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HomeMy WebLinkAboutBLD2007-00477 MANUFACSRED/MOBILE HOME INSTA!ATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD07-00477 Received Date: 8/28/2007 SITE ADDRESS: 111 LINDSEY LN Issue Date: 10/16/2007 PORT TOWNSEND, 98368 APPLICANT: RJ ERMINTHALER SALLY LOVELL 2023 E SIMS WAY#224 PORT TOWNSEND WA 983686905 SUBDIVISION: LINDSEY SHORT PLAT Block: Lot: 3 PARCEL#: 001074016 Section: 7 Township: 30 N Range: 01 W CONTRACTOR/ HAI PHAM CONSTRUCTION PHONE: 360-280-8242 DEALER 6642 5TH WAY SE LACEY WA 98503-7975 Contractor's License HAIPHC`999PP Expires 10/17/2007 PROJECT DESCRIPTION: REPLACEMENT M/H (LAKECREST #9599) MAKE: MARLETTE YEAR: 2007 SIZE: 44X27 Directions SEE DIRECTIONS&MAP IN FILE To Site: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 10/16/2008. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): . \(-l'.' rV Stormwater FINAL Approval: Blocking/Plumbing: Propane Tank/Lines I� /f: Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps:?--LQm q,-140,? 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 IU ILDING PERMIT APPLICA•N MRL y Review Type:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00477 Received Date: 8/28/2007 SITE ADDRESS: 111 LINDSEY LN PORT TOWNSEND, 98368 OWNER: RJ ERMINTHALER PHONE: 360-385-3942 SALLY LOVELL 2023 E SIMS WAY#224 PORT TOWNSEND WA 983686905 LINDSEY SHORT PLAT SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 001074016 Section: 7 Township: 30 N Range: 01 W CONTRACTOR: HAI PHAM CONSTRUCTION PHONE: 360-280-8242 6642 5TH WAY SE LACEY WA 98503-7975 Contractor's License HAIPHC*999PP Expires 10/17/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr REPLACEMENT M/H (LAKECREST#9599) TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL 1 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 1280 C." Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $163.00 LYK 08/28/07 93031 APPRcVEID Potable Water Application $58.00 LYK 08/28/07 93031 Total: $221.00 OCT Ito 2007 Jefferson County Planning & Building Department • • SPECIAL CONDITIONS CASE # BLD07-00477 1.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on October 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: Susceptible Aquifer Recharge Protection Area. 3.) 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) The project shall adhere to the Best Management Practices (BMPs) 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. 6.) The applicant is proposing to create or add 1,200 square feet of impervious surface and 1,500 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 Building Permit application on August 28, 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 October 15, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 10.) This approval is for a demolition of an existing Manufactured Home and installation of a new Manufactured Home 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.) The parcel has been designated as Rural Residential 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) The building height is not to exceed 35 feet. 16.) Maximum lot coverage is not teed 25%. Lot coverage is defined as ant of impervious surface which includes roof tops, driveways, concrete, etc. 17.) Lindsey Lane (P190) is a private local access road. An address of 111 Lindsey Lane has been assigned to the parcel. 18.) Building Setback from Lindsey Lane right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. 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Wa-y:4s29 . : ; i i °PO • i-tej ; : : ; ; ,A9 er-rilto ,idyl_ila 96 8 , (ga, ' 4 r* 0c) orl'i 01(4.• ! oq- v , • • PJT 'T1 C C= O7 C /l Lit - cx, — -- -C 4Cif -- - -_ s le / . . c n' R rx nom Csicv ! 0 IRS o` -? Ire ; a11 i t _' moo - s=tii.--"aiiiaI � s MUM SR= 1!!!! MIA!! ■ Cri II -Ns T -311111111 . �f _ ,1111111111111 v --, C:2) El II N II Al II 1- 11111111111 !U!! 1-pAp iiiiiiiiiiiiii . �_ # 11111 AEI/S . ,- —s, w `--j c If r2i1 1. ffill R LT;z JACK %VESTEIRMA1 1 Jeffcrsoneuttr 1'ourtbourc ASSESSOR PO Box 1220. Port Townsend,WA 98368 (360)385-9105 jJ MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: �, ; 11 J �d��ly \t G NAME: Sally Lov'e(I ' `2 J ErYvi,r I e.r ADDRESS: a.0;?-:3 E. S))Hs wal#W2-4" i Pcrrfi ro, d qg' , AU6 2 8 20n7 PHONE NO. 34;5-3q 4 2- JFFFERSON COUNTY N 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. HOME DATA: ( ylOBILE : (A) MAKE 6 V lit r(a (B) MODEL LaKeCreSt# CI 5119 (C) YEAR °�00 -lqt �� (D) LENGTH (E) WIDTH � K (F)SERIAL # (G) YOUR PURCHASE PRICE (Do not include sales tax) 62,0c+ PURCHASE DATE :,,e .f 7 �` I 2) PRE IOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) / FRO WHOM DID Y PURCHASE MOBILE ADD ESS (B) WAS MO L HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes No If Y , Previo address of mobile. If o, What County Mobile assessed in last year. dHERE MOBILE HOME IS TO BE LOCATED: (A) WILL TIIE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF L AT IN MOBILE HOME PARK: NAM DRESS OF PARK Lot/Space# (CO IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: L-bveAk +- Etrn n` otter- LOCATION ADDRESS I l t Li vz(sejLe1lz Porfi rm,rnSe ce (A,1/- REAL PROPERTY PARCEL #/DESCRIPTION 'iv44 plug() 00 I 0.1 4 0 I 6 ACV Si ature applicant THANK YOU FOR YOUR HELP! 1 `SU el)SIR Q SI_ JO I 1 COSSELL, Property Technician iw , JEFFERS COUNTY T .'s ,k DEPARTMENT OF COMMUNITY DEVELOPMENT '' o 621 Sheridan Street • Port Townsend •Washington 98368 , .._.,., 360/379-4450 • 360/379-4451 Fax zri�.ys, N��O� www.co.jefferson.wa.us/commdeve(opet 7,{ 2001, Master Permit Application MLA: v l %-1 c) Project Description(include separate sheets as necessary): .1-1't ' k( gQ LAI 1-Y10✓t, c (ed l tt'1,€ --6 ref(ace 0 Id - 7'« i C Tax Parcel Number: 00 ( O ?Li Q 1,(0 Property ,� Size: 02.023 (acres/square feet) Site Address and/or Directions to Property: U 1 �-cAc sc j Larke 19 Towrrse.d Property Owner(s)of Record: _ al( et( -4- R 1- C-011;11 (tier (noSYucr's,no itet5 in �Tstnum,R.7) Telephone: 3 5'3n 42. Fax: email: Mailing Address: .o 23 E. ci ms"ck.,1 'tom 2_211 Vert TotTowAserviudA-ci g 56 g Applicant/Agent(if different from owner). Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies .Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or CI** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification St Manufactured Home 0 Modular 0 Special Use(Essential Public Facilities)** ❑ 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** ❑ 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** ❑ Site Plan Approval Advance Determination (SPAAD)* 0 Shoreline Management Variance ❑Temporary Use 0 C:omprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* 0 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 tmkQ Vn2e(iSkc.l to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE 14 Date: S f f 3 14137 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 lat r inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application t h r sh ants prior notice. Signature: ' Date: 1310'7 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 respo ibili y for adhering t and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: g/i 3 /0-7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Anolication 12-19-200 d v _ 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: R—Ck t .V-ka.frk . _. _ ( 3o)4,280--V'2.4 2 MAILING ADDRESS: /'!_ti2, ral SC Laced.( /F e1,�?,�7y EMAIL: CONTRACTOR'S LICENSE ,u1Q 'VI WAINS NUMBER: RAE P ii"CA41 c'ct e p NUMBER 0 I ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: J)< New 0 Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: 2— Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: KIndividual System ❑ Repair 0 Masonry SEP Permit# R?-00 I 2_0 ❑ Demolition K Other: Bedrooms: Water Supply: M E Gs HOM I Existing: Setback: % Private well ❑ Two Party Type of Heat: Proposed: 2, ❑ Public Ele ctri c Total: 2- 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: i Heat Stove i Cook Stove 1 Woodstove i 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 Current Proposed Fr Offic Use, n'� � �_ ,- . 1. Main Floor Heated ' EH Bld App Review: ( SCr) 2nd Floor Heated Consistency Review: - u1� Other Heated Base fee: )J cc Mezzanine Additional Section: _ €. Heated Basement ; Plan Check fee: ,____._. Unheated Basement State Surcharge fee: kt%) Other Unheated : Pot Water Review fee: 61i W Garage/Carport SUBTOTAL Decks ,4 911/Rd Approach fee: r7 CSC 13f1OC1 Other A TOTAL: $ 4 Ti_ a ' z Receipt Number: ci a) I t ; ; Cash/Check Number: Y Yfi- ESTIMATED COST(REQUIRED) Date: G'2Ca 09 'Fair market value of all labor and materials foundation to finish - lJ Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc SITE ADDRESS RJ Erminthaler& Sally Lovell 111 Lindsey Lane Port Townsend,WA 98368 t7 ,OF, SHINGTON MANUFACTURED HOME LI//icEnsinc APPLICATION ®TITLE ELIMINATION ❑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) 2007 Marlette 44/26 © LAND LEGAL DESCRIPTION ON PAGE 2 MANUFACTURED HOME WILL BE ElAFFIXED ❑REMOVED REAL PROPERTY TAX PARCEL NUMBER 001-074-016 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION 3 Lindsey Short Plat © GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 2 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER RJ Erminthaler NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER \O Sally Lovell `�5 ADDRESS CITY STATE ZIP CODE Mks --4 2023 E. Sims Way#224 Port Townsend WA 98368-6905 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE GRANTEE NAME 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: ,..ork___aci Signature of Registered Owner and Title,IF APPLICABLE Signature of Additional Registered Owner and Title,IF APPLICABLE C� NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FO REGISTERED OWNER(S)SIGNATURE W 9� Signed or attested o J ounty o� .1eittson re me on ` Z.00 NOtf: si ibI rminthaler eaGr-tniY�{0.1rxLekSignatu State Ot�VyOSI�I�I}j NAME OF REGISTERED OWNER NOTARY OR A DEBORAH L GREENSPANE My Appointment,ExpirEfaIkelho9itil 9nnR Sc►lL LpveL1 1�f'�b r-CI a L GY"Cc-r S'.PA-- PRINTED NAME OF RIiFISTERED ER PRINTED NAME OF NOTARY County/Office No.OR Q Tit a otary bl rin"~ AND: Dealer No.OR ,3 t-.Z q ,.b{J 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 Jefferson Title Company 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`os and the attachment will be inspected upon completion. 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