Loading...
HomeMy WebLinkAboutBLD2000-00510 • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00510 Received Date: 8/1/2000 SITE ADDRESS: 41 W KINKAID ST PORT HADLOCK, 98339 APPLICANT: RICK LECHTENBERG PHONE: (360)379-8847 PO BOX 234 CHIMACUM WA 98325 SUBDIVISION: IRONDALE (�S?'o3 Block: 52 Lot: 7-11 PARCEL NUMBER: —.96480521T- ( Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ K,R /< .5 i L ✓�S .� n/S T/9 L L L^%? DEALER: Gt'/-/ /VS O Z ? O tf? F 6/3o(e / PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLAMINGO SETBACK: VALUATION 3,500.00 YEAR: 1974 LABOR & INDUSTRIES APPROVAL? SIZE: 65X14 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 Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 08/01/00 32277 P Potable Water Application $30.00 MAM 08/01/00 32277 Total: $171.00 A 1 Jefferson County Planning & Building Department is\F_B LD_App_Mob.rpt 10/29/99 144 . 4110 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING 0 REPLACEMENT SIZE ( YEAR / 9 7 MAKE f G p:'� ( y t c" C7 COST 3s c 0 BEDROOMS: BATHROOMS: tt EXISTING EXISTING PROPOSED 0® PROPOSED 0 TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM la Conventional t& PUBLIC PERMIT # SEP 0 Alternative Name of water system: CCf 7 e F I4 r rT IA%IA "� IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE 11 ft BANK HEIGHT /fr ft s / 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. rr SIGNATUREilil U DATE /Ll�� NAME (PLEASE PRINT) 1,421. FOR OFFICE USE ONLY ") BASE FEE ' 1 .a° RECEIPT# ADDITIONAL SECTIONS .-.-! CASH/CK# 15 SUBTOTAL . DATE ! 1 POTABLE WATER ' 911/ROAD APPROACH TOTAL t 1 H:\HOME\PLN CNTR\FO RMS\MO BI LEAP.10/99 Jr • • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development . 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00510 Received Date: 8/1/2000 SITE ADDRESS: 41 W KINKAID ST PORT HADLOCK, 98339 APPLICANT: RICK LECHTENBERG PHONE: (360)379-8847 PO BOX 234 CHIMACUM WA 98325 • SUBDIVISION: IRONDALE Block: 52 Lot: 7-11 PARCEL NUMBER: 961805214 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ x( a /< .5'4. ✓6 ,S- — .2"A/S767 (. L c--? DEALER: e()/a f i,(S © 2 0 ?< 6/30% / PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLAMINGO SETBACK: VALUATION 3,500.00 YEAR: 1974 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 65X14 SEWAGE DISPOSAL: CON WATER SYSTEM: CITY BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO AREA Plat Conditions Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 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 08/01/00 32277 `° Potable Water Application $30.00 MAM 08/01/00 32277 i .. Total: $171.00 e ii°61.:i a r (70 r, v, - i/A /7J 7177 is\F_BLD_App_Mob.rpt 10/29/99 9 e 3 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 #: BLD00-00510 Received Date: 8/1/2000 SITE ADDRESS: 41 W KINKAID ST Issue Date: 8/22/2000 PORT HADLOCK, 98339 Expiration Date 8/22/2001 APPLICANT: RICK LECHTENBERG PO BOX 234 CHIMACUM WA 98325 SUBDIVISION: IRONDALE Block: 52 Lot: 7-11 PARCEL#: 961805214 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: KIRK SILVES WAINS0282 Expires: 6/30/200 PROJECT DESCRIPTION MOBILE HOME INSTALLATION MAKE: FLAMINGO YEAR: 1974 SIZE: 65X14 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 8/22/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): O (),.— I `1 a 1 [ ] Blocking/Setbacks/Plumbing: ' iK ( -3-a [ ] Final/Skirting/Vents/Porches/Step �i)---ID E 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 • • Z i. 0 I F.,r • 47 tp 1 I Or-%VC- Wily (IS 1 i 4 I • (15 1 :Z)4. ;,' bI c.,...) 6-7:1; I N 1 44 ri 1 . .... i "1 7 4e) 1 1 a ) &Ar7.21..., —- (1[1- ^4.. v C ;/ IV 2>. "*a.1 \ik'".. t limomm [ommronsmonaw ,•.: --.• "sa •• (I) )*.• r 7' i"..,` f\•• qZ:i \Atm 0 ci) Z-• .--1 C\ u 0 ‘,./) ' r• CI fai Nt) rt" :..,,ck• N'. C::) 111 - .9. C-4 c...) 4-) N t4).(7) fa N 7 i ai a.).• '.•'• i ii Ei ct • .'13 U .. ... ..4 P., .--. 0,-.,r, czt r—i 4 0 N 1. 1 .<2 sn ""--• PO 4.3 00 --) --u ...) a Sko f4---% CU o (,)• ,.` - ,.0 --- - ez se. 0 7 c.... ci 4 ..., c-) -'.--• ti kJ - 0,....., .Q Q.) VI 0:1) .4 0 0 4 c.) , LI) PJ Vq) .0c) tz.i o ul vs° ,.....14 Z 1-I •il "-N4 Q .--• • ..... . , a a) 0 , D.,__ - 4 •••41, r- tff 0 14t.1); PC:1 ›'• Z ..... V) ...'-:* '''.4, ..-'4 •-..t ii Lu o v.) ••• 400, 1 q '44 ....... ti ‘i ....... ...... s, v g) I- ...1 ..0 s... .4 0 g b N., • ! . 3.. .. , rsi q..) •-4 -1. t5 r..\..," g 0 -1:, N., 0 ,_.9. - v. 0 0 .,, ).-4 Z (114 -14 I d a) 7,'.. \ki NC a) U q E ()(1) ...a -6 ...- CU •• 44.- !"") 1 p. ''. -..: .3 kg ---.... k......s, p N.:. .,•• Z° 8 ;--1 b.. cu b ce7/11‘ 4 0 tn -- { •.cv t. q ,.) •,-1 (413 'CI "Fii 0 .. os b - 0 ,:t . ..c, •- r, ....., i'3 -,,,, -,_, tr,' r-q b 6 1 (...) g..-- ,...1 .1.) .45) 't ••••1 OD ‘-., bA U a) c, rti P-4 a, v) cy, w-.1 v) v) 0-1 P.4 I< C.-C .e. 1 cg 6 . d :i.)-' .j. ., 3 c5 ._. I — — A to ...._ , .... • r. _____.....„.......___ ... ,c) .3 . , r z. smovai3s x .< > -< •..., n't z u. • (IQ (» cp 0 4'3 CC Ci LI 0 —1 0 CC A >-• c\ al -2 ... 0, •1 .-. t.i t.3 1.:... .__.ad w - u_ a. L. 1' 1.4,t5,0 .rc.11'- witl ,...Z ai> i A •—• 0 P < lt- ) (I) C) il. Z CC 0 Y Q. 19 • ., 4,2,0 0 Y ,y0 \ +4. Z v) cv II ailt) . IS .... a. a. 4 I.- an 2 0 -0 .....; .J Q.) coC Z 13. O LIJ : .c p .J U C CD < El., 0 O < b E .J tn