HomeMy WebLinkAboutBLD2009-00176 110 •
MANUFACTURED/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#: BLD09-00176 Received Date: 6/17/2009
SITE ADDRESS: 527 LEE WAY Issue Date: 7/7/2009
BRINNON, 98320
APPLICANT: BERNARD H GODDARD
DIANNA E WELLER
7413 135TH PL SE
NEWCASTLE WA 98059-3101
SUBDIVISION: BRINNONWOLD Block: 2 Lot: 2
PARCEL#: 936000202 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR/ CHARTER CONSTRUCTION PHONE: (360) 459-3930
DEALER PO BOX 521
EAST OLYMPIA WA 98540
(360) 438-8418
Contractor's License CHARTC*026CD Expires 2/7/2011
PROJECT DESCRIPTION: NEW MFH W/ATTACHED COVERED PORCH INSPECTED BY L& I
MODEL: CLASSIS �-y-
MAKE: KARSTEN YEAR: 2009 SIZE: 56 X 27 ° 2_0\c,;" Za
Directions
To Site:
•
THIS PERMIT IS VALID FOR ONE YEAR. `W
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): 5- —?) 1-71(2 , 1
CkLft)kA( V\ iks amcc,
Stormwater FINAL Approval:
t,1sc%�
Blocking/Plumbing:
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
L_ob of \o L
Final/SkirtingNents/Porches✓Steps: it
HEALTH DEPARTMENT AND PUBLIC WOR PPROVAL REQUIRED ORIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE AR OR IT MUST BE PROPERLY RENEWED
S UILDING PERMIT APPLICAION MReview00p98
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00176 Received Date: 6/17/2009
SITE ADDRESS: 527 LEE WAY
BRINNON, 98320
OWNER: BERNARD H GODDARD PHONE: 206-947-2644
DIANNA E WELLER
7413 135TH PL SE
NEWCASTLE WA 98059-3101 BRINNONWOLD
SUBDIVISION: Block: 2 Lot: 2
PARCEL NUMBER: 936000202 Section: 23 Township: 26 N Range: 02 W
CONTRACTOR: CHARTER CONSTRUCTION PHONE: (360) 459-3930
PO BOX 521
EAST OLYMPIA WA 98540
Contractor's License CHARTC*026CD Expires 2/7/2011
REPRESENTATIVE: RODNEY WILSON PHONE: (360)459-3930
PO BOX 571 (360)438-8418
EAST OLYMPIA WA 98540
PROJECT DESCRIPTIOP NEW MFH W/ATTACHED COVERED PORCH INSPECTED BY L & I
MODEL: CLASSIS
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 74,546.00 ADD'L: HEAT TYPE: EEE
CODE EDITION. 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 1 Prop: 2
Total: 1 Total: 2
Routing Date:
1D11 t C16--
Type Amount Paid Bv: Date: Receipt: Approved/Date
Manufactured Homes $213.00 KAS 06/17/09 108596
Potable Water Application $62.00 KAS 06/17/09 108596 A PPRDJ E
Total: $275.00 i
JUi_ 7 �Q jg
Jefferson County Planning
Building Department
SPECIAL CONDITIONS CASE # BLD09-00176 •
1.) No final on this permit untill BLD09-196 (Demo of existing out building w/plumbing) is
finaled and SEP91-380 is no longer a violation..
2.) 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.
3.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in
height from the finished grade. 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.
4.) The building height is not to exceed 35 feet.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
7.) 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.
8.) DESIGN CRITERIA FOR SPLASH BLOCKS:
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.
SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS.
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 6 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 DRAINFILED AREAS.
9.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
10.) VOLUNTARY MEASURES •OASTAL &AT RISK SIPZ: •
Water conservation measures:
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from Storm water and roof catchments may be used for watering
lawns and gardens. Unless catchment water has been treated to meet drinking water
standards, there shall be no cross connections allowed between the potable supply and
impounded water.
3. Water withdrawn from wells on each property shall not be used for watering of lawns
and/or gardens.
4. Ground water withdrawn from each property shall be restricted to a rate of three (3)
gallons per minute.
5. Installation of water conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation).
Please NOTE that the above listed measures are not intended to be exhaustive, but rather
is intended to be illustrative of the types of water conservation measures.
11.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ:
1. Installation of a flow meter.
2. On-going well monitoring for chloride concentration.
3. Submittal of monitoring data to County.
12.) MANDATORY MEASURES FOR COASTAL SIPZ:
1. For proof of potable water on a building permit application, applicant must utilize
DOH-approved public water system if available.
2. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water or an individual well may be used as proof of potable water subject to the
following requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
13.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
14.) 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.
15.) An address of 527 Lee Way, Brinnon has been assigned to the parcel. Lee Way is a
private road.
16.) 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.
17.) The application was reviewed by the Jefferson County Department of Community
Development staff on 6/17/09 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:
unstable, intermediate shoreline slope stability; spotted owl; slight landslide hazard area;
coastal SIPZ.
18.) The parcel has been designated as RR1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
19.) 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.
20.) Marine shorelines and islance susceptible to a condition that is knowrseawater
intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in
an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater
suitable for public consumption without significant additional treatment and cost.
Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of
the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater
withdrawals (primarily through wells). The Washington Department of Ecology is the
agency with statutory authority to regulate groundwater withdrawal for individual wells in
Jefferson County. New development, redevelopment, and land use activities on islands
and in close proximity to marine shorelines in particular should be developed in such a
manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to
the maximum extent possible by infiltrating stormwater runoff so that it recharges the
aquifer.
21.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according
to the County GIS map. There are voluntary and mandatory measures identified in the
Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23,
2002) that apply to well drilling proposals and building permit applications on existing lots
of record.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
22.) The applicant is proposing to create or add 4,992 square feet of impervious surface and
2,320 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.
23.) 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).
24.) The site plan as submitted with the Man Home application on 6/17/09 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 7/7/09 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
25.) This approval is for a Man Home Installation 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.
26.) Setback from West property line that is parallel to Lee Way Rd is 20'. The setback from
the East, North and South property lines is minimum of 5'.
27.) PRIOR TO FINAL --- BUILDING ON RESERVE AREA MUST BE DEMOLISHED.
Y) ",;7.01p DCTRAYS CU!...'," . .',,1 HOUSING LL 2 ' 4C2625 p.2
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JACK 'VESTERMAN III Jefferson t oun ourll►ouye
ASSESSOR C� PO Ilex 1220, Port Townsend, WA 983611
i.�.7 `-..,, (360) 3115.9105
MOBILE HOME INFORMATION FORM y
OWNER'S NAME/MAILING ADD ASS:
NAME: IV _ as pe: �-� JEEFERSON CIJIJIYADDRESS: 1 y (3 ( 3 S 5.6, w e cws%le �s
PHONE NO. Lao W 7 _2(, ct/
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 w it ther 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)MOBILE HOME DATA:
(A)MAKE ich(Z S kd (II) MODEL ( /G 3 I C (C) YEAR 2 coo 5
(D) LENGTH (0 ITT
(E)WIDTH 2 7 (F) SERIAL # I�.�J
�j (// i _
(G)YOUR PURCHASE PRICE (Do not include sales tax) ( CI( CJ`/b PURCHASE DATE �64/.
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO,
QUESTION)3)
(A) FROM WHOM DID YOU PURCHASE MOBILE I"I S (C1 .,�4'3/11 Mcal'
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 e
(B)IF LOCATED IN MOBILE HOME PARK:
NAME & ADDRESS OF PARK Lot/Space #
(C) IF NOT LOCATED IN MOBILE HQ IE PARK: Cg�JLC�c°4��
J
NAME OF LAND OWNER: t ' i9 ACK
LOCATION ADDRESS , 2-\'I Lize&,9,37A euAd 4J WA. 'in
HEAL PROPERTY PARCEL#/DESCRIPTION 4 v 1O 0002 Q2 '( `t 310 000 Z O
Signature applicant
THANK YOU FOR YOUR HELPS
k
SSQQQ
JO COSSELL, Property Technician
•
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 CO TRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
� � W L (34) - �3 (i
ku 3g 8("(rJ.
MAILING ADDRESS: ,O_ ' 5 Z( &� ' ad EMAIL:
CONTRACTOR'S LICENSE %' 54 WAINS ,�� -L V/l
NUMBER: C }L,� G c i c cc NUMBER v2-
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
roject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
A New ,r Wood Existing: lirSewer
❑ Addition ❑ Steel Proposed: Z Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: 2 Height: I. Individual Sy0m
❑ Repair ❑ Masonry SEP Permit#1,l--3
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: DIL Private well ❑ Two Party
Proposed: Public'He
r ( _�
• i Name of System: '
If this is a Commercial Project you must answer the following: .
Number of Parking Spaces: Current: Proposed: Number of&DA Parking Spaces
Number of occupants(includes owners,tenants,employees,etc) Current 1rfto ed 'i, T\\, '`j.,' '!
IBC Occupancy: IBC Type of construction: Will you have Food`Service? Yes / No ,1
If this is a Propane Tank and/or Appliance Installationjermit,mark all items below that apply:
i Underground Tank i Above ground Tank Size of Propane Tank: , w t s
i Heat Stove 1 Cook Stove I Woodstove i Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 s t # ¢in all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic sy to mponents,
including the reserve area.
i + i q 4 °.; x x r �.i T,tom-; w U V t
\ x "
Current Pro.•sect • ,: � !1` ,9� ;T �4 3 .
Square Footage �, � U. �..��, �a � ,to.'
,�, �_,i �_
Main Floor Heated EH Bld App Review:
.� 13. OD
263 Floor Heated x Consistency Review: a h
Other Heated ',''� Base fee:
• 1 . Oa
Mezzanine w '•` Additional Section:
Heated Basement r` Plan Check fee:
.
Unheated Basement $ '•- State Surcharge fee:
Other Unheated 0` Pot Water Review fee: (I
Garage/Carport x SUBTOTAL 5 rt ..
Decks ii:= " ' <' 911/Rd Approach fee:
,k. , _ .Other TOTAL: $ c1q.00
F=: Y
r" Receipt Number: I b%5 q/_
` Cash/Check Number: W 56
C,
ESTIMATED COST(REQUIRED) Date: ��I
•Fair market value of all labor and materials foundation to finish 6
Initials: 23)
!=•\Po..,„;. .,,,,..\ttttilmR M.C###\DWI MR MC\Cn..Pnt Mr)Pr ..,c\Mocto.Po.mit A n.,l:eotinn c_'X111R.7.,,
44' oN cad
• I
JEFFERSON COUNTY
- ' `4 DEPARTMENT OF COMMUNITY DEVELOPMENT
rzi
'' 621 Sheridan Street• Port Townsend •Washington 98368
IsvizrN�+, 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
G
Master Permit Application MLA: 09 - I q s
Project Description(include separate sheets as necessary): / I/ /-
—:4--Al SN-CC- kieGi mAxit-,-641c-1-,rerti 4-1-6 1,-tzc:. I,;e (a)(4eJ ACCI-x
Tax Parcel Number: 3(c Q Z 0 Z Property Size: '�� C —c `(acres//sq releet)
o 5Z cP L''Oti
Site Address and/or Directions to Property: 3 t`' �
0 LI d-C to( T , f'cW 1 TO fa Ic) ,
Property Owner(s)of Record: 44 d
Telephone: 2L o "- ''2(, Fax: email:
Mailing Address:
Applicant/Agent(if different from owner): / i'P LU , Sot
Telephone: 3c,O — -- ' 3i.3 i Fax: .5 P- email:
('�
Mailing Address:�_, ( "7a ST CY.„ .4- I6 •T0
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
Building 0 Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor,Major or Reaso abl9 Economic Use)_,
❑ Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a), C(d),or 0 c* l }
Manufactured Home .0 Modular - 0 Discretionary"D"or Unnamed U'a Classification
O Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address . 0 Road Approach ❑Short Plat** "1 '
❑ Home Business 0 Cottage Industry ❑ Binding Site Plan**
❑ Propane 0 Long Plat**
❑Sign - ❑Planned Rural Residential Develc li)/ iiidmojlts**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration*" ' "'
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'`*
0 Temporary Use ❑Shoreline Management Variance
❑Wireless Telecommunication* ❑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 0 Tree Vegetation Request
**Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
i�6 y IN IL. SOS'-1 to act OF AGENT
I hereby designate aa�� to act as my agent in matters relating to this application^-� for permit(s).Q'
OWNER SIGNATURE 1 __ if91 Date: ^ / '- 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 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 ntry will be assumed unless the applicant informs the County in writing at the
time of the applica' that he or she is io ice. S a ? I O p
Signature: 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 velopment code.The Applicant acknowledges that he,she or it holds individual
and non-transfer e responsibility for ad -ring to and mplyin th the ESA. The Applicant has read this disclaimer and signs and dales it below.
Signature: �--�+j1.'sr d Date: "�7— a 7
_ .
ite mon
•- - . •- - --
,.„... ei _ _APlea e Check Atter Doing Site Plan: .0 Septic and drainfield
Lot size
JE- roperty dimensions 0 S wercksof lines CI
0 Es loedvi aetsi oonf owf at e propertyr D a North A:1-f
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0 Easements .41:3"Xccess tp proposed building ni Slopes&Contours(5 increments)
-? Job Name:ame: ..--.7).2;:•424•'2.-41 Job Site Address:...._._ - .706:"
J -1., , ,000202 Legal
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NOT SISN INCOMKENE SITE PLAN! ,
sZomer has verified and approved the location of the building,orientation of Are building to the North,and verifies that all White-Customer Copy White-Office Copy
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