HomeMy WebLinkAboutBLD2009-00335 S
CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
Al Scalf, Building Official
PERMIT #: BLD09-00335
SITE ADDRESS: 135 GRAND FIR ST Issue Date: 03/9/2010
CHIMACUM, 98325 Final Date: 7/27/2010
APPLICANT: CHRISTOPHE ADAMS PHONE: 360-385-5189
94 ALDER DR
PORT TOWNSEND WA 98368-9460
SUBDIVISION: EL CAMANO DIVIDE SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 901101029 Section: 10 Township: 29 N Range: 01 W
PROJECT DESCRIPTION: M/H ADU - SER# 1186015 Replacing Existing Manufactured Home
Accessory Dwelling Unit
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2006 EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/27/2010
I:\F_BLD_Occupancy.rpt 10/29/19
r
•BUILDING PERMIT APPLIC ON Review TypeDU:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD09-00335 Received Date: 10/5/2009
SITE ADDRESS: 135 GRAND FIR ST
CHIMACUM, 98325
OWNER: CHRISTOPHE ADAMS PHONE: 360-385-5189
94 ALDER DR
PORT TOWNSEND WA 98368-9460
EL CAMANO DIVIDE SHORT PLAT
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 901101029 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION M/H ADU - SER# 1186015 Replacing Existing Man Home ADU
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP ADU
VALUATION MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: 2WELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2 ruting Date: _
/ c.,,
\Q__i _ .q\i/ h
. .'0 i ,
1
Type Amount Paid By: Date: Receipt: IPdd{�t�`V,EP
Manufactured Homes $213.00 LYK 10/05/09 111055 1u`
Potable Water Application $62.00 LYK 10/05/09 111055
Total: $275.00 MAR 1U1J
Jefferson County Plannint
& Building Department
MANUFACTRED/MOBILE HOME INSTAL•TION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD09-00335 Received Date: 10/5/2009
SITE ADDRESS: 135 GRAND FIR ST Issue Date: 3/9/2010
CHIMACUM, 98325
APPLICANT: CHRISTOPHE ADAMS
94 ALDER DR
PORT TOWNSEND WA 98368-9460
SUBDIVISION: EL CAMANO DIVIDE SHORT PLAT Block: Lot: 2
PARCEL#: 901101029 Section: 10 Township: 29 N Range: 01 W
CONTRACTOR/ OWNER/BUILDER PHONE:
DEALER
PROJECT DESCRIPTION: M/H ADU -SER# 1186015 Replacing Existing Manufactured Home
Accessory,Dwellingg Unit
MAKE: REDMAN YEAR: 1991 SIZE: 44X28
Directions SEE MAP IN FILE
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
Inspection Item Date Approval Signature Notes
Setbacks
Erosion Control
MH Foundation
Blocking&Tie Down511_ij
Skirting&Ventilation 7 I I(
Gas Line:Exterior
Propane"Tank
4Plessu e-fest
Drywell/Alt Drainage'
Address Posted 710
ZFe)
FINAL INSPECTIONR
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
SPECIAL CONDITIONS APPLY- SEE REVERSE
• •
SPECIAL CONDITIONS CASE # BLD09-00335
1.) Final approval of SEP09-117 required.
2.) Per JCC 18.20.020, one accessory dwelling unit(ADU) is permitted per legal lot of record
as an accessory to an existing single-family dwelling. An accessory dwelling unit shall
have a maximum size of 1,250 square feet of gross floor area. The owner of the subject
property shall reside on the premises either in the main or accessory dwelling.
3.) The application was reviewed by the Jefferson County Department of Community
Development staff on December 23, 2009 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, the following ESAs were
confirmed to be present on the subject property: Special Aquifer Recharge Area (SARPA),
Susceptible Aquifer Recharge Area (SUSC).
4.) 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.
5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
6.) 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.
7.) 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.
8.) The applicant is proposing to create or add 1,782 square feet of impervious surface and
2,402 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.
9.) 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.
10.) 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).
11.) The site plan as submitted on October 15, 2009 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 December 23, 2009 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
12.) This approval is for a manufactured home accessory dwelling unit 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.
13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
15.) Not more than 2 unlicensed vehie shall be stored on any lot unless totally*all
ned
from view of neighboring dwellings and rights-of-way. Such screening shall
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.
16.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
18.) The building height is not to exceed 35 feet.
19.) Setback from Grand Fir St(P451) right-of-way is no less than 20 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.
20.) 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.
21.) This parcel was created through El Camano Divide Short Plat under AFN 400081,
recorded April 29, 1997, Volume 4, pages 10-11 with the Jefferson County Auditor's office.
22.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
23.) NOTICE: This permit does not excuse the proponent from complying with other local,
state, and federal ordinances, regulations, or statutes applicable to the proposed
development, but consistent with RCW 90.58.
Development pursuant to this permit shall be undertaken subject to the applicable policies
and performance standards of the Jefferson County Shoreline Management Master
Program and the Jefferson County Unified Development Code.
If during excavation or development of the site an area of potential archaeological
significance is uncovered, all activity in the immediate area shall be halted, and the
Administrator shall be notified at once.
The Federal Endangered Species Act rules to protect threatened Chinook and
Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been
listed as threatened since early 2000. Under the ESA, any person may bring lawsuit
against any individual or agency that"takes" listed species (defined as causing harm,
harassing, or damaging habitat for the listed species). In addition, the National Marine
Fisheries Service can levy penalties. All areas in Jefferson County are included as
"critical habitat" for a listed species. Development of property along any marine shoreline,
freshwater shoreline, or floodplains could harm habitat if protective measures are not
taken. To minimize the potential to damage habitat, all property owners developing
adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the
following:
-All development activities should avoid unstable slopes, wetlands, and forested areas
near surface waters
- Remove minimal vegetation for site development, especially large trees
-Allow trees that have fallen into surface waters to remain there
- Infiltrate stormwater from buildings and driveways onsite through drywells rather than
discharging directly into surface waters or roadside ditches
Any individual, group, or agency can bring suit for a listed species"taking", even if you are
in compliance with Jefferson County development codes. The risk of a lawsuit against
you can be reduced by consulting with a professional fisheries habitat biologist, and
following the recommendations for site development provided by the biologist. For more
information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and
Wildlife Service.
JACK WESTERMAN III Jefferson Couni� rtlwuse
ASSESSOR PO Box 1220, Port Ton oven& WA 98368
(360)385-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME/MAILI G ADDRESS:
NAME: /Q- r�(}S
ADDRESS: `1 /' ki-a� Drive P (CXor)Se-0 9g36
PHONE NO. WS J
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 .his ccouuty from another area.
1)MOIBILE HOME DATA:
(A) MAKE 12_QCS hli v (B) MODEL (C) YEAR I CICI I
(D) LENGTH 4 Li (E►WIDTH -2,`D (F) SERIAL# ( I 6015
(G) YOUR PURCHASE PRICE (Do not include sales tax)\S, .)O PURCHASE DATE V WC)
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3)NE
(A) FROM WHOM DID YOU PURCHASE MOBILE 1 > >°tl' JCiiTh 1CP
ADDRESS 91 17S 12---J T-'IC-LYnG"}/ W 9 / 4-
(II) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes 42)
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 COO
(B)IF LOCATED IN MOBILE HOME PARK:
NAME &ADDRESS OF PARK Lot/Space #
(C) IF NOT LOCATED IN MOBILE HOME PARK: Or\IN�i ,.j At8�, �
NAME OF LAND OWNER: (� c / StAA-Ner
LOCATION ADDRESSX) 2�1 f jr .3tj CA-NWT-C.A.-An 9 32S
REAL PROPERTY PARCEL #/DESCRIPTION CIO P I 02-F
/,/
Signa e of applicant
THANK YOU FOR YOUR HELP!
Lauralee Kiesel, Property Technician
so
lV
•• • •
co,„
JEFFERSON COUNTY
7
DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
�`Z11"�3 eC) www.co.jefferson.wa.us/commdevelopment ,
ocT — 0
Master Permit Application MLA:
Project Description(include separate sheets as necess ):
r CC h
Tax Parcel Number: 90 f J 0 0?._6 Property Size:
/4ra? (acres/square feet)
Site Address and/or Directions to Property:
Y.>( 6Yrild P1 i
Property Owner(s)of Record:
Telephone: Fax: mail:
Mailing Address: ' r•
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
:uilding 0 Critical Areas Stewardship Plan
❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use)
❑Single Family k k 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]*"
Ar Manufactured H e .❑ 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 0 Short Plat**
❑Home Business 0 Cottage Industry ❑Binding Site Plan*"
0 Propane 0 Long Plat**
❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis 0 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 ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
*"Requires a Pre-Application Conference
Please i ntify any other Jpcal,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.
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 a••: r d right of entry to Jeff rson County and its employees,representatives or agents for the sole purpose of application
review and any required late in.•-ctions. S and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that e •rf he wants rior of
c- 1()A7-•
Signature: 7 ?— Date. /-5
•
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" "ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued w' iv late the ESA A individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are n liance witf t .J croon County development code.The Applicant acknowledges that he she or it h Ids individual
and non-transferable re n ility for ache' and complying with the ESA. The Applicant has read this disc) r ¢.5ig a s it below.
Signature: (� Date. f )O/
• • ••
BUILDER STATEMENT
The signer of this st to t does eby rtify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumi g respo i the General Contractor for the proposed projed9 l���j�
Date: ` �/
Signature:_
FAX:GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: ( )
( )
EMAIL:
MAILING ADDRESS:
CONTRACTOR'SWAINS LICENSE NUMBER
NUMBER: FAX:( )
ARCHITECT/ENGINEER: PHONE ( )
MAILING ADDRESS: EMAIL
Frame Type: Bathrooms: Shoreline: Ty f Sewage Disposal:
I Project Type: [] Wood Existing: ewer
New ❑ Steel Proposed: ? Bank ❑ Community System
❑ Addition Total: Height: Individual System
❑ AlteratioNF2emodel ❑ Concrete SEP Permit It❑ Repair LI MasonrySupply:
C] Other: Bedrooms: Water
CI Demolition Existing: Setback: u Private well Two Party
Proposed: Z-- Il Public
Type of Heat: Total: Name of System: •
If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces:
Number of Parking Spaces: Current: Proposed: Proposed
Number of occupants(includes owners,tenants,employees,etc) Current po
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 I Mobile Home? Yes I 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.
Current Proposed '> U49-OI#1 1 V6 iOn
Square Footage j po J EH Bid � Review: 0
Main Floor Heated App 7 j.
--Floor Heated Consistency Review:
Other Heated Base fee: 2 , 3 ,U 0
Mezzanine
Additional Section: —G)-,
Heated Basement Plan Check fee: _CD
Unheated Basement
State Surcharge fee:
Other Unheated ; Pot Water Review fee:
—r SUBTOTAL
Garage/Carport ; , CI o
` ` •11 . . :: - .4 G)
Decks A _ - a�' & I
Other 1 k TOTAL - I,
Receipt Number: I I I O
Cash/Check Number: C 3 t
ESTIMATED COST(REQUIRED) Date: c C`
.Fair market value of all labor and materials foundation to finish Initials: r
• e
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