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HomeMy WebLinkAboutBLD2006-00524 • • MLA06-00510 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00524 Received Date: 9/12/2006 SITE ADDRESS: 122 CARROLL ST CHIMACUM, 98325 APPLICANT: MIKE D MELHEIM PHONE: (360)732-0722 PO BOX 971 CHIMACUM WA 98325-0971 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 1+ PARCEL NUMBER: 963000305 Section: 10 Township: 29 N Range: 01 W CONTRACTOR/ AL TOWNSEND TRUCKING & EXCAVATING PHONE: (253) 537-8988 DEALER: PO BOX 44191 TACOMA WA 98444 Contractor's License ALTOWTT979RJ Expires 12/11/2007 Contractor's License WAINS1940 Expires 11/30/2008 INSTALLER: AL TOWNSEND TRUCKING & EXCAVATING4/AINS1940 11/30/2008 (253) 537-8988 ALBERT JOHN TOWNSEND TACOMA WA 98444 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: REPLACEMENT MFH SERIAL NO. KBIDSNAB861310:39 TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: AMERICANA SETBACK: VALUATION 53,000.00 YEAR: 1986 LABOR & INDUSTRIES APPROVAL? SIZE: 50 X 28 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 1 /3f be li Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $163.00 KAS 09/12/06 84860 Total: $163.00 NOV GI 2006 • • 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#: BLD06-00524 Received Date: 9/12/2006 SITE ADDRESS: 122 CARROLL ST Issue Date: CHIMACUM, 98325 11/9/2006 APPLICANT: MIKE D MELHEIM .3(o0-7 -0•722 PO BOX 971 CHIMACUM WA 98325-0971 SUBDIVISION: IRONDALE ORCHARD TRACTS Block: 3 Lot: 1+ PARCEL#: 963000305 Section: 10 Township: 29 N Range: 01 W CONTRACTOR/ AL TOWNSEND TRUCKING & EXCAVATING PHONE: (253) 537-8988 DEALER PO BOX 44191 TACOMA WA 98444 Contractor's License ALTOWTT979RJ Expires 12/11/2007 INSTALLER: AL TOWNSEND TRUCKINGA aB> TING Expires: 11/30/20( ALBERT JOHN TOWNSEND TACOMA WA 98444 PROJECT DESCRIPTION: REPLACEMENT MFH SERIAL NO. KBIDSNAB86131039 MAKE: AMERICANA YEAR: 1986 SIZE: 50 X 28 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 11/9/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS US :c.QT' ll-1(0-c,6 Stormwater FINAL Approva : CaurrERs o,aS ars . �aPi-.4Ql de& -)x Wel Bloc ' i Blocking/Plumbing rj Propane Tank/Lines /V4 Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Fina,I,Approval: Final/` irtin. ! /Porche.4' tep� V K .�r a- .���,a. r// 4-7,r-- 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 • I SPECIAL CONDITIONS CASE # BLD06-00524 1.) NEW MOBILE MUST BE 5 FEET MIN. FROM EXISTING SEPTIC TANK 2.) The application was reviewed by the Jefferson County Department of Community Development staff on October 9, 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& SUSC aquifer recharge area. 3.) 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) 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. 6.) 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. 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.) The applicant is proposing to create or add 1400 square feet of impervious surface and 450 square feet of 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. 9.) 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. 10.) 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). 11.) The site plan as submitted with the manufactured home installation application on September 12, 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 October 9, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) This approval is for a manufacture home replacement 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. 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 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. 15.) Minimum setback from Carroll Street right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 16.) 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. 17.) 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. 18.) The building height is not to exceed 35 feet. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) A minimum of two (2) on-site parking spaces shall be provided for the manufactured home. 21.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 22.) An address of 122 Carroll Street, Chimacum has been assigned to the parcel. Carroll Street is a private road (P334). 23.) The lot was created through the Irondale Orchard Tracts Subdivision on July 19, 1909 under AFN 28191. 24.) The site is served by PUD#1 water. 25.) A septic permit(SEP92-0446) was finaled on June 21, 1993. A septic permit (SEP92-0447)was finaled on February 4, 1994. A pre-app (PRE01-0055)was conducted on October 11, 2001 to potentially subdivide the parcel. A complaint(COM01-0011) was finaled on March 8, 2001 for possible construction without permit. A building permit (BLD96-0696) for a mobile replacement was cancelled on November 22, 1996. A building permit (BLD93-0141) for a mobile home installation was finaled on April 21, 1994. A building permit(BLD93-0142) for a mobile home installation was finaled on January 27, 1994. JACK WESTERMAN I. ASSESSOR Jefferson C�y Courthouse f'°"''''. PO liox 1220, Port T -s.r 1 I l' (360)385.910 5 I11\retArifF D MOBILE HOME INFORMATION FORM i 2 2'^5 oirIMMINIREIrcenfintegiADDR N V //,2 .77 i> - // JEFFERSON COUNT RCD ADDRESS: . . , L ) 7 -- PRONE NOS ) _ — ..-2 , , �� �� �/ �� < 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. MOBILE HOME DATA: ''4 ici6 <9 (A) MAKE tev(er o( (B)MODEL (C)YEAR ±' t (D) LENGTH 5."- - i L (E)WIDTH Z, (F)SERIAL # r( or G (G)YOUR PURCHASE PRICE (Do not include sales tax) �. ,2' PURCHASE DATE 2Ll ' uJ W . .,R/LOCAT., N OF MOBILEME: (IF NEW MOVE TO QUESTION 3) (A)FROM WHOM DID YOU PURCHAS MOBILE - c; / (J (' ADDRESS t 0 „- (B)WAS MOBILE HOME ASSESSED IN JEFF SON COUNTY LA EA R?y Yes o / If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. '� 3)WHERE MOBILE HOME ISM TOBE LOCATED,; (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes {O (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: �/ 7 //it, ( 4. �� LOCATION ADDRESS_ �— - T l '% > r REAL PROPERTY PARCEL #/DESCRIPTION 1, Vie � vi�<L' -,:i Mij____z, (1/42- THANK YOU FOR YOUR HELP! Signature of applicant'",, 4e�ss-C i) Q. JO COSSELL, Property Technician F---- • 0 0 . i . ....... ..st ,...... •,.r... 8 1 ;4 It C . -.../ „ •,..4.___, N i -. .' ............ h,6 Nt• \,) --- .1 • tL, \, • ( \- ('- 1 .........,........... t.")) 4 . • .. . ' ? ;EiV A90itl-d ' . •- •.: •••: ', ,.........". . ; '..N" 'i ..:.\-. )... . - , .. ,-.., (4•4„5,,,,,,), ,: . . .. • . . . .7-,.. t•-. * • • • .. • . -7-..-, ... . V. q.• V • L -. .. , . --- • ri r•li c... -..;v.. 1 ‘...) . ' . .2.......... A \ 1 \11 n . • 6.'.4 &:)....... --.. ' -........i • ../tza 1 , .,4...,,k . , . . irsoisi--c�46 JEFFERS OUNTY • Ax��cN'IL4II Y j ' DEPARTMENT OF COMMUNITY DEVELOPMENT i' ` `4 621 Sheridan Street • Port Townsend •Washington 98368 S�i t"`-u 360/379-4450 •• 360/379-4451 Fax ' c3 www.co.jefferson.wa.us/commdevelopment EFFEH N COUNTY D J S� UU CO Master Permit Application MLA: No -G, in aro Qescnption(include separate sheet` ' c : - , , 6 ,„ " ' ',1-: / • Vyl_96 - i) -iy ',•_) li., 3 4"-,/}-- �� � Property tax Parcel Number. ((r 5-- cj( - _p l l Siz1e: (acres/square feet) Ite,Addressanti/or Directions to Property:, ( / ( c, r �, C `( ,J J s / ((/C ;/,(¢(lt1,( f operiyovvher(s)of Record: /•^ r� /i e, i'i'rc" 4. Telephone: .' _ . L - -, -, '---'n Fax: email: Mailing Address: Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: Whatnd of Permit?(Check each box that applies) ililding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** *nVianufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑Address ❑ Road Approach 0 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 0 Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment O 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. i ( /// )/l< < < i � �_; 6; 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- transferable response lit/for adhering/ to an,complying with the ESA. The Applicant has read this disclaimer and signs and dads.it low. Signature: //(.i `(/ / /t i`/1( `,i / "late: 4=f / / ( / G:\PermitCcnter\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: GENERAL COTRACTOR OR � � ,,SiTALLER: PHONE: FAX: 4 1 �i/y2/7--- i"� (-((.2_ / . ' 4 ,'� (l��.�) rj ,/. �r� (�'z i) '�" T- �1 itLINGAn a , _/ . I' \ ' ' . ! !j - J} IL: �j/�l I CONTRAC : � AINS /- NUMBER: ,/,. J /t,, i --- , r I NUMBER / (� l /4`• J ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL ;:P,rojeefT s'.:.. frame Tylfe: -Bathrooiifil ' Shoreline: "Type of Sewage Dispol E.--New 1 Wood Existing: _ ❑ Sewer ❑ Addition ❑ Steel Proposed; _ Bank Hei ht: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total:' -- ❑ Individual Syst ❑ Repair ❑ Masonry 1I, l / SEP Permit#1 ❑ Demolition ❑ Other: Bedrooms: T Water Supply: Existing: Setba k: I 1 Private well ❑ Two Pa IVO of H aL " Proposed; _ , Public / l f-e ,Iy)- C Total: 1 . )t Name ofSystem:,t,(it9 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 ❑ Cook Stove [1 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet 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 components, including the reserve area. Square Footage Current Proposed For Office Use Only .. Amount Revision ,* Main Floor Heated EH Bld App Review: 2nd Floor Heated Consistency Review: �y� �� 1r - r - � j� . `ti Other Heated l N �! 1iJ r ,, Base fee: 5 f� Mezzanine Additional Section: _-- Heated Basement '""`"' Plan Check fee: Unheated Basement .. <; State Surcharge fee: JEf ifiSON Di. i -- Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL ��`` , U�. V��,, D Decks 911/Rd Approach fee: Other TOTAL: $ 3 8 I Receipt Number: S ii-g &'0 Cash/Check Number: 145 ESTIMATED COST(REQUIRED) Date: ! (�� ) .Fair market value of all labor and materials foundation to finish r 1 d{, Initials: , J ; G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc *0 , . X c... 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