The URL can be used to link to this page

Home My WebLink AboutBLD2006-00450 S MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Departrnent of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06 00450 Received Date: 8/3/2006 SITE ADDRESS: RD 32 ,rcdc ( Issue Date: 10/26/2006 BRINNON, 98320 APPLICANT: ANNA M WALLER TRUSTEE WALLER FAMILY TRUST PO BOX 671 BRINNON WA 98320 SUBDIVISION: SUN ROCK MOBILE HOME PARK Block: Lot: 1-10 PARCEL#: 602352026 Section: 35 Township: 26 N Range: 02 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW MFH - MODEL STATLER (LOT 7 & 8) SERIAL NO 9467 MAKE: GUERDON YEAR: 1980 SIZE: 50 X 28 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AID PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 10/26/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PR* ECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB . 'ADS . ED): A .Sreue BY dwti�� Stormwater FINAL Approval: ockin. mbin . ittfrriEDdfJNS Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer):__ Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: }��cI co er•e_L +o-S ..(0-2.�-,v"7 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 • 0 MLA06-00437 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00450 Received Date: 8/3/2006 SITE ADDRESS: 294 CHURCH RD BRINNON, 98320 APPLICANT: ANNA M WALLER TRUSTEE PHONE: (619)977 3296 WALLER FAMILY TRUST PO BOX 671 BRINNON WA 98320 SUBDIVISION: SUN ROCK MOBILE HOME PARK Block: Lot: 1-10 PARCEL NUMBER: 602352026 Section: 35 Township: 26 N Range: 02 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH - MODEL STATLER (Lp�-i fi %) SERIAL NO 9467 TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GUERDON SETBACK: VALUATION 8,000.00 YEAR: 1980 LABOR & INDUSTRIES APPROVAL? SIZE 50 X 28 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: i 2 /D(� Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $163.00 KAS 08/02/06 83962 Potable Water Application $55.00 KAS 08/02/06 83962 `L Total: $218.00 JACK WESTERMAN 1p Jefferson Aunt.* Courthouse ASSESSOR PO Kox WI). Port Townsend, II'.11 98368 (360) 3115-9105 MOBILE HOME INFORMATION FORM OWNER'S NNAME/MAILING ADDRESS: NAME: 4 1/ /1 G_ (,C14 ADDRESS: G X � ' f ��► �I�1 ��3 cam' PHONE NO. j— 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. 1)MOBILE HOME DATA: (A) MAKE t°(/"ci L7 _(B) MODEL-. -' :-(.;.;7'I.,4 (C) YEAIl/9S (D) LENGTH ,_6d (E) WIDTH oCs-- / (F) SERIAL # 9 (G) YOUR PURCHASE PRICE (Do not include sales tax) d/der -PURCHASE DATE 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 30 (A) FROM WHOM DID YOU PURCHASE MOBILE G/ '/7 & ,f ADDRESS 4ME _(B) WAS MOBILE ASSESSED IN JEFF SON COUNTY LAST YEAR? Yes 16Z, If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. e to (ret S 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? es No (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK <'C.(ri QSc i 4-04. /Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION Signature of applicant THANK YOU FOR YOUR HELP! 051)S1 _Q Q. .IO COSSELL, Property Technician AllP7'161 l • ' -Y `1,,"?i,,,7.V /7-d--/ •,- � v V0 I o r —� 0 ti .. T Cr) � � I, S , L_ 1 to �r --t) '"-C Z-li to (31,0,--?-* -44-4 _ ,, c:2L. y.) -2-7 \ ,, --\ \--- f,.,. , .1. t 4 A. cp„„) R 0- L f"3 4.. '( Ac (5_e c‘ o • • SPECIAL CONDITIONS CASE # BLD06-00450 1.) The application was reviewed by the Jefferson County Department of Community Development staff on August 19, 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: Susceptible Aquifer Recharge Areas. 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 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. 5.) The applicant is proposing to create or add 1500 square feet of impervious surface and no land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 6.) 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. 7.) 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). 8.) The revised site plan as submitted on September 29, 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 September 29, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for installation of a manufcatured 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 12.) Minimum setback from Sunrock Dr. right-of-way is 20 ft. Minimum side and rear setbacls are 5 ft. 13.) 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. • • 14.) 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. 15.) The building height is not to exceed 35 feet. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 18.) A septic permit(SEP77-00262) was finalled on April 10, 1978 for a 4-bedroom system. An Evaulation of Existing System (EES)was completed in 2005 and reserve was designated in 2006. 19.) This parcel was created through the Sunrock Mobile Home Park Binding Site Plan under AFN 292424, filed of record November 26, 1984 in Volume 6 of Plats, page 93 with Jefferson County Auditor's office. 20.) This parcel is served by a public water system. 21.) Church Rd (C51109) is a county local access road. Sunrock Dr(P465) is a private road. An address of 294 Church Rd has been assigned to the parcel. 22.) A minimum of two (2) on-site parking spaces are required for the manufactured home. ,�.¢,gON JEJEFFER J COUNTY0 DEPARTMENT OF COMMUNITY DEVELOPMENT 14 -. `4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax 4,,, 0� www.co.jefferson.wa.us/commdevelopment ►` Master Permit Application MLA: 0(0 - 43-) Project Description (include separate sheets as necessary): r _ - Ql(9 -L,fEI Lam, 4'Z /� //7 ga ir-K Cre_ r ) Property Tax Parcel Number: , 3S 49 , 6 Size: 5 (acres/square feE Site Address and/or Directions to Pro erty: ? : C(/-q /.,_ , , Property Owner(s)of Record: f /e 6— -4' , ' Telephone:,A- g 7'7— 0 .% Fax: email: Mailing Address: ir' v 77 f31j'6i/1. c-i /.; -, 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)** [p'Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat'"` ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑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 ❑ Shoreline Management Substantial Development** 0 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 m; 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. �, �7 Signature: L !Ji'e,2�' ,, ��i � � / Date: / , 7- 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 perm 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 Jeffersoner County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable resibility for adherin tg o s complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /'L�---t,--�-.J / Date: /-f 67 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc 0 BUILDER STATEMENT • The signer op is staterpe does 1)ereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a umjptg tb on 'bility of the General Contractor for the proposed project., 6" Signature:' �'t..;t_ Date: ~ V GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ti..New Wood Existing: ❑ Sewer [] Addition ❑ Steel Proposed: Bank Height: 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 2.. 0 Individual System ❑ Repair ❑ Masonry I Ai i� SEP Permit# '7 7, 6._, ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of eat: Proposed: j �1 d Public gl Cc-(vl ( ..j- I,c' ad Total: j /" Name of System:i yty-.Ca f*v:G,),.'I 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 ❑ Above ground Tank Size of Propane Tank:_ _ ❑ Heat Stove LI Cook Stove ❑ Woodstove LI Fireplace Insert 0 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: L5 op 2nd Floor Heated Consistency Review: l53,00 Other Heated Base fee: 1 (03. DO Mezzanine ,:, Additional Section: Heated Basement Plan Check fee: sr; f-" Unheated Basement State Surcharge fee: — Other Unheated Pot Water Review fee: q o .00 Garage/Carport SUBTOTAL 41 i 1 VO Decks 911/Rd Approach fee: Other •� TOTAL: $ ril, do Receipt Number: %3R „. Cash/Check Number: ,I4 ``� ESTIMATED COST(REQUIRED) Date: 'Fair market value of all labor and materials foundation to finish [ri 0(0 Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc Limmumnimis tee, 30 co a,� /n cv o .� s 1 i i ca. 03 sN, 4 § ,.. _ , .i...• co ts, ___1 0 (f) ,. . ,q ' ''. 3\--- . ••••••••••••••••mm........ ............""."'"• \ •••••111.......... gi,:-.,) -S2) ,:- '_ f t - - _41), ' \_ ,. -- _T. t ---) ,ii;') '---- M „ficsOCPC N i -----4 \43 4. 'II% ‘,,.. 1-- Filo.tr, v) *0 ‘T. 0 J6 ..›.. \ (5-- ..--- zo..4,, roil ,-..4 It a --c. Zfa z N b oS--.....-.7 0 --;C-}, .(� ~' < yam' " \ C) '-\--.. \r-\. - - \ - \N ,, G ""• n -Jr .__,. (4:1 \ \ 1--- \ \� s ,i. w ,-- 6. . ""\"--, , ‘._ • (\, . • _. 1-)) - I. ,), ) -i r-- \ \ \ O )L!. \ ro \ f5i.j.\ ,\ i,‘xLk. l't :\,( Y.,,.1,'.,,f,,r_: P t--,. \ ii, • ii,„ (J\ NA_ I r-- 4 .... .c z7 tivI:e..-1--e r- s--1,( CP 43 \ '9\ / I" � r .:-,.,..,,.:.,,..:...,..,... :- -- TT : 7 k:ticte.;+ \ ;+ • xm •::i.,• '??2:.;C:i il '4 ... IC ''' ,- \._ 6 -,c i (- / (V/2 . I Cr\ ' C DI 7\..2.t%.,....•••^.^...'".'17'N'' \ L N it z ‘ \ 13 .-"j .00 'er 6� ' ' ib itt 1 Cn �� S . r � � N 2 - a11 • y r. � '� �' m o o f z v o srh o p.., . _ goo