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BLD2003-00780
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#: BLD03-00780 Received Date: 12/12/2 SITE ADDRESS: 31 MADRONA VISTA PL Issue Date: 12/31/2, PORT LUDLOW, 98365 APPLICANT: GEORGE R TYNER JR 1938 DUNN MOUNTAIN WAY ADDY WA 98101-9671 SUBDIVISION: MADRONA VISTA Block: Lot: 6 PARCEL#: 970200005 Section: 34 Township: 28 N Range: 01 E CONTRACTOR/ SKELLEY WORKS LLC PHONE: DEALER PO BOX 233 POULSBO WA 98370 PROJECT DESCRIPTION: NEW MANUFACTURED HOME MAKE: SKYLN/KENSI YEAR: 2004 SIZE: 27 X 44 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 12/31/2004. REQUIRED INSPECTIONS: [ ] Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): [ ] Blocking/Plumbing: [ ] 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 • • SPECIAL CONDITIONS CASE # BLD03-00780 1.) The application was reviewed by the Jefferson County Department of Community Development staff on December 17, 2003 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: Susceptible Aquifer Recharge Areas, Special Aquifer Recharge Protection Areas and At Risk Seawater Intrusion Protection Zones. 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 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. 5.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 6.) The parcel is located within an At Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. An At Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses between 100 mg/L and 200 mg/L (milligrams per liter). 7.) 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. 4110 • 8.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 9.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 10.) MANDATORY MEASURES FOR AN AT RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirements: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 11.) The applicant is proposing to create or add 1984 square feet of impervious surface and 3660 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal your proposal shall adhere to Best Management Practices (BMPs) 12.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA)The site plan as submitted with the building) pemit appcation on December 15, pursuant to WAC 197-11-800(1)(b)(i). been reviewed for consistency under the UDC,r and has been approved by Jeffe so03 has County Department of Community Development. Any modifications, changes, and/n or additions to the stamped, approved site plan dated December 31, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for a manufactured home 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. 15.) The project shall comply with Minimum Requirement#2 of the Department of Ecology Stormwater Management Manual for Western Washington 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. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. • • 17.) 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). 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) The building height is not to exceed 35 feet. 20.) Minimum setback from Madrona Vista PI right-of-way is 20 ft. Minimum setback from Shine Rd right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. 21.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 22.) A septic permit(SEP03-00091)was approved on November 26, 2003 for a system of 360 gallons per day. 23.) Madrona Vista PI (C504209) is a county local access road. A road approach was reviewed under RAP03-00268, and an address of 31 Madrona Vista PI has been assigned to the parcel. 24.) A minimum of two (2) on-site parking spaces are required for the manufactured home. • • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,PUNT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT D ..,. SIZE .? )C 4-4- r DEC 1 2 2003 L9 YEAR 1 ORhj-"'I MAKE (C \\v\L �M��' ti,`'a-kC7 v1 , E COST 5 5bc , Co BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED _�_ PROPOSED TOTAL TOTAL TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: I$ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM 0 Conventional #,,PUBLIC PERMIT#SEP "DAY1/❑ Alternative Name of water system: U. IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE '.__ ft BANK HEIGHT a — 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 acces and right of entry to :fferson County and it's employees, representatives or agents for the purpose of application review and any requ'ed I er inspectio s. :ss and right of entry to the applicant's property or structure shall be requested and shall occur during regular busin ss h rs. SIGNATURE / J. DATE fa.. r I C NAME(PLEASE PRINT) (jV\,,/\ G�V�r,4,. hV `FOR ICUSE ONLY titt CONSISTENCY• 'REVIEWFCEE .. . REC (QO 319 7YI= �' RECEIF�T:# BASE FEE ADDITIONAL SECTIONS, 'C7 CASH/CK# j 5 4 SUBTOTAL _ i (9 2 DATE (0"/ I'03 POTABLE WATER Z`)� c, 911/ROAD APPROACH `P 03"a�O4 TOTAL Q.SO o0 H:\HOME\PLNCNTR\J NFOBLD\FORMSWIOBILEAP.11/26/01 M LA03-00646 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00780 Received Date: 12/12/2003 SITE ADDRESS: 31 MADRONA VISTA PL PORT LUDLOW, 98365 APPLICANT: JOHN S VANDENOVER wrku�.,SoKY\7 1 19.) PHONE: (509) 935-8081 PO BOX 252 PORT GAMBLE WA 98364 SUBDIVISION: MADRONA VISTA Block: Lot: 6 PARCEL NUMBER: 970200005 Section: 34 Township: 28 N Range: 01 E CONTRACTOR/ DEALER: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MANUFACTURED HOME TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLN/KENSI SETBACK: VALUATION 58,500.00 YEAR: 2004 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 27 X.44 SEWAGE DISPOSAL: CON WATER SYSTEM: LUDLOW BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: F&W Landslide 4/6,/,Q003 Shoreline Aq�uiffer AP Type Amount Paid By: Date: Receipt: ApprovewDa e Manufactured Homes $151.00 KAS 12/12/03 60579 DEC 3 1 2003 Potable Water Application $51.00 KAS 12/12/03 60579 Jefferson County Planning Total: $202.00 & Building Department C61QQw \ — /—C(> . .: • ,.... „.„ „p , (ft Kensington Parkb),, ..._,r, _i_�, ,...., ,D, l i •t ,,. , .i �' ' DE 12 2003 N■ r ti■rru r.•, uri i41IIN tr. ■ .#Bi -h \CVM! tits� :�::,■ia + '� ;;APT. ' ' _, OPTION TILITY OPTION MASTER BATH PERMIT # DED um.WASH/DRV t M� r �I NM DPI ■1a__JU •T— ' II--U�I tir■■■ :pi " -- ® 3 i=■au ttTILI wpm!,iu ■. niff as a■ ' auAR°�w L.1w ■s■ ■ rirw = ■ a BEDROOM ....: r ■ laa■ KITCHENIDt Alt- ri C i No.2 aaaaiiai Iii ia■■i■aas 1T 414 E ■s.+E L: !alao 10' '""iia'.--'■■° : JEFFERSON COUNTY DCD ig•Ja= Hu aiRl as _ i, aw Drat 1■■ #r■i■■ --' 1-r— iliaataaiaai aria s-li s■a ma ■u-'Ci i 1 ' / ... / CAI tDkAL i"RV-'JUI \\ 01- MASTER 'IY1 - rail BEDNoOOM LIVING ROOM a F'l,- DEN 14' 10' 11' • 1 mamma. Ir■6■ 1 Hague. 4159CTl4428 3BEDROOM-2BATHS o CATHEDRAL THRU-0UT(1,188 SQ.FT.) OPTION DEN 1 I t BB 11rB No.3 �c�uD�ce c: RINOIONMGL. 1TCHE -:"mmon ., ,ins E t0� 10. L��, a 1 u aIKOa ' I u■ii - ,iir■w■■�■ - ■■ri■■•■IMIi ' \� ! ' — ■i-- -s/ � =i ► --uuc4RR1•a. .,it G \ PIP' EC Cht¢pRA `nb.DUI id, it M . . Is■ ws CV /' y n I Noll 1 L BEDROOM LIVING ROE' MASTER I a No.2 EDROOMo N er t 10'-!" .,1 —iilNiiii 12' ., . Ill B �./j iNEN AY, LA ,•ER �b AV arg 4134CT14828 3BED-.•M-2BATHS-CATHEDRAL THRU-OUT(1,296 SQ.FT.) OPTION MASTER BATH . Pr ,.-. • DEN • 1Q'3" K. OPTION DEN �f - �r I o w I k..n_Y5 _ 3'1 11 N 9l!Ai e.. tl ±9,1ro1!\t \ ' \n,0 mt.. 1 r1,'(L-.c..m-...--,.— 0 ll ,. 1 77.46' 1 ,k.A {_.�.._ _ G N87'43'S6"E _ ca- Cam.-; ra , N1 las:„.\-ke, i NEIGHBORING WELL m--- \(\..___._.______.___ I ----1--------______ 10 r 9n o. Q RAD/1/S WF'L( p~'�'1 1 `t',A ROTECT/pN Z0A£ 701 o f / 1 tg o , rn , ' ')/1/ rn / i PROPOSED 27' x 42' �, ; . 1 0 3 BEDROOM SINGLE -1 0 1*'' FAMILY RESIDENCE 1 o r rI \-"z 1 1\OW\t� N I Q ' N ``�'--�-4"0 CLEAN-OUT • 0 1000 AGAG L0 CeC `( 30' SETS` A ` 2 SEPTIC TAAKO 3ec.. soEA' E WHITEWATER DF-40 -- la X a- -, -ODRAINA ` AEROBIC TREATMENT UNIT t [J a A to WITH UL TRA VI OL E T - / 6 1 DISINFECTION UNIT & NITRATE REDUCTION PANEL * i 10' x 30 i . 100 R BED 7 `� ' j/� ESERVE AREA � �J1 �� / MONITORING PO" I 0-BOX & RISER • (TYP. FOR 4) I 5. •`_ _ — _. -- � • I I ,A1-"'a------------------- a 1- \, . 1, \ • _ _ _ _• JiR ��� 1��0 . ZS, \ . =1. n =7 LI =3; 30' SETBACK FROM N88 22'25"W 105.00' _!'�F- , O ' SEASONAL DRAINAGE VGAVe., TWI CONVENTIONAL GRAVITY DR INFIELD TRENCHES O 3' x -y;y;1 50' x 24" DEEP _ FLOW Lam_ .•••% ,., „ --__ . 71 �, • l O S S! `_ GPAAk\k% APPROVED Ne,\/, cov -- c7-'kck, 0(- ' SITE PLAN -�O W\ \Jt �n _ea�e,+f" e �nCJC. Cosy\ � DEC 31 2003 `— `O Corn. ©- Xl7' • IA ckdx-0 v\o, \)‘\-vsco,... F\ . ,\( \,,(\.e- s...0\,•-, -wit IEFFERSON COUNTY PC){-"- L 1 Olr) 52.31p co DEPT.OF TY ►E ioto ' , p (� �71 = 1 = SIGNATUREC(H �i a•-`ir .e. \ 1 00005 `�1��v O e.c.\c--\o vt , 3 4- -TO w 0,. t f.1 ' 11 A Z CLV\. .�.* O 1 E = a ea o v tormwater BMP's i ',.. e ' , 390 o 0 Required ® , -�f 10' top, - Lrrp2c - - did (Lrtr,totc-tam (7*ct, pc D.: No fVy� on s�tE. pWrnd- 03-!-781) exp rtb IQ) 3104 ��r rnul Ck.nc t31 ) ,. ,.