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HomeMy WebLinkAboutBLD2001-00427 , 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 #: BLD01-00427 Received Date: 7/27/2001 SITE ADDRESS: 61 W KINKAID ST Issue Date: 7/27/2001 PORT HADLOCK, 98339 Expiration Date 7/27/2002 APPLICANT: LOUISE V BARCELOU RONIE M FOREST PO BOX 321 PORT HADLOCK WA 98339-0321 SUBDIVISION: IRONDALE Block: 52 Lot: 31-34 PARCEL#: 961805212 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAMES H POWELL WAOMS-334 Expires: 7/31/200 PROJECT DESCRIPTION NO MLA REQ'D -To Replace Burnt Down Mobile Home MAKE: REDMAN YEAR: 1995 SIZE: 14 x 67 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 7/27/2002. REQUIRED INSPECTIONS: [Lj-----:: backs ef' • ///Z / ,(;2 . [ :otin. 1 continous footings are used)?Q.DS O/C ///"Z6/D( [ ockin• Plumbing:K/.D ©/C l /©/ V r) x [ 4.- Final/Skirting/Vents/Porches/Steps: C_V( 1,) 6,0r -.7 ,IP 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. HOT-LINE AVAILABLE 24 HOURS A DAY , SEP91-00090 • Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00427 Received Date: 7/27/2001 SITE ADDRESS: 61 W KINKAID ST PORT HADLOCK, 98339 APPLICANT: LOUISE V BARCELOU PHONE: RONIE M FOREST PO BOX 321 PORT HADLOCK WA 98339-0321 SUBDIVISION: IRONDALE Block: 52 Lot: 31-34 PARCEL NUMBER: 961805212 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: JAMES H POWELL WAOMS-334 7/31/2001 REPRESENTATIVE: JAMES OSMER 321 WERNER RD PORT LUDLOW WA 98365 PROJECT DESCRIPTION NO MLA REQ'D -To Replace Burnt Down Mobile Home TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: REDMAN SETBACK: VALUATION 24,000.00 YEAR: 1995 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 14 x 67 SEWAGE DISPOSAL: CON WATER SYSTEM: CITY PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Floodplain F&W Landslide Routing Date: 7 _ _ a-7-6 ( Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By: Date: Receipt: APP1OJED , Manufactured Homes $141.00 RAC 07/27/01 29068 Total: $141.00 JUL 2 7 Z001 JEFFER ON COU DEPT.OF C NITY E PMENT - SIG NAT "I,° JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING IA REPLACEMENT ,O g SIZE 74X67 o O YEAR 9995 3* MAKE Rectrnan COST 24 , ODU c4�Q Ns, 4i2 BEDROOMS: BATHROOMS: 2 i)•?" # 4 EXISTING 2 • EXISTING y1141 PROPOSED PROPOSED TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ® SEWER ❑ COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM 0 Conventional PUBLIC PERMIT # SEP 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 X- "..,) 8 e...e ,Gc__ DATE 1(2.1(0 NAME (PLEASE PRINT) L 0 lC.(S .e 6 a C el 02.1 111 FOR OFFICE USE ONLY BASE FEE I Lif oO RECEIPT# n106.g. ADDITIONAL SECTIONS CA HK# 3 1 SUBTOTAL i (.00 DATE Z/.27 a POTABLE WATER l 911/ROAD APPROACH ---4---- . TOTAL / l l ,00 H:\HOME\PLN CNTR\FORMS\MOBI LEAP.10/99 � 7 � S 7 — PI LOCATION MAP s 70 i� G r _ T2.A=c R uu it. ag'ilf) I;'.-i,'E r., f r -CL Z Z f JC ,l E P SAMPLE PLOT PLAN 272PrinlAa• i m► -# W Distances and setbacks marked in feet. Y �4gn PROPERTY BOUNDARIES ti0 P� O c-\e- DRIVEWAY J\-\ GO OF \NC \-\P 1f // SETBACKS IN FEET 5- PROPOSED BUILDING 15 ` { } O < IS }. LOCATION • OF SEPTIC — n AND DRAINFIE Q£SFR VE r �}fLEA �o / Y O I L OF WELL r N TOP OF BANK (IF APPLICABLE) \ ,r/r..4-_