HomeMy WebLinkAboutBLD2002-00242 • • t •
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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 #: BLD02-00242 Received Date: 4/25/2002
SITE ADDRESS: 221 DHARMA RD Issue Date: 5/9/2002
CHIMACUM, 98325
APPLICANT: DAN L BARKER
17442 NORDIC COVE LN NW
POULSBO WA 98370-8292
SUBDIVISION: Block: Lot: T 4
PARCEL#: 801112005 Section: 11 Township: 28 N Range: 01 W
CONTRACTOR/ SOUTH HILL CONSTRUCTION CO PHONE:
DEALER 1910 40TH ST SE
PUYALLUP WA 98372-5201
Contractor's License SOUTHHC153QE Expires 10/01/2003
INSTALLER: JESS L PETERSON WAINS0330 Expires: 7/31/200
1910 40TH ST SE PUYALLUP WA 98372-5201
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
MAKE: MILLINIUM
YEAR: 2002
SIZE: 66 X 27
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 5/9/2003.
REQUIRED INSPECTIONS:
[ ] Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):
[ ] Blocking/Plumbing:
[ ] Zoning Approval:
[ ] Septic System Approval: �n
[ I Final/Skirting/Vents/Porches/StepsP)c J�( 7- 1 i�'o Z
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
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SPECIAL CONDITIONS CASE # BLD02-00242
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 applicant is proposing to create or add 2,267 square feet of impervious surface.
Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that
your proposal submit Best Management Practices (BMPs).
3.) 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.
4.) The site plan as submitted with the building application on 4/25/02 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 5/7/02 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
5.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of
impervious surface which includes roof tops, concrete, driveways, etc.
6.) Dharma Road is classified as a Private Road which requires a minimum 20-foot front yard
setback. This parcel is located adjacent to Commercial Forestland (along the northern
and western boundaries). The applicants have requested a reduction in the 250-foot
setback. The western lot line shall maintain a minimum 50-foot setback. The northern lot
line shall maintain a minimum 225-foot setback.
7.) Jefferson County has determined that the use of real property for agriculture and forestry
operations is a high priority and favored use in the county. The county will not consider to
be a nuisance those inconveniences or discomforts arising from such operations, if such
operations are consistent with commonly accepted best management practices in
compliance with local, state, and federal laws. If your real property includes or is within
five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20,
Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to
inconveniences or discomforts arising from such farming and forestry operations,
including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the
operation of farm and forestry machinery during any 24-hour period, the storage and
disposal or manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and forestry
operations which are in conformance with existing laws and regulations.
8.) The building height is not to exceed 35 feet.
4 0 M LA02-00223
Review Type:I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD02-00242 Received Date: 4/25/2002
SITE ADDRESS: 221 DHARMA RD
CHIMACUM, 98325
APPLICANT: DAN L BARKER PHONE:
17442 NORDIC COVE LN NW
POULSBO WA 98370-8292
SUBDIVISION: Block: Lot: T 4
PARCEL NUMBER: 801112005 Section: 11 Township: 28 N Range: 01 W
CONTRACTOR/ SOUTH HILL CONSTRUCTION CO PHONE:
DEALER: 1910 40TH ST SE
PUYALLUP WA 98372-5201
Contractor's License SOUTHHC153QE Expires 10/1/2003
INSTALLER: JESS L PETERSON WAINS0330 7/31/2004
1910 40TH ST SE PUYALLUP WA 98372-5201
REPRESENTATIVE: SHERRI KILMER
MATT KILMER
PO BOX 596
PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: MILLINIUM SETBACK:
VALUATION 77,868.00 YEAR: 2002
LABOR& INDUSTRIES APPROVAL?
SIZE: 66 X 27 BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PWELL
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: LI �4c)-� e� F&W Landslide
Shoreline Aquifer
Approved/Date
Type Amount Paid Bv: Date: Receipt: APPROVED
Manufactured Homes $151.00 MAM 04/25/02 47515
Potable Water Application $50.00 MAM 04/25/02 47515
Total: $201.00 MAY 0 S 2002
Jefferson County Planning
& Building Department
WV
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621'SHERMDAN ST, r1T TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
133 NEW BUILDING ❑ REPLACEMENT
SIZE ?6:7 X 2 --I i L i
YEAR ZQC z. 7j) ' �' �. ±
t
MAKE 41� 1r'I V `.\\k%.n:k_?c\ E ��
COST APR 2 5 2002 [ ,
BEDROOMS: BATHROOMS: Y
DEPT. OF CO ,.ti. PMENT a
EXISTING
EXISTING 1 _ —
_ _ _____________:_______I r
PROPOSED 3 PROPOSED Z
TOTAL 3 TOTAL Z
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER 0 COMMUNITY SYSTEM ig] PRIVATE WELL 0 TWO PARY WELL
It INDIVIDUAL SYSTEM 0 Conventional 0 PUBLIC
PERMIT # SEPCZ eot510 Alternative Name of water system:
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 --`i/)/�� DATE CY-Z.5 —CZ--
NAME (PLEASE PRINT).3\'\.e l '' . ;\ iv\ E C'
ci2r9ti
A.FOR OFFICE USE ONLY
BASE FEE t 51 • 00 RECEIPT# 4t1 St
ADDITIONAL SECTIONS CASH/CK # �521
SUBTOTAL i l• CO DATE r/7 02,
POTABLE WATER 51
91 1/ROAD APPROACH 6
TOTAL _.,.4.1411t`0,1
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