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HomeMy WebLinkAboutBLD2000-00778 . . cA--a-09- o-052 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00778 SITE ADDRESS: 136 GEREAUX LN Received Date: 12/5/2000 QUILCENE, 98376 APPLICANT: GARY ELMER 5111 NE 201ST PL PHONE: (206)543-2055 LAKE FOREST PARK WA 98155-1817 SUBDIVISION: PARCEL NUMBER: 501 Block: Lot: 15 Section 3 Township: 25 N Range: 01 W CONTRACTOR: STEVE REED CONSTRUCTION INC 10129 273RD AVE SE PHONE: (425)359-3435 MONROE WA 98272 o iticrutor Lis cense STEVERCO24B2 Expires 01/22/2001 ARCHITECT/ STRATUM GROUP ENGINEER : 1451 GRANT ST BELLINGHAM WA 98225 PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 57,000.00 MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE. OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE. SHORELINE: DECK: SETBACK: 90 SEWAGE DISPOSAL: ALT r� l BANK HEIGHT 90 WATER SYSTEM: PWELL BEDROOMS: PARCEL TAGS: YES _NO I BATHROOMS: STORMW•T YES Exist: Exist: Wetland T � N P A Prop: 2 Prop: 2 Eros .n Total: 2 - -- : Seismic � - Flood Streams 44 . Total: 2 Flood W Y _ Plar no Routing Date: t Landslide -/Z, — F8�W t SOD Shoreline (MI ^• •quifer Forest: Commercial v .j� RuraP � Type Amount Paid By: roxl V dons Date: eceipt: APpaovew ce -------- Manufactured Homes $141.00 MAM 12/05/00 35561 �s-3 Potable Water Application $30.00 MAM 12/05/00 35561 ,.4/ Total: $171.00 ' k" ' 4 ' (4‹: ''.:4 e, • l: BLD_APP_Bld.rpt 10/29/99 Jefferson County Department of Community Development January 25, 2001 I FP n 621 Sheridan Street, Port Townsend, WA 98368 ( (360) 379-4450 JAN 2 9 2001 FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED U DER THE JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDIN NCE Ct- .,LiaT Applicant: GARY ELMER 5111 NE 201ST PL LAKE FOREST PARK WA 98155-1817 Critical Area Review Case Number: CAR00-00521 Project Description: manufactured home installation Parcel Number. 501031016 S-T-R: 3-25N-01 W Site Address: 136 GEREAUX LN QUILCENE WA, 98376 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 12/05/00 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: Eagle Habitat, Shoreline (Conservancy), Susceptible Aquifer Recharge Area, and Landslide Hazard Area 1,2, & 3. 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on 12/27/00 and confirmed the existence of the following critical areas and/or their associated buffers on the property: Shoreline, Landslide Hazard Area, and Susceptible Aquifer Recharge Area. 3.) A Geotechnical Report was submitted in conjunction with this application. Said report recommended a 50-foot setback from the top of the landslide hazard area and a 25-foot setback from the top of the ravine. However, the Jefferson County Shoreline Management Master Program requires a setback of 90-feet form the top of the shoreline bluff. 4.) 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. 5.) 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. 6.) 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). 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. 9.) The bluff height is 90-feet. The required setback from the top of the bluff is 90-feet as stipulated through the Geotechnical Report conducted by the Dan McShane of the Stratum Group. - v z�oz�a1 WaFren 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. Applicant's Signafure Date c: File i:\F_CAR_Waiver_W_Conds.rpt 12/13/99 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 #: BLD00-00778 Received Date: 12/5/2000 SITE ADDRESS: 136 GEREAUX LN Issue Date: 2/21/2001 QUILCENE, 98376 Expiration Date 2/21/2002 APPLICANT: GARY ELMER 5111 NE 201ST PL LAKE FOREST PARK WA 98155-1817 SUBDIVISION: Block: Lot: 15 PARCEL#: 501031016 Section: 3 Township: 25 N Range: 01 W CONTRACTOR/ STEVE REED CONSTRUCTION INC PHONE: (425)359-3435 DEALER 10129 273RD AVE SE MONROE WA 98272 Contractor's License STEVERCO24B2 Expires 01/22/2002 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: SILVERCREST YEAR: 2001 SIZE: 27 X 42 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 2/21/2002. REQUIRED INSPECTIONS: ��l [(, H C(S' e2/� C.SA/U 7e,'t/Nl-7 3�.Z!/D( 2—CZ5 [ Footing(IfContinousfootingseare-u�eit}:c ll ?/z,yy/ 1,d2.:(-.D<,g15 /4n/ct/otr [t]�- Blocking/Plumbi :�,(- /'//©( , 0 [ it ng Ven-ts/Porches : Ck /494. 411111f HEALTH DEPARTMENT APPROVAL REQUIRED RIO/TO FINAL INSPE ION 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 1 . BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00778 Received Date: 12/5/2000 SITE ADDRESS: 136 GEREAUX LN QUILCENE, 98376 APPLICANT: GARY ELMER PHONE: (206)543-2055 5111 NE 201ST PL LAKE FOREST PARK WA 98155-1817 SUBDIVISION: Block: Lot: 15 PARCEL NUMBER: 501031016 Section: 3 Township: 25 N Range: 01 W CONTRACTOR: STEVE REED CONSTRUCTION INC PHONE: (425)359-3435 10129 273RD AVE SE MONROE WA 98272 Contractor's License STEVERCO24B2 Expires 01/22/2001 ARCHITECT/ STRATUM GROUP ENGINEER : 1451 GRANT ST BELLINGHAM WA 98225 PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 57,000.00 ADD'L: HEAT TYPE: CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: 90 BANK HEIGHT: 90 SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 2 Prop: 2 Seismic Streams Total: 2 Total: 2 Flood Way Flood Plane F&W Landslide Routing Date: I c0O 2rj Shoreline Aquifer IG�✓ Forest: Commercial Rural —Proximity - flat C d tions Type Amount Paid By: Date: Keceipt:— ve tuate Manufactured Homes $141.00 MAM 12/05/00 35561 Potable Water Application $30.00 MAM 12/05/00 35561J4PP \/ED Total: $171.00 FEB 2 1 2001 J E' • •U DEPT.OFC2 dr` N /Ia 0 NT SIGNATU'4 _ ,,.v: i I ! / , ( is\F_BLD_App_Bld.rpt 10/29/99 • • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT SIZE ( //34 [I, YEAR Q©/ MAKE $, LvercresT 5V- 5-P COST 0o • op BEDROOMS: BATHROOMS: EXISTING - EXISTING PROPOSED PROPOSED c TOTAL TOTAL cZ TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM ) ' PRIVATE WELL 0 TWO PARY WELL INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC p PERMIT # SEP ?Nee l Alternative Name of water system: IF WATERFRONT PROPERTY, C� DISTANCE TO BANK OR HIGH WATER LINE ( O ft BANK HEIGHT 90 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 requred later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular bu ess hours. �y SIGNATURE • 1'Yt, `G'� (',9t e4L7"--) DATE /2-52-60 NAME (PLEASE PRINT) j'• /Y/. 'pel FOR OFFICE USE ONLY BASE FEE RECEIPT# it ADDITIONAL SECTIONS CASH/CK# SUBTOTAL 1 DATE ,J Z1 1 / 2. Lrz POTABLE WATER rjtr' pp_of?". 911/ROAD APPROACH TOTAL 14"I H:\HOME\PLNCNTRIFO RMS\MO BILEAP.10/99 f PLEASE MAIL TO: OFFERSON COUNTY ASSESSOR JACK WESTERN 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: G y E f!ry16 The purpose of this questionnaire is to obtain information aQ/ 5T�� regarding either the current location of a mobile home or the ADDRESS: 7/ /U previous ownership and location of a mobile home. This will Lae- ���i✓�S��R�� J MI- 98/�� help our office determine whether the mobile home is already L. 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: 6X0-363 —7108(o additional information. 1) MOBILE HOME DATA: (A) MAKE 5/?1./e✓ re5r (B) MODEL 5v s8 (C) YEAR ,,,Z010( (D) LENGTH Z (E) WIDTH 7 (F) SERIAL NUMBER & /3ccil — (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 6 1j CSC 2 tOO (H) PURCHASE DATE DR Deg"Dtt-T 2) PREVIOUS OWNER / LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO (IF NO,WHAT COUNTY? V4 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 81 ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: e(/ 61_171 ER LOCATION (ADDRESS) 136 'ereR-1r u LI&e QurLeiuE 9837k, REAL PROPERTY PARCEL NUMBER/DESCRIPTION 5-0/--03/"Q/cj, THANK YOU FOR YOUR HELP! -/h � �,,�t- /2.--Pcb SIGNATURE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. w O o -' O �a _-.-_ ri0,X,,,,&,,.o._.,,„---, ".,..<0\.\-----.)r--0_-\ :-3 __*_:, ._- *_*_‘ _ ___ __..... E �' 4 \� o \ \0U M N 0 \ II / Li N 0 k 0 u. \ I_ as, Jr_ \\ J . _ i fI g j .� n c 2 i 1--, k F �. ro • \ ti g f oc' w Ms VS‘ \ J \ n C Z " I G (th 1 t,, \ :21( --z, \ X 0 r- \- \_. 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