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HomeMy WebLinkAboutBLD2003-00537 0 0 M LA03-00492 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00537 Received Date: 8/27/2003 SITE ADDRESS: 32 S DUQUESNE AVE PORT TOWNSEND, 98368 APPLICANT: PATRICIA A O'MEARA PHONE: (360)385-2505 231 6TH AVE PORT HADLOCK WA 98339-9605 SUBDIVISION: IRONDALE Block: 122 Lot: 1-3 PARCEL NUMBER: 962112201 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: CLASSIC MOBILE HOME TRANSPORT DOT 26/444 WUTC • REPRESENTATIVE: PHONE: ,70: PROJECT DESCRIPTION:V ANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 8,500.00 YEAR: 1992 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 66 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Flood plain Routing Date: F&W Landslide c�� Shoreline Aquifer Type Amount Paid By: Date: Receipt: Approved/Date Permit $151.00 MJA 08/27/03 58456 Potable Water Application $51.00 MJA 08/27/03 58456 Total: $202.00 JEFFERSON COUNT MMUNITY DEVELOPMENT 621 SHERIDAN SPORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION 0 NEW BUILDING X''-F REPLACEMENT ff K SIZE , ` �� '�j 9 YEAR ( "I 2_ rinui _ . ___.._ 1 i c MAKE c V-\f L I N L er„ i r; o i- ,,\\ 1 No i COST # y T V , 1 t` I I cv I, BEDROOMS: BATHROOMS: EXISTING EXISTING f r ! "zc1 PROPOSED 2.. PROPOSED TOTAL , 1 TOTAL _� TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL -0 INDIVIDUAL SYSTEM IL7 Conventional UBLIC PERMIT#SEP 01—DO25t0 Alternative Name of water system: Ft)D 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 / ( /� /� �� /lYl.� DATE -o3 P'7 NAME(PLEASE PRINT) 1 C(Tf ©ME,qk'4 FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE =7.00 RECEIPT# • � 6 BASE FEE (.1: t-� + ADDITIONAL SECTIONS: CASH/CK# •1 / 3 1 SUBTOTAL 19 Q U I DATE EI POTABLE WATER 9 t • 911/ROAD APPROACH TOTAL �20• - H: NTRVNFOBLDWORMSWIOBILEAP.11/26/01 • • G. (I') r -i-- - - - , I \ . - . \ \ , \ 1),. 4 --- - __ _ \ , — 0 6 1 \ \ 0 i . . 1 i - C-) -- • . i --t- ____ •-•`'1/4-' 1-,-1.--5 (,\S YIn.X,.\-)._ '" :..4:jl 1 1 o_ 1 et I a— • VI k CO V\ tP i ECE [1qvAr) R , , , , 0 AUG 2 7 2003 , . P . 3EFPERs0Ncout4fY 0 , 1 OFPT OF C,fl,`.1MUNiTY DEVELOPV,ENT 1 I I I ' z -4-rg I' fr � fry ,� ir; PLEASE MAIL TO: t) L_ 1 JEFFERSON COUNTY ASSESSOR JACK WESTAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR AUG 2 7 2003 PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 M BILIE130ME INFORMATION FORM r�J OWNER'S NAME / MAILING ADDRESS: THIS/S NOTA TAX STATEMENT n ,{ NAME: �T1�I L /ti E/O R A The purpose of this questionnaire is to obtain information ADDRESS: ZJ� / AV regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will I ., /,.r it I ,c j� Gel r,V�_2 C, help our office determine whether the mobile home is already I f'"' (.l l-� �.CJ�-t '10 li / 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: 3k7 C- 2-505 additional information. 1) MOBILE HOME DATA:(A) MAKE ' L I (V E (B) MODEL (C) YEAR 19 l q 2_ 'G'� (D) LENGTH `E0 (E) WIDTH (F)SERIAL NUMBER i 2-9 I 0 73 I L (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) (95-00a " (H) PURCHASE DATE Au f I , 2003 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE f�j 10 ��,v+ Me l a vi i e CJI /610 re ADDRESS 2 c`y3 (erd erDr, Lr , Nk) /` ,„ (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES co (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 NO (B) IF LOCATED IN A MOBILE HOME PARK: NAME 8I ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: r\j Ct, t.J NAME OF LAND OWNER: Y ICiI�meant LOCATION (ADDRESS) 32. No u E SN EI AVE eoki" NI.0 - 618>Y45 REAL PROPERTY PARCEL NUMBER/DESCRIPTION tQO IUD erLr 6L-ocx +7 Z Lc-r" ' J w 7,1 THANK YOU FOR YOUR HELP! A A SIGNATURE a ALL KELLI LARSON, property Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. 0 0 January 16, 2004 Mr. Al Scalf Department of Community Development 621 Sheridan St. Port Townsend, WA 98368 Dear Mr. Scalf: After applying for a manufactured home installation permit on property located at 32 S. Duquesne, Port Townsend, WA (located off of Prospect Ave. near Kala Point), and running into following items: Prospect Ave. usage road not being where the platted road is shown on the section map. The septic permit being approved with the system in the right of way. The installer installing the system as approved in the right of way. Being advised that this is not allowed in a right of way. Having the manufactured home already sitting on the site. I have decided to apply for a completely new permit for the same manufactured home on a different property located at 144 KalaPoint Dr , Pt Townsend._ - like to have the pending building permit BLD03-537 cancelled/withdrawn. Withthis permit still being in a pending status and no inspections done, I am requesting that 7could the base fee of$151 be credited to the new permit I will be applying for. Your consideration of my request is greatly appreciated in getting this manufactured home installation completed. Since ly, ::: 0 i (JV rwlr Patricia O'Meara �J cy"j< co C ?' b • I . • i - - . z • • i a • _. • =Ltd' • (.) • i• ... ,.�.... ., ...i.. 1 cc Z • CD i • . ..... i V • rp, . - • .. • • .*::J . N z .-- ....) , ,_. • . . • ..-i a ti• " • fr0 • c,) C • ,sR a w i W ' w kJ �4 :: o • C • �.-•.r•.= - ate 1. .. "rr'� /e1t/30�0?Jt� vA • . ii ,:t.4'.7.. '''' '' '''-'...-'.:'.........':'''..',..''....., : .....'.-'-.:.s'4'.--. 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