HomeMy WebLinkAboutBLD2000-00756 MANUFACTURED/ MOBILE HOME INSTALLATION APPLILATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00756 Received Date: 11/22/2000
SITE ADDRESS: 1915 W UNCAS RD
PORT TOWNSEND, 98368
APPLICANT: FINIS H BREWER PHONE: (360)732-4047
SUSAN L BREWER
PO BOX 644
CHIMACUM WA 98325-0644
SUBDIVISION: Block: Lot: T 8
PARCEL NUMBER: 902253006 Section: 25 Township: 29 N Range: 02 W
CONTRACTOR/ OWNER PHONE:
DEALER:
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW
VALUATION MAKE: ��j m n T 'Atop 3 F SETBACK:
YEAR: d.00
SIZE: BANK HEIGHT:
LABOR & INDUSTRIES APPROVAL? bQ X Z
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
Prop: Prop: AREA Plat Conditions
Wetland Erosion
Total: Total: Seismic Streams
Flood Way Food Plane
Routing Date: F&W Landslide
// Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt:Manufactured Homes $141.00 MAM 11/22/00 35507rA ?jVED1
Potable Water Application $30.00 MAM 11/22/00 35507
Total: $171.00 I,AN 2 6 ?001
JEFFER T —
DEPT. OF COM UNI D OP ENT
SIGNATURE:
is\F_BLD App_Mob.rpt 10/29/99
MAR-16-2001 14:39 WASHINGT❑N HOME CTR P.02
I
,LEFFrASQty COUNTY„COMnni 1NITY DEVEI QPMENT 027.aERIL1AN S ...PORT TOV 12.ENO WA 9B36e
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
NEW aUlLDlNG C3 REPLACEMENT
SIZE .r 3 7 /4- ' x f G
YEAR �c ram;,
MAKE kedn14 Ai
COST .` 4,5Z Z — _--
BEDROOMS: R4THROOIUIS
EXISTING GXISTrNG
PROPOSED PROPOSED
TOTAL TOTAL .2
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM PRIVATE WELL 0 TWO NARY WELT.
U INDIVIDUAL SYS I EM 0 Conventional Q PUBLIC
PERMIT# SEF' b Altettlativo Name of water system: /f-'c/
IF WATERFRONT PROPERTY,
/
DIET ANCE TO BANK OR HIGH WATER LINE f � it SANK HEIGHT ' /,. 4S ft
Sy Wing the oppiicetlnn form, the applicant/owner attests that the infermatiw provided ',emir is trim and correct iv the boat of their
k,nowluCdp, Any material faWehood er any on asiort of a material fact made by the nppficent/owner with rgfpect to this applicailon pac_kcr
rnuy result in ihi4l pwrrnrt tieing null and void,
t further agree to Dave. indemnify and hold hat:1110:s Jefferson County ayainnt all Liabilities, judgments, court costs, reasonable attorney': fires
and exprnseeg wh(Ch May In any way arrcrue against Jefferson County as a result 01 or in cun:oquance of the granting of thin permit.
I further agree to drovide uecess and rioht or entry to Jefferson County and it's employees, rtprm:nntativee or awls for the purpose of
alipGcrrtion review and any regulred later fn5rnrtinns. Access and nnitt of entry to the applicant's property or structure shall be ruquusrnd and
sheH occur during regular businesa ors.
.:,-----'� r
SIGNATURE ,4 , , .4-t C rr( DATE :� 'l b —0/
NAME (PLEASE PRINT)
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rADDI'I'iONAL SECTIONS CASEII CK if ; 1,' ' y 1rJ '
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SUBTOTAL DATE / '+ �Ilttlr rt
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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 #: BLD00-00756 Received Date: 11/22/2000
SITE ADDRESS: 1915 W UNCAS RD Issue Date: 1/26/2001
PORT TOWNSEND, 98368 Expiration Date 1/26/2002
APPLICANT: FINIS H BREWER
SUSAN L BREWER
PO BOX 644
C H I MAC U M WA 98325-0644
SUBDIVISION: Block: Lot: T 8
PARCEL#: 902253006 Section: 25 Township: 29 N Range: 02 W
CONTRACTOR/ OWNER PHONE:
DEALER
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
MAKE: ekman sb Li 603 F
YEAR: 2001
SIZE: (06 7(-22
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 1/26/2002.
REQUIRED INSPECTIONS:
El" Setbacks: e / /
[I-t Footing(If continous footings are used):_ S''Z 6 0 K V 45 d/
[ ] Blocking/Plumbin :
[ final/Ski ling/Vents/Porches/Steps: c— 6- —0
HEALTH DEPARTMENT 'PPROVAL 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.
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 #: BLD00-00756 Received Date: 11/22/2000
SITE ADDRESS: 1915 W UNCAS RD
PORT TOWNSEND, 98368
APPLICANT: FINIS H BREWER PHONE: (360)732-4047
SUSAN L BREWER
PO BOX 644
CHIMACUM WA 98325-0644
SUBDIVISION: Block: Lot: T 8
PARCEL NUMBER: 902253006 Section: 25 Township: 29 N Range: 02 W
CONTRACTOR/ OWNER PHONE:
DEALER:
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SETBACK:
VALUATION YEAR: BANK HEIGHT:
LABOR & INDUSTRIES APPROVAL?
SIZE:
SEWAGE DISPOSAL: ALT V--C ( • Tip
WATER SYSTEM: PWELL
PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO
Exist: Exist: AREA Plat Conditions
Prop: Prop: Wetland Yo PEWiC. Erosion Y
Total: Total: Seismic J 141) Streams 7 S r t
Flood Way'I Food Plane . --/DeVik
F&W IA
Landslide
Routing Date: // _j2______Od Shoreline NO Aquifer r5 -St EPA
Forest: Commercial 140 Rural 1.,'6
ate
Type Amount Paid By: Date: Receipt: Apfproved/D
ed q
Manufactured Homes $141.00 MAM 11/22/00 35507
Potable Water Application $30.00 MAM 11/22/00 35507 f
Total: $171.00
...0 Few:^.
i:\F_BI.D App_Mob.rpt
10/29/99
4:„
•
<. son County Department of Community Development January 11, 2001
heridan Street, Port Townsend, WA 98368
379-4450
FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED UNDER THE
JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE
Applicant: FINISH BREWER E C E Q (�
SUSAN L BREWER L`�
PO BOX 644
CHIMACUM WA 98325-0644 ' JAN 2 Zpp�
Critical Area Review Case Number: CAR00-00506 � ___�
Project Description: new mobile home DEP JEFrPw'�ON CLLh,
T. OF COMMUNITY LEVE OPM NT
Parcel Number. 902253006 S-T-R: 25-29N-02W
Site Address: 1915 W UNCAS RD
PORT TOWNSEND WA, 98368
FINDINGS:
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 11/22/00 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: wetlands along stream, seismic hazard, type
1 stream (Snow Creek), flood hazard area, susceptible aquifer recharge area.
2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject
property on 12/05/00 and 12/14/00 and confirmed the existence of the following critical areas and/or their
associated buffers on the property: type 1 stream (Snow Creek), flood hazard area.
3.) 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).
4.) An elevation certificate is on file which states that the 100 year flood does not extend beyond the the
current top of bank of the existing Snow Creek and the site is not subject to flooding under FIRM criteria.
5.) A revised site plan was prepared and is on file showing the proposed manufactured home and the already
constructed drainfield. All development is shown as being at least 150 feet from the easterly edge of Snow
Creek.
6.) The potential for an earthquake of a high magnitude occurring in western Washington in the near future is
considered a high probability by regional experts.
This waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is granted subject to the
following conditions. Any deviation from these conditions shall result in this waiver being revoked and the
application becoming subject to further review.
CONDITIONS OF APPROVAL:
1.) A setback (buffer) of 100 feet, measured perpendicularly from the ordinary high water mark along the bank
shall be permanently maintained as a fish and wildlife habitat area.
2.) Fish and wildlife habitat area buffers shall remain naturally vegetated. Should buffer disturbance occur
during construction, replanting with native vegetation shall be required by the Critical Area Administrator.
No alteration shall be made to the fish and wildlife habitat area buffer without prior authorization by the
Critical Area Administrator.
5.) All construction activities, including the storage and preparation of materials, shall not encroach upon the
designated fish and wildlife habitat area, its associated buffer, or any critically important plants and trees
identified on the subject property.
4.) Flood proofing measures are to be used as required by the Jefferson County Flood Damage Prevention
Ordinance.
5.) All new construction shall use construction methods which minimize flood damage.
6.) Fully enclosed area below the lowest floor that are subject to flooding are prohibited unless designed to
automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of
floodwater. Designs for meeting this requirement must either be certified by a registered professional
engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a
total net area of not less than one square inch for every square foot of enclosed area subject to flooding
shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings
may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic
entry and exit of floodwater.
7.) All new construction shall: a. be anchored to prevent flotation, collapse, or lateral movement of the
sturcture. b. be constructed with materials and utility equipment resistant to flood damage and potential
damage to adjacent properties. c. be constructed using methods and practices that minimize flood damage.
d. have structural components capable of resisting hydrostatic and hydrodynamic loads and the effects of
buoyancy. e. electrical, heating, ventilation, plumbing, air-conditioning equipment, and other service
facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or
accumulating within the components during conditions of flooding.
(4,10.A1(..im / / vt 7.70I
Warren Hart, AICP 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:pepartment of Community Development.
/// /
Applicant's Signature Date
c: File
is\F_CAR_Waiver_W_Conds.rpt 12/13/99
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I Jefferson County Department of C:Immunity Development
/"" oN c0G 621 Sheridan Street,Port Townsend WA 98368 (360) 379-4450
2.
Universal Plot Plan
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Fill in the following blanks as completely as possible:
Project Description:
9 Digit Parcel Identification Number (from your tax statement):
Site Address
911#: I ' Road Name: /4/.. (id Cif 5 RD, Zip Code: 9'g 613
Legal Description
Subdivision Name: Block: Lot(s):
Section: ) Township: 2.9 Range: c
Parcel Size (acres or square footage): 2 ,
Property Owner: fi 5 14 < Phone:
Mailing Address: `i y ,
Applicant/Occupant: Phone:
(if different from owner) ',q ,
Mailing Address:
Authorized Rep: Phone:
Mailing Address:
General Contractor:
Or Manufactured Home Installer: Phone:
Mailing Address:
Contractor's State License Number: Expiration Date:
Septic Designer: Ph ne:
Mailing Address:
Architect:/Engineer: Phone:
Mailing Address:
Loan Lender/General Phone:
Contractor's Bond Holder: Lk) ( � '
S�li11CtC r1 �tclCi ��
MailingAddress:
ress: 7C C 5c1 fiof`-[ lC offsf lc ', (C)-f1
FOR OFFICE USE ONLY
Fire District: Planning Area: School District: Zone:
1/00 H:\home\pincntr\forms\universal plot plan