HomeMy WebLinkAboutBLD2008-00013 MANUFAURED/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#: BLD08-00013 Received Date: 1/14/2008
SITE ADDRESS: 70 E PRICE ST Issue Date: 3/19/2008
PORT HADLOCK, 98339
APPLICANT: JENNIFER J WIEBUSCH
322 FREDERICK ST
PORT TOWNSEND WA 98368-9757
SUBDIVISION: IRONDALE Block: 3 Lot: 10-16
PARCEL#: 961800302 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/ KEITH GILLIS PHONE: 360-683-6080
DEALER NU-TREND
PO BOX 1780
Contractor's License NUTREE*273P6 Expires 2/26/2009
INSTALLER: KEITH GILLIS WAINS0246 Expires: 7/31/201(
NU-TREND SEQUIM WA 98382
PROJECT DESCRIPTION: NEW MFH ADU
SERIAL NO. 03950368P
MAKE: HOMET YEAR: 1981 SIZE: 56 X 14
Directions SEE GOOGLE MAP AND DIRECTIONS
To Site:
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 3/19/2009.
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):
Stormwater FINAL Approval: S (o,n D 1
Blocking/Plumbing: .4c(u c Tle,AGwa &. 4/z/o f
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval: i Q2 Cti h D J1 l8
Final/Skirting/Vents/Porches/Steps: }it:- L9-1
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
• • MLA08-00014
Review Type:
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD08-00013 Received Date: 1/14/2008
SITE ADDRESS: 50A E PRICE ST
PORT HADLOCK, 98339
APPLICANT: JENNIFER J WIEBUSCH PHONE:
322 FREDERICK ST
PORT TOWNSEND WA
98368-9757
SUBDIVISION: IRONDALE Block: 3 Lot: 10-16
PARCEL NUMBER: 961800302 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/ KEITH GILLIS PHONE: 360-683-6080
DEALER: NU-TREND
PO BOX 1780
SEQUIM WA 98382
Contractor's License NUTREE*273P6 Expires 2/26/2009
Contractor's License WAINS0246 Expires 7/31/2004
INSTALLER: KEITH GILLIS WAINS0246 7/31/2004 360-683-6080
NU-TREND SEQUIM WA 98382
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: NEW MFH ADU
SERIAL NO. 03950368P
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP ADU MAKE: HOMET SETBACK:
VALUATION 5,500.00 YEAR: 1981
LABOR & INDUSTRIES APPROVAL?
SIZE: 56 X 14 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD —
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 2 Prop: 1
Total: 2 Total: 1
Routing Date:
► II4- Io4 �
Type Amount Paid Bv: Date: Receipt: Ap' '; 43jkJE•
Manufactured Homes $168.00 KAS 01/14/08 95801
Potable Water Application $59.00 KAS 01/14/08 95801 MAR \q 2UOt`
Total: $227.00 Jefferson County Planning
Building Department
• •
SPECIAL CONDITIONS CASE # BLD08-00013
1.) GUTTERS TO DOWNSPOUTS TO SPLASHBLOCK SHOULD BE SUFFICIENT FOR
STORMWATER DISPERSION.
A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MY DRAIN TO EACH
SPLASHBLOCK..
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 SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG
BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE
POINT.
2.) Only the 2 downspouts and splash blocks on the north end of the manufactured home will
be installed. A 50 ft vegetated flow path is required. Per conversation with Jennifer
Wiebusch on 3/16/08.
3.) The application was reviewed by the Jefferson County Department of Community
Development staff on 3/17/200/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:
Special Aquifer Recharge Protection Area (SARPA), Shoreline Slope Stability-Stable.
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.) 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.
6.) The applicant is proposing to create or add 984 square feet of impervious surface and 984
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.) 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 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.
9.) A Stormwater Site Plan has been submitted and approved by the Department of
Community Development. Once the subject permit has been issued the applicant shall
fully implement the provisions of the submitted plan and contact the Jefferson County
Department of Community Development to arrange a schedule to inspect the property for
plan compliance. A Certificate of Occupancy will not be issued until the Department
verifies plan compliance. No clearing for roadways or utilities shall occur on the project
site until clearing necessary for the installation of temporary sedimentation and erosion
control measures have been completed.
10.) Jefferson County determine•t this proposal is categorically exempt fro eview under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
11.) The revised site plan dated 2/15/2008 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
2/15/2008 shall be resubmitted for review and approval by Jefferson County Department
of Community Development.
12.) This approval is for a New Manufactured Home and deck landings for 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.
13.) The parcel has been designated as RR1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
14.) A Declaration of Restrictive Covenant has been recorded on 9/29/2006 under AFN
516006 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 shall be maintained in an orderly manner and shall 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 road approach permit(RAP08-00002) 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.
19.) 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.
20.) 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.
21.) The building height is not to exceed 35 feet.
22.) Setback from E Price right-of-way is no less than 20 ft., side and rear setbacks are no less
than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive
setback shall apply.
23.) E Price (C667009) is a County road. A road approach (RAP08-00002)was approved and
an address of 70A has been assigned to this Accessory Dwelling Unit The existing SFR
address is 50 E Price.
24.) A septic permit(SEP06-00312)was approved 10/19/2006 for a capacity of 600 gallons
per day. This permit was finalled 12/4/2007.
25.) This parcel was created through Irondale Division No. 2 under AFN 29135, recorded July
6, 1909 , Volume 2, page 29 with the Jefferson County Auditor's office.
26.) Potable water is provided Quimper PUD#1 water system (0578311).
27.) Pre-existing legal lots of record less than one acre in size in rural residential districts are
subject to the stormwater requirements in Chapter 18.30 JCC and must meet the "Area of
Impervious Surface Coverage" to the maximum extent practicable as determined by the
administrator. Lot coverage is defined as amount of impervious surface, which includes
rooftops, driveways, concrete, etc.
28.) A Restrictive Covenant for Irondale/Hadlock Sanitary Sewer System No Protest
Agreement was recorded 3/18/2008 under AFN 532224 with the Jefferson County Auditor.
JACK WESTERMAN • �.� Jeffersont.t, t'oi.ru►osise
ASSESSOR ' `
g°� i PO Hos 12211, Port Toss rodent!, W. 9113110
(360) 385-9105
MOBILE HOME INFORMATION FORM JAN 1 4 M
OWNER'S��N----AME/MAILING ADDRESS: r ;Fs`, ` Chit
NAME: �)j'n n f f / tJ( c 6 U.Sri�
ADDRESS: 3,13- F'ed e,1.GIC.f S f_ .
PHONE NO.0bo) 279 - 5'3 o e
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.
' MOBILE HOME DATA:
(A) MAKE HOB (B) MODEL SW i 5/r7,54 wl
(C)YEAR nel
(D) LENGTH.54% 4E)WIDTH / I (F)SERIAL # 490 VIA/FEU 3 150 3if
(G) YOUR PURCHASE PRICE (Do not include sales tax) 5150 0 PURCHASE DATE' ' f ^of
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF
NEW MOVE TO QUESTION 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE , 6f7n17 & 1
ADDRESS 7)0 /nt.ine ry - vJ ZP 34,k
(B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?( ) No
If Yes, Previous address of mobile. / 7/G!G& i'ja ?- l tJ4 "1 Ao
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: Te w r .T- Li!e 6,l%1 Gt.
LOCATION ADDRESS .50 6.- P`I C C_ $f 1 p'" i//D a< 4'14- V33 2
REAL PROPERTY PARCEL #/DESCRIPTION , ,e1 . / (FDC 302-
�L�t is 3 Gt: tT /0 - /(a /-c-vJJ=/t'
I? /A141
S{- attire of applicant
THANK YOU FOB YOUR HELP!
0JOI COSSELL, Property Technician
• 0
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� JEFFERSON COUNTY
' DEPARTMENT OF COMMUNITY DEVELOPMENT r
` '4 621 Sheridan Street• Port Townsend • Washington 983684. )1,. ..J5.y. �A� l'tls
360/379-4450. 360/379-4451 Fax
s. •irING www.co.jefferson.wa.us/comrndevelopment c r r r KD p" ,I wry
Master Permit Application MLA: Og_ 12-1..
Project Description(include separate sheets as necessary):
pie, (c S/nl/t. Li %Cit._ �Lr1e-z7 -C7L-.-z t� 4c/frtL' "..1 P.'Z^� )/-/ ' 3 • 'J. 6' •
Tax Parcel. �f Pro ert / , c
Number. / I O(,,�p L�' Z P Y ,-�, > u� feet)
Size: , �') (acres/squa'fe feet)
Site Address and/or Directions to Property: 56 £_ ?jC E. , t_ /i-,, 'JJ; i (; 32
Property Owner(s)of Record: .,� 'lr(le, J LA)/ -e., u,f c 4,
Telephone?(6O) )% - .5 2-0 C? Fax: Cr.// et br so 4. - i.3 y C
email jerIn i .-u e%tuC A t
Mailing Ad ress: j 2 2- 1y-ed ' '/C/C. Sr. 7 7—, 1-4 9 _,74:.k ho-i/nu-i/. Ca/h
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
)SlBuilding ❑Variance(Minor, Major or Reasonable Economic Use)
d Demolition Permit ❑Conditional Use[C(a),C(d),or C]**
cj Single Family °Discretionary"D"or Unnamed Use Classification
❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
Manufactured Home °Boundary Line Adjustment
C]Modular °Short Plat**
❑Commercial* °Binding Site Plan**
Q Change of Use °Long Plat**
Q Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
❑Propane ❑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)* ❑Shoreline Management Variance
OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
OWireless 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:
g I� e /,G DESIGNATION OF AGENT
I herebydesignate L 0K /,t/"1i t- 6,./14o act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE T/JI?f Z 77: (J/e,.4 G ye-, `--- Date: /T<'c 7 Z40 0
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 ap_p4cation that he or she wants prior,notice. U ,,
Signature:��i//►. (� // i 5 S 2�� a- tLc C:Z�k.� Date: C 7 2G()c,
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-transf a responsibility for adhering?and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ., i rt^r- -- = /-L'‘ d� L' J F szt_ _`&.�'_ C �Alb Date: De 7 o (-,
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• •
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. 7
Signature:y Jeer . ) U�lI ilii C/—_ Date: De G / c v W
GENERAL CONTRACTOR OR MANUFF�CTURED HOME INSTALLER: PHONE: FAX:
I41, E. f�////S 1Nu. Item/Em - ',r7LIej) (3(cO) Y6/ - Ki99 ( )
MAILING ADDRESS: PO 3b x /7 C b Sew,i,• ��- EMAIL:
CONTRACTORS LICENSE �"" R H,?t2 WAINS
NUMBER: /t/t//'rRcr zZ.7 3 p/, /1/.}NUMBER 1/01-/ v 2-if'6,
ARCHITECT/ENGINEER: vl ! V PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Prject Type: re Type: Bathrooms: Shoreline: Type of Sewage Disposal:
{ New ood Existing: 0 Sewer
❑ Addition 0 Steel Proposed: I Bank ❑Community System
❑ Alteration/Remodel 0 Concrete Total: •I Height: alndividual System
❑ Repair ❑ Masonry _Nit- SEP Permit# jCPO6 CO 31 2-
O Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: 0 Private well ❑Two Party
Type of Heat: Proposed: 2- ! Public
,0`,i V�/�,/`G Total: 2 r /� Name of System:
f ❑
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:I Underground Tank 0 Above ground Tank Size of Propane Tank:
d Heat Stove 0 Cook Stove YkWoodstove ❑Fireplace Insert 0 Hot er Tank 0 Pellet Stove p Other
Is this appliance beinginstalled in a Manufactured/Mobile Home? es No
PP Ca
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: )D
2"°Floor Heated Consistency Review: oV
i5 .bo
Other Heated Base fee:
16B.CO
Mezzanine Additional Section:
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee: — --
Other Unheated Pot Water Review fee:
, R5. oo
Garage/Carport SUBTOTAL
Decks . 1t J1.,'V, t t;4 911/Rd Approach fee:
I
AcD(.A. FJ(p, w
Other TOTAL: $ TO 4(0. 00 _
Receipt Number: °15Sb l
Cash/Check Number:ESTIMATED COST(REQUIRED) Date: II
.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
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PPEPAR Er BY : JCL-r ' :
,�,C Cn IRON DALE 13LOCK 3 LOTS 10 1° °'' Ib DU E. RICE
o C--'1 �ncwm! ii-> 1-,, , ' _ n 50E. PRICE ST
T' �—i I p ,J� Nm I AX PARCEL 9 �' 1_ .. _ 3 _% 2 PORTHADLOCK WA .,
Co z co ...° • (.1AILLING AngRC.55 , 321 FP., D6r.ILY. sT_ 98339
m IaORTrawasIZNo INA. 98�6b 360 379-5200
OWNER ; JENNIFER WIEBUSCH CELL 808 896-1340
I