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HomeMy WebLinkAboutBLD08-132r BUILDING PERMIT City. of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit Type Occupancy/Courtesy Inspection Site Address 1309 1 1 TH ST Permit # LD08-132 Project Name Manufactured Home Title Elimination Parcel # 948312501 Project Description Manufactured Home Title Elimination for 1968 mobile home 20' x 47' Names Associated with this Project Type Name Contact Phone # Applicant Hadden Joseph C Owner Hadden Joseph C Fee Information Project Valuation Inspection Fee - 50.00 Miscellaneous/Hourly Total Fees $50.00 License Type License # Exp Date Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. 1 certifv that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or authorized agent of the owner. Print Name Date Issued: 07/10/7008 Issued 13): SWASSAA).�R City of Port'Townsend ownsend , Development Services Department w . 250 Madison Street Suite 3, Port Townsend, WA 98368 (360) 379-5095 FAX (360) 344-4619 WA June 23, 2008 Mr. Brent Butler 3325 McNeil Street Port Townsend, WA 98368 SUBJECT: Accessory Dwelling Unit at 1309 11"' Street Dear Mr. Butler: On May 28 we received a Manufactured Home Title Elimination application from Jefferson Title that listed you as the new owner of a 1968 manufactured home at 1309 11th Street. During our site visit, we saw what appears to be an accessory dwelling unit (ADU) next to the home. Accessory dwelling units require a building permit that includes a life -safety inspection and issuance of a separate house number. In addition, we prepare a Notice to Title that the owner signs and records with the Jefferson County Auditor. Our records do not indicate that we have permitted an ADU for this property. The cost is $130.50. Enclosed are sections 17.16.010.0 and 17.16.020.0 of the Port Townsend Municipal Code regarding ADUs. On June 6, DSD Director Leonard Yarberry signed the Manufactured Home Title Elimination form. I informed Julia Mae Kennedy at Jefferson Title that an inspection fee of $50.00 is due, but no one has paid the fee or picked up the paperwork yet. She said she would notify Joseph Hadden, the current homeowner. If you have any questions, please contact me at (360) 385-0644. Sincerely, Suzanne Wassmer 01" KrIe- Land Use Development Specialist Enclosure A NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT PTMC 17.16.010 C. Accessory 0wolling Units. This chapter provides standards for the establishment of accessory d ellih,6 units within the structure of a single-family residence or an outbuilding which is accessory to such residence. Apessory duelling units are allowed in order to: 1. Allow more energy efficient use of large, older homes; 2. Provide more affordable housing opportunities for Port Townsend residents; 3. Provide additional density with minimal cost and disruption to existing neighborhoods; and 4. Allow individuals and smaller households to retain large houses as residences. PTMC 17.16.020 C. Accessory Dwelling Units . Limitations on Use. One accessory dwelling unit (ADU) may be established only as an accessaryuse to a single-family, detached residence (and specifically, not including a duplex, triplex or fourplex), provided the following conditions are continuously met: 1. A certificate of occupancy pursuant to the currently adopted city construction codes shall be obtained from the building official and posted within the ADU. The code inspection and compliance required to obtain a certificate of occupancy in an existing building shall be restricted to the portion of the building to be occupied by an ADU and shall apply only to new construction rather than existing components, except that any high hazards (i.e., smoke detectors, fire exits, stairways, LP gas appliances and fire separation) shall be corrected. Where additional fire separation is unduly burdensome, the building official may authorize a fire alarm system in lieu of required fire separation. 2. The owner of the subject property shall reside on the premises, whether in the main or angq dry dwelling; provided, that in the event of illness, death or other unforeseeable event which prevents the owner's continued occupancy of the premises, the director may, upon a finding that discontinuance of the ADU would cause a hardship on the owner and/or tenants, grant a temporary suspension of this owner -occupancy requirement for a period of one year. The director may grant an extension of such suspension for one additional year, upon a finding of continued hardship. In the case of an ADU established prior to March 6, 1995, but after August 17, 1971, if the property on which the ADU is located complies with all of the requirements of this section except owner - occupancy, the ADU property may continue without occupancy by the owner until sold, exchanged or otherwise transferred to a different owner. 3. Neither the main nor aiq s I ory dwelling gn'it shall be used as a transient accommodation. 4. ADUs established in an outbuilding shall not exceed 800 square feet in floor area, and under no circumstance shall the total lot coverage of the primary residence along with the ADU exceed the standard allowed in the underlying zoning district. 5. In order to preserve the outward appearance of single- family neighborhoods, the front of the house shall have only one exterior entrance. 6. An ADU may be established in a residence or outbuilding that is legal, nonconforming with respect to required setbacks if entrances are no closer than five feet to neighboring property lines, and if each side window that is closer than five feet to a side property line and that is also closer than 20 feet to either the front or rear property line is permanently glazed with translucent material; provided, that the director may permit an entrance as close as three feet to a neighboring property line upon a finding that no feasible alternative exists. 7. Repealed by Ord. 29.39. D. accessory Dwelling Un t — Exception for Legal, Nonconforming Adces; 'Oicy Dwelling Units. Notwithstanding the provisions of subsection C of this section, in the case of an ADU established prior to August 17, 1971, and continuously occupied thereafter, the ADU may continue without compliance with PTMC 17.16.020(C)(1) and (C)(2), provided a certificate of occupancy is obtained pursuant to PTMC 17.16.0201(C)(1). (Note; The fee for inspection and issuance of a certificate of occupancy for an 16cess6ry dwelling unit shall be the same as that established in the currently adopted International Building Code for a special inspection. For the purposes of determining system development charges or utility or infrastructure requirements, a single-family residence with an ee ry Welling uhlt which does not separately connect to city water or sewer service shall have the same charges and the same requirements as a single-family residence without an i spar wl i' urni#]. JEFFERSON TITLE C Y PO Box 256 2205 Washington Street, Port Townsend, WA 98368 Phone: (360) 385-2000 Fax: (360) 385-6967 May 23, 2008 City of Port Townsend Permit Office Please deliver RE: Hadden/Butler Escrow No, 72546JMK Property Address: 1309 11th Street Port Townsend, WA 98368 To Whom It May Concern, Enclosed please find the original manufactured home application as well as a copy of the affidavit in lieu of title for the home located at the above referenced transaction. The current homeowners is Joseph C. Hadden as referenced on the affidavit and if you should need anything further from our office in order to sign off on the application, please do not hesitate to get in touch. Once you have signed, please call our office at 385-2000 and we will pick up the form. Thank you for your assistance. Sincerely, Jefferson Title Company Jtk ° ae: Kennedy Escrow Department 1111''1 0i f'om "111�`'1a i11i1 NO C C\: O I C_ Jefferson Title Company P.O. Box 256 Port Townsend, WA 98368 �'•��� e r� MANUFACTURED HOME U&ffiFNyM9ULq= i��y/++' X TITLE ELIMINATION APPLICATION ❑ TRANSFER IN LOCATION ❑ REMOVAL FROM REAL PROPERTY Anyone who knowingly makes a false statement of a material fact is guilty of a felony, and upon conviction may be punished by a fine, imprisonment, or both. RCW 46.12.210 MANUFACTURED HOME TPO 1 PLATE NUMBER I YEAR MAKE LENGTHWIDTH (FEET) VEHICLE IDENTIFICATION NUMBER (VTN) a/ 95397 1965 CORNL 47/20 20478S2073 LAND LEGAL DESCRIPTION ON PAGE 2 MANUFACTURED HOME WILL BE X AFFIXED ❑ REMOVED REAL PROPERTY TAX PARCEL NUMBER 948 312 SOl LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTFR SECTION Ptn. 1&2 125 Eisenbeis Addition GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 1 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Brent Alfred Butler NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 3325 McNeil Street Port Townsend WA 98368 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS C.I"P`Y.-� STATE ZIP CODE GRANTEE NAME Brent Alfred Butler I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/W E AM/ARE THE REGISTERED OWNER(S) OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP 1 NOTARIZATIONICERTIFICATION FOR REGISTERED OWNER(S) SIGNATURE State of Washington Signed or attested County of Jefferson before me on " by Brent Alfred Butler Signature PRINTED NAME OF REGISTERED OWNER NOTARY OR AGENT by PRINTED NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY County/Office No. OR Tolle AND: Dealer No. OR DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real pTpFqy records. NAME (TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER Jefferson Title Company (360) 385-2000 SIG NATUREIPOSITION DATE Finalize thi—pplicati.. with a Lie-sbill Agent within 10 calendar da s of the date Title Company Re resentative signs, BUILDING PE M1T OFFICE CERTIFICATION I certify that: the ntanlifaetured home has been affixed to the real property as described. 0— a building ermil has been 9$sucd for this Eurpose and the atlachntent will be inspected upon, completion NAME (TYPED OR PRINT iD) BL,C7G PERMIT OFFICE/P1-10NE 4 BLDG PERMIT M t., N SlGstaATt OSIi➢()t�I' tir",.� DATE 'u✓ ..5C""..' Sc"1.J ..cats ,,, TD.-1420-721) MASUF HOME A'PPL lR'V2)EX�^ .Pate I 01F2 Parcel Details Page I of 2 Home Counb/ Info Departments Search Parcel Number: 948312501 Parcel Number: 948312501 Owner Mailing Address: JOSEPH HADDEN 1309 11TH ST PORT TOWNSEND WA983682967 Site Address: 1309 11TH ST PORT TOWNSEND 98368 Section: 10 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Printer Friendly Sub Division: EISENBEIS ADDITION Assessor's Land Use Code: 1101 - MOBILE HOMES (owns mobile & land) Property Description: EISENBEIS ADDITION I BLK 125 LOTS I & 2(N1/2 OF EA) Click on photo for larger image. 56 1 Ob CAIM 4�t 0 L No 2nd Photo s" a 44,--es� Available h, 00 3 orJ �e CVr� Rod, 7e c1l Ae . J� ..... .. . ..... . . . ............................... . . . ... ............ . .... .. . . ............ aAf No Permit Ta Assessor Bldg Data x, A/V, SalesInfoMap Plats lats &-Surveys i /IseData Available 40ME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 41_� Windows - Mac http://www. co.] efferson.wa.us/asscs sors/parcel /parcel deta 11. asp?PARCE L—NO-948312501 5/28/2008 Assessor Detail Building # Page 1 of 1 i&Hiiii ,� ��,;l�l(i�r 1 �l;i% i /l���r l; /'Ji%//,aiMN/,la/lll,r1l.,rE�Ni(f���I6%"'L�,,J,/„�/��7r����%f�n:��. Home County Jrfi Depaitnients Search Assessor Detail Building #1 Parcel Number: 948312501 Building Number Year Built Year Remodeled 1 1968 0 Building Exterior Building Area Building Interior Building Type: MOBILE 1st Floor Area: 0 Int. Walls (Cabin): Building Style: DOUBLE MOBILE HOME 2nd Floor Area: 0 Heat: FORCED AIR Foundation:POST & BLOCK/PIERS 3rd Floor Area: 0 WOOD STOVE Exterior: METAL (RIBBED) Loft Area: 0 Floor Cover (1): VINYL Roof Cover:METAL Attic Area: 0 Floor Cover (2): CARPET Total Area: 900 Basement Area: 0 ..wawa Building Roomsmmmmmmm .._ Mobile Home Gara e Bedrooms: 2 Make: Type: Detached Full Baths: 1 Model: CORNELL Area 4 r Half Baths: 0 Length: 47 Exterior: Ply/T1-11 Width: 20 Roof: Compositon Year Built:1968 Carport Square Footage: 0 Skirting: Wood Area: 900 1st Addition 2nd Addition Type: Type: Carport Area: 0Area: 132 Year Built: 0 Year Built: 0 Exterior: Exterior: Roof: Roof: Roll To view another building associated with this arcel..___._._ building Select buildin 1 2 3 Select HOME I COUNTY INFO I DEPARTMENTS I SEARCH 11 Best viewed with Microsoft Internet Explorer 6.0 or later 4r � Windows - Mac �. 1" http://www.co.Jefferson.wa.us/assessors/parcel/assessordetail.asp?Parccl NO=948312501 5/28/2008 City of Port Townsend Development Services Department 250 Madison St. — Suite 3 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 344-4619 Who can develop an Accessory Dwelling Unit (ADU)? An ADU is defined as a separate dwelling unit with separate cooking facilities that are substantially contained within the structure of a single-family residence or an outbuilding that is accessory to such residence. ADU's can be developed in districts zoned as R-I, R-II, or R-III. The owner of the single- family home must occupy either the primary unit or the ADU and must meet the regulations outlined in Section 17.16.020 of the Port Townsend Municipal Code. What requirements must be met to develop an ADU? An ADU established in an outbuilding may be 800 square feet in utilized floor area regardless of the size of the main residence. The front of the house may have only one exterior entrance. Neither the main or accessory dwelling unit may be used as a transient accommodation, i.e., occupied for periods less than 30 days. An ADU may be established in a residence or outbuilding that is legal, nonconforming ("grand fathered") with respect to required setbacks. However, entrances may be no closer than five feet to neighboring property lines. An entrance as close as three feet to a neighboring property line may be allowed if no feasible alternative exists. In addition, any side window closer than five feet to neighboring property lines and which is also closer than twenty feet to either the front or rear property line must be permanently glazed with translucent material. One additional off-street parking space is required to establish an ADU, provided the off-street'" parking requirements for the other uses on the site are continuously met. Under certain conditions, an on -street parking space may satisfy this requirement, subject to approval by the Public Works Director. What will the permit, building code, and Public Works requirements be for the ADU? Please refer to the sheet titled ADU Code Requirements. How does a pre-existing unit become legal? If an ADU was established prior to the effective date of the Port Townsend Zoning Code (August 17, 1971) and continuously occupied thereafter, the ADU may continue without compliance with the requirement that the owner occupy either the ADU or the primary unit, or that the ADU meet size limitations (see above). However, a certificate of occupancy is required (see sheet titled ADU Code Requirements). P:\DSD\Forms\BuiIding FormsUnformation-ADU General.doc February 2007 Name: Address: City of Port Townsend Accessory Dwelling Unit Checklist Permit # Phone: Please review the following requirements for establishing an ADU on your property. If after completing this checklist, you find construction or improvements are necessary to meet the ADU requirements, submittal of plans is required for review and approval. A building permit will be issued, and then a subsequent Certificate of Occupancy (CO) is issued once the project is finaled. Yes No ❑ ❑ 1. Will the owner be living on -site? (To meet ADU requirements, the owner must reside on site.) V...] ❑ 2. Will the ADU and main home share a common sewer service line? .� 1."..➢ 3. Will the ADU and main home share water service? ❑ 4. If the answer to question #2 above is yes, is water shut-off accessible to occupants of both units? ❑ ❑ 5. If LPG or fuel oil heating appliances supply heat to the ADU and the main house, are shut -offs accessible to occupants of both units? ❑ ❑ 6. Will the ADU and the primary residence share electrical service? L".] ❑ 7. If the answer to question #6 is yes, is the capacity of the electrical service panel sufficient to handle the electrical loads of two dwelling units? (Please provide documentation from Labor & Industries) l J ❑ 8. If answer to question #6 is yes, is unrestricted access to the main electrical shut-off device available to occupants of both units? ❑ I -A 9. Will occupants of both dwelling units share a common water heater appliance? 9A. Is the water heater appliance remotely located from the area it serves? 9B. Does the unit have its own water heater? ❑ 10. If an answer to any question in #9 is yes, is equal and unrestricted access to the appliance available to occupants of the unit the appliance is serving? 111.11 ❑ 11. Will both dwelling units share a common forced air heating system? More on back P_\DSMForms\Building Forrns\lnfonnalion-ADU checklist doc Revised: 02/27/07 Page l of'2 Yes No ❑ ❑ 12. If the answer to question #11 is yes, are listed fire/smoke dampers properly installed at all duct penetration-- into walls, and floor/ceiling assemblies which separate the two dwelling units? El ❑ 13. Is adequate one -hour fire separation provided between dwelling units? (Attach a detail of how fire separation is achieved for walls, floor/ceiling assemblies and doors) El El 14. Does the sleeping room area of the ADU contain an emergency escape window (5.7 sq. ft. net openable area, minimum clear opening of 20" wide and 24" tall with the sill being no higher than 44" above the finished floor) or a door that opens directly to the outside? 0 0 15. Are smoke detectors installed in compliance with International Residential Code requirements for new construction? (One smoke detector for each sleeping room and in the area/hallway leading to the sleeping room with a minimum of one smoke detector on each floor. Smoke detectors are to be interconnected.) El 16. Is the minimum ceiling height 7 feet? ❑ ❑ 17. Do ADU stairs (including landings, handrails, guardrails, thresholds, etc.) meet code requirements? El ❑ 18. Does the ADU kitchen have a sink, refrigerator, and oven range or cooking device? 0 ❑ 19. Does the ADU bathroom have a lavatory, water closet and tub or shower? Cal ❑ 20. Does the ADU have at least one closet? El F1 21. Does the ADU have an address? El EJ 22. If yes, are address numbers posted per City Ordinance? (Minimum 5" tall and of contrasting color to building background.) ❑ U 23. If the ADU is in an outbuilding, is the utilized floor area of the ADU less than or equal to 800 square feet? El El 24. Is there an additional on -site parking space for the ADU? (An alternative on -street space is okay with prior approval by the Public Works director. P:\®SD\Forms\Building FOmwIlnfol7nation-ADU checklist.doc Revised: 02/27/07 Page 2 of 2 City of Port Townsend Development Services Department 250 Madison St. — Suite 3 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 344-4619 1. What are the utility requirements for establishing an Accessory Dwelling Unit (ADU)? ❑ The ADU and the home may share a common side sewer line to the sewer main. ❑ A minimum of one water meter will be required for the property; it may serve both the ADU and the home. 2. What Building Code requirements have to be satisfied when converting an c.vistin structure to include an ADU? ❑ Utili item;. The entire structure may be served by one shared underground service lateral from the utility's main to the structure for water and sewer, respectively. The water shut-off must be accessible to the occupants of both units. If liquid petroleum gas (LPG) or fuel oil is supplied to the ADU, again, a shut-off must be accessible to the occupants of both units. ❑ 1 lcctrical. A single, shared electrical service, a single meter, and a single main service panel would be allowed to serve the ADU and primary residence, provided that a) the occupants of both dwelling units have equal and unrestricted access to the main electrical shut off device, and b) the capacity of the service panel shall be sufficient to safely handle the electrical loads attributed to two dwelling units, as determined by the electrical code in effect at the time of application. ❑ I'll titibinv Both dwelling units may share common supply and waste plumbing systems and a common water heater appliance, so long as the occupants of both dwelling units have equal and unrestricted access to the water heater appliance. ❑ Heal, Both dwelling units may provide their space heat by a shared, common forced air system if listed fire/smoke dampers are properly installed at all duct penetrations through all structural elements (walls, floor, ceiling, etc.) which separate the two dwelling units. ,,,,,,,,,, Detectors: Smoke detectors shall be installed throughout both dwelling units in ❑ Smoke compliance with International Residential Code requirements for new construction in effect at the time application is made for permits associated with the conversion. ❑ l xit�inge All components of the required exit systems in the ADU and the home shall comply with code requirements in effect at the time application is made for permits associated with the conversion, especially with regard to escape windows in all rooms used for sleeping. 2/27/07 P:\DSD\Forms\BuiWing FormAnformation-ADU Code Requirements. doe ❑ I^'irk Separation: The International Residential Code (IRC) requires a one -hour fire separation between dwelling units. This includes horizontal and vertical assemblies as well as one hour rated door assemblies in tenant separation. ❑ Ccilitl rg 1t.;. The minimum ceiling height for ADU's located within existing structures is seven feet. 3. What Building Code requirements have to be satisfied when developing an ADU in a new structure Or with an addition? ❑ Electrical: (See "2. Electrical" above) ❑ Plulalbing The entire structure, including both dwelling units, may share a common water supply and waste plumbing systems. Each dwelling unit must, however, be provided its own separate hot water appliance, and occupants of each dwelling unit must have equal and unrestricted access to the main water shut-off valve. ❑ ENa .. Separate garbage/recycle collection fees are not required. 4. What is the permit process to obtain ADU designation? ❑ If the ADU is a new structure or an addition, the ADU requirements will be included with the building permit issued for the new structure or addition. If the ADU is being established in an existing structure, you may need to apply for a building permit depending on the improvements required. If a permit is required for improvements, once they are complete and final inspection is passed, a Certificate of Occupancy (CO) will be issued pursuant to the International Residential Code (IRC) after the project is finaled. 5. Will the ADU have a separate address? ❑ Yes. The address must be posted on the ADU with 5-inch tall house numbers. If the numbers are not visible from the street, additional 3-inch tall house numbers must be posted on the street at the most direct path to the ADU. This address will be used for mail delivery and 911 emergency service response. 2/27/07 P:\DSD\Forms\Building FormsUnformation-ADU Code Requirements_doc STATE OF WASHINGTON DEPARTMENT OF LICENSI, PO Box 9038 • Olympia, Washington 98507-9038 CC) ujVk— AFFIDAVIT IN LIEU OF TITLE Reason for use: Transfer of Ownership License Number VIN Model Year Make %95397 20478S2073 1968 CORK Series/Body Model/Body Type Title Number Mileage 47/20 / 0531913203 E REGISTERED OWNER: LEGAL OWNER: HADDEN,JOSEPH C 1309 11TH ST PORT TOWNSEND WA 98368 Printed as of 05/23/2008 Time 12:31 By my signature I release interest in the vehicle described above. The title is not in my possession because it was lost, stolen, destroyed or Anyone whtnow Ln y makes a false statement of a material fact shall be guilty of a felony and up n shall be punished by a fine. (RCW 46.12.210) Sign tur Title Subsc ` d and sworn to before me this day of — ro Notary Public or Washington Li se Agerit and oun y/Office/VFS Operator Number Residing in: Instructions to Financi 8 itutions:. To speed up the tr s r process, give the title or Affidavit in Lieu of Title to the buyer with a releas of interest from the seller (your customer). A vehicle odometer disclosure statement is required if the vehicle is less than 10 years old (unless exempt). The buyer can take the documents to any vehicle licensing office and transfer the title. The buyer must transfer title within (15) days of the date of sale. Failure to do so will result in penalty fees (RCW 46.12.101(5)1. The seller must file a report of sale within 5 days of the date of sale; file it for Tree online at www.dol.wa.gov or at any vehicle licensing office for a fee. REQUESTOR'S NAME HADDEN,JOSEPH C ADDRESS 1309 11TH ST CITY PORT TOWNSEND STATE WA ZIP 98368 CHECK $ CASH $ VALIDATION CODE 14160102081440523080082023659 RPT ID: AAFFPR-1 STATE OF WASHINGTON AFFIDAVIT IN LIEU OF TITLE FPD: AAFFPR1:2007/28/11.00001(1) )-420-801 M/P LONG FORM (R/9/07)OR Page 1 of 2 20 INQUIRY Parcel 000948312501 Appraiser DP Change Rsn-01 REVALUATION Appr Date 01012005 Mobile Home: Make Skirting 130 Type Width 20 Year CMD 7: End Job Appraisal Field Sheet Building # 01 F/Bk Page 27 Neighborhood 6205 01 WOOD 1968 Auto Dup: OFF Review: ON Table Yr 2005 30 Use Cd 1101 MANU HM W/LN Model CORNELL Length 47 Serial # 20478S2073 CMD 8: Calcs CMD 21: Building 1 CMD 9: Restart CMD 22: Building 2 CMD 19: Commercial Buildings CMD 23: Land CMD 20: Mobile Home CMD 24: Master Vo q--3-t>97 Y, CITY OF PORT TOV%7NSENb Building and Community Development " A #9 141" BILLING STATEMENT (Name) (Address) (Date) r 3 (Permit Number- if applicable) REVISIOATATUAaER: (Phone) REINSPECTION FEES (E] R-2040 11 C-2041) ($47.00) $ (g) PLAN REVISION FEE (E] R-2030 El C-2031) ($50.00/hour, minimum $25.00) $ RESIDENTIAL T. C. O. INSPECTION (R-2020) ($97.00) COMMERCIAL T. C. O. INSPECTION (C-2021) ($147.00) $ SPECIAL INSPECTION "�R-2099 [I C,2098) ($47-004,iour, I hour i it") $ OTHER (0 TOTAL DUE $ Sz. ()o $ Revision Valuation $ Original Permit Valuation $ Total Valuation (a) Fees due based on Total Valuation (a--b+c) (b) $ Building Permit Fee (c) $ Plan Review Fee (d) $ Previous Fees Paid (d=t+f) (e) $ Building Permit Fee (f) $ Plan Review Fee (g) $ Plan Revision Fee (g--a-d) 9/67 C-aJW Building and PennitFees THANK YOU. ReWsed 116100 Mcd perinits1formsIBRISMT doc A�t C" � r 6W N/- / W�& 6. Vow s� Receipt Number: Receipt Date. 071101200,8 Cashier: Sl+hASSM Pauyer/Payee, Marne; HADIDEN JOSEPHC Original Fee Amount Fee Permit# Marcel Fee Description Amount Paid Balance BLD08-132 948312501 Inspection Fee - MiscellaneouslHou $50.00 $50.00 $0.00 Total: $50.00 Previous Payment History iece 1pt # Receipt late Fee, Description Amount Paint Perm It Payment Check Payment Method Number Amount CHECK 3970 $ 50.00 Total $50.00 genpmtrreceipts Page 1 of 1