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Home My WebLink AboutBLD2000-00458 G P IZ O-�CC3 i / MANUFAC JED/ MOBILE HOME I S7ALLATION APPLICATION _ -r-'- Je n County Department of/ or munity Development 6 1 heridan Street P T wnsend, WA 98368 PERMIT #: BLD00-00458 Received Date: 7/17/2000 SITE ADDRESS: -23 0 ADELMA BEACH RD PORT TOWNSEND, 98368 .APPLCANT: ELIZABETH GIBLER DAN KELLEHER PHONE: (360)385-4163 730 ADELMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 16 PARCEL NUMBER: 901051003 Section: 05 Township: 29 N Range: 01 W CONTRACTOR/ [DEALER: PROJECT DESCRIPTION TEMPORARY FAMILY HARDSHIP / 1-1 m 6,t eL,-.--.___. TYPE OF WORK MOB MANUFACTURED (HOME: SHORELINE: TYPE OF IMP NEW MAKE: KIT SETBACK: VALUATION 18,500.00 YEAR: 1992 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 14X56 SEWAGE DISPOSAL: ALT r WATER SYSTEM: CITY R 11 '� BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO ✓ STORMWATER: YES NO Exist: Exist: AREA Plat Conditions I!.- Prop: Prop: Wetland /7k:<, c 5,L. Erosion Total: Total: Seismic ✓. Streams Flood Way Food Plane F&W C , i,, Landslide I ; .3 Shoreline' ..,;- ," Aquifer .S,_y c C r' b 1 r Routing Date. — Forest: Commercial / Rural / `( 1 Proximity PP Type Amount Paid By: Date: Receipt: ApproveA ats-="'" 17, ' - .I Total:Manufactured Homes $141.00 LMB 07/13/00 32181 Cntjcal Total: $141.00 iri4lieWP.±.2iV) • is\F_BLD_App_Mob.rpt 10/29/99 • 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 (800) 831-2678 PERMIT #: BLD00-00458 Received Date: 7/17/2000 SITE ADDRESS: 728 ADELMA BEACH RD Issue Date: 9/5/2000 PORT TOWNSEND, 98368 Expiration Date 9/5/2001 APPLICANT: ELIZABETH GIBLER DAN KELLEHER 730 ADELMA BEACH RD SUBDIVISION: Block: Lot: T 16 PARCEL#: 901051003 Section: 05 Township: 29 N Range: 01 W CONTRACTOR/ DEALER PROJECT DESCRIPTION TEMPORARY FAMILY HARDSHIP MAKE: KIT YEAR: 1992 SIZE: 14X56 THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 9/5/2001. REQUIRED INSPECTIONS: [►�ooting/Sett si?(If continous footings are used): Ca-4-x--47 [ J CBlocking/Setbacks/Plum ['] Final/Skirting/Vents/Porches/Steps: �� 3G g' -e HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00458 Received Date: 7/17/2000 SITE ADDRESS: ADELMA BEACH RD a � PORT TOWNSEND, 98368 APPLICANT: ELIZABETH GIBLER PHONE: (360)385-4163 DAN KELLEHER 730 ADELMA BEACH RD PORT TOWNSEND WA 98368 SUBDIVISION: Block: Lot: T 16 PARCEL NUMBER: 901051003 Section: 05 Township: 29 N Range: 01 W CONTRACTOR/ DEALER: rv\uiok '- O ie// PROJECT DESCRIPTION TEMPORARY FAMILY HARDSHIP TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: KIT SETBACK: VALUATION 18,500.00 YEAR: 1992 LABOR & INDUSTRIES APPROVAL? SIZE: 14X56 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: Prop: Wetland Erosion Total: Total: Seismic Streams Flood Way Food Plane F&W Landslide Shoreline Aquifer Routing Date: Forest: Commercial Rural Proximity Approved/Date Type Amount Paid By: Date: Receipt: Manufactured Homes $141.00 LMB 07/13/00 32181 AP P v E fD Total: $141.00 (rj,ten SE? 0 52000 Jefferson County Planning a it;ling 9apErtnIc: t is\F_BLD_App_Mob.rpt 10/29/99 t. ' JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621'SHERIDAN ST_ PORT TOWN_SENQ WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT SIZE ,-6 YEAR l 9 92_ MAKE � T COST $ l g 5"o- BEDROOMS: BATHROOMS: EXISTING EXISTING "L PROPOSED PROPOSED 41. TOTAL / TOTAL :3 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 110 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM 0 Conventional PUBLIC PERMIT # EP%-03`0 ® Alternative Name of water system: CE .6 A 7. IF WATERFRONT PROPERTY, '6)14 DISTANCE TO BANK OR HIGH WATER LINE a OC? ° ft BANK HEIGHT 4/7 ft By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. SIGNATURE— k ( f, ZL . ��r�G l DATE , NAME (PLEASE PRINT) i L /;Z f1 fr Ty 6, 6-1,6 z.E/Q ' FOR OFFICE USE ONLY BASE FEE / ��C.<C RECEIPT# ADDITIONAL SECTIONS "0— CASH/CK# SUBTOTAL DATE POTABLE WATER 911/ROAD APPROACH Sy h TOTAL / 70. no Sg P x H:\HOME\PLN CNTR\FO RM S\MO BI LEAP.10/99 PLEASE MAIL TO: JEFFERSON COUNTY ASSESSOR JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOT A TAX STATEMENT NAME: The purpose of this questionnaire is to obtain information ,r� regarding either the current location of a mobile home or the ADDRESS: 2 3 Q < del rr? e4C A led 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. Please see reverse side for TELEPHONE NO: 2 additional information. 1) MOBILE HOME DATA: (A) MAKE I'\ _�, T (B) MODEL I V/c (C) YEAR / y 72 (D) LENGTH 5 (E) WIDTH (F) SERIAL NUMBER )3 / 7 8 (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 1 $e , 61-D (H) PURCHASE DATE 7///00 2) PREVIOUS OWNER / LOCATION OF MOBILE HOME: D (A) FROM WHOM DID YOU PURCHASE MOBILE La v� ew.J rS ADDRESS 8 S / L Old (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO. (IF NO, WHAT COUNTY? Cckliccs, IF YES, WHAT WAS PREVIOUS ADDRESS OF MOBILE? 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO (B) IF LOCATED IN A MOBILE HOME PARK: NAME 8i ADDRESS OF PARK //''//9 SPACE NO. 4/4(C) IF NOT LOCATED IN A MOBILE HOME PARK: / NAME OF LAND OWNER: !i/t`e t•-A i/4.--r'es LOCATION (ADDRESS) 730 /9eft-1; <E.,. 8C4c Rd. REAL PROPERTY PARCEL NUMBER/ DESCRIPTION -/ ./ 6 $ � Q 03 S� 330 Ta s. r 7; 2 9 // R w s- THANK YOU FOR YOUR HELP! ,614t-, SIGNAT E KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. fferson County Department of Community Development August 25, 2000 621 Sheridan Street, Port Townsend, WA 98368 gip) 379-4450 alECEOVE FINDINGS AND CONDITIONS OF APPROVAL AS REQUIR= DE HEM 8 2000 JEFFERSON COUNTY INTERIM CRITICAL AREAS 0-DIN NCE JEFFERSON COUNTY DEPT OF CCCMMUNiTY DEVELOPMENT Applicant: ELIZABETH GIBLER DAN KELLEHER 730 ADELMA BEACH RD PORT TOWNSEND WA 98368 Critical Area Review Case Number: CAR00-00311 Project Description: mobile home instJlation Parcel Number. 901051003 S-T-R: 05-29N-01W Site Address: ADELMA BEACH RD PORT TOWNSEND WA, 98368 FIN DIN GS: In accordance with the authority provided under subsection 4.101 and the requirements contained in Subsection 5.402 of the Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the referenced application: 1.) The application was reviewed by Jefferson County Permit Center staff on 7/17/00 for the potential presence of critical areas regulated under the provisions of the Ordinance, and the following critical areas were confirmed as potentially present on the subject property: Eagles, Landslide Hazard Area, Susceptible Aquifer Recharge Area, and Shoreline (Conservancy). 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on 8/02/00 and confirmed the existence of the following critical areas and/or their associated buffers on the property: Eagles, Landslide Hazard Area, and Shoreline (Conservancy). 3.) The proposed temporary mobile home (medical hardship) is more than 1500-feet from the eagle nest site, therefore Shelly Ament from WDFW will require a 1-page eagle amendment to the applicant's existing plan. 4.) Aquifer recharge areas in Jefferson County are characterized by porous geologic 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. 5.) Susceptible aquifer recharge areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. This includes any portion of Jefferson County with a DRASTIC index of greater than or equal to 180 points as determined using the U.S. Environmental Protection Agency DRASTIC methodology: Drastic: A Standardized System for Evaluating Ground Water Pollution Using Hydrogeologic Settings (EPA 600/23-87-035). 6.) These bluffs are considered unstable and are subject to catatrophic slides. The potential for an earthquake of a high magnitude occuring in western Washington in the near future is considered a high probability by regional experts. However, this proposal does not encroach upon the designated landslide hazard area. 7.) This waiver also includes findings and conditions for evaluation of shoreline areas as regulated under the provision of The Jefferson County Shoreline Management Master Program, adopted March 7, 1988, as amended. 8.) The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be 30 feet, or 1 foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank height exceeds 10 feet. The temporary hardship unit is placed outside of the shoreline jurisdiction. rn,.` erfrom the provisions of the Jefferson County Interim Critical Areas Ordinance is granted subject to the - ng conditions. Any deviation from these conditions shall result in this waiver being revoked and the �. 4.y ,Iication becoming subject to further review. CONDITIONS OF APPROVAL: 1.) Applicant shall fully and completely adhere to all the conditions and requirements of the eagle habitat management plan which have been agreed upon between the applicant and the Washington State Department of Fish and Wildlife. kuriem/4,1 arren Ha _./., / ,/jj--(,) Date Critical Areas Administrator I understand that the granting of the above waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is made subject to my complying with the above listed conditions, and that any violation of said conditions shall result in revocation of the permit or approval and further review of the project under the Critical Areas Ordinance. Please sign and return to the Department of Community Development. Applican . Signature Date c: File I:\F_CAR_Waiver W_Conds.rpt 12/13/99 ANNENNimmil l' '' Z.. 1:,. '? ''''. 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