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Home My WebLink AboutBLD2004-00419 • • 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#: BLD04-00419 Received Date: 6/24/2004 SITE ADDRESS: 175 1ST ST Issue Date: 7/21/2004 PORT HADLOCK, 98339 APPLICANT: RALPH E COX RANDI J COX PO BOX 247 QUILCENE WA 98376 SUBDIVISION: IRONDALE HEIGHTS LONG PLAT Block: Lot: 1 PARCEL#: 962900001 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ BAUMAN MASONRY PHONE: (360) 732-7126 DEALER 35 BLUE MOUNTAIN RD CHIMACUM WA 98325-9772 Contractor's License BAUMAM*004C5 Expires 02/22/2005 INSTALLER: GREGORY A DECKER WAINS1353 Expires: 9/30/200E (360)681-7559 GOLDEN HOME INC SEQUIM WA 98382 PROJECT DESCRIPTION: NEW Manufactured Home MAKE: SKYLINE YEAR: 2005 SIZE: 66'x 40' THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 7/21/2005. ReUIRED INSPECTIONS: Sethar, /Footing (CONTINUOUS FOOTING, SLAB or PADS USED):` 7Zt t r 16 Stormwater FINAL Approval: Blocking/Plumbing: 51_0eg►j 1 C cL c D g '77.5/ PA'Y [ ] Propane Tank/Lines //•3 !V [ ] Zoning Final Approval: AI /A M Septic System Final Approval: kf Road Approach Final Approval: ',PbLl" 141 k] Final/Skirting/Vents/Porches/Steps: OK .4)42r vio l0 cJo/ "e" HEALTH DEPARTMENT 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 • • SPECIAL CONDITIONS CASE# BLD04-00419 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 3183 square feet of impervious surface and 4030 square feet of land disturbing activities. 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.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 5.) 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). 6.) The site plan as submitted with the manufacture home installation application on June 23, 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 June 29, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 7.) This approval is for a manufactured home installation permit 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from First Street right-of-way shall be 20 feet. Minimum setback from South Maple Street right-of-way shall be 20 feet. Minimum side and rear(west and north) yard setbacks shall be 5 feet. 13.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 14.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 15.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 16.) The lot has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 17.) The lot was created through Srondale Heights Long Plat on May 23, 200inder AFN 433898. The lot is subject to plat conditions. 18.) An address of 175 First Street, Port Hadlock has been assigned to the lot. First Street is a county local access road (C638209). South Maple Srreet is a county local access road (C638009). 19.) A septic permit(SEP00-0085)was cancelled on May 30, 2000. A septic permit (SEP03-0195)was approved on August 8, 2003. A road approach permit(RAP04-0141) was approved on June 18, 2004. A building permit(BLD04-0420)for a detached garage will be issued with the manufactured home permit. 20.) HOME MUST MEET 41' SETBACK FROM NORTH PROPERTY LINE BUILDING PERMIT APPLIAION MLA04-00376 Jefferson County Department of Community Development Review Type: I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00419 SITE ADDRESS: 175 1ST ST Received Date: 6/24/2004 PORT HADLOCK, 98339 OWNER: RALPH E COX RANDI J COX PHONE: (360)765-4647 PO BOX 247 QUILCENE WA 98376 SUBDIVISION: IRONDALE HEIGHTS LONG PLAT Block: Lot: 1 PARCEL NUMBER: 962900001 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: BAUMAN MASONRY 35 BLUE MOUNTAIN RD PHONE: (360) 732-7126 CHIMACUM WA 98325-9772 Contractor's License BAUMAM*004C5 Expires 2/22/2005 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW Manufactured Home TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 88,441.00 MAIN: CODE EDITION: i997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: SEWAGE DISPOSAL: CON BANK HEIGHT: WATER SYSTEM: PUD PARCEL TAGS: YES NO_ BEDROOMS: BATHROOMS: Bst: STORMWATER: YES__ NO__ AREA Exist: Wetland — -- Prop: 3 Prop: 2 Erosion Total: 3 Total: 2 Seismic _ Streams_______ Flood Way ____ Floodplain Routing Date: �n F&W _ Landslide_ "a Shoreline _ _Aquifer _ Forest: Commercial _ Rural _ Type Amount Paid By: Date: Receipt: Approved/Date APPROVED Permit $154.00 RAC 06/23/04 66409 Potable Water Application $52.00 RAC 06/23/04 66409 Total: $206.00 JUL 2 1 2004 Jefferson County Planning & Building Department S4 VIM JEFFERSON COUNT'MMUNITY DEVELOPMENT 621 SHERIDAN.PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION Id NEW BUILDING 0 REPLACEMENT SIZE 2/LJO X 1 YEAR ZC1�5 • MAKE COST `t g(6l q f .� BEDROOMS: BATHROOMS: TYPE OF HEAT: EXISTING 3 EXISTING 2- trilectricity 0 Oil PROPOSED PROPOSED _ 0 Woodstove 0 Propane TOTAL 3 TOTAL { 0 Heat Pump 0 Other TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARTY WELL E INDIVIDUAL SYSTEM ❑�Connventional Lei' PUBLIC Name of water system 7 l i`-t • PERMIT# SEP I ' Alternative IF WATERFRONT PROPERTY, . // DISTANCE TO BANK OR HIGH WATER LINE 41— ft BANK HEIGHT 1Wj� , 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 harmles -rson • • - -r•:'�� mst all liabilities,judgments, court costs, reasonable attorneys fees and expenses which may in any way accrue against l'r'son !:. -s t of or in consequence of the granting of this permit. I further agree to provide access and `y .�f e , nt -rs=mployees, representatives or agents for the purpose of application review and any required later'. `; A.,-'".. ri.., try to • _ 1 .nt's property or structure shall be requested and shall occur during regular business ho. �� SIGNATUREez. r/ 400�i/"�� DATE 7. �Lllvar adb NAM E SS 'RI T)/jC�- //`F „ FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE lJ RECEIPT# (11611 BASE FEE / 51 CASH/CK# 33 S. ADDITIONAL SECTIONS '-'4D' DATE .0 / POTABLE WATER 8 5 911/ROAD APPROACH IC t S4i rl V PROPANE TANK ,`� ice' tt , . TOTAL { LJ — g:\permitcenter\forms\bldg forms\mobileap revised 2-17-04.doc 1 F 1 U N 2 3 l� U .,' PT. OF G"J_.: . .,LvEOPMEIii 1111 AnIEFFERSON COUNTY ASSESSOR JACK WESTEAN III _ r IF,JEFFERSON COUNTY COURTHOUSE ASSESS r r izifiz ' �`r4BOX 1220,PORT TOWNSEND WA 98368 I i (360) 385 9105 MOBIit'HOMF�U INFQMM4TION FORM OWNER'S NAME / MAILING ADDRESS: MIS IS NOTA TAX STATEMENT NAME: I L0�11" ' ' - The purpose of this questionnaire is to obtain information ADDRESS:, d • �( 2 regarding either the current location of a mobile home or the previous ownership and location of a mobile home. This will . `' p �\ n 3 help our office determine whether the mobile home is already Y� 1 "t on the tax rolls in Jefferson County_or if it has been moved to 2' this county from another area. Please see reverse side for TELEPHONE NO: -*9:U-- (Q S qL'L additional information. 1410044 1) MOBILE HOME DATA: ' (A) MAKE 5 't U\SZ_ (B) MODEL 0-1 r.,Q.e,o b rig ice. LJ-3(l�j. (C) YEAR 2oj. (D) LENGTH �� (E) WIDTH 2. /4.4 0 ' f (F) SERIAL NUMBER -r/C) . (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) SiO 1-}y I . (H) PURCHASE DATE (a/ b4ot4• 2) PREVIOUS OWNER/ LOCATION OF Pc MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE idADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO (IF NO,WHAT COUNTY? ) IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO (B) IF LOCATED IN A MOBILE HOME PARK: NAME&ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: C yyNI SYJnre LOCATION (ADDRESS) REAL PROPERTY PARCEL NUMBER/DESCRIPTION THANK YOU FOR YOUR HELP! `-- G TUR /✓ KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND ISECT TO AUDIT VERIFICATION. • .. ,,,-,1' ;:a 44 d+\ 961 JEFFERSON COUNTY4 H ' ,> {}' DEPARTMENT OF COMMUNITY DEVELOPMENT f � '" 2 r ' f 4 i ti 1 $4104 A ,4 621 Sheridan Street • Port Townsend •Washington 98368 I - 360/379-4450 • 360/379-4451 Fax �-P3 Oi Cu,,„ ut:vELOPML tii ��Y http://www.co.fefferson.wa.us/commdevelopment/ ._._ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. ,/' W cc d d' .4,92 J 14411—AJ uN reitibl-- l f o"Ili PERMIT # KO Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 0 4 - ® 4 1 9 P / 4j $ AA-Ail. JEFFERSON [finny pat 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. NON.& / oel1 s 4. Describe the existing soils. Indicate soil type on the site map. 344# AV'eribel UdZ 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site above,below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. Al4 APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN /0 Mk 2 9 2004 1 , JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT stormwater site plan template—rev.10/1/2003 SIGNATURE: 5 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). ifelnidS DIV 71 - Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation_of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. a Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate propos facilities from existing facilities. /it -ri4/,(/w� ?)/Z t�f7dZL6,1617.3_,L.Aws) L°/t t A. J/`t1 BLtvr, 4' 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. /N Pg./. �6st�t 7n� pf7lovrt t.u/t-7oyi o't, '/re- , Y "" Describe the.flow control s t m. j k t Y:e 4 stormwater site plan template—rev.10/1/2003 -_ 6 ( ;, 13. Describe the water quality system. r m.�,Q E 'Pri:" 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 1 17. Describe the proposed surfacing material. f�►Vw- w 4/IAVOL. 18. Describe methods for restoration of the site. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. stormwater site plan template—rev.10/1/2003 7 • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing'( Limits. 5 6-1 2. Establish Construction Access. yIP-S owe-( A-e P 6'S 3. Control Flow Rates. 4. Install Sediment Controls. 5. Stabilize Soils. 2a-,S'crrs� 6. Protect Slopes. NO 7. Protect Drain Inlets. No 8 stormwater site plan template—rev.10/1/2003 n �.s • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 3, i ; == RI Or t,j. 9. Control Pollutants. lfQ 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). AI 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. ( 4) f/L/` -etrti1 cavc bo 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). Ay* 0€0-Ss►r,.Err/4-r b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Il/A 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. P/j4- stormwater site plan template—rev.10/1/2003 9 b. Description of special requirements for working in or near environmentally sensitive areas. AVAL 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations >tormwater site plan template-rev.10/1/2003 10 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Constru ' n o as the applicant/owner attest that the information provided herein is true and correct to the best erti is application is being made with the full knowledge and consent of all owners of the e 27. Tciivd 'Day w SIGNATURE) (DATE) RA Off/e . THIS SPACE MAY BE D FOR ADDITIONAL NOTES, IF NEEDED: -) , ,, ice: IL. . d, S t..LVEiS`'+,..O1 l ,-Pi.OF U.),., .�� _ - stormwater site plan template—rev.10/1J2003 12 �W m-f;o °ow m it o� zj yy �} oa@: we 06 z�i f7� s p •p$w ono Ec W 4. J O rO G _o 4 CLI L L � � o o It o o =icaa r a viaw # W 04"04"9 llFEiaSON C ull M :Ol 1� r;7 :y? f'O L�x�� arc \�gJi. M;zc) , e¢b�, APPROVED SITE PLAN JUN 2 9 2004 M ERSO o DEPT. OF CP DE ELOFM�Nt' SIGNATURE: . ,� ,� Om