Range: 01 E CONTRACTOR/ DEALER: INSTALLER: FRED GARCEAU WAINS1690 10/1/2001 (360)457-5518 164 HEUHELEIN RD PORT ANGELES WA 98362 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDEN WEST SETBACK: VALUATION 74,000.00 YEAR: 2000 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 40X56 SEWAGE DISPOSAL: CON WATER SYSTEM: BRIDGEHVN PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Food Plane F&W Landslide Routing Date: !� I b (oo Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: /� i �. / � J C Manufactured Homes $141.00 MAM 10/13/00 34666 A ' j � ,/^GQ Add. Manufactured Home $29.00 MAM 10/13/00 34666 '_-- W et-9. t'gFAiSl@ Water Application $30.00 MAM 10/13/00 34666 NOV n g MOO Total: $200.00 Jefferson County Planning & Building Department is\F_BLD_App_Mob.rpt 10/29/99 ! „ f I JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,_PORT TOWNSEND WA 98368 a MANUFACTURED HOME INSTALLATION PERMIT APPLICATION 14.. NEW BUILDING 0 REPLACEMENT SIZE p2.$X 6-6, X /j. r< 3 , YEAR 2 t O'>r'�' MAKE G 6c3 . COST '9'f,, p ©o BEDROOMS: BATHROOMS: EXISTING 3 EXISTING r' PROPOSED PROPOSED TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 14. INDIVIDUAL SYSTEM ❑ Conventional ,'PUBLIC PERMIT # SEP 0 Alternative '\ Name of water system: IF WATERFRONT PROPERTY, [3�� a.r-�r wad (7i Sy' 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. SIGNATURE 7,----4 -----"CVeil...-C.eet„.. - DATE / `_ / " 2 Crt-)L-'-' NAME (PLEASE PRINT) r/i'. G'ck h c-{a t,-__ (cc,c7 . ).-17- / FOR OFFICE USE ONLY , BASE FEE , " RECEIPT# �/ s ' - ADDITIONAL SECTIONSj''I CASH/CK# f' _ SUBTOTAL DATE /0` //3 ( 1 •, POTABLE WATER O 911 ROAD APPROACH TOTAL �3�' �`�� H:\HOME\PLNCNTRIFORMSIMOBILEAP.t 0/99 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00683 Received Date: 10/13/2000 SITE ADDRESS: 513 SEATTLE DR PORT LUDLOW, 98365 APPLICANT: WALTER H PEDERSON PHONE: PO BOX 9 QUILCENE WA 983760009 SUBDIVISION: TRAILS END HOMESITES Block: 4 Lot: 18 PARCEL NUMBER: 950100415 Section: 16 Township: 27 N Range: 01 E CONTRACTOR/ DEALER: INSTALLER: FRED GARCEAU WAINS1690 10/1/2001 (360)457-5518 164 HEUHELEIN RD PORT ANGELES WA 98362 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDEN WEST SETBACK: ' VALUATION 74,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 40X56 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BRIDGEHVN BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Food Plane Routing Date: 10 I , F&W Landslide !OD Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 10/13/00 34666O Add. Manufactured Home $29.00 MAM 10/13/00 34666 - � C Nl P8G49B Water Application $30.00 MAM 10/13/00 34666 Total: $200.00 Loy n ° '1 At WJ'`'. j\ is\F_BLD_App_Mob.rpt 10/29/99 • • i f l STORM WATER CALCULATIONS Owner/Applicant: 'Pa C PROPOSED LAND DISTURBING ACTIVITY Site Address: 3 w E" Drainfield area cleared / 0 t'7 sq.ft. (,t) )) ‘‘? 5'.. Driveway Length (,;.3 ;? ft. X Width ft. 9 Digit Parcel Identification No.: / — I.5~ = Total Driveway 6 Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. 3,, u C9 a sq.ft. INDICATE the following information. Total Land Disturbance 3 `7 O sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals IMPERVIOUS SURFACE Proposed Structures (all roof area) sq.ft. ❑ 1. North arrow Existing Structures (all roof area) sq.ft. C 2. All property boundaries and dimensions Sidewalks sq.ft. ❑ 3. Names of adjacent streets Concrete Patios sq.ft. 0 4. Driveway/s & parking spaces Proposed: 5. Major features such as ravines, Driveway Length k` ft. seasonal creeks, bodies of water, etc. X Width ft. C 6. Septic tank, drainfield and reserve area location, = Total Driveway (o 4 0 sq.ft. existing or proposed, and distance to Total Impervious Surface C's sq.ft. closest structure • 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: C 8. Wells and/or water lines • Construction Access Route Stabilization: 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with C 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. boundaries, structures, banks, Street washing should only be done after the bulk of the sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base C 14. Arrows showing direction of slope- on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best Management Practices (BMPs). INDICATE: • Maintenance: C 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of C 16. Top of bank, if over 10 feet high their intended function. C 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 /0 09 : 31A Fred Garceau (360)457-5518 P . 01 f .4 r_ aLi b -- Pti 8-1-si 4 ,,,i , . ,0 , t0 <4 „,_ e,# r d-4-_, 4,-_, o i ti O40 O�G�Ok, f Q� ` poi 'mil _t5 3 _ D TL ,p.1 to 31 i /sr3 r int'"4 &oT . 7 CSea t& .57; ,),\, \v_____ (--.) \O N\--1 , \ (-- \ s . — • 1•1•:. i• 1 1 t''N i ..., ;:if110 ' 1 •'°' g gli 1 1 •••-•I.fs, 1.:-. .1. t i i ;CA0'74 sE'• . g ., ,..._.._ . .,.....,_ ,.. ,,,, '1.. ....._ ;-,... . ••••• 7 A .0 1,3 2'24 S pt , ' . C.•••—-• • .. ,.. ....114 r••..„ (sk.,,, .. 4. '13 :x 3 0 -----1 ----, si 3 1 S 7/8 I , fl •. 1 i Z . l s Itt :. ..., -\\.,..._1,. ,. -- ; it,i••••• *Pq.., : c• ,.E . ' L„. _0 _...- cis, - ly, ,5 -0-g : K.....„ ,. :EV' S g. E.1 ti,3i44 , ' I Li k...4,n r..):14)11112, IT .:::,,,,.., —... 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':..--- Y _ v1 ,- 1:1: 2•--'--- . 1 g la. ril.' -1 .—, ....... 41 p = ;:igP1 i Aitgg 4 v t7 A , 4 e s . ii P •. 0 Cl.:- • 1/45•iim t Es: 1 r- 1.1 ' ' E ,..k.. ,i..„ .._,.....i.z .15 ,..... 0 - i14:14i.'. '1 46 'LQ 1 1 1 . — ._., ........ ...._... . ......---._.._ ..,, „ . .. ...... --___--... 10 'CI £91Z£99609 'ON XV.4 E9It S3WOH GOOIINVO Wd 9F:90 IIRL 00-0I83..i I. abed NUJ ]1110H 1SL SNVA8 4-- C91.3£9960g woJI (N. :91. 00—01.—qa PeA!eoaH • ♦ * 2 ; Jefferson County Department of Community Development L 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name ZA ' , �. t -: Li X, Building Application _ Land Use Application _ Shoreline Application On-site Sewage Application _ Subdivision Application Other: 1 . Is there any standing or running water on the surface of the — Yes No property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been _ Yes �, No identified as a wetland or swamp? ` If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present Yes x No — on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any — YES >X, No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) T ❑ ❑ ❑ i / / / / / /' i / / / / / / / / i / / / / / / / / / / / / / / / / / / ,.L, / / / / / / / i / i / / / / / r i / / / / / / I / / / / / / , .4 __. i / i i / / / /' ,. i / i / i / / , . i / / i i / / / ,' ,. i i / / / / / ' . . / / / / / / / , , .-. . JO / / / / / / / / " ' ....0 II / I / / / / ' �� ///// / / / .' I//I///,�.,.;.'' (Questionnaire Continues on Back) Page 1 of 2 r . I . • 6. Does the site have steep slopes with little to no vegetation? YES , No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine _ YES / NC sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the YES )( NC surface of the ground? If YES, please describe: 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 or application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested anc shall occur during regular business hours. Signature ` s Date /0 -- 3 2 e- FOR OFFICE USE ONLY Wetlands E Seismic CRITICAL AREAS ON OR = Aquifer Recharge Area (zone_) = Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: Frequently Flooded Area ❑ Fish & Wildlife Area 2 Erosion E Landslide =Seismic = Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc t;00