HomeMy WebLinkAboutBLD2004-00060 • • MLA04-00055
Review Type:I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00060 Received Date: 2/2/2004
SITE ADDRESS: 215 MEADE RD
NORDLAND, 98358
APPLICANT: ROLLAND D PADDOCK PHONE: (360)385-5334
215 MEAD RD
NORDLAND WA 98358-9694
SUBDIVISION: Block: Lot: TX 84
PARCEL NUMBER: 921042044 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR/ DEMOPRO PHONE: (206) 423-4354
DEALER: ROY LINDSEY
20026 BALLINGER WAY NE#203
SHORELINE WA 98155
Contractor's License DEMOP**982MW Expires 2/8/2004
INSTALLER: DOUGLAS L SHARP WAINS1887 7/31/2005
REPRESENTATIVE: MARK SHINGLEDECKER PHONE: (360)479-4663
5620 KITSAP WAY
BREMERTON WA 98312
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: LIBERTY SETBACK:
VALUATION 70,000.00 YEAR: 2004
LABOR & INDUSTRIES APPROVAL?
SIZE: 26.6 X 70 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: 2 Exist: 1 STORMWATER: YES NO
Prop: 2 Prop: 1 AREA - Plat Conditions
Total: 4 Total: 2 Wetland Erosion
Seismic Streams
Flood Way Floodplain
Routing Date:ah /09 F&W Landslide
Shoreline Aquifer
.
Type Amount Paid By: Date: Receipt: P `-"FrOVED
Manufactured Homes $154.00 KAS 02/02/04 62552
Potable Water Application $52.00 KAS 02/02/04 62552 APR 2 8 2004
Total: $206.00 Jefferson County Planning
& Building Departure
rit y
711
�/,Z(�l
�/ $ G
I
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT#: BLD04-00060
SITE ADDRESS: 215 MEADE RD Issue Date: 04/28/2004
NORDLAND, 98358 Final Date: 08/23/2004
APPLICANT: ROLLAND D PADDOCK PHONE: (360)385-5334
215 MEAD RD
NORDLAND WA 98358-9694
SUBDIVISION: Block: Lot: TX 84
PARCEL NUMBER: 921042044 Section: 4 Township: 29 N Range: 01 E
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 1997 EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON
08/23/2004
COm\ yne ' I ', l/� 8/;1/0
Buildin Offst`aISi natur
9 9 p D e
1:\F_BLD_Occupancy.rpt 10/29/19.c
• •
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#: BLD04-00060 Received Date: 2/2/200
SITE ADDRESS: 215 MEADE RD Issue Date: 4/28/20C
NORDLAND, 98358
APPLICANT: ROLLAND D PADDOCK
215 MEAD RD
NORDLAND WA 98358-9694
SUBDIVISION: Block: Lot: TX 84
PARCEL#: 921042044 Section: 4 Township: 29 N Range: 01 E
CONTRACTOR/ DEMOPRO PHONE: (206)423-4354
DEALER ROY LINDSEY
20026 BALLINGER WAY NE#203
Contractor's License DEMOP**982MW Expires 02/08/2006
INSTALLER: DOUGLAS L SHARP WAINS1887 Expires: 7/31/200;
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
MAKE: LIBERTY
YEAR: 2004
SIZE: 26.6 X 70
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 4/28/2005.
REQUIRED INSPECTIONS:
11 Setbacks/Footing (CONTINUOUS FOOTIN LAB or ADS USED): S/S'd/
Blocking/Plumbing: OK 5/41/4 /'g-4061.w40s ok SifeC7
[4] Propane Tank/Lines ;Aff f E)c%cd4 6 oci U
Zoning Final Approval: !
Stormwater FINAL Approval:
I] Septic System Final Approval:
[ ] Road Approach Final Approval: /"s / ft
Final/Skirting/Vents/Porches/Steps: (:)4r, Zvr- C j] RA-3/or -A
HEALTH DEPARTMENT AND PUBLIC WORKS 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 # BLD04-00060
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on February 6, 2004 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:
Eagle; SARPA aquifer recharge area.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
5.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs)and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
6.) The applicant is proposing to create or add 1855 square feet of impervious surface and
3355 square feet of land disturbing activities.
7.) 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.
8.) 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).
9.) The site plan as submitted with the manufactured home installation permit application on
February 2, 2004has 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 April
27, 2004 shall be resubmitted for review and approval by Jefferson County Department of
Community Development.
10.) This approval is for a manufactured home installation 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.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) 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).
13.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
•
15.) Minimum setback from Meade Road right-of-way shall be 20 feet. Minimum side and rear
yard setbacks shall be 5 feet.
16.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
17.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
18.) An address of 215 Meade Road, Nordland has been assigned to the parcel. Meade Road
is a county local access road (C589609). A private easement accesses the parcel via
Meade Road. The subject parcel has easement rights.
19.) Per phone dated February 25, 2004 call from Shelly Ament, WDFW wildlife biologist, an
eagle plan is not required.
20.) A septic permit (SEP80-00143)was not finaled. A critical area review CAR99-0190)was
finaled on June 24, 1999 for a pole building. A building permit (BLD(9-0288)was finaled
on August 25, 1999 for a pole building. A septic permit (SEP04-0030)was approved on
March 3, 2004.
21.) THE WELL (ID # 194447) LOCATED ON THE ADJACENT PROPERTY (921042007), IS
TO BE UTIILIZED FOR SINGLE FAMILY DWELLINGS ONLY.
THE OWNER OF THE WELL (HARLAN PADDOCK) STATED IN A LETTER THAT HE IS
THE OWNER OF THE WELL AND THAT IF THE "OLD CHURCH/SCHOOL"WAS TO
START OPERATING AGAIN THAT THEY WOULD HAVE TO FIND THEIR OWN
SOURCE OF WATER.
IN A LETTER DATED APRIL 21, 2004 FROM JEANNE KOESTER, SECRETARY
TREASURER OF THE PADDOCK HERITAGE FELLOWSHIP, THAT THEY HAD NO
INTENTION OF OPERATING THE BUILDING AS EITHER A CHURCH OR SCHOOL IN
THE FUTURE.
22.) The parcel has been designated as RR 1:5 under the Jefferson County Comprhensive
Land Use Map effective August 28, 1998.
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JEFFERSON COUNTY C.MUNITY DEVELOPMENT 621 SHERIDAN ST,IsORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION _, ---
• E C -. ' _____Ii ' )1
0 NEW BUILDING X REPLACEME r----
'I j
SIZE lc; (.Or x. la' l � � ; � t
,1
YEAR 7cz'4
MAKE 1..,1( CLTv` �� .ev`E ppNic d I
COST 7 l0I —C,
BEDROOMS: BATHROOMS: 41 Plo eCAWL—, —
EXISTING - EXISTING I
.=`
4.
PROPOSED PROPOSED
TOTAL 'i' TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL JO PARY WELL
0 INDIVIDUAL SYSTEM ❑ Conventional l' PUBLIC
PERMIT#SEP 0 Alternative Name of water system: /2-1-'�w-"�� ���/
. ''' )q1/1147
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 RJ'� ° ��� DATE 2/4 C
1
/// -,,` r �z NAME(PLEASE PRINT) i4U /�C< <2�` ,//�- <�� C4:
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE 48.00 RECEIPT# lf[ a 55
BASE FEE l S
moo _ , r 1.4
CASWCK#
AS 3-ei
SUBTOTAL DATE / /o7QQ4k
POTABLE WATER 6,5
911/ROAD APPROACH
TOTAL ----AS-.:-..- -
G:1PermitCenter\FORMS\BLDG FORMS\MOBILEAP
PLEASE MAIL TO:
•FFERS.ONCOUNTY ASSESSOR
JACK WESTEIMAN III �:A, z , � )EI? RS OUNTYCOURTHO
ASSESSOR i ! j 1—`7 r PO BOX 1 COURTHOUSE
tRT TOWNSEND WA 98368
1` -- 1360) 385-9105
lip,,, , I� � ,
MOBILE HOME'sINFOR1 �'IO!; I? M :"'`
I ,
J ?
OWNER'S NAME / MAILING ADDRESS: ? np¢'"' 1
C TiliSli > OTA"TAX STATEMENT
NAME: --i t0 TA 1.� -- L.
The purpose of this questionnaire is to obtain information
regarding either the current location of a mobile home or the
ADDRESS: 2-l' 1' C=> . previous ownership and location of a mobile home. This wil
_ help our office determine whether the mobile home is alreac
IZt--)Lii-r--1 4`Th v4 C-) -S�- ..cc c, on the tax rolls in Jefferson County or if it has been moved t
this county from another arm Please see reverse side for
TELEPHONE NO: •�S - • ,;} additional information.
°I;MOBILE HOME DATA: Ilk%
(A) MAKE L E CCL I (B) MODEL I►'t t"`. )-{ ,-{C ; (C) YEAR C.0 C'4
(D) LENGTH —1 L 7- {' (E) WIDTH -.{,-r , (. --i
(F)SERIAL NUMBER P c-_,,(G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) ( 4-a `- ",F (H) PURCHASE DATE /Z. G
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&ADDRESS OF PARK SPACE NO.
(C) IF NOT LOCATED IN A MOBILE H E PARK:
NAME OF LAND OWNER: « /lam-/1 C (4 G"
LOCATION(ADDRESS) ` 0 f'? /11 N92
a (je 0 /' C 7, AI(7 L.ev)C! Lt.✓J,- / c"! -c"
REAL PROPERTY PARCEL NUMBER/DESCRIPTION
�.
THANK YOU FOR YOUR HELP! C � 1' .:
SIGNATURE
KELLI LARSON, Property Technician
THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION.