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Home My WebLink AboutBLD2005-00082 • • MLA05-00088 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00082 Received Date: 2/11/2005 SITE ADDRESS: 406 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: BRODER INC PHONE: (360) 797-7722 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ JAMES H POWELL PHONE: DEALER: PALM HARBOR HOMES 9601 S TACOMA WAY TACOMA WA 98499 Contractor's License WAINS0334 Expires 07/31/2007 INSTALLER: JAMES H POWELL WAINS0334 7/31/2007 PALM HARBOR HOMES TACOMA WA 98499 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: PAS MHARBOR SETBACK: VALUATION 97,329.00 YEAR: 2005 LABOR & INDUSTRIES APPROVAL? SIZE: 66 X 27 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date / S F&W Landslide Shoreline Aquifer Type Amount Paid Bv: Date: Receipt: APO\/E Manufactured Homes $157.00 KAS 02,i 1/05 71457 11 Potable Water Application $53.00 KAS 02/11/05 71457 MAR - 9 2005 Total: $210.00 Jefferson County Panning /) & wilding epartm f-j�., pig 1 S S 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 #: BLD05-00082 Received Date: 2/11/2005 SITE ADDRESS: 406 PORT HADLOCK HEIGHTS RD Issue Date: 3/9/2005 PORT HADLOCK, 98339 APPLICANT: BRODER INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAMES H POWELL WAINS0334 Expires: 7/31/20M PALM HARBOR HOMES TACOMA WA 98499 PROJECT DESCRIPTION: NEW MANUFACTURED HOME (LOT 24) MAKE: PALMHARBOR YEAR: 2005 SIZE: 66 X 27 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/9/2006. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. _ Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): L9(cA ' .1 —15' Stormwater FINAL Approval: Blocking/Plumbing: UV Cii -47 -)7- f3S .04 Io--// -&:.. Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: ` /7 0.6 HEALTH DEPARTMENT AND PU LIC 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 • SPECIAL CONDITIONS CASE # BLD05-00082 1.) The application was reviewed by the Jefferson County Department of Community Development staff on mARCH 4, 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). 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 withih 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.) 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. • 8.) MANDATORY MEASURES 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. 9.) The applicant is proposing to create or add 1,982 square feet of impervious surface and 4,750 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.) 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). 13.) .The site plan as submitted with the building permit application on February 11, 2005 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 8, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for a manufactaured 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 16.) 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). 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) The building height is not to exceed 35 feet. 19.) Setback from Port Hadlock Heights Rd. right-of-way is no less than 20 ft., side setbacks are no less than 5 ft. and rear setback is no less than 25 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 20.) 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. 21.) '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. f •22.) This parcel was created throthe Port Hadlock Heights Mobile Home Park Binding Site Plan, filed of record April 15, 1998 under AFN 409746 in Vol 1, page 28-32 with the Jefferson County Auditor's office. The binding site plan was reviewed by Jefferson County Department of Community Development under BSP94-00001. 23.) A minimum of two (2) on-site parking spaces is required for the single-family residence. 24.) Port Hadlock Heights Rd. (P516) is a private local access road. An address of 406 Port Hadlock Heights Rd. has been assigned to lot 24. 25.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 26.) The 25-foot wide buffer shall remain in its naturally vegetated condition. No constructed or erected facilities shall be placed within this buffer with the exception of utility lines, fencing or security posts. 27.) This is designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. JACK WESTERMAN III .Iciicrson 1'saalrlhous�• ASSESSOR PO Box 1220. Port Toys'mend. WA 98368 (360) 38 -9105 MOBILE HOME INFORMATION FORM FEP OWNER'S NAME/MAILING ADDRESS: NAME: MAR (`�M B r RC-; ADDRESS: R, Cl i'3,;( CI 3_3 3FAC W O 7 7 L/ /L/ PHONE NO. ;' 'I/ 2 If 7 7 /33 The purpose of this questionnaire is to obt *formation 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 i obile home is already on the tax rolls in Jefferson County or if it has been moved to this county from another area. 1►MOBILE HOME DATA: (A) MAKE p L I1 A f )e'R. (II) MODEL ~3 6 r /4 L (C)YEAR 2 ci4.) C C0p) LIE H (E)WIDTH '�7 (F)SERIAL # (G)YOUR PURCHASE PRICE (Do not include sales tax) 9 7 3 PURCHASE DATE&/- 2 S 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) S (A) FROM WHOM DID YOU PURCHASE MOBILE , ADDRESS (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes (off If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? �J No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK (( 1.T I-) AD I_CC/< 1-4&t&/f Lot/Space# (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS 2, 4'; REAL PROPERTY PARCEL #/DESCRIPTION Signatur f applicant THANK YOU FOR YOUR HELP! 4JO COSSELL. Property Technician • OWNER BUILDER STATEMENT I 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 the responsibility of the General Contractor for the proposed project. Signature: Date: FED GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: T p as pOweLL__ ( 2S3) 122- `tTon ( ) MAILING ADDRESS: 3 2.0 To dci R a. /V E /J v 9.t 1,-)0 tvil, EMAIL: CONTRACTOR'S LICENSE f/ cf$3-7 2 WAINS NUMBER: NUMBER Iv' ( IN S — 0 32 y ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank Community System ❑ Alteration/Remodel ❑ Concrete Total: '1— Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: _ -5 ❑ Public Total: 3 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: 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: ❑ Underground Tank ❑ Above ground Tank Size of Propane Tank: Heat Stove ❑ Cook Stove ❑ 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 For Office Use Only Current Proposed Amount Main Floor Consistency Review: 1.9 2Nu Floor Base fee: I � 3f0 Floor Additional Section: ,; Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: 04 Other Unheated VI/Rd App. fee: 9 i r! ?cake, 5 ba Garage/Carport J TOTAL $ a-ci 2 Decks Receipt Number: t? i 5 Other Cash/Check Number 1 03 ESTIMATED COST(REQUIRED) Date:•Fair market value of all labor and materials foundation to finish i' i f/40 5 Initials: G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc (ii"„ °INT cbT cO JEFFERSON tUNTY A DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax FED �qs 0 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: I' ` LA o5-8 Project Description(include separate sheets as necessary): 01/ie w kna n ci f-a d ,-b m Tax Parcel Property 1 ) Number: 9 F I Soo o o/ Size: 6 r i- T L (acres/square feet) Site Address and/or Directions to Property: T O 6 Ooh� ga d lee l< f{' his P.N. erg 37 Property Owner(s)of Record: &C U E P-' 1 v C. Telephone: ( C' 7c, 7 "7 7 2 2 Fax: email: Mailing Address: 4.5253 O/0 GAR DINER kD PoRT L j SEND i-v i4 (3 8368 c'Applicant�Agent(if different from owner): M A R ti- o AA B ERG Telephone: Fax: email: Mailing Address: C/o BR0I61(5, /JVC 4S63 old 6.4,A4;ne, Rd /01,.zi- 7os.ns.„/ LEA- g8368 What 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 ❑ Garage Attached/Detached 0 Special Use(Essential Public Facilities)** Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRDyAmendments** ❑ 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 C ((IA►.� 1s'ro,A @ r' to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE fll( (\ylYt Date: `i Fc b 26 05 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is Vile 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 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 its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this ro all be requested and shall occur only during regular business hours. p Signature: I OUPi n Date: l Fed' 2 cbs 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-transferable responsibility f r dheri g to and co lying with he=SA. The plicant has read this disclaimer and signs and dates it below. Signature: 0 } Date I F 2a2S G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc A L zLes O .114 `� N. AL, 0 w ,y. �V en • . N u.. \ t't of A, -o ct N .. 4 0 3 v,"1 1 r . t ti a- I i rar ! k.9 W I ek i•• r _ ✓ en . y_ at I r ,.. .. N. - . ♦ _t U .. .0� !t .J h! CI , Pi In • ,�' ,- J � j �.Co ( il 1. r _ e't'Z' ,.. ( �, H i \ i''''\. (,,\\ 4 •vt villpo. t 1 ii `, a ,�`L 1 4 -}y- K •0. r W _1 o0 i 1 ) Ni 31 V 1 �„►--A ) .%. 40 ve h.6,,,c-\. J �` -"♦r t 0 �trb m { op W "7 t7J • T 0 0 v v 0 v o '� d 0 J Ln — It cJ .. 0 — (3- _J �. 0 T 0 o ,L-, = CM c, rrm C7 y 1,,. 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