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Home My WebLink AboutBLD2007-00280 • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00280 Received Date: 5/30/2007 SITE ADDRESS: 554 BIG LEAF LN QUILCENE, 98376 APPLICANT: ROBERT K ALEXANDER PHONE: (360)774-1194 BONNIE L ALEXANDER PO BOX 163 QUILCENE WA 98376 SUBDIVISION: Block: Lot: TX37- PARCEL NUMBER: 702113007 Section: 11 Township: 27 N Range: 02 W CONTRACTOR/ BRUMBAUGH'S MFTD HM SETUP/SERV PHONE: (503) 632-3049 DEALER: 22901 S FERGUSON RD BEAVERCREEK OR 97004 Contractor's License Expires 7/11/2007 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH W/DAYLIGHT BASEMENT (DAYLIGHT BASEMENT UNFINISHED, UNHEATED & NO PLUMBING) ALSO U/G 500 GAL PROPANE TANK TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LIBERTY SETBACK: 800 VALUATION 132,096.00 YEAR: 2007 LABOR & INDUSTRIES APPROVAL? SIZE 70 X 30 BANK HEIGHT: 1 SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: APP '0 V E D Manufactured Homes $163.00 KAS 05/30/07 91129 Permit $441.75 KAS 05/30/07 91129 AUG 61, 2007 Plan Check $287.14 KAS 05/30/07 91129 Jefferson County Planning State Building Code $4.50 KAS 05/30/07 91129 &Building Department Potable Water Application $58.00 KAS 05/30/07 91129 Tntal Q 4�4 Jefferson County Building cli sion Permit Nu r: BLD07-00280 Applicant: ALEXANDER BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks (r` Setbacks 8/7/2007 Erosion Control Foundation Footing 8/7/2007 t Z3 I (ExcE-pr oPEa 667-Twu to SO(a.'tli wrvu) Footing Drains 10/19/2007 per planning approval • Foundation Stem Wall 8/28/2007 �;� Foundation Stem Wall 8/30/2007 .2/7/pg Foundation Stem Wall 8/29/2007 Framing V;� Framing � Gas Line: Exterior (� Pressure Test lf-D l *-9 l tit L Address Posted i _ LJ `-, Miscellaneous 3//4/oil foundation/frame attachment Par 4 aism sAB D� bolk11:400. " -E�4Q otalo; red-it fpTT FrGS �� 1NDERJ0 No 3/zo/f--sesaw 6V FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD07-00280 1.) PRIOR TO OCCUPANCY& BUILDING FINAL INSPECTION FINAL APPROVAL OF SEPTIC SEP07-58 IS REQUIRED. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 4.) A permanent physical separation along the boundary of the buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 5.) A Medium Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) The building height is not to exceed 35 feet. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 12.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 13.) Building setback from Big Leaf s is 20 feet. Side yard building setback frcl'arcel 702 112 002 (commercial forest) to the northwest portion of the parcel is 152 feet. Side & rear yard building setbacks are 5 feet. JACK %VESTEIIMAN • Jefferson AIL Courthouse ASSESSOR PO Rox I 220, Port Tow``ns(e d, 3 (360)385-910.3 tR IQ�t� r ' 11 )1 MOBILE HOME INFORMATION FORM l OWNER'S NAME/MAILING ADDRESS: NAME: K . ry t0,e ,L[rL li,1`I\1111p I ` +Ii ADDRESS: p,o, e I C?v f icy>~L & g337X PHONE NO.346 2 J/?/ 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 ROME DATA: (A) MAKE 01--fki-4 (B) MODEL (Cr 4: 7`'O (C)YEAR a(c)7 (D) LENGTH 76 f (E) WIDTH 301 (F) SERIAL # F (G) YOUR PURCHASE PRICE (Do not include sales tax)S) 2 SLp °PURCHASE DATE c'0r7 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 No (II)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: rr ,/ ` 1 LOCATION ADDRESS S. "7 ?, Le4.0 ►� v ILu.tc I��&- �s�J 7� REAL PROPERTY PARCEL #/DESCRIPTION 2U? 1 13 002 ignature of applicant THANK YOU FOR YOUR HELP! e._ )SIR .Q JODII COSSELL, Property Technician CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD07-00280 SITE ADDRESS: 554 BIG LEAF LN Issue Date: 08/2/2007 QUILCENE, 98376 Final Date: 11/1/2013 APPLICANT: ROBERT K ALEXANDER PHONE: (360) 774-1194 BONNIE LALEXANDER PO BOX 163 QUILCENE WA 98376-0163 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702113007 Section: 11 Township: 27 N Range: 02 W PROJECT DESCRIPTION: NEW MFH W/DAYLIGHT BASEMENT (DAYLIGHT BASEMENT UNFINISHED, UNHEATED & NO PLUMBING) ALSO U/G 500 GAL PROPANE TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/1/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2013 4 qii . 4��`SON c0� JEFFERSOI JUNTY RFciF `\��I., 4 W k o a DEPARTMENT OF COMMUNITY DEVELOPMENT --.n? ~' 4 621 Sheridan Street • Port Townsend • Washington 98368 1 �r.% 4...04 360/379-4450 • 360/379-4451 Fax kgS, N00 www.co.jefferson.wa.us/commdevelopment kifliNIO 1.11iiNit'111,r 0 Master Permit Application MLA: -,QE1 I Projec De cription (inc ude separate sh ets as necessary): ,1k i le.- A_ <�� Aa ;t� � .�- . Tax Parcel /� 7 i 7 Property Number: - O,? //3 td- Size: /.._: ^"j" ye -- (acres/square feet) Site Address and/or Directions to Property: S' ./ i�� l• 4?O_ 5 4/1 , Q: • ic,'�,e, ig 3>.6 Property Owner(s)of Record: RcJ Pfi k. $ fin.,yr i E el % AW.et_,et.aef- Telephone: -. it 7jJ ii,/ Fax: email: Mailing Address: PO, t3k-26 /G:3 0u, kehf , /titer 9F1 3X Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies -1X1puilding 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a),C(d),or C]** ❑.Single Family 0 Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification •1`"• 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** ❑ Home Business 0 Cottagelndustry 0 Long Plat** 16Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance 0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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 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 nd its employees, representatives or agents for the sole purpose of application review and any required I er inspections. Staffs access and right ntry will be assumed unless the applicant informs the County in writing at the time of the appli th he or e nts rior Signature: /7 v1` I jL Date: ±17 62 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 n compliance with the Jefferson Cou y development code.The Applicant acknowledges that he,she or it holds individual and non-transfer re onsi ' ty or he ' to and comp ng with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ✓ /r Li.. Date: 3 ) ill Lrl7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 BUILDER STATEMENT • The signer of this statement does hereby certify that they are e Owners of the parcel referenced herein,that they are not licensed contractors and that they will be a ;,;,;,� t e res Ion ibil. neral Contr tor for the proposed project. /�/� Signature: � ., Date: :3 / 'l.. e 7 GENERAL CONTRACTOR OR:MANUFACTURED HOME INSTALLER: PHONE: FAX: RCillRAVE4 M@-xlice_tvkcc) ilcme .-r�1ce (911 ) s» 1'891/ ( ) MAILING ADDRESS: Pt).g J/ io ,, k) 0,-. I7oo-/ EMAIL: CONTRACTOR'S LICENSE WAINS Q (,Yli r1S CL r4't Pi cc/4 e_, NUMBER: aR0n2 l?Jv) 990045 . NUMBER Wil fA)5 1%3 ARCHITECT/ENGINEER: PHONE (5-i'5 ) gAis 7.54 , FAX: (3t )iee ?59t, MAILING ADDRESS: EMAIL -Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 14 New Wood Existing: LI Sewer ❑ Addition ❑ Steel Proposed: . a Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: •R Height: X Individual System ❑ Repair ❑ Masonry f qo el SEP Permit#,5g PO7--bares ❑ Demolition ❑ Other: Bedrooms: Water Supply: Ai„,,,a,,I, � Existing: Setback: Private well ❑ Two Party Type of Heat: , Suk e- Proposed: ' =3 c ❑ Public �i y w3 l ' Total: pee Tad Name of System: 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 I Above ground Tank Size of Propane Tank: .5 0t2 &v Q i Heat Stove I Cook Stove i Woodstove !_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 :Office-Use Only ,3 : , - . Amount ;„'; . Revision, Main Floor Heated L�r 4� EH Bld App Review: /Q• D� ICJQ 2n°Floor Heated , �P-, Consistency Review: 1�3 CO Other Heated Base fee: Nt 'F I,(Q 5. a 4 Mezzanineffittla C .� � , Additional Section: % ,1 ) Heated Basement Plan Check fee: Unhantm Basement , n az ,�~. --State Surcharge fee: Jrn 1Zieei Other Unheated PotWateAeyiew fee: q� c Garage/Carport SUBTOTAL ! / Decks 911/Rd pproach fee: I `�(r Other "OTAL: $ 1 a 1 b . ,_)9 Receipt Number: CI I j a VI • Cash/Check Number: I I / 1 ESTIMATED COST(REQUIRED) /-3�t'0, ery Date: C�JGi� •Fair market value of all labor and materials oundation to finish l Initials: C G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 099434590 • I I I 6 1 41. 111 1 N al al i . , , .4.,,r'1�. • g 1,2 r . r , .-4N- 404.. rr 7 " rI-rri, rtrrir 41 i . kr: :::: . ilece 1 I • e till NM IN, 4 ce ii".. Iiii k w � I ._ t-a o I - ,..1 � I I 0 , . 1 i I I g 1..- / / r r_t ; : tr. 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