HomeMy WebLinkAboutBLD2005-00650 CERTIFICATE OF OCCUPAC ,
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Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451 (800) 831-2678
PERMIT #: BLD05-00650
SITE ADDRESS: 62 N. WILLISON AVE Issue Date: 11/8/2005
PORT TOWNSEND, 98368 Final Date: 4/12/2006
APPLICANT: JAMES G ARGITES JR PHONE: 360-301-3227
HEATHER M ARGITES
2534 HOLCOMB
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 117 Lot: 33-36
PARCEL NUMBER: 962111711 Section: 34 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NEW MFH
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING
CODE 2003 EDITION.
OCCUPANCY GROUP: \ 41,4A M4..
TYPE OF CONSTRUCTION:
=Me•u' 0 4 Vi `i r
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/12/2006
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Buil .`Official Signature Date
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. • MLA05-00606
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD05-00650 Received Date: 10/7/2005
SITE ADDRESS: 62 N. WILLISON AVE
PORT TOWNSEND, 98368
APPLICANT: JAMES G ARGITES JR PHONE: 360-301-3227
HEATHER M ARGITES
2534 HOLCOMB
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 117 Lot: 33-36
PARCEL NUMBER: 962111711 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/ OWNER BUILDER PHONE:
DEALER:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION: NEW MFH
TYPE OF WORK RES MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: KARSTEN SETBACK:
VALUATION 53,083.00 YEAR: 2005
LABOR & INDUSTRIES APPROVAL?
SIZE 44 X 26.8 BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Date:
/000/0 5 a
APPROVED
Type Amount Paid By: Date: Receipt: Approved/Date
Manufactured Homes $157.00 SLE 10/07/05 77120 NOV - 8 2005
Potable Water Application $53.00 SLE 10/07/05 77120 Jefferson County Planning
Total: $210.00 $ Buil 9 partment
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JACK WESTERMAN II• Jefferson Ct . Courthouse
ASSESSOR 1'0 Ilex 1220, Port Townsend, W. 9113611
(360)311 i-9105
MOBILE HOME INFORMATION FORM
OWNER'S NAME/MAILING ADDRESS:
NAME: \FC `A Al /Nv_c-y e-`-)
ADDRESS: (2)o Nb,r-A- LAVA C)l"S c6
PHONE NO.(3toh5 2-,o\ 22-7
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: u ,,�� ' tat_ ter ` ek ,
(A)MAKE (�\--e_ - (B)MODEL i G"CV OQ)x Q(C)YEAR /0 C
(D) LENGTH 11 1 (E)WIDTH ZCo‘' \1/4. (F)SERIAL#
(G)YOUR PURCHASE PRICE(Do not include sales tax)53/tn3 2"PURCHASE DATE 'CT 9)
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE
ADDRESS _.
(B)WAS MOBILE HOME ASSESSED IN JEFFERS LL4S1 7` A ?Y No
I I
If Yes, Previous address of mobile.
If No, What County was Mobile assessed in 1asIt r. G l,
OCT 7 200�
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 Lot/Space #
(C) IF NOT LOCATED IN MOBILE HO IE
NAME OF LAND OWNER: 1�24c + -M .14,e-oz
LOCATION ADDRESS (P� W ti�\1`J'0v\ �c7 U�.3 1�t
REAL PROPERTY PARCEL #/DESCRIPTION v l L 2— l l 1 t
Sig attire of applicant
THANK YOU FOR YOUR HELP!
dJODII4,3 ��SS-e Q SiCOSSELL, Property Technician
• •
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#: BLD05-00650 Received Date: 10/7/2005
SITE ADDRESS: 62 N. WILLISON AVE Issue Date: 11/8/2005
PORT TOWNSEND, 98368
APPLICANT: JAMES G ARGITES JR
HEATHER M ARGITES
2534 HOLCOMB
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 117 Lot: 33-36
PARCEL#: 962111711 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/ OWNER BUILDER PHONE:
DEALER
PROJECT DESCRIPTION: NEW MFH
MAKE: KARSTEN
YEAR: 2005
SIZE: 44 X 26.8
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 11/8/2006.
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT.
Setbacks/Footing (CONTINUOUS F OTI , SLAB or PADS USED): �,Q/p z TAMS OK /�'y"s,
"B7' 4 KS ek 17/2* s `%�'_"
Stormwater FINAL A proval: `
Blocking/Plumbing: 3//,,hA'
Propane Tank/Lines
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps:
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
• •
SPECIAL CONDITIONS CASE # BLD05-00650
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on October 20, 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:
SARPA aquifer rechargre area; coastal 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.) 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.
5.) JCIA is a community airport for civil aviation and has been designated an Essential Public
Facility by Jefferson County in accordance with the provisions of the Washington State
Growth Management Act and the Jefferson County Comprehensive Plan. Properties in
the vicinity of the airport may be subject to potential discomforts or inconveniences from
noise and vibration associated with aircraft takeoff, landing, over-flight, and normal ground
operations at the JCIA site. The County does not consider these inconveniences and/or
discomforts arising from such operations to be a nuisance as long as they are consistent
with Federal Aviation Administration regulations and standards. It is acknowledged that
areas lying outside the fixed boundary of the Airport Overlay I may also be subject to low
level noise and vibration. This information is intended only as a disclosure to property
owners and potential property owners of their proximity to the JCIA, and the potential for
low-level noise associated with airport activities.
6.) 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.
7.) 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.
8.) Critical Aquifer Recharge Are s may require special protection measures o 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.
9.) 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.
10.) 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.
11.) 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.
12.) MANDATORY MEASURES FOR 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.
13.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
14.) The applicant is proposing to create or add 1950 square feet of impervious surface and
2713 square feet of land disturbing activities.
15.) 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.
16.) 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).
17.) The site plan as submitted with the manufactured home installation permit application on
October 7, 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 20, 2005 shall be resubmitted for review and approval by Jefferson County
Department of Community Development.
18.) This approval is for a manufactured home installation 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.
19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
• •
20.) Not more than two (2) unlice;ed 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).
21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
22.) The building height is not to exceed 35 feet.
23.) 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.
24.) 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.
25.) Minimum setback from North Willison Avenue right-of-way shall be 20 feet. Minimum side
yard setbacks shall be 5 feet. Minimum rear(alley) setback shall be 20 feet.
26.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
27.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28, 1998.
28.) The lots were created through the Irondale No. 5 Subdivision on April 2, 1910 under AFN
29795.
29.) A road approach permit(RAP05-0177)was approved on July 11, 2005. A septic permit
(SEP05-0341)will be issued with the building permit.
30.) An address of 62 North Willison Avenue, Port Townsend has been assigned to the parcel.
North Willison Avenue is a private road (P475).
31.) A Declaration of Restrictive Covenant was recorded on October 25, 2005 under AFN
504613 for the purposes of consolidating the lots strictly for septic and building purposes.
.Vorr c
��� % JEFFERSON,UNTY111/
DEPARTMENT OF COMML NIT7 -9 ((p�
621 Sheridan Street• Po vigsD aihl td 983
Pc' 360/379-4450 • 360/3T.
�<qs ..SOS www.co.jefferson.wa.usi development
IIIN� OCT - 7 2005 t-'
Master Permit Application
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Project Description(include separate sheets as necessary): i.c•`-�..\N • �,�,^J(z,,evrt 1. ,,,.,-Q. . �I .�p ,• ,L , --,
j m ) t
Tax Parcel ;
Number: -1 LZj (f 7 I 1 Pro e - Z�' { li UCf", �u f (acres/square feet)
Site Address and/or Directions to Property: (iZ.k4 t\k cr,^ .4-i1,_
Property Owner s)of Record: ` ,.� /A...-3A . \.{'ecA � k
Telephone:( .90 3Q i—322-1 f Fax: email:
Mailing Address: k 13;,,c '>1 � gyp, Oi — ,,.-(�
Applicant/Agent(if different from owner):
Telephone: Fax:
email:
Mailing Address:
What kind of Permit?(Check each box that applies)
't1.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 Cl Special Use(Essential Public Facilities)**
$ Manufactured Home Li Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑Commercial* ❑ Binding Site Plan**
❑ Change of Use ❑ Long Plat**
❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ 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 latgr'i spections.A ss and right of entry to this property shall be requested and shall occur only during regular business
hours. / /
Signature: '�-P- --` �/Date: CC, :-,fv /
��� �' /
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 responsib'ity for adherjng to and cor�tplying with the ESA. The Applicant has read this disdaimec and s)gns and dates it below.
Signature: -2-_— -_—
�__" Date: lOf y� 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 re nsibility of fhe Generr1 Contractor for the proposed project.
Signature: '"7/..:,'' � ?
'1'//' :L— Date: /o, y/fC'
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
(S60) 6 -077 (i(0) LeI-a780
ez
MAIL NG ADDRESS: 83 EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: �j miEt f ilie/Lie NUMBER tag/A✓S D 2,50
ARCHITECT/ENGINEER: J PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
'Vs New ❑ Wood Existing: 11 Sewer
❑ Addition 0 Steel Proposed: 2- Bank i i Community System
Li Alteration/Remodel 0 Concrete Total: 2- Height: Individual System
❑ Repair ❑ Masonry SEP Permit#
] Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: iIi Private well [_I Two Party
Type of Heat: Proposed: 2- lKI Public
ei,rye. c__ Total: 2 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:
I 1 Underground Tank 0 Above ground Tank Size of Propane Tank:
i 1 Heat Stove ❑ Cook Stove II Woodstove [I Fireplace Insert 17 Hot Water Tank I 1 Pellet Stove l I 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 ___-----C--ocsi c Review:
2""Floor pi L I \ BI : 1 `J7• �J
3fd Floor 1 j)1 3 CT _ 7 ,,,,,,Additil ction: �•
ik,
Mezzanine: Plan heck fee: ....,_—.
Heated Basement t State Surcharge fee:
Unheated Basement Pot Water Review fee: 87. o V
Other Unheated 9 Rd Approach feg:
Garage/Carport TOTAL: $ O�`jA 3. o
Decks 9 ^ (aD
Receipt Number: I
Other Cash/Check Number: l`0 0 a l
ESTIMATED COST(REQUIRED) Date: I j
.Fair market value of all labor and materials foundation to finish
iar_,Initials:
G:\Pem»tCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
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