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HomeMy WebLinkAboutBLD2004-00556 111 MLA04-00520 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00556 Received Date: 8/31/2004 SITE ADDRESS: 140 FLAMINGO RD 12 PORT TOWNSEND, 98368 APPLICANT: SANDRA I SETON TRUSTEE PHONE: (206)423-7068 SANDRA SETON LIVING TRUST 115 ALOALO PL LAHAINA HI 96761-9175 SUBDIVISION: ONE HAWKEYE PARK Block: Lot: 1-43 PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: (360)479-4663 Contractor's License MODERLL972DO Expires (3/20)/20054630 INSTALLER: FUTURE HOMES 1887 (360)479-4663 DBA FUTURE HOMES BREMERTON WA 98312 INSTALLER: MODERN LIVING LIMITED MODERLL972D0 3/20/2005 (253) 926-0455 6119 PACIFIC HIGHWAY EAST FIFE WA 98424 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SETBACK: VALUATION 70,000.00 YEAR: LABOR & INDUSTRIES APPROVAL? SIZE: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO Prop: Prop: AREA Plat Conditions Total: Total: Wetland Erosion Seismic Streams Flood Way Floodplain Routing Date: c I I ., t�., F&W Landslide ( � �t�j Shoreline Aquifer Type Amount Paid By: Date: Receipt: A P P 'V E E) Manufactured Homes $154.00 KAS 08/31/04 67551 Potable Water Application $52.00 KAS 08/31/04 67551 SEP 2 9 2004 Total: $206.00 Jefferson County Planning & Building Depa ent • • MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00556 Received Date: 8/31/2004 SITE ADDRESS: 140 FLAMINGO RD 12 Issue Date: 9/29/2004 PORT TOWNSEND, 98368 APPLICANT: ROY W KENDALL SHIRLEY J OTIS 1235 LANDES #204 PORT TOWNSEND WA 98368 SUBDIVISION: ONE HAWKEYE PARK Block: Lot: 1-43 PARCEL#: 958700001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER INSTALLER: FUTURE HOMES 1887 Expires: DBA FUTURE HOMES BREMERTON WA 98312 INSTALLER: MODERN LIVING LIMITED MODERLL972D0 Expires: 3/20/200 6119 PACIFIC HIGHWAY EAST FIFE WA 98424 PROJECT DESCRIPTION: NEW MANUFACTURED HOME MAKE: LIBERTY YEAR: 2005 SIZE: 56x26.6 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 9/29/2005. , UIRED INSPECTIONS: Setbacks/Footing (CONTINUOUS FOOTING, SLAB PADS U ED): OK /074/Clitt Stormwater FINAL Approval: [-- Blocking/Plumbing: /-O K icy eletf re v [ ] Propane Tank/Lines /\J ;k [ ] Zoning Final Approval: EA Septic System Final Approval: [ ] Road Approach Final Approval: [,, Final/Skirting/Vents/Porches/Steps: ('j5-D$ HEALTH DEPARTMENT AND PUB IC 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 I • • SPECIAL CONDITIONS CASE # BLD04-00556 1.) The application was reviewed by the Jefferson County Department of Community Development staff on September 27, 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: Susceptable Aquifer Recharge Area (SUSC), Special Aquifer Protection Area (SARPA). 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 1,480 square feet of impervious surface and 1,480 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention)of the Department of Ecology 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. 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 revised site plan as submitted on September 27, 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 September 28, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) 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. 10.) The building height is not to exceed 35 feet. 11.) The setback from right of way of Flamingo Rd. (C624319) is a minimum of 20 feet. The setback from the side and rear property lines is a minimum of 5 feet. 12.) A minimum of two (2)on-site parking spaces are required for the single family residence. 13.) Flamingo Rd (C624319) is a county road. The road approach and driveway are existing for space 12. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) This parcel was created through One Hawkeye Park subdivision under AFN 337105, recorded December 26, 1990 , Volume 6, pages 145- 149 in with the Jefferson County Auditor's office. 16.) A septic permit (SEP91-00018)was approved January 15, 1991 for a capacity of 360 gallons per day. This permit was finalled February 26, 1991. This parcel is served by a public water system. • 17.) 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. 18.) This parcel is a legal conforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 19.) 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. 20.) 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. I JACK d1lESTEgN III "'JEFFERSON COUNTY ASSESSOR ASSESSOR JEFFERSON COUNTY COURTHOUSE PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOTA TAX STATEMENT NAME: 'CO Q / 46-2,//) —S' The purpose of this questionnaire is to obtain information ADDRESS: / '`?4 / � regarding either the current location of a mobile home or the 'S '• �.Z/1 previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already ld�T /(;)444 1S ectii)/1�/9 r J 6 on the tax rolls in Jefferson County_or if it has been moved to TELEPHONE NO: �0 - this county fun another area. Please see reverse side for 3 /y— -2 additional information. 1) MOBILE HOME DATA: (A) MAKE 2r>�F�T , / X (B) MODEL /, �./7// k/F- .� S�4 V (C) YEAR .40OJj (D) LENGTH �h� (E) WIDTH tV -f � (F)SERIAL NUMBER- c,J (/�"� �'t4Efr•- (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) ,-. der) (H) PURCHASEn HOME: p DATE r� -J U_ E T-N 2) PREVIOUS OWNER / LOCATION OF MOBILED V (A) FROM WHOM DID YOU PURCHASE MOBILE fl/Tr/�F n�c_ - 2 i L� ADDRESS 3-6,GO `. /T,S';,/2 4i U (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YESJEFFERSON COUNTY M��FrF.»DGAt►ihlQt114116Y1Uici OPMENT ) 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? �3 NO (B) IF LOCATED IN A MOBILE HOME PARK: NAME&ADDRESS OF PARK (,yE C /� � ,%�p_44-,e ,1 f /f� � - /06�r%7 j,f/LLSfitA SPACE NO. l (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION(ADDRESS) REAL PROPERTY PARCEL NUMBER/DESCRIPTION 2 ill .via....4e THANK YOU FOR YOUR HELP! :..... !� / SIGNATU - / KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. I • 'OWNER BUILDER STATEMENT - r "" . _ �' 1 1 rA The signer of th' ement does hereby certify that they are the Owners of the parcel referenced herei ,t�i}a t � 2�. � at they will be um' the r 'bility of the General Contractor for the proposed project. L/ Signature: Date: F 3r s .,i 1 I i.i! GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: i i ry 2 E }loin E.S (360)4/77 �6r3c oCC)Wl Y F T MAILING ADDRESS: s6.10 Krrs.¢v, ithl•U EMAIL: CONTRACTOR'S LICENSE 132E,,01 EATON, k/4 ?a3/2. WAINS ' NUMBER: NUMBER /4F 6 c 17 ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: , EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage,Disposal: $,. New ,K. Wood Existing: a. ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank IIt ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: 2. • Height:/V ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# CI)— 1? ❑ Demolition [l Other: Bedrooms: Water Supply: Existing: 3 Setba pp y ❑ Private well ❑ Two Party Type of Heat: Proposed: ,I3(Public Total: 3 Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: n Underground Tank ❑ Above ground Tank Size of Propane Tank: i i Heat Stove [I Cook Stove LI Woodstove Li Fireplace Insert I I Hot Water Tank I 1 Pellet Stove 11 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For Office Use Only Current Proposed Amount Main Floor /Yera Consistency Review: /) p� 2ND Floor Base fee: `rU 3f0 Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: , i rt N 6. Garage/Carport TOTAL: $ 2 • Decks Receipt Number: 67 Other Cash/Check:Number: 5 ESTIMATED COST(REQUIRED) Date, ci_t3t/0 4 ' •Faiir market value of all labor and materials foundation to finish `( 7O) O©d.as Initials: pn G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 1 sow c w�` o JEFFERS -`-- DEPARTMENT OF COMMUNITY DEVELOPMENT ` 621 Sheridan Street• Port Townsend • Washington 98368 - AUG 3 2 r 360/379-4450 • 360/379-4451 Fax Is, O� www.cojefferson.wa.us/commdevelopment JEFFERSON COUNTY DEPT. OF OE Ave. , Master Permit Application MLA: Project Description(include separate sheets as necessary): Pi4C-//vG D4/E- /If/tl v) 6tT/,Z£b ko.01 E ON 467- Tax Parcel 6/�7 Property/�Q s' Number: (. g ZOO 00 C Size: 96OD Sce i (acres/square feet) Site Address and/or Directions to Property: /V6 / .? ,A' o/aa ('2T [a etse_✓D Aid/ 9£5 - Property Owner(s)of Record: SAND ft 4 5""* 7 it Telephone: 3 30/"`J ,37? Fax:_� email/�'Pff/IIAT�ffv -m, i�.0 pyy Mailing Address: / 0. t3. 2/// Applicant/Agent(if different from owner): RO y W• kg.UAA-/,/ — - frii /e V cT V Tt,S Telephone: 360 - 39/4/- i/Z S 7 Fax: email: Mailing Address: /235- ,44.,icFs e•„to'/ PalerT 1lNSE416 , iAtm- Ql-34, a What kind of Permit?(Check each box that applies) Li Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** X Manufactured Home 0 Boundary Line Adjustment Li Modular ❑ Short Plat-- 0 Commercial* ❑ Binding Site Plan*' L] Change of Use ❑ Long Plat** 0 Address I I Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** LI Propane ❑ Plat Vacation/Alteration** Li Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development*' ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium *May require a Pre Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: • r ^DESIGNATION OF AGENT I hereby designate / i' ,S t !' i rm to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE / Y A �i L— Date: U --aZ3—el By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 its employees,representatives or agents for the sole purpose of application review and any req ired later ins s l:• s.Acces and right of entry to this property shall be requested and shall occur only during regular business hours. - {� Signature: l //4 j ape.dy ( � IQ Ete4 ' Date: g r 2 3'qp y The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eve ' are in comps nce with the Jefferson County developm nt code.The Applicant acknowledges that he,she or it holds individual and non- nsfe e r ib" for a erin to and g wi th A plicant has read this disclaimer an signs and dates it below. Signature. Date: p.'"..?. c>f' G:\PermitCenter\FORMS\DRD FORMS\Master Pe 't Application 7-8-0 o i SaiT-.7 ("-?,k, MA docL c----, 1***. 01110111 ....j.")..." C.-) .,...h.:: ti 1_g C%1 0 .74,---- VJ= --- ..._., 1.1141...1/4—? = le"- CO tt(_:: (j--..• (J) ty.a, \, ' ,.. .\\. cip cc'LT, • rail ' ,-.,, ...< ,..L.0 u..,0 „----v---cf- LILI...L OLL ! (-1 ct 1--: -7:1_1- . cJ \ 1.4.1 0 .7".. ;71 ...,., n 1 i.›*•.:42. ,..., i, ,,. - ,.., ..., 00 i g g4 CV g t1/4 8 0 i.-- k.4 • \ • co \ -... --I .....;;.. • ---,--- i __........ .... _. / • co t./. w s‘->w r . (0..1 ,VPii )14 d-Y9 ' --1- :-, --A 1_ i •i , '''N'• u 1 2 - ycY5,414? Os,1 I. L3 ..- . 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