HomeMy WebLinkAboutBLD2001-00376 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 #: BLD01-00376 Received Date: 6/28/2001
SITE ADDRESS: 391 RIDGE DR Issue Date: 6/28/2001
PORT TOWNSEND, 98368 Expiration Date 6/28/2002
APPLICANT: ROGER K SOLT
SHARON K SOLT
391 RIDGE DR
PORT TOWNSEND WA 98368-9494
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 77
PARCEL#: 940500076 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR/
DEALER
PROJECT DESCRIPTION NO MLA REQ'D -T. E. EXISTING MOBILE
MAKE: SILVERCRE,ST.
YEAR: ciL788/-----------
SIZE: 2
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 6/28/2002.
REQUIRED INSPECTIONS:
[ ] Setbacks:
[ ] Footing(If continous footings are used):
[ ] Blocking/Plumbing:
[ Final/Skirting/Vents/Porches/Steps t. 7 6 o el
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.
(� . j� iv, ft A/VInspector's Phone Hours 8:00 a.m. - 9:00 a.m.
HOT-LINE AVAILABLE 24 HOURS A DAY
s PVi5c-;76Iop-
Review Type:
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD01-00376 Received Date: 6/28/2001
SITE ADDRESS: 391 RIDGE DR
PORT TOWNSEND, 98368
APPLICANT: ROGER K SOLT PHONE: (360)385-7461
SHARON K SOLT
391 RIDGE DR
PORT TOWNSEND WA 98368-9494
SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 77
PARCEL NUMBER: 940500076 Section: 13 Township: 30 N Range: 02 W
CONTRACTOR/
DEALER:
REPRESENTATIVE:
PROJECT DESCRIPTION NO MLA REQ'D -T. E. EXISTING MOBILE
TYPE OF WORK T.E MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SILVERCREST SETBACK:
VALUATION YEAR: 1978
LABOR & INDUSTRIES APPROVAL?
SIZE: 24 X 48 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: CAPE GEO
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
STORMWATER: YES NO
Exist: Exist: AREA Plat Conditions
Prop: Prop: Wetland Erosion
Total: Total: Seismic Streams
Flood Way Floodplain
Routing Date: F&W Landslide
6
Shoreline Aquifer
Forest: Commercial Rural
Proximity
Type Amount Paid By: Date: Receipt: Approved/Date
Manufactured Homes $141.00 MAM 06/28/01 28337
Potable Water Application $30.00 MAM 06/28/01 28337
Total: $171.00
' -"T -�\ E ; m : c - Nit M LA- `�
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 9 8
Q �n frU. 1ACTURED HOME INSTALLATION PERMIT APPLICATION
D - V .s.
y ❑ NEW BUILDING 0 REPLACEMENT C ,/i'f} `-(J
"""'
.. ' 2 8 .'SIZE r '� k?
JEFFERSON COUNTY 1r EAR /9 7?
DEPT.OF COMMUNITY DEVELOPMENT
MAKE 5-i4 c/ei:bi
COST .49
BEDROOMS: BATHROOMS:
EXISTING Z EXISTING 2
PROPOSED __ PROPOSED
TOTAL Z TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
'1"jt INDIVIDUAL SYSTEM Conventional El PUBLIC
PERMIT # SEP 7,S -d' 0 Alternative Name of water system: CA-04. (rz.29
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.
K, SIGNATURE DATE 6/ 2 P/Dz)/
NAME (PLEASE PRINT) k20 y� . K. �� `
FOR OFFICE USE ONLY
BASE FEE / y ° RECEIPT# 833 7
ADDITIONAL SECTIONS ._-fC'— CASH/CK# 3 -23
SUBTOTAL /// O v DATE Kk 0/
POTABLE WATERO Q O
911/ROAD APPROACH
TOTAL / ?/. .V
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