HomeMy WebLinkAboutBLD2003-00107 • •.
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#: BLD03-00107 Received Date: 2/25/2003
SITE ADDRESS: 74 W MOORE ST Issue Date: 3/18/2003
PORT HADLOCK, 98339
APPLICANT: DARLENE E BRAKEMAN
JERRY BRAKEMAN
PO BOX 639
PORT HADLOCK WA 98339
SUBDIVISION: IRONDALE Block: 54 Lot: 30-34
PARCEL#: 961805405 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/ JERRY LINDSEY PHONE: (360)385-1076
DEALER PO BOX 1471
PORT TOWNSEND WA 98368
Contractor's License LINDSJR187P2 Expires 10/21/2004
INSTALLER: C JON LUGAR WAINS0260 Expires: 7/31/2002
PO BOX 48300 OLYMPIA WA 98504-8300
PROJECT DESCRIPTION: L ANUFACTURED HOME INSTALLATION
MAKE: FLEETW OD
YEAR: 2003
SIZE: 27 X 40
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 3/18/2004.
REQUIRED INSPECTIONS:
[ ] etbacks 'ooting (CONTINUOUS FOOTING SLA r PADS USED): Ok 5/G/3`I,
[ ] Clocki-raPlumbing: et-oc;49 ®(< s7f/ ,`Y-e 7)1 1K
[ ] Zoning Approval:
[ ] Septic System Approval:
[ ] Final/Skirting/Vents/Porches/Steps: . ,/ � �
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
S
SPECIAL CONDITIONS CASE # BLD03-00107
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 2948-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).
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 2/25/03 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 3/07/03 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
5.) The building height is not to exceed 35 feet.
6.) West Moore Street is classified as a local access road and thus requires a minimum
20-foot frontyard setback. The side and rear lot lines require a minimum 5-foot setback.
Setbacks shall be measured perpendicularly from the lot line to proposed development.
7.) The applicant recorded a Declaration of Restrictive Covenant to develop across lots
30-34. The document was recorded at the Jefferson County Auditors Office on 9/21/00
under file no. 437372.
8.) Maximum lot coverage is not to exceed 25%. Lot coverage is calculated by the amount of
impervious surface which includes roof tops, driveways, concrete, etc.
a MLA03-00085
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00107 Received Date: 2/25/2003
SITE ADDRESS: 74 W MOORE ST
PORT HADLOCK, 98339
APPLICANT: DARLENE E BRAKEMAN PHONE: (360)708-5665
JERRY BRAKEMAN
1303 5TH ST
ANACORTES WA 98221-1711
SUBDIVISION: IRONDALE Block: 54 Lot: 30-34
PARCEL NUMBER: 961805405 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/ JERRY LINDSEY PHONE: (360)385-1076
DEALER: PO BOX 1471
PORT TOWNSEND WA 98368
Contractor's License LINDSJR187P2 Expires 10/21/2004
INSTALLER: C JON LUGAR WAINS0260 7/31/2004 (360)479-8312
PO BOX 48300 OLYMPIA WA 98504-8300
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: ANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: FLEETWOOD SETBACK:
VALUATION 39,900.00 YEAR: 2003
LABOR & INDUSTRIES APPROVAL?
SIZE: 27 X 40 BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
STORMWATER: YES NO
Exist: Exist: AREA Plat Conditions
Prop: 3 Prop: 2 Wetland Erosion
Total: 3 Total: 2 Seismic Streams
Flood Way Floodplain
Routing Date: 24 2(0 163 F&W Landslide
((/ Shoreline Aquifer
r,. +• ram,. ., . ,� ®o.„-.,I
A PAP ,pry ',.'��7�t E
D
Type Amount Paid By: Date: Receipt:
Manufactured Homes $151.00 MAM 02/25/03 55059 MAR 1 3 2003
Total: $151.00 Jefferson County Planning
& ui inu Departm nt
JEFFERSON COUNTY•MMUNITY DEVELOPMENT 621 SHERIDAN SORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
NEW BUILDING 0 REPLACEMENT FEB 2 5 2003
SIZE 7 �" / ( i-Lf✓'
YEAR 0 O
MAKE 6-R IY=- E it) 4/ • t R F f 71 i oa
COST 3 l ' `�C2 Ci . 0 0
i
BEDROOMS: BATHROOMS:
EXISTING EXISTING
PROPOSED PROPOSED
TOTAL TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM ❑ PRIVATE WELL 0 TWO PARY WELL
la.INDIVIDUAL SYSTEM 0 Conventional ❑ PUBLIC
PERMIT#SEP 0 Alternative Name of water system:
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE ,'" ft BANK HEIGHT 1/./4 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
DATE
NAME(PLEASE PRINT) l r f L--- 4•k c j 7
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE 47.00 RECEIPT# tJ , ,
BASE FEE L S t • ,.)
ADDITIONAL SECTIONS ( 0O CASH/CK# 1` a/
g.
SUBTOTAL DATE 9- /. . /
POTABLE WATER
911/ROAD APPROACH 0.-32' 4:116 .thIrlie833313224--
4;;I;FR°
TOTAL
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