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HomeMy WebLinkAboutBLD2004-00294 1110 • 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 #: BLD04-00294 Received Date: 5/5/2004 SITE ADDRESS: 41 PLUM AV Issue Date: 5/20/2004 CHIMACUM, 98325 APPLICANT: BOB JOHNSON MERRILL JOHNSON 6066 HWY 20 PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 4 PARCEL#: 963000313 Section: 10 Township: 29 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/31/200i 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION MAKE: BARRINGTON YEAR: 1985 SIZE: 28' x 52' THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 5/20/2005. REQUIRED INSPECTIONS: bod Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): -- '1 --1. --p4 NA Stormwater FINAL Approval: yl Blocking/Plumbing: 6/, f 1'06C [ ] Propane Tank/Lines / Pc [ ] Zoning Final Approval: (I Septic System Final Approval: [ ] Road Approach Final Approval: [•J., Final/Skirting/Vents/Porches/Steps: Z-- ..- ,5-' /.,X' 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 110 • MLA04-00253 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00294 Received Date: 5/5/2004 SITE ADDRESS: 41 PLUM AV CHIMACUM, 98325 APPLICANT: BOB JOHNSON PHONE: (360) 379-3148 MERRILL JOHNSON 6066 HY 20 PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 4 PARCEL NUMBER: 963000313 Section: 10 Township: 29 N Range: 01 W CONTRACTOR/ JAIME KOZELISKY PHONE: (360)385-3215 DEALER: 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License WAINS0626 Expires 7/31/2004 INSTALLER: JAIME KOZELISKY WAINS0626 7/31/2004 (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MAN HOME TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: BARRINGTON SETBACK: VALUATION 25,000.00 YEAR: 1985 LABOR & INDUSTRIES APPROVAL? SIZE: 28' x 52' BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: 0 AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: �+,, r f C94 F&WLandslide Shoreline Aquifer Type Amount Paid By: Date: Receipt: , ,OV ('' Manufactured Homes $154.00 INT 05/05/04 64330AY 2 0 2004 Potable Water Application $52.00 INT 05/05/04 64330 Total: $206.00 Jefferson County PB�;m inky Building Department 0 •JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, P T TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING 0 REPLACEMENT SIZE 6 - .k , _.)- , YEAR /9 ?S MAY — 5 2004 MAKE Y /7 1,I,)(7)7 ./7 COST c s- co0 BEDROOMS: BATHROOMS: TYPE OF HEAT: EXISTING -... EXISTING _2 /Electricity 0 Oil PROPOSED PROPOSED I Woodstove 0 Propane TOTAL ,D TOTAL 0 Heat Pump 0 Other TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARTY WELL ❑ INDIVIDUAL SYSTEM 0 Conventional El PUBLIC Name of water system: '(J PERMIT # SEP144-00(75.7//Alternative 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. IGNATUR DATE 5— NAME (PLEASE PRINT 0 /2 -40/ FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE RECEIPT# 6 ,30 BASE FEE 9? CASH/CK# 7--4 S'37 ADDITIONAL SECTIONS 154{ , DATE _T/_5 ©cf POTABLE WATER 8 5 911/ROAD APPROACH E Xr esf rx5 PROPANE TANK TOTAL al...„ g:\permitcenter\forms\bldgforms\mobileap revised 2-11-04.doc YLI;AJE MAIL TO: JEFFERSON COUNTY ASSESSOR JACK WESORMAN 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:..f "(/l2s`"/"/ l/ X72 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the ADDRESS: 1;! previous ownership and location of a mobile home. This will / help our office determine whether the mobile home is already PT /l g ' 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:366— .37'7— 1 S- additional informations 1) MOBILE HOME DATA: MAY - 5 28°4 (A) MAKE ,1"1/'C(�3 (B) MODEL ,(C) YEAR f S5 (D) LENGTH // (E) WIDTH 4 r' (F)SERIAL UM Ruari- 3/5 ,< (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) (7: S OO 0 (H) PURCHASE DATE 97/7' 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ff C/CG� -f%//)Cia cet-Oc,� ADD RESS /1(Ay q./ ' 9?—Rr/ 4, e; . o. 7X5‘� (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO (IF NO,WHAT COUNTY? IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? o4 6 7-474 C/ Pi 64- 6 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 8i ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER:7/ -/1/ 0517.6 c LOCATION (ADDRESS) ;4:74/ Phif% d/indaeL/M okAV. REAL PROPERTY PARCEL NUMBER/DESCRIPTION 9.6 4 00 0 3/3 _2/ /-Q/>0 Q/< /--(7,/(vy f- /t- , . 3 xC 9 ,' , 0v'A /67,G THANK YOU FOR YOUR HELP! ( � 7.-rr"-X714-a-ei)^-1 SIGNATUR KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. SPECIAL CONDITIONS CASE # BLD04-00294 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 11, 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: Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas. 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 1856 square feet of impervious surface and 2651 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). 7.) 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). 8.) The site plan as submitted with the building permit application on May 5, 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 May 11, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) 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). 12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback from Plum Ave right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 15.) Lighting fixtures shall be Ilkned and hooded to prevent the light sourrom 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. 16.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in height from the finished grade. 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.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 18.) A septic permit(SEP04-00071)was approved on April 5, 2004 for a system of 360 gallons per day. 19.) Plum Ave is a private road (P390). The road approach is existing and an address of 41 Plum Ave has been assigned to the parcel. 20.) This parcel was created through Irondale Orchard Tracts under AFN 28191, filed of record July 19, 1909 in Volume 3, page 4 with Jefferson County Auditor's office. 21.) 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. 22.) A minimum of two (2) on-site parking spaces are required for the manufactured home. /,-- i f2A:o * r • b i,a: `1111 t;-: 4 Allik . ... . IV ,�;„........71 _.__ .. - Ci. , . i ...._ v .,>-.4. . _.,_ ...,.s.t404., Ns . 0 _ C . .i - .. .... .. . . . , : ..., ......., . ._ ._. . __. . .... .. ._. . . __._. . . . . , .0 tv f\---\. 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