HomeMy WebLinkAboutBLD2002-00162 • , ,
• M LA02-00149
Review Type:I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00162 Received Date: 3/26/2002
SITE ADDRESS: ' CEDAR AVE
PORT HADLOCK, 98339
APPLICANT: GERTRUDE B ADAMS PHONE: (360)385-4088
94 ALDER DR
PORT TOWNSEND WA 98368-9460
SUBDIVISION: HARRISBURG Block: 10 Lot: 12
PARCEL NUMBER: 956701003 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ OWNER PHONE:
DEALER:
REPRESENTATIVE:
PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SETBACK:
VALUATION 18,700.00 YEAR:
LABOR& INDUSTRIES APPROVAL?
SIZE: BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
Prop: 3 Prop: 2 AREA Plat Conditions
Total: 3 Total: 2 Wetland Erosion
Seismic Streams
Flood Way Floodplain
Routing Date: F&W Landslide
2 7 kf2-- eye_______
Shoreline Aquifer
^Type Amount Paid By: Date: Receipt: , AP '`�
011Eu
Manufactured Homes $141.00 MAM 03/26/02 46281
Potable Water Application $30.00 MAM 03/26/02 46281
Total: $171.00
A PR 1 6 2002
il 1
JEFFERSON COUNTY
DEPT.OF COMMUNITY DEVELOPMENT
SIGNATURE:
• S
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 #: BLD02-00162 Received Date: 3/26/2002
SITE ADDRESS: 91 CEDAR AVE Issue Date: 4/15/2002
PORT HADLOCK, 98339
APPLICANT: GERTRUDE B ADAMS
94 ALDER DR
PORT TOWNSEND WA 98368-9460
SUBDIVISION: HARRISBURG Block: 10 Lot: 7-11
PARCEL#: 956701002 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ OWNER PHONE:
DEALER
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
MAKE: GOLDENWEST
YEAR: 1983
SIZE: 24 x 66
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 4/15/2003.
REQUIRED INSPECTIONS:
[fr tbacks/Footin (CONTINUOUS FOOTING, SLAB or PADS USED):
[ locking/P um in ti/(' (e)7c`1Z e"6A, / 1,/
[ ] Zoning Approval:
[ ] Septic System Approval:
[ ] Final/Skirting/Vents/Porches/Steps: ov-- ® Irjr /-zi/o`2
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.
SPECIAL CONDITIONS APPLY-SEE REVERSE
HOT-LINE AVAILABLE 24 HOURS A DAY
• •
SPECIAL CONDITIONS CASE # BLD02-00162
1.) The application was reviewed by the Jefferson County Department of Community
Development for the presence of Environmentally Sensitive Areas (ESAs). The
Department conducted a review and has concluded that the property DOES NOT contain
Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA
review and conditions may be added if new ESAs are found on the property.
2.) 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.
3.) 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).
4.) The revised site plan as submitted on April 1, 2002 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 April 3, 2002 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
5.) This approval is for a 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.
6.) A minimum setback of 20 feet is required from Cedar Avenue right-of-way. A minimum
setback fo 20 feet is required from Stevens Street right-of-way. A minimum setback of 5
feet is required on the north and east property boundaries.
7.) The building height shall not exceed 35 feet.
8.) The parcel is designated as RR 1:5 under the Jefferson County Comprehensive Plan
Land Use Map effective August 28, 1998.
9.) A Boundary Line Adjustment was finaled on November 15, 2001 under AFN 449580.
10.) A septic permit(SEP01-00101) was approved on November 16, 2001.
11.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
12.) Cedar Avenue (C637109)and Stevens Street(C643009) are county local access roads.
•
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN STT TOWNSEND WA 9836
8
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
❑ NEW BUILDING ❑ REPLACEMENT
SIZE 7 x 6-6
YEAR 1
MAKE ( lcfn<(,)) S
COST 17 UC rf
BEDROOMS: BATHROOMS: Dr
EXISTING V EXISTING 0 MAR 2 6 2002
PROPOSED 3 PROPOSED TOTAL
" —
TOTAL JE Ctt r_n�vvITY DEVELOP
�uN iY
�
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: DEPT. OFOMMUN
0 SEWER 0 COMMUNITY SYSTEM • 0 PRIVATE WELL 0 TWO PARY WELL
PD INDIVIDUAL SYSTEM ❑ Conventional a PUBLIC
PERMIT#SEP 0 Alternative Name of water system: POr`-k-TDIM S2
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE �!i� ft BANK HEIGHT NA 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 req ed later inspections. Access and right of entry to the applicant's property or structure shall be requested and
shall occur during regular busi urs.
SIGNATURE .14 DATE 3/z.5 /S2
NAME (PLEASE PRINT) C,\`t,A,S ,s
FOR OFFICE USE ONLY
f �
CONSISTENCY REVIEW FEE _39.00 RECEIPT# T ',.•
Jv
BASE FEE /L I
ADDITIONAL SECTIONS CASH/CK# (aC`
SUBTOTAL �'r �� DATE •_ C �-_-
POTABLE WATER •
G "
911/ROAD APPROACH r`; /r
TOTAL
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