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Home My WebLink AboutBLD2006-00066 • • MLA06-00065 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00066 Received Date: 2/16/2006 SITE ADDRESS: 1144 HAZEL POINT RD QUILCENE, 98376 APPLICANT: CHRISTOPHE HANNA PHONE: 360-265-1822 THERESA HANNA PO BOX 1283 POULSBO WA 98370 SUBDIVISION: CEDARCREST ESTATES Block: Lot: 3+ PARCEL NUMBER: 601342034 Section: 34 Township: 26 N Range: 01 W CONTRACTOR/ BUYRITE HOMES PHONE: 800-654-1695 DEALER: 3543 W ST HWY 16 PORT ORCHARD WA 98367 Contractor's License BUYRIH*0840B Expires 5/20/2006 INSTALLER: BUYRITE HOMES BUYRIH*0840B 5/20/2006 800-654-1695 3543 W ST HWY 16 PORT ORCHARD WA 98367 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: ADU-MOBILE HOME TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP ADU MAKE: KARSTEN SETBACK: VALUATION YEAR: 2006 LABOR & INDUSTRIES APPROVAL? SIZE: 45X28 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date LE 9/ i , 7--/cc Type Amount Paid By: Date: Receipt: Approved/Date Permit $163.00 LYK 02/16/06 79157 MAR 15 2006 Total: $163.00 Jefferson County(Tannin, C- \ & Building enartment • • 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 #: BLD06-00066 Received Date: 2/16/2006 SITE ADDRESS: 1144 HAZEL POINT RD Issue Date: 3/15/2006 QUILCENE, 98376 APPLICANT: CHRISTOPHE HANNA THERESA HANNA PO BOX 1283 POULSBO WA 98370 SUBDIVISION: CEDARCREST ESTATES Block: Lot: 3+ PARCEL#: 601342034 Section: 34 Township: 26 N Range: 01 W CONTRACTOR/ BUYRITE HOMES PHONE: 800-654-1695 DEALER 3543 W ST HWY 16 PORT ORCHARD WA 98367 INSTALLER: BUYRITE HOMES BUYRIH*0840B Expires: 5/20/200( 3543 W ST HWY 16 PORT ORCHARD WA 98367 PROJECT DESCRIPTION: ADU-MOBILE HOME MAKE: KARSTEN YEAR: 2006 SIZE: 45X28 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/15/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): `Y��ts 6v 'r Stormwater FINAL Approval: Blocking/Plumbing: O}(e Propane Tank/Lines __ft `\,- '—UfroI ., 1 v Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: -Par- L'16 9/fh fl 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 # BLD06-00066 1.) The application was reviewed by the Jefferson County Department of Community Development staff on February 25, 2006 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: Eagle. 2.) The applicant is proposing to create or add 9795 square feet of impervious surface and 130,680 square feet of land disturbing activities. 3.) 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. 4.) A Stormwater Site 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. 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 February 16, 2006 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 March 1, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for a single family residence with attached garage & mobile home ADU 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.) 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. 13.) 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. 14.) Minimum setback from Hazel Pont Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum rear yard setback shall be 42.45 feet per open space dedication on the final recorded subdivision. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. A minimum of two (2) on-site parking spaces shall be provided for the ADU. 16.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 17.) An address of 1144 Hazel Point Road, Quilcene has been assigned to the single family residence. An address of f1144-A has been assigned to the ADU. Hazel Point Road is a county minor collector(C408008). 18.) The lot was created through the Cedarcrest Estates Subdivision on August 19, 1994 under AFN 374653. 19.) Per phone message on March 1, 2006 from Shelly Ament, WDFW biologist, no eagle plan is required. 20.) The parcel is served by an on-site individual well. 21.) A septic permit(SEP05-00287) was approved on October 9, 2005 for a system of 720 gallons per day. A stormwater permit (BLD06-0038) was withdrawn on February 24, 2006. A demolition permit (BLD05-0736)was finaled on January 26, 2006. A building permit (BLD06-0066) for an ADU will be issued with the SFR building permit). A well review (USR99-0044)was approved on December 20, 1999. JACK WESTERMAN III 0 .1eficrso►► Cola nt.nrlhouse ASSESSOR I'D Ilos 12211. Port Ton nscnd. WA 98131i8 436o) 385-9101 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: To r A i P,iv ADDRESS: Qzticetfyv < PHONE NIK_ D --- 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 k-ctr,57Ltd (B) MODEL 5D y'OgS3 s (C)YEAR o`�C�'7 (D) LENGTH 41.-D ' " (E)WIDTH (F)SERIAL # (G)YOUR PURCHASE PRICE (Do not include sales tax) I ro. PURCHASE DATE a OD 6 20 PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF 1 MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILO z / — R 'r e_ llu ADDRESS (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes If Yes, Previous address of mobile. /jam//� If No, What County was Mobile assesse in last year. 4/7/9 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes (B►IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK /r/"9 Lot/Space # (C) IF NOT LOCATED IN MORN E HOME PARK: NAME OF LAND OWNER: ( S C��- r n i .101/4` LOCATION ADDRESS I I T 1 Nab"IQ I 4. ei, REAL PROPERTY PARCEL #/DESCRIPTION Log -, Lf.Qp�S' ! (s, ai 411 rp I azdu.3tA/9)1a..4,---t- C` Signature of applicant _.. THANK YOU FOR YOUR HELP! �7W;. ` tU r ell-e Q _Q i JOIN COSSELL. Property Technician FEB 1 6 2006 i r • -,. �,¢,Soiv 411c0r,. JEFFERSOr OUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ~' `- '-4 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax .qSINGS o www.co.jefferson_wa.us/commdevelopment Master Permit Application MLA: L) _ (--) Project Description(include separate sheets as necessary): C",, la or v %v.)V) ! Tax Parcel r ` Property r-- _ Number: .Q C) ;o—: Size: J, >9 atir\, .,' (acres/square feet)_ Site Address and/or Directions to Property: I �� Vt. , ' Property Owner(s)of Record:Oe't rr` QI t. E:. '}LI(-:,. I.... r, Telephor ? ,)•r}(c, c_"•"-/ 6/11 Fax: email: Mailing Address: Q Q (, Cj � tk / 11 ' 1 Applicant/Agent(if different from owner): ! Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) : - Building i •�_ ,k • tI Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family Ili Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached FEB 1 6 a 'q Special Use(Essential Public Facilities)** [] Manular tured Home CuBoundary Line Adjustment ❑ Short Plat II Commercial* ❑ Binding Site Plan** I I Change of Use ❑ Long Plat** I I Address 11 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 ❑ 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. Signature: , rictii11AN...P,, Date: t,+ (t 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-transfe. r able responsibility r dhering to and complying with the ESA. The Applicant has read this dis aimer and signs and dates it below. Signature. . . :..t., 1 .��' La, Date: t;�3(( (? 0 L G G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc r i 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 ass uming suming the responsibility of the General Contractor for the proposed project _e: .t, n , f : "` ( q({ fir_, Signature: 1 f. 0,...4-----0 Date: e GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Afi- MAILING ADDRESS: ( .(y t. b�4 c(t: 5P.iy[V EMAIL: CONTRACTOR'S LICENSE i •_11•'�1t r.DCl� it WAINS I NUMBER: �� '�� vg O B YE. i (:y ', ..NUMBER (Ali) _•, ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New T Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Q Bank ❑ Community System ❑ Alteration/Remodel Li Concrete Total: Height: 'Individual Systffli ❑ Repair Li Masonry SEP Permit#O' 00CIR ❑ Demolition n Other: Bedrooms: Water Supply: Existing: Setback: )4' Private well ❑ Two Party Type of Heat: Proposed: ' [�\Public vr-,,,; L,'4. Total: =5 Name of System: If this is a Commercial Project you must answer the following: 1 ► I ini 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: Li Underground Tank X Above ground Tank Size of Propane Tank: /of? € CI Heat Stove X Cook Stove ❑ Woodstove ❑ Fireplace Insert 'Hot Water Tank ❑ PLllet 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 cccoa�p^np� . including the reserve area. ECG* 8 la!h' Square Footage For Office Use Only li Q.E'U FETE t1-7f SF1. Current Proposed Amount Nik! -LOS— Main Floor ' Consistency Review: ki4 SP M LA0 P_„_, 2NV Floor Base fee: / 3`"Floor Additional set,G%I: I. DO i' f(, 00 / 1 Mezzanine: Plan Check fee: 0 Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: Lois f 2. tkitt-PSO - (PS Other Unheated 911/Rd Approach fee: Garage/Carport TOTAL: $ I U_00 Decks Receipt Number: 79 15 Other Cash/Check Number: 2-1 ESTIMATED COST(REQUIRED) Date: i �f�� •Fair market value of all labor and materials foundation to finish �/1 LP a0 L e ( ,/ '.- Initials: St--1: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc ._ O • ..r , rn 111 .. x, > 1, irril ,. „.\;)4. . , ,, m .1111114 . ,a r. 0 I ,. .....--, s J �._ �s . . ,: ., a - .__� j ,.,,,`. ' "---------,-- ,...2 (1,..2 ) • .0 „,, i . Li i , ; 1 4. , ..0 , , ' . i 4 ,,,,, . ,.., .; si_ i 0 n , i . . . 1 .. 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