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HomeMy WebLinkAboutBLD2008-00367 411 MANUFA!URED/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 #: BLD08-00367 Received Date: 8/12/2008 SITE ADDRESS: 6411 SR20 Issue Date: 8/22/2008 PORT TOWNSEND, 98368 APPLICANT: DOROTHY L MOORE TRUSTEE MOORE REV LIVING TRUST 4831 S DISCOVERY RD PORT TOWNSEND WA 983689022 SUBDIVISION: MOORE'S MOBILE MANOR Block: Lot: 1-14 PARCEL#: 001332015 Section: 33 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: REPLACE M/H (SER# BD9351) MAKE: GOLDENWEST YEAR: 1991 SIZE: 56X27 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 8/22/2009. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. ,etbacks/Footin9,,(CONTINI}OUS FOOTING, SLAB or PADS USED): j�BQc,<'5 aAs SCu5soo Lvu S i1 f8Y l/Cdtisr_ V . ) e 6k" Cf„„„, k7 ExcrFc lA4164L) ,/ OA& Stormwater FINAL Approval: `_jam C(-)-r (i 75 �/ 'Bloki /Plumbing: c (ky 9-S-414 Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: k 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 MLA08-00359 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00367 Received Date: 8/12/2008 SITE ADDRESS: 6411 SR20 PORT TOWNSEND, 98368 APPLICANT: DOROTHY L MOORE TRUSTEE PHONE: 360-385-3137 MOORE REV LIVING TRUST 4831 S DISCOVERY RD PORT TOWNSEND WA 983689022 SUBDIVISION: MOORE'S MOBILE MANOR Block: Lot: 1-14 PARCEL NUMBER: 001332015 Section: 33 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: REPRESENTATIVE: JOSH MEYER PHONE: 360-643-1629 1044 WATER ST #338 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: REPLACE M/H (SER# BD9351) TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDENWEST SETBACK: VALUATION YEAR: 1991 LABOR & INDUSTRIES APPROVAL? SIZE: 56X27 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: c F) Type Amount Paid By: Date: Receipt: /� �, rad/�a�e VI E D Manufactured Homes $168.00 LYK 08/12/08 100726 /y Total: $168.00 AUG c ?2008 Jefferson County Planning & Building Department • SPECIAL CONDITIONS CASE # BLD08-00367 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 8/15/2008 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: Seismic hazard, Stable Shoreline Slope Stability. 2.) 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. 3.) 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. 4.) The applicant is proposing to create or add 1512 square feet of impervious surface and 1512 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. 5.) 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. 6.) 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). 7.) The site plan as submitted with the Replace Manufactured Home application on 8/12/2008 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 8/21/2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a replacement 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. 9.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998 as amended. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 12.) Setback from private drive right-of-way is no less than 10 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. 13.) 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. 14.) 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. 15.) The building height is not to exceed 35 feet. 16.) A septic permit(SEP95--00196)was approved 7/6/1995 for a capacity of 180 gallons per day. This permit was finalled7/11/1995. A building permit (b1d95-00346)was approved 6/29/1995 for a capacity of manufactured home. This permit was finalled 7/2/1996. 17.) This parcel was created through Moore's Mobile Manor under AFN 273249 recorded 7/6/1981, Volume 1, page 81 with the Jefferson County Auditor's office. 18.) Pre-existing legal lots of reco•ss than one acre in size in rural residentiaSricts 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. 19.) This parcel is served existing water hook up by a Quimper water system. 20.) The airport Overlay II includes areas that lie beneath the FAA mandated traffic pattern for aircraft ascending or descending from the JCIA. As such, this area is subject to routine aircraft over-flights. It is acknowledged that areas lying outside the delineated Airport Overlay II zone may also be subject to aircraft over-flights. 21.) State Route 20 (S10020) is a State road. Access is existing. An address of 6411 SR20 #13 has been assigned to the parcel. 22.) The replacement manufactured home will be installed in the same footprint as the existing manufactured home. The exiting manufactured home was permitted BLD95-00346 and finalled on 7/2/1996. The residence is nonconforming as to the east side from driveway located on the Moore's Mobile Manor Binding site plan. The east side yard setback is 10 ft from the open space and trail. The Moore's Mobile plat has a 30-foot private driveway and a 15-foot setback from the driveway. The addition does not increase the nonconformance of the original structure or use with existing regulations. 23.) SPLASH BLOCKS MAY BE USED FOR DOWNSPOUTS DISCHARGING TO A VEGETATED FLOWPATH AT LEAST 50 FEET IN LENGTH AS MEASURED FROM THE DOWNSPOUT TO THE DOWNSTREAM PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT OF ALL DISPERSION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD. .IACK WESTERMAN nip Jefferson Co Cour/house ASSESSOR PO Ilos 1221 l'orl Townsend, WA 98368 (360) 38 -9I05 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: Jo -4u f ( ADDRESS: LVS.j c)sco•IRRI Cas, 1?0 1a..3 IA, (AA 6V6(Z PIIONE NO. `2,60- rj 313 O A1/3.- /62 cc l! The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or th 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 fiery"-moved to this county from another area. l)MOBILE HOME DATA: AUG 1 2 2008 (A) MAKE L10�UQIl ?� \L:(110 '� MODEL . y (C)YEAR 1`i C1 ' (D) LENGTH 5 6 (E)WIDTH a? (F) SERIAL # ?OG31 (G)YOUR PURCHASE PRICE (Do not include sales tax) 18}9-13.06 PURCHASE DATE 0V31/0i 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW,,MOVE`TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE �V'f, [-Nid ADDRESS 'j- c \QC a `1 VGcU l 1A \ 9,Y65 (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTYi es LAST YEAR? ) No If Yes, Previous address of mobile.�C 3Q \ cAck \Qc 1 , \ rc\s 5 1.ZLJb 0 If No, What County was Mobile assessed in last y ^`` year. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? eb No (B)IF LOCATED IN MOBILE HOME PARK: \N\ \\PC` NAME & ADDRESS OF PARK lm,\\ 5acs,.ccz. QOAQ aJ\c(\ \bps oo1 S (o 'Lot/Space# 1 (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION Si ature of applicant THANK YOU FOR YOUR HELP!0_551-e _Qt JO COSSELL, Property Technician • 0 _ - - - - f• c> - i r AUG 1 2 20' , i . .. ,...„.....- 77 1 r----- I - 1 ) DI...-, Th i I I *VI. 'f' • Lounclei ii.,Juvl, 1 4 1 •., I I , --, . i l• r." • ..__ —"---. .\ —''? ..--- - -,----- - . ---, I I. ls ,..-- ����SON co�� JEFFERSOI )UNTY • ADEPARTMENT OF COMMUNITY DEVELOPMENT �' ` '' 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment hrING'- Master Permit Application MLA: CB --sa5 R Project Description (include separate sheets as necessary): - Cl _10- Tax Parcel mber: DO I 3 2, C'5 , J Property Si . 9 Z SC,_ Q f i(acres/square feet) Site Address and/or Directions to Property: . ���� C �O � � - , Property Owner(s)of Record: 0 ep ) iJc i Telephone: '3(00-- 5-?j1 Fax: _ email: Mailing Address: 1\ 2\ ,0coa3 WI. ti -Ro(A nd`1),:I\ CflS3 62 5 Applicant/Agent(if different from owner): �GSh" j Q f U Telephone: 3- C9 LV 1 k0 email: —► Fax: --d Mailing Address:.1U--1t-I IJ3 .kQ$ St. *t 3" c, Qpci"v,..►R es\c\, utt Cii P) What kind of Permit?(Check each box that applies _ !V _ _ _ ❑Building ❑ Critical Areas Stewardship Plan •.,' ❑ Demolition Permit ❑Variance(Minor, Major or Reasons leEconomic Use) -" i ❑ ,dingle Family ❑Garage Attached/Detached 0 Conditional Use[C(a), C(d),or Cr* VManufactured Home 0 Modular 0 Discretionary"D"or Unnamed Use Classifi dop i i t ❑ Commercial* 0 Special Use(Essential Public Facilities){ fib 1 2 2008 . ,, ❑ Change of Use ❑ Boundary Line Adjustment 1 1 i ❑ Address 0 Road Approach 0 Short Plat** 1 _J i ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane ElLong Plat** EN ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** El Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance Cl Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **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 ' _���G 3O \N) to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE , 7 Date: —.0?9---.08 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 its 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 application that he or she wants prior notice. Signature: .�. i —a 9__c5 Date: 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 responsibilit for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: .. Date: A-.2_?—0 ' G:\PermitCenter\###FORMS###\DRRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENT 4111 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 as uming the responsibility of the General� Contractor for the proposed project. Signature: Li O/ �7G<�'� Date: 2 Z00% 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: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: . 2_ Bank ❑ Community System O Alteration/Remodel ❑ Concrete Total: . a Height: ,Individual System O Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 3 Public Total: , 3 Name of System: Pv0 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. {, � �� k� 4i�>- Square Footage Current Proposed 1) 'e r t _L,, , -. r r `,_ Main Floor Heatedm-s } : TF .! EH Bid App Review: 5 j2 ,fa £ ,, r70. OD 2nd Floor Heated t3; � 5 Consistency Review: If Other Heated '14�'�� Base fee: ^��}�y } U Y Y, i Cl Mezzanine v a '" Additional Section: Heated Basement -1 :: Plan Check fee: '.k �- Unheated Basement , "" State Surcharge fee: ^a. Y`tV ;5'YC.tR, Other Unheated t # ` Pot Water Review fee: Garage/Carport �,i r SUBTOTAL x Decks '$ �.``c 911/Rd Approach fee: 4 Other s , �� ,. TOTAL: $ 22Cj5 (4) 3 Gks Receipt Number: I Ct 72kz ` ,a_ Cash/Check Number: r:• ESTIMATED COST(REQUIRED) Date: 2"�--6 •Fair market value of all labor and materials foundation to finish _ _ Initials: • C G:\PemutCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r � _ of0 n c-... `� z T 1)''' — �pri � 1 rn O 00 i'_ Zo/ i - t-K.s-n1 cr..o O V), I ig \/ Sox 200 _ I %,000 5 co FT w n -"c 73 J NI02 z' m ` I- — S(� to — G li New mobile, si{c SGMCAs 016 MAtle St1-e._ I -- 3 Grctrcor 2 �.. � , €1, r_ __, L m ~� S+G�rw{ wC�}cf 7- C t `v Gv41clS OoU�spoa} s 4 SPt$A a. ,rks m .9 +,• u-� -to /1,40r,T-1 Vt9 nta}i'"e‘ c U) s u So -11 a -t 0-1 .....\........... • E 'It\ o 011111 "Ex,S-1tn) srp-Esc- Tumi� $ G) 7 r r T 411E v i AUG �� r1116. co ` I RSON COUNTY 1 DEPT. I 4.1:tiNITY DEVEEOPr:EFHT j' It', iS/ ,ty 3 10' n APPROVED a 2q- SITE PLAN m 5 i I AUG 2 1 2008 04. y c ., 1- Cl) W E i" V 'O 1 JEFFERSON COUNTY c.0 o = DEPT.OF COMMUNITY DEVELOPMENT i z , SIGNATURE: ['►041�4a,., ° 0(-IC z F r'I r rWn G m m [ tOrmwater Bxw, 's n xi Required `s`biby 0 z -- RI �i' J P N m r, z1 c ...' 0C) a v u Q _.� N IN zr-... t) o T c 00 J i' 0 = 3° C = a- z f� 48SI I 5. b‘scovt,-1 R \ .