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Home My WebLink AboutBLD2007-00101 • MANUFACTURED/MOBI LE. HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 360 379-4450 FAX 360 379-4451 PERMIT#: BLD07-00101 Issue Date: SITE ADDRESS: 387 PORT HADLOCK HEIGHTS RD Received Date: PORT HADLOCK, 98339 3/14/2007 APPLICANT: 4/6/2007 BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK PARCEL #: Block: Lot: 1-45 989500001 Section: 11 Township: 29 N Range: CONTRACTOR/ 9 01 W DEALER VALLEY MANUFACTURED ESTATES INC 1830 S FIRST ST PHONE: (509) 453-8937 YAKIMA WA 98903 Contractor's License VALLEME074Q3 Expires 9/27/2008 PROJECT DESCRIPTION: b 1 `—� NEW MFH (Steve Holstine) ; D ' )u>--1— MAKE: VALLEY MANO YEAR: 2007 SIZE: 66 X 26.5 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE CALL IN FOR THE REQUIRED INSPECTIONS THATgppY ION DATE IS 4/6/2008. Setbacks/Footing (CONTINUOUS FOOTING(SLAB_or PADSOUSED): iz C5 7 Stormwater FINAL Approval: Blocking/Plumbing: ' / 07 Pip ?tJ b007rropane Tank/Lines c_ Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: ' HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL I THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED NSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDU Office Hours 9:00 a.m. -4:30 p.m. LE INSPECTIONS. HOT-LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE • • MLA07-00129 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00101 Received Date: 3/14/2007 SITE ADDRESS: 3 "1 334 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: (360)797-7133 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ VALLEY MANUFACTURED ESTATES INC PHONE: (509) 453-8937 DEALER: 1830 S FIRST ST YAKIMA WA 98903 Contractor's License VALLEME074Q3 Expires 9/27/2008 REPRESENTATIVE: PHONE (`I2, PROJECT DESCRIPTION: NEW MFH E' " /Ci apc, GAL Pa:ip 0 � TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: VALLEY MANO SETBACK: VALUATION 101,921.00 YEAR: 2007 LABOR & INDUSTRIES APPROVAL? SIZE: 66 X 26.5 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 3f/ 10 KA5 A . . .fre Type Amount Paid By: Date: Receipt: ' ' /Tt' Manufactured Homes $163.00 KAS 03/14/07 89478 Potable Water Application $58.00 KAS 03/14/07 89478 APR 2007 Total: $221.00 Jefferson County Planning & Building Department • • SPECIAL CONDITIONS CASE # BLD07-00101 1.) PRIOR TO OCCUPANCY--FINAL APPROVAL OF SEPTIC SEP06-314 IS REQUIRED 2.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY MUST BE DOUBLE CASED. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on March 26, 2007 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: Special Aquifer Recharge Protection Area. 4.) 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. 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 applicant is proposing to create or add 1989 square feet of impervious surface and 3540 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. 8.) 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. 9.) 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). 10.) The revised site plan as submitted on March 29, 2007 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 April 6, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than 2 unlicensed vOes shall be stored on any lot unless totallyeened 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. 14.) Minimum setbcak from Port Hadlock Heights Rd right-of-way is 20 ft. Minimum side and rear setbcaks are 5 ft. 15.) 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. 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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) A minimum of two (2) on-site parking spaces are required for the single family residence. 20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 21.) Port Hadlock Heights Rd (P516) is a private road. The road approach is existing and an address of 387 Port Hadlock Heights Rd has been assigned to Lot 30. 22.) This parcel was created through the Port Hadlock Heights Mobile Home Park Binding Site Plan, filed of record April 15, 1998 under AFN 409746 in Vol 1, page 28-32 with the Jefferson County Auditor's office. The binding site plan was reviewed by Jefferson County Department of Community Development under BSP94-00001. 23.) Individual Drainfield (SEP95-00290) serves this site and was issued May 16, 1997. A septic permit (.SEP06-00314) was approved on November 2, 2006 for a septic tank to be connected to existing drainfiel. JACK WVESTERMAN IIO Jefferson Cou►i.1,!'Courthouse ASSESSOR 1►0 Ilos 1220, Port Townsend,WA 98368 (360)385-910 5 I R IH l\'1E l�.` �F r )� e �' MOBILE HOME INFORMATION FORM , OWNER'S NAME/MAILING ADDRESS:NAME: 57Lc Pe Ho/c4mc iEf[[[D fFi EJ flinty LICU ADDRESS: t 2& o 0/% S tuics cod el f1• ql P47: 98868 PHONE NO. 3 C b •3o I- 15 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 V o (,r,' 14‘4hor (B) MODEL '2.8 2 C (C)YEAR 2007 (D) LENGTH GC (E) WIDTH .�G t/2 (F) SERIAL # t (G)YOUR PURCHASE PRICE (Do not include sales tax) F O�4 ( PURCHASE DATE 161.004 1 4711 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? CD No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK tb r f y� J1 f .cet !'r'J ei>44 s Lot/splice# 3 C C 317 PAY 0M) (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION AO 1L 3 0 — Por4 e 111ei 114t>'(#5 /it. IeI.P. "FALL-- ( Far St•P c 14 S*h. Signature of applicant THANK YOU FOR YOUR HELP! SS Q �C JO COSSELL, Property Technician • • 3 - e • alai E !9 41 S , I tilfA 11 1 , 1Wit .1.. 111111..'';'11,[71:44°411C1 , ',..,%." RR �. t3i3 yh:Of Cy r. r.r. )t 4. 1 1111011001011 NV ' ' 1: ''.1 $ ' CO li l'' irwummatesent - , li7 M��Y l. i �nk 9 it �� M - � ilrl i�P�., -t 1�'i- Y ",'I•• 4 O !',':11.4;;.j.j,•;i .f•-.1 licit . V C 1 r a : C "rrI As fib. NI 4 . !4. A :”.• iv,,,•1;; 1 1D el lir 4 I'r : :V. a. i, �; it iger• of . u ` 3 +i 1 y % C yl �1ai ® D4 , j `'. - 1 at_W,.....).:14.!•ii 1 • , -, ... f 'Ivo!Elia . ' .z.: :ji - i i k. / -,z. ; iimi ir-s vt ,. . _.. ' !* i! -i' I. i r .I f R r I • �Il ��:r�� . 31 »� .,,,.,s.—��iir1 6...,.,. r laid M ' I ' ^fwt■tale - r� i. i' •r:Y.LO:i'5 . r 1 1 1 I illia tiEll' • y I M.: dil ;i W eeF Rr A��vn4eRo ` .. ir ern'. • _ ;..,?arrn ]tf•i�leiiiilc�ria mg 1-* § 2 Rr ',�'. I-.'. .� iOe11« ill r Y• . _ d a.� ROL'-'III r . 11 i ; 1 r . , a+rr irri III . „_,..•. 4 Ell Td a r . 4, 1 . • .0. . . .,. , "' o'- s�t11 alas�9 �_ 141 1 ,aaaiaaaraa • C.-- fib i 1;- i •ce ... -.,, fT+ r* I y�i` 1 ti'4.-44. 41Y a r.. /0 20'd 6t:t'T LOa2-L2- HIJ .cal I. JIAAJ V 12 1.0 j t.V j,--J .---I'd 15LD01 - l o 1 SITE PLAN i`-'0, /4-(1- i 2 9 1 404 \ , S��d(o - 3)�- APR - 6 2007 tio, 29 aft IP"r ��IFFL DF.PT JEFFERSON COUNTY r f iSlIN IMIN D�D T � .OF OMMUNITY LOP NT ( I' SIGNATURE: ll 1 ...T Stormweter BMP's Required 1/1rt, _. 57100f Wks) a:. Cow•tec1 te. es.6 II /CO ROAD s: c c= ue N E s 1v4,n feat s n •r dr cc.+I0414) S/S ) = 'OP 'C • 1 1 i le • Is ;;SS'Ce`"tw) LOAF - ft.or / atirisk t 7 • t , pitoPOSfp ' o, VI r, _ to r6, a s/Atli,) 4 c�tec«.f) : -4.... :,,,,,, . �O M6 , , 8 (7.••'..*: } / wA-TER. ;. 1ivFt1:94147la1✓ RSA- too.1 r4 01 . ( z$71 CS'i"iv ' ,. r 1, w wA-76R SITE PLAN t iv rc I.TRA-71 ✓ i-.OT 3G-- poRT HAOLaoc 38? poRr ttAmoCK News Po. Heitsmr4 Ab*jq - iT•-mz RWASS0 " 2.S MAtic0 20*7 CR'fue) ego43ERS' Xk c 4So3 Ar OL-T wwta R R 9RP. 8 P ir �4)V- N ;c).. ,^JEFFERS•� U ITY �� ,i! } . tiDEPARTMEN I OF COMMUNITY DEVELOPMENT ZIllgd 621 Sheridan Street • Port Townsend • Washington 98368h :g 360/379-4450 • 360/379-4451 Fax �.qS p� www.co.jefferson.wa.us/commdevelopmant iff H1(IN c,Ul111IIY UCII Master Permit Application MLA: 0 1- i a9 Project Description(include separate sheets as necessary): Alt ANuFAcTvRe'D HoMim-' [NSTALLA-T1oN Tax Parcel Property Number: et g q— $Co— 061 (Lo'IL 30,1 Size: /4'2 33 p42 (acres/square feet) Site Address and/or Directions to Property: 38? pop-i- Ha.Jlock H c,17A4s l'44d Property Owner(s)of Record: &RDOERS' INC. Telephone: 360- 7/7-'771 Z Fax: 3 60-747- ?i 33 email: Mailing Address: 1$o3 Old rdi slier Rd' porf To,-nS•nd (,, A. °]836 $ Applicant/Agent(if different from owner): r.� m e a ,rler t 3-11C ve 17'o is l imeTelephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification IA Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach 0 Binding Site Plan** P, ❑ lome Business 0 Cottagelndustry 0 Long Plat*" (1(,, le Propane 0 Planned Rural Residential Development(PRRD)/Amendments** r ' 0 Sign ElPlat Vacation/Alteration** "�' ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance ❑ Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *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 prcvided 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 oe assumed unless the applicant informs the County in writing at the time of the applicatio that he or he a s p or notice. Signature: Date: /j M.►'c h 2vo'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 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 re nsibility for d rin o acomplying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: /3 yv1 i.a 11 2 oo'j G:\PermitCenter\###FORMS###\DAD FORMS\Master Permit Application 12-19-2006.cloc �a> _ rk. • 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: ---4 PHONE: FAX: j lit ' y A‘v f,c•kt. i 1 Sit 1/s., ;nc. / o .rr D. Sid Puifill ( ) ( ) MAILING ADDRESS: ($3 O S, /_';•sf si. 4.4)a 414 cu A EMAIL: CONTRACTOR'S LICENSE q Q rf O 3 WAINS NUMBER: NUMBER (N A 1 N S o 0 3 q ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: yP New 0 Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Z Bank (Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 06— 063/il ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 4 Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 2 V Public Total: M Name of System: PD 0 W1 f r+ 14 J 1.0c 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: i Underground Tank Above ground Tank Size of Propane Tank: �l SC! C,4L i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i 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 BId App Review: 2° Floor Heated Consistency Review: f5 Other Heated Base fee: 1 Ir 5. no Mezzanine \ ti ( 1' ` r fdyitional • Section: Heated Basement R Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated 2ct Water Review fee: Garage/Carport SUBTOTAL 411 00 Decks 911/Rd Approach fee: Other TOTAL: $ 4-fl OJ Receipt Number: $q4 l 8 Cash/Check Number: 3 (15 ESTIMATED COST(REQUIRED) Date: l ( ,}f 0� .Fair market value of all labor and materials foundation to finish I 4 Initials: � G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc