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HomeMy WebLinkAboutBLD2005-00379 • 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 #: BLD05-00379 Received Date: 6/9/2005 SITE ADDRESS: 146 PORT HADLOCK HEIGHTS RD Issue Date: 7/7/2005 PORT HADLOCK, 98339 APPLICANT: DICK BRODERS 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ 3 4 CowS{r�cr'ETc�v� DEALER (0'1 NJ.rdsll 1Zc� 3100 Lis I- O g"-1 PROJECT DESCRIPTION: NEW MFH _ MODEL# KS44042 Oee -4-7.3 `-71 MAKE: KARSTEN YEAR: 2005 SIZE: 44x28 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 7/7/2006. CALL IN FOR REQUIRED INSPECTIONS THAT APPVY Q (OUR PROJECT. etbac :/Footing (CONTINUOUS FOOTING, SLAB r PADS USED): 2A' 01a5 fr . Stormwater FINAL Approval: Blocking/Plumbing: t.r,Glc II.1G ; 'Tt c c ,&i) 4 uA413/0e O// Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 10, 7, s•Actio7 Coratclint;, oK. Cd-zz.09 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 # BLD05-00379 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 7, 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 and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: SARPA aquifer recharge area. 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 1764 square feet of impervious surface and 3300 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. 7.) 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. 8.) 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). 9.) The site plan as submitted with the manufactured installation permit application on June 9, 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 July 7. 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) 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). 13.) Maximum lot coverage is n�o exceed 25%. Lot coverage is defined al/Lunt of impervious surface which includes roof tops, driveways, concrete, etc. 14.) The building height is not to exceed 35 feet. 15.) Minimum setback from Port Hadlock Heights Road right-of-way is 20 feet. Minimum side setbacks are 5 feet. Minimum setback from the east(rear) setback shall be 25 feet, per dedicated 25 foot buffer per plat. 16.) 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.) 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. 18.) A minimum of two (2) on-site parking spaces are required for thr manufactured home. 19.) This parcel was created through the Port Hadlock Heights Mobile Home Park Bindig Site Plan, filed of record April 15, 1998 under AFN 409746 in Vol 1, pp28-32 with the Jefferson County Auditor's office. The binding site plan was reviewed by Jefferson County Department of Community Development under BSP94-00001. 20.) This parcel is a legal non-conforming lot designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) Community Drainfield "C" (SEP95-00290) serves this site and was finaled January 4, 2002. A septic permit(SEP96-0084)was finaled on January 1, 2000 for a septic tank and pump chamber to be connected to Community Drainfield "C". 22.) Port Hadlock Heights Road (P516) is a private road. The road approaching is existing and an address of 146 Port Hadlock Heights Road has been assigned to lot 7. 23.) Jefferson County PUD provides potable water to this site. 24.) The 25-foot wide buffer shall remain in its naturally vegetated condition. No constructed or erected facilities shall be placed within the buffer with the exception of utility lines, fencing or security posts. JACK WESTERMAN III a Jefferson (Ono • wiu ASSESSOR 1111, 7 147 ia12.02:1oS, Por Toni nrn ��'h :10: prsi (3P1►):p -91 1 f MOBILE HOME INFORMATION F JUN q 2005 €c' ,` I OWNER'S NAME/MAILING ADDRESS: NAME: M E R E LE M y CJ< ADDRESS: c/© FR0 (J6R-5 IniC. 503 o Id (o). a;nor Rd p7-, gg3 PHONE NO. (312 o P-t) 3 6 0_ a 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. 1 OMOBILE HOME DATA: (A) MAKE fC A(Z S TEN (B) MODEL K S 4 Lt o 4 2- (C)YEAR 2"°s (D) LENGTH 4 y 4E)WIDTH Z S (F)SERIAL # (G)YOUR PURCHASE PRICE (Do not include sales tax) 59 0 C)c) PURCHASE DATE 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes No If Yes, Previous 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) No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK po r-1- 14 a d /b cl( h e Lot 7 Lot/spare # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION (k4. o ✓ /VirY /c /V) uc Signature of applicant THANK YOU FOR YOUR HELP! e r 1 OZSI-e JO COSSELL. Property Technician s. V To DI-et ih fi elJ (Mo} Gh Lo'4•) 1 II t if JUN g 2005 1L-„,( 4 - .. -\-r , \ , „ In l I S };c zp &- Ffl...e' L�kr 6 I. k Vo \g s_re 4.,c. -r.KK „e„........---p,mp C h•., ltr o O ----IL sf ..,,i;... 10� S cA�� 12l / Mr** / pomir 4I ' z %'x $r 8' i 1st W L r, 3 of 'i , . i 53i M P•�f NR Jtiek '\ fie M AN U F Ac'Tt.,IeD 111. HoN E oN Lo 7 M �r� J4�V G{�� PORT !-}flOLocK t-IC-IG1fzS C/o BRooERs, MIC 45-o3 °i d G°►.d "`n1 yNr71- T WwSsrt'i-i (`JA' 0 0 q 838 /,,,gON c • • /� CG JEFFERSON COUNTY _ __� � - `� ' ' - DEPARTMENT OF COMMU ITYi)EVELOPMENT ' `' `� ` 621 Sheridan Street• Port Awns •WOLas,bir�gte ►-88368-- ,1 360/379-4450• 360/379-4451 Fa ,/ p www.co.jefferson.wa.us/commdev lopment ` Master Permit Application --MLA; O D _) -) Project Description(include separate sheets as necessary): : . n$7aii �Qt1� .,e "c iLd Po,rr,e --- Tax Parcel q Property Number: 1 Sc] _60° °I' Size: l 2 C- ' f f 2 (acres/square feet) Site Address and/or Directions to Property: /7 D /00 ri httd 10 Jrr rah is R d, Property Owner(s)of Record: BRODERS, . WC. Telephone: 3CQ o_ 7`)7— -7 7 22_ Fax: email: Mailing Address: 4563 O/d G cr ,c1."n e.- Q 4. j0 T. El,'83C8 Applicant/Agent(if different from owner): M EftELE- M V C,< Telephone: M E 12 L C M v e K Fax: email: Mailing Address: c/o 5RODERs, /NC 453 o/d Geh. d>-ne,- Rd, I 4&368 What kind of Permit?(Check each box that applies) Li Building J Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit J Conditional Use[C(a),C(d),or C]** U Single Family J Discretionary"D"or Unnamed Use Classification U Garage Attached/Detached J Sp ecial Use(Essential Public Facilities)** *XManufactured Home 7 Boundary Line Adjustment U Modular J Short Plat** U Commercial* J Binding Site Plan** U Change of Use J Long Plat"'* U Address i Road Approach J Planned Rural Residential Development(PRRD)/Amendments** U Propane J Plat Vacation/Alteration** U Allowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Permit Revisions** • U Stormwater Management J Shoreline Management Substantial Development*" U Site Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* J Jefferson County Shoreline Master Program Amendment U 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 R l'C )A/Z O a 2 O 6--- 5 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: LO T-nt 2 oo 5 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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. K Signature: Date: 6 ?.-vac_ "L 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)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering to and c mplying with the ESA. The Applicant has read this disclaimer and signs and dates it below. F Signature: p G: 'l� ������ Date: 6 -r of -ir.505 C:\Documents and Settings\mocha\Desktop\Master Permit Application 7-E-04.doc V • • OWNER BUILDER STATEMENT -1 The signer of this statement does hereby certify that they are the Owners of the parcel referenced her in,that they are not licensed contractors ar f that they will be assuming the responsibility of the General Contractor for the proposed project. k.6 t }f Signature: Date: I i I try" IN Q ,. GENERAL CONTRACTOR OR MANUFACTURED HOME INSTAI I FR: PHONE: I i FAX: avvtcs H, i-fo Ese./ (3Go ) 6Sf- a -71 ';(. ..___ ) MAILING ADDRESS: G 4b p A v t-i all RA, EMAIL: • CONTRACTOR'S LICENSE SY i.."nt Wit' (it 38'2 WAINS NUMBER: NUMBER k 1 l N $ o 2$o ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: LI New Li Wood Existing: LJ Sewer LJ Addition LJ Steel Proposed: 2. Bank LJ Community System LI Alteration/Remodel LJ Concrete Total. 2. Height: ,IndividualPPermit# (o slit Sys eln LI Repair LJ Masonry SE LJ Demolition LJ Other Bedrooms: Water Supply: Existing: Setback: Li Private well LJ Two Party Type of Heat: Proposed: 2 K.Public /�c{► i C Total. 2-Name of System:T''`Ave 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: I Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove I Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank i Pellet Stove i 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 Consistency Review: 2Nu Floor Base fee: 3ftl Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: %1. C(11 Other Unheated 911/Rd Approach fee: .-, Garage/Carport - TOTAL: $ Q115. On Decks Receipt Number: ,.i >) .) f Other Cash/Check Number. j (r r, - i 21) ESTIMATED COST(REQUIRED) Date: + U� I .Fair market value of all labor and materials foundation to finish C Initials: • �� C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc