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Home My WebLink AboutBLD2000-00692 • 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 #: BLD00-00692 Received Date: 10/18/2000 SITE ADDRESS: 72 MAY ST Issue Date: 2/28/2001 PORT HADLOCK, 98339 Expiration Date 2/28/2002 APPLICANT: MIKE GRAVES SUZIE GRAVES PO BOX 283 PORT HADLOCK WA 98339 SUBDIVISION: CHALMER'S 1ST ADDITION Block: 5 Lot: 9-11 PARCEL#: 942600503 Section: 3 Township: 29 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/22/200 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION MOBILE HOME INSTALLATION--Mob Hm being moved from marrowstone BLD96 670 MAKE: LAMPLIGHTER YEAR: 1975 SIZE: 14X70 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 2/28/2002. REQUIRED INSPECTIONS: [ ] Setbacks: 0I -*c_- 3/7/, f [ ] Footing(If continous footings are used): [ ] Blocking/Plumbing: 34101 [ ] Final/Skirting/Vents/Porches/Steps: C f" 3124)( 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 #: BLD00-00692 Received Date: 10/18/2000 SITE ADDRESS: 72 MAY ST PORT HADLOCK, 98339 APPLICANT: MIKE GRAVES PHONE: (360)437-5136 SUZIE GRAVES PO BOX 283 PORT HADLOCK WA 98339 SUBDIVISION: CHALMER'S 1ST ADDITION Block: 5 Lot: 9-11 PARCEL NUMBER: 942600503 Section: 3 Township: 29 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: JAIME KOZELISKY WAINS0626 7/1/2001 4369-)38r32tS 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 37q-q ocZS- PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LAMPLIGHTER SETBACK: VALUATION 6,423.00 YEAR: 1975 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 70 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY 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 F&W Landslide Routing Date: m _ _Oa /(--)k43 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: r / t Manufactured Homes $141.00 MAM 10/18/00 34613 A P VE D Potable Water Application $30.00 MAM 10/18/00 34613 -I Total: $171.00 r F R 2 R 2001 JEFFERSON COUNTY DEPT. OF COM UNITY DEVELOPMENT SIGNATURE: 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 0 NEW BUILDING J� REPLACEMENT SIZE j Lj X 70 YEAR /9 7 5 MAKE LpmpA/eliir672 COST 4' y013 . 90 BEDROOMS: BATHROOMS: EXISTING EXISTING 1 PROPOSED PROPOSED TOTAL TOTAL 1 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO FAIRY WELL INDIVIDUAL SYSTEM i1 Conventional PUBLIC PERMIT # SEPQq -O,' 3 ❑ Alternative Name of water system: C/TV LJ47;:;Q IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE /V/A 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 J�/1/ OO NAME (PLEASE PRINT) 4O 77,- e-.A/61-.Z/ zrn FOR OFFICE USE ONLY BASE FEE 14 , 60 RECEIPT# ADDITIONAL SECTIONS CASH/CK# 2.-1 *7 SUBTOTAL t ' t , OO DATE IC / // POTABLE WATER • 911/ROAD APPROACH TOTAL L 1 l H:\HOME\PLN C NTR\FO R MS\MO BI LEAP.10/99 • k PLEASE MAIL TO: JEFFERSON COUNTY ASSESSOR JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOTA TAX STATEMENT NAME: I Q aE77'4 ZA/64.E/ 77m Nil-54 i The purpose of this questionnaire is to obtain information / regarding either the current location of a mobile home or the ADDRESS: (o o?a2/ C'RPE eiZa. 6 kb previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already PST /own/SeA/J/ CvA J�j68' on the tax rolls in Jefferson County or if it has been moved to this county from another area. Please see reverse side for TELEPHONE NO: (�600) 3441/ — 395-"/4 additional information. 1) MOBILE HOME DATA: (A) MAKE 1#g/?/P,G/6tfi7X/2 (B) MODEL (C) YEAR 1475' (D) LENGTH 7 ) (E) WIDTH 141 (F) SERIAL NUMBER /,j 65. _ (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) G,OOO (H) PURCHASE DATE /c///00 2) PREVIOUS OWNER / LOCATION OF MOBILE HOME: [I! (A) FROM WHOM DID YOU PURCHASE MOBILE I4/2 l./ 4 cez,/,,,,„/ ADDRESS 66 W. /TG48SA26 , �O,er /4,04cZK, (,cJ - ?e / (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? 1010 NO (IF NO,WHAT COUNTY? IF YES, WHAT WAS PREVIOUS ADDRESS OF MOBILE? 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO (B) IF LOCATED IN A MOBILE HOME PARK: NAME et ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK:f NAME OF LAND OWNER: m//E §/ Se. c,eA\IeS LOCATION (ADDRESS) 7 .. in4'-( 57:, C"O,e7 4avN, j rp , 41,4 91365 REAL PROPERTY PARCEL NUMBER/DESCRIPTION /W.40,0 5o3 THANK YOU FOR YOUR HELP! / - - SIGNATURE /1'2 KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00692 Received Date: 10/18/2000 SITE ADDRESS: 72 MAY ST PORT HADLOCK, 98339 APPLICANT: MIKE GRAVES PHONE: (360)437-5136 SUZIE GRAVES PO BOX 283 PORT HADLOCK WA 98339 SUBDIVISION: CHALMER'S 1ST ADDITION Block: 5 Lot: 9-11 PARCEL NUMBER: 942600503 Section: 3 Township: 29 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: JAIME KOZELISKY WAINS0626 7/1/2001 69a85=321 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 - _37q ocZ PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LAMPLIGHTER SETBACK: VALUATION 6,423.00 YEAR: 1975 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 70 BANK HEIGHT: SEWAGE DISPOSAL: CON ar7_/` WATER SYSTEM: CITY !�'—f BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditi ' Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 Seismic Streams sr- Flood Way Food Plane (,/ Routing Date: F&W Landslide Shoreline C Aquifer t 0 �� - / _00 ��Q -& Commercial Forest: Com e cial Rural Type Amount Paid By: Date: Receipt: ,Ap � �`�i to Manufactured Homes $141.00 MAM 10/18/00 34613 : I Potable Water Application $30.00 MAM 10/18/00 34613 it a* 7a cz- Total: $171.00 Rel J� V/. CT I \F_BLD_App_Mob.rpt 10/29/99 Jefferson County Department of Community Development October 19, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: MIKE GRAVES SUZIE GRAVES PO BOX 283 PORT HADLOCK WA 98339 Critical Area Review Case Number: CAR00-00460 Project Description: mobile home installation Parcel Number: 942600503 S-T-R: 3-29N-01 W Site Address: 72 MAY ST PORT HADLOCK WA, 98339 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. fi /7 A Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 . .i2d_/ S ) -�11„/ ii 7.._. _ 1 r Illi 1 a:l , ylvt>t?itr I 1 I 1 . i 1 I� 0zo _........ 1 , lik, ire .." Q '� / 711 11 .:. . . . .. , It i I f { 9 1 if e a S 1 S I I . I x 1 1 W 1 t i z 1 t , i ;1 I ' { I I j 1 1 i 1 ,ao 1 I, f ; I j 1 9 � � g >2� ii 9 1 a /� p I I � Ms J 1 } I I 1 i gx s 1 e ' '� . -9'�� 3N21.3s3� ►O1 ,1•77.7' .8 = 0/2N// } G •i �a „ cNt, m o N. ki,Q o Qi la" 4` ^ o N o co 4 ro 1. o0 G Vil C c C '� G 0 a o N a a a a • W a a a � o — O q° t� N x Q M N $ o too Mr' r. `rIs. LI -5.rc Q H h kk , 1... 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