HomeMy WebLinkAboutBLD2005-00037 •
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 #: BLD05-00037 Received Date: 1/19/2005
SITE ADDRESS: 54 N MAPLE ST Issue Date: 2/22/2005
PORT HADLOCK, 98339
APPLICANT: JASON & ROBIN WOODS
500 CHERRY AVE
CHIMACUM WA 98325-8727
SUBDIVISION: GARFIELD'S ADDITION Block: 3 Lot: A
PARCEL#: 952800309 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR/ CANTERBURY CONSTRUCTION PHONE: 360-277-3045
DEALER PO BOX 2714
BELFAIR WA 98528
INSTALLER: CANTERBURY CONSTRUO IWEEC*021 NC Expires: 2/5/2007
E 1350 TRAILS END DR BELFAIR WA 98528
PROJECT DESCRIPTION: NEW MANUFACTURED HOME
1996 MARLETTE VIN t/H 012109A/B
MAKE: MARLETTE
YEAR: 1995
SIZE: 68 x 28
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 2/22/2006. t -CED p4c FS.
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. �,,/
Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):SSIT "4/ t =�;J(L Lr.40(--/2106
Stormwater FINAL Approval:
Blocking/Plumbing:
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps: j r )rik ;iv5,;L kAL0 (—A MCI j=;n).ft c9 ti� k-3 r�l
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT-LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY- SEE REVERSE
eUILDING PERMIT APPLICATI�,I�d
Ir MLA05-00032
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00037 Received Date: 1/19/2005
SITE ADDRESS: 54 N MAPLE ST
PORT HADLOCK, 98339
OWNER: ROBERT W JACKSON PHONE:
PO BOX 36
PORT HADLOCK WA 98339-0036
360-379-0575
SUBDIVISION: GARFIELD'S ADDITION Block: 3 Lot: A
PARCEL NUMBER: 952800309 Section: 2 Township: 29 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
1-\\C) 42
PROJECT DESCRIPTIOr NEW MANUFACTURED HOME �l�¢lJk.SC
1983 FLEETWOOD/GREENHILL `r(�p,,.(\„e* — 1-"5)
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 1997 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUD PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: /7 f 3 Prop: A'4 2• Seismic Streams
Total: /2'. ')) Total: ..1'" Flood Way Floodplain
Routing Date: F&W Landslide
���U��� Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A P OV E D
Permit $157.00 BAC 01/19/05 68897
Potable Water Application $53.00 BAC 01/19/05 68897 FEB 2 2 2005
Total: $210.00 Jefferson County Planning
& Building Department
(-( StLJ,
• •
SPECIAL CONDITIONS CASE # BLD05-00037
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on February 16, 2005 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, the following ESAs were
confirmed to be present on the subject property: Susceptable Aquifer Recharge Area
(SUSC), Seawater Instrusion Protection Zone (SIPZ).
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.) 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.
5.) 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.
6.) 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.
7.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
8.) VOLUNTARY MEASURES OFCOASTAL&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.) The applicant is proposing to create or add 1,904 square feet of impervious surface and
1,904 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson
County Unified Development Code requires that your proposal comply with Minimum
Requirement#2 (Construction Stormwater Pollution Prevention) 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.
10.) 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.
11.) 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.
12.) Stormwater shall be retained and infiltrated on site. The owner shall control all
sedimentation and erosion on the property.
13.) 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).
14.) The revised site plan as submitted on February 27, 2006 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 1, 2006 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
15.) This approval is for a manufactured home and detached carport 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.
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, buildings only, is not to exceed 60%. Adequate space must be
provided for required parking, setbacks, landscaping, utilities, septic system (if no sewer
available) and stormwater management facilities, as applicable.
• •
19.) The building height is not to exceed 35 feet.
20.) Setback from the vacated Stevens Street right-of-way is no less than 10 ft., side and rear
setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then
the more restrictive setback shall apply.
21.) 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.
22.) 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.
23.) This parcel is a legal conforming parcels designated Urban Low Density Residential
through the Irondale & Port Hadlock Urban Growth Area Zoning Map effective August 23,
2004 as an amendment to the Jefferson County Comprehensive Plan Land Use Map
effective August 28, 1998.
24.) This parcel is served by a public water system.
25.) A septic permit(SEP89-00079)was approved March 1, 1989 for a capacity of 360 gallons
per day. This permit was finalled April 3, 1989.
26.) This parcel has access from the vacated portion of Stevens Street. An address of 54 N.
Maple St. has been assigned to the parcel.
27.) A minimum of two (2) on-site parking spaces is required for the single-family residence.
28.) This parcel was created through Garfield's Addition, recorded January 20, 1890, Volume
2, page 39 with the Jefferson County Auditor's office.
Qe 0 t S i on
JACK WESTERMAN I
Jefferson 4111 Courthou •- _
ASSESSOR I'O Box 1220. Port Townsend, W.% 98368 a.
(360) :185-9105
MOBILE HOME INFORMATION FORM
FEB 1 6
OWNER'S NAME/MAILING ADDRESS:
NAME: 3-4-ton ctne( 4104:0
ADDRESS: cio ('',herr fade, , e. iY+ AdaYi 4 9tPi g
PHONE NO. -SW-' 3a-
The purpose of this questionnaire is to obtain information regarding either the
current location of a mobile home or the previous ownership and location of a mobile
home. This will help our office determine whether the mobile home is already on the
tax rolls in Jefferson County or if it has been moved to this county from another area.
1)MOIIILE HOME DATA:
� ;
(A) MAKE Mil' ';M""' (B) MODEL FnbIe 14)�k o�/6 (C) YEAR 11`f5
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(D) LENGTH , (E) WIDTH $ (F) SERIAL # 01; ioc/
(G) YOUR PURCHASE PRICE (Do not include sales to /d o00.4'4' PURCHASE DATE r.`1Uk7
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE c? ).14.ty
ADDRESS 50 D ` et t,9 g L� �LL��,1 1)04.
(B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes No
If Yes, Previous address of mobile.
If No, What County was Mobile assessed in last year. ?✓/ t' "1
3)WHERE MOBILE HOME IS TO BE LOCATED:
(A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes
(B)IF LOCATED IN MOBILE HOME PARK:
NAME & ADDRESS OF PARK /144 Lot/Space #
(C) IF NOT LOCATED IN MOBILE HOME PARK:
NAME OF LAND OWNER: C741.4.401 to Iz.,C
LOCATION ADDRESS r 1 f)ittp fit. y Y 11 P r
REAL PROPERTY PARCEL #/DESCRIPTION
ignature o applicant
THANK YOU FOR YOUR HELP!
4JO COSSELL, Property Technician
.: -r 1111
1ANO.
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OWNER BUILDER STATEMENT •
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming res nsibiiliittyco Gene Contractor for the pr rotect.
Signature: w` Date: • \� tS
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
e �e' \t� � t• �Q�`t � ta\ �_ �b�--- .. rtt7 . l\g JA�V 1 9 2005
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: L--ek.V e.L (.,,5\ 1. NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAx:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: TypeCI WoodExisting:
Se of Sewage Disposal:
❑ New
-� ❑ Sewer
❑ Addition 0 Steel Proposed: I Bank ❑ Community System NJ�
❑ Alte ' R I 0 Concrete Total: Height: ❑ Individual System c� .-7
ElRepa 0 Masonry SEP Permit# $' `� t 9
Bedrooms:
0 Dem tin ❑ Other. Water Supply:
Existing: Setback: 0 Private well ❑ Two Party .
Type H t: Proposed: _ Z ublic ;:( ,
Total: Name of System:
•
If this is a Commercial Protect you must answer the following:
Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: r
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
0 Underground Tank ❑ Above ground Tank Size of Propane Tank:
❑ Heat Stove ❑ Cook Stove 0 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage ce'Use-Only 3S ': eta , * t •'.,
Current Proposed €1 r ` i
Main Floor A
, Consistency Review: r , � � ,� , •_R � :f
NU t 1 ,per :+,�tii 2t U ek
2 Floor -base fee: 7 t•
b , 4y��
3 Floor r , ,, '
m
ditional'S�en '"'
. +r t i t
F x,�f , EVIEltJ ° V�.` . t -s s4 �
Mezzanine: `Plant:lck fee.
Heated Basement '' r y i
'State urcharge •fee: 4 . ,,,z
Unheated Basement Pot Water Re fee: Azi Fi •4 P-ie4.
i i J '~-Rk AY ] '
Other Unheated , .X:, 141p
Garage/Carport
TOTAL $ t h , . 1 ''';
Decks s'' '^�
.. - Receipt,Pumbor; r i 0 it .,w- „," 4'S
V: 'ter' .'k a.
Other CashlCheck Number "�' 14'o*'
ESTIMATED COST(REQUIRED) Date: - " a ' ,,
•Fair market value of all labor and materials foundation to finish JAN 1 9 , L Fig,. p;
2005 fi. �}
Initials: i'. � , ^`1ri0 " fs ``"' .�
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G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
‘_, a vk 1.---4-)1..Q.____
�9 c Ili& JEFFERSON�UNTY
` j DEPARTMENT OF COMMUNITY DEVELOPMENT
` ' 621 Sheridan Street • Port Townsend •Washington 98368
& 360/379-4450 . 360/379-4451 Fax JAN 1 9 2005
gS�N0(c0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MLA: 0
5-'2N-,,_, ..-- ,
Project s ription(include sepavate sheets as necessary):
Tax Parcel ;) Property
Number: / < ���� 1 Size: C/c-;C) (acres/square feet)
Site Address and/or Directions to Pro -IS 6f,S\‘ CQ‘A &S e-," rYfi,\�
Property Owner s of Record: \S-- •
Telephone: - —� Fax: email-
Mailing Address: .'O % I.
. +.. CS ~ j,`ik_'dt , \ itS `'i
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
at kind of Permit?(Check each box that applies)
Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification
❑ arage Attached/Detached `� ❑ Special Use(Essential Public Facilities)'"
anufactured Home L n +o.ttcC\i U+'1 ❑ Boundary Line Adjustment
❑ ocular ❑ Short Plat**
❑Commercial* 0 Binding Site Plan**
❑ Change of Use ❑ Long Plat**
Li Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)lAmendments**
❑ Propane ❑Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
❑Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 its employees,representatives or agents for the sole purpose of application
review and any required later inspecti s.Access and right of entry to this property shall be requested and hall occur only during regular business
hours. `` ,, \\ \ xxX C
Signature: � w ' Date: ` v
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trans le ns''ili`ty for eeng to a mplying with the ESA. The Applicant has read 's disclaimer and i sad dates it below.
Signature: `�-�` Date: 4-�5
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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