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Home My WebLink AboutBLD2008-00101 MANUFAIURED/MOBILE HOME INSTJLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00101 Received Date: 3/13/2008 SITE ADDRESS: 60 PELICAN PL 24 Issue Date: 5/7/2008 PORT TOWNSEND, 98368 APPLICANT: SANDRA I SETON TRUSTEE SANDRA SETON LIVING TRUST 10504 SUNRISE DR BOTHELL WA 98011-3254 SUBDIVISION: ONE HAWKEYE PARK Block: Lot: PARCEL#: 958700001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR/ BERWICKS MNFCTRD HOME SCV INC PHONE: (253) 606-9323 DEALER PO BOX 1563 PUYALLUP WA 98371 Contractor's License BERWIMH93JMP Expires 7/17/2009 PROJECT DESCRIPTION: REPLACEMENT MFH SERIAL#2K29ii97 (APPLICANT- HOHENSTEIN) MAKE: SKYLINE YEAR: 1994 SIZE: 60 x 14 Directions SEE GOOGLE MAP AND DIRECTIONS 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 5/7/2009. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): ,!�P-1L 1S Stormwater FINAL Approval: l %fl'L 4t2 Blocking/Plumbing:- L "14 -O' Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: `z'\<6,e` 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 • • MLA08-00127 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00101 Received Date: 3/13/2008 SITE ADDRESS: 60 PELICAN PL 24 PORT TOWNSEND, 98368 APPLICANT: SANDRA I SETON TRUSTEE PHONE: SANDRA SETON LIVING TRUST 10504 SUNRISE DR BOTHELL WA 98011-3254 SUBDIVISION: ONE HAWKEYE PARK Block: Lot: PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR/ BERWICKS MNFCTRD HOME SCE/ INC PHONE: (253) 606-9323 DEALER: PO BOX 1563 PUYALLUP WA 98371 Contractor's License BERWIMH930MP Expires 7/17/2009 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: REPLACEMENT MFH SERIAL#2K291197 (APPLICANT - HOHENSTEIN) TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 1,000.00 YEAR: 1994 LABOR & INDUSTRIES APPROVAL? SIZE: 60 x 14 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY -- BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: .3/ 13 /0a Type Amount Paid By: Date: Receipt: APPROVED Manufactured Homes $168.00 KAS 03/13/08 97023 Total: $168.00 MAX 5 2008 Jefferson County Planninc &Building Deuartmonf • • SPECIAL CONDITIONS CASE # BLD08-00101 1.) SPLASHBLOCK DESIGN CRITERIA A VEGETATED FLOWPATH OF AT LEAST 50 FEET SI-OULD 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 SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 5 INCHES DEEP) SHOULD BE 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 DR,4INFIELD AREAS. 2.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF SEPTIC TANK. 3.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 4.) MUST COLLECT AND DIVERT ALL SOURCES OF DF:AINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 5.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 6.) The application was reviewed by the Jefferson County Department of Community Development staff on May 6, 2008 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. 7.) 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. 8.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 9.) 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. 10.) 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. 11.) The applicant is proposing tollate or add 840 square feet of impervious Apace and 840 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. 12.) 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. 13.) 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). 14.) The revised site plan dated April 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 May 6, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for a manufactured home replacement 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. 16.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) 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. 19.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 21.) Minimum setback from Pelican Place right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. There is a platted open space tract between the lot and Old Discovery Road that is depicted as 20 feet in width. No structures shall be placed within this open space. 22.) 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. 23.) 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. 24.) The building height is not to exceed 35 feet. 25.) An address of 60 Pelican Place, Port Townsend has been assigned to the lot. Pelican Place is a county local access (C624419). 26.) The lot was created through the One Hawkeye Park Subdivision on December 26, 1990 under AFN 337105. 27.) The lot is served by the City of Port Townsend public water system. av ,�Lsc C d1 -17_2if 7 Y� ��v ci JEFFERSO OUNTY e' . nit ' !L� rt7DEPARTMENT OF COMMUNITY DEVELOPMENT `' �`' . `� 621 Sheridan Street • Port Townsend •Washington 98368 =a �, 360/379-4450 • 360/379-4451 Fax t /:', 1 o 2��3 vgs, p5 www.co.jefferson.wa.us/commdevelopment ITING Master Permit Application MLjIlf:FLrfl OI 2 1 Project Description(include separate sheets as necessary): �I 114 s7 I-1-1 1 4 f�/1 N�F/4Gl / 9 j)`1 . ( Rp / GU1ttfl-) Tax Parcel 4 " l 6 Property Number: ,j / OD/ Size: L$ ` 442- rn , tr-./square feet) Site Address and/or Directions to Property: P. :94-) (0o Pc-ucAnl -Pir Property Owner(s)of Record: s',. ./‘.0s',. ./‘.0 i24 S Frt.) A.,Telephone: ` 2-$' B ( -7'0 0 Fax: Cam-(-t- ? a ob .3 email:j/Y15-c704(3 V ei"1/20,,/rT Mailing Address:$0 '0 (11:' Su44/J f)/6-) . Q oTNcuc f 4 0(/ Applicant/Agent(if different from owner): /t r4 p/c /y ¢/ 6,40 e / /4 eu S rel.vi Telephone: '7"2' '- 24�i. - Lt'2-3 O Fax: email: (47)AFVortil/OFIfN,$TE1tV 8OV NO.C4014 Mailing Address: 7-9')-3 4-, S 101..s -t 1 z /O /D- -, T_vuinie-m0 1-u 4l6 c13 What kind of Permit?(Check each box that applies :Building El Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or Cj** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification Ig: Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach 0 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 El Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management 0 Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑Shoreline Management Variance ❑ Temporary Use El Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 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 unl s the applicant informs the County in writing at the time of the applic ion th( t heor s wa s prior notice. • [ " r� / / Signature: /G % '� mot/` / OY/& I �-- CS2 z_cti cAC.1./ Date: .5 / Y 0 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 Applic nt acknowledges that he,she or it holds individual and non-transfferr bble r ponsibil r eringg to.,,and complying_w' the ESA. Thg ppli ant ha ead this discla'n er/and signs and dates it below. rx Signature: i��'G � i C r S &-t at ol to Date: 3 `t( d G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT III 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: _I)1 L L, 86FCJI Cf irAm F ,.roi,�D llama St3rv1o55 ()--S3) 6O - 732.S ( 2.93) 61 -5-2-57 MAILING ADDRESS: P 0,t5or '� EMAIL: iS(�3 vy�9,�ra c�.+qss ; ) 13Z13TR LA)tetd, QCaI"IGr95r.lY6. T CONTRACTOR'S LICENSE WAINS NUMBER: 3 12A r� 1 m 4 t 3 f m p NUMBER 2 7 b 0 ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New Wood Existing: I ❑ Sewer D Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: I Height: ❑ Individual System ❑ Repair ❑ Masonry /t///4 SEP Permit# cif -30 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 7- Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: Public PACE. A ilk k Total: -2. AL IA_ 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 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. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2"°Floor Heated —.la �� Consistency Review: Other Heated r , , t..,L � 1 D Base fee: 1� .00) oo► Mezzanine Additional Section: . ` 03 Heated Basement ►it .t ? Plan Check fee: Unheated Basement State Surcharge fee: --- III Other Unheated Ear S N 0 Pot Water Review fee: Garage/Carport SUBTOTAL 3 95.0P Decks 911/Rd Approach fee: Other x TOTAL: $ J co pa Receipt Number: CrIOD.3 _ Cash/Check Number: e ls 4 ESTIMATED COST(REQUIRED) Date: ��$ •Fair market value of all labor and materials foundation to finish Initials: 1-17 1/ G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc .JACK 'VESTERMAN. ^° " Jefferson Ott,Courthouse ASSESSOR 1'O Box 1220, Port Tonnsend, WA 98368 (360)385-9105 MOBILE HOME INFORMATION FOLI. iD OWNER'S NAME/MAILING ADDRESS: VAR 1 3 2:3 NAME: S f .D f - SE•IO 1V ADDRESS: P O "7 I 1 _pozgazo TMAJIJ NW qc3 ,� PHONE NO. "' 60 Q 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)MOIIILE HOME DATA: -5 h !! (A) MAKE (II) MODEL ` �� U (CO YEAR 19 7 r (D) LENGTH 00 / (E) WIDTH , i U ( (F) SERIAL # g I<-21 i ) I 7 (G) YOUR PURCHASE PRICE (Do not include sales to it 000 PURCHASE DATE 94 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 30 (A) FROM WHOM DID YOU PURCHASE MOBILE niNex v 1) - ADDRESS Z USU)LLL IZJO/\) - k/1ty's7vIv (.�-'4- (B) WAS MOBILE HOME ASSESS :�1 IN JEFFERSON COUNTY LAST YEAR? Yes If Yes, Previous address of mobile. /� If No, What County was Mobile assessed in last year. /' I At 3►WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? ime No (B)IF LOCATED IN MOBILE HOME P RKI) 0�,� NAME &ADDRESS OF PARK, i' iI�JI�-C�G t Space# AA/ (C) IF NOT LOCATED IN. MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION Signature of p cant THANK YOU FOR YOUR HELP' Chi JO COSSELL, Property Technician • . _______ RECEWED Mr4114 MAR 1 3 20.23 , . 0,boil\ x. z : . ‘.1 . 1 , , -8 JEFFERSON COUNI1 DED C3 /, 6A-04 _ -ti 1 r \ ....., L ,. .. \<-- 1 tin 13 i AL91901 i t , ; : 7 . ,.) . , I ,_,...._.. ... 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