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Home My WebLink AboutBLD2006-00533 • 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#: BLD06-00533 Received Date: 9/14/2006 SITE ADDRESS: 125 CUB RD Issue Date: 10/9/2006 PORT TOWNSEND, 98368 APPLICANT: JERRY LEE RUBERT TAMMI LYN RUBERT 319-ot91 PO BOX 1924 PORT TOWNSEND WA 983680064 SUBDIVISION: BRIDGEFORD SHORT PLAT Block: Lot: 2 PARCEL#: 001321094 Section: 32 Township: 30 N Range: 01 W CONTRACTOR/ HOUSING MART INC PHONE: DEALER 19748 ELDERBERRY ST SW ROCHESTER WA 98579 Contractor's License HOUSIMI044RO Expires 12/06/2007 PROJECT DESCRIPTION: REPLACE EXISTING M/H MAKE: MARLETTE YEAR: 2006 SIZE: 70 X 26 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 10/9/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLI�ID YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTtNG,CSLA or 'ADS USED)...tl-2—oG Stormwater FINAL Approval: Blocking/Plumbing: Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: . - 3(21/6 7 HEALTH DEPARTMENT AND PUBIC 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 # BLD06-00533 1.) The application was reviewed by the Jefferson County Department of Community Development staff on October 10, 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: seismic; airport noise overlay. 2.) JCIA is a community airport for civil aviation and has been designated an Essential Public Facility by Jefferson County in accordance with the provisions of the Washington State Growth Management Act and the Jefferson County Comprehensive Plan. Properties in the vicinity of the airport may be subject to potential discomforts or inconveniences from noise and vibration associated with aircraft takeoff, landing, over-flight, and normal ground operations at the JCIA site. The County does not consider these inconveniences and/or discomforts arising from such operations to be a nuisance as long as they are consistent with Federal Aviation Administration regulations and standards. It is acknowledged that areas lying outside the fixed boundary of the Airport Overlay I may also be subject to low level noise and vibration. This information is intended only as a disclosure to property owners and potential property owners of their proximity to the JCIA, and the potential for low-level noise associated with airport activities. 3.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 4.) The applicant is proposing to create or add 1704 square feet of impervious surface and 2704 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. 5.) 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. 6.) 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). 7.) The site plan as submitted with the building permit applications on September 14, 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. 8.) This approval is for a manufactured home replacement and a detached garage 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. 9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) 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. 11.) Minimum setback from Cub Road right-of-way shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. • 12.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height rom 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.) The building height is not to exceed 35 feet. 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.) A minimum of two (2) on-site parking spaces shall be provided for the manufactured home. 17.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 18.) An address of 125 Cub Road, Port Townsend has been assigned to the lot. Cub Road is a private road (P43). 19.) The lot was created through the Bridgeford Short Plan on March 6, 1990 under AFN 323850. 20.) The site is served by PUD #1 water. 21.) A septic permit (SEP90-0535)was finaled on February 1, 1993. A building permit (BLD03-0752) for a manufactured home installation was finaled on December 10, 2004. 06 EssJILDING PERMIT APPLICATI!N MRL viewTy515 vpe Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00533 Received Date: 9/14/2006 SITE ADDRESS: 125 CUB RD PORT TOWNSEND, 98368 OWNER: JERRY LEE RUBERT PHONE: 360-379-0181 TAMMI LYN RUBERT PO BOX 1924 PORT TOWNSEND WA 983680064 BRIDGEFORD SHORT PLAT SUBDIVISION: Block: Lot: 2 PARCEL NUMBER: 001321094 Section: 32 Township: 30 N Range: 01 W CONTRACTOR: HOUSING MART INC PHONE: 19748 ELDERBERRY ST SW ROCHESTER WA 98579 Contractor's License HOUSIM1044RO Expires 12/6/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION REPLACE EXISTING M/H TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 2003 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: A P P H( i\/ E D Exist: 0 Exist: 0 Prop: 3 Prop: 2 OCT % 2006 Total: 3 Routing Date: Jefferson County Planning w_40,0 & Buildng Department Type Amount Paid Bv: Date: Receipt: Approved/Date Manufactured Homes $163.00 LYK 09/14/06 84911 Total: $163.00 JACK WESTERMAN II. Jefferson Co;Courthouse ASSESSOR PO hex 1220, Port Townsend, W-% 98390 (3611):1115-9105 MOBILE HOME INFORMATION FOAM Thr OWNER'S NAME/MAILING ADDRESS: NAME: J errr/ \ems war` 7i:,iCie: ADDRESS: P.c.), 3 a x i if / /25 t ,mob li„a A PHONE NO.( ) '1'7q_ virtl 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 O'w'_:-\e (B) MODEL Z b e`I Z L'- (C) YEAR (II) LENGTH 7'- " (E)WIDTH 24e`4 " (F)SERIAL # 73 (G)YOUR PURCHASE PRICE (Do not include sales tax) t 1711 cb• PURCHASE DATI P 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? Yes No If Yes, 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? Yes ( o (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (CO IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: 3etr4 Cuw�e \�u.be'A LOCATION ADDRESS /;).S ( NA` A aw h S e UI REAL PROPERTY PARCEL #/DESCRIPTION 321 c`i - Sigtuif applicant J THANK YOU FOR YOUR HELP! 6ib SIR QCL JOD'I COSSELL, Property Technician • ---A4ici6i4c," Model 416828-8242-6 26'-8" x 7W A.pprox. 1840 SF Optional Bon Room w/Del. s 16' i �. I% ' .. i.. .1M.,.a s . OPT.SIIDIXC CLASS DOOR / Y C U (. >� — i—�--+� OPT,L7dR6S1DRr XINDDrS G u 4e r d v A''' "� • , ,_ r______ TIL177 ,, , �' 1I s'-1• ; DINING ROOM ' ` BDRY.-2 1 1D'-� 1 i LD. 9!!!�= Ltl7NG RODI( NST. BDRY. a,....,7 1D' D' 1 1�4 -r 0 I I !7 10' ,OPT.CDIIBRRDriii r/DPT.CL[RrsrvRY ==_= ses ")I - �y� d RI I • AMP ssd!!!liss. ,, - A info II1,/IIIII1IIIII 11 `. MST. �4Tfl O BDRM.-3 ■I RETREAT L 1D'-D' B�4 11111111r—iii7iIIIiirffi !i a-rMEM !!!!! !!!1 i rwr-1.-i 1 MUNN IIII-Allft i e-3" ,. v, on oxjir Mr..matDR on.MI HIT MIX XxnlIQD Qrr.sylllGlT Mbar 0 'N'N ,.-se'frDLX. I�41 1ST. BATH Optional 1• 11,-1. Den IPO (ITORanalr)f,,, Master "" ff Retreat Na Il-I • ( Optional Delux- Master Bath , r g I, , 'i lr� - i (9) • • , N �6 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT r ` `, 621 Sheridan Street• Port Townsend •Washington 98368 • - 360/379-4450 • 360/379-4451 Fax 4_q o ° www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0(0—5)5 Pr 'ect Description(include separate sheets as ne cessary): 4.14e L.J. / zeibf.4671UYr.E-1044 ill-A-:›rl Ffzi .C-1ld(ix e.4td 6,, ,,rE1p/m-ei by Tax Parcel a Property Number: c it -2,:A t V ci•{ Size: j,1 Lt I S y,qS c (acres/square feet) Site Address and/or Directions to Property: 12 5 L�b ,,,,a 1,..,. TLr 4.s' vX Property Owner(s)of Record: .j er:y 4. T .1r.. t % yt,-\-- Telephone:(2&CC) '3 jct- C't U Fax: email: Mailing Address: i) CI. cS e,i 112.9 ,,r‘t- -Tos.A.yo enc. IT Sfie 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) d Demolition Permit ❑Conditional Use[C(a),C(d),or C]** d Single Family ODiscretionary"D"or Unnamed Use Classification ID Special Use(Essential Public Facilities)** I,Manufactured Home UBoundary Line Adjustment ID ID Mod Commercial*ular CUShort Plat** Q Change of Use UL nding Site Plan** C�Long Plat Q Address i Road Approach [Planned Rural Residential Development(PRRD)/Amendments** 111 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 OWireless 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: jle,..4,ri,, ,1 v,,.-Ic. trey-w..\-- 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap ication tha or she wants prior notice. Signatures , / lU.1,� Date: ( I 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: it,., k ,.M,c�'� �J Date: ci^`S" c Ct D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.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:.7,,..... Date: a-yr-u L GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: �`� 'i1a.l �tny �",-y Int, 0Cs) ;0"1i - 300'.) ( ) MAILING ADDRESS: •JJ '4 v,J S T. \ U Li ti Z. i7 0 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 14.New 18. Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: d. Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: 2 Height: cl Individual System0 3`J ❑ Demolition ❑ Other: Bedrooms: - Water Supply: Setback:Existing: Private well 0 Two Party Type of Heat: Proposed: - 3 ublic C\a LA-c-;L Total: 3 N 11 Name of System: 0 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: ci Underground Tank 0 Above ground Tank Size of Propane Tank: ❑Heat Stove 0 Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank ❑ Pellet Stove I 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: Cp5pp 2nd Floor Heated Consistency Review: I a3C° Other Heated Base fee: J OO Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: lb"? Garage/Carport �f(� u SUBTOTAL / EX(�� Decks 911/Rd Approach fee: Other TOTAL: $53 I Receipt Number: fcl I I Cash/Check Number: 8ell ESTIMATED COST(REQUIRED) Date: 14 ' I .Fair market value of all labor and materials foundation to finish T) �lp Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc -0 i,',..4;a•4;87•;:.g ,...) 23 A\ r 41/4,,‘ —.,_ 0-1 21 ..„,31 C, II 5 ,;;41 \k ‘ —' — —__ .__ M . . e.”-- , 5 - o ; (r+ M . -----‘'j • ; , 1 4c) . („p, ;,, • if.;. co " ; • :r V r 0 ; 3 I 1 ;; J:* - ', , 3-, 1 , — ; 1 ; -."-- -^"...... 1111 1 OS . .. , .._. , 2i 0 I 5 t„ ,f ..,e,,.. , I 0 I \ ..; 0 ta, f ---S1- 1 m '1F4441‘"A 1--Q , , .; „,.. .... __J.. ,..... __ ___ ,.;;', 4 1..,1',A , I ---_.>-4 0 Ili __, t , 0 vv''^7 'N ° . ,.- 1 t..." i • i..z -; o .2L 4' ',--- -- c-',- .., ,p. , /3- ..,4 , m Q. .6 ....E. 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