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HomeMy WebLinkAboutBLD2000-00532 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 #: BLD00-00532 Received Date: 8/14/2000 SITE ADDRESS: 211 MEADE RD Issue Date: 10/31/2000 NORDLAND, 98358 Expiration Date 10/31/2001 APPLICANT: JENISE REEVE 211 MEADE RD NORDLAND WA 98358 SUBDIVISION: Block: Lot: T 88 PARCEL#: 921042047 Section: 4 Township: 29 N Range: 01 E CONTRACTOR/ DEALER INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/22/200 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION MOBILE HOME REPLACEMENT MAKE: BROOKWOOD YEAR: 1972 SIZE: 40 x 20 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 10/31/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): ['] Blocking/Setbacks/Plumbing: 1 [ ] Final/Skirting/Vents/Porches/Steps: 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 r A $ A. . MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00532 Received Date: 8/14/2000 SITE ADDRESS: 211 MEADE RD NORDLAND, 98358 APPLICANT: JENISE REEVE PHONE: (360)379-0337 211 MEADE RD NORDLAND WA 98358 SUBDIVISION: Block: Lot: T 88 PARCEL NUMBER: 921042047 Section: 04 Township: 29 N Range: 01 E CONTRACTOR/ DEALER: PROJECT DESCRIPTION MOBILE HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: .� SHORELINE: TYPE OF IMP NEW " MAKE: SETBACK: VALUATION 13,500.00 YEAR: ,U oa 6`' (9? SIZE: ) 4 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? v -o 1C &l U SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: , Prop: 2 Wetland Erosion Total: „,,3"v9.--, Total: 2 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 08/14/00 33510 APPROVED ( Total: $141.00 cld,T 1 1 2000 Jefferson County Planning &Building Department 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 X REPLACEMENT SIZE 241' X (.,L(/ YEAR J'J7(p MAKE COST 11/3S2O BEDROOMS: BATHROOMS: EXISTING 3 EXISTING 2 PROPOSED PROPOSED TOTAL 3 TOTAL 2 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: SEWER 0 COMMUNITY SYSTEM %PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM L°1/Conventional ❑ PUBLIC PERMIT # SEP V60 j.2l 0 Alternative Name of water system: ^// IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE 4(4 ft BANK HEIGHT Aiii4 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 1 DATE ''f~l I 0 c' NAME (PLEASE PRINT) S-2�V\ c e- rn •\ v FOR OFFICE USE ONLY t BASE FEE I I . CD RECEIPT# 33510 0 ADDITIONAL SECTIONS CASH/CK# L3 SUBTOTAL t LF ( .° DATE /1 T/>c 0 POTABLE WATER 911/ROAD APPROACH TOTAL t ( H:\HOME\PW CNTR\FORMS\MOBI LEAP.10/99 �,4"t"g l Y-,,c \ ' \ 1 1 ,h Ni aI I i s 1 I ' n I } 7..1t 1 I W � 1 n E t t t � f 0 1 I i 4 � � j.vl ) ° ' .�. _C: R 0„..4 -.... , .___ ...._. ____ _ _ .�.._. .e /cox ( () . ,_)41-11 s ,,,i,. (Yi , i;i,..q.,- 6,:.„.„ : ) .t........... N _ T)) EcEllwE ....... -,, -2_, , ry,,e,„,,,L,, !,,R ,,, -1-` -' 1j. �/. ....I -7 mz Cz._cL c ill 26 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT j„...-------7: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD00-00532 SITE ADDRESS: 211 MEADE RD Received Date: NORDLAND, 98358 8/14/2000 APPLICANT: JENISE REEVE 211 MEADE RD PHONE: (360)379-0337 NORDLAND WA 98358 SUBDIVISION: PARCEL NUMBER: 921042047 Block: Lot: T 88 Section: 04 Township: 29 N Range: 01 E CONTRACTOR/ DEALER: PROJECT DESCRIPTION MOBILE HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: VALUATION SHORELINE: TYPE OF IMP NEW 13,500.00 MAKE: ALLEN YEAR: SETBACK: 1976 LABOR & INDUSTRIES APPROVAL? SIZE: 24 X 64 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL PARCEL TAGS: YES Exist: Exist: NO BEDROOMS: BATHROOMS. NO STORMWATER. YES Prop: 3 Prop: 2 AREA — Total: 3 Total: 2 Wetland— Plat Conditions Seismic Erosion Streams Way Flood Routing Date: Food Plane F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid B Manufactured Homes $1 Y Date: Receipt: Approved/Date 41.00 MAM 08/14/00 33510 Total: . -, $141.00 ,,:;,,R 1-,1V: f„�,,Jay�;�,�,,,1.4_ ,may • _ ram. ti ; I -.-t,fgrizo7. _BLD_App_Mob.rpt 10/29/99 Jefferson County Department of Community Development October 20, 2000 • 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: JENISE REEVE 211 MEADE RD NORDLAND WA 98358 Critical Area Review Case Number: CAR00-00370 Project Description: installing mobile Parcel Number: 921042047 S-T-R: 4-29N-01 E Site Address: 217 MEADE RD NORDLAND WA, 98358 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 Ar` Ordinance. / i/\/\„.. Department of Community Development Staff c: File I:\F_CAR_Waiver Standrd.rpt 12/13/99 25.0/ , Dt It tMM>F4FitAiE R i)1i ECIEDVED • 11 .2 7 Illi OCT 20 2000 110 ).r 'i it i'‘/*4 7//17///t. l JEFFERSON COUNTY `�` \ ' DEPT.OF COMMUNITY DEVELOPMENT I 1 j N p� W I I a� IT S La I I › ,3 4— Au �o ,i ��� aa`. e yvt a-xis LV` 5` �.o is1 .ire tc.. �� „ i J ,I .,� I In moo, 1 h iv pm I . o WELL a Q. y I11 b k /0. rs-b 4 peiVITE t 5-e` AO.PrA .r.. - / 6/r 1'/b0 ITULLIZkr- LQ!Liz„o-r , (--- f• REVISED date. ± 676 R A•R, k\�\\.' 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