HomeMy WebLinkAboutBLD2007-00305 • •
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 #: BLD07-00305 Received Date: 6/11/2007
SITE ADDRESS: 295 PORT HADLOCK HEIGHTS RD Issue Date: 6/29/2007
PORT HADLOCK, 98339
APPLICANT: BRODERS INC
4503 OLD GARDINER RD
PORT TOWNSEND WA 98368-9778
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot:
PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR/ OWNER/BUILDER PHONE:
DEALER
PROJECT DESCRIPTION: LOT 34 NEW MFH (MFH OWNER JOE AND JEAN NOEL)
MODEL GREENBRIAR 6303CT
MAKE: SKYLINE
YEAR: 2007
SIZE: 66 X 27
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 IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): ?e..--9'/-/ °1
Stormwater FINAL Approval:
locking/Plumbing: IusoLkR. 1.,) r C.t144.(?"-- 1b—V'4—o?
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps:eK ToI=►r...l ,ti,hc�.'ik.c,: 1¢r1 5. tat.+s AAf'roVEb (1-II-CV
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
• • MLA07-00316
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00305 Received Date: 6/11/2007
SITE ADDRESS: 295 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:
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR/ OWNER/BUILDER PHONE:
DEALER:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: NEW MFH (MFH OWNER JOE AND JEAN NOEL)
MODEL GREENBRIAR 6303CT
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SKYLINE SETBACK:
VALUATION 70,000.00 YEAR: 2007
LABOR & INDUSTRIES APPROVAL?
SIZE: 66 X 27 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD —
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:
ia47 CA-
,Type Amount Paid Bv: Date: Receipt: APIFOVEIJ
Manufactured Homes $163.00 KAS 06/11/07 91150
Potable Water Application $58.00 KAS 06/11/07 91150 JUN )q 2007
Total: $221.00 Jefferson County Planning
& Building Department
• •
SPECIAL CONDITIONS CASE # BLD07-00305
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on June 15, 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 1982 square feet of impervious surface and
3400 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 June
11, 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 15, 2007 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
10.) This approval is for a manufactured home instatllation permit 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 •cles 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 Road 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.) 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.
20.) An address of 295 Port Hadlock Heights Road, Port Hadlock has been assigned to the
Lot. Port Hadlock Heights Place is private (P516).
21.) This parcel was created through Port Hadlock Heights Binding Site Plan on April 15, 1998
under AFN 409746.
22.) The lot is served by PUD #'1 water.
23.) A septic permit (SEP07-0172)was issued on .
o
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OG JEFFER•COUNTY IIIg�. ,� DEPARTMENT OF COMMUNITY DEVELOPMENT
�' ` ' '4 621 Sheridan Street• Port Townsend•Washington 98368
360/379-4450. 360/379-4451 Fax
Il �p www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 01_31 c
Project Description(include separate sheets as necessary):
M f;, MAIr- 7.'is7',.•!/,
Tax Parcel 989 500 001 lot 34 Property 2.
Number: Pros ze: 8515 ft (acres/square feet)
Site Address and/or Directions to Property: 295 port hadlock heights road
Property Owner(s)of Record: Broders,inc. "t
%'? 1
Telephone:360-797-7722 Fax: 360-797-7133 email:
Mailing Address: 4503 Old Gardiner Road
Applicant/Agent(if different from owner): Joe&Jean Noel-HOME OWNER L
Telephone: Fax: e i
Mailing Address:
What kind of Permit?(Check each box that applies
]Building ❑ Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑Single Family 0 Garage Attached/Detached ❑ Discretionary"D"or Unnamed Use Classification
7.} Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)**
❑ Commercial* ❑ Boundary Line Adjustment
❑ Change of Use ❑ Short Plat*"
❑ Address 0 Road Approach ❑ Binding Site Plan*"
❑ Home Business El Cottagelndustry ❑ Long Plat*"
❑Propane ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑Sign ❑ 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)* [3 Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 and its employees,representatives or agents for the sole purpose of application
review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli tion that she nts r noti
Signature: —- Date: /40 7Z j e '.o"?
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 r oonsibili f r a herin to d complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: —• Date: /t T-wit Z-ve7
C:\Dociunents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Masi er Permit Application 12-19-2006.doc
• •
BUILDER STATEMENT
The signer of this statement does hereby c ify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be uming e s n • o e General Contractor for the proposed project.
Signature: � /` 1 Date: I // J T
"y t 00 7
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
Golden Homes of Poulsbo ( 360)697 3456 (360 )697 4606
MAILING ADDRESS: 19647 Viking Ave.NW Poulsbo WA 98370 EMAIL: 19647 Viking Ave.NW Poulsbo WA 98370
CONTRACTOR'S LICENSE WAINS
NUMBER: GOLDEHP950KB NUMBER 2487 Kelly Rohor (Rohor Enterprises)
ARCHITECT/ENGINEER: PHONE ( ) FAx:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
e New J Wood Existing: Li Sewer
Ll Addition J Steel Proposed: 2 Bank ,a Community System
Li Alteration/Remodel J Concrete Total: 2 Height: J Individual System "14411
LI Repair J Masonry SEP Permit#95 289 nq Y .t
1.1 Demolition Other: Bedrooms: Water Supply: P A;,.r,1
Existing: Setback: J Private well Li Two Party r'r
Type of Heat Proposed: ?__ ,Q Public `� 1
electric Total: 2 Name of System:PUDin-area 5 P
07-
If this is a Commercial Project you must answer the following: 17
2-
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:
0 Underground Tank °Above ground Tank Size of Propane Tank:
❑Heat Stove 0 Cook Stove 0 Woodstove ❑ Fireplace Insert ❑Hot Water Tank 0 Pellet Stove 0 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 Eli Bld App Review: /� //
2°Floor Heated (G 8. D V
Consistency Review: ' DO
Other Heated i,Hi , r '') Base fee:
Mezzanine Additional Section:
Heated Basement 1 Lw�i Plan Check fee:
Unheated Basement ` State Surcharge fee:
Other Unheated i t(i liSO V I,l4 l iV IJ f P Pot Water Review fee: 1
Garage/Carport SUBTOTAL 4
11.00
Decks 911/Rd Approach fee:
t41S+ tnq
Other TOTA'�: $ Li 11 Ct/
Receipt Number: Gi I 3C)
Cash/Check Number: 15S.
ESTIMATED COST(REQUIRED) Date: i &-7
.Fair market value of all labor and materials foundation to finish
Initials:
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MOBILE DOME INFORMATION FORM -11
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OWNER'S NAME/MAILING ADDRESS:
NAME: �, � nn
ADDRESS:�c� I�� r�r+ H lrrk vu� � r q-7:8"" -
PHONE NO• -3icsa,__51118/5
The purpose of this questionnaire is to obtain information regarding either the
Current location of a mobile home or th* preview 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)MOBELE HOME DATA:
(A) MAKE 5 1 c (B)MODEL E pe ribiar{2 3C`j)XEAR c
(Il)LENGTH ( G)' (El WIDTH a- 1(F)SERIAL#
(G)YOUR PURCHASE PRICE(Do not include sales tax) 70 t ITRCHASE DATE"
2)PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTTON 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE
ADDRESS _
(B)WAS MOBILE HOME ASSESSED LN JEFFERSSON 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 ROME BE IN MOBILE HOME PARR? Xe) No
(H)IF LOCATED IN MOBILE 1101V PARK
( � / t 3�
NAME& ADDRESS OF PAIIK , i k 4'i4s L OrL i_1`ct(4.ai/Space#
(C) IF NOT LOCATED IN MOBILE HOME PARK: 3 45 P°"'f !(tctioeS
NAME OF LAND OWNER:_ ffc�v�f5 Rd.
LOCATION ADDRESS
REAL PROPERTY PARCEL#/DESCRIPTION
1 liR
THANK IOU FOR YOUR HELP!
Si afore of applicant
•
COSSLLL, Property Technician
May . 16. 200] 10 37a.M _"� • r No.985] P . ? f= '
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