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Home My WebLink AboutBLD2005-00067 IJ ILDING PERMIT APPLICASN ML Review Type: • Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00067 Received Date: 2/10/2005 SITE ADDRESS: 1032 OLD EAGLEMOUNT RD PORT TOWNSEND, 98368 OWNER: HENRY T COBB PHONE 360-379-0510 SUSAN A COBB PO BOX 966 PORT HADLOCK WA 98339-0966 SUBDIVISION: Block: Lot: T 12 PARCEL NUMBER: 901314012 Section: 31 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr MANUFACTURED HOME CHAMPION DISCOVERY SERIAL #5443R TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 39,000.00 MAIN: 1,026 CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: 2 Exist: 2 Wetland Erosion Prop: Prop: Seismic Streams Total: 2 Total: 2 Flood Way Floodplain Routing Date: Z F&W Landslide l�f 0 Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $157.00 BAC 02/10/05 69089 APPROVED Potable Water Application $53.00 BAC 02/10/05 69089 Total: $210.00 JUN 1 3 2005 zArson County Planning epoftmont 'RV---- scAc,F • • 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#: BLD05-00067 Received Date: 2/10/2005 SITE ADDRESS: 1032 OLD EAGLEMOUNT RD Issue Date: 6/13/2005 PORT TOWNSEND, 98368 APPLICANT: HENRY T COBB SUSAN A COBB PO BOX 966 PORT HADLOCK WA 98339-0966 SUBDIVISION: Block: Lot: T 12 PARCEL#: 901314012 Section: 31 Township: 29 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: MANUFACTURED HOME CHAMPION DISCOVERY SERIAL it6443R MAKE: CHAMPION YEAR: 2005 SIZE: 44X73 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 6/13/2006. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): Stormwater FINAL Approval: Blocking/Plumbing: Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 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 • • SPECIAL CONDITIONS CASE # BLD05-00067 1.) Septic approved based on only one SFR allowed on the property using the septic system approved under SEP05-42. No ADU allowed without expanding the septic system to meet the current code at that time. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on March 1, 2005 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, the following ESAs were confirmed to be present on the subject property: Slight landslide hazard. 3.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 4.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 5.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDG)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 6.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 7.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 8.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 9.) The applicant is proposing to create or add 1,250 square feet of impervious surface and 3,733 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. 10.) 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. 11.) 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. 12.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 13.) 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). 14.) The site plan as submitted with the building permit application on February 10, 2005 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 June 6, 2005 shall be resubmitted for review•and approval by Jefferson County Department of Community Development. 15.) 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. 16.) Outdoor residential storage se be maintained in an orderly manner and small create no fire,.safety, health or sanitary hazard. 17.) 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):. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) The building height is not to exceed 35 feet. 20.) Setback from Old Eaglemount Rd. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 21.) 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. 22.) 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. 23.) This is a legal non-conforming parcel designated as Rural Residential 1:10 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 24.) This parcel is served by a private well. 25.) A septic permit (SEP05-00042)was approved June 6, 2005 for a capacity of 360 gallons per day. 26.) Old Eaglemount Rd. (C508009) is a county local access road. A road approach (RAP00-00080)was approved on October 30, 2001 and finalled on February 24, 2005. An address of 1032 Old Eaglemount Rd. has been assigned to the parcel. 27.) A minimum of two (2) on-site parking spaces is required for the single-family residence. 1—,i,s0N oo6 JEFFERSON Ci*NTY , i , O' _ DEPARTMENT OF COMMUNITY DEVELOPMENT , FEB 1Q2005 t 621 Sheridan Street• Port Townsend •Washington 98368 I ' ' ' ' Y � ; 360/379-4450 • 360/379-4451 Fax .q O www.co.jefferson.wa.us/commdevelopment •-�ul'rrrl r�r Master Permit Application MLA:Li 1_,Ii.,'Lf USA - .-- Project[description(include separate sheets as necessary)) �e4t) Tiii4///11uzeg Tax Parcel9,, Number: j —` 7// ." 1/ Property J// Size: (acres/square feet) Site Address and/or Directions to Pro m�; r r., ' /' �� - �. o. ; Property Owner(s)of Record: �o%�,/� / �, , , Telephone: 5'`"�� 5'i'f �C; /C� / Fax: (' ��•-, email: Mailing Address: F:a �•r //' ...__ „//j. I-9 :,- 2,y`M 17 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑ Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]** ❑ Single Family 0 Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)** je Manufactured Home ❑ Boundary Line Adjustment ❑ Modular 0 Short Plat** 0 Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management El 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 Pie—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 - !-.-� / ( „r-j==,r� Date: — I� <- 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 access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required,later it spections.Access and right of entryyo this property shall be requested and shall occur only during regular business hours. _ -- Signatures'' .-'- �� 7,` Date: 7 .24/- 7)- Y The action or actions Applican 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 with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trapsferableresponsibility for��ng tg.a ying with the ESA. The Applicant has read this disclaimer and,signs and dates it below. Signahke: i ,`��i'--�'e-' %,� 1 Date: — `%/// !J G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • OWNER BUILDER STATEMENT III The signer of this statemennt.does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assum. ing-the responsibility of thq Gene2ltror for the proposed project. Signature: -7r -1 !� ( C Date: / �V- e v / GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENS WAINS ffpi.;;y rT//fi.1.) NUMBER: r 4 1 Co' 770 , NUMBER 0 �75 ARCHITECT/ENGINEER: 6 ;'�I t\A W,L;L. A.(2-1) PHONE (c ) F,ki Z;.-1,1 i7 FAX:( ) MAILING ADDRESS: 0t EE jj-�?I l 25E,''"1 (_ EMAIL P oject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: A New X,Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: Z _-.. Height: Individual System O Repair ❑ Masonry -(3 - SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Z Setback: Private well 0 Two Party Type of Feat: Proposed " ❑ Public 77- c-` 7' Total: - C'-- 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 ❑ Above ground Tank Size of Propane Tank: ❑ Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 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 sooe Office Use Only �� , � Y .Y, J'li' � Current Proposed yr ,," : �` �� ' r k ., Main Floor 'Consistency Review: t .� " �, _, , , /0Z6 ,. ; b , n sir c-7 ik 2ND Floor fee: 1 j 1 _1 ''» i5' s`; 4 ,1 s — C> — }- 1 ..� 0,� ;,z ' . 3 Floor �0 I t,�▪ i m L� Additional Section: �• _ -,* / '' a �W.uda ys �",, * ▪ +. Mezzanine: e., _ _ Plan Check fee: �- i ,4 , Heated Basement C, 3 to Surcharge fee: !'' ', 4 ' 4 j of Water Review fee: Unheated Basemen,. " _ fir' . $ ad., j y Other Unheated ` (✓ 911/Rd Appf -fee: ,.., ��- � <r #,.. ti l Garage/Carport '` $ � $ � Decks / ��' Re,c�ptNumbef: (p� ' 1 . .:. „.�' t CashlCheck Number 3 ,� f;. 44 Other ,. _ ,c.4 rt2 . ESTIMATED COST(REQUIRED) Date: t r = t, y „� a .Fair market value of all labor and materials foundation to finish t�� 4 'F ' 4 Initials: G:\PemutCenteAFORMS\DRD FORMS\Master Permit Application 7-8-04.doc . i... i .., , 3 7 -.e s---/) -4/tte '/ "!) -7--- ,:..;;--2- -..-.:.. / -----/ /19 0 jr.'•(', 6:-;.1,e,//t4...:4-1:1,,,-,7: 'RI. ---------- V AttAit -, ----- 0 --9,‘- r Lle, , ______________ ___7, e7c, .F---; ')(1)( _.„ „.... ,......• _ / v Y i,litek'c itee,c ,..7 ' , / OA / --). 4 o s fvfk. N, ,... 1 -111 ------,1 -- 1,---. 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