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HomeMy WebLinkAboutBLD2003-00378 M LA03-00342 Review T' pe.I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00378 Received Date: 6/17/2003 SITE ADDRESS: j 13 i j MONTGOMERY ST APPLICANT: CHRIS S ADAMS PHONE: (360)385-4088 TRUDY ADAMS 94 ALDER DR PORT TOWNSEND WA 98368 SUBDIVISION: HARRISBURG Block: 8 Lot: 5-6 PARCEL NUMBER: 956700807 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: INSTALLER: KENNETH J VETTER WAINS0348 7/31/2004 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: COMMODORE SETBACK: VALUATION 9,000.00 YEAR: 1979 LABOR & INDUSTRIES APPROVAL? SIZE: 28' X 66' 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: (0 11 I ,- ) F&W_ _Landslide Shoreline Aquifer A Rr'"' 0 r1/ E D Type Amount Paid Bv: Date: Receipt: Permit $151.00 RAC 06/17/03 57924 JUL 2 5 2003 Potable Water Application $51.00 RAC 06/17/03 57924 Jeff Total: $202.00 ety Planning & Building Coun Department ,� • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT SIZE 2S A` YEAR ( l MAKE Cc3ortyyJo---e COST t CAC)C-C) BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED TOTAL 3 TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL A INDIVIDUAL SYSTEM I Conventional a PUBLIC PERMIT#SEP }— t,L] Alternative Name of water system: 1)UL) 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 h urs. SIGNATURE "..1 , DATE Y / /•t'? NAME(PLEASE PRINT) , /\ tr �� FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE _47.OQ RECEIPT# : 943/7/ BASE FEE Is • CASH/CK# ADDITIONAL SECTIONS St", />!l . QQ� SUBTOTAL 1 C) 4 DATE POTABLE WATER ("-. 911/ROAD APPROACH t TOTAL d—k H:W OMBPLNCNTRUNFOBLD\FORMSNOBILEAP.11/26/01 • 0 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#: BLD03-00378 Received Date: 6/17/2003 SITE ADDRESS: 113 W MONTGOMERY ST Issue Date: 7/25/2003 APPLICANT: CHRIS S ADAMS TRUDY ADAMS 94 ALDER DR PORT TOWNSEND WA 98368 SUBDIVISION: HARRISBURG Block: 8 Lot: 5-6 PARCEL#: 956700807 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER INSTALLER: KENNETH J VETTER WAINS0348 Expires: 7/31/2004 PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION MAKE: COMMODORE YEAR: 1979 SIZE: 28'X 66' THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 7/25/2004. REQUIRED INSPECTIONS: [ ] Setbacks/Footing (CONTINUOUS FOOTING, SLAB or P B -USE uv I c.vnno lZ-t-03 [ ] Blocking/Plumbing: (t-t u —uK *744 [ ] Zoning Approval: [ ] Septic System Approval: [ ] Final/Skirting/Vents/Porches/Steps: b.L Te. 0-10--O -- 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 ! i SPECIAL CONDITIONS CASE # BLD03-00378 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 site plan as submitted with the manufactured home installation application on June 17, 2003 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 July 23, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This approval is for a manufactued home installation 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.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 7.) The lots were created through the Harrisburg Addition Subdivision on June 21, 1883. 8.) A Declaration of Restrictive Covenant was recorded on June 2, 2003 under AFN 470441 to consolidate Lots 5 & 6 and south 1/2 fo Montgomery Street of Harrisburg Addition Subdivision for building and septic purposes only. 9.) A Quiet Title (Court Cause No. 03 2 00131 6)was filed on May 21, 2003 for the public interest in Montgomery Street and Alder Street. Per email dated July 21, 2003 from David Alvarez(Chief Civil Deputy Prosecuting Attorney), because the vacated streets in question are at the edge (western boundary) of the plat and thus there can be no concern that another landowner in the same plat will be landlocked by the normal two step process of 1)quieting title against the County and 2) perhaps building in the ROW where the Quiet Title has occurred, he suggests that the permits be issued. 10.) An address of 113 West Montgomery Street has been assigned to the parcel. The lot has legal access off of Montgomery Street via recorded easement on July 23, 2003 under AFN 472630. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 13.) The building height shall not exceed 35 feet. 14.) Minimum setback from Montgomery Street right-of-way(not vacated)shall be 20 feet. Minimum side and rear setbacks shall be 5 feet. 15.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. lam , RETURN ADDRESS JUN - 6 2008 7r.L1S3 CLI --x:- 4. NIP. - t El STATf:C)FWA SHINGTON MANUFACTURED HOME PLEASE CHECK ONE APPLICATION TITLE ELIMINATION lICEnSInG ['TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ['REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210) 0 MANUFACTURED HOME TPQ,4•LA jVLi •1 T3. a MAKE 0 � LENGTH/WIDTH ) VEHICLE IDENTIFICATION NUMBER VIN) ( {,DLI t.[J L_.�I R '+�X � .:; Li `7,6 © LAND LEGAL DESCRIPTION ON rPAGE MANUFACTURED HOME WILL BE A AFFIXED El REMOVED R C/PAr r'''-' ` LOT BLOCK PLAT NAME O TION/TOWNSHI /RANGE OUARTEq/QUARTER •SEC I 44 vIlD -14 G ' ' ,,,,Av tO , S', © GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE' :AO COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF L c L OWNERS NAME OF REGISTERED OWNER_�„? ,( DOL CUSTOMER ACCOUNT NUMBER ens- NAME OF ADDITION L RECT 1 ERED NER DOL CUSTOMER ACCOUNT NUMBER acie1 1 q vr6 ADDRESS? Y ra STATE ZIp CODS NAME OF L���E L�-,J � � DOL CUSTOMER ACCOUNT NUMBER NAME OF ADDITIONAL LEGAI,,®W R DOL CUSTOMER ACCOUNT NUMBER alrItS ADDRESS I'5 ( V a CITY1-,- STATE ZIP E� GRANTEE NAME 0 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 f Signature of Additional Registered Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION F011 REGISTERED O NER(S)SIGNATURE — — .. — State of Washington (" Signed or attested `` County of �' `f 5a n before me on Ut. rLL (e),2008 Notary Public State o'Washington It b C`(,S Pd o.-M tr'Vi S � a CHERLYN MACDONALD ' y C Signature 1 i IG(� PRINT NAME OF REGISTERED OWNER NOTARY OR AGE T ly Appointment Expires May 19,2012cka,' by r_ iir t A �L 5 � , � 1/1 9 Pk. , • PRINT NAME OF REGISTERED OWNER PRINTED NAME NOTARY 1 County/Office No.OR Title ✓l AND: Dealer No.OR Pl 11,2017- DEALERSHIP PO N/AGENT/NOTARY Notary Expiration Date 4 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 SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMIT OFFICE CERTIFICATION I certify that: ,the manufactured home has been affixed to the real property as described. ❑ a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME(TYPED OR P.NTED) BLDG PERMIT OFFICE/PHONE# BLDG PERMIT# LA 3(1 i.' , j3ir-,0-3-79 --4150 PA-D0.5 -- -g-'1) ,,,.-SietTATt71:f 'eiao DATE -71:1"4 C3Vf APPL('•02)OR(W)Page 1 of 2 • MANUFACTURED HOME - FROM SECTION 1 TPL. yEAR � LTE VEHICLE IDENTIFICATION NUMBER(VIN) 20 '65 3 6 SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION OF TITLE/REMOVAL FROM REAL PROPERTY. Signature of Legal Owner and Title, IF APPLICABLE V`�w--✓ Signature of Additional Legal Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S)SIGNATURE State of Washington � `` Signed or attested Countyof V� �trl _ before me on V f .fl1,. 12y Q00 Notary Public State of Washington b Gece. + ca mS Signature CJ l.Citn f, U� f I a 1 . CHERtYN MACDONALD Y PRINT NAME OF LEGAL OWNER NOTARY OR AG NT MY Appointment Expires May 19,2012 ` byC^1_r'‘S Ra.CL rYS CANe,(, ('\ IlY 1� CDO n a1 Cs 4 • 4 ♦ PRINT NAME OF LEGAL OWNER PRINTED NAM NOTARY ►C•� County/Office No.OR Title VA0 AND: Dealer No.OR tt t'� l� DEALERSHIP POSITIO ENT/NOTARY Notary Expiration Date J D LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office) / i$ g It 6 p- ` 131cck s-; rr+S . PTA✓ yI Qce FP) aftcliT5-7,1 Ci->orctli irtstti 13 DEALER'S REPORT OF SALE I CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. DEALER NAME(TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE PURCHASE PRICE TAX JURISDICTION/TAX RATE DEALER'S AUTHORIZED SIGNATURE ❑USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery). 9 COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) I certify that the above application appears to have been completed correctly,and the applicant has sufficient�t5t " with the recording of this form. NAME(TYPED OR PRINTED) COUNTY OFFICE/VFS OPERATe'NUMBER o ti 'Avers SIGNATURE 10 TITLE FEES FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX SUBAGENT FEES TOTAL FEES&TAX IMPORTANT: Once the application has been approved by the County Auditor/Vehicle Licensing Office, take your application form to the County Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form, obtain a certified copy of the recorded form. APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees. Vehicle licensing subagents charge a service fee. For full instructions on completing this form for Title Elimination, Removal from Real Property or Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions. The Department of Licensing has a policy of providing equal access to its services. 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