HomeMy WebLinkAboutBLD2004-00119 0 I
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 #: BLD04-00119 Received Date: 2/25/2004
SITE ADDRESS: 194 W HORTON ST Issue Date: 3/10/2004
PORT HADLOCK, 98339
APPLICANT: DEBRA J ST LAURENT
30655 HANSVILLE RD NE
BOX C-6, LOT#40
KINGSTON WA 98346
SUBDIVISION: IRONDALE Block: 65 Lot: 33-38
PARCEL#: 961806510 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER
INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/31/2002
1112 S JACOB MILLER RD PORT TOWNSEND WA
98368
PROJECT DESCRIPTION: REPLACEMENT MANUFACTURED HOME
MAKE: ELCAR
YEAR: 1968
SIZE: 12 X 57
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 3/10/2005.
REQUIRED INSPECTIONS:
[ ] Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):
[ ] Blocking/Plumbing: & O/5: E-Pete.146 L5e 9/21A5
[ ] Propane Tank/Lines
[ ] Zoning Final Approval:
[ ] Septic System Final Approval:
[ ] Road Approach Final Approval: `�
[ ] Final/Skirting/Vents/Po hes/S ps: -h.N K, (L) -1 7 "o)
HEALTH DEPARTM NT AND PUBLIC WORKS 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
M LA04-00096
Review Type: s'
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00119 Received Date: 2/25/2004
SITE ADDRESS: 194 W HORTON ST
PORT HADLOCK, 98339
APPLICANT: DEBRA J ST LAURENT PHONE: (360) 297-8302
30655 HANSVILLE RD NE
BOX C-6, LOT#40
KINGSTON WA 98346
SUBDIVISION: IRONDALE Block: 65 Lot: 33-38
PARCEL NUMBER: 961806510 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER:
INSTALLER: JAIME KOZELISKY WAINS0626 7/31/2004 (360)385-3215
1112 S JACOB MILLER RD PORT TOWNSEND WA
98368
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: REPLACEMENT MANUFACTURED HOME
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: ELCAR SETBACK:
VALUATION YEAR: 1968
LABOR & INDUSTRIES APPROVAL?
SIZE: 12 X 57 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: 2 Exist: 1 STORMWATER: YES NO
AREA Plat Conditions
Prop: Prop: Wetland Erosion
Total: 2 Total: 1 Seismic Streams
Flood Way Floodplain
Routing Date: (J
l�C a/ll(�!„ �'1 1 F&W Landslide
Shoreline Aquifer
Type Amount Paid By: Date: Receipt: 1 AP PIR d/ V E
Manufactured Homes $154.00 KAS 02/25/04 62585 MAR t 0 2004
Potable Water Application $52.00 KAS 02/25/04 62585
Total: $206.00 Jefferson County Planning
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• JEFFERSON COUNTY C•MUNITY DEVELOPMENT 621 SHERIDAN ST,OrrT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
L ,
0 NEW BUILDING REPLACEMENT U --- i
SIZE I 2- ' '57--/ 0,L FEB 2 4 2004 'It' 'f
YEAR 6 9 13 i
G . . S I
MAKE l- c oX ;.,-,Pi. OF C r;, _ , .,E'v LOP ML�u i
COST
BEDROOMS: BATHROOMS:
EXISTING 2 EXISTING
PROPOSED 0' PROPOSED _P__
TOTAL TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
INDIVIDUAL SYSTEM XConventional A PUBLIC
PERMIT#SEP94-2-(1❑ Alternative Name of water system: F VD
IF WATERFRONT PROPERTY, y1/9-
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 attomey'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� f9\ DATE / )'�,hE0.4.-i
NAME(PLEASE PRINT ) -e—b o✓O..\-‘ La-vv✓
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE 48.00 RECEIPT# 585
BASE FEE V 154,133
ADDITIONAL SECTIONS CASH/CK# OO I O
SUBTOTAL ZOZ.W DATE a /as/U i«
POTABLE WATER 's-
911/ROAD APPROACH {`ZikP 0
TOTAL ag 1 , 0 0
G:\PermitCenterTORMS\BLDG FORMS\MOBILEAP
• I
SPECIAL CONDITIONS CASE # BLD04-00119
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on March 1, 2004 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:
Coastal Seawater Intrusion Protection Zones (SIPZ).
2.) 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.
3.) The parcel is located within a coastal 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.
A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine
shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources
within 1000 feet.
4.) 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.
5.) 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.
•
6.) MANDATORY MEASURESSOR COASTAL 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 requirement:
a. Chloride concentration of a laboratory-certified well water sample submitted with
building permit application.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
7.) The applicant is proposing to create or add 758 square feet of impervious surface and 758
square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County
Unified Development Code requires that your proposal shall adhere to the Best
Management Practices (BMPs)
8.) 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).
9.) The site plan as submitted with the building permit application on February 24, 2004 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 March 2, 2004 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
10.) This approval is for a Replacement 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.
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.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
14.) The building height is not to exceed 35 feet.
15.) Minimum setback from W Horton St right-of-way is 20 ft. Minimum side and rear
setbacks are 5 ft.
16.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
17.) W Horton Rd is a private road (P326). The road approach is existing and an address of
194 W Horton Rd has been assigned to the parcel.
18.) A septic permit(SEP97-00251)was approved on December 12, 2000 and was finaled on
January 9, 2004 for a system of 360 gallons per day/for a 3 bedroom system.
19.) This parcel was created through the Irondale Division No. 2 under AFN 29135, filed of
record January 11, 1910 in Plat Book 2, page 129 with Jefferson County Auditor's office.
20.) A Notice to Title was recorded December 11, 2000 under AFN 439464 with the Jefferson
County Auditor binding lots 33 thru 38 of Block 65, Irondale Division No. 2 for the purpose
of meeting bulk and dimensional requirements and minimum land area.
21.) A minimum of two (2) on-site parking spaces are required for the manufactured home.
22.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's 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.
23.) ALTERATION PERMIT MUST BE APPLIED FOR AND INSPECTED AND SIGNED OFF
BY LABOR & INDUSTRIES BEFORE FINAL INSPECTION WILL BE CONDUCTED
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