HomeMy WebLinkAboutBLD2004-00064 • S
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#: BLD04-00064 Received Date: 2/3/200,
SITE ADDRESS: 211 8TH AVE Issue Date: 2/24/200
PORT HADLOCK, 98339
APPLICANT: MICHAEL P REGAN
291 W HORTON
PORT HADLOCK WA 98339-9639
SUBDIVISION: IRONDALE Block: 63 Lot: 1-3
PARCEL#: 961806306 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER
INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/31/2004
1112 S JACOB MILLER RD PORT TOWNSEND WA
98368
PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION
MAKE: MARLETTE
YEAR: 1996
SIZE: 28 X 60
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 2/24/2005.
REQUIRED INSPECTIONS: /
['] Setbacks/Footing (CONTINUOUS FOOTING, LAB r PADS USED): - G ' ✓/Z y
Blocking/ lumbing (t d ye'La s r",c?; Ticcma OK (Wm)!c ,-Liox 4/z7/o"#J
[ [ Zoning Final Approval: A) IP
Septic System Final Approval:
{4- Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps:
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 # BLD04-00064
1.) The application was reviewed by the Jefferson County Department of Community
Development for the presence of Environmentally Sensitive Areas (ESAs). The
Department conducted a review and has concluded that the property DOES NOT contain
Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA
review and conditions may be added if new ESAs are found on the property.
2.) The applicant is proposing to create or add 1980 square feet of impervious surface and
3650 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson
County Unified Development Code requires that your proposal shall adhere to Best
Management Practices (BMPs).
3.) 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).
4.) The site plan as submitted with the building permit application on February 3, 2004 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 February 24, 2004 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
5.) 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.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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).
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
9.) The building height is not to exceed 35 feet.
10.) Minimum setback from 8th Ave right-of-way is 20 ft. Minimum setback from W Arden St
right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft.
11.) A septic permit(SEP00-00184)was approved on October 26, 2000 and was finaled on
January 13, 2004 for a system of 360 gallons per day.
12.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
13.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through#12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
14.) 8th Ave (C674709) is a county local access road. A road approach was reviewed under
RAP02-00079, and an address of 211 8th Ave has been assigned to the parcel.
15.) A Declaration of Restrictive Covenant was recorded February 18, 2004 under AFN
481170 with the Jefferson County Auditor binding lots 1 thru 6 of Block 63, Irondale No. 3
for the purpose of meeting bulk and dimensional requirements and minimum land area.
16.) This parcel was created through the Irondale No. 3 under AFN 29470, filed of record
February 19, 1910 in Volume 2, page 131 with the Jefferson County Auditor's office.
17.) A minimum of two (2)on-site parking spaces are required for the single family residence.
0 • MLA04-00060
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
• Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00064 Received Date: 2/3/2004
SITE ADDRESS: 211 8TH AVE
PORT HADLOCK, 98339
APPLICANT: MICHAEL P REGAN PHONE: (360)385-7368
291 W HORTON
PORT HADLOCK WA 98339-9639
SUBDIVISION: Block: 63 Lot: 1-3
• PARCEL NUMBER: 961806306 Section: 4 Township: Range:
CONTRACTOR/
DEALER:
INSTALLER: JAIME KOZELISKY WAINS0626 7/31/2004 (360)385-3215
1112 S JACOB MILLER RD PORT TOWNSEND WA
98368
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: NEW MFH INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: MARLETTE SETBACK:
VALUATION 16,330.00 YEAR: 1996
LABOR & INDUSTRIES APPROVAL?
SIZE: 28 X 60 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: 3 Exist: 2 STORMWATER: YES NO
AREA Plat Conditions
Prop: Prop: Wetland Erosion
Total: 3 Total: 2 Seismic Streams _
Flood Way Floodplain
Routing Date: �/ ,,!I F&W Landslide —
�t ��� !, Shoreline Aquifer
C--..+• !'mow,w,..r`.i^,I n
Type Amount Paid By: Date: Receipt:
Approved/Da e
Manufactured Homes $154.00 KAS 02/03/04 62536 FEB 2 4 2004
Potable Water Application $52.00 KAS 02/03/04 62536 Jefferson County Planning
Total: $206.00 Building Departfr
Ybea1441/14.--"-
PLEASE MAIL TO:
>
Ask
COUNTY ASSESSOR
JACK WESTERN N III JEFFERSON COUNTY COURTHOUSE
ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368
- (360)385-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME / MAILING ADDRESS: THIS/S NOTA TAX STATEMENT
NAME: Lit LI
The purpose of this questionnaire is to obtain information
ADDRESS• C 1�.', 1 1 --)� 6j regarding either the current location of a mobile home or the
• previous ownership and location of a mobile home. This will
j1"G`7to-4 help our office determine whether the mobile home is already
on the tax rolls in Jefferson County or if it has been moved to
TELEPHONE NO: 3 g.i 7)6 g this county from another area. Please see reverse side for
additional information.
1) MOBILE HOME DATA:
(A) MAKE /BOA' k- (B)( MODEL (C) YEAR 7/9r‘
(D) LENGTH CC ' (E) WIDTH
(F)SERIAL NUMBER ki 0 J .)-. �')9. �ie:,
(G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) -P /i(( ?0 (H) PURCHASE DATE ,jt t •22./ , 7;
2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: J S-
(A) FROM WHOM DID YOU PURCHASE MOBILE a4 k'v'4-r,/ 74)ILi � rr r�"
ADDRESS -a a/ 1 ,f;1'l f / r /It / '9 9 c if S // 1
r
(B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES Cr) (IF NO,WHAT COUNTY? S4l3 A.60( .r k )
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 a ADDRESS OF PARK
SPACE NO.
(C) IF NOT LOCATED IN A MOBILE HOME PARK:
NAME OF LAND OWNER: L L", L .
'9\ J
LOCATION(ADDRESS) / ✓7i. 1 /��.�Jf �, 7f3I7REAL PROPERTY PARCEL NUMBER/DESCRIPTION- C / rO,6 so 6 Us-- j / lie
THANK YOU FOR YOUR HELP! FEB " 3 '" _______e(=>
SIGNATURi,
KELLI LARSON, Poperty Technician
THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION.
JEFFERSON COUNTY CO/UNITY DEVELOPMENT 621 SHERIDAN ST,PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
0 NEW BUILDING �j 0 REPLACEMENT c `
0 SIZE c . 1 L/ ,
YEAR ( l r iv •111111 ! ,f L'
MAKE /(,/--'(/'
. ; r s,;Ty
COST ��� 0
BEDROOMS: BATHROOMS:
EXISTING 0 EXISTING C
PROPOSED -3 PROPOSED s,
TOTAL 1 TOTAL _
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
13 INDIVIDUAL SYSTEM L"Conventional I:'PUBLIC
PERMIT#SEP 0 Alternative Name of water system: ( 6
IF WATERFRONT PROPERTY,
/ 4._
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 in ections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during
regular business hours.
SIGNATURE DATE 2--- 0
NAME(PLEASE PRINT) 41 yj 3 ` ,L, I
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE 48.00 RECEIPT# C-2.53(
BASE FEE `51+.OCD
ADDITIONAL SECTIONS �7 � CASH/CK# Z-2_0 C
I�SUBTOTAL 0Z' GO DATE 2-1 3/ D Lf
POTABLE WATER 85'40
911/ROAD APPROACH 'RAP oZ—7Q
TOTAL / L31
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