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HomeMy WebLinkAboutBLD2010-00249 • 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 #: BLD10-00249 SITE ADDRESS: 551 FARNSWORTH PL Issue Date: 08/12/2010 SEQUIM, 98382 Final Date: 7/29/2011 APPLICANT: BUTCH YOUMANS PHONE: 206-778-3487 DANIELLE YOUMANS 15310 MACADAM RD S#A304 TUKWILA WA 98188-5737 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 5 PARCEL NUMBER: 991900005 Section: 28 Township: 30 N Range: 02 W PROJECT DESCRIPTION: NEW M/H - SER# 27592 THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON7/29/2011 I:\F_BLD_Occupa ncy.rpt 10/29/19 • 41 MLA10-00271 UILDING PERMIT APPLICAWON Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00249 Received Date: 7/13/2010 SITE ADDRESS: 551 FARNSWORTH PL SEQUIM, 98382 OWNER: BUTCH YOUMANS PHONE: 206-778-3487 DANIELLE YOUMANS 15310 MACADAM RD S#A304 TUKWILA WA 98188-5737 RONDELAY MEADOWS SUBDIVISION: Block: Lot: 5 PARCEL NUMBER: 991900005 Section: 28 Township: 30 N Range: 02 W CONTRACTOR: LANDMARK EXCAVATING PHONE: (360)379-6652 PO BOX 144 NORDLAND WA 98358 Contractor's License CCBMBWLANDMDS Expires 2/9/2002 REPRESENTATIVE: MARTIN KITHCART PHONE: 360-379-6652 PO BOX 1031 PORT HADLOCK WA 98339 PROJECT DESCRIPTION NEW M/H TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: 1,280 CODE EDITION: 2009 ADD'L: HEAT TYPE: PRO 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: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Total: 2 ( Total: 2 Routing Date: 1—i 1C Type Amount Paid Bv: Date: Receipt: Approved/Date Manufactured Homes $213.00 LYK 07/13/10 117971 . R) b! E A Propane Tanks/Stoves $142.00 LYK 07/13/10 117971 Potable Water Application $98.00 LYK 07/13/10 117971 AUG I . Total: $453.00 Jefferson County idol,,! &Building Departmp, MANUFACIFURED/MOBILE HOME INSTPLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00249 Received Date: 7/13/2010 SITE ADDRESS: 551 FARNSWORTH PL Issue Date: 8/12/2010 SEQUIM, 98382 APPLICANT: BUTCH YOUMANS DANIELLE YOUMANS 15310 MACADAM RD S#A304 TUKWILA WA 98188-5737 SUBDIVISION: RONDELAY MEADOWS Block: Lot: 5 PARCEL#: 991900005 Section: 28 Township: 30 N Range: 02 W CONTRACTOR/ LANDMARK EXCAVATING PHONE: (360)379-6652 DEALER PO BOX 144 NORDLAND WA 98358 Contractor's License LANDMEC132J0 Expires 4/19/2012 PROJECT DESCRIPTION: NEW M/H MAKE: MARLETTE YEAR: 2010 SIZE: 47X27 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 n -)2 J-0 Erosion Control MH Foundation 2 -' Blocking&Tie Down Skirting&Ventilation pi �l/, Fs Gas Line: Exterior to-2S(-kv Propane Tank _I p AA 120 (211.1. i().0 Pressure Test Drywell/Alt Drainage Address Posted FINAL INSPECTION 7- _ l FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ;)r'ECIAL CONDITIONS APPLY-SEE REVERSE • • SPECIAL CONDITIONS CASE # BLD10-00249 1.) This building approval accounts for 240 GPD of septic system capacity, as designed and approved SEP06-254 is sized for a maximum of 600 GPD. The minimum daily design flow per residence is 240 GPD. 2.) A minimum of a 10' setback is required between any water line and any septic system component. 3.) See BLD06-00301 for findings that apply to this property and project. 4.) See BLD06-00301 for conditions that apply to this property and project. 5.) 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. 6.) The applicant is proposing to create or add 1280 square feet of impervious surface and 2780 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. 7.) 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. 8.) The site plan as submitted with the Building Permit application on July 13, 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 August 11, 2010 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for a New 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. 10.) 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. JACK WESTERMAN III. .Jefferson Coanourthouse ASSESSOR PO Box 1220. Port Tohnsend. WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: h LIUUtIACAA S ADDRESS: I£:IU n()A<inla.rvi �� A3 lueLoctrt LOA PRONE NO. j(P -, .( �7 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 DOME DATA: (A) MAKE /i,Aie ‘ (B) MODEL 773/ (C)YEAR o20 /O (D) LENGTH 1/7 (E) WIDTH ate. 107 (F) SERIAL # (G) YOUR PURCHASE PRICE (Do not include sales tax) 744/OOO PURCHASE DATE 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE Go L 17,W j?/4-C/c( C_, 's�S ADDRESS/6 S S o art/ rn ix) c�b u lag OR 9 0 7/ (B) 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. /1//A 3►WHERE MOBILE HOME IS TO BE LOCATED: // (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes CIP (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: 13,J1c /-I 7OUM AA/i S 0� LOCATION ADDRESS SS/ ��t?/IJ..CWOR.1i/ ()ACE- .& m pO'G tJ/ , /VA 70 3O � REAL P OPERTY PARCEL #/DESCRIPTION 90/ POP O D S goA id e,1 I C4A0 to S' LOT Signature of ap can THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician • N mon CO gun imil 2+x+0 +sxs2cxsz 2+x+0 �� • �^ o1 CPTZ =)avr. 0 1' OO CP T 9 -.sy w,� ro y , o_y____ 2. O -,;.- zi )20 L V L. )mic mini • 1 M o iv_____ civ :11 .41.g t;) ; t'ot--- ,' 1 -::,-t- h1si3#s �W.,iiiiik. 83HSVM N3AN0 LOAN 4213HSV Emil O O cv c. b o b Tj -s- b o k I EIDI I :::10 +6 x 52 30 x+0 ("• insi_ J 36 x 80 72 x 80 SLIDING 30 x+0 I GLASS DOOR O� O �O y • ® P ME s s • •JEFFERSOt 'OUNTY • • DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 �� 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment HINp �} JUL 1 i 2010 Master Permit Application MLA: 10.'0-1 I Project Description(in ude separate sheets as necessary): Tax Parcel Number: 9 /- 904- Property Size: / yC2e-- (acres/square feet)_ Site Address and/or Directions to Property: 6;s'/ /4r?4/scr/9,eT# t�,��,✓E -S 'c e i it/ t✓q f'38?` Property Owner(s)of Record: 13uTCI-1 7Oafrl//i/S • Telephone(2 OG) 778-341-87 /Fax: email: /4drW 6R /loPatiTMAtt(.v CO" Mailing Address: /S3 10 /11 P eA,444 ny\. ,o Q,J $Sz)u-r- 3o SC Tv,-r•U/•LA f Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation p uilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C)** tI Manufactured Home _❑ Modular . 0 Discretionary"D"or Unnamed Use Classification LI commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** El Home Business ❑ Cottage Industry ❑Binding Site Plan** El Propane ❑Long Plat** ❑ Sign - 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance El 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 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: —� pv_.DESIGNATION OF AGENT I hereby designate < e Ole to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/ nt 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 ehood 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 appli • that she wants prior notice. Signature: Q/I'✓J Date: The action or actions Applica 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 lake"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-tra fe .•:r • i ility for .dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. 'Signature: 410, Ilin " e7E,Gyi?�%l4-o Date: uuucrlo WiC444444 non iv-Ina to r,nn r.____I t._._ n_ •. 4 ,' .• ,....... . — AOBUILDER 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 CONTRACTOR OR MANUF.ACTURED HOME INSTALLER: PHONE: FAX: J)(16 RAO r k— °&ia-4 i i. I ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pr jest Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New El Wood Existing: '© 0 Sewer O Addition 0 Steel Proposed: Z. Bank 0 Community System O Alteration/Remodel 0 Concrete Total: 2 Height: ❑ Individual Sya e ❑ Repair 0 Masonry SEP Permit# ` `c ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Proposed: El Public Ty Heat: Total: • 2 Name of System:- 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 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 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. 3 n ,- ,, y,, Y Y 3k e+,� i s E �^ " i wT N' xt aS r `' eu w -t,��'t :; ri D"' , NNN r; Square Footage Current Proposed - !f1 rf��...? .,, ? , , ;,t� Ii 't,t5. ; -1Ri :�C,,41, Main Floor Heated c itiKEH Bld App Review: t_/,--- 080 r k, z Consisten Review: Floor Heated .`4,tq. cY 13 Base fee: v"� �� Other Heated R•ti;Y.��,r Q( Mezzanine , (. (,` ' (. -a Heated Basement PlanCheck fee: Unheated Basement 4 State Surcharge fee: . `,, tr 7 Pot Water Review fee: Other Unheatedfg: h tt .. SUBTOTAL Garage/Carport k -�'� ^ 0 _ 911/Rd Approach fee: Decks f kJ Other 'fl. 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