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HomeMy WebLinkAboutBLD2000-00722 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 #: BLD00-00722 Received Date: 11/8/2000 SITE ADDRESS: 201 FULTON CREEK RD Issue Date: 11/29/2000 BRINNON, 98320 Expiration Date 11/29/2001 APPLICANT: RANDY SCHLEICH RONALD HESSELTINE PO BOX 333 SUBDIVISION: Block: Lot: T 11 PARCEL#: 502304008 Section: 30 Township: 25 N Range: 02 W CONTRACTOR/ PACIFIC MOBILE HOME PHONE: DEALER 24910 44TH AVE E CHEHALIS WA 98532 Contractor's License PACIFMS033DC Expires 10/28/2001 INSTALLER: TRACEY A VINCENT WAINS1890 Expires: 7/1/2002 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: LIBERTY YEAR: 1998 SIZE: 40 X 66 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 11/29/2001. REQUIRED INSPECTIONS: [0 "" ootmg/Setbac__k fIf continous footings are used)5c.r-)77 4- /-,' i(°, ,'' f'/l *-.� [ ] Blocking/Setbacks/Plu Bing: 5/--e"- r rTi-c .,,,Dlca ,/ ,, 3--0 f [lit Final/Skirting/Vents/Porches/Steps: Or--Wt-_ 1_,)_^1t^ b ) 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 #: BLD00-00722 Received Date: 11/8/2000 SITE ADDRESS: 201 FULTON CREEK RD BRINNON, 98320 APPLICANT: RANDY SCHLE1CH PHONE: (360)796-3128 RONALD HESSELTINE PO BOX 333 BRINNON WA 98320 SUBDIVISION: Block: Lot: T 11 PARCEL NUMBER: 502304008 Section: 30 Township: 25 N Range: 02 W CONTRACTOR/ PACIFIC MOBILE HOME PHONE: DEALER: 24910 44TH AVE E CHEHALIS WA 98532 Contractor's License PACIFMS033DC Expires 10/28/2001 INSTALLER: TRACEY A VINCENT WAINS1890 7/1/2002 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LIBERTY SETBACK: VALUATION 85,740.00 YEAR: 1998 LABOR & INDUSTRIES APPROVAL? SIZE: 40 X 66 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL 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 Routing Date: F&W Landslide ��--� �� Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: A ''''R�t�Vi C G D Manufactured Homes $141.00 MAM 11/08/00 35458 � t Add. Manufactured Home $29.00 MAM 11/08/00 35458 i C�J , PSFAiAB Water Application $30.00 MAM 11/08/00 35458 NOV 2 9 2000 Total: $200.00 Jefferson County Planning &Building Department is\F_BLD_App_Mob.rpt 10/29/99 ' t JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND ,WA 9836R MANUFACTURED HOME INSTALLATION PERMIT APPLICATION )Fir.. NEW BUILDING ❑ REPLACEMENT mR ;f „-Ei) !'� (' SIZE III YEAR — ?jp f - � toy MAKE G( j E� •-._ _..___w_._.____.._._ _.. __� ���.... JEFFEfiSG. C(jL-+fr1 COST 7. 73q 7 DEPT. OF Cl r„L�LiviiY ikVLLOPMENT BEDROOMS: BATHROOMS: • EXISTING 3 EXISTING PROPOSED 2 PROPOSED TOTAL 7 TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ySEWER ❑ COMMUNITY SYSTEM ( PRIVATE WELL ❑ TWO PARY WELL ❑ INDIVIDUAL SYSTEM ❑ Conventional 0 PUBLIC PERMIT # SEP ❑ 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. SIGNATURE 4 J DATE (( 1 rJb J NAME (PLEASE PRIN jalISLX1P V SC.dC.EtG6( FO OFFICE USE ONLY BASE FEE .. V RECEIPT# r„ ADDITIONAL SECTIONS CASH/CK# j r( ?. - i£ SUBTOTAL / 0& DATE POTABLE WATER f 911/ROAD APPROACH CAL v TOTAL H:\HOME\PLN C NT R\FO R M S1M O BI LE AP.10/99 _..... . • (Ar---0-0-00qc MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00722 Received Date: 11/8/2000 SITE ADDRESS: 221 FULTON CREEK BRINNON, 98320 APPLICANT: RANDY SCHLEICH RONALD HESSELTINE PHONE: (360)796-3128 PO BOX 333 BRINNON WA 98320 SUBDIVISION: Block: Lot: T 11 PARCEL NUMBER: 502304008 Section: 30 Township: 25 N Range: 02 W CONTRACTOR/ DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: TYPE OF IMP NEW SHORELINE: MAKE: LIBERTY SETBACK: VALUATION 85,740.00 YEAR: 1998 LABOR & INDUSTRIES APPROVAL? SIZE: 40 X 66 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PWELL I L ' BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMW•TER: YES NO°'�� ,,,-I Prop: 3 Prop: 2 AREA ►„$ Plat Conditio s I 'LJ Total: 3 Wetland ,Ii / Erosion Total 2 Seismic IMP Streams Flood yy,ay f\ 0 Food Plane 1 nn F&W PZ Landslide Routing Date: / 7�QD Shoreline n r Aquifer � Forest: Commercial Rural dl d Type Amount Paid By: Date: Receipt: Ap roved/Date Manufactured Homes $141.00 MAM 11/08/00 35458 z i . Add. Manufactured Home $29.00 MAM 11/08/00 35458 " ,. s":q P8L21�@ Water Application $30.00 MAM 11/08/00 35458 ' Total: $200.00 - , law A 4. yea l o� l va i1F_BLD_App Mob.rpt 10/29/99 • Jefferson County Department of Community Development November 9, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: RANDY SCHLEICH RONALD HESSELTINE PO BOX 333 BRINNON WA 98320 Critical Area Review Case Number: CAR00-00451 Project Description: 640-pressurized trench Parcel Number: 502304008 S-T-R: 30-25N-02W Site Address: 221 FULTON CREEK BRINNON WA, 98320 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 rs proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation f prb.osed development activities will require further review pursuant to the Jefferson County C tical reas Ordinance. Department of Community Development Staff c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 FROM : OL'iMPIC HOME CENTER PHONE NO. : 1 360 426 8560 Nev. 07 2000 09:28AM P1 WWII 1,, i 7F^: e j fOT ,,iEN_ i � MASTER � •L L_L _LL,LL_LLLLI. ' ' �--'tds'x�r-I 1 i BEDROOM -L L L,_I. —L L L L L.I _L L L._ 6 , ; a-,°z�r.r L �� if, �' l L L L„ 1..L L L IL t` L.L 1L'- L. -L- L I'j{ i F E LL LI�L,,, I-' 4.2 i • : ---- DINING —,-- • }1, RETREAT FAMILY `I ROOM \ I 1ROOM 1 rt 17-iP.ittr1' 1 — Yt�6'A 1S•14 di 1 • 4,1Jf�J ,L.LL. J 1 1 _LLLL C'� 1 LI _L,LI_LL SECOND -L I® TNtRD L,L L L L w LL-i LL' LL LivING ROOM (i r. BEDROOM -L LC� �"�ROOM -Le' L L 20'6'„w'-W tAiptCDMI fa)p �1 STANGApD 71pRXW04l7 3 I 11 /// rx+nr eo•.c, i, ' F 2515 SQ° FT. 313R, 2..1/2BA, FAMILY ROOM, MASTER SUITE KL427001 1 {{1 I � E � t1 IIi l ! I i ti° OPTIONAL IiI FOURTH iE , BEDROOM { 3 p-r a KY.6' ; i 3 um owrmraw rQ fl.I e !jli h I 1.1 { ' till .rr•—. 5 V -- _ cola.. Jefferson Canty Department of Community Development � �° e°�� 6213I�eridan Street,Port Townsend WA 8836813601378-4450 W t'a, oPrmo �° PpUk ?5© _ 0 0' Project Description: or,�, SPR. fi A D (.( Building Type: Project Type: Frame Type: x,Single Family `' New ❑ Wood ❑ Garage Attached/Detached ❑ Addition ❑ Steel ❑ Modular ❑ Alteratic `$I, Concrete • Commercial ❑ Repair ❑ Masonry ❑ Multi-family/#of Units ❑ Demolition ❑ Other: ❑ Industrial ❑ Other: Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: 3 Existing: 2., ❑ Sewer ❑Community System ,Electricity ❑ Oil Proposed: Proposed: X.Individual System ❑ Woodstove ❑ Propane Total: 3 Total: Z If not sewer,fill out the following: ❑ Heat Pump ❑ Conventional ❑ Alternative ❑ Other Permit# SEP Water Supply: ❑ Private well A.Two Party Well❑ Public:Name of water system: — Square Footage: For Office Use Only Main Floor 2.C,4-o UBC OCCUPANCY GROUP ---- 21`'D Floor Base fee ff 3�Floor Plan Check fee / • �Sp Htd Basement State Surcharge fee S ' Unhtd Basement Subtotal (v - _ Garage/Carport Pot Water Review fee Decks 911/Rd Approach fee ' _ _ -r Commercial TOTAL c " Sr. 1 Industrial Receipt # Other Cash/Check# Total Valuation: Q Initials *t I,Or Date Estimated Cost: If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark 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 attomey'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 provi cess and right of entry toefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of try t the ap cant's pr or all be req ed and shall occur during regular business hours. 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