HomeMy WebLinkAboutBLD2007-00254 • •
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 #: BLD07-00254 Received Date: 5/23/2007
SITE ADDRESS: 62 PORT HADLOCK HEIGHTS PL Issue Date: 6/29/2007
PORT HADLOCK, 98339
APPLICANT: BRODERS INC
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot:
PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR/ KEVIN L ALLEN PHONE:
DEALER
PROJECT DESCRIPTION: NEW MH HOME (Lot 38) (for Eldon Marlow)
MAKE: SILVERCREST
YEAR: 44
SIZE: 24
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 6/29/2008.
CALL INF•: .. - REQUIRED INSPECTIONS THAT APP� YOUR PROJECT. //
Setbac. /Footing (CONTINUOUS FOOTIN SLAB PADS USED): dk 7 Z d7
Stormwater FINAL Approval: IL
Blocking/Plumbing: 8li:ek e i 7I1- -Dad A),‘ d/C 0//7 0
Propane Tank/Lines WA
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps: OR ar 411:
/D1,2/0
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:CI0 a.m. -4:30 p.m.
HOT-LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY- SEE REVERSE
BUILDING PERMIT APPLICAN BLD07-00254 Review
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00254 Received Date: 5/23/2007
SITE ADDRESS: 62 PORT HADLOCK HEIGHTS PL
OWNER: BRODERS INC PHONE:
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
PORT HADLOCK HEIGHTS MH PARK
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: PHONE:
PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW MAN HOME
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 56,358.00 ADD'L: HEAT TYPE:
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date �
� a � C
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $163.00 CJZ 05/23/07 89991 APPROVEr
Potable Water Application $58.00 CJZ 05/23/07 89991
Total: $221.00 JUN 2007
Jefferson County Planning
&Building Department
• •
SPECIAL CONDITIONS CASE # BLD07-00254
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on June 14, 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:
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 1746 square feet of impervious surface and
2600 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.
7.) 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.
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 manufactured home installation application on May 23,
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 June 14, 2007 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 2 unlicensed v icles shall be stored on any lot unless total 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.
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.) 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.) The building height is not to exceed 35 feet.
17.) Minimum setback from Port Hadlock Heights Place right-of-way shall be 20 feet.
Minimum side and rear yard setbacks shall be 5 feet.
18.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
19.) An address of 62 Port Hadlock Heights Place, Port Hadlock has been assigned to the Lot.
Port Hadlock Heights Place is private (P517).
20.) This is a legal conforming parcel designated as Rural Residential 1:5 under the Jefferson
County Comprehensive Plan Land Use Map effective August 28, 1998.
21.) This parcel was created through Port Hadlock Heights Binding Site Plan on April 15, 1998
under AFN 409746.
22.) A septic permit(SEP95-0289) was finaled on January 4, 2002.
23.) The lot is served by PUD#'1 water.
JACK %VESTERMAN. Jefferson linty Courthouse
ASSESSOR PO Box 1220, Port Townsend, W.% 98368
(360)385-9105
LLD off��g�- 2��15oo00 MOBILE HOME INFORMATION FORM
l
OWNER'S NAME/MAILING ADDRESS: r
V' I ,I
NAME:
�h2G M 2 ,_:; 1
� � MAY
ADDRESS: 7-(..) /l0 3 3
PHONE NO. 3 g'S 3/74 In 7 NV''Y
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.
l)MOBILE HOME DATA:
(A) MAKE S+ V tr C"S4 (B) MODEL PiSCeArel. S91j3K (C)YEAR Z"7
�� ��~qq�'a(D) LENGTH (E) WIDTH 2 if (F)SERIAL # 131801
(G) YOUR PURCHASE PRICE (Do not include sales tax) 5058^ PURCHASE DATE MRy 407
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.
30WHERE MOBILE HOME IS TO BE LOCATED:
(A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Up No
(B)IF LOCATED IN MOBILE HOME PARK:
NAME &ADDRESS OF PARK P b 4 L-14 a 1.0 /t k Lot/Space #3 8
6 2. pa 64. H4lwi &I s p I4€e, __J'
(CO 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!
�F Q
JO COSSELL, Property Technician
• •
'� Washington H nt ' r,'
4: IIwww.washhome.com
Silvercrest Discover 5443R Po
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LIVING ROOM MASTER BEDROOM
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Chehalis #2, 1951 N National, Chehalis, WA 98532 Phone: 800-241-5187
APPROVED • Stormwate
SITE PLAN Require
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DEVELOPMENT
• •
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wk fi DEPARTMENT OF COMCOUNTYMUI,)I(Tll'-DEVELOPMENT_.`_
�' -` `< 621 Sheridan Street• Port Townsend •Washington 98368
44Sh7NCs' �y 360/379-4450j • 360/379-4451t Fax, ,
www.co.efferson.wa.us/cortimde�us/corlirnde4015m&-nt ' JU l
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Master Permit Application J '3e
Project Description(include separate sheets as necessary):
/vtF.• Ho,s' G tti STALL
Tax Parcel' ' Property
Number: R' 81 :, 5 ob a 0 i Size: 72,12. f.-} I (acres/square feet)
Site Address and/or Directions to Property: G 3. P•r4 1441lc j4 tjt't/r1 f 3 p ider
Property Owner(s)of Record: $jit,0C)ERS , 1 Al C.
Telephone: 3G0--711—/7 22. „Fax: 3C0-747— 7J 5,3 email:
Mailing Address: 150.3 03 OLD GARDINM. RA. P.T. ?834'8
Applicant/Agent(if different from owner): A/den Mar!ew �•i 1p wy,� a,.vier, 4 e Let ee
Telephone: Fax: email:
Mailing Address: r.
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
Q Garage Attached/Detached OSpecial Use(Essential Public Facilities)**
reg Manufactured Home °Boundary Line Adjustment
I:1 Modular °Short Plat**
0 Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
El Propane ❑Plat Vacation/Alteration**
DAllowed"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
OForest 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applica' that he r he w s pri notice.
Signature:
Date: 2.6 MSI 2e*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 respon 'bility for d rin and mplying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: w�. Date: ' O 'neap 42-40e7
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• •
BUILDER STATEMENT e 44 1.4 1.40c4• h
The signer of this statement does hereby certify that they are the Owners of the. r l-mf reF+eedherein,that they are not licensed contractors and that h
they will be assuming the responsibility of he General Contractor for the proposed project. 7 7
Signature:t 2 X .1 J Date: /�✓/0 1
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 41'•
KcV(tn A<<\..h ( ) ( ) 'g
MAILING ADDRESS: EMAIL: i
V
CONTRACTOR'S LICENSE WAINS ,s
NUMBER: NUMBER W A($S On7S
ARCHITECT/ENGINEER: . PHONE Vi )2.i4(.. 5187 Fax:(346)7403- (0In. f
MAILING ADDRESS: EMAIL CIL
Project Type: Frame Type: Bathrooms: .Shoreline: Type of Sewage Disposal: e
Bl New 0 Wood Existing: 0 Sewer .e
❑ Addition 0 Steel , Proposed: Z Bank. tgl Community System
❑ Alteration/Remodel ' 0 .Concrete Total: 2 Height: Individual System 01-t
❑ Repair .. ,ID Masonry :, SEP Permit# ° 5-149
❑ Demolition ` . ' '0 Other: . Beiirobms: Water Supply:
Existing: Setback: 0 Private well 0 Two Party
Type of Heat: Proposed: i. ffA Public
Total: Z Name of System: PUD
0 "Tv t- Angle
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 0 Above ground Tank Size of Propane Tank:
°Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank Li Pellet Stove p 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: (C)
2nd Floor Heated Consistency Review: 3
Other Heated Base fee: 1101 i i.,..
Mezzanine Additional Section:
Heated Basement Plan Check fee: _--
Unheated Basement State Surcharge fee: —
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL s.,yI
Decks 911/Rd Approach fee:
Other TOTAL: $
Receipt Number: EI Gt Gk I
— 9 " Gash/Check Number: 353
ESTIMATED COST(REQUIRED) - -. flat-"—^! 5�aJf2/o3
.Fair market value of all labor and materials foundation go finish
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D:\PettnitCenter\FORMS\DRD FORMS\Master Permit\Application 12-30-05-2.doc a I Y