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HomeMy WebLinkAboutBLD2006-00102 • • 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#: BLD06-00102 Received Date: 3/8/2006 SITE ADDRESS: 125 LAWN ST I(o(o Ann k►VEkf Issue Date: 3/24/2006 PORT HADLOCK, 98339 APPLICANT: EARL WOODLEY& CAROL FLETCHER PO BOX 640 PORT HADLOCK WA 98339-0640 SUBDIVISION: Block: Lot: T156+ PARCEL#: 901024005 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW MFH W/ATT PORCH INSPECTED BY L & I MAKE: MARLETTE YEAR: 2005 SIZE: 48X26 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/24/2007. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY • YOUR PROJECT. ,/Setbacks/Footing (CONTINUOUS FOOTING LAB •rPADS USED): ?BACKS fiI-o617kGS OI Y/`!/o ff Stormwater FINAL Approval: Blocking/Plum bing: 2 i/2/Ge 1610 SKt 1,,,tl Ls/vc rr � . let kkLt ak t L - S'tS to -LS-tS(P ►wd' Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/ irtin ents orches/Steps: trA, \4L 6 — (,.--2)'6L. o;J,. 2/k,.Raj 4/ ,4p HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION '�' THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED 1 94/`0' 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 • • MLA06-00103 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00102 Received Date: 3/8/2006 SITE ADDRESS: 125 LAWN ST PORT HADLOCK, 98339 APPLICANT: EARL WOODLEY PHONE: 360-385-1585 CAROL WOODLEY 211 CHIMACUM RD PORT HADLOCK WA 983390640 SUBDIVISION: Block: Lot: T1564 PARCEL NUMBER: 901024005 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH W/ATT PORCH ns� r C \()V L 6 TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: MARLETTE SETBACK: VALUATION YEAR: 2005 LABOR & INDUSTRIES APPROVAL? SIZE: 48X26 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Vocrk PPP Type Amount Paid Bv: Date: Receipt: Approved/Date Manufactured Homes $163.00 LYK 03/08/06 79145 MAR cal. 2005 Potable Water Application $55.00 LYK 03/08/06 79145 Jefferson County Planning Total: $218.00 &Building Department JACK WESTERMAN Ilo Jefferson Co -Courthouse ASSESSOR PO Box 1221111PiPort Townsend, WA 98368 (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: ecuuk ,i w �( ADDRESS: -2_ a i J p"/ 0/ i 3 3 y PHONE NO. 36c— _3 0;`i-.— ),S F 5 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 J Y (B)MODEL 14 if 5- ,-7 3 7—4C)YEARJ1�S (D) LENGTH 8 (E)WIDTH 6" (F)SERIAL# (G)YOUR PURCHASE PRICE (Do not include sales tax) PURCHASE DATFc2 cV -4* 2)PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IIFI.NEW MOVE TO QUESTIO�'NI 3) (A) FROM WHOM DID YOU PUB RASE MOBILE Y.YX .' ,P.i 2 �� ADDRESS it / W (B) WAS MOBILE HOME ASSESSE N JEFFERSO LINTY YEAR?Yes �To) If Yes, Previous address of mobile. ^ __ ••11 If No, What County was Mobile assessed in last year. J 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: NAME &ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME ARK: CGµ qq�� C O ( I NAME OF LAND OWNER: A L `d 7C9d LOCATION ADDRESS -2- I It C "< <GP! pq C l> PO P , 4 1,-)/ REAL PROPERTY PARCEL #/DESCRIPTION 96 l G P `t-n© 5 , , (, lat, di: . ..),..-___-:- r { —Signature o a plicant THANK YOU FOR YOUR HELP! e3!)sIR MAR - 8 20C& JODI COSSELL, Property Technician • 0 ,---- t==1 I 7 tin o......-, ..--- I 0-- .414 , C= -.--••• lainni. 1.---IT•e?' 7*7,2 C, t. t--- cro .....„. = ........., la 7' I --. INN t_.— c= c...--3 1== L.., MIN . - ---J"--1 0 . cri ...42-0 _E.-. 1 F 6° ? =: r C ' ... 0y_ — 0 c\D 1: e3 . 1*•"" "‘I .., L .D ..., „ 0 0 i „ ...4 1.13112 S I CO tr.'.•'"------1 -. t:: . safflo Il sown E 11 - An ea5c. MI c:sg. II, 1 .4.-- MP' a 1 1 1 i , i E—I- c--,.:- - 1 isow v. r-lp I] . „ .-1 .--. e . I • cp s., cp. i:: 2,. 0_2 t=i c." , c---- I1 s..... I ,--,. ,..., ,.. ...... ....tc — . — — I — E `" co ......,--1 0-). ,--- .-- t,-. • • . - " ....a c c .-? „SON • oG JEFFERSON• COUNTY W ' 4., '-j DEPARTMENT OF COMMUNITY DEVELOPMENT o' -' 621 Sheridan Street• Port Townsend •Washington 98368 360/379 4450 • 360/379-4451 Fax <4S-1-1ING0 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0 V- 1 v Project Description(include separate shee as n sary): - 1-A-tU YV (L.ic ' :c, ---' 2 .. 92-C , (L�c_-' (j. )y (Z L,J Tax Parcel (9/ t /I j�� Property �, Number: 'f / Size: f 7,' /,,�� `acre Square feet) Site Address and/or Directions to jo, erty: ' r -,�) C;�X .�,J 6 c Property Owner(s)of Record:L tt E� // E ( L-e i e)c-' f L/ Telephone: i c` ! -✓ Fax: ” (--. c'? email: 64P_I(�"�,(t /, Mailing Address: it' ,•L.) - c' /�-c izf Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) 1 Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or CI** ❑ Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑ Garage Attached/Detached ❑ Special Use(Essential Public Facili *)"st, Q it Manufactured Home Cl Boundary Line Adjustment l IMI"t — t' ��n"� Ll Modular ❑ Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address i Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** I 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 Cl 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 ad 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,aprovide access and ri ht of entry to,Jefferson County and its employees,representatives or agents for the sole purpose of application review and a relquired late 'o .Acce d right of entry to this property shall be requested and shall occur only during regular business hours. i/_ t � le Signature: Date: .--) — 6' 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 ou are in compliance wit the Jefferson county development code.The Applicant acknowledges that he,she or it holds individual and non-transf able r sponsibi/i dh�ring to a Il fhplying with the ESA. The Applicant has read this disci mer and signs an dates it below. Signature: ( 't' --(, ./t1(.- 1 Date: ;) —C C:\,Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc i • OWNER BUILDER STATEMENT The signer of this statement does hereby certify that the are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as m g the res ons i of G oral ontractor for the proposed project. Signature: ACC.. 2A-,' Date: 0^ r.-�(rr,-r;.l,r . GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MAII'IN ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New ❑ Wood Existing: 3f. i 1 Sewer ❑ Addition t Steel Proposed: Bank 1 1 Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: . Individual System ❑ Repair ❑ Masonry SEP Permit# 'Ei'C'5-cr1r4 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 3 Setback: ❑ Private well i 1 Two Party Type of Heat: Proposed EL('( 4-2<C:_.. Total: N Public Name�f System: rLI.D 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 Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank I Pellet Stove i 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 t U 5k.P/RES Kr. ✓ (05,Cip Current Proposed Amount Main Floor Consistency Review. y� 2""Floor ����� 1 � 'w Base fee: I` -� L 3rd Floor Additional Section: l0 (� Mezzanine: Plan Check fee: Heated Basement State Surcharge fee: Unheated Basement Pot Water Review fee: Other Unheated 911/Rd Approach fee: Garage/Carport E skIS+ len RAI oa_ 60 TOTAL: $ 4i f DD Decks P7 C! 5 Receipt Number: Other Cash/Check Number: Iaoo ESTIMATED COST(REQUIRED) Date: .Fair market value of all labor and materials foundation to finish iJ OV /66)i C60 Initials: C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc • • SPECIAL CONDITIONS CASE # BLD06-00102 1.) The application was reviewed by the Jefferson County Department of Community Development staff on March 21, 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: SARPA aquifer recharge area; Coastal SIPZ; Fish &Wildlife. 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.) 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. 6.) 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. 7.) 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. 8.) 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. 9.) VOLUNTARY MEASURES OAOASTAL &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. 10.) 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. 11.) 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. 12.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 13.) The applicant is proposing to create or add 1330 square feet of impervious surface and 6000 square feet of land disturbing activities. 14.) 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. 15.) 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). 16.) The site plan as submitted with the manufactured home installation application on March 8, 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 21, 2006 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 17.) This approval is for a manufacture home installation with attached porch 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. 18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard.