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HomeMy WebLinkAboutBLD2007-00322 • • 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 #: BLD07-00322 Received Date: 6/15/2007 SITE ADDRESS: 171 CAPE GEORGE RD Issue Date: 8/2/2007 APPLICANT: MARTIN S MEEK -OIg5 GLENDA J MEEK PO BOX 1141 PORT HADLOCK WA 98339 SUBDIVISION: IRVINGTON ADDITION Block: 2 Lot: 1+ PARCEL#: 963600202 Section: 17 Township: 30 N Range: 01 W CONTRACTOR/ PREFERRED HOME SERVICES PHONE: 360 808-1830 DEALER 61 HOUSE RD SEQUIM WA 98382 Contractor's License PREFEHS981RR Expires 12/19/2008 PROJECT DESCRIPTION: NEW MAN HOME - GOLDEN WEST -WINTERHAVEN SERIAL#16180 MAKE: GOLDEN WST YEAR: 96 SIZE: 52x28 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 8/2/2008. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. �i" Setbacks/Footing (CONTINUOUS O TING o-PADSUSED): �c794eKS 1' SLAB 64 6/4/ 7 Stormwater FINAL Approval: Blocking/Plumbing: 1.0"103 -07 li.- Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 1c Lo fr e.c Z'tocS 1 L- 7-07 UIR HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED ED 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 BUILDING PERMIT APPLICAI-i )N M Review eviewT0333 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00322 Received Date: 6/15/2007 SITE ADDRESS: 171 CAPE GEORGE RD OWNER: MARTIN S MEEK PHONE: 360-385-0195 GLENDA J MEEK PO BOX 1141 PORT HADLOCK WA 98339 IRVINGTON ADDITION SUBDIVISION: Block: 2 Lot: 1+ PARCEL NUMBER: 963600202 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: PREFERRED HOME SERVICES PHONE: 360 808-1830 61 HOUSE RD SEQUIM WA 98382 Contractor's License PREFEHS981RR Expires 12/19/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MAN HOME - GOLDEN WEST - WINTERHAVEN SERIAL #16180 TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION ADD'L: HEAT TYPE: EEE 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: ALT WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: r // ^/ /, Type Amount Paid By: Date: Receipt: A'PPROVED Total: AUG 2007 Jefferson County Planning & Buildino Department • • SPECIAL CONDITIONS CASE # BLD07-00322 1.) PRIOR TO OCCUPANCY& BUILDING FINAL INSPECTION FINAL APPROVAL OF SEPTIC SEP07-176 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.) The application was reviewed by the Jefferson County Department of Community Development staff on July 19, 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& SUSC aquifer recharge 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.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) 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. 7.) 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. 8.) The applicant is proposing to create or add 1816 square feet of impervious surface and 4046 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. 9.) 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. 10.) 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). 11.) The revised site plan dated July 5, 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 July 19, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) 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. 13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) A Declaration of Restrictive Covenant has been recorded on June 11, 2007under AFN 524356 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. 15.) Outdoor residential storage sebe maintained in an orderly manner and sPfall create no fire, safety, health or sanitary hazard. 16.) 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. 17.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 18.) The building height is not to exceed 35 feet. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) 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. 21.) 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. 22.) Minimum setback from Cape George Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. 23.) The site is served by the City of Port Townsend water. 24.) An address of 171 Cape George Road, Port Townsend has been assigned to the parcel. Cape George Road is a county minor collector(C622808). 25.) The lot was created through the Irvington Addition Subdivision on July 22, 1890. 26.) A septic permit(SEP07-0175)was approved on July 5, 2007. A road approach permit (RAP07-0078) was approved on June 7, 2007. 27.) The road approach permit (RAP07-00078) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. • . ' :______ ____JJ __kV) 100'f F ti-- IA d • M d M 71.1.. / N): - I. :f. V � O cDc N °' 31 5 n, - ' µ roar DRA D ®]oac DRA E[D Z • ROME AREA rVE ArEA I+ Z — --) . ? 3'X75' ( Q_- . ---►.- Eft— — — 100YE — — 0 • • R :c NJ�-� 50' © a N , li: A Ca T ,)c, zt,, N z 0'f 50'± 0..., • k, . . -1, 0j.-, ,I f co�-� /i r 2 �e z , • \ y ',4 .31 dl ► '1.) 2 � , pp �' c . . fl )" 0 O CD o n E g -e . - ( •&) m xt m (v0 , i . 0) J/ - •. , . . -, •- O :i\i2/3 5 � J P'r- o -‘ �' -\ 0 A , , p pi _ , 50E4 — - . �o't .JACK WVESTERMAN • Jefferson (it, Courthouse ASSESSOR PO Box 1220, Port Townsend, WA 98368 (360)3U-9105 MOBILE HOME INFORMATION F ! RM ut OWNER'S NAME/MAILING__ ADDRESS: G f\Oece, en_ ADDRESS: %� X \\Lk \ - c�c �c<� . �, .� �,. .. PHONE NO. 3S O Ici 5 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. '. ra 1)MOBILE HOME DATA: .1 (A) MAKE(A3t✓\i C.,e- AL)Q ✓L- (B) MODEL. `�‘.4\ 2-OD (C) YEAR �O (D) LENGTH 2— (E) WIDTH 2-? (F)SERIAL # 1 C¢ Mr) (G)YOUR PURCHASE PRICE(Do not include sales tax) ' ° PURCHASE DATE 2)'PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE uJ e QLAY\ ADDRESS 3D - c- C 'r'` 77 1,.A"°tiw ; _ - (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR ) 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 d.ADDRESS OF PARK Lot/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION eL, \CA)Vc14k, \f\C Signature of applicant THANK YOU FOR YOUR HELP! ,w JO 1 ! COSSELL, Property Technician 1. JNI•O ONI JVd32Jd NOS113d 3O 2138Wf1N"!iOHd '8 SS32laaV ` 31At/NI N { - 1) z _1 3 1 a .. :)..)N - 1 �' .4' -,l ice- "(727c3 / v 4 \\i) ' .119) t> ..__ ,.3 `, \ • • RETURN ADDRESS CIWASHINITON STATE DEPARTMENT OF Manufactured Home LICENSING El TITLE ELIMINATION Application ®TRANSFER IN LOCATION ❑REMOVAL FROM REAL PROPERTY Anyone who knowingly makes a false statement of a material fact is guilty of a felony,and upon conviction may be punished by a fine,imprisonment,or both. (RCW 46.12.210) D MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) J+111147 1996 GOLDW 52/27 N16180 © LAND LEGAL DESCRIPTION ON PAGE MANUFACTURED HOME WILL BE ®AFFIXED ❑REMOVED REAL PROPERTY TAX PARCEL NUMBER 963600202 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION 1&2 2 Irvington Addition to the City of Port Townsend © GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 2 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Martin Scott Meek NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Glenda J.Meek ADDRESS CITY STATE ZIP CODE 171 Cape George Road Port Townsend WA 98368 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER Anchor Bank NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 211 E Market Street Aberdeen WA 98520 GRANTEE NAME Martin(Scott)Meek and Glenda J.Meek I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title,IF APPLICABLE Signature of Additional Registered Owner and Title,IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE State of Washington Signed or attested County of Jefferson before me on by Martin Scott Meek Signature PRINTED NAME OF REGISTERED OWNER NOTARY OR AGENT by Glenda J.Meek PRINTED NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY County/Office No.OR Title Notary Public AND: Dealer No.OR DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date D TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. ® BUILDING PERMIT OFFICE CERTIFICATION the manufactured home has been affixed to the real property as described. I certify that' a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAIyIE(TYPED`�_ OR PRINTED) BLDG PERMIT OFFICE/PHONE# BLDG PERMIT# AAh\e ►1 N�Q.. S„t.o-,��- C 3(00)��`�g- Life 7,b�" ez aaa SI N U OSI CodIC016 TD-420-729(R/6/06)W age I of 2 / ON ie), JEFFERSOFs UNTY • W `�q DEPARTMENT OF COMMUNITY DEVELOPMENT " 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax 1S, NG�O www.co.jefferson.wa.us/commdevelopment I Jl]� j !L: Master Permit Application MLA: (�11.33--Y--f Project Description/`(include separate sheetss� l as necessary): °Ii i ri; -, c / 1 / )G Ill l)vt t.t e,ry' �/-* f - Tax Parcel //)� J Property Number: /( 2 (, A a)0 / �� I ? r of Size: '-- `.::; (acres/square feet) Site Address and/or Directions to Property: �, r `� SSA r._ Property Owner(s)of Record: `1 A +,� 1, _ ., , \ . .1re c c-Telephone: .). v3\ , Fax: email: y fv',.., l-<-lMSvl, Mailing Address: Po u 1 1LI; ?_-,v AO c�\ ,....... L Di , crK-3, °1 Applicant/Agent(if different from owner): 'c--3:).,rr. Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification ❑"lv1anufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** 0 Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** 0 Home Business 0 Cottagelndustry 0 Long Plat** 0 Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment 0 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 application that"re or she wants prior notice.L..) r/� Signature: I 'tA Jf/„G- ( I 1 .C....4. Date: �// i 107 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) �Q.to�ar�d complying with the ESA. The Applicant has read this disclaimer aJ�d signs and dates it below. Signature:j)i-.-�t L L /}' L12 L Date: /i/ f/ 07 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc m. • 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: PHONE: FAX: Pc�..0 rc.td, \A- -,, ' rr ( s c 1b3D( ) MAILING ADDRESS! (,.I )4(`x.�t...� ? -s,,j,,,, U)!-` EMAIL: CONTRACTORS LICENSE �t WAINS .'z," NUMBER: ?c2,�_ 1` E_ C 9g' NUMBER ARCHITECT/ENGINEER: a••� PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: f{New C'TWood Existing: a ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Total: ` ❑ Alteration/Remodel ❑ Concrete -Height:, i6fndividual System ❑ Repair ❑ Masonry t,.)l i_a SEP Permit#O'34 1 (0 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: ❑ Private well ❑ Two Party Proposed: C 'ublic Typg of._-- Total �`�`-�,� Name of System: tea t"- 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: i Heat Stove 1 Cook Stove 1 Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove 1 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: ` CY) 2nd Floor Heated Consistency Review: 15 5 `OD Other Heated Base fee: I (5 DA Mezzanine Additional Section: _ tom' Heated Basement Plan Check fee: _ Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: q OD Garage/Carport SUBTOTAL Decks 911/Rd Approach fe . Other TOTAL: $ ��+1 Receipt Number 1 I gy): Cash/Check Number: ""— ESTIMATED COST(REQUIRED) Date: J U iN 1 5 2;0//_ 'n •Fair market value of all labor and materials foundation to finish �Y ' Initials: .J G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc