HomeMy WebLinkAboutBLD2006-00129 Lode- I2S
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BLD06-00129
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00129 Received Date: 3/22/2006
SITE ADDRESS: 611 CEDAR AVE 42
PORT HADLOCK, 98339
APPLICANT: ROBERT E BATES PHONE: 360-385-3933
611 CEDAR AVE SPC 77
PORT HADLOCK WA 983399556
SUBDIVISION: B&R MOBILE HOME CT SP#1 Block: Lot:
PARCEL NUMBER: 901023016 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ JAMES REEVES PHONE: 866-622-6693
DEALER: 8515 NE HWY 99
VANCOUVER WA 98665
Contractor's License WAINS0517 Expires 7/31/2007
INSTALLER: JAMES REEVES WAINS0517 7/31/2007 866-622-6693
8515 NE HWY 99 VANCOUVER WA 98665
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: NEW MFH
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: GOLDEN WES SETBACK:
VALUATION 69,149.00 YEAR: 2006
LABOR & INDUSTRIES APPROVAL?
SIZE: 56x37 BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: --
BEDROOMS: BATHROOMS:
Exist: 3 Exist: 2
Prop: 0 Prop: 0
Total: 3 Total: 2
Routi Date:
S LE— 3/CA :/cxp APPROVEr
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $163.00 LYK 03/22/06 79282 APR 'O 2006
Potable Water Application $55.00 LYK 03/22/06 79282 Jefferson(County Planning
Total: $218.00 &Building Department
e:6QQtnr1 O-6-
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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#: BLD06-00129 Received Date: 3/22/2006
SITE ADDRESS: 611 CEDAR AVE 42 Issue Date: 4/20/2006
PORT HADLOCK, 98339
APPLICANT: ROBERT E BATES
611 CEDAR AVE SPC 77
PORT HADLOCK WA 983399556
SUBDIVISION: B&R MOBILE HOME CT SP#1 Block: Lot:
PARCEL#: 901023016 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ JAMES REEVES PHONE: 866-622-6693
DEALER 8515 NE HWY 99
VANCOUVER WA 98665
INSTALLER: JAMES REEVES WAINS0517 Expires: 7/31/20M
8515 NE HWY 99 VANCOUVER WA 98665
PROJECT DESCRIPTION: NEW MFH
MAKE: GOLDEN WES
YEAR: 2006
SIZE: 56x37
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 4/20/2007.
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YO R.PROJ J
Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS US D :l/ ' /D
Stormwater FINAL Approval:
Blocking/Plumbing: . �D 0(n ,
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps:
HEALTH DEPARTMENT AND PU IC 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 # BLD06-00129
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on March 31, 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:
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 1512 square feet of impervious surface and
1512 square feet of land disturbing activities.
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 manufacture home installation application on March
22, 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 30, 2006 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 not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
• •
15.) 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.
16.) 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.
17.)
18.) The lot was established through the Plat of B & R Mobile Home Court Division II on
September 13, 1978 under AFN 252665.
19.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
20.) An address of 611 Cedar Avenue has been assigned to the lot. The space number is 42.
Cedar Avenue is a county local access (C637109). "B" Court Lane is a private road
established within the B & R Mobile Home Court Plat.
21.) Because all the lots are listed under one parcel number for the B & R Mobile Home Park,
there are to many projects to list. Refer to case file for such list.
22.) Pacific Lamprey were identified in Chimacum Creek. The lot is greater than 2300 feet
east of Chimacum Creek. The proposal was not sent to WDFW.
23.) The lot is served by a public water supply.
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APPROVEDo6. i\I
PERMIT # BED
SITE PLAN
06 0129
MAR 2006 Stormwat- • Vs I JEFFERSON
3 1 �1 ,,A, COUNTY DCD
at. RegU,i!e! 1.�, - ,
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DEPT,OF y' �,'� IV r
SIGNATURE. �� J
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JACK WESTERMAN III
I Jefferson (outourthouyr
ASSESSOR P4) Box 12241, Port Townsend. W.I1 983611
4360)385-9105
MOBILE HOME INFORMATION FORA*
OWNER'S N yIE/MAILING ADDRESS: MAR 22 200r;
NAME: `
Li -
ADORES : ( %/ e4u4. Q-i c. 2-
PHONE NO. 3 9 -r ?
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:
L,,-,
`` �5-zI f
(A)MARE
el 4/ (B)MODEIA 5 G (C)YEAR o(,1
066
(D)LENGTH 5 Co (E)WIDTH 3 '7 (F)SERIAL# 1 A GO L Z 5 Z 3 AcHtCs,
(G)YOUR PURCHASE PRICE(Do not include sales taxi) 9 / `I PURCHASE DATES t 'C54.
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? No
If Yes, Previous address of mobile.
If No,What County was Mobile assessed in last year.
k
3)WHERE MOBILE HOME IS TO BE LOCATED:
(A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? kt�► No
(B)IF LOCATED IN MOBILE HOM PARK: d.�� �_
NAME &ADDRESS OF PARK K �YIZr:2►cf' G�►.Lr1L` �a>4 i� Lot/Space # '/2
(C) IF NOT LOCATED IN MOBILE HOME PARK:4(7
NAME OF LAND OWNER:
LOCATION ADDRESS // C��-1- 1 L - 7 1
REAL PROPERTY PARCEL#/DESCRIPTION
1 f i‘/6/.4
Signature of applicant
THANK YOU FOR YOUR HELP!
4C�Ss� Q Q
JO COSSELL, Property Technician .
,�4>¢S°N cor, JEFFERS•COUNTY •
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
•�`— 360/379-4450 • 360/379-4451 Fax
1,,, t0' www.co.jefferson.wa.us/commdevelopment
HIND f
Master Permit Application MLA: 0L0 _ 1
Project Description (include separate sheets as necessary):
t'- /
v Property /
Tax Parcel Number: 16 ' —Q�•`1 Size: ! u�c.�c,: - (acres/square feet)
Site Address and/or Directionsto Property: l, (j , CI 4
'j/ U - ' "
Property Owner(s)of Record: ( ,�-e-1-7' `'-,
�-4� email:
Telephone: � .� 3 t . 3 Fax:
Mailing Address: 1(/ .�. - '-r-7 7 )1,---L, � - 4> ,-f
Applicant/Agent(if different from owner): 2 �j ,•i
Telephone: . 6 -39 /St 3" Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
)4,Building ❑Variance (Minor, Major or Reasonable Economic Use)
u Demolition Permit ❑ Conditional Use[C(a), C(d),or C]**
[1 Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)**
$.Manufactured Home ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address CI 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 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. / n n_
Signature: (/i j " t�- (1s ry Date: ���- . �,
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:.pecies 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 re1,...,
onsiOility/for adherin to nd complying with the ESA. The Applicant has read this disclaimer and signs and dates' below.
Signature: i2. -1 f ' ?
Date: J
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• •
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:
GENER CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
MAILI ADDRESS: gsr5 NC Hwy EMAIL:
CONTRACTOR'S LICENSE �w� (�;�c:/ 5f 0S WAINS
NUMBER: Y ) NUMBER .") a j iv 5 l .r. I
ARCHITECT/ENGINEER: t ' • PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
C/New i "Wood Existing: : > ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: LL ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: 2 Water Supply:
Existing: - ' Setback: [] Private well H Two Party
Type of Heat: Proposed: I] Public
}- ' L, Total: Name of System: !'' LJ,.D
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 1 1 Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove i 1 Woodstove f 1 Fireplace Insert [I Hot Water Tank ❑ Pellet Stove LI 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
/1).5.cD
2n.Floor Heated Consistency Review: . �2. c
Other Heated Base fee:
1 (r5.c0
Mezzanine Additional Section: _,___,—,
Heated Basement Plan Check fee: ,_____ .
Unheated Basement State Surcharge fee: _
Other Unheated Pot Water Review fee: .()DUO
Garage/Carport SUBTOTAL
2-111. DO
Decks 911/Rd Approach fee:
Other TOTAL: $ Li '1 1 .CD
Receipt Number: —RZb-Z
Cash/Check Number:
ESTIMATED COST(REQUIRED) Date: /� U�
•Fair market value of all labor and materials foundation to finish 1
Initials: r
L-
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc