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Home My WebLink AboutBLD2010-00111 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 #: BLD10-00111 SITE ADDRESS: 90 SUNROCK DR Issue Date: 07/13/2010 BRINNON, 98320 Final Date: 4/5/2011 APPLICANT: ANNA M WALLER TRUSTEE PHONE: 360-796-4813 WALLER FAMILY TRUST PO BOX 671 BRINNON WA 983200671 SUBDIVISION: SUN ROCK MOBILE HOME PARK Block: Lot: 1-10 PARCEL NUMBER: 602352026 Section: 35 Township: 26 N Range: 02 W PROJECT DESCRIPTION: NEW M/H - LOT 2 - SER # 294443D52349 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 4/5/2011 I:\F_BLD_Occupancy.rpt 10/29/19 MANUFA 'URED/MOBILE HOME INSTTLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD10-00111 Received Date: 4/13/2010 SITE ADDRESS: 90 SUNROCK DR Issue Date: 7/13/2010 BRINNON, 98320 APPLICANT: ANNA M WALLER TRUSTEE WALLER FAMILY TRUST PO BOX 671 BRINNON WA 983200671 SUBDIVISION: SUN ROCK MOBILE HOME PARK Block: Lot: 1-10 PARCEL#: 602352026 Section: 35 Township: 26 N Range: 02 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW M/H - LOT 2 -SER#294443D52349 MAKE: CONCORD YEAR: 1974 SIZE: 56X14 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 Inspection Item Date Approval Signature Notes Setbacks t, Erosion Control MH Foundation `25-2c) _(v 9 Blocking&Tie Down ---2s>-10 Skirting&Ventilation Gas Line: Exterior Propane Tank Pressure Test Drywell/Alt Drainage Address Posted ul yk FINAL INSPECTION Li).. FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY- SEE REVERSE • MLA10-00138 BUILDING PERMIT APPLIC•ION Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00111 Received Date: 4/13/2010 SITE ADDRESS: 90 SUNROCK DR BRINNON, 98320 OWNER: ANNA M WALLER TRUSTEE PHONE: 360-796-4813 WALLER FAMILY TRUST PO BOX 671 BRINNON WA 983200671 SUN ROCK MOBILE HOME PARK SUBDIVISION: Block: Lot: 1-10 PARCEL NUMBER: 602352026 Section: 35 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI` NEW M/H - LOT 2 - TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 784 VALUATION ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 1 ' Total: 2 Total: --` Routing Date: C Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $213.00 LYK 04/13/10 113884 APPROVED Potable Water Application $98.00 LYK 04/13/10 113884 Total: $311.00 JUL i32010 Jefferson County Planning & Building Department • 1 SPECIAL CONDITIONS CASE'# BLD10-00111 1.) SEE BLD06-00450 for findings that apply to this property. 2.) 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. 3.) The applicant is proposing to create or add 1,524 square feet of impervious surface and 1,504 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 Permit application on April 13, 2010 and revised June 16, 2010 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 July 12, 2010 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for a New Manufactured Home on Lot 2 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) Building setbacks from Sunrock Drive is no less than 20 feet. Side and rear setbacks are no less than 5 feet. JACK WVESTERMAN IP- Jefferson CAN Courthouse ASSESSOR PO liox 1220. Port Townsend, WA 98368 (360►385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: A ) 1 PA A. tiJ)- /LC y` ADDRESS: p. C an 4 71 r-Ov-,'nv 1/V14 '6f-3 PHONE NO. ,y- (7 9; 54/3 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: ��; JUN162010 (A) MAKE ("—e911 C V'd (B) MODEL / (C)YEAR/''7>/ (D) LENGTH � (E) WIDTH /y (F)SERIAL # (G) YOUR PURCHASE PRICE (Do not include sales tax) W PURCHASE DATE 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 ( ) 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? ilar No (B)IF LOCATED IN MOBILE HOME PARK: NAME it ADDRESS OF PARK .. (✓J r )cA 1 )h Lot/Space # 9/) (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION �! 3 S Signature of applicant THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician • _ __ _ __ __ ___ _ ___ _ _ ------------- --- Kt-k-h2f) _ _ _ ----------- APB 1- 3 2010 I si,,,, of'. • - xis / Rood Nl /\ PPS `0 /leer,c� -�-" c "�� e i a z\ A ,.„di z--- 5 11'-c - 4 ' \r) k.4 1‘ :/ Ir 1k -42- it - .„.) -...9 CIS ri ot v) a „1 ' -, / APPROVED c .,fig IV SITE PLAN _."-Do J U L 1 2 2010 ) y J. rl• s UNTY DEPT. . . l'i '' �- SIGMA. /�! 0 5r/M -theS 4 "O" l P__LVIS--6 _ , Ji,e5 • A r , J U N 1 6 2010 N 3 t t I o... 4.,,, ..., (,---eiti, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450• 360/379-4451 Fax www.cojefferson.wa.us/commdevelopment IINe() Master Permit Application MLA: (Q Project Description(include separate sheets as necessary): '1)/dhi/e // fir.e. .5c-/-1/fl% ./'1 fa rK Tax Parcel Property Number: / 3 S ,� -� Size: '�`�` "i Cr,�;�-.�., � � ��//—,05" (acres/square feet) Site Address and/or Directions to Property: L A(7 I_Property Owner(s)of Record: n4. — 'e_., — Telephone: 3 - 796 03 Fax: email: Mailing Address: "PQ , f2k 4,7 r,. h o GT 7LA4, 9 3 o Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) Kilding ❑Variance(Minor,Major or Reasonable Economic Use) Cj Demolition Permit ❑Conditional Use[C(a),C(d),or C]** Cj Single Family ['Discretionary"D"or Unnamed Use Classification CI Garage Attached/Detached OSpecial Use(Essential Public Facilities)** 4 Ianufactured Home °Boundary Line Adjustment Cl Modular °Short Plat** Q Commercial* °Binding Site Plan** ,. ,• I cvU • ❑Change of Use 0 Long Plat Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments**It Propane ❑Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑Shoreline Management Substantial Development** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ['Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment['Wireless Telecommunication* OJefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium *May require a Pre—Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: n. / - DESIGNATION OF AGENT I hereby designate A / Re /v� he,wj to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE (1.--11 Date: — / — cZf22/U 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 it's 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 aPP licat' that he or she w is 'or notic . Signature: � f�7 / �� Date: �T — / /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 to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc BUILDER STATEMENT The signer of this statement dog eby celtify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be asalur ing e r ns i ,of the General Contractor for the proposed project. t ..-----Signature:. S 66 ('-/ ,,/ '6 C(, Date: q — f i ` tom/ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New 0 Wood Existing: ❑Sewer ❑ Addition 0 Steel Proposed: Bank ❑Community System ❑ Alteration/Remodel 0 Concrete Total: i Height: IZ3 Individual System ❑ Repair 0 Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public EiPC, r Total: Name of System: 0 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: C]Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove 0 Cook Stove ❑Woodstove OFireplace Insert ❑Hot Water Tank ❑Pellet Stove p 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 Ear,Office#Jse-Onlk - . .",-. <- •Arnim* Main Floor Heated r/8 qClair EH Bld App Review: 2"a Floor Heated Consistency Review i 3 Other Heated Base fee: f Mezzanine Additional Section: l Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: ._____— Other Unheated Pot Water Review fee: Lac Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: el' isn Other TOTAL: $1 Receipt Number: 1 I �,U Cash/Check Number 1 q (-1 D ESTIMATED COST(REQUIRED) Date: -(3-� ,\ .Fair market value of all labor and materials foundation to finish �L Initials: =--- - D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc