HomeMy WebLinkAboutBLD2003-00594 all/ • BLD03-00594
Review Type:I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00594 Received Date: 9/23/2003
SITE ADDRESS: 40 MORRISSEY AVE
PORT HADLOCK, 98339
APPLICANT: REED C GUNSTONE PHONE: (360) 797-7302
PO BOX 216
PORT TOWNSEND WA 98368-0216
SUBDIVISION: MORRISSEY'S ADDITION Block: 1 Lot: 8
PARCEL NUMBER: 973500106 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ MIKE'S SETUP INC PHONE: (360)373-3129
DEALER: 4201 KELLY RD
BREMERTON WA 98312
Contractor's License MIKE SS1011KC Expires 7/23/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: KENTWOOD SETBACK:
VALUATION 3,000.00 YEAR: 1980
LABOR & INDUSTRIES APPROVAL?
SIZE: 14 X 60 BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: 2 Exist: 2 STORMWATER: YES NO
AREA Plat Conditions
Prop: Prop: Wetland Erosion
Total: 2 Total: 2 Seismic Streams
Flood Way Floodplain
Routing Date: 9ik
F&W Landslide
0 3G�__ Shoreline Aquifer
i
Type Amount Paid By: Date: Receipt: pp� :03armPermit $151.00 MJA 09/23/03 60083
Potable Water Application $51.00 MJA 09/23/03 60083 ®Cr3Total: $202.00 Jefferson Couing$
8 Builging Oepartr nt
E0t/VIY\A)Y ft
• •
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 #: BLD03-00594 Received Date: 9/23/200c
SITE ADDRESS: 40 MORRISSEY AVE Issue Date: 10/30/200:
PORT HADLOCK, 98339
APPLICANT: DONNA CANTLEY
PO BOX 1468
PORT HADLOCK WA 98339
SUBDIVISION: MORRISSEY'S ADDITION Block: 1 Lot: 8
PARCEL#: 973500106 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ MIKE'S SETUP INC PHONE: (360)373-3129
DEALER 4201 KELLY
BREME3TON WA 98312
_Contractor's License MIKE SS1011KC Expires 07/23/2004
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
MAKE: KENTWOOD
YEAR: 1980
SIZE: 14 X 60
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 10/30/2004.
REQUIRED INSPECTIONS:
- a . /
[ ] et-aks Footing (CONTINUOUS FOOTING, SLAB or USED zk 4 2/ o f
[ ] Blocking/Plumbing: O, ¢iZf/jell
[ ] Zoning Approval: /
[ ] Septic System Approval:
[I/
Final/Skirting/Vents/Porches/Steps: 1 1 —A9 D"f
HEALTH DEPART ;'NT 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 # BLD03-00594
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 10/06/03 for the potential presence of Environmentally Sensitive
Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an
initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Critical Aquifer Recharge Area.
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.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
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 1,192-square feet of impervious surface.
Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that
your proposal adhere to the Small Parcel Stormwater Permit (see attached).
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 9/23/03 and revised on 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 10/28/03 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
8.) This approval is for a manufactured 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.) A Declaration of Restrictive Convenant has been recorded with the Jefferson County
Auditors Office under File No.476647. The document combines lots 6,7 & 8 of the
Morrissey's Addition Plat for installing a septic system and manufactured dwelling across
three (3) seperate legal lots of record.
10.) Maximum lot coverage is not to exceed 25%. Lot coverage is calculated by the amount of
impervious surface which includes roof tops, concrete, gravel, etc.
11.) The building height is not to exceed 35 feet.
12.) Old Hadlock Road and Morrissey Avenue are classified as local access roads and require
a minimum 20-foot setback from the lot lines adjacent to the roads. The remaining side
yard setbacks require a minimum 5-foot lot line setback. All setbacks are measured
perpendicularly from the edge of the right-of-way to the proposed development.
13.) The manufactured dwelling shall designate approximately two (2) parking spaces.
JEFFERSON COUN MMUNITY DEVELOPMENT 621 SHERIDAN 011DORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
NEW BUILDING 0 REPLACEMENT
SIZE Jy A LO
YEAR / /80
MAKE r< r coact:),
COST -4' 3,000 , 00
BEDROOMS: BATHROOMS:
EXISTING •; . EXISTING I /j
PROPOSED 0 PROPOSED O
TOTAL TOTAL / /,�
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
r INDIVIDUAL SYSTEM 0 Conventional 1„ PUBLIC
PERMIT#SEP FkAlternative Name of water system: t''L.0 �—)
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE I 11 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 (2)�. _ DATE CICs-
NAME(PLEASE PRINT) C:N Ni f} CA-N1 I y
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE _47.00 RECEIPT# (DO
BASE FEE 15 t rp
ADDITIONAL SECTIONS CASH/CK#
q'. °�
SUBTOTAL DATE /' o3
C+7
POTABLE WATER ��
911/ROAD APPROACH • N` D 1 ,
TOTAL •�
SEP 2 3 2003 ` "°
H:'HOME\PLNCNTRUNFOBLD\FORMS\MOBILEAP.11/26/0t `
.= PON COUNTY
DFPT. OF C.,',i`1UNITY DEVELOP'.'ENT
10-29-03; 3:22PM;Port Angeles L and 1 360 417 2733 # 1i
Department of Labor&Industries i MANUFSTURED/MOBILE HOME
Factory Assembled Structures Section ALTERATION PERMIT
INSTRUCTIONS: - ``<r..,�" T'cxnrC;it:.::<.:;'.;:,:>.
$ Do not
1. Complete all spaces,includingthesignature boxmate �� �� ••�, : •:
P P �, sign t ( c�w�#tr X).
complete >>invoic s ..,....iii:i:: ::. .::. -.-_><: ::zzz::;
Z. Draw a map on reverse side of WHITE Copy only. :::.: .:..�_: >1:�.��,>� _. «.:
shaded z!.:•i ft, ;;
^5 3..Forward,.corn leted permit.and fees to the a verse.P Aearest I.&I t se aD :,i1 1;:� <:>.:
areas .. ..,o<a#5 i>....
4. Contact and schedule the ins ectioii s with the same Lik office er the chec 7t sigma _,.;;.:;ti ::..:>.;.;.,:::_
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Owner last name first name POH I Arpjs- aSphone Date
3 Gurt5ro E_ .6- 7 7 — 7.30 , ' /o—/7 —o
J� Address
City State ZIP
PO . �]` o�I 4f Z'C)1.Jti1.5 � `'6 3
Installer/Contractor/Dealer yPhone�� Contractor's registration number .
......I' +t:V 6L LIP
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c� Address
I �, O tL�� mm 7b/4 W A l$.3 I " _
g Serial Number(s) HUD Number(s)
Place fee amount in proper box Place fee amount in proper box j re- ' �
Mechanical L,
Heat Pump Electrical ' 'V/)46- - t°I 1
. i
Air Conditioning Heat pump
Furnace Installation:(gas or electric) Air Conditioner
Gas Piping Furnace Installation(gas or electric)
sen}lNtt Wood Stove(if applicable)
Wood Stove pp )
Pellet Stove - s°"'tt Pellet Stove(if applicable)
Gas Room Heater Gas Room Heater
Gas Decorative Appliance Gas Decorative Appliance(if applicable)
Range:changing from electric to gas Range:changing from gas to electric
Gas Water Heater replacement Electric Water Heater replacement
Water Heater:changing from electric to gas Electric Water Heater replacing Gas Water Heater
Each added or modified circuit
PlumbingI.ail
Fire sprinkler system(also requires a plan review} Hot Tub or Spa(power from home electrical panel)
Each added fixture Replace main electrical panel
. Low Voltage Fire/Intrusion Alarm
Replacement of water piping system Fire Safety
• s
Act
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t. :S.i 7 20031'614g°
• Inspection.as,part of a mechanical installation s q ;-,
(cut truss/floor joist,sheet rocking) .. Miscellaneous Trans 00 ?{ t
Reroofs'(may require a plan review)LA
Plan review ` /,�,�,` u i fN.
n mal PerptC
Changes to home when additions bear loads on home per RIeinspection'---- ka' �.� ,;f off
the design of a professional(also requires a plan review) _ Insignia m2
Li Other structural changes(may require a plan review) • i.•• tither• C t • om/t— F CIY I
Fire Safety /
�m
Note: This permit'expires one year after date of purchaseiii . (Non-refundable) y� 1/4
Work is completed at this time. An inspection is requested.*-.w �DtAP ase, h
1.9
Work is NOT completed at this time,I will call when read . !-�(� i'Y�O P_t s5t�y id.A.1 0 UC-
98-
Make check payable to: Dept.of Labor&Industries Sign o applicant or authorized representative .-
FEES DUE � G: X -
- ]
Request approved or Request denied'1 cause o! ecifit«'Ioiatlons of:Washin -ton:rules and.rie ula i`n <.
A g i t o s,
g 'iolatwus must bi corrected anld rerttsjection)requested withtn.I: days of the notice of violation date 'allure to comply
may result i penatlttes,peer chapter 43 Z2 l2CW All violation noted-are shown on aft 'Alteratton/FactQry ,Permit
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Ct)Xthl uatton Form"
M
. :Included are foams required which must be completed anvd.iees submitted-before remspectlort<
C:.:1Date Area office . Inspector 4 Total pages
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