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HomeMy WebLinkAboutBLD2005-00620 • . MLA05-00577 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00620 Received Date: 9/23/2005 SITE ADDRESS: 131 MAPLE AVE BRINNON, 98320 APPLICANT: RYAN HARRIS PHONE: 360-796-0586 CLAIRE HARRIS 131 MAPLE AVE BRINNON WA 98320 SUBDIVISION: DUPUIS SHORT PLAT Block: Lot: 3+ PARCEL NUMBER: 502313048 Section: 31 Township: 25 N Range: 02 W CONTRACTOR/ WASHINGTON HOME CENTER PHONE: 360-748-6604 DEALER: PO BOX 176 CHEHALIS WA 98532 Contractor's License WASHINC0770A Expires 3/19/2007 INSTALLER: WASHINGTON HOME CENTER WASHINC0770A 3/19/2007 360-748-6604 PO BOX 176 CHEHALIS WA 98532 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MANUFACTURED HOME TYPE OF WORK RES MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: OAKGROVE SETBACK: VALUATION 10,000.00 YEAR: 1985 LABOR & INDUSTRIES APPROVAL? SIZE: 56' X 14 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: p_.7/050 Type Amount Paid Bv: Date: Receipt: A FvPRVV VV/E D Manufactured Homes $157.00 SLE 09/23/05 76690 Potable Water Application $53.00 SLE 09/23/05 76690 OCT 1 7 2005 Total: $210.00 (---1/7 ),\Jeffers9 ,y rtm nt (-FCO r A • MANUFACTURED/MOBILE Jefferson County DepartmentOo omNSTALLATION PERMIT munity 621 Sheridan Street, Port Townsend, WA 98368ment 360 379-4450 FAX 360 379-4451 PERMIT#: BLD05-00620 Received Date: BRINNON, 98320 Issue Date: 9/23/2005 SITE ADDRESS: 131 MAPLE AVE APPLICANT: RYAN HARRIS 10/17/2005 CLAIRE HARRIS 131 MAPLE AVE J�'�' ) SUBDIVISION: BRINNON WA 98320 DUPUIS SHORT PLAT PARCEL #: 502313048 Block: Lot: 3+ Section: 31 Township: 25 N Range: 02 W CONTRACTOR/ DEALER ) •7` -8 . ,( INSTALLER: WASHINGTON HOME CEN 985 j2NC0770A Expires: 3/19/200� PO BOX 176 CHEHALIS WA PROJECT DESCRIPTION: NEW MANUFACTURED HOME MAKE: OAKGROVE YEAR: 1985 SIZE: 56'X 14 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 10/17/2006. CALL IIy,FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. V Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): — Stormwater FINAL Approval: ' Blocking/Plumbing: 1"lr--Rrooerne Tank/L7nes Zoning Final Approval: Septic System Final Approval (If not on sewer): RGad-ApP+w aal-Approval: Final/Skirting/Vents/Porches/Steps: (— HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED SECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDUL Office Hours 9:00 a.m. -4:30 p.m. E INSPECTIONS. HOT-LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE REVERSE • • SPECIAL CONDITIONS CASE # BLD05-00620 1.) The application was reviewed by the Jefferson County Department of Community Development staff on October 14, 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 and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Spotted Owls Habitat Areas, Level I Landslide Hazard Areas, Special Aquifer Recharge Protection Areas. 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.) 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. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 6.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry (Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow(Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry(Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray(Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 7.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 8.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 9.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." • 10.) All construction activities shall t encroach upon the buffer. This includes e storage or preparation of materials. 11.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 12.) 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. 13.) The applicant is proposing to create or add 1000 square feet of impervious surface and 100 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 Best Managment Practices (BMPs). 14.) 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). 15.) The site plan as submitted with the building permit application on September 23, 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 October 14, 2005 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 16.) 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. 17.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 18.) 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). 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) The building height is not to exceed 35 feet. 21.) Minimum setback from Maple Ave right-of-way is 20 ft. Minimum side and rear setbacks are 5 ft. Environmentally Sensitive Areas further impact setbacks. 22.) A minimum of two (2) on-site parking spaces are required for the single family residence. 23.) 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. 24.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 25.) A septic permit(SEP05-0024)was approved on September 27, 2005 for a system of 1000 gallons per day. 26.) Maple Ave is a local access road (C201909). The road approach is existing and an address of 131 Maple Ave has been assigned to the parcel. 27.) This parcel was created through the Dupuis Short Plat under AFN 318322, filed of record November 22, 1988 in Volume 2 of Plats, page 121 with Jefferson County Auditor's office. 28.) WDFW commented on the application on October 14, 2005. The proposed activity is greater then 1 mile from any documented spotted owl territories. Therefore, this project is not likely to have an impact on the spotted owl. JACK WESTERMAN IIIe Jefferson Ce0/'ourlhoUM` ASSESSOR PO lion 12211, 1'orl Townsend. WA 98368 , (360) :185-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: Qr. �,� p [c [; '�f [E -NAME• R r1 E ADDRESS: y j 3 l Br iAnbin WA.. N y ��' `,I C 2 PHONE NO. (3Lb) 74L - 05v6 SEP 2 3 2005 I 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►MOBILE HOME DATA: (A) MAKE ©dLk rtj ro ✓0 (B) MODEL pa, r oc&e (C)YEAR K S (D► LENGTH 56 (E)WIDTH 1 7 (F)SERIAL # 419 SO Z77`J (G►YOUR PURCHASE PRICE (Do not include sales tax)ii 0,CVO'PP-PURCHASE DATE ctr -20.--ECG 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE 'n/O: 3 i'N.'i‘340il i 1- 0tv*e (en fe r ADDRESS S&- , (;1 RyyQ%1 Ala Sk .I foil r WA• q$5 2 4 (B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes C�T If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. r t,..*A 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes l�o (B)IF LOCATED IN MOBILE HOME PARK: NAME &.ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: Rio" 1-1a..rki LOCATION ADDRESS I.31 ((,'!Anoll WI. 9t 3 Iewlit4b REAL P ' I 'ERTY PA #/DESCRH'TION 02. O'i ce 3i ,wns' 2,5 N R c k* 3 J Dirp its si.l(fi Pi - • "2//zin/I) Signat e of applicant THANK YOU FOR YOUR HELP! 4JO COSSELL. Property Technician I— \ , PERMIT # OLD \ ,> < \ A 1 .s...,c...„.a. ,, 0 5 - 0 6 2 0 in gE nut l' .- ......, JEFFERSON COUNTY DI? -4-• \\ CO ..-_-:> .nt. ..... z-, -.!-. , g4 w - . 1-1) flu'4.°w65 1 6: 11 1 8 c:i; if SEP 2 3 2005 i q- 13 0 0 , , e .1... - no 0 op t-I 1) raramom ...1. .1 i.,..) 4.).„--- ------- — --------_ c • -' ‘.4 ...J _ -,- rA A ku -- — t A '5,• 0 - ,--- :Z.. 0 PI . :S -4) -- WI ss e... 03 - g • A --4-..,..N.6, 4 :3) U ...) , _ ,,, c ., 0 c -1- a.!. ,....j •‹.1.. . ,.. ._.J .... 0 ..--. Y c ... .... ....? :'..3 C l• (3 1 , .......rn ...i. ----67"; '--,o ,....- II A . 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N,, "4"81611Wailliwitilit 14 - ,a4 4 c.. ..... ,,._.. ---, + 0 •-) i.: -r-7 t.,,„, ,..„, i-41 A.- ..)r, •,-,-; 0 ,...1 4�.¢,soiv t^o�� JEFFERSdOUNTY • � , DEPARTMENT OF COMMUNITY DEVELOPMENT `4 621 Sheridan Street• Port Tow •�INa �aingg'tor�798 � i 360/379-4450 • 360/379-4451 ' • L 4 1 �� O� www.co.jefferson.wa.us/commd ment __ �___ < BINS !�� F- �1' tt' 11 Master Permit Application 1 SEP 2 3 2005 j Cj Project Description(include separate sheets as necessary): , i--• - - - \n. Tax Parcel ... Property `` ff ©i Number: 5 C)Z 3 13042 Size: `T' C--- Ave) (acres/square feet) Site Address and/or Directions to Property: j_ ` ivia21.e 6'62 136 a,n WA, y g 3•LO Property Owner(s)of Record: RI c,`^ 'f (_I c,,,"t 14ui<-•*, Telephone: ( to) Tit--05 q b Fax: email: Mailing Address: i' I ,Mtyc Iw.e. t3A Am,., W9. rl y ZJ Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑ Building C Variance(Minor,Major or Reasonable Economic Use) El Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** (Manufactured Home 0 Boundary Line Adjustment ❑Modular 0 Short Plat** ❑ Commercial* 0 Binding Site Plan** D Change of Use 0 Long Plat** ❑Address ❑ Road Approach D Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane 0 Plat Vacation/Alteration** ❑,Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** a Stormwater Management ❑ Shoreline Management Substantial Development** a Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance 0 Temporary Use D Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 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 kr- - .� Date: I /2.3/ j By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,iskrae 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 o1 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.Arrpzs and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: .y Date: I Z S/U r" 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 ility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: xi,,, , y Date: i f'2 3/o G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc • 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 the responsibility of the General Contractor for the proposed project. g ,�. 'l f-.%� 9 /'�3 f O Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Ce So L_.s.vt+u) (36° ) ' .2 j--(AO ( ) MAILING ADDRESS: W h o.^ HulAtt Ceo ler.1 .00.gAC l7, EMAIL: CONTRACTOR'S LICENSE CheLNAV> v✓/1 1 35 4 2- WAINS NUMBER: CC.O i V�./ i;k`0 7.7 0 4 NUMBER I LI Z 0 ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New V Wood Existing: O Sewer ❑ Addition ❑ Steel Proposed: I Bank q Community System ❑ Alteration/Remodel ❑ Concrete Total: I Height: g Individual System ❑ Repair ❑ Masonry SEP Permit#Se PJ5a*) ..c, ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: .I o{Public Piet.+r ;� Total: Name of System: P U-D, If this is a Commercial Proiect 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 0 Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove ❑ Other Is this appliance being installed in a Manufactured I 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: lq w . „ 2""Floor Base fee: I3J C. 3f0 Floor Additie:mai ction: Mezzanine: (f I n 6tiefl�fe1 �'_,W t64 ' _ ----�_ _ I Heated Basement iI e Surcharge fee: I j i 1 1 i SFP232005 F .' C4.1 Unheated Basement E. Pot Water Revie w fee. : . Other Unheated 911/Rd Approach fee 1, ,, Garage/Carport TOTAL: $ Decks Receipt Number. 17 6,7 0 C Other Cash/Check Number: /i -:} 4 ESTIMATED COST(REQUIRED) Date: C •Fair market value of all labor and materials foundation to finish / 4 3 "_' Initials: ;y) G:\PennitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc