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HomeMy WebLinkAboutBLD2000-00561 • • 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 #: BLD00-00561 Received Date: 8/29/2000 SITE ADDRESS: 113 PORT HADLOCK HEIGHTS RD Issue Date: 9/14/2000 PORT HADLOCK, 98339 Expiration Date 9/14/2001 APPLICANT: RICHARD BROCKINGTON % BRODERS, INC 4503 OLD GARDINER RD SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: KEVIN ALLEN WAINS0075 Expires: 8/1/2001 1951 N NATIONAL CHEHALIS WA 98532 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: SKYLINE YEAR: 4, $ - . SIZE: 489 THIS PERMIT IS VALID FQR ONE' ND IS NOT RENEWABLE. THE FINAL INSPECTION McSTBi SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 9/14/2001. REQUIRED INSPECTIONS: [ ] '� g etbac�lcontinous footings are d) /( «/52b4.—zfeci)„,47 [ Blocking/Setpacks/Plumbi C �. ) / ,50 C) ` •, • t. s [ :] Final/Skirting/Vents/PorchesLs: .c?)Cr6'00Li PE,v 1,, 5a. iI ! ©o HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION BUILDING INSPECTION igAT-LINE 3794455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPE 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 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 t I MANUFACTURED HOME INSTALLATION PERMIT APPLICATION g NEW BUILDING/ ❑ REPLACEMENT SIZE "7 S A _q9/ C // YEAR Q do 0 MAKE S k y f i n COST Alt COSToa BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED TOTAL - TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER ❑ COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL INDIVIDUAL SYSTEM X Conventional � PUBLIC ��II PERMIT # SEP 0 Alternative Name of water system: I" r T IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT 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 DATE 4.1 2 000 NAME (PLEASE PRINT) �I G fl aid gro d ens Ri G hi kci. rvegi 41g/o4 FOR OFFICE USE ONLY BASE FEE /// Oo RECEIPT# '/ ADDITIONAL SECTIONS c3i '9 v U CASH/CK# } 'WO SUBTOTAL /7 6 , U 0 DATE 81' 0V POTABLE WATER Z. 30, 6 C 911/ROAD APPROACH - ` TOTAL 06,-0 0 H:\HOME\PLNCNTR\FO RMS\MOBILEAP.10/99 p ., i r t t MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00561 Received Date: 8/29/2000 SITE ADDRESS: 113 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: (360)797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: KEVIN ALLEN WAINSOO75 8/1/2000 (800)241-5187 1951 N NATIONAL CHEHALIS WA 98532 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 72,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 48 X 39 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Food Plane Routing Date: F&W Landslide S --�U -0o Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 08/29/00 34127 Add. Manufactured Home $29.00 MAM 08/29/00 34127 Li- a-4k PgFAI9B Water Application $30.00 MAM 08/29/00 34127 SEP 1 4 2000 Total: $200.00 Jefferson County Honing &Building Department is\F_BLD_App_Mob.rpt 10/29/99 y e 1 ..--- -......— BEDROOM BEDROOM FAMILY ROOM MORNING No. 2 No 3 16' ROOM 12' 12' i 8' I • OEN ommi ,_ •0 .REEZER 1:.,..; .. , , , I , [ I ; ' ? —111.1111 ____ ..‘; TILIT MM. \ \ I in , DEE'' VOLLAIE CREED 11; 0,:-,, , ._.,.- ,, , , ; I „ ; L imossimussomr IL d' d44 {i , 1 • i , *ASK/DRY i Op r I • Mii \Y--® •_,,-KITCHEN A A 4.(...\le... DUNG }Ili 1 oir f LT- AREA t , 1 I 1 1-- I (AV) I; * • MASTER , , I i —FOYER—, LIVING ROOM BEDROOM — -.in I 14'-8" I 14'-8" , : ',k\ i CORNER ' / ,1,4 Lt-i ! ! , ,, ,„. , 1 0 ----,--) ! , .._ GET OCTAGON RECESSED ENTRY '419CT/48-49'4"28-4814 3BEDROOM - 2BATHS (1,951 SO.FT.) ...r(' \{ lowiar RECESSED ENTRy 4 """"n"""""'. ILI I ....................--..,.''tp OPTION RECESSED ENTRY • STORMWATER CALCULATIONS Owner/Applicant: ('ttII h c'sr, 11 CI PROPOSED LAND DISTURBING ACTIVITY Site Address: I i� `.:�,4- iki1k;.c.k -4636 rQJ Drainfield area cleared sq.ft. '1),,f)' Driveway Length ft. X Width ft. 9 Digit Parcel Identification No.: 9.29sOo = Total Driveway sq.ft. Permit Number: Clearing and Grading for Site Development PLOT PLAN (Well/Structures/Utilities/etc.) sq.ft. /5.07Z; sq.ft. INDICATE the following information. Total Land Disturbance (30 sq.ft. Draw entire parcel to scale. Indicate scale of plot plan: One inch equals E IMPERVIOUS SURFACE Proposed Structures (all roof area) 7c.r sq.ft. E 1. North arrow Existing Structures (all roof area) sq.ft. • 2. All property boundaries and dimensions Sidewalks sq.ft. LE 3. Names of adjacent streets Concrete Patios sq.ft. ❑ 4. Driveway/s & parking spaces Proposed: LE 5. Major features such as ravines; Driveway Length ft. seasonal creeks, bodies of water, etc. X Width ft. u 6. Septic tank, drainfield and reserve area location, = Total Driveway fix,r4,•-y sq.ft. existing or proposed, and distance to Total Impervious Surface 2Lict sq.ft. closest structure 7. Sewer lines The Stormwater Manual sets forth the following Small Parcel Minimum Requirements: • 8. Wells and/or water lines • Construction Access Route Stabilization: LE 9. Neighboring wells within 150 feet Construction vehicle access shall be, whenever feasible, limited to one route. Access points shall be stabilized with LE 10. Paved surfaces (patios) quarry spells or crushed rock to minimize the tracking of 1 1. Structures, existing and/or proposed sediment onto public roads. If sediment is inadvertently transported onto public roads, roads shall be cleaned C 12. Setbacks (distances to property thoroughly at the end of the day by shoveling or sweeping. Street washing should only be done after the bulk of the boundaries, structures, banks, sediment has been removed by sweeping. and shorelines) • Stabilization of Exposed Soil: All exposed and unworried soil shall be stabilized by sodding, 13. Easements for access or utilities seeding, mulching, plastic covering, application of gravel base C 14. Arrows showing direction of slope-- on roads and driveways, or other appropriate means within seven days during the period from May 1 to September 30 assume an elevation of 100 feet at one and within two days during the period from October 1 to April lot corner and indicate the other lot 30. Mulch shall be applied to a minimum depth of two inches. • Protection of Adjacent Properties: corner elevations in relation to it Adjacent properties shall be protected from sediment deposition by appropriate use of vegetative buffer strips, sediment barriers or filters, dikes, mulching, or by a FOR APPLICATIONS ADJOINING SHORELINES, combination of these measures and other appropriate Best INDICATE: Management Practices (BMPs). • Maintenance: ❑ 15. Ordinary high water mark All erosion and sediment control BMPs shall be regularly inspected and maintained to ensure continued performance of Ei 1 6. Top of bank, if over 10 feet high their intended function. 17. Slope of bank in degrees • Other Appropriate BMPs as required by Jefferson County to mitigate the effects of increased runoff shall be applied. H:\HOME\PLNCNTR\FORMS\PLOTPLN.FRM9/97 .. MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00561 Received Date: 8/29/2000 SITE ADDRESS: 113 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODERS INC PHONE: (360)797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: KEVIN ALLEN WAINSOO75 8/1/2000 (800)241-5187 1951 N NATIONAL CHEHALIS WA 98532 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 72,000.00 YEAR: 2000 LABOR & INDUSTRIES APPROVAL? SIZE: 48 X 39 BANK HEIGHT: SEWAGE DISPOSAL: CON n"�, 1 4 C WATER SYSTEM: CITY I � PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions /v ' Prop: 2 Prop: 2 Wetland /0 Erosion TVb Total: 2 Total: 2 Seismic nTa Streams /►/O Flood Way wb Food Plane YVO Routing Date: F&W i✓O Landslide i. i -3o —06 Shoreline Na Aquifer 1YO Forest: Commercial 7✓0 Rural ,VO Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 08/29/00 34127 CrjcB1 A Add. Manufactured Home $29.00 MAM 08/29/00 34127 PgfAiS16 Water Application $30.00 MAM 08/29/00 34127 Total: $200.00 Review- OC� S� I:\F_BLD_APP Mob.rpt 10/29/99 Jefferson County Department of Community Development' * August 31, 2000 621 Sheridan Street, Port Townsend, WA 98368 (360) 379-4450 CRITICAL AREA STANDARD WAIVER Applicant: BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 983689778 Critical Area Review Case Number: CAR00-00387 Project Description: Manufactured Home Installation Parcel Number: 989500001 S-T-R: 11-29N-01 W Site Address: 113 PORT HADLOCK HEIGHTS RD PORT HADLOCK WA, 98339 FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on an identified critical area nor any associated buffers. CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County Ordinance 05-0509-94. CONDITION: The development shall as proposed and portrayed on the Universal Plot Plan. Deviation, additions or relocation of pr osed development activities will require further review pursuant to the Jefferson County Crib,al reas Ordinance. Department of Com unity Development Staff '\. c: File I:\F_CAR_Waiver_Standrd.rpt 12/13/99 I Ad Jefferson County Department of'Community Development 621 Sheridan Street, Port Townsend, WA 98368 CRITICAL AREAS QUESTIONNAIRE Applicant Name kj t h Sr_ l.ay- i,lr1 )( Building Application _ Land Use Application _ Shoreline Application On-site Sewage Application _ Subdivision Application Other: — 1 . Is there any standing or running water on the surface of the — Yes u No property or on any nearby property at any time during the year? If YES, please describe: 2. Has any portion of the property or any nearby property ever been _ Yes \( No identified as a wetland or swamp? If YES, please describe: 3. Are any willows, skunk cabbage, alders, or cottonwoods present — Yes )( No on your property or adjacent properties? If YES, please describe: 4. Are there any indications on any portion of the property or on any — YES ( No nearby property of rockslides, earthflows, mudflows, or landslides? If YES, please describe: 5. Please indicate which line best represents the steepest slope found on your property. (Check appropriate box) r 0 J r r i i / / / r / / / / / / n r / / / / / / �.�, r / / / / / / r / / / / / / / r / / / / / / / r r / / / / / / /4.j r r / i / / / , ,_/ / / r r i i i / / / // .'� mill / / // // �,] ____„ mill / / / / /. aril// / / // aril// /// / -�_________10 trill///// ///'-. trill//i//.//_ - ___ ______ .:--.,„5.____-----_---------------- (Questionnaire Continues on Back) Page 1 of 6. Does the site have steep slopes with little to no vegetation? YES Nc If YES, please describe: 7. Does the site contain high percentages of silt and/or very fine YES _ NC sand? If YES, please describe: 8. Does the site contain ground water seepage or springs near the _ YES _ NC surface of the ground? If YES, please describe: 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 anc shall occur during regular business hours. Signature Date FOR OFFICE USE ONLY Wetlands E Seismic CRITICAL AREAS ON OR E Aquifer Recharge Area (zone ) E Fish & Wildlife Area 1 IMMEDIATELY ADJACENT TO SITE: C Frequently Flooded Area 2 Fish & Wildlife Area 2 Erosion E Landslide Seismic ❑ Commercial Forest Section Township North Range Parcel Number: Parcel Size: Comprehensive Plan Land Use Designation: Reviewed by: Community Plan: Date: Page 2 of 2 h:'homeApincntrAforms\car.doc 1/00 31100.0..=.m..—imps. 8/•03 vx' w 1 l \ 7 its 7 ( 1 11 1. I. ( I ( ( 1 ( ( ( ( / ) ) ) V N 0 a,� 6R fi 1. z I '� w qi v 11) to N ., u 9,b$ a 0 Ny ► ► /t Wtr •+ In ..0 I i 15 b ./"/ J i 42 �� a 11 /2 �5. .� G Q w / v !s L.,/o •...i N N �q N \0 N a,,, N 11) M - ro r ) c'o ; 0 a I N to "° a h. 00 0- ZU T' r- I a;w -` o 4. c° GI 60 v o Gn y D a; E rtl 0 U -4 -4 -4 v x a x .4 -4 o M R3 ,y a. P.. ct a P. r a W a a a ...,..4 v N-- 3 ti P..( q0 -; N Q 0 p Q v 4_ •1 K v Q. ,�, cn b J �h 'a ...) t^ .• 0 1 v! 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