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HomeMy WebLinkAboutBLD2000-00802 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 #: BLD00-00802 Received Date: 12/12/2000 SITE ADDRESS: 4248 DUCKABUSH RD Issue Date: 12/19/2000 BRINNON, 98320 Expiration Date 12/19/2001 APPLICANT: CHRIS DAL CERRO MARGARET GRAHAM 3500 S RONALD DR SEATTLE WA 98118 SUBDIVISION: Block: Lot: PARCEL#: 503013009 Section: 1 Township: 25 N Range: 03 W CONTRACTOR/ OWNER PHONE: DEALER PROJECT DESCRIPTION Maufactured Home Replacement This Permit to Replace Expired BLD99 697 MAKE: OLYMP YEAR: 1974 SIZE: 14x68 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): [ ] 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 #: BLD00-00802 Received Date: 12/12/2000 SITE ADDRESS: 4248 DUCKABUSH RD BRINNON, 98320 APPLICANT: CHRIS DAL CERRO PHONE: (206)725-7514 MARGARET GRAHAM 3500 S RONALD DR SEATTLE WA 98118 • SUBDIVISION: Block: Lot: PARCEL NUMBER: 503013009 Section: 1 Township: 25 N Range: 03 W CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION Maufactured Home Replacement This Permit to Replace Expired BLD00-597 TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: OLYMP SETBACK: VALUATION 2,200.00 YEAR: 1974 LABOR & INDUSTRIES APPROVAL? SIZE: 14x68 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO Prop: 2 Prop: 1 AREA Plat Conditions Total: 2 Total: 1 Wetland Erosion Seismic Streams Flood Way Food Plane Routing Date: F&W Landslide ���/ on „ Shoreline Aquifer Forest: Commercial Rural f Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 RAC 12/12/00 35636 AP 1. a ll ED Total: $141.00 � / / JP Jefferson County Planning &Building Department is\F_BLD_App_Mob.rpt 10/29/99 '-e LD 9 -- S-97 , �- x , r JEFFERSON COUNTY COMMUNITY / DEVELOP DE 7-0 QP .Q�T�MIEN 621 SNERIDAN PORT TOWNSEND WA 9.8368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION XNEW BUILDING 0 REPLACEMENT SIZE ft/ Xo8< YEAR /979 MAKE 0r LY) 0 COST 22Oo °° BEDROOMS: BATHROOMS: EXISTING D., EXISTING I PROPOSED C7 PROPOSED C TOTAL 2 TOTAL 1 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM L21 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM Bi3 Conventional 0 PUBLIC PERMIT # SEP ci y Q;2,a2 0 Alternative Name of water system: t.tiv-*.ac ;vise-Q//tea C2-vd i aPOLrot: k. 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. A..L.e.S,y c<,vt U. iT,.:3 ya 1- 4 ( to va 1-e i cX u,,t y-C�,i:. 00/ f-U U G 1')V 1), is&/a'f 0.CC tL t h c.u-y r i'7- ,ct-14 a. ©n I, -0,, K a vi i" i Yt,51c2 i 5 LkV , r6vd(A,.t t' t G -Pima" r1a. :dam SIGNATURE C " �� C r- DATE /2 -47' - CO NAME (PLEASE PRINT) (-In Ni";.9.4-0 y/per ,j D(-- l (r fU FOR OFFICE USE ONLY BASE FEEy 0 �/ RECEIPT # 3 ADDITIONAL SECTIONS _ CASH/CK# c= ,5 t 9 SUBTOTAL / a Q U DATE I V POTABLE WATER 911/ROAD APPROACH `"C—/ TOTAL -,Y H dHOME\PLNCNTR\FO RMS\M O81 LEAP.10/99 g5ort �o Jefferson County Permit Center Department of Community Development 621 Sheridan Street,Port Townsend WA 98368[3601379-44.50 ti n o U :vrd �cll eye de to/4104e9 (lagoat as ea tolefelry ad fable; Project Description: ,, /e Ho IA4 IvrsZ`a.hat.'a 9 Digit Parcel Identification Number(from your tax statement): 3 e.3 /3 - 0C 9 Site Address it2 4 g 911#: Road Name: Dac-kc= 19u5 4 Qd. Zip Code: Fs 9 2_ Legal Description LI £ '/z cc(-6 excdt3t LSe„th S -bdrvis-ion Name: Cif Gf S`/ 3 f Block: Lot(s): Section: 0 / Township: 2 5 v Range: 0 3 Li S f Parcel Size (acres or square footage): 2 6. 32 c c_re_5 Property Owner: C, v-;s 4-c ja he tr- \T Dal L�� 6 c N/r�o cc re t ��r a,4 Phone: (2.t 6) 72.5' T.5/y MailingAddress:`3 J OCR l�pb? id (/rl sect t � &/4 ? l i 8 -.572,5 CJ Applicant/Occupant: Phone: (if different from owner) Mailing Address: Authorized Rep: Phone: Mailing Address: \det• General Contractor: Or Manufactured Home Installer: Se- rf Phone: Mailing Address: (l V Contractor's State License Number: Expiration Date: Septic Designer: Phone: Mailing Address: pC1 RC x J t Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: Mailing Address: FOR O FIC USE a , ' Fire District Tanning urea, Schaal District: Zone 4/98 H:\home\pincntr\forms\universal plot plan MANUFACTURED/ MOBILE HOME INS vv 'UU Jefferson C TALLATIO �6y Department of CommunityDevelopment APPLICATION ount 621 Sheridan Street Port Townsend, Wq 98368 PERMIT#: BLD00-00802 SITE ADDRESS: 4248 DUC KABUSH RD Received Date: 12/12/2000 BRINNON, 98320 APPLICANT CHRIS DAL CERRO MARGARET GRAHAM 3500 S RONALD DR PHONE: (206)725-7514 SEATTLE WA 98118 SUBDIVISION: PARCEL NUMBER: Block: 503013009 Lot: Section: 1 Township: 25 N Range: 03 W CONTRACTOR/ DEALER: OWNER PHONE: PROJECT DESCRIPTION Maufactured Home Replacement This Permit to Replace Expired TYPE OF WORK BLD00-597 MOB P d TYPE OF IMP M ANUFACTURED HOME: SH VALUATION NEW 2,200.00 MAKE: O— R_ E LABOR & INDUSTRIES APPROVAL? YEAR: OLYMP SETBACK: SIZE: 1974 SEWAGE DISPOSAL: CON 14x68 BANK HEIGHT: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS:Exist: PARCEL TAGS: YES Prop: 2 Exist: STORMWgTER: NO Total: 2 Prop: 1 AREA YES NO Total. 1 Wetland Plat Condition. Seismic ` Erosion Routing Date: Flood Way Streams pir ram/� /a� F&W Food Plane oo�� C-- Shoreline Landslide Forest: Commerc'al Aquifer Type Rural Amount Paid By: Date: - —Homes $141.00 RAC Receipt: Approved/Date Manufactured Total: 12/12/00 35636 $141.00 ..:,,)„ ...,770%,,,3v,H, 41,:i.,„1,p._,, ,.. .:. 4 r‘ritir'r '., ,,-,,,,,-N,t, F_BLD q It �! L PP_Mob.rpt 10/29/99 • Jefferson County Department of Community Development December 18, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: CHRIS DAL CERRO MARGARET GRAHAM 3500 S RONALD DR SEATTLE WA 98118 Critical Area Review Case Number: CAR00-00548 Project Description: MANUFACTURED HOME REPLACEMENT Parcel Number: 503013009 S-T-R: 1-25N-03W Site Address: 4248 DUCKABUSH RD BRINNON WA, 98320 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 shal be as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation proposed development activities will require further review pursuant to the Jefferson County cal Areas Ordinance. l Department of Commu ty Development Staff c: File is\F_CAR_Waiver_Standrd.rpt 12/13/99 c cc—Z5t- (09 ) :Xb3 'oo58-ZSt, (09C) OZc86 VM 'NONNIe19 Z9286 VM 'S313ONd IJOd ad08 HSfl9V)I311a 9t"Ztt o o "' tr�� xo``�e+v.o d r�WHY IO 13 IVOavw 7i O 301VG SIIH3 :1N3no z No Lit/�/V...� a ch N 600-2 60—005 # �130eNd XVI Q w j C\ 'ONI 19NI2133NIJN3 ONINTI4 11005 NHOP SNbld 113ISAS ei31VM3ISVM :31111 1C. k t'� vux 4, c., 'N. Ei 1 0". ce N a. l89 l M tO % Z �v ai\.. .4...... N... C.1 OA ft' 6WP a il2 0— c4.... , olilL ��CC 2� vm-i T • �w4 Q7trills W L' 4 L avow ss330v w <�' 0. F"'c� o cii o o #.. r N o N O .�..- �, w m o w I +I o< Z § �� arm rn •4 o I O a J by 4:1s_ .coF`" X <o w Li , w ( v P • (J' n w oz o /1-... 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