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HomeMy WebLinkAboutBLD2005-00791 110 • MLA05-748 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00791 Received Date: 12/29/2005 SITE ADDRESS: 242 7TH AVE PORT HADLOCK, 98339 APPLICANT: DONNA MUNN PHONE: 360-379-9201 2184 BEACON PL PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 6 Lot: 25-27 PARCEL NUMBER: 961800606 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ ALBRITTON CONTRACTING PHONE: 509-465-9405 DEALER: 7601 W BERNHILL RD SPOKANE WA 99208 Contractor's License ALBRIC*135LZ Expires 6/4/2007 INSTALLER: ALBRITTON CONTRACTING ALBRIC*135LZ 6/4/2007 509-465-9405 7601 W BERNHILL RD SPOKANE WA 99208 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW M/H INSTALL- PRE M/H ALREADY MOVED TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LIBERTY SETBACK: VALUATION 36,050.00 YEAR: 2006 BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: 66 X 13.9 SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: `/5 /b( I I/ APPROVE Amount Paid Bv: Date: Receipt: Approved/Date Type Permit $157.00 LYK 12/29/05 7728 � �.3 -%. 2006 Total: $157.00 Jefferson County Planning & Building Department "e-Q.rz • 0 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#: BLD05-00791 Received Date: 12/29/2005 SITE ADDRESS: 242 7TH AVE Issue Date: PORT HADLOCK, 98339 2/2/2006 APPLICANT: DONNA MUNN '" 2184 BEACON PL 1� <' j �l ..C"! .r PORT TOWNSEND WA 98368 SUBDIVISION: IRONDALE Block: 6 Lot: 25-27 PARCEL#: 961800606 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: ALBRITTON CONTRACTINaLBRIC*135LZ Expires: 6/4/2007 7601 W BERNHILL RD SPOKANE WA 99208 PROJECT DESCRIPTION: NEW M/H INSTALL - PRE M/H ALREADY MOVED MAKE: LIBERTY YEAR: 2006 SIZE: 66 X 13.9 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 2/2/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):, ]az.K.K es FK.o,n Fell c jti=J./a( Stormwater FINAL Approval: Blocking/Plumbing: ti 2- 1-1 olp ,pA' c;f.a,,fi 4i 2.-47 ,, i Propane Tank/Lines ��""`"'�t'' `''�"' r"� Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 3 2-7CI HEALTH DEPARTMENT AND PUB C 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 # BLD05-00791 1.) New home must be 10 feet or more from the existing installed septic system drainfield, 5 feet from the septic tank 2.) The application was reviewed by the Jefferson County Department of Community Development staff on January 23, 2006 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: Coastal SIPZ& Stormwater. 3.) The proposal is to replace a previous 700 sq. ft MH with a 907 sq MH in the same location. The parcel already has access, water, and utilities. Once Environmental Health ensures that the existing septic system (SEP 06-22) is adequate for the proposal then this permit may be issued. Because the proposed MH unit is only 207 sq. ft larger than the existing MH unit, there would not be any increased issues with stormwater impacts &therefore, coastal SIPZ issues are not a concern. 4.) 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. 5.) 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. 6.) 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. 7.) 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. 8.) The applicant is proposing to•ate or add 207 square feet of impervious surface and 207 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Stormwater Plan for a Small Project, which are Construction Best Managment Practices (attached). 9.) 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. 10.) A Stormwater 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. 11.) 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). 12.) The site plan as submitted with the Building Permit Application (BLD 05-791) on December 29, 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 January 23, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a 907 Sq. Ft. Modular Home (MH) 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. 14.) This property is Blk 6 Lots 25 &26 of Irondale Subdivision as modified by Boundary Line Adjustment EXM-97-60 (83215). This property is designated Rural Residential 1 dwelling per 5 acres by the Jefferson County Comprehensive Plan adopted August 28, 1998. 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.) There is a 20 foot front setback from edge of the right-of-way of 7th Avenue (665709). There is a 20 foot side setback from the edge of the right-of-way from E. Arden Street (675609). There is a 5 foot side& rear setback from the property lines. 20.) There is an existing road approach to 7th Avenue and an address of 242 7th Ave. assigned to the MH on the parcel. A Building Permit for a MH was issued on 3/12/98. The MH placed under BLD 97-812 has recently been removed from the property. A Septic Permit(SEP 96-239)was issued on 8/20/96 for a 3 bedroom septic system. The proposed 2 bedroom MH would be located in the same location as the previous MH and Jefferson County Environmental Health has provided their clearance for this permit. An alteration of the septic system (SEP 06-22) is currently being processed by Environmental Health for the construction of a future garage. SEP 06-22 does not have to be completed for this permit because this proposal does not include a garage. 21.) A minimum of two off street parking spaces shall be provided. • 22.) MANUFACTURED HOMES INSTALLATION SET UP MANUAL MUST BE, SITE FOR ALL INSPECTIONS AND A ADDITIONAL INSTALLATION MANUAL MUST BE SUBMITTED TO JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT PRIOR TO FINAL JACK WESTERMAN I Jefierso'ant, fourthOus ASSESSOR 1'0 Box 1, Port Townsend,WA 9413641 (3641)38 i-9105 MOI;ILE HOME INFORMATION FORM DEC 2 9 2005 OWNER'S NAME/MAILING ADDRESS: `OPmEi NAME: (�onr\ - M vi � ADDRESS: aI 8y 6ea.Co r\ P� y Po r-# Tok)n5 end 78" 3 PHONE NO. C36 ) 37 9- b o The purpose of this questionnaire is to obtain information regarding either the current localfon of a,p.obile home or the previous ownership and location of a mobile home. Thiit 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. 10MOBILE HOME DATA: Ado (A)MAKE 1-.1 ll G r (B)MODEL a n Ai V-e S a-• (C)YEAR '2 CO 6 (D)LENGTH (o 4E)WIDTH /q (F) SERIAL# 09 L 35 7 2"2. (G)YOUR PURCHASE PRICE(Do not indude sales tax) 3(°j d - PURCHASE DATE I/` -05 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 JEFFERSON COUNTY LAST YEAR?Yes <No) If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. fie M d b ,I 'e.. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes No (B)IF LOCATED IN MOBILE HOME PARK: A/ NAME &ADDRESS OF PARK /" Lot/Space # (C) IF NOT LOCATED IN MOBIL HOME PARK- NAME OF LAND OWNE °Y1► , r`�I u h th ,I LOCATION ADDRESS �`�1--"` .N Por-j !1ccd IoCI! L1 833cJ REAL PROPERTY PARCEL #/DESCRIPTION /61 Sao- 6 O(o 47: 1S /X��O /arm/Lo 7fruc<A41`"<- Signature of applicant THANK YOU FOR YOUR HELP! JO COSSELL, Property Technician - PerivrucL A • a-Li a cc_u--e. p l 7 983 3 7 , e„.. LLLL' .LL LLL' OBriG 1_L • / �` LLL w.rsr L . i"MASER _ L LL j LLLLLLLL LJVTG ;_-, • B87QOOUA - -LL� LLLL pA I " �iiv.rnm ! SECOND WIDEN L inr.iz-1 v L ''''' -tL _ I 4. 907 SQ.FT. 2BR,18A,FRONT LMNG ROOM RR147086 ..A......t‘iii.At.3) • 39 „ ,..2)A -,,,j, 1....k--... g ci l—3.5 r7 2-- 2— DEC 2 9 2005 - ------ LLOPMENT __ l 2 1 C N ZM o Z. 0 wZ o 1 a. ` yL -� 4011. i w � < w • P a C* � s 't' I c 44, F- F.a. < �per" 4 p _V H r - d rc- _ c r-, 0 E`„ U1 aM O > !I �-----rye„ 'A lr lTy1\"_"` 7nl �.. ij �/ _ 3- l 1-6 ',_ l jai 1 i' t J1 R e;er tJz - ��-1 o 4--� � N Y 1, Q 3 a_ • s 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 a ming the responsibility of the General Contractor for the proposed project. Signature: 6 Date: 7,22 — 2 ^6-- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: �4-4-e-(-4.: _.1.41:4` Z/L—_ , � — (ik /-- �(©�--3—v —u,3�) MAILING ADDRESS: (pit 9 �� �r`�t�� n EMAIL: 'i, CONTRACTOR'S LICENSE WAINS / 1' NUMBER: NUMBER Oi ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Pfoject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ❑ Wood Existing: i i Sewer ❑ Addition [ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: HeighIndividual System 0 Repair 0 Masonry 4('79 (SEP Permit# 96—0a3 9 Bedrooms: Water ❑ Demolition ❑ Other: Existing: �' Setback: Supply: C] Private well 0 Two Party T e of Heat: Proposed: otal. Z ,(� - ublic p� l ame of System: I If this is a Commercial Prolect 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/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: y p 2Nu Floor Base fee: SJ 3"0 Floor Or ',.Additional Section: -4 Mezzanine: IT �/f Plan Check fee: Heated Basement 6, State Surcharge fee: ' r t x. ,e„ ' 3 .�Z..tw ,�,. a� Unheated Basement Pot Water`Revieilvfee: �, r" ' "a ' .: Other Unheated ( 911/Rd Approach fee: Garage/Carport fIS • _ TOTAL $ • Decks 9) A Receipt Number: rrl 2,S Other C7 Cash/Check Number: a0 3 eto --)0 ESTIMATED COST(REQUi ED) Date: 'a_f a9 j05 .Fair market value of all labor and materials foundation to finish Initials: C::\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc SON c r\iiii, JEFFERSON COUNTY4j4 � DEPARTMENT OF COMMUNITY DEVELOPMENT ~' ` `' 621 Sheridan Street • Port Townsend • Washington 98368 DEC 2 9 2005 _ 360/379-4450 • 360/379-4451 Fax .qS NC; 0 www.co.jefferson.wa.us/commdevelopment i Master Permit Application I (Q0 Ltto,,,-1�_ . MLA: D_C— Project Description (include separate sheets as necessary): a ,,�J1M__¢�..R.�c.� Gt_.0--7-- yew M o b i le tfo NI E- 1 P S��1< .:i 16 n ,2 c i.►r..c -- - �-0-e-'-` /LVJ.t'L�z Tax Parcel / �j / rt Number: 9'6I - 6 OO-- O f0 P o Size: I s / ?/ O (' l� (acres/square feet) Site Address and/or Directions to Property: 24 Z 1 �-o e�4 {- Lpc (� 1i 833 9 Property Owner(s)of Record: _P O(A//LC_r. M(.f V)Vj Telephone:C36 )3'79- q a O j Fax: —_-- email: Mailing Address:_l ?/$44 3 e-q-Co n Q L For r GO w,se✓L CIA-- ? y 34 S Applicant/Agent(if different from owner): ___Telephone: Fax: email: Mailing Address: • Wh5 kind of Permit?(Check each box that applies) — P-Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit _ ❑ Conditional Use[C(a),C(d),or C]** ❑ gle Family ❑ Discretionary"D"or Unnamed Use Classification rage Attached(nPtacnea ❑ Special Use(Essential Public Facilities)** __... ft-Manufactured Horn ❑ 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** 0 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 inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Gr / // Signature: AO � /' Date: - b — U 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-transfer responsibility for hering to and complying with the ESA. The Applicant has read this di�aimer and signs and d es it belo Signature: ") 14,n Vi t Date: l --- .2-6 —0S G_\PermitCenter\FORMS\DR1)FORMS\Master Permit Application 7-8-04.doc