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HomeMy WebLinkAboutBLD2010-00409 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 #: BLD10-00409 SITE ADDRESS: 5893 CENTER RD Issue Date: 01/31/2011 CHIMACUM, 98325 Final Date: 9/22/2011 APPLICANT: RYAN D KITCHEN PHONE: 360-381-0354 MANDY R KITCHEN 14516 STATE ROUTE 530 NE ARLINGTON WA 982235357 SUBDIVISION: Block: Lot: TX 7 PARCEL NUMBER: 801091005 Section: 9 Township: 28 N Range: 01 W PROJECT DESCRIPTION: M/H Manufactured Home - SER#ALB033179ORAB THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON9/22/2011 I:\F_BLD_Occupancy.rpt 10/29/19 MANUFA!URED/MOBILE HOME INSTIPLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD10-00409 Received Date: 12/20/2010 SITE ADDRESS: 5893 CENTER RD Issue Date: 1/31/2011 CHIMACUM, 98325 253 335- 9G9g APPLICANT: RYAN D KITCHEN MANDY R KITCHEN 14516 STATE ROUTE 530 NE ARLINGTON WA 982235357 SUBDIVISION: Block: Lot: TX 7 PARCEL#: 801091005 Section: 9 Township: 28 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: 253-219-2804 DEALER PROJECT DESCRIPTION: M/H Manufactured Home MAKE: CLAYTON YEAR: ,,2 SIZE: 60X30 Directions 1 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 Down 5 31/t (415 Skirting&Ventilation / Gas Line: Exterior Propane Tank Pressure Test Drywell/Alt Drainage c� Address Posted 1 I ;2r '1 y n1(50.. Ld oie atiky LJQs / FINAL INSPECTION ¶ \27fr FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY-SEE REVERSE •UILDING ,PERMIT APPLICA N ML 4 32 Rev iewiew T Tyype:I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00409 Received Date: 12/20/2010 SITE ADDRESS: 5893 CENTER RD CHIMACUM, 98325 OWNER: RYAN D KITCHEN PHONE: 360-381-0354 MANDY R KITCHEN 14516 STATE ROUTE 530 NE ARLINGTON WA 982235357 SUBDIVISION: Block: Lot TX 7 PARCEL NUMBER: 801091005 Section: 9 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP M/H TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,040 VALUATION CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2PARTYWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing jj Date: Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $213.00 LYK 12/20/10 120343 /\ P p R c v E c Potable Water Application $98.00 LYK 12/20/10 120343 /`� Total: $311.00 JAN - 1 1011 Jefferson County Planning & Building Department • • SPECIAL CONDITIONS CASE # BLD10-00409 1.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In Stream Flow Rule for that region. The parcel is located within the Chimacum sub-basin; as such, state regulations require the following: 1. Water use shall be limited to domestic use only, and such use shall not include outdoor irrigation. "Domestic use" means use of water associated with human health and welfare requirements, including water used for drinking, bathing, sanitary requirements, cooking, laundering and other incidental household uses, including potable domestic water requirements associated with commercial and industrial purposes. (WAC 173-517-150(8)) 2. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180) BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more information, see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on January 12, 2011 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: Susceptible Aquifer Recharge Area. 3.) 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) 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. 6.) 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. 7.) The applicant is proposing to create or add 3,240 square feet of impervious surface and 8,698 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through#5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 9.) 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 10.) The site plan as submitted v he Building Permit application on Decem4/20, 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 January 14, 2011 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 11.) 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. 12.) The parcel has been designated as Agricultural under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 13.) 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. 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 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. 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 10%. 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.) Building setbacks are no lesan 20 from the Center Road right-of-way.*e and rear setbacks are no less than 5 feet. 20.) Water line must be installed 10' minimum from any portion of the septic system, tank, sewer line, transport line and drainfield. JACK WVESTERMAN III • Jefferson Count? *Mouse %$4 ASSESSOR PO Box 1220, Port Townsend, MOBILE HOME INFORMATION FO `L c OWNER'S NAME/MAILING ADDRESS: oc 'Ckv° NAME: R Ln. 1 ► teArYt N { V e ,�tt v ADDRESS: 71 H41�'h«xd Cyre r�r + �.�lc1�( ► , 35- PHONE NO. o���— J235- 0'099 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will helpour office determine whether the mobile home is alreadyon the tax rolls in Jefferson County or if it has been moved to this county from another area. 1►MOBILE DOME DATA: (A) MAKE C‘ (II) MODEL f C S I LLB-(C)YEAR a009 (D) LENGTH ( 4E)WIDTH ((-) (F) SERIAL # LBO 331 [gOJ `g (G) YOUR PURCHASE PRICE (Do not include sales tax) 11q,0157 PURCHASE DATE'Cl �I PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE 14 W ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes No If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. 3►WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: P- t-X\ (j i1C\ Y 1 LOCATION ADDRESS 58'q3 C i1e REAL PROPERTY PARCEL #/DESCRIPTION Sv 1V 1 Signatur applicant THANK YOU FOR YOUR HELP! Lauralee Kiesel. Property Technician Opts. Oka,filitte. n tax (ii 11 C f +. VtI_ iii!' I ' rillill rhigh...10-Ow I / , tt • /I n / iiit4,,,„, . St rig Ct. , i AM � r It nii , *...,0.7.- 012 I ' :.,„ 444 at 41101111 ,, yyg N epos. i mi Iiii 4 IN at I II At 1us$ • 1 4' h 7/. b ��� f,,V. sainia a as am mangy sass- thMiiii. IIIIIIIIIII 11 ,Tif jI 4 _ Ii s III • ��g'SON �o JEFFERSON COUNTY heDEPARTMENT OF COMMUNITY DEVELOPMENT nillk 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax �� iIN� O� www.co.jeffersonwa.us/commdevelopment b Master Permit Application MLA: 0 r'Ll ) Z_ Project Descri tion(include separate is as necessary): (\ Tax Parcel Number: B Q 1 0 9 1 oO 5 Property Size: cid� . (acres/square feet) Site Address and/or Directions to Property: 5E3'7 3 (-ev t c Id' Chimct(o Y\ F) ciB3j . Property Owner(s)of Record: Ry avA 0-,Acd `�1/1c„el() 9 ict Izcil e vi Telephone(3(10\38 i O. y Fax: email: 11,1G,vlcit/ K(X,hCI')6 170—Nlctt 1 Mailing Address: .7 I ti tcj hlGiid_eiceen # 1 Pori- l udlc,w wn . tii33 's r CC)Y� Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ' Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a), C(d),or C]** Manufactured Home .0 Modular • - 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment n Fn ❑ Address 0 Road Approach 0 Short Plat** u u 2 U :; v ❑Home Business 0 Cottage Industry ❑Binding Site Plan** ❑ Propane 0 Long Plat** 0 Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 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 identify any other local,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. 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 applicati at he or h nts prior notice. ,-Signature: - Date: a//,3 /iv The action or a ons 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 s ns lity . radherjp o a pl i h th ESA. The Applicant has read this disclaimer and sig s and dates it below. Signature:. -- v Date: / • /6, fd • • 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 CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Dowe 0(A: C C k)h - me a Ma n i*j f.EMAIL: c-i ga( cicl..�tCn homcS .COi-vi MAILING ADDRESS: C i(,��h �m WAINS CONTRACTOR'S LICENSE CQ.ce ,w f9 C 85 1(D NUMBER: 500r14i e..l1 ( cic-d p150old `Of 5 NUMBER Oc (-0.3 .. ARCHITECT/ENGINEER: An o SIC rC' i ryie(Holo PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Project Type: y ❑ Sewer ❑ Wood Existing: `o New 0 Steel Proposed: 2 Bank ❑ Community System ❑ AdditionaiTotal: V. Height: Individual System ❑ RepaireratioNRemodel ❑ MaCosonrycrete SEP Permit# SEP l©"00l� ❑ 0 Masonry Bedrooms: Water Supply: ❑ Demolition 0 Other-, Bedrooms: Existing: Setback: ❑ Private well Two Party ���'"_ ��� Proposed: 3 ❑ Public Type of Heat Total: 3 Name of System: �lectr �- ,''rx�C� If this is a Commercial Project you must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Number of occupants(Includes owners,tenants,employees,etc) Current Proposed _, IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No tf 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/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all propertylines,buildings and septic system components, including the reserve area. ; , A , �� >_� ,r 1$ 3 r ; n S uare Footage Current Proposed ,� r _9 H. >, :. EH BId App Review: Main Floor Heated r 73. 0 o 262 Floor Heated `; �� Consistency Review: d 0 ' a Base fee: U Other Heated ( 3 ' Mezzanine ,0 ° Additional Section: Heated Basement 77=1A7 Plan Check fee: , 1 ,v i State Surcharge fee: ' Unheated Basement ; . `A�" '' Pot Water Review fee: Other Unheated �t 5L �0 r s` SUBTOTAL Q(� Garage/Carport 3`.. , r i 911/Rd Approach fee: R Y� � , Decks r; Other 4�, w TOTAL: 5 r,3 3 „ Receipt Number: '7�'1J(,{3 g tt., Cash/Check Number: Cksh , ESTIMATED COST(REQUIRED) Date: •�� .Fair market value of all labor and materials foundation to finish Initials: r..,n_..__'✓'_ \Ji44.4IFlIDTlC444+4\nun Fr1DTKC\!'. .T1DTl F..«..,•\AI Do«.,:.A....I:...«:..., ')O AQ.-1...- v L rn c) m �'�h E I ,. Z 0 a n , • w rn Q j'D(DUI- / at o C I i , Q a d9 m I ._ v 1 _ I --, n , al o eo to ri) L � it2 O Z - -P , I r aC ago s _ z LsJ , r. d -I o r \��ok i 1rTi A \`L l 3 ._ �s Cn IJx �y97. 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