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HomeMy WebLinkAboutBLD2009-00104 MANUFAO"URED/MOBILE HOME INSTLLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00104 Received Date: 4/6/2009 SITE ADDRESS: 1661 EAGLEMOUNT RD Issue Date: 5/14/2009 PORT TOWNSEND, 98368 APPLICANT: GERMEAU PIERRE J TRUSTEE N CLAASSEN/B TAYLOR TRSTE 1665 EAGLEMOUNT RD PORT TOWNSEND WA 98368-9740 SUBDIVISION: Block: Lot: TX14-i PARCEL#: 901304009 Section: 30 Township: 29 N Range: 01 W CONTRACTOR/ NU TREND ENTERPRISES INC PHONE: (360) 683-6080 DEALER PO BOX 1780 SEQUIM WA 98382 Contractor's License NUTREE*273P6 Expires 2/6/2011 PROJECT DESCRIPTION: NEW MFH MAKE: YEAR: SIZE: Directions To Site: To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): '- (a � 1)9 Stormwater FINAL Approval: Blocking/Plumbing: p�` 2- ?Tt Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/SkirtingNents/Porches/Steps: q.'70 `Cf �13 HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED • MLA09-00112 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00104 Received Date: 4/6/2009 SITE ADDRESS: ( (00 EAGLEMOUNT RD PORT TOWNSEND, 98368 APPLICANT: GERMEAU PIERRE J TRUSTEE PHONE: (360)732-4916 N CLAASSEN/B TAYLOR TRSTE 1665 EAGLEMOUNT RD PORT TOWNSEND WA SUBDIVISION: 98368-9740 Block: Lot: TX14 PARCEL NUMBER: 901304009 Section: 30 Township: 29 N Range: 01 W CONTRACTOR/ NU TREND ENTERPRISES INC PHONE: (360) 683-6080 DEALER: PO BOX 1780 SEQUIM WA 98382 Contractor's License NUTREE*273P6 Expires 2/6/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SETBACK: VALUATION 64,924.00 YEAR: BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: Li l VO el /-) Type Amount Paid By: Date: Receipt: APPADOVEr Manufactured Homes $213.00 KAS 04/06/09 105637 Potable Water Application $62.00 KAS 04/06/09 105637 MAY /4 Total: $275.00 Jefferson County Plannin &Building DeuartmP 1 • SPECIAL CONDITIONS CASE # BLD09-00104 1.) PRIOR TO OCCUPANCY & BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP08-00037 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 2.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM SOIL COMPACTING ACTIVITIES; INCLUDING BUT NOT LIMITED TO VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 3.) UNLESS OTHERWISE WAIVED THROUGH ON SITE SEWAGE CODE, 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) The application was reviewed by the Jefferson County Department of Community Development staff on (date) 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. 6.) 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. 7.) The applicant is proposing to create or add 1715 square feet of impervious surface and 4315 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. 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.) 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). 10.) The site plan as submitted with the New Manufactured Home application on 4/6/09 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 5/13/2009 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) 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. 12.) The parcel has been designated as RR1:20 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 14.) 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 automobile 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 requirements 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. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) The building height is not to iliked 35 feet. S 18.) North, West& South Property Line Setbacks meet UDC requirements. The East Property Line Setback is 194'. See Adjacent Forest Land Disclosure and file letter from applicant dated 4-23-09 in reference to the East Property Line Setback.. 19.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. JACK WESTERMAN III. Jefferson Couneourthouoc ASSESSOR 1'O Box 1220, Port Townsend, WW'.% 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: - /26AV T J'ilir -- NAME: \V Ci t�`may \ ��(3,S� r� j r%/ � 11 t14J' 6)/Spetii, ADDRESS: 'e.,I) low ), 933J— 1-4 /0/ PHONE NO. 37' If>(c I Ii3SOU/41 &/, 9 3P 360 - 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 netermine 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. l)MOBILE HOME DATA: �,yy,,�� rr �nir�f o,,` 97/t C� (A) MAKE MAX/lam /7Z (B) MODEL////// /v / (C)YEAR209 (D) LENGTH v / (E)WIDTH ,Z 7 (F) SERIAL # 1,45 � .�Y -PURCHASE DATEI��9 ? W (G)YOUR PURCHASE PRICE (Do not include sales tax) 7 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (!NEWOVE 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: pp R. Cj L -( 0 I 3t Lf- © c 9 (A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBIJI,,E HOME PARK: NAME OF LAND OWNER: s E't'' M� '� 0, �1`\ Vcsjvl ` Ty-0 SL LOCATION ADDRESS �^(3 l e 1 C11, Fri=► i (3, f I" ,%&)r r..� �" REAL PROPERTY PARRM1WP � DI" 4-- O�� APR — 6 20 Signature of aliAlcant THANK YOU FOR YOUR HELP! !F.E L ^'1 M COUNT)/ n L f JO 4C /nOSSELL, Property Technician k4i).¢,S°N cob, JEFFERSOIQUNTY • W ` ,3 DEPARTMENT OF COMMUNITY DEVELOPMEN(T., -:r -,� �' ' `'4 621 Sheridan Street • Port i[ownsepd•iWasliington 98868 360/379-4450 • 360/379-4451 Fax �qs, ov www.co.jefferson.wa.us/commdevelopment APR - • 6 20l19 0q- I1D. Master Permit Application MLA: 9 ©{ -3 t 4. GrjC? Project Description(include separate sheets as necessary) [ SA COUNlif iirl Tax Parcel Number: 9 I — .0 4 0 0 Property Size:v 1 a E q I r�' - (acres square feet)/ Site Address and/or Directions to Property: Property Owner(s)of Record: C'r' Q r nN «.`�. ma's t r,c ,�.75 \a.-v S-t �`�) ' LI q�� ��,� O C` Telephone: ( -- \,. 6.) 1 L—-4-ch► �= Fax: email: Mailing Address: I L L 5 - l e_hr`C U �—� ., To�v h S E rLL� \IJ ,)'tog Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) .❑Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address El Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan** ❑ Propane 0 Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 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** ❑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 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 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 ap lication that he or she wads pri r tice. (� Signature: �� ` •-� / Date: 3 — '7 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 Applicant acknowledges that he,she or it holds individual and non-transferable responsibility for adhering Ctotar complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: ;�'��LIN �3 _ry_ 0 9 Date: t G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc II • 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. 0 Signature: i \J XU- .. _ -4 .> Date: 3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Ke .t \1 V C� % \ k <`-) ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE 3 WAINS O , ` NUMBER: NI T-R xi Cp NUMBER `f ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: XNew W Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: t Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: t Height: X Individual System , ❑ MasonrySEP Permit# 5cfob"txx7 ❑ Repairmo Bedrooms: Water Supply: ❑ Demolition 0 Other: Setback: Existing: Private well ❑ Two Party Typeof He At: - Proposed: " ❑ Public e_,\ e C '. .C. Total: 7 Name of System: If this is'a-Commercial Project you must answer the following: Number of ParkingSp"ates:_CCurrreent: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners;to�ts,employees,etc) Current Proposed ' • IBC Occupancy: IBC Type of of constru tiers:, 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: 13 DO 2nd Floor Heated } i�a([ T ( ;' 'IL`': Consistency Review: a ' OD Other Heated Base fee: a 13. Do Mezzanine 'APR - 6 20 Additional Section: ____.__-_.— Heated Basement Plan Check fee: _—.___. Unheated Basement f State Surcharge fee: _ w. Other Unheated Pot Water Review fee: ' 00 0 0 Garage/Carport SUBTOTAL 5 q q OD Decks 911/Rd Approach fee: ' 00 Other TOTAL: $ &la. co Receipt Number: I 0.5(07 Cash/Check Number: r),3 ' ESTIMATED COST(REQUIRED) Date: k0 I9„U •Fair market value of all labor and materials foundation to finish Initials: L G:\PerrnitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc r 1 , _] .., --1 . , , ! ---H------------ ----1,----- —t--H __, __!— ! 1 1 ! ! : --;, 0 , ' 1' ! - , .. . tri Cf) 23 . . ,____J 1 ,.; . ;-- ! 3 i E 7 - 7-1. * , . , , - - I 1 • ; ; 1 4. t IV I-- r --a- ,-I CD 1 mi r ! _ _____ -33 5 ___ ___ — • -- --- I ! • ! -1 ! -- -! - c4..) • ID m > , , . , , H____1____ ___ ,. , (4) ' • --f ... ...., 1 i 1 i 1 r-L) I 1 _ 1 , (.1•4 ---' OM .;-. 7 -- -35-zi- H----H-------- , * -![ ---i [ 1-----1- ! -, , , 2 I ' i i .16 trl —,_-- M U) !_______ _._T _1 .u. izi --,'ID-13. -----,:--- -I 1 ' 1 ,0;4 i 1 1 4 M _1 I L....;::"" t -71 -0- --TCL-71-- -0 r-I --r , PO i , _...‘,. , : 1 E ZI: 1 J. i ! , , 4..___; _J___. _j ____. ....; — ; ;I __4_a_t___ ____________ ______._____ 3. .. ., . , , ,--- ,74: 0 . . 0.,, , , I i i ;,f---a F 1 .,. ! , • !5 m ! 1 ,, , , -— -----'!- 7 "-- 7--I f---1- I -- -- , , : _ . -r-i-1-- H3) 2) . : e . ! 1 , M 1 ] ' , I 1 ,, _1 I ri :..... .....: _______ __.,.__ _ , : $ 4 ; : -- er-2)-777 - I- --I ; ; : • ; ; 1 1.....„. 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