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Home My WebLink AboutBLD2000-00533 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 #: BLD00-00533 Received Date: 8/14/2000 SITE ADDRESS: 217 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: JAMES HOESEL WAINS0250 Expires: 7/1/2001 641 PARISH RD SEQUIM WA 98382 PROJECT DESCRIPTION ACCESSORY DWELLING UNIT MAKE: KOZY YEAR: 1964 SIZE: 10X60 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: [ ] 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 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00533 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 INSTALLING MOBILE b DAti TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP MAKE: KOZY SETBACK: VALUATION YEAR: 1964 LABOR & INDUSTRIES APPROVAL? SIZE: 10X60 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: 0 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 08/14/00 33510 APPROVED Total: $141.00 (.j k OCT 1 3 2000 Jefferson County Nanning & Building Department is\F_BLD_App_Mob.rpt 10/29/99 w JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING ❑ REPLACEMENT SIZE ASV// .;;,, /a �( (�Q YEAR 4 , /9(jy MAKE K o z COST BEDROOMS: BATHROOMS: EXISTING EXISTING / PROPOSED 0 PROPOSED • Q TOTAL •. TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM 114onventional 0 PUBLIC PERMIT # SEP//(o0Olaf 0 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 1A -�s DATE SY1-7 I 0 0 • NAME (PLEASE PRINT) J R n t S e tit ,, I 1 FOR OFFICEUSE ONLY BASE FEE t/L'): RECEIPT# 3 10 ADDITIONAL SECTIONS CASH/CK# c SUBTOTAL ` vv DATE ! fti l • POTABLE WATER • 911/ROAD APPROACH TOTAL l/ H:\HOME\PLNCNTR\FORMS\MOBI LEAP.10/99 t ' r- t _ `t MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00533 SITE ADDRESS: 211 MEADE RD Received Date: 8/14/2000 NORDLAND, 98358 APPLICANT: JENISE REEVE MEADE RD PHONE (360)379-0337 NORDLAND WA 98358 SUBDIVISION: Block: Lot: T 88 PARCEL NUMBER: 921042047 Section: 04 Township: 29 N Range: 01 E CONTRACTOR/ DEALER: PROJECT DESCRIPTION INSTALLING MOBILE icic LiL TYPE OF WORK MOB MANUFACTURED HOME: TYPE OF IMP SHONE VALUATION �D MAKE: KOZY YEAR: SETBACK: 1964 LABOR & INDUSTRIES APPROVAL? SIZE: 10X60 BANK HEIGHT: - SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL ;� S PARCEL TAGS. YES Exist: 0 STORMWATER: YES NO BEDROOMS: BATHROOMS. Exist: _ NO Prop: 2 Prop: 1 AREA Plat Conditions Total: 2 Total: 1 Wetland Erosion Seismic Streams Routing Date: Flood Way Food Plane F&W G T om. Landslide Shoreline Aquife" Forest: Comme Rural rcial s'`� Type Amount Paid B Manufactured Homes ,,,.- y: Date: Receipt: r,R 9 d,�, -;-:-.:. --Y $141.00 MAM 08/14/00 33510 . ,, Total: $141.00 g i iaiew • •• „ .,..„:: „„. • ...„. - ,F_BLD_App_Mob.rpt 10/29/99 Jefferson County Department of Community Development October 20, 2000 62'1 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 propo development activities will require further review pursuant to the Jefferson County Critical Ar Ordinance. Department of Community Development S c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 �� oN Jefferson County Department of Community Development / --,e cod 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 / ! ,^ z. 1 h 1.\- 1 ` ' Universal Plot Plan Fill in the following blanks as completely as possible: Project Description: CcAA. ‘,..) ,' - , _ A , ', 0 9 Digit Parcel Identification Number (from your tax statement): q I Ot-t,2. CA-1-'7 0 L J Site Address 911#: 2.1 .1 Road Name: M R..c_C 1,-e Rd Zip Code: 9 3 S 2 Legal Description Subdivision Name: Block: Lot(s): Section: .4 Township: cl Range: 1 c Parcel Size (acres or square footage): ! - c,0. Pro Owner: Property jc_v_ktsQ m , !1Ar (c7PRV9---, Phone: C�G� 31c/- 076"3°7 Mailing Address: Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Phone:2-5� $ I OS Ig n O Or Manufactured Home Installer: at`''s Yr a-r c, k, Mailing Address: Contractor's State License Number: Expiration Date: Septic Designer: rn , (?a{ c-,,.9_,s Phone: Mailing Address: Po. r- . LA.—AA c;t.,) Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan a • rrnm>r -+�6R I H ECEI1VED 1 IF z 17 OCT 2 0 2000 c JEFFEASON COUNTY I Y 71H �- M 4 pp: A 43. . `$'' /P(-----4 ?;1\ 6- I 'L I JET"I 14:. .�' C' ti it � � � ��':�r ! t o • +I `<. I ., r. 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