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HomeMy WebLinkAboutBLD2005-00248 • MLA05-00242 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00248 Received Date: 4/22/2005 SITE ADDRESS: 124 E TOANDOS RD QUILCENE, 98376 APPLICANT: MICHAEL A NELSON PHONE: CHERYL A NELSON 11122 MANITOU BEACH DR NE BAINBRIDGE ISLAND WA S81103374 SUBDIVISION: OLYMPIC VISTA LARGE LOT Block: Lot: 7 PARCEL NUMBER: 701105007 Section: 10 Township: 27 N Range: 01 W CONTRACTOR/ KAYE CONSTRUCTION PHONE: (360)452-1995 DEALER: 94 KAYDA LANE PORT ANGELES WA 98362 Contractor's License KAYEC**066MN Expires 04/29/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MANUFACTURED HOME MODEL#- KMCK-60862 TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE TYPE OF IMP NEW VALUATION MAKE: KARSTEN SETBACK: YEAR: 2005 LABOR & INDUSTRIES APPROVAL? SIZE: 65X40 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 3 Exist: 2 Prop: Prop: Total: 3 Total: 2 Routing Date: /., /c25 Type Amount Paid Bv: Date: Receipt: /� P p roed/, tv E D Permit $157.00 BAC 04/22/05 72959 /'~ Potable Water Application $53.00 BAC 04/22/05 72959 MAY 2' 5 2005 Add. Manufactured Home ; $33.00 BAC 04;22/05 72959 Total: $243.00 fferso Planning Buil i tr t • I 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 #: BLD05-00248 Received Date: 4/22/2005 SITE ADDRESS: 124 E TOANDOS RD Issue Date: 5/25/2005 QUILCENE, 98376 APPLICANT: DEBBIE ALEXANDER ANNIE R FISH 3806 231ST CT E SPANAWAY WA 98387 SUBDIVISION: OLYMPIC VISTA LARGE LOT Block: Lot: 7 PARCEL#: 701105007 Section: 10 Township: 27 N Range: 01 W CONTRACTOR/ KAYE CONSTRUCTION PHONE: (360)452-1995 DEALER 94 KAYDA LANE PORT ANGELES WA 98362 Contractor's License KAYEC**066MN Expires 4/29/2006 PROJECT DESCRIPTION: NEW MANUFACTURED HOME MODEL# KMCK 60862 MAKE: KARSTEN YEAR: 2005 SIZE: 65X40 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 5/25/2006. CALL IN FORREQUIRED INSPECTIONS THAT APPL • OUR PROJECT. �v etbacks/ oting (CONTINUOUS FOOTING, SLAB . PADS USED): C 2 4/41/2SC/ Stormwater FINAL Approval: Ok 9/i g7S Blocking/Plumbing: ?: 4,` ' Propane Tank/Lines id & Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 4/r 4 r- .4?v O.1 9/7,'. JS*. 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 i • SPECIAL CONDITIONS CASE # BLD05-00248 1.) The application was reviewed pp by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 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.) The applicant is proposing to create or add 3580 square feet of impervious surface and 9420 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Stormwater Management Manual for Western Washington. 4.) 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. 5.) 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). 6.) The site plan as submitted with the building permit application on April 22, 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 May 20, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for a manufactured home, detached garage and detached deck 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from E Toandos Rd right-of-way is 5 ft. Minimum setback from the eastern parcel boundary(adjacent land designated Commercial Forest) is 250 feet. Minimum setback from the southern parcel boundary is 5 feet. 13.) 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. • 14.) 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. 15.) This parcel has been designated as Rural Residential 1:20 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 16.) A septic permit (SEP05-00082) was approved on April 12, 2005 for a system of 360 gallons per day. 17.) E Toandos Rd is a private road (P124). The road approach is existing and an address of 124 E Toandos Rd has been assigned to the parcel. 18.) This parcel was created through the Olympic Vista under AFN 363507, filed of record August 26, 1993 in Book 1 of Large Lots, page 44-46 with Jefferson County Auditor's office. 19.) A minimum of two (2) on-site parking spaces are required for the manufactured home. 20.) .A stormwater plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until,the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. JACK WESTERMAN III . .1effcrson Countlpurthouse ASSESSOR 1'O Ito% 1220. Port Townsend. U'.\ 98368 (:160) :185-910:3 r --.___ MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: J t 6a/E ' L_ X 4 /J PHONE N ADDRESS: . `�. Y G� 4 -�a 3 / �.7 .S T , c' r-�= S '�id n k'� i1}/ ram,` . c ' 3 537 O .S3 8 5 / ,29 / L-L 53 b$ / 4' 9 6 1 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 10MOBILE HOME DATA: (A) MAKE ! C4 S P- A, (B) MODEL 1<+r) e alf YEAR #12 (D) LENGTH / (E)WIDTH ! 0 (F) SERIAL # for. yell— 8t (G►YOUR PURCHASE PRICE(Do not include sales tax) PURCHASE DATE 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 33) (A) FROM WHOM DID YOU PURCHA OBILE ADDRESS (B) WAS MOBILE HOME ASSESSEDlliCJEFFE . ON UNTY LAST YEAR?Yes No If Yes ions address of mobile. If'No, What County was Mobile assessed in last year. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes CNo (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: AA D NAMEOFLANDOWNER: Y � J #3i _ X - LOCATION ADDRESS 1 l ,,'.l� a is401 14 , REAL PROPERTY I' RC itypffirrION 12`' UO2 4 'I Sig ature of applicant THANK YOU FOR YOUR HELP! ASS-Q X cC IO COSSELL. Property Technician ��.g goi o�� JEFFERSON JNTY • ,a DEPARTMENT OF COMMUNITY DEVELOPMENT I 4,ry III! r4 621 Sheridan Street • Port Townsend • Washington 98368 Q . . 360/379-4450 • 360/379-4451 Fax IS, NG1O www.co.jefferson.wa.us/commdevelopment zrn Master Permit Application MLA: Project Description(include separate sheets as necessary): .2/ L- GU 414;ALT /-C 7-41 A(=d /-1-0 -' L-"- Tax Parcel Number: 7 C //C; tr 2 Property _ �� Size: -... iF,` -� (acres/square feet) Site Address and/or Directions to Property: / L y 7`,,,,,,t,,p(7 S 6;4/y_ ds ,e/L= lt/.t, Property Owner(s)of Record: ,D i 6 6 I k Telephone: 3 8 7.5- 1% 9 / c'ru 15367 Y 9 6"i email:_�1��/f4fX t9.4,Cc, '1 Mailing 3 2 s'�S AEA; S FA ,�c-e`.�j Yi ' �j `� j �)Applicant/Agent Address: (if different from o3wner): K` �-y C' `f id�.4 Y f)! / ,13. ,E" fin, it' c Telephone: Z> [ C� ��j 2 y 3 7 Fax: 7 n id52 6:2-if V3 Mailing Address: C` `i /C Y 0. ,. email: •/G k,f<cz�y t= �i��(/, °r�cr y ya,,1 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]** n Single Family ❑ Discretionary"D"or Unnamed Use Classification Garage ❑ Special Use(Essential Public Facilities)** Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/permit Revisions** ❑ Stormwater Management D Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑ Temporary Use ❑ Comprehensive PIaNUDC/Land Use District Map Amendment D 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 Please identify any other local, state or federal permits required for this proposal, if known:rence designate ,� ; / DESIGNATION OF AGENT I hereby g � K f Y V. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ��/'!f_..�f _ Date: C Y //4 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is tii+e 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 I further agree to provid acgess and right of ent pertnrt. �' on and its employees,representatives or agents for the sole purpose of application review and any requi d later inspelctions. nd_right o to this property shall be requested and shall occur only during regular business hours. ,r Signature: `r� � . f�/ �Z d A'-'5 ._ Date: 6- / 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 A -9-"ESA."Jefferson Countyjmattes no assurances to the applicant that the actions that will be undertaken because this permit has been issue Il of violate the ESA. A y rdtia p or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you re ip'conmpl an Jefferso my development code.The and non-transferatite r i Applicant acknowledges that he,she or it holds individual responsibility for dhe' g to -,. '.mplying with the ESA. The Applicant has read this disclaimer 'd signs,afmd dates it below. Signature: �.,---��_-�-Zc-(ice' fZ y� Date: 6'/� � 1 j l G:\Peru itCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc / . OWNER BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: : , o 3431') FAX: ,'<4YC 06//"y'i -<�t77O 4-1 ( 36v ) </7-2_ i 5 ( /mil,') `/j:Z 4,ye,) MAILING ADDRESS: 9,c //(,,f yA I,1,.('r /1 j K'r/ EMAIL: ,I,4 n/< e z/c/t,-1,.w,g�,, c -,-I _ WAINS .5 ' a "414-tilt E S:�r�'tt' CONTRACTOR'S LICENSE o NUMBER: r� Y�C 0 6' /11 Al NUMBER 0 3 / 2 Q E TA,4-y.'y d,•5 0 Ai j771.4t C,5 PHONE (��3) +Y yG e 7 5 FAx:(Jj)5,/G ., J',�� MAILING ADDRESS: /L', el /y j 5i _- il arr1 4;q`t 4/30/EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: '1tO New ❑ Wood Existing: 2-.., `Lli Sewer ❑ Addition 0 Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Heigh• ❑ Individual System ❑ MasonrySEP Permit# O 5^8a' ❑ Repair Bedrooms: Water Supply: o Demolition ❑ Other: Existing: k Setback: ❑ Private well 0 Two Party Proposed: Public Type of Heat: Total: 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 Cl Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove ❑ Woodstove Li Fireplace Insert ❑ Hot Water Tank [1 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. I ISquare Footage For Office Use Only Current Proposed Amount Main Floor N . Consistency Review: 2NU Floor Base fee: 1 r Floor Additional Section: /y�- (J`_s/ 0 F --� 3 �_ v.,C tJ Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: . _ , Unheated Basement \NN Pot Water Review fee: _310a Other Unheated \ 911/Rd Approach fee: j^ n; Garage/Carport TOTAL: $ Deckss., Receipt Number: / fia q59 Cash/Check Number: Other ! p935 -ESTIMATED COST(REQUIRED) Date: 9 I cW/O GS .Fair marketkalue of all labor and materials foundation to finis (, Initials: ' G:\PenmntCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc RETURN ADDRESS /7 9TrUFVJAtiHINGT N. MANUFACTURED HOME PL AS CH CKONE '�,TA'ar ,,t`, APPLICATION m■TITLE ELIMINATION jICEflSIflG DTRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210) D MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) 2005 Karsten 66 X 40 © LAND LEGAL DESCRIPTION ON PAGE 2 REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE [■J AFFIXED [J REMOVED 701 105 007 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION SE,S 10,T27N,R 1 W © GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 1600 2 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Larry W. Alexander NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Debbie J. Alexander ADDRESS CITY STATE ZIP CODE 3806 231st St.Ct.E. Spanaway WA 98387 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER First Mutual Bank NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE P.O. Box 1647 Bellevue WA 98009 GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE /ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: // Signature of Registered Owner and Title, IF APPLICABLE L -te__-'� f Signature o1Adrlitional Registered Owner and Title,IF APPLICA \\I sk >�tri��P NOTARIZATIOWCER FICA N FOR GISTERED 0 ER(S)SIGNATURE `. ..,... •'. •••..F�� State of Washington n ciico '^ Signed or attested(Q �:( 7 e r f�OTAR} .4 County of C 1 b for me on 1 D U (��5 ;JULY 20,2008' - by>/ ��1 C 3, ��Q((� (� Signature �< 1 +��� "I/,,, xv• •:O PRINT NAME OF REGISTERED_OWN ,PRINT n 11 ` n � n ` QTAR A AGENT --,��C`• •▪ `&," by L�\ 24.1 W rii-Le -c��+`�X \✓u h •R Rif)��ea j „ 0,..........' ,. �� PRI T NAM OF REGIS ED OWNER PRINTED NAME OF NOTARY ////Is11WAS1�\`\ Title t t ( +`C, County/Office No.OR 1 AND: f�aalr r Nn ARa k� ) 1 DEALERSHIP PO ITION/AGENT/NOTARY otary Expiration Date 4 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMIT OFFICE CERTIFICATION I Certify that: 10 the manufactured home has been affixed to the real property as described. 0 a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAM (TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE 8 BLDG PERMIT# ‘' ,\\C\\CL s'( \'\P t 2,0(- ?)(D(') -51 CI— 4 4 to- 15L-Dc5 - (-_,c,-, (1( SIG AT RE/POSITION 1 DATE A/-•\ ),S,' U A\M)IAIDIAA- Q W).-11A/\ Q.A)----- i 0 I TD-420-729 M NUF HOME APPL(R/2/02)OR(W)Page 1 of2