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HomeMy WebLinkAboutBLD2012-00137 • • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD12-00137 SITE ADDRESS: 414 PETERSON RD Issue Date: 06/14/2012 PORT TOWNSEND, 98368 Final Date: 9/11/2012 APPLICANT: RICHARD G GERMEAU PHONE: 360-732-4393 474 PETERSON RD PORT TOWNSEND WA 98368-9761 SUBDIVISION: JAKE'S BACK FORTY SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 801061010 Section: 6 Township: 28 N Range: 01 W PROJECT DESCRIPTION: NEW Manufactured Home 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 ON 9/11/2012 \\tidemark\data\forms\F_BLD_Occu pa ncy.rpt 9/12/2012 •UILDING PERMIT APPLICAIIN Review 00095 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD12-00137 Received Date: 4/30/2012 SITE ADDRESS: 414 PETERSON RD PORT TOWNSEND, 98368 OWNER: RICHARD G GERMEAU PHONE: 360-732-4393 474 PETERSON RD PORT TOWNSEND WA 98368-9761 JAKE'S BACK FORTY SHORT PLAT SUBDIVISION: Block: Lot: 3 PARCEL NUMBER: 801061010 Section: 6 Township: 28 N Range: 01 W CONTRACTOR: AMERICAN HOME CENTER PHONE: (253) 841-3600 16311 MERIDIAN E PUYALLUP WA 98375-6202 Contractor's License AMERIHC9780C Expires 9/3/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW M/H TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: 1,512 CODE EDITION: 2009 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2PARTYWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: _ Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $222.00 LYK 04/30/12 131685 APPROVED Potable Water Application $64.00 LYK 04/30/12 131685 Total: $286.00 JUN 14 2012 iefferson County Planning Building Department MANUFACRED/MOBILE HOME INSTAATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD12-00137 Received Date: 4/30/2012 SITE ADDRESS: 414 PETERSON RD Issue Date: 6/14/2012 PORT TOWNSEND, 98368 APPLICANT: RICHARD G GERMEAU 474 PETERSON RD PORT TOWNSEND WA 98368-9761 SUBDIVISION: JAKE'S BACK FORTY SHORT PLAT Block: Lot: 3 PARCEL#: 801061010 Section: 6 Township: 28 N Range: 01 W CONTRACTOR/ AMERICAN HOME CENTER PHONE: (253) 841-3600 DEALER 16311 MERIDIAN E PUYALLUP WA 98375-6202 Contractor's License AMERIHC9780C Expires 9/3/2013 PROJECT DESCRIPTION: NEW Manufactured Home MAKE: MARLETTE YEAR: 2012 SIZE: 56X28 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. Office Hours 9:00 -4:30 MONDAY-THURSDAY 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 7_9-/ Erosion Control MH Foundation l_ (2 a Blocking&Tie Down 7 )/ ( i?rj Skirting&Ventilation C 1t..`/_lZ /c-ç —Gas-Erne: E*terior (( / 1 —Pr uparie Tdrtir- - uTost- Drywell/Alt Drainage c Address Posted /q Water Meter Inspection 7 . //_j_ fro ,24,1 L FINAL INSPECTION ci izo> FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • SPECIAL CONDITIONS CASE # BLD12-00137 1.) This building approval accounts for 360 GPD of septic system capacity, as designed and approved SEP12-22 is sized for only one single family residence 480gpd. It is not sized for an Accessory Dwelling Unit (ADU). The minimum daily design flow per residence is 240 GPD. 2.) 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. 3.) A Conversion Option Harvest Plan was approved for this property on April 16, 2007. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on June 13, 2012 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: Category II Wetlands/Pond (greater than 450 feet from home site); Susceptible Aquifer Recharge Area. 5.) 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. 6.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 7.) 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. 8.) 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. 9.) The applicant is proposing to create or add 1,568 square feet of impervious surface and 1,700 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.) 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. 11.) 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). 12.) The site plan as submitted wits Building Permit application on April 30, s 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 June 13, 2012 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) 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. 14.) The parcel has been designated as Rural Residential 1:10 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 15.) 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 The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. 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. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) Not more than 2 unlicensed vies shall be stored on any lot unless totall.eened 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. 18.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) The building height is not to exceed 35 feet. 21.) Building setback from Peterson Road is no less than 20 feet. Side and rear setbacks are no less than 5 feet. 22.) A setback of 150-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 23.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. �`?SON cot, JEFFERSOOUNTY • IA • [ %\, j DEPARTMENT OF COMMUNITY DEVELOPMENT _ `3 v ` '� 621 Sheridan Street • Port Townsend •Washington 98368 • 360/379 4450 • 360/379-4451 Fax q O� www.co.jefferson.wa.us/commdevelopment SZING�S Master Permit Application MLA: IQ -95 Project Description (include separate sheets as necessary): �.w m4 • Tax Parcel Number: z7( 06 1010 Property Size: 70 ,6 (acres/square feet) Site Address and/or Directions to Property: q//L/ Ye/P.C.-SOP/ 1—/ ;? ✓ - / Ow4J el GJ4-_ , 5 2,136Er Property Owner(s)of Record: 1 >,(.,n rcQ. (� (�'J ec,L./ Telephone: 360 "73Z-113 I Fax: _ email:/"L er-lMece-U6yq �, a.c0�t/ Mailing Address: '/7`1 Pe.-1--"e cs©v? �c� CT- >(�W�JJ-e-' (, CJ z , 96-'3 6g- -Applicant/Agent(if different from owner): R t e..j4 c.,re,L F . 6 e r-v ,,s4z. I Telephone: •2.7S- 9 6 36" Fax: email: ICI p-,','w E'cc,U,�j c.c V [i 04• c 0lry Mailing Address: f,.p • ' n , avi e, _ ) Lie.. . 3- -S cl G What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation 'Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Mr s -� _—7 ❑ Single Family 0 Garage Attached/Detached 0 Conditional Use[C(0),jj d %,� g 1 Manufactured Home -0 Modular • - 0 Discretionary"D"or U'�rjarhe se assr ❑ Commercial* 0 Special Use(Essen republic Facilities)** ❑ Change of Use ❑ Boundary Line Adju )r'n p ❑ Address 0 Road Approach_ ❑Short Plat** I APR 3 0 �Q2 ❑ Home Business 0 Cottage Industry 0 Binding Site Plan* u U j 0 Propane ❑ Long Plat** FrrF �� ❑Sign 0 Planned Rural Residential-p �rrhprtnAnI� Ft )/Amendments** ❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration- �(YF rn'r '� i-L I(U'DMr fT ❑ Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑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 0 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 (Zs)()tick-at F - �l tin ei-,Uto act as my agent in matters relating to this application for permit(s). \AWNER SIGNATURE �- C2 Date: Zi`2 -t—/L 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 appli ion t at he 'r she nts prior notice. c \Aignature: o,s =f Date: /!/�[- / IL 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 wi ti'the Je erson County development code.The Applicant acknowledges that he,she or it holds individual and non-trarlsfera e r ponsibilit for adhering t 'nd complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. )(Signature: Date: g. 7.2.9-/L---- • • 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: Y Date: — —2 ( / 2 li GENERA CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: _fiire,// 4,fr9 _h 'i e �.�4 Ie(--- (2.5))act/-340,0 �s3),?4,is -- JY-3.5'- 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 ❑ Wood Existing: 4— 0 Sewer E Addition 0 Steel Proposed: Bank 0 Community System C Alteration/Remodel 0 Concrete Total: 2 _ Height: x Individual System ❑ Repair 0 Masonry SEP Permit# I Z-2Z. _ Demolition 0 Other: Bedrooms: Water Supply: Existing: ,g Setback: K Private well 0 Two Party Type of Heat: Proposed: 0 Public {2C�e_IC Total: Name of System: knob 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 1 Cook Stove i Woodstove 1 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 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: 1512 - r 2"d Floor Heated Consistency Review: n n Other Heated Base fee: C�p9(p0( Mezzanine Additional Section: , Heated Basement Plan Check fee: —__— Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: i b3. Garage/Carport SUBTOTAL (0. 3 - Decks 911/Rd Approach fee: __-- _.. Other TOTAL: $ CLa3 Receipt Number: 1 Cash/Check Number: .2-( :).S0 ESTIMATED COST(REQUIRED) Date: *Fair market value of all labor and materials foundation to finish L. Initials: _ JACK WESTERMAN III • .Jefferson Coultourtl►ouse ASSESSOR PO lox 1220. Port Townsend. WA 983(ili (360) 385•9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: /2 4 VA(cx &e_c mead.) ADDRESS: ? `7 P�4-0 isa 0 AO PT. TN..,ir2 �-e4.,4' ;.J(:,, . qt,t2 6 e PHONE NO. 366' - 73 Z - 113 53 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: re dot. Sefe • - (A) MAKE f 2 ( `Q W e (B) MODEL 7-0 S H (C) YEAR 2-9 ] 2- (D) LENGTH 5b' (E) WIDTH 2. (F) SERIAL # N€ti--027c(AI o 1W 1 (G) YOUR PURCHASE PRICE (Do not include sales tax) 119) 0 09 , PURCHASE DATE(1 f24//2-, 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 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 (B)IF LOCATED IN MOBILE HOME PARK: NAME dr. ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: 1,Ii/h Cl. CleIVY) .' &) LOCATION ADDRESS t/iq eA e'fJOn PT. i©()v), e. �Ce �f34S REAL PROPERTY PARCEL #/DESCRIPTION $ Dfi b 0 10G.I 01 0 D EC _ AV 1 / ,_ ,,`.,--, Signature of applicant WANK YOU FOR Y ILO HELP! 1 I LnurakiERWiM1Property Technician DFPT.OF COMMUNITY DEVELOPMENT ww,hwd) VW"PC.;*dE;L ,..LUCItrL/T_T .01AP-5:i V9SarIZ I 0 nSaLI-104\:1 • • TN NOUS COLCrilf gelT SWOISA`JATIU 77V ihrA Tivi -.A II / \ -.... =- - --, :s .15 ry TivialorlHs ;.. ...-"--- - -'--1---7-1-11 ..=.' '...t • ft-i, _ ;,......- , -0 :..... i-g . • • ..,,,, 8\ ,—,--- ,--:"- ...i Lizil I . ..- Ti.,....„ ...... I.. CI 1 , ....- 1 / 13 •••., t!g? 1 I ._ i. 6 -,7, iff ( „.., / _ -_-, „-:).. g ___,, -. 1..- -, _ 1:: z_.=,5--_--: jf,_ _ 7 s ,., r. = I , , , I j 1 i IsBi , t It' . 1 , . -' 8 I r....z.ci• I f Tsf. f -*-_,4 14 1 .a - I ....0,..... 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