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HomeMy WebLinkAboutBLD2002-00557 • 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 PERMIT #: BLD02-00557 Received Date: 9/20/2002 SITE ADDRESS: 433 9TH AVE Issue Date: 10/9/2002 PORT HADLOCK, 98339 APPLICANT: JOAN E GORDON PO BOX 485 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 71 Lot: 1-4+ PARCEL#: 961807101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: REDMAN YEAR: 1998 SIZE: 28 X 56 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 10/9/2003. REQUIRED INSPECTIONS: [1 Se back ooting (CONTINUOUS FOOTING, LA or PADS USED): JQ-'s-o ErJ6i+�w P,cr la-ITTh`102- ! (111A<Kce) BY aJNra oK l o- [ ] BI•cki .'Plumbing: 17--rE po✓off //- [ ] Zoning Approval: [ ] Septic System Approval: [E..]------ final/Skirling/Vents/Porches/Ste�p'ti t /' -7/if 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 # BLD02-00557 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.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 5.) The applicant is proposing to create or add 2,200 square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal adhere to Best Management Practices (BMPs) to control sedimentation and erosion on the subject property. 6.) 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. 7.) The site plan as submitted with the building application on 9/20/02 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 10/08/02 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a single family dwelling 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. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Swaney, 9th Street, and Melissa are classified as local access roads and require a minimum 20-foot lot line setbacks. The western lot line is adjacent to rural residential and requires a minimum 5-foot setback. . JEFFERSON COUNTY CuMUNITY DEVELOPMENT 621 SHERIDAN ST, F''ORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION izi NEW BUILDING / 0 REPLACEMENT SIZE (r7( 4- i cE--- ,_ YEAR lGICGc6 MAKE ::-.- M COST 1367 U�-- _ 11,-tc-8_,-12: BEDROOMS: BATHROOMS: cv !.-r EXISTING EXISTING co ! ; 3 _, __I PROPOSED . , PROPOSED TOTAL TOTAL _____ _ i TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM ❑ PRIVATE WELL 0 TWO PARY WELL ,JNDIVIDUAL SYSTEM_0 Conventional ' d:,PUBLIC it ( PERMIT#SEP 0 Alternative Name of water system: P �' �� 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. SIGNATURE9,,,, E . „11p i C b^1 DATE 9/l I/0 NAME(PLEASE PRINT) ' 0 ti /V' , 6C)R,D 0 NJ FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE 47.00 RECEIPT# gyeiG. BASE FEE ‘51 .00 ADDITIONAL SECTIONS 05 CASH/CK# CO ✓ SUBTOTAL ` ` (?Q• DATE q /p) (f) POTABLE WATER g' . 911/ROAD APPROACH • 4:9:1 TOTAL ' I H:WOMEWLNCNTRUNFOBLDIFORMSIMOBILEAP.11/26/01 U 6 II MLA02-00503 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00557 Received Date: 9/20/2002 SITE ADDRESS: 433 9TH AVE PORT HADLOCK, 98339 APPLICANT: JOAN E GORDON PHONE: PO BOX 485 PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 71 Lot: 1-4+ PARCEL NUMBER: 961807101 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: REDMAN SETBACK: VALUATION 30,000.00 YEAR: 1998 LABOR & INDUSTRIES APPROVAL? SIZE: 28 X 56 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD 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 ____ Z� t � ��� Shoreline __Aquifer _ Type Amount Paid By: Date: Receipt: A RPROV k Manufactured Homes $151.00 MAM 09/20/02 50986 Potable Water Application $50.00 MAM 09/20/02 50986 OCT 0 9 2002 Total: $201.00 Jefferson County Planning & Building Dep,prtment S0-Y— ' 0 - -''-'"'' --'• '- , 1 , MAY 122015 RETURN ADDRESS I First American Title Company of Jefferson County �F'ft O COUNTY"FFI OF COMMUNITY DEVELOPMENT 2424 South Park Ave Port Townsend,WA 98368 WASHINOTON STATE DEPARTMENT OF Manufactured Home �'L L�ISE CHECK ONE,a-LICENSING ®TITLE ELIMINATION Application ❑TRANSFER IN LOCATION ❑REMOVAL FROM REAL PROPERTY Anyone who knowingly makes a false statement of a material fact is guilty of a felony,and upon conviction may be punished by a fine,imprisonment,or both. (RCW 46.12.210) MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) &238920 1998 REDMN 28 / 56 11824850AB © LAND LEGAL DESCRIPTION ON PAGE 2 REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE IS) ❑REMOVED I 961 807 101 CI) LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RAN// QUARTER/QUARTER SECTION a) 1-4 &46-48 71 Irondale Division No 2 .1.1..) j—J^( ® GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE n COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS l J 1 1 l NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Joan E.Gordon c� NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER • ADDRESS CITY STATE ZIP CODE 4 32 1/2 Florentia St Seattle WA 98109 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ( I �� Wells Fargo Home Mortgage �`-� NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 2650 Wells Fargo Way Minneapolis MN 55408 GRANTEE C4 NAME Joan E.Gordon D.: I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title,IF APPLICABLE Signature of Additional Registered Owner and Title,IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE State of Washington Signed or attested County of Jefferson before me on by Joan E.Gordon Signature PRINTED NAME OF REGISTERED OWNER NOTARY OR AGENT by Joan E.Gordon PRINTED NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY County/Office No.OR Title AND: Dealer No.OR DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date ® TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER First American Title Of Jefferson County (360)385-1322 SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. ii BUILDING PERMIT OFFICE CERTIFICATION I certify that 'g the manufactured home has been affixed to the real property as described. 0 a building permit has been issued for this purpose and the attachment will be inspected upon completion. NE(TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE# BLDG PERMIT# Acc111 L l ‘. ---. PerA-M.' e.c_ Jek-Eecyo-‘,Cc. 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