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HomeMy WebLinkAboutBLD2005-00465 • • vai 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#: BLD05-00465 Received Date:SITE ADDRESS: 211 BEAR RD 7/18/2005 QUILCENE, 98376 Issue Date: 9/2/2005 APPLICANT: MICHAEL HAYWARD LINDA HAYWARD P.O. BOX 1545 SUBDIVISION: PORT HADLOCK WA 98339 Block: Lot: T173+ PARCEL#: 601334168 Section: 33 Township: 26 N Range: 01 W CONTRACTOR/ DEALER PROJECT DESCRIPTION: NEW MFH MAKE: YEAR: 198( •C:(3f=7 SIZE: 59M 6,0`X Q(.B r `bg(r9 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 9/2/2006. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLA r •PADS USED): q Stormwater FINAL Approval: g/eobfr Blocking/Plumbing: Ae.Ki 7a-po4.01,s 9k p/z- / Propane Tank/Lines /V�iQ `/ Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: /0 0/44 4G 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 tRILDING PERMIT APPLICATP MReview vi wTOpe4: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00465 Received Date: 7/18/2005 SITE ADDRESS: BEAR RD QUILCENE, 98376 OWNER: MICHAEL HAYWARD PHONE: 360-765-0641 LINDA HAYWARD P.O. BOX 1545 PORT HADLOCK WA 98339 SUBDIVISION: Block: Lot: T 173 PARCEL NUMBER: 601334168 Section: 33 Township: 26 N Range: 01 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW MFH TYPE OF WORK MOB SQUARE FOOTAGE: A� h "7 TYPE OF IMP NEW MAIN: 1,5216 VALUATION 22,000.00 10151 ADD'L: HEAT TYPE: WOD CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: I 7 �$�043C—‘Th(L Type Amount Paid By: Date: Receipt: Approved/Date Potable Water Application $53.00 SLE 07/15/05 76181 APPROVED Plan Check $157.00 SLE 07/15/05 76181 Total: $210.00 SEP - 2 2005 efferson County Planning qpi.' ildi Ap partment i a_ V -. a.' • SPECIAL CONDITIONS CASE # BLD05-00465 • 1.) The application was reviewed by the Jefferson County Department of Community Development staff on August 16, 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: Blue Heron Habitat Areas. 2.) The applicant is proposing to create or add 1512 square feet of impervious surface and 1808 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. 3.) 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). 4.) The site plan as submitted with the building permit application on July 15, 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 September 1, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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). 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Bear Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 11.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 12.) A septic permit(SEP05-00192) was approved on August 15, 2005 for a system of 360 gallons per day. 13.) Bear Rd is a private access road (P13). The road approach is existing and an address of 211 Bear Rd has been assigned to the parcel. 14.) A minimum of two (2) on-site parking spaces are required for the manufactured home. 15.) 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. 16.) This proposal was sent to the Washington State Department of Fish &Wildlife (WDFW) for potential great blue heron habitat. No comment was received as of September 1, 2005. /ACK WESTERMAN Ay Jefferson Sersty Courthouse ASSESSOR PO lox I Alr, Port Townsend, WA 983( (360)385-91 O i MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: All RE ANA l_ Opt C-MYWfigti) ADDRESS: 10,O , 4O)c 5^ eo c7' ttf foci( Writ 31 PRONE NO. (i&o j 7 h c- U 6 9 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)MOBILE HOME DATA: (A)MAKE j<RA S T1 A) (B) MODEL V cM C 0 cj# ). (C)YEAR pZeW) (D)LENGTH b O ' (E)WIDTH a 6'. (F)SERIAL # a 7A q 7 (G)YOUR PURCHASE PRICE(Do not include sales tax) 7 0 j(,$-�; PURCHASE DATE 9/Vac 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)WIIERE 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 Lot/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: Ili ► K F ,n L/AJ DA- f I gy tv 4-RD LOCATION ADDRESS 1 I c C-F70 E Gift q K j? REAL PROPERTY PARCEL#/DESCRIPTION 6 O/ - 3 3 y— l 6 '6 A. Signature of applicant THANK YOU FOR YOUR HELP! SS-eQ JO COSSELL, Property Technician • • .,7- \ et I 26'8" I ( <, \\ 3ox5SV :§ s§ fll \ r1 3 < N.) Dim toN . N. rD aO F:- — s.,-1 c--_--; V II, = O 1!11 :::-= 1::: e -.0_, --_--, = -, ...._ . , = ri: - D xi ` ,� a . to El r'rs,, q i . -,-,- fai g IMINI -. 11111 gip., $ , , , © O m < _ mom Eli doom wd m rz:• hi X 7-... vol. lipi.likpp q1 ; _ 11 11 1� �° i4 • i 0 _ e Wm El el ; "C 14. 6 r - O cry slum mu,■.n O 1 \ r. J. 1 ( /o^ N • I4x39V 2-30x58V X—x Z N et i1 ti`o 't. , ; ti w IL JACK WESTERMAN I Jefferson (illty Courthouse ASSESSOR PO iiox I2:n Port Townsend.W4'A 9836U (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: 41115 E ii-A;:\ j-'M e ft t-FRYWffRlr) ADDRESS: Ad , /3 o S 1 d r T (fcz lock Wfif g?3 9 PHONE NO. (i&oj 7hc- 0byl 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)MOBILE HOME DATA: (A)MAHE )«RS)LA) (If) MODEL I-<rM C k 0 ci I a (C)YEAR ‘204 (D)LENGTH b D (E)WIDTH j'. ` (F)SERIAL# a,7A 17 (G)YOUR PURCHASE PRICE(Do not include sales tax) 7 Q j(SY d-PURCHASE DATE V4/05- 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 Count'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 Lot/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: m ► K F A t L/A)D, f I` Y t1'R() LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION 60 / 3 3 y- 16 g Signature of applicant THANK YOU FOR YOUR HELP! NsIR JO COSSELL, Property Technician S rL, • ,�f ®N or, JEFFERSON CO RTY `� DEPARTMENT OF COMMUN EtlE Nt p r 4l 621 Sheridan Street- Port T .. 360/379-4450 - 360/379-445 i 1fix 14. 0,19 www.co.jefFerson.wa.us/comaj 1 elop j t 15 2005 -, l/ Master Permit Application — ( J _ i s r )i<,, ,^T":d ty MLA: Project Description(include separate sheets as necessa rt).. U i :_;,:;; ,.�:r i r [ `�c t1�.�,�_r+ �/9N0 D=v:(_OPj (V)(rcI , pbva ,- iA, ,5R, ,,EpTte iur=Rcfl1REn /-forrij rb ic sr Tax Parcel 1,61 '3 3 y /6'7 / 61c, /b y//7 o Property Number.5 Size: 4' 9/ v S S 6, (acres/square feet) Site Address and/or Directions to Property: j4 Pig U E D Fo R — f) i R r=c 7 r o t 1 i'Al G Lo S Fr iC) (:EAR (0 Property Owner(s)of Record: /Y) I C AM L. L./AIDA HAY Wfl RD Telephone: a 6 C -•7 65 D 6 // Fax email: h ay i.✓a rd rh vc/e rr etz err) Mailing Address: P,oa Ca ox 1545 PoK! finDLocK WA 9 A 33 q 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 ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)** X'Manufactured Home ❑Boundary Line Adjustment ❑Modular 0 Short Plat** ❑Commercial* ❑Binding Site Plan** ❑Change of Use ❑Long Plat** l:i Address ❑ Road Approach ❑Planned Rural Residential Development(PRRD)/Amendments** ❑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)* 0 Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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: 5E1'l /C - to -,7-/N6 /?I /i(✓i,.4- Ari<i 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 accpcs and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required la r ins p ans.Access and right of entry to this property shall be requested and shall occur only during regular business hours. / �J �j�� Signatt /J' ,ff `- 0 / t r // �i i�' 7�, ��z.�CY Date: 7-- /Ei -O.S 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 fferson County development code.'The Applicant acknowledges that he,she or it holds individual and non-trans nsibi-ty for adhering o and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatur - 'l /y 4 ,J 7uLl Date: 7 -to G _ *INNER BUILDER STATEMENT • e 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 ey will be thi 7Za /• ' of the General Contractor tot the ..•.. -. project. inater //as�l�L'// /...:-.4: 7[, Date: 9 -/0 `G'S- 1 :NERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) AILING ADDRESS: EMAIL: )NTRACTOR'S LICENSE WAINS JMBER: NUMBER 2CHrFECTIENG!NEER: PHONE ( ) FAX: ( ) AILING ADDRESS: EMAIL *eject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New u.s s o B Wood Existing: ,•1 ❑ Sewer Addition ,,-I Au I r`oar: ❑ Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: L Height et Individual System Repair ❑ Masonry �`f4 SEP Permit# a.5 /9 a Demolition ❑ Other: Bedrooms: water Supply: Existing: 3 Setback: ❑ Private well ❑ Two Party fps of Heat: Proposed: El Public v E'r;t� ;71-D v Total: 3 Name of System:SEFF CC 1,1,fFr�,e AIsr 3 this is a Commercial Project You must answer the following: umber of Parking Spaces: Current: Proposed: Number of ADA Parkin g Spaces: umber of occupants(includes owners,tenants,employees,etc) Current Proposed IC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No this is a Propane Tank and/or Appliance Installation permit,mark all items below that appiv: Underground Tank ❑ Above ground Tank Size of Propane Tank: Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove 0 Other this appliance being installed in a Manufactured/Mobile Home? Yes / No Men applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all properly nes,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Icluding the reserve area. Current Proposed r''1 r,, � , ' k-, lain Floor � • •.;:.. ' �W: r 4` i r., <.. �, 5, <� Floor ! v- t• m 9 �"'c LL ,,;,: Floor 11 1/ S'ectioh: lezzanine: J U L 1 5 2005 e p leated Basement 1' ~�� f` ' v Inheated Basement Pot War`' lit ,fee. * lther Unheated r • fee • 9aragelCarport , TOTAL. $ leeks ScA;4R,RTE ° e pt Number- ,�f *116 11Pk �mtT j�uti R;r)they l/ liv0fG P /1-c(r ; :asflCte > wx t :STIMATED COST(REQUIRED) D a r Fair market value of all labor and materials foundation to finish r R t }�: T,.-) /._ i'r; 5 7- 5 l v G G, CAD In fiats: fi ` i N Lem-....L.:._,-_,,,;„„e, ii .....,, ) 1 -1 _, i , ,, ..t. .. ur 1' LA/JQ vSr AE,IQi\Y1`16-L-, 1 :c:�t {a L I B E d• �.I? ~_ P irl._. . __.___,........__M.._.-.__ . �- _.._..-_. _. RO F.lZ"I`t' - ___..___._�,__..__—_....__..___._. .. o i i' ':5 . 5 'F_t_.E\JATIoN i - iLIo ' , a/_LE.A7a(g ' = LOT I b—) f —, L;+t 'u s. ;' c�L-C `� O d i 45' 3$' l b8 y lid cz) �c c F W = LAND SSE ^. \ �7 A E5Ibc.NTt,,L La.. -� c —, rj Ja/ f'Kt ti T7r k": Iaxia cegiIN vS[ F ,`�_, f Ito, T LINE, nti)S Pp t� T pRbP© t"-!a 160O ,51FT Pr,,131"r; r. .._�----w.,:. l_tNf=> - s L o "TANK A.,..., t , ._... 4...._________ ' ....O ' \ -,-, 5 F.: 01 \<-- ` I r 11' j. ` C.., --- \ \ f't .`SCD ' G 'fir o • : , 146r / a-, , * - V; \ 0 g 4 , L.. ] . -.... 70 'x ;,c;,' ''-. cis I IVE-.Woiy \ • iiillij `"• ," 44/ 71.7 rr 13 A p i + r ia.5 ,", / Nl • �•�` '; 1 ter ' tee: , \ y/ I L L u�n/ •;: 1� 4_.._.._.... :".*1 �. 1 f • rd* 7 s-rrk E ET©e.C. HA Ctn 1 / TAC 1,' A a I / Wa�a fa, LINF_ ir7-10 RESERVE. A-RER • O a 8 Fo,Q 3 opts pc,Lrr gw g 1- 16DP; - 6tP.A • E.., a Q1 i W a V) ;t i30 4!4otg • 1 h to°/d 5\.oPF L- 0 T ! �q . :r-- --�� _._._ -s!ur t .rvr�'11c�t�' r _ --- �s P— - EGEvAnori • L.OT 17 a A. n — i? HAl(W/a,RD E51 J CLA `� ,--IN 6 r l3 DR Abu B R p � P 7�3 � 4 $ ftb4D LEGAL •.)ESCRIPTION — 0 U p0 PARCEL#S 601-334-(167& 168& 169& 170) . c4 LOT#S161, & 162, &163, & 164. a' •• W 01 OF CHURCHILL/COYLE PROPERTIES vi •d PREPARED BY LOCATED IN THE SOUTHEAST 1/4 OF SECTION 33, rj I t • LINDA HAYWARD TOWNSHIP 26 NORTH, RANGE 1 WEST,WM. al P.O.BOX 1545 PORT HADLOCK WA 98339 i (360) 765-0641 1 PROPE-RT`; LINE 24, LANG USG /. 6:5!7LN7-I/9L