HomeMy WebLinkAboutBLD2004-00191r 11)
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MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATIONMLA04-00159
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00191 Received Date: 3/24/2004
SITE ADDRESS: 54 PORT HADLOCK HEIGHTS PL
PORT HADLOCK, 98339
APPLICANT: TIM RONDEAU PHONE: (360) 797-7722
C/O BRODERS INC
4503 OLD GARDINER RD
PORT TOWNSEND WA 98368
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 37
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER:
REPRESENTATIVE: BRODERS INC PHONE: (360) 797-7722
4503 OLD GARDINER RD
PORT TOWNSEND WA 98368-977F
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SKYLINE SETBACK:
VALUATION 22,700.00 YEAR: 1983
LABOR & INDUSTRIES APPROVAL?
SIZE: 24 X40—to : BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
STORMWATER: YES NO
Exist: 2 Exist: 1 AREA Plat Conditions
Prop: Prop: Wetland Erosion
Total: 2 Total: 1 Seismic Streams
Flood Way Floodplain
Routing Date: F&W Landslide
dDy J Shoreline Aquifer
Type Amount Paid By: Date: Receipt: A 1 1- �O V E D
Manufactured Homes $154.00 KAS 03/24/04 62785 1
Potable Water Application $52.00 KAS 03/24/04 62785 APR - 6 2004
Total: $206.00
Jefferson County Planning
& Building Departure t 0 /.</(/F SG
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1111
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
❑ NEW BUILDING ❑ REPLACEMENT
SIZE .a-f-'--fF --- :2 9 i X H 9
YEAR ( ?F 3
MAKE S Ky l i to z= o
COST 4T 22)70o er ,
N
BEDROOMS: BATHROOMS:
EXISTING 2- EXISTING
PROPOSED PROPOSED
TOTAL 2-- TOTAL (
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER A.COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
❑ INDIVIDUAL SYSTEM 0 Conventional %PUBLIC
PERMIT#SEP 0 Alternative is-,04? 411 1i rr�for Name of water system: P V t) Teri— Mr:ea.
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 attomey'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 _` - DATE 21L IAir A 20ny
NAME(PLEASE PRINT) p i c.h a r.(1. A . .r o a r,v s
FOR OFFICE USE ONLY
40 o0
CONSISTENCY REVIEW FEE �:V V RECEIPT#
BASE FEE i`CW ` f)
ADDITIONAL SECTIONS496'. CASH/CK# / 70
SUBTOTAL r.
Qa 00 DATE 3 0717f7/ 0 7
POTABLE WATER S,S/i,
911/ROAD APPROACHT. .S 11 a
TOTAL �g�j r
1 F B \M G:\PermitCenterORMS\ LDG FORMSOBILEAP " `
&FFERSON COUNTY ASSESSOR
JACK WESTERWAN III 1111.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: � rtit. ��.c)N a?'Cd_t,C
The purpose of this questionnaire is to obtain information
r) A regarding either the current location of a mobile home or the
ADDRESS: t ; o l `] 7- Z previous ownership and location of a mobile home. This will
nt y °' help our office detenn ne whether the mobile home is already
(-5 I U L✓r�'�t v 2L. C u` / I on the tax rolls in Jeff wson County or if it has been moved to
this county from another area. Please see reverse side for
TELEPHONE NO: 7 i'2 -c>2. l C; 6 additional information.
1) MOBILE HOME DATA: / �zz
(A) MAKE I C1� [ {R (B) MODEL Ott UJ 44(Z�F —
' (( (C) YEAR
(D) LENGTH y `t (E) WIDTH 2 "f (F)SERIAL NUMBER 1 7 76.-
(G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 2 2, 7G'C? (H I PURCHASE DATE '2.-,/2e2c.`c�f
2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME:
(A) FROM WHOM DID YOU PURCHASE MOBILE )Oi''I 11 S' tr ( t _ ' 5
ADDRESS c- c y,S 1--i i(00y- L-3, JJ
(B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES (N0) (IF NO,WHAT COUNTY? ('1"rj,:k75 (-Iii )6;
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? YE. NO
(B) IF LOCATED IN A MOBILE HOME PARK:
NAME&ADDRESS OF PARK c t it
( f i tack tee/c 17e ;`1 it-6
_ SPACE NO. 7
(C) IF NOT LOCATED IN A MOBILE HOME PARK:
NAME OF LAND OWNER:
LOCATION(ADDRESS)
REAL PROPERTY PARCEL NUMBER/DESCRIPTION
THANK YOU FOR YOUR HELP!
SIGNATURE
KELLI LARSON, roperty Technician
THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION.
May 25 04 04: 37p Ja' e Kozel isky 3G 85-3215 p. 1
,1 KOZELIS'YCY'S HOM',E tERV/CE
1112 S.JacOb Miller Road PERMIT # BID
Port Townsend, WA p8368 ---
PHone 04841 t0
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MANUFACTURED/MOBILE HO 0
Jefferson County Department ofVComNSTALLATION PERMIT le621 Sheridan Street, Port Townsend, W A Development
360 379-4450 FAX 360 379-45198368
PERMIT#: BLD04-00191
Received Date:
SITE ADDRESS:
54 PORT HADLOCK HEIGHTS PL
PORT ,
APPLICANT: 98339 Issue Date: 3/24/2004
TIM RONDEAU 4/6/2004
HADLOCK
C/O BRODERS INC
4503 OLD GARDINER RD
PORT SUBDIVISION: PORT HAADLOCK HEIGHTS MH
WAND 98368
PARCEL#: PARK p 29 N
Block:
989500001
CONTRACTOR/ Section: 11 Township: Lot: 37
DEALER
OWNER/BUILDER Range: 01 W
PHONE:
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
ME
YEAR: SKYLINE
SIZE: 1983
24 X 40
THE FINAL INSPECTION M THISE t ` _
RMIT IS VALID
D FOR ONE YEAR,
UST BE SCHEDULED AND PASSED WITHIN THAT YEAR
frUIRED INSPECTIONS: THE EXPIRATION DATE IS
4/6/2005.
setback /Footing (CONTINUOUS FOOTING, SLAB or PADS USED): . �S--- eic
kl-
Blocking/Plumbing: ,-.,. ..
KPropane Tank/Lines
f l Zoning Final Approval: /v
Stormwater FINAL Approval:
Septic System Final Approval:
[ ] Road Approach Final Approval:
[4' 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
• •
4
SPECIAL CONDITIONS CASE # BLD04-00191
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on March 29, 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:
SAPRA aquifer recharge area.
2.) Aquifer Recharge Areas in Jefferson County are characterized by
porous
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 1680 square feet of impervious surface and
1920 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 permit application on March 24,
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 March 29, 2004 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
10.) This approval is for installation of 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.
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 Portedlock Heights Place right-of-way shall be fleet.
Minimum side and rear yard setbacks shall be 5 feet. 41
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.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
19.) The lot was created through the Port Hadlock Height Mobile Home Park Binding Site Plan
on April 15, 1998 under AFN 409746.
20.) An address of 54 Port Hadlock Heights Place, Port Hadlock has been assigned to the lot.
Port Hadlock Heights Place is a private road (P516).
21.) A septic permit (SEP04-0077)will be issued with the building permit.
22.) A minimum of two (2)on-site parking spaces shall be provided for the manufactured
home.
PERT - N
MAR 2 4 2004
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APPROVED a n I.,f•,_•tc-►c 4 !-�b 4/1 .
SITE PLAN REVISED S PLAN -fin s ���� �I'o� b.)dated 9T
S 04 2-0 1- 3 7— par- 7-
MAR 2 9 2004 as been APPRo IJ1J*f/f a J/o / Hti AlL r
by JEFFERSON COUNTY
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