Loading...
HomeMy WebLinkAboutBLD2004-00719 • • 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#: BLD04-00719 Received Date: 11/12/2004 SITE ADDRESS: 4973 DABOB RD Issue Date: 12/8/2004 QUILCENE, 98376 APPLICANT: MARK REITZ TERRY REITZ 353 ARDEN ST PORT HADLOCK WA 98339-9609 SUBDIVISION: Block: Lot: T 4+ PARCEL#: 701053004 Section: 5 Township: 27 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JUSTIN CANTERBURY WAINS00785 Expires: 7/31/200; HUNT HOMES BREMERTON WA 98312 PROJECT DESCRIPTION: NEW MFH MAKE: FLEETWOOD YEAR: 1997 SIZE: 56 X 25 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/8/2005. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YO OJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB r PAD USED) /' ( ( - Stormwater FINAL Approval: Blocking/Plumbing:. / r/•-�5 4 c•Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: �� Final/Skirting/Vents/Porches/Steps: ',►w4/7 I( HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT-LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE • • ML 640 0010 Revieweview Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00719 Received Date: 11/12/2004 SITE ADDRESS: 4973 DABOB RD QUILCENE, 98376 ARK REITZ PHONE: (360) 385-6882 APPLICANT: TIERRYR ITZ 353 ARDEN ST PORT HADLOCK WA 98339-9609 Block: Lot: TX 4 SUBDIVISION: PARCEL NUMBER: 701053004 Section: 5 Township: 27 N Range: 01 W CONTRACTOR/ JUSTIN CANTERBURY PHONE: DEALER: HUNT HOMES PO BOX 4700 BREMERTON WA 98312 Contractor's License WAINS00785 Expires 07/20/2001 INSTALLER: JUSTIN CANTERBURY WAINS00785 7/20/2001 HUNT HOMES BREMERTON WA 98312 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK: VALUATION 39,900.00 YEAR: 1997 BANK HEIGHT: SIZE: 56 X 25 LABOR & INDUSTRIES APPROVAL? SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Floodplain F&W Landslide Routing Date: I b`�1 � Aquifer uifer Shoreline Type Amount Paid By: Date: Receipt: A PAPAW E Manufactured Homes $154.00 KAS 11/12/04 68581 DEC - u 2004 Potable Water Application $52.00 KAS 11/12/04 68581 Jefferson County Planning Total: $206.00 &Building Department • ` ERSON COUNTY ASSESSOR JACK VVESTERT�N III ASSESSOR 'JJ FERSON COUNTY COURTHOUSE PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM NNER'S NAME /MAILING ADDRESS: THIS IS NOTA TAX STATEMENT AME: /1/1 11-/2 It LJ I (O y11-IU 13G t'.-L Nt re . _ purpose of this questionnaire is to obtain infonllation DDRESS: .s �_ � -j�Q ��n9 either the current location of a mobile home or the previous ownership and location of a mobile home. This will f,4-HCt�(CY 1 wits, /q� 337 help our office determine whether the mobile home is already 4 on the tax rolls in Jefferson County or if it has been moved to j� (d1� this county from another area. Please see reverse side for TELEPHONE NO: (CQ) j additional information. i Z. 2004 1) MOBILE HOME DATA: (A) MAKE Fl E E rwoo 0 (B) MODEL ITC 3 V (C) YEAR l`7 g 7 (D) LENGTH 56 (E) WIDTH 2 3 fj 87 6 (F)SERIAL NUMBER (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) Nr 31 J/OO (H) PURCHASE DATE /q5 9—oil 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE HUNT T WOMBS' I WG, (t J f H ADDRESS 3 O 16 W. U rc wte..-41A V 4 C7g 31 2,(B) WAS MOBILE HOME ASSESSED IN JEFFERSON COU7 LAST YEAR? YES >�(IFNO,WHAT COUNTY? PO 10 L� ) IF YES,.WHAT WAS PREVIOUS ADDRESS OF MOBILE? J 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES i (B) IF LOCATED IN A MOBILE HOME PARK: NAME at ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: Ai of CI R E 1. LOCATION(ADDRESS)q r 73 1) 601, _Rpl„ Cat 1,l J .wt ,, gg37 REAL PROPERTY PARCEL NUMBER/DESCRIPTION 7Q/ (Q.373 cott THANK YOU FOR YOUR HELP! SIG TURF :FELT LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. • • SPECIAL CONDITIONS CASE # BLD04-00719 1.) The application was reviewed by the Jefferson County Department of Community Development staff on November 20, 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: Type 3 Stream. 2.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 3.) A Type 3 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 4.) Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 5.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder (Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry (Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium). 6.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the manufactured home. 7.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed manufactured home. 8.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 9.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer- Do Not Remove or Alter Existing Vegetation." 10.) The applicant is proposing tooate or add 1700 square feet of impervious•face and 1830 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). 11.) 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). 12.) The revised site plan as submitted on December 1, 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 December 2, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) 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. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) 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). 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) The building height is not to exceed 35 feet. 18.) Minimum setbacks from Dabob Rd right-of-way is 20 ft. Minimum setback from Lone Star right-of-way is 20 ft. Minimum side and rear esetbacks are 5 ft. Minimum setback from the Type 3 stream is 105 ft(100 ft stream buffer plus 5 ft side yard setback). Minimum setback from the neighboring property zoned CF 1:80 is 250 ft. 19.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 20.) A septic permit (SEP95-00162)was finaled on October 6, 2000 for a 2-bedroom system. 21.) Dabob Rd is a minor collector road (C348808). The road approach is existing and an address of 4973 Dabob Rd has been assigned to the parcel. 22.) 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. 23.) A minimum of two (2) on-site parking spaces are required for the single family residence. OWNER BUILDER STATEMENT011": :, :' signer of this statement does hereby ce hey are the Owners of the parcel referenced herein,that they are not licensed contractors and that will be assuming U e My of General Contractor for the proposed project. nature: L�1� ..''i Date: !I"1U-674 NOV 1 2 2004 NERAL NTRACTOR OR MANUFACT ED HOME INSTALLER: PHONE: ' \ � � u � V ✓ Cull S crC ftv� (V ) ,27/t / '(... ) AILING ADDRESS: / { EMAIL: ONTRACTOR'S LICENSE / C(ei S l a_ ,WAINS (UMBER: I NUMBER 057 g 5 ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: A New @f, Wood Existing: ?. ❑ Sewer ' 0 Addition 0 Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 0 Individual System ❑ Repair ❑ Masonry SEP Permit# 95 -O/CA ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: o'•• ❑ Public Total: 2\. Name of System: If this is a Commercial Project 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: ❑ Underground Tank 0 Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove ❑ 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 ffic s O ",�' ni V -z i 1 Current Proposed ", ` v fi3, • N 8 Main Floor / br , t a 1 A v } ? A; t 7.� I. 1.",,` � � 7 4k-n -COO NU }fir }, lr ,:it,,,,,,,,. . ,,.. i r4 2 Floor '. '�� " 3 Floor �itid�al Section: r �. Mezzanine: Plan Check f k .gam#* L�'� 3: .1.4. j,. �a,,,,e Tom,. i" `, �c�' `,,. Heated Basement ` t,Surd Tee , , t"e w � `y :„. ', ...k. r [ i c 'y 4 3., �kq h°,4,;',,.� i Unheated Basement `,4f , x s 4e Other Unheated r 4 4= ' y r ' Garage/Carport TO 1 >. ri., i, "',ke'., `t,e, � � $., Decks a ,5 .y4 ask 3 Receipt Number t 'v" cr Other Cash/Check Number , y 4 tZ - . ESTIMATED COST(REQUIRED) Date: • F { *Fair market value of all labor and materials foundation to finish t (t- 4- + t � f ,��.�T -ritials. F 5 x G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc r E .¢,SON c0 JEFFERSOP� \ 1 47 einik ' DEPARTMENT OF COMMUNITY DEVELOPMENT ;' 621 Sheridan Street• Port Townsend •Washington 98368 ; NOV 2 2004 i ;` 360/379-4450 • 360/379-4451 Fax I 4 0' www.co.jefferson.wa.us/commdevelopment 1. IIrTts ;s r, rr, , 'l. r }II,{,;; I Ni Master Permit Application MLA: OL( -. 4, -� Project Description(in ude s parate sheets as necessary): MAnu.{czc1 v HPvvi-c_. (&Si'(1 Tax Parcel Property ©t Number: 70/ 0S3 °y Size: 6'7 5 10 (acres/square feet) Site Address and/or Directions to Property: 14 9 73 ©4 60 t' RO1, astir c�c �'t. ' 3 76 Property Owner(s)of Record: M t4A k igaZT72 Telephone: (.360) 3 6.5-G 2_ Fax: J , email:ClX.OnWOWLS t C,A{3LQSP ro Mailing Address:3s3 C I4- DEN g-f- �v-f (-Lard low Vki gg339 4Cokt1 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) J Building ❑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)** Manufactured Home ❑ Boundary Line Adjustment ❑Modular 0 Short Plat** ❑Commercial* 0 Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)IAmendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 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 arrpcs and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later' spectio s.Acce nd right of entry to this property shall be requested and shall occur only during regular business hours. / Signature: Date: `[- IV--01 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)even if you are in compliance wi e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferab res si ' for a ering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: l/—to"'Oil G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc t7 . . ,,) ,,, , . , i m s DABOB RD. . V " .--- ------. \ 20'-0' NATURAL VEGETATION BUFFER y ,... ri, I ' 2A r \\1 j.vt-241-,l't \ W ,_ * A__150, ,eR 1„ ,%, f-30 tel \w L'QV►A (CK � � Z Ll L., H370' � ' Wo- • ,% • OC�C.)a 123' - , I ! z • E a CI ' '' .srStormwat BMP's 10s' SETBACK PROM CREEK - Required 105'-0' f . TYPE ST �`!'' 22004 'f..1 - REAM i SITE PLAN `{ DEC - 2 2004 \' 414 JEFFERSON COUNTY U DEPT.OF UNITY E OPM { - SIGNATURE 0 n W \ , . o '" PROY 0 ex \ ` TEP , N \::\LlJ . ., 7 MX 1 _� C. 3 JEFFERSON Uh1'I'Y D . •R ••, I,UNITY ► : •,,•r SIGNA RE: Nail ..volyUlf, * \ i "--.1. . 1-...i.i7e..-ci( 1 4'=✓U W CI. S L L._- -------- PROPERTY LINE t al i i Pcf T • SITE PLAN y o ©• 4• ft SCALE! 1"= 75'- 0" i • REITZ HOVE o_ 4973 DABOB DR, v v QUILCENE, WA, 98376 • DRAWN BYI MARK REITZ (360) 385 6882 v CO TAX $ 701-053- 004