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HomeMy WebLinkAboutBLD2008-00393 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 #: BLD08-00393 Received Date: 8/29/2008 SITE ADDRESS: 63 RIDGE DR Issue Date: 9/22/2008 PORT TOWNSEND, 98368 APPLICANT: WILLIAM BEAZLEY 16604 NE 19TH STREET EVERETT WA 98684 SUBDIVISION: CAPE GEORGE VILLAGE DIV 4 Block: Lot: 1 PARCEL#: 940800001 Section: 13 Township: 30 N Range: 02 W CONTRACTOR/ CONSOLIDATED HOMES INC PHONE: 360-957-2240 DEALER 1105 15TH AVE STE D#501 LONGVIEW WA 98632 Contractor's License CONSOHI024MF Expires 7/11/2010 PROJECT DESCRIPTION: NEW MANUFACTURED HOME, GOLDENWEST, MODEL GE561F MAKE: GOLDENWEST YEAR: 2008 SIZE: 56X27 Directions SEE 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 9/22/2009. CALL IN FOR THE REQUIRED INSPE„CTLQNS THAT APPLY TO YOUR PROJECT. `� :tbacks/Footing((CONTINUOUS FOOTING, SLAB or PADS USED): - ' `-'., " :. ‹_, �.-a 0--% Stormwater FINAL Approval: Blocking/Plumbing: �,* Z4/Altkitt Mato- ,-47 i GI/z.c/ A/ I Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 24.if onyrd-(4,1L2.1 Jo`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 IJILDING PERMIT APPLICATC MLA08- ype: I Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00393 Received Date: 8/29/2008 SITE ADDRESS: ti.3 RIDGE DR PORT TOWNSEND, 98368 OWNER: ROBERT B BEAZLEY PHONE: 206-529-4391 11705 29TH AVE SE EVERETT WA 982086025 CAPE GEORGE VILLAGE DIV 4 SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 940800001 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: CONSOLIDATED HOMES INC PHONE: 360-957-2240 1105 15TH AVE STE D#501 LONGVIEW WA 98632 Contractor's License CONSOHI024MF Expires 7/11/2010 REPRESENTATIVE: WILLIAM BEAZLEY PHONE: 360-944-9250 16604 NE 19TH STREET EVERETT WA 98684 PROJECT DESCRIPTION NEW M/H, GOLDENWEST, MODEL GE561F TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 115,000.00 MAIN: 1,512 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: R-3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: C , CS Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $168.00 AMS 08/29/08 100793 APPROVED Potable Water Application $59.00 AMS 08/29/08 100793 Total: $227.00 SEP 22 2008 Jefferson County Planning & Building Department • • SPECIAL CONDITIONS CASE # BLD08-00393 1.) This parcel was designated Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998, as amended. 2.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 3.) The applicant is proposing to create or add 2,582 square feet of impervious surface and 2,582 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. 4.) 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. 5.) 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). 6.) The site plan as submitted with the building application on August 29, 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 September 12, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for a 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. 8.) Minimum setback from the parcel boundaries adjacent to Ridge Dr and Goss Rd are 20 feet. Minimum side setbacks are 5 feet. 9.) The building height is not to exceed 35 feet. 10.) 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. 11.) NO OCCUPANCY OR BUILDING FINAL PRIOR TO FINAL OF SEP08-00142; REQUIRED TO MEET ALL SEPTIC PERMIT CONDITIONS AS WELL. 12.) NO FOOTING OR FOUNDATION DRAINS LESS THAN 30 FEET DOWNSLOPE OF THE EDGE OF THE SOIL DISPERSAL COMPONENT OR RESERVE AREA. 13.) Well #2 Cape George Colony must be decommissioned prior to final approval for occupancy. See USR08-64 JACK WESTERMAN 10 Jefferson Courthouse ASSESSOR Po Ilox 122(Floort Tonnsend, I!'.\ 98 8 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: A11 2ORR NAME: /?0 b q F JEFFERSON COUNTY O r ADDRESS: //'7 d 6— 9�i U E vS E_ ere t�Pi- u`a t- PHONE NO. �, 6 - y /41- 9� 0 ' 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. I)MOBILE HOME DATA: (A) MAKIGOL /i W (B) MODEL & 6 J (C) YEAR ° 0 (D) LENGTH 6 (E) WIDTH a 7 " .(F) SERIAL # (G) YOUR PURCHASE PRICE (Do not include sales tax)t?c 0 6°.4. o PURCHASE DATE,Q o2 7 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 c.„) (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: Q b E n 1 3_ 19 2 L LOCATION ADDRESS 4) / t G-- E b REAL PROPERTY PARCEL #/DESCRIPTION T y O fJ 6 j 6 d a PC V ///A-E y:uty/r7 THANK YOU FOR YOUR HELP! Signature of applicant ('/ CJODil4,3 COSSELL, Property Technician I ECE �T Owner, ' dart Parcel# 99-0 gdo© J AUG 2 9 2008 witl%a,r,\ 3ej0.Z\2 `A �o -9a4 JEFFERSON COUNTY OCO 562.4e, i"_ APPROVED f SITEv PLAN ,�,� f ,, N `,, SEP 1 2 2008 'R m,, = FRoctT r i `. Via, 20' a,. 7pF ERSON COUNTY t l�Aihi{jN i u:•r ��tt '( ) uJ ur `� t I rank 0�Ct� be- SIGNATURE: \ ti Stolmwater i71Y11�s. f Lc , aP� i{'ti. ,; 4 ! Required 4 tor._ , I Y , 41a4l Mt VS \ O ,\. 3 M,,1 • tel o / Jv : t cr _ �/ 1 M\RIMOIA s BACx,S sus i ' / 4, �e. �, I , / lA14 t •5 5t+b•ck Rots i: 2 p' N / , � O S i DES. 5' ' \ � / 'mot t.� � > eurudr& deeq to`9,4K. a, bks►w-. 0- So4 p ti 1 CarLan braivx zta f :e bra kin row to 4 Q7,4+s ' 4 G MiI Su,rvFseZ, «EfIrt< 2CU ._U ,°41.xr r:o1urLL- Mth m 0 If aPProx' d4ch lip } C70SS 14 r • ____ —1, • $ 13-6', 13.6' 13 6" f inimmu_NW-63 W-63 W Thi i f 1 1 I' • W.35 W•35 N ---N t 1 1 g ' 1 * c., asima 11 $ £ a / O .". I i M • CCI g 1 • • el 0 0 a F X c. 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N 11.69 r NM I 1111111U-4---- Mr.. ! 1111111 11 Opt DIN Lary 111111111 Iv _ i' 60'Tub/Shwl L,../ CI CD c - / A_ ,......._, ..... ___ — N W•35 W 75 i AUG 9 . 9 2008 1' JEFFERSON COUNTY OCD . , SONG • ill- 41 ,, T, 7 t 1 l fj� j' rik& JEFFERSON C NTY y -1 DEPARTMENT OF COMMUNITY DEVELOPMENT AUG 2 9 200e 621 Sheridan Street• Port Townsend •Washington 98368 U ilsoo360/379-4450 • 360/379-4451 Fax �.gS, N��O www.co.jefferson.wa.us/commdevelopment JFFFERSON COUNTY OCp Master Permit Application MLA: -- q OCQ Project Description(include separate sheets as necessary): Tax Parcel Number: ! 40 cP 0 0 0 0 / Property Size: .3 j` pscn....,- (acres/square feet) Site Address and/or Directions to Property: Property Owner()of Record: d' r� E j, s.,c3 1,_,r Telephone:a c7+o_,S.,2 I - ' 3 g/ Fax: email: Mailing Address: // 7 0 z-- g.-el, <S C 4.4.,r.e- u)0.. . `��02 o P Applicant/Agent(if different from owner): c v.,,, }� q ` 4-4 Telephone:3 40 9'4(- 7 .S- O Fax: email: Mailing Address:j l l-} 1.IC It 1� Va-n C DU\(`P r, (j{A C1 `G`15� What kind of Permit?(Check each box that applies 7 uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) • ingle Family ❑ Garage Attached/Detached 0 Conditional Use[C(a),C(d),or C]** !: Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification • Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach ❑Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference 0 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 '� al/ i 4 C. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE`,( 7 �/ Date: U" 2 q" 0 9 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 la r inspect ns. Staffs acces and right of entry will be assumed unless the applicant informs the County in writing at the time of the application t he r sh an for notice Signature: 9-2C/-cg Date: The action or actions Applicant will undertake as esult 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 speciei regarding your action(s)even if you are in compl' nce with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferaaq es nsib. y f hering to d complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: $-�9 -CJe Date: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.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. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Q emu- FAX: CO')4-4.4 _1 J f A ,(3p6 93' 7-,?. 5/0 ( ) MAILING ADDRESS: T � . }Y_�[ �� J EMAIL: CONTRACTOR'S LICENSE V 1 WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: ' Shoreline: Type of Sewage Disposal: lir New A Wood Existing: d ❑ Sewer ❑ Addition J5( Steel Proposed: a_ Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 He`i9ht: ❑ Individual System ❑ Repair ❑ Masonry "'A SEP Permit#D Y.-/ t 9- Bedrooms: Water Supply: ❑ Demolition ❑ Other: Existing: b Setback: CA Private well ❑ Two Party Tye f Heat: Proposed: d 'ZPublic Total: z Name of Sys m: 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 Amounto Revision Main Floor Heated EH Bld App Review: p1 2"0 Floor Heated Consistency Review: 15 1 O° Other Heated Base fee: 1 r f� o� Mezzanine Additional Section: � ( Heated Basement Plan Check fee: _� Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: q G 0.0 Garage/Carport SUBTOTAL 06D -Decks 911/Rd Approach fee: 1 c7 0 Other TOTAL: $ �� Co�-4 CQ Receipt Number: \()on v1 - Cash/Check Number: q—1 - ESTIMATED COST(REQUIRED) Date: t t ac\ •Fair market value of 11 labor and materials foundati n to finish l 1 tf54033 Initials: • c,,Q G:\PernutCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc