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Home My WebLink AboutBLD2000-00538 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 #: BLD00-00538 Received Date: 8/15/2000 SITE ADDRESS: 213 BLANCHE AVE Issue Date: 10/23/2000 PORT HADLOCK, 98339 Expiration Date 10/23/2001 APPLICANT: NANCY STRATTON PO BOX 105 PORT HADLOCK WA 983390105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 18-21 PARCEL#: 973500208 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/1/2001 1112 JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION ADU (MANUFACTURED HOME INSTALLATION MAKE: FLEETWOOD YEAR: 1997 SIZE: 14 X 56 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 10/23/2001. REQUIRED INSPECTIONS: PI" Footing/Setback (If continous footings are used): ; (-4(') )/< �_ 1 )-1 b __a [`] Blocking/Setbacks/Plumbing: Cr) iC ) _L U Final/Skirting/Vents/Porches/Step • Cf:,/(' .7 / f4-14)/' 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 a MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00538 1 1,; Received Date: 8/15/2000 SITE ADDRESS: BLANCHE AVE '- PORT HADLOCK, 98339 APPLICANT: NANCY STRATTON PHONE: (360)385-4631 PO BOX 105 PORT HADLOCK WA 983390105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 18-21 PARCEL NUMBER: 973500208 Section: 02 Township: 29 N Range: 01 W CONTRACTOR/ N&-TRENDEN_TERPR I /�''O �SJ -" PHONE: (360)683-6080 DEALER: PO BOX 17 / 0 6.2 (-« wag — y«?.‘? QUIM WA 98382 Contractor's License NUTREE*273P6 Expires 01/25/2000 PROJECT DESCRIPTION ADU (MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP ADU MAKE: FLEETWOOD SETBACK: VALUATION 20,000.00 YEAR: 1997 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 56 SEWAGE DISPOSAL: CON WATER SYSTEM: CITY BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO Prop: 1 Prop: 1 AREA Plat Conditions Wetland Erosion Total: 1 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 08/15/00 33462 APPROVED Potable Water Application $30.00 MAM 08/15/00 33462 Total: $171.00 OCT 2 3 20rM Jefferson County Planning & Building Department i:\F_BLD_App_Mob.rpt 10/29/99 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 ` ' MANUFACTURED HOME INSTALLATION PERMIT APPLICATION XNEW BUILDING ,, REPLACEMENT SIZE \ ^\ •, S ( c J` a' , , �\. YEAR \c\c 1\n MAKE �QV -� X COSTAa '�) a °' BEDROOMS: BATHROOMS: EXISTING a- EXISTING i, PROPOSED I PROPOSED 1 TOTAL TOTAL _ TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL ,1 ( INDIVIDUAL SYSTEM) Conventional "(PUBLIC PUBLIC PERMIT # SEP / 0 Alternative Name of water system: / gy• z6 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 �-= - ' , -\I.-.."----- DATE NAME (PLEASE PRINT) AC),�,c' .i C) y - FOR OFFICE USE ONLY BASE FEE I 1.1 RECEIPT# 3 `'1. ADDITIONAL SECTIONS t CASH/CK# J SUBTOTAL 1 1. DATE "Sr �+ }L ` POTABLE WATER 2i--\tro- -OnrACa'. ((4 . 911/ROAD APPROACH 411 1 t 1 .4 TOTAL 2°0 15.eu H:\HOME\PLNCNTR\FORMS\MOBILEAP.10/99 ac%.0 c) 4 Q ` LIg3.O 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 NOT A TAX STATEMENT NAME: C) <-'N \cN \`c4 � —' The purpose of this questionnaire is to obtain information `- regarding either the current location of a mobile home or the ADDRESS: V1 previous ownership and location of a mobile home. This will �Q 1 helpt our officerolldetermine whether the mobile been is already � 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: additional information. 1) MOBILE HOME DATA: (A) MAKE `�UL� � (B) MODEL (C) YEAR \C\C:f\ (D) LENGTH S L r (E) WIDTH N\ (F)SERIAL NUMBER (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX �?, ��(� (H) PURCHASE DATE 2) PREVIOUS OWNER / LOCATION OF MOBILE HOME: (� ,I�(� (A) FROM WHOM DID YOU PURCHASE MOBILE S cif-,� �� J+`1 TCz- ADDRESS { �� ` ` V �` WN (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES 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 140C....17 (B) IF LOCATED IN A MOBILE HOME PARK: NAME 8L ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: (X,VC\ \nrr-k-417-)\ LOCATION (ADDRESS) �- ) V\ e Ace—V L )/ 6 1 (}, REAL PROPERTY PARCEL NUMBER/DESCRIPTION '11\IN,C) (-2) . \-a-&OUC 13\ 'SCC,-K try) `7-- THANK YOU FOR YOUR HELP! SIGNA RE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. MANUF TURED/ MOBILE HOME INSTALLATION APPLICATION ---' Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00538 Received Date: 8/15/2000 SITE ADDRESS: -2,112 BLANCHE AVE PORT HADLOCK, 98339 APPLICANT: NANCY STRATTON PHONE: (360)385-4631 PO BOX 105 PORT HADLOCK WA 983390105 SUBDIVISION: MORRISSEY'S ADDITION Block: 2 Lot: 18-21 PARCEL NUMBER: 973500208 Section: 02 Township: 29 N Range: 01 W CONTRACTOR/ NU TREND ENTERPRISES INC PHONE: (360)683-6080 DEALER: PO BOX 1780 SEQUIM WA 98382 Contractor's License NUTREE*273P6 Expires 01/25/2000 PROJECT DESCRIPTION ADU (MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP ADU MAKE: FLEETWOOD SETBACK: VALUATION 20,000.00 YEAR: 1997 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 56 SEWAGE DISPOSAL: CON r;C WATER SYSTEM: CITY PARCEL TAGS: YES NO___// BEDROOMS: BATHROOMS: STORMWATER: YES NO ....--"- Exist: Exist: AREA Plat Conditions ;NI/) Prop: 1 Prop: 1 Wetland � Erosion b ` Total: 1 Total: 1 Seismic te5 Streams w ' Flood Wad Food Plane F&W �'-_ Landslide 1.j 0 Routing Date: Shoreline P V Aquifer A/SC*4'1 Forest: Commercial r/ Rural d �`' C . Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 08/15/00 33462 a-, Potable Water Application $30.00 MAM 08/15/00 33462 e cool Nt a -_____c___ Total: $171.00 9.°11alle P-.3'Q. ,:,-,'- P4.1;;i ° ---4-: is\F_BLD_App_Mob.rpt 10/29/99 v • Jefferson.County Department of Community Development August 31, 2000 62 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: NANCY STRATTON PO BOX 105 PORT HADLOCK WA 983390105 Critical Area Review Case Number: CAR00-00375 Project Description: ADU (Manufactured Home Installation) Parcel Number: 973500208 S-T-R: 02-29N-01 W Site Address: 213 BLANCHE AVE 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 r posed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of propo development activities will require further review pursuant to the Jefferson County Critic Ar s Ordinance. Department of Community Development Staff c: File I:\F CAR Waiver Standrd.r t_ p 12/13/99 \J /I\ \�d 4 !' \ten gor , * i ,\ , .� . J it J C2'U ' ..........' ____,A / . _..-- . --,-1. 2- t - .o, s - V ' "):,, cr- ‘s ,,i , off'' "' ... �4 / - " . ..\ : T ...,_ et r._ is;'-' C,r:--,4 ,),\ "Th',• •- pCCEo r I .„ „..,\:\c-N‘ • v SEP 1 9 2000 . JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Jefferson County Department of Community Development /��o1v epG 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450 4.Aso, Universal Plot Plan h'7No Fill in the following blanks as completely as possible: Project Description: 9 Digit Parcel Identification Number (from your tax statement): r -: --7 - r, /-., (�1 Site Address Road Name: `)Ck.r _\ t,.k_ -' _ - Zip Code: I cl 911#: - aj Legal Description l r! Subdivision Name: t r 1 c c c i SseY Is ":-VA 2_ Block: Z.- `Lot(s): S,19, ZG, `f,R!Z Section: r To fnship: - Range: 0 i Parcel Size (acres or square footage): " '` 14 d -- Property Owner: Na a C.\ 5 K'01.., ,VdY1 Phone: 5—LIG I Mailing Address: \Az..... \c_ sic..., c s_...6_. ,c1 . ci Applicant/Occupant: Phone: (if different from owner) v N Mailing Address: Authorized Rep: Phone: Mailing Address: \\I i k General Contractor: ` � Or Manufactured Home Installer: WAx\ucekcj--/AQ is Phone:1-AO, (e 3-4,cjO ailing ddress: Vgntractor's Stat License Number: ill 0 4-re e��?� 6 Expiration Date: 1 _as_6 1 L C_�l n S Q'��,, Septic Designer: ,--1— Phone: (, ,\f\J Q\Vle_tv4lQC' Mailing Address: k CA t C CA t rt. ` 1. Co --1." '9 Architect:/Engineer: ` Phone: b x\A-E2\--Al-e-, \-\(titig Mailing Address: Loan Lender/General k ` Phone: _Contractor's Bond Holder: !\jc)f VVA. S A. Mailing Address: FOR OFFICE USE ONLY Fire District: Planning Area: School District: Zone: 1 1 1/00 H:\home\pincntr\forms\universal plot plan r —__ ___ a