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Home My WebLink AboutBLD2000-00760 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 #: BLD00-00760 Received Date: 11/27/2000 SITE ADDRESS: 4613 S DISCOVERY RD Issue Date: 12/19/2000 PORT TOWNSEND, 98368 Expiration Date 12/19/2001 APPLICANT: LAWRENCE LAMMERS PO BOX Q BRINNON WA 98320 SUBDIVISION: EARNEST SHORT PLAT Block: Lot: 3 PARCEL#: 001321052 Section: 32 Township: 30 N Range: 01 W CONTRACTOR/ OWNER PHONE: DEALER PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: BROADMORE YEAR: 1978 SIZE: 14 X 60 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 12/19/2001. REQUIRED INSPECTIONS: [ ] Footing/Setback (If continous footings are used): [v�{ Blocking/Setbacks/Plumbing: a :T" [ ] 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 #: BLD00-00760 Received Date: 11/27/2000 SITE ADDRESS: $ D1SC.ovER-y R.o PORT TOWNSEND, 98368 APPLICANT: LAWRENCE LAMMERS PHONE: (360)796-4192 PO BOX Q BRINNON WA 98320 SUBDIVISION: EARNEST SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 001321052 Section: 32 Township: 30 N Range: 01 W CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: BROADMORE SETBACK: VALUATION 1,500.00 YEAR: 1978 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 60 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL 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 4/2e40 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid B : Date: Receipt: '� `�� Yp Y p AP E Manufactured Homes $141.00 MAM 11/27/00 35516 , ,/ Q Potable Water Application $30.00 MAM 11/27/00 35516 DEC 1 8 2000 Total: $171.00 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 NEW BUILDING ❑ REPLACEMENT SIZE f b YEAR / 7 3" MAKE f}V D F'1 COST ' I)BOO, e47. BEDROOMS: BATHROOMS: EXISTING A. EXISTING PROPOSED PROPOSED TOTAL A TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER ❑ COMMUNITY SYSTEM PRIVATE WELL 0 TWO PARY WELL . INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC PERMIT # SEPC%9"SS' 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. IGNATURE . �G :. DATE NAME (PLEASE PRINT) � ' �`}! / ` FOR OFFICE USE ONLY BASE FEE f y/,el ( l ' RECEIPT# ADDITIONAL SECTIONS ! / CASH/CK# / ! 93 SUBTOTAL /!'/7 DATE ts�/J O 0 POTABLE WATER TOTAL 0 C) ' ' H:\HOME\PLNCNTR\FORMS\MOBILEAP,10/99 . -,. 1 . .."4. % 77 a G ' t I. � r�r • t '-' Jv Pi 44 A- , fi tA ri, Ei- --t-q N -a. 0 s 3 v‘V../-L--------------1-------,it � M b p x 3 5.- L w li It 4' Ul N. 4.1E-, 52- --> 0 -0 1.............".••••••••••._ _ - - _ ff ;. ...th. = E E c.--( .. ....0., ch, co 1"..• Ci• 0.'1/4- ;Z."- ,--, > C,, %• . C!.• -N; 7-- i•.:.::::'i: % ... . az r—, • CI ES ',,'•••0 .. 3. 0.0 H: 11 •011 ....4 -!--1-.' 0 h••• i = lb ,5 — 0\ .6 i , :: ::•:• ... 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CI ..... 0 W In C 41) • C.) •ty C tp < ta.71 co ..Ne C.) 2 .- ._ 0 0 ...1 0 • o MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00760 Received Date: 11/27/2000 SITE ADDRESS: 5 DiSCcvER-i RD PORT TOWNSEND, 98368 APPLICANT: LAWRENCE LAMMERS PHONE: (360)796-4192 PO BOX Q BRINNON WA 98320 SUBDIVISION: EARNEST SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 001321052 Section: 32 Township: 30 N Range: 01 W CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: BROADMORE SETBACK: VALUATION 1,500.00 YEAR: 1978 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 60 BANK HEIGHT: SEWAGE DISPOSAL: CON f- l . s�/ WATER SYSTEM: PWELL ,n�. S PARCEL TAGS: YES . - NOS 41v' �"`� ��i BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA i Plat Conditions Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 Seismic /''$treams Flood Way . ,, d ,!food Plane J t`J t-1 r F&W Landslide / 1 Routing Date: /� 2 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 11/27/00 35516f/ _ Potable Water Application $30.00 MAM 11/27/00 35516 Total: $171.00 lf ix, i:\F_BLD_App Mob.rpt 10/29/99 STORMWATER CALCULATIONS Owr;er/Applicant: . ,# Y y Z , 6,,, /$ "y M r ji 1 ❑ PROPOSED LAND DISTURBING ACTIVITY Site Address: p/fit a rG.- V p Drainfield area cleared/ � � X l P Driveway Length ft. X 1 ., = Total Drivewayft. et,9 Digit Parcel Identification No.: � - "`�► R A `, Width �dl � � sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. INDICATE the following information. r f/ b sq.ft. Total Land Disturbance rf d sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals ❑ IMPERVIOUS SURFACE Proposed Structures (all roof area) P SSG sq.ft. ❑ 1. North arrow Existing Structures (all roof area) sq.ft. 0 2. All property boundaries and dimensions Sidewalks sq.ft. 0 3. Names of adjacent streets Concrete Patios 4. Driveway/s & parking spaces sq.ft. Proposed: 0 5. Major features such as ravines, Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. ❑ 6. Septic tank, drainfield and reserve area location, = Total Driveway sq.ft. existing or proposed, and distance to Total Impervious Surface sq.ft. closest structure ❑ 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel 0 8. Wells and/or water lines Minimum Requirements: • Construction Access Route Stabilization: 0 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with 0 10. Paved surfaces (patios) quarry spalls or crushed rock to minimize the tracking of sediment onto public roads. If sediment is inadvertently 0 11. Structures, existing and/or proposed transported onto public roads, roads shall be cleaned 0 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: 1 3. Easements for access or utilities All exposed and unworried soil shall be stabilized by sodding, seeding, mulching, plastic covering, application of gravel base ❑ 14. Arrows showing direction of slope on roads and driveways, or other appropriate means within assume an elevation of 100 feet at one seven days during the period from May 1 to September 30 and within two days during the period from October 1 to April 30. Mulch shall be applied to a minimum depth of two inches. lot corner and indicate the other lot corner elevations in relation to it • Protection of Adjacent Properties: Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices (BMPs). • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of ❑ 16. Top of bank, if over 10 feet high their intended function. ❑ 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name L., ,4 w 4M O N C L p /1 N _ 4 s Building Application Land Use Application Shoreline Application lam`''On-site Sewage Application Subdivision Application Other: 1 . Is there any standing or running water on the surface of the Yes property or on any property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been Yes /1 ' No identified as a wetland or swamp? —If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present on your property or adjacent properties? Yes ' No If YES, please describe: 4. Are there any indications on any portion of the property or on any YES i °✓ No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) I // I i i / /iiii ' , // iiii //iiii/ i,',�'--�� /�--- -__--_ (Questionnaire Continues on Back) Page 1 of 2 • ►. 6. Does the site have steep slopes with little to no vegetation? — YES No If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine � YES — NO sand? If YES, please describe: t & as R f R G 8. Does the site contain ground water seepage or springs near the YES NO surface of the ground? If YES, please describe: 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 . ' ,. _ r , Date _ FOR OFFICE USE ONLY Wetlands G Seismic CRITICAL AREAS ON OR ❑ Aquifer Recharge Area (zone_) E Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: ❑ Frequently Flooded Area ❑ Fish & Wildlife Area 2 FE Erosion ❑ Landslide :Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by:. _ Community Plan: Date: Page 2 of 2 h:\home\pincntr\forms\car.doc 1 i00 M f ,.