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HomeMy WebLinkAboutBLD2007-00375 ! • 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 #: BLD07-00375 Received Date: 7/13/2007 SITE ADDRESS: 472 S EDWARDS RD Issue Date: 8/29/2007 PORT TOWNSEND, 98368 APPLICANT: JEFFREY R GEORGE TAMARA M GEORGE 1791 WOODLAND DR PORT TOWNSEND WA 983682593 SUBDIVISION: Block: Lot: PARCEL#: 001191002 Section: 19 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW MAN HOME (SERIAL#02950404R) MAKE: YEAR: SIZE: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 8/29/2008. CALL IN FOR THE REQUIRED INSPECTIONS THATAPPL�YOUR PROJECT. . ri Setbacks/Footing (CONTINUOUS FOOTING,($.1,_ B-or PADS USED)'- 24--(- 7 Stormwater FINAL Approval: Blocking/Plumbing: Propane Tank/Lines ki / I / Lop Zoning Final Approval: ( `-, (Z— Septic System Final Approval (If not on sewer): Road Approach Final Approval: /V )p- _____ L__s____. Final/Skirting/Vents/Porches/Steps: ` 3 !o HEALTH DEPARTMENT AND PUBL 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 BUILDING PERMITMLA07-00398 APPLICAON Review Jefferson County Department of Community Development Type: 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00375 Received Date: 7/13/2007 SITE ADDRESS:LOA S. EDWARDS RD PORT TOWNSEND, 98368 OWNER: JEFFREY R GEORGE PHONE: 360-344-3410 TAMARA M GEORGE 1791 WOODLAND DR PORT TOWNSEND WA 983682593 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001191002 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW MAN HOME (SERIAL #02950404R) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 3,500.00 MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: - 71 13 O Type Amount Paid By: Date: Receipt: Approved/Date Permit $163.00 CJZ 07/13/07 91425 APPROVED Potable Water Application $58.00 CJZ 07/13/07 91425 Total: $221.00 AUG 61"12007 Jefferson County Planning &Building Department SPECIAL CONDITIONS CASE # BLD07-00375 1.) PRIOR TO OCCUPANCY& BUILDING FINAL INSPECTION FINAL APPROVAL OF SEPTIC SEP07-209 IS REQUIRED. 2.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK AND PUMP CHAMBER. 3.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on August 28, 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: landslide hazard area 1; SUSC aquifer recharge area. 5.) 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. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 8.) 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. 9.) The applicant is proposing to create or add 1350 square feet of impervious surface and 5550 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. 10.) 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. 11.) 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). 12.) The site plan as submitted with the manufacture home installation permit application on July 13, 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 August 28, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) 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. 14.) The parcel has been designated as RR 1:20 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 15.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 16.) Not more than 2 unlicensed ve1'ficles shall be stored on any lot unless total) Greene from view of neighboring dwellings and rights-of-way. d 9 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 South Edwards Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 23.) An address of 472 South Edwards Road, Port Townsend has been assigned to the parcel. South Edwards Road is private (P519). 24.) The parcel is served by an individual on-site well. 25.) County mapping shows a portion of the parcel as wetland. County wetland biologist conducted a site visit on February 14, 2007 and determined that wetlands do not exist on this parcel. 26.) A septic permit(SEP07-0209) was approved on July 5, 2007. A well review (USR07-0041)was finaled on August 9, 2007. JACK WESTERMAI\ I Jefferson tuty Courthouse ASSESSOR ro Itos 12211, Port Toss-mend, W% 91;3641 (360) 311.5-9105 ,. . MOBILE HOME INFORMATION FORM ' .7:OWNER'S NAM VE/ AILING ADDRESS: r- NAME: e r.-,,,i/ f ADDRESS: ( 7�� ��� C y JUL 1 3 2007 PHONE NO. -7 ��� `� `' } 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. I)MOBILE HOME DATA: f r ri (A) MAKE f'! �l C r{ ems' (B) MODEL (COYEAR C( / (D) LENGTH (E) WIDTH (F) SERIAL # 6 1. c/} t 0 4 '� (G) YOUR PURCHASE PRICE (Do not in ) 6c) ade sales tax) PURCHASE DATE, ., v i%- , 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) l__ (A) FROM WHOM DID YOU PURCHASE MOBILE -C �- d1 ." tr d ' ADDRESS / C tdc,, ‘, 1c) ( /4 • .'/ r .) . (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 (B)IF LOCATED IN MOBILE HOME PARK: NAME dr.ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HQWIE AR NAME OF LAND OWNER: /e 17 . ' L r LOCATION ADDRESS / 5 7 , t L-- JS � . REAL PROPERTY PARCEL #/DESCRIPTION d l�! (it 7 1 CJ v a- ((,C THANK YOU FOR YOUR HELP! Signature o applica IT/ 0_ SS-e X 1 JO I 1 COSSELL, Property Technician III r ���3ON cod JEFFERSON COUNTY .. =..._ t � 4,7 Sys, DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend • Washington 98368 ` �, 360/379-4450 . 360/379-4451 Fax JUL 2007 • r qs, �p www.co.jefferson.wa.us/commdevelopment I $Inks —_ �' Master Permit Application `-MLA. ©M ', i_ Project Descr n(include s parate heets a nec sary): GL ✓L V2(' i (n L_ Tax Parcel Number: /��0!� /() Property / l' Size: ( 1 (acres/square feet) Site Address and/or Directions to Property: — COV, Property Owner s)of Record: 'e " V ,LJuttigi''. , - '. Telephone: - v Fax: - (‘ email: = Gi. " yt by ' Ir. C • , w u1 j Mailing Address: / /P,2 el r 10,-4YEV c. / %/Art ( . vu-Q, . WA Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Building ❑Variance(Minor,Major or Reasonable Economic Use) C!Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Ej Single Family °Discretionary"D"or Unnamed Use Classification 13 Garage Attached/Detached ❑Special Use(Essential Public Facilities)** Manufactured Home °Boundary Line Adjustment Modular °Short Plat** Li Commercial* °Binding Site Plan** El Change of Use 5 t,;,/-/'l". 0 Long Plat** El Address I Road Approach�J• °Planned Rural Residential Development(PRRD)/Amendments** El Propane ❑Plat Vacation/Alteration ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development*" OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance °Temporary Use ❑Comprehensive PIaNUDC/Land Use District Map Amendment DWireless Telecommunication* °Jefferson County Shoreline Master Program Amendment ❑Forest 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 attomey'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 applicati at or she wants prior notice.Signature: Date: 3 /3-6(u7 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 onsibility for adhering to and complying with the ESA. The Applicant has read this dand signs and dates it below. Signature: _ Date: 3 disclaime ` -6 /G D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • 0 BUILDER STATEMENT The signer of this statement d 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 re nsibility of the General Contractor for the proposed project. l� Signature: Date: 7 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: /// FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,3 New 0 Wood Existing: — ❑Sewer ❑ Addition 0 Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Height: 0 Individual Systerryb.�a a CI Repair El Masonry SEP Permit# (JJ ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: / ❑Public Total: i 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: 0 Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove 0 Cook Stove ❑Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 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, AnQht' , Revision Main Floor Heated EH Bld App Review: 62 i Z a Floor Heated Consistency Review: Other Heated Base fee: ,( Mezzanine Additional Section: LW' Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Gc 3 Garage/Carport SUBTOTAL L-�d 1 ri Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: i a 3 Cash/Check Number:, —on ESTIMATED COST(REQUIRED) Date: JUL 1 ��n� �L j D� .Fair market value of all labor and materials foundation to finish Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc C- im z av rn a _ m m --• • Cr r __ I m rn c c i v C- 3LJ-4 • v ' O � Ln F �v cn O z m S o-13 �a T .73 cn Z ' f ,� .�__. zi � : cr- i!I CZDp 1.1 0 L\ ;3 N 0 ;..r...1 .. ____............. --...... AN. -Iz . , - -. 1 m 1 . Cs' I Mg ow rim . 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