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HomeMy WebLinkAboutBLD2007-00519 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD07-00519 SITE ADDRESS: 111 CURTISS ST Issue Date: 05/2/2008 PORT HADLOCK, 98339 Final Date: 5/27/2009 APPLICANT: RICHARD SCHMIDT PHONE: REISA SCHMIDT PO BOX 605 PORT HADLOCK WA 98339-0605 SUBDIVISION: PORT HADLOCK Block: 3 Lot: 5+ PARCEL NUMBER: 989400303 Section: 1 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NEW MFH MODEL UYB2SK11797/SERIAL NO. 55EC/12 THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: m No m.e.., --- 194// -- orsi k- - n 3P. cje TYPE OF CONSTRUCTION: fir' L j SPRINKLER SYSTEM yes E) THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/27/2009 1:\F_BLD_Occupancy.rpt 10/29/19 MANUFAOURED/MOBILE HOME INST-LATK}N PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD07-00519 Received Date: 9/26/2007 SITE ADDRESS: 111 CURTISS ST Issue Date: 5/2/2008 PORT HADLOCK, 98339 APPLICANT: RICHARD LLOYD PO BOX 1630 PORT HADLOCK WA 98339-1630 SUBDIVISION: PORT HADLOCK Block: 3 Lot: 5+ PARCEL#: 989400303 Section: 1 Township: 29 N Range: 01 W CONTRACTOR/ KOZELISKY'S HOME SERVICE INC PHONE: (360)385-3215 DEALER 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License KOZELHS027C3 Expires 1/6/2009 INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/31/201( 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: NEW MFH MAKE: NASHU MODEL UYB2SK11797/SERIAL NO. 55EC/12 YEAR: 1967 SIZE: 52 X 12 Directions LEFT ON CURTISS OF IRONDALE RD,OPPOSITE QFC+4 WAY STOP To Site: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 5/2/2009. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): 9- 11, Stormwater FINAL Approval: CieE ( 44 a- Blocking/Plumbing: 4 _ �t -C Propane Tank/Lines - Zoning Final Approval: ILL Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/SkirtingNents/Porches/Steps: ` - — �`,)CI 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 • • MLA07-00555 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00519 Received Date: 9/26/2007 SITE ADDRESS: 111 CURTISS ST PORT HADLOCK, 98339 APPLICANT: RICHARD LLOYD PHONE: (360) 385-0290 PO BOX 1630 PORT HADLOCK WA 98339-1630 SUBDIVISION: PORT HADLOCK Block: 3 Lot: 5+ PARCEL NUMBER: 989400303 Section: 1 Township: 29 N Range: 01 W CONTRACTOR/ KOZELISKY'S HOME SERVICE INC PHONE: (360)385-3215 DEALER: 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 Contractor's License KOZELHS027C3 Expires 1/6/2009 Contractor's License WAINS0626 Expires 7/31/2007 INSTALLER: JAIME KOZELISKY WAINS0626 7/31/2007 (360)385-3215 1112 S JACOB MILLER RD PORT TOWNSEND WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH MODEL UYB2SK11797/SERIAL NO. 55EC/12 TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: NASHU SETBACK: VALUATION 3,750.00 YEAR: 1967 LABOR & INDUSTRIES APPROVAL? SIZE: 52 X 12 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: ll �a'71o� WSJ Type Amount Paid Bv: Date: Receipt: A �' Manufactured Homes $163.00 KAS 09/26/07 93351 OV E Potable Water Application $58.00 KAS 09/26/07 93351 MAY a, 2008 Total: $221.00 Jefferson County Planning & Building Department • SPECIAL CONDITIONS CASE # BLD07-00519 1.) DESIGN CRITERIA FOR SPLASHBLOCKS A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHI3LOCK OR PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD E PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFIELD AREAS. 2.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 3.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on October 1, 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: SUSC aquifer recharge area; coastal SIPZ. 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.) Marine sho-elines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 8.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 9.) 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. 10.) To help prevent seawater froStruding landward into underground aquife•ll new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 11.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 12.) The applicant is proposing to create or add 660 square feet of impervious surface and 660 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. 13.) 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. 14.) 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). 15.) The site plan as submitted with the manufactured home installation application on September 26, 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 November 8, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 16.) 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. 17.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 19.) 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. 20.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 21.) The building height is not to exceed 35 feet. 22.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 23.) 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. 24.) 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. 25.) Minimum setback from Curtiss Street and Randolph Street rights-of-ways shall be 20 feet. Minimum side yard setbacks shall be 5 feet. 26.) An address of 111 Curtiss Street, Port Hadlock has been assigned to the parcel. Curtiss Street is a county local accss (C651309). 27.) The lot was created through the Port Hadlock Subdivision on December 21, 1886. No AFN available. 28.) The parcel is served by the PUD#1 public water supply. 29.) A buiding permit(BLD92-037r a mobile home was finaled on July 7, 1. A building permit(BLD93-0901) for a mobile home imstallation was withdrawn.) A septic permit (SEP97-0104)was cancelled. A septic permit(SEP72-0044)was finaled on September 24, 2007. A complaint(COM07-0025) alleging installation of a mobile home without the necessary permits was finaled on May 9, 2007. JACK WESTERMAN i Jefferson ilk Courthouse ASSESSOR Atgi �. �^. ,t PO Box 1220. Port Townsend. WA 98368 (360)385-910:5 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: ` NAME:_ g_/L//9/2,C 44-0 SEA' 2 C 200 ADDRESS: Ro. /i',:r &se? Pa/21 IAA 4?339 PHONE NO. Jo--3&5-'°Ago JEffEHSN COUNTY OCU 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 HOME DATA: (A) MAKE 'VAS/-/) (B) MODEL t' /3 2Si< /i797 (C) YEAR /96 / (D) LENGTH Ott (E) WIDTH /v"Z (F) SERIAL # S75-4F(1/.2 (G) YOUR PURCHASE PRICE (Do not include sales tax) 3i7512•PP PURCHASE DATE 7-0 2 V? 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:' k/t_H/J2.0 ..6W D LOCATION ADDRESS %// c U)2T/SS ST/, X> PPRT'/1 DL,O -1 t</-4 REAL PROPERTY PARCEL #/DESCRIPTION f S`OD`,bi 3 ■gnature of app cant THANK YOU FOR YOUR HELP! AlatIkIL ' ib -e 1) cc, JO I I COSSELL, Property Technician I4,: '' 'SON 0©& JEFFERSOf UNTY III ��`'�����r �1``�� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 SEP 2 6 2007 ,0. , . 360/379-4450 • 360/379-4451 Fax 1`�HINGO www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY DCO Master Permit Application MLA: 0 1-50 Project Description(include separate sheets as necessary): �, 'S? '`,L. SmIvc:.E13'',C�; H.4/4 41),1 L`" ,41-''4D UAtJ ,O,&i0 7 r% Tax Parcel • Number: j S - h"—,3ca' Property Size: 2�SOD /f1 ,«�. �( (acres/square feet) Site Address and/or Directions to Property:Le�T O/!I C-1.1�i/s °T'/A-1-"A,D2' ,.Alp ,Gp,c 7TE QFC. -V,w,1�5 rvp ///(v,t^r ss S7'/ y,POET /6M toa,r. 96'3s Property Owner(s)of Record: 7/e-if4 0 .G1.t,y,� Telephone: ,;6D-345--b02Q,4 Fax: — email: — Mailing Address:/4O,QoX /6 3v 2b,q--,cyze Cri9 91?3, 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 C]** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification $. Manufactured Home ❑ Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use ❑ Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ 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)* ❑ Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applic 'on that he or she wants prior notice. Signature: Date: 8 -O7 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 I 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-transfer le response ility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /63 Date: 84-54-07 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc m. • BUILDER STATEMENT i 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: /CPS'-ZG/,5k S /10/f .LP// (SO) 3ryi-3:21. ( ) MAILING ADDRESS: /1/2 s.j f(ok /.!/i.,l,C/L RG.1 R.j TOwf2s '3 ✓k EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER, ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: jcf New ❑ Wood Existing: ❑ Sewer ❑ Addition +' Steel Proposed: I Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: / Height: Individual System ❑ Repair ❑ Masonry f✓A SEP Permit# 702--1/4f ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ _ Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 02 X Public �.4, G?-klc. Total: -) NAI Name of System: 'PO4 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 i 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. a Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: f DO 2n°Floor Heated j (E r \T. - Consistency Review: (ly cw- Other Heated 'AIp, Base fee:Pf ` f t pO `OD ! t Mezzanine SEP 2 807 Additional Section: 14 ' G Plan Check fee: Heated Basement (� (r; Unheated Basement krf EtS COJEY Il CU State Surcharge fee: Other Unheated Pot Water Review fee: GI 5 op Garage/Carport SUBTOTAL 4 7 1,00 Decks 911/Rd Approach fee: Other TOTAL: $ 14 i nl 4 00 Receipt Number: 9 3,55 I Cash/Check Number: ': I3 I r-? ESTIMATED COST(REQUIRED) Date: coin market value of all labor and materials foundation to finish U Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc -0 xi APPROVED PLANE , ) 0 c. ,. ... g hi- TO REMAIN ON BUILDiNG SITE ri,1 1.1 ,... ' 1 WITH • ‘' 1 i '0-!- id —0 PERNIIT SIGN OFF ....;L:r'Ai.,Tivboz.704/ Cr% I r --1 oo "0 0 r- "r cite nit 0 qt .-c-i3.1 IPP* 1 ---, -• - - . _ _ _ - — - - - ..... k , 64 , I tt 1 1 ,to PEop&-.R.ry 414114" <9,5".c -t--------I - Go tt 13 I-- ..... m )).c, ›. x w .---, az en 1 g Go i . CD 41 .0. 0 CD 1""4 fity aM - Ai.; ... --1 ce cn isr-- z 1 OD '1:i eaS ci. iv c- (014 t" %° - t*- 8 4 iir. 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