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Home My WebLink AboutBLD2003-00752 0 a MLA03-00639 Review Type: 1 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00752 Received Date: 12/3/2003 SITE ADDRESS: 125 CUB RD PORT TOWNSEND, 98368 APPLICANT: JERRY L RUBERT PHONE: (360) 379-0191 TAMMI L RUBERT PO BOX 1924 PORT TOWNSEND WA 98368 SUBDIVISION: BRIDGEFORD SHORT PLAT Block: Lot: 2 PARCEL NUMBER: 001321094 Section: 32 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: JASCHA G KOZELISKY WAINS0627 7/31/2004 OLYMPIA WA 98504-8300 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION MANUFACTURED HOME TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: BON PRIX SETBACK: VALUATION 1,000.00 YEAR: 1978 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 70 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: 3 Exist: 2 AREA Plat Conditions Prop: Prop: Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: (..7/ 0F&W Landslide I Shoreline Aquifer Type Amount Paid By: Date: Receipt: Approved/ ate Manufactured Homes $151.00 KAS 12/03/03 60395 DEC 1 7 2003 Potable Water Application $51.00 KAS 12/03/03 60395 Jefferson County Plannino Total: $202.00 & Building Departm t ' 4àia6p ' (11'/ • • 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 PERMIT #: BLD03-00752 Received Date: 12/3/2003 SITE ADDRESS: 125 CUB RD Issue Date: 12/17/200: PORT TOWNSEND, 98368 APPLICANT: JERRY L RUBERT TAMMI L RUBERT PO BOX 1924 PORT TOWNSEND WA 98368 SUBDIVISION: BRIDGEFORD SHORT PLAT Block: Lot: 2 PARCEL#: 001321094 Section: 32 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JASCHA G KOZELISKY WAINS0627 Expires: 7/31/200z OLYMPIA WA 98504-8300 PROJECT DESCRIPTION �/MANUFACTURED HOME MAKE: BON PRIX YEAR: 1978 SIZE: 14 X 70 THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/17/2004. REQUIRED INSPECTIONS: [ /Footing (CONTINUOUS FOOTING, SLAB orCPADS)JSED)9( 42) o [ } Blocking/Plumbing: a,//!/�,1 r [ ] Zoning Approval: [ ] Septic System Approval: [ ] Final/Skirting/Vents/Porches/Steps: `r— t IIJ C 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. SPECIAL CONDITIONS APPLY- SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY • • SPECIAL CONDITIONS CASE # BLD03-00752 1.) The application was reviewed by the Jefferson County Department of Community Development staff on December 10, 2003 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: seismic. 2.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 3.) The applicant is proposing to create or add 980 square feet of impervious surface and 980 square feet of land disturbing activities. 4.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 5.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 6.) The site plan as submitted with the manufactured home installation application on December 3, 2003 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated December 10, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for a manufactured home only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from Cub Road right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. 13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) The lot was created through the Bridgeford Short Plan on March 6, 1990 under AFN 323850. 15.) A minimum of two (2) on-site parking spaces shall be provided for the manufactured home. 16.) An address of 125 Cub Road, Port Townsend has been assigned to the lot. Cub Road is a private road (P17). 17.) The subject property is near an airport where a variety of airport dependent uses occur that are not compatible with development. Potential discomforts of inconveniences may include, but are not limited to: noise, aircraft take-offs and landings. 18.) A septic permit (SEP90-0535)was finaled on February 1, 1993. ,/ I PLEASE MAIL TO: • •JEFFERSON COUNTY ASSESSOR JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR DEC " 3 atialX 1220,PORT TOWNSEND WA 98368 (460) 385-9105 C OPN 1 1 MOBILE HOME INFORMATION F R 4 OWNER'S NAME / MAILING ADDRESS: en THIS IS NOTA TAX STATEMENT lir NAME. ,,, 1. 1 The purpose of this questionnaire is to obtain in formation regarding either the current location of a mobile home or the ADDRESS: ?f ., 3L7X iqa.LA previous ownership and location of a mobile home. This will .�^ r help our office determine whether the mobile home is already D \ �v� P/t�( ��t~� 1�"3 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: 37—D19 I additional information. 1) MOBILE HOME DATA: "F rl Pr-1 L. (A) MAKE C17Z (B) MODEL �'Ay9i��.t' �a%. .�... (C) YEAR (D) LENGTH (E) WIDTH l LA (F)SERIAL NUMBER 005 (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 41. \COD (H) PURCHASE DATE )l ( '],t i 0 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO (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 at ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: -, terv'rw. LOCATION(ADDRESS) P..5 c((:(tRok . eCr f y V cNc5V6 REAL PROPERTY PARCEL NUMBER/DESCRIPTION 00 S.9%1 THANK YOU FOR YOUR HELP! SI NAT KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ,151 NEW BUILDING 0 REPLACEMENT SIZE I Li X 1 O YEAR � 115 MAKE A r r r;.0 COST 1 J 6O('. BEDROOMS: BATHROOMS: EXISTING EXISTING DEC — 3 2003 PROPOSED PROPOSED TOTAL � TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL INDIVIDUAL SYSTEM k Conventional Ik PUBLIC PERMIT#SE1314t1Cr ❑ Alternative Name of water system: PIS 1) Qo—` 32 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 G./t J �Zti�✓'mow DATE % 3'1 NAME(PLEASE PRINT) -Te-e_e.1/4.1 R ke,Y.,Ir4 FOR PIPPICt USE ONLY CONSISTENCY REVIEW I E RECEIPT# ; ti K� r. EE k S' 1 pit l" ¢ 0� I l � POTABLEV2 Z`OD 911/ROAD APPROACH TOTAL IJ. 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