HomeMy WebLinkAboutBLD2009-00401 • e I
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 #: BLD09-00401 Received Date: 12/7/2009
SITE ADDRESS: 241 FLAMINGO RD 38 Issue Date: 12/30/2009
PORT TOWNSEND, 98368
APPLICANT: SANDRA I SETON TRUSTEE
SANDRA SETON LIVING TRUST
10504 SUNRISE DR
BOTHELL WA 980113254
SUBDIVISION: ONE HAWKEYE PARK Block: Lot: +
PARCEL#: 958700001 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR/ OWNER/BUILDER PHONE:
DEALER
PROJECT DESCRIPTION: NEW M/H INSTALL (REPLACEMENT)
MAKE: )-LEE c C)b YEAR: 2010 SIZE: 2}i k 2-1
•
1HI5 FErtMiT 15 VAUD 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): �'-�—tO ' lj
Stormwater FINAL Approval:
Bloddng/Plumbing:_a.-'a` I D 1-4-7
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/SkirtingNpnts/Porches/Steps:D'L--211 .kg itN1S\n,im-Np1w1
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR
BUILDING INSPECTION HOT-LINE 379-4455.
Office Hours 9:00 a.m. -4:30 p.m.
HOT-LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE REVERSE
To Scheaulenspections, call
(360)379-4455 by 3:00 PM prior
daY• y '
. NOTE: Mo k i d
nday I�le*011s by
"'WILDING PERMIT APPLICADN Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368 MLA09-00394
PERMIT #: BLD09-00401 Received Date: 12/7/2009
SITE ADDRESS: 241 FLAMINGO RD 38
PORT TOWNSEND, 98368
OWNER: SANDRA I SETON TRUSTEE PHONE:
SANDRA SETON LIVING TRUST
10504 SUNRISE DR
BOTHELL WA 980113254 ONE HAWKEYE PARK
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: SALLY ELLIS PHONE: 360-379-9827
241 FLAMINGO RD
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOP NEW M/H INSTALL (REPLACEMENT)
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP NEW
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: CON
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
Type Amount Paid "Bv: Date: Receipt: /� PPRe
Manufactured Homes $213.00 LYK 12/07/09 113502 /"'�
Potable Water Application $62.00 LYK 12/07/09 113502 DEC9
Total: $275.00 Jefferson County pi
&Building Departmen,
SPECIAL CONDITIONS CASE D09-00401•
1.) The new home must be 11 feet from the existing septic tank
2.) SPLASHBLOCK DESIGN CRITERIA
MAINTAIN VEGETATED FLOWPATH MIN 50 FT FROM DISCHARGE POINT
TO ANY PROP LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND,
OR OTHER IMPERVIOUS SURFACE.
MAXIMUM 700 SQ FT OF ROOF AREA TO DRAIN TO EACH SPLASHBLOCK
SPLASHBLOCK OR PAD OF CRUSHED ROCK (2 FT X 3 FT LONG X 5"
DEEP) SHOUDL BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT
NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES ALLOWED
DISCHARGE POINTS MUST BE DOWNSLOPE OF PRIMARY & RESERVE
DRAINFIELDS
3.) 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.
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.) 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: SARPA& SUSC
aquifer recharge area.
6.) 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.
7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
8.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
9.) The applicant is proposing to create or add 1270 square feet of impervious surface and
1270 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.
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 with the Man Hm application on 12/07/2009 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 12/30/2009 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
12.) This approval is for a Man Hoalnstallation only. Any future permits on t Zfoto are
subject to review for consistency with applicable codes and ordinances andes not
preclude review and conditions which may be placed on future permits.
13.) The parcel has been designated as RR1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
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.) 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.
16.) Mimimum setback from Flamingo Rd right of way shall be a minimum of 20 ft. Minimum
side and rear setbacks shall be 5 ft.
17.) The building height is not to exceed 35 feet.
18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
20.) 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.
21.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
JACK WESTERMAN III • Jefferson Coanti urlhouse
ASSESSOR PO nos 1220, Pori Townsend, WA 98368
(360) 385-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME/MAILING' c y,ADDRESS:
NAME: ��Q•tl �ll\S 10 30n 0 LIL
ADDRESS: 2.-70� c r i a, Sh - p . 1 ciAVI V . ti3 fl C 3(0 c
PHONE NO. 3{00_ V7ct "C4 Zt I
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.
1)MOBILE HOME DATA:
(A) MAKE V\CA v\)G 4C)! v Ca(B) MODELilfe 1 C)OU* (C)YEAR 2010
Li 6 l is � f ,
(D) LENGTH 'O (E) WIDTH G.G X (F)SERIAL #
(G) YOUR PURCHASE PRICE (Do not include sales tax) 7v) u O PURCHASE DATE
1(..
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.
31WHERE MOBILE HOME IS TO BE LOCATED:
(A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No
(B)IF LOCATED IN MOBILE HOME PARK:u�� ac
j
NAME & ADDRESS OF PARK e F 1u VOA- - 1'o I Lot/Space #
2 1C� '- o rya a pl boor,s i ps —
(C) IF NOT LOCATED IN MOBILE HOME PARK:
NAME OF LAND OWNER:
LOCATION ADDRESS
REAL PROPERTY PARCEL #/DESCRIPTION
/ 2-L.------
j!ture of applicant
THANK YOU FOR YOUR HELP! _ DEC - 7 2009
Lauralee Kiesel. Property Technician
• •
I
A al®® a 3 Bedroom, 2 Bath
Weston Xtreme Series Approx. 1,270 SQ. FT.
l----
\� FLED.HOMES' Last Updated:11-24-09
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o ww N 6, JEFFERSON COUNTY
' DEPARTMENT OF COMMUNITY DEVELOPMENT
') 621 Sheridan Street • Port Townsend • Washington 98368
fr' 360/379-4450 • 360/379-4451 Fax
www.co.jefferson.wa.us/commdevelopment
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1 IN p
Master Permit Application DEC - 7 2009 MLA: D 7 , q
Project Description include separate sheets as necessary): 0
1 t, G, r o k4 1"l IPu o.c.4 La Ki be ne
Tax Parcel Number: -0 5 roperty Size: 0 Z 41- (acre quare feet)
Site Address and/or Directions to Property:
auil ....__
\- 10,„?.?_50 12-61_ti -p -T-Lvaseyd wit.: (1-e
'Lund i
Property Owner(s)of Record: �� Y C t)r--\ - e
Telephone: -3 ` , 4 7 7 Fax: email:
Mailin ddress: I C apk•A L_ Lktli I s G QY u �Lti(` ` Lj.�Pt 9 BSI E
Applicant/ gent(if different from owner): SCA-1 i l.t1 Ell ( S .V.Or \3C�.r)
Telephone: ; ",3 1 -9 2 ' Fax: email: 4 Cd`1`c c, to 1 :r'f wrj,(
Mailing Address: r,Cy-
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
[Building ❑Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
0 Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CI**
.Manufactured Home .❑ Modular 0 Discretionary"D"or Unnamed Use Classification
I ❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use 0 Boundary Line Adjustment
❑ Address 0 Road Approach 0 Short Plat**
❑ Home Business ❑ 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
0 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 ❑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 designat; a.. . , S I • to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE �`—..
Date: 12 ' " 0c1
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 re • d later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appliyati n that he or she wants prior notice.
Signature/ (( I. `—+'ter Date: / f./..—* C0
The actio 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 tederal 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 in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfers eresponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature." ' -- Date: 2' #+;f" '2 0 a /
• 0
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 a uming the responsibility of the General Contractor for the proposed project. ,
Signature: Cam- f Date: i 2/ �/O Gf
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: Fax:
S k 9 U Cus i&r, I yak')spice f 1 oc . (tt2S) a;ie- c)5o (4 ) a -acic4c.
MAILING ADDRESS: r :0 0 3v %ti;to, `pt EMAIL:
CONTRACTORS LICENSE CI pc‘C. WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
`�, New ❑ Wood Existing: 2 )i6Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: _ Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit# �12,.' l
213
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: S Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: Public
ic_y C C f I Total: NapleTof System:�4? :,� r
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 l 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 BId App Review: 73`00
2nd Floor Heated Consistency Review: /J
2_t3 .60
Other Heated Base fee:
-Mezzanine Additional Section: _
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: //flflP• CIU
l(J
Garage/Carport SUBTOTAL
D 911/Rd Approach fee: _____—,
Other TOTAL: $S1 0()
Receipt Number: //3 j v)--
- Cash/Check Number: / /l 7 _
ESTIMATED COST(REQUIRED) Date: /�- 7 d
'Fair market value of all labor and materials foundation to finish ram/
Initials:
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