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Home My WebLink AboutBLD2005-00652 S 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 #: BLD05-00652 Received Date: 10/10/2005 SITE ADDRESS: 1221 SNOW CREEK RD Issue Date: 11/15/2005 APPLICANT: CLAIRE W FRENCH PO BOX 757 QUILCENE WA 98376 SUBDIVISION: Block: Lot: + PARCEL#: 802234008 Section: 23 Township: 28 N Range: 02 W CONTRACTOR/ DEALER INSTALLER: DOUGLAS MOBLIE HOME S ISIKA,1H950BQ Expires: 3/24/200; 193000 PECAN ST. SW#14 ROCHESTER WA 98579 PROJECT DESCRIPTION: New Manufactured Home. The proposal does not appear to involve the _ pp removal of any trees since the site has appearently already been cleared. MAKE: YEAR: SIZE: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 11/15/2006. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CO TINU9US FOOTIN S B o ADS USED): 5E i aPKS bk SUSS Ol( f.J c�dxdi�/e*, i�7 oS U Stormwater FINAL Approval: Blocking/Plumbing: /2—I'-�� Propane Tank/Lines CV& (-1, --/2--lj.-,p3-' Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval:pp .1) Final/Skirting/Vents/Porches/Steps: ?— 3-06 frig- 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 la . MLA05-00607 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00652 Received Date: 10/10/2005 SITE ADDRESS: 1221 SNOW CREEK RD APPLICANT: CLAIRE W FRENCH PHONE: 360-765-3619 PO BOX 757 QUILCENE WA 98376 SUBDIVISION: Block: Lot: + PARCEL NUMBER: 802234008 Section: 23 Township: 28 N Range: 02 W CONTRACTOR/ DOUGLAS MOBLIE HOME SVC INC PHONE: 360-273-2181 DEALER: 193000 PECAN ST. SW#14 ROCHESTER WA 98579 Contractor's License DOUGLMH950BQ Expires 3/24/2007 INSTALLER: DOUGLAS MOBLIE HOME SVC INC DOUGLMH950BQ 3/24/2007 360-273-2181 193000 PECAN ST. SW#14 ROCHESTER WA 98579 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: N MFH 1 TYPE OF WORK RES MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW ?iPLM � ('�j2' VALUATION 89,103.00 MAKE:' SETBACK: YEAR: 1066 LABOR & INDUSTRIES APPROVAL? SIZE: 2'1 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: IA\40\0 .) Q APP OVI:r Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $157.00 SLE 10/10/05 77122 NOV 15 2005 Potable Water Application $53.00 SLE 10/10/05 77122 arson County Planning Total: $210.00 i & :wilding Dep rtment ,e F6Q- S A- I. ,0—,LZ Q O LL 41‘. ). ._,:,417 ( ) ® Xion 0 w 47. Q M 11) O/ _ liads �J �___..._.) L- ) N a 4, s 1 i/t',' `,\ �T W x Or 1� M ' PERMIT # Bl0 0 °C E .. x 11. - >, 1QO k` i o w 05 - 0652 c..._) *O � Q Ei zo JEFFERSON COUNTYOCQ O J EMIso .- t. U 2 t, �` ®®® 0 4.11x ,Il .... . 1 ,... oEl .MIN CD fi .a) co Z —1 Z: -soassay-i'd- LI . . w ig I I C):-. at ) 0 I M CO a. , (-) .) a. QOM a ' w Yb n_ C r\i...4. . 1.„ [min 0 cn q , ,..... w \lc, ,, i —T ,,, ® ,___._ SPECIAL CONDITIONS CASE # BLD05-00652 1.) The application was reviewed by the Jefferson County Department of Community Development staff on October 26, 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: Fish &Wildlife Habitat including Priority Habitat&Species (eagles), & Heritage eagles & osprey; adjacent to commercial forest; and stormwater. 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 shall fully adhere to all conditions and requirements of the eagle habitat management plan. 4.) An Eagle Management Plan has been prepared for this property and has been signed by the landowner&WDFW on November 14, 2005. 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 applicant is proposing to create or add 1,566 square feet of impervious surface and 1,760 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 for a Small Project, which are Construction Best Management Plan (attached). 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.) A Stormwater Plan 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. 9.) Jefferson County determined•that this proposal is categorically • the State Environmental PolicyAct (SEPA) C (I exempt from review under 10.) The site plan as submitted with the building permit pursuant application 652)(onOctober 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 November 15, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) 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. 12.) This parcel is designated Rural Residential 1 dwelling per 20 acres by the Jefferson County Comprehensive Plan adopted August 28, 1998. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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). 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) A minimum of two off-street parking spaces are required. 18.) The residence is located approximately 270 feet from the forest land to the east. Only a small portion (.23 acres) of the parcel designated Commercial Forest is located on the south side of Snow Creek Road, which also provides a buffer. 19.) There is a 20 foot setback from the edge of the right-of-way for Snow Creek Road (County Road 352909). There are 5 foot side& rear setback required from property lines. 20.) A Road Approach Permit(RAP 05-20) & an address of 1221 Snow Creek Road was issued by the Jefferson County Public Works on February 4, 2005 for the subject property. A Septic Permit(SEP 05-135) was approved for the subject property on August 15, 2005. JACK WESTERI Jriie ,s../y C.ur/h..se� ASSESSOR 1'O It.i 220, P.r/T.w wind, 4�'.{ 98 CO�Y 4360 : MOBILE IIOME INFORMA C OWNER'S NAME/MAILING ADDRESS: NAME: 01,R 12-C (.-1. le �.._ ADDRESS: P.o. JecY. `7,(17 /2-/.17 > 'J icJ c''_,P K Pthl� U/& PHONE NO. 3 Co `76 �, 7 f �� 7‘; 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. I►MOBILE HOME DATA: (A)MAKE PR L 4l !Y �d p� IB► MODEL -411' {'k,5-04 40 YEAR (D) LENGTH J 8 (E)WIDTH .L ] i (F)SERIAL# �f DDT (G)YOUR PURCHASE PRICE(Do not include sales tau j f 1 �L�I,/C)' - PURCHASE DATE /`�'D 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 COUNI^Y LAST YEAR?Yes No If Yea, 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? Yea CN-o--) (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK Lot/Space# (C) IF NOT LOCATED IN MOBILE DOME PARK: NAME OF LAND OWNER: 0-GAf RE AJJ LOCATION ADDRESS (Z Z( tS Abcd k ib,, (V W L`-'--t/ 9c 7, REAL PROPERTY PARCEL#/DESCRIPTION isd 2 23 a0g THANK YOU FOR YOUR HELP! Signature of applicant cJOI:14,3MSIRQ Q.OI COSSELL, Properly Technician .r��'g !soN c 6_ JEFFERSON �JNTY 0 _a DEPARTMENT OF COMMUNITY DEVELOPMENT /. 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax _ vq,SN �O www.co.jefferson.wa.us/commdevelopment Master Permit Application L\) MLA: , _�•- (; (--1 Project Description(include separate sheets as necessary): r-ie- Ak,_( S � c Tr`e- Pc-Anj i , f = �,lJ t. Tax Parcel : 1 r < _J• '=_ �� Y 3�,� Property Number: SC"-2_ 2-3 4- Oct Size: /- 91 4�� E e" (acres/square feet) Site Address and/or Directions to Property: /2.-I 301ehd t X1C_ k_' i 9 Property Owner(s)of Record: 4,R_E 0 . FiQF_61l'_ k" Telephone: Go '7(o if/ Mailing Address: P.o, z o k -7 C 7 ii r email:�J��1►re,�� ELc�, (2. �,� 6viu--/t./�i eve. `i�'37G Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that a lies) Building (- �-- ❑ Demolition Permit j� or,Major or Reasonable Economic Use) ❑ Single Family [j t' �. t €diti se[C(a),C(d),or C]** ❑Garage Attached/Detached i( F -�__—D-li n "D"or Unnamed Use Classification Manufactured Home ,{) ❑ Sped i (Essential Public Facilities)** ❑ Modular i OCT ouncla a Adjustment ❑Commercial* Ltaitho PI I4 O Change of Use ❑ Bindi g Sit 'Plan** _s-Long+Plat ❑Address ❑ Road Approach ❑ Planned Rural Residential Development PRRD Amendments** Propane p Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ 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 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. ljp Signature: f�.�,,� cl) c. jit1- �/� / / �� _ Date: 4 � � 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-transf ble responsibilityfo adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: , /z_.P> J " 4jZ �``"-4, Date: l6�5e/5 3.--- G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc 4111 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 arming the responsibilityJof General Contractor for the proposed project. Signature: C!��•-,/1- :J '} .ti//tg-i Date: /‹:/4//e.. 3 .0 Sk;f.-`3, L( - I z„ •. o-' .13 Z I81 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: K L'•'•i• ' FAX: e'�LM .14- fs0 g Iti2i:=3 (0 ( ((,) Pit)1 i / (360) 7*-c 341-S (3/> ) 74 .-t73 f'7 MAILING ADDRESS: 26/ d,4-"1..4-0') Rod. el/cam i__i. Lcjij EMAIL: WAINS 3G CONTRACTORS LICENSE ` / t �j ( q xt p 1 NUMBER: r✓ ;�r C, .1 t 1... ! I t 1 C I`,(�I NUMBER 't( l 1 C x i r L.T` lINEERii.k.-40, 1 PHONE ( ) FAX:( ) �1 A -A16IP�EER. A�%/�'tI/J'"i� t P./ pf,. �'.Aa t'v c.:. MAILING ADDRESS: Y EMAIL P oject Type: F me Type: Bathrooms: Shoreline: Type of Sewage Disposal: " New X Wood Existing: '2 0 Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community System O Alteration/Remodel 0 Concrete Total: Height: Individual Syc4em O Repair 0 Masonry SEP Permit# PO D-.1 E ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: `'� Setback: Private well 0 Two Party Type of Heat: Proposed: ❑ Public PRa f4 A.S . F()RAlA-t Total: 'Z 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 94 Above ground Tank Size of Propane Tank: f-".`ii✓ G li t- i 0 Heat Stove 0 Cook Stove ❑ Woodstove 0 Fireplace Insert ❑ Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured I 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 cord n n including the reserve area. `9. c aJ Square Footage For Officer Use Only Current PrQposec Amount rz r �i• r Qo st noy�Review: Main Floor !t; � � � do 1 2""Floor t f Base j l 1, i 1 7. C. �a tial, lion: //`` (� 3 Floor „ UPI 2 I' (G` n `'1' t r.cO Mezzanine: ' Pla dheck fee: i Heated Basement State,Surthrge fee: Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach feet ,11..b0 Garage/Carport TOTAL: $ 3 LW,06 Decks Receipt Number: ' r7 1 i , Other Cash/Check Number. ' c;7 ESTIMATED COST(REQUIRED) Date: j,r,1 1-6'5 .Fair market value of all labor and materials foundation to finish , t • t Initials: G:\PemritCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc M 0 1 ,..1... rci2.: - r \ T z� t . . . ... m G 0 N ,-,c, 1'3 qt , ::' \ r o co} I _. r.1 .4111Pg r Z `J .0 .Cti) ti Z •, 73 rt I q ., I • cETA— ; .. / • "' n v • N 4Lie ., . • ...... . y.„),_ . .c _r, c, '4 'iv '• j : o vor cl "." k...„,-''.7 ,'/Fj1. .....* . ..... 14;6 rrt C m ► , 1V ,, �1•-e.,�.'� "1 \, l •3 lb.'' N!..„.0 /� ' 'F •. n ` \ > G p :. ' -o : ',. Q 1 ./ , . tv Z Z h X --5. ., , :i.iiii: :ii: 4/:/ii:, --,,.,,' .....) j m ' O ./•� :r ® oo — , : ,. O N rn O r. ....... -...., YI <\:?-t. 1:.:1:.::;#tf*i.1.*i.!4 .t' , . (1 G) C --------) • �` RI fetlii:.':.14W;.f.l.i...i.i.,.., .�. : ':•:s ,: : ' i:: ' • __.,t--, `V v , cizi] .. u�:' I O iv C-=7 :D 4 ,x1