HomeMy WebLinkAboutBLD2006-00253 MLA06-00238
WILDING PERMIT APPLICAN Review Type:I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00253 Received Date: 5/12/2006
SITE ADDRESS: 4- > -334 PORT HADLOCK HEIGHTS RD
PORT HADLOCK, 98339
OWNER: BRODERS INC PHONE: 360-797-7722
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
PORT HADLOCK HEIGHTS MH PARK
SUBDIVISION: Block: Lot: 22
PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR: RAYO CONSTRUCTION PHONE: 360-310-0426
71 ELIZABETH LN
SEQUIM WA 98382
Contractor's License RAYOCC*964BZ Expires 1/9/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOr NEW M/H (FIRST EDITION)
TYPE OF WORK MOB SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION MAIN:
CODE EDITION: 2003 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 2 Prop: 2
Total: 2 Total: 2
Routing Da e:
i21
Type Amount Paid Bv: Date: Receipt: pProv1/
Manufactured Homes $163.00 LYK 05/12/06 81334 OV ED
Potable Water Application $55.00 LYK 05/12/06 81334 JUN 5
2006
Total: $218.00
Jefferson County Planning
&Building Department
C���
• •
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 #: BLD06-00253 Received Date: 5/12/2006
SITE ADDRESS: Lt4 PORT HADLOCK HEIGHTS RD Issue Date: 6/5/2006
PORT HADLOCK, 98339
APPLICANT: BRODERS INC
4503 OLD GARDINER RD
PORT TOWNSEND WA 983689778
SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot:
PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W
CONTRACTOR/ RAY() CONSTRUCTION PHONE: 360-310-0426
DEALER 71 ELIZABETH LN
SEQUIM WA 98382
Contractor's License RAYOCC*964BZ Expires 1/9/2008
PROJECT DESCRIPTION: NEW M/H (FIRST EDITION)
MAKE: MARLETTE
YEAR: 2006
SIZE: 48'X27'
THIS PERMIT IS VALID FOR ONE YEAR.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 6/5/2007.
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY • YOUR PROJECT.
Setbacks/Footing (CONTINUOUS FOOTING 'LA: •r PADS USED): j /Nt i4/ 2/-O 6
Stormwater FINAL Approv :
Blocking/Plumbing: i!-7 7 6<,
Propane Tank/Lines (((
Zoning Final Approval:
Septic System Final Approval (If not on sewer):
Road Approach Final Approval:
Final/Skirting/Vents/Porches/Steps: 0-2, -O7
HEALTH DEPARTMENT AND PUBLI 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 # BLD06-00253
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on May 30, 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.
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 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.
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 1956 square feet of impervious surface and
3410 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 revised site plan as submitted dated May 12, 2006 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 June 5, 2006 shall be resubmitted for review and approval by Jefferson
County Department of Community Development.
17.) 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.
18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
19.) 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).
•
20.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
21.) Minimum setback from Port Hadlock Heights Road right-of-way is 20 feet. Minimum side
yard setbacks are 5 feet and rear yard setback is 25 feet per recorded Binding Site Plan.
22.) 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.
23.) 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.
24.) The building height is not to exceed 35 feet.
25.) A minimum of two (2) on-site parking spaces are required for the manufactured home.
26.) This parcel was created through the Port Hadlock Heights Mobile Home Park Binding Site
Plan on April 15, 1998 under AFN 409746 in Vol 1, pp28-32 with the Jefferson County
Auditor's Office. The binding site plan was reviewed by Jefferson County Department of
Community Development under BSP94-00001.
27.) This parcel is a legal non-conforming lot designated as Rural Residential 1:5 under the
Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998.
28.) Port Hadlock Heights Road (P516) is a private road. The road approaching is existing and
an address of 334 Port Hadlock Heights Road, Port Hadlock has been assigned to lot 41.
29.) Jefferson County PUD provides potable water to this site.
30.) A septic permit (SEP96-0081)was cancelled on September 9, 2002. A septic permit
(SEP06-0139)was approved on June 2, 2006 for a tank only. The lot is served by a
community drainfield system C (SEP95-0290).
31.) A Declaration of Restrictive Covenant was recorded on May 31, 2006 under AFN 511761
to consolidate Lots 28 &29 of said Binding Site Plan for Lot 25 manufactured home to
utilize community drainfield C.
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JACK WESTERMAN 110 Jefferson (410tr Courthouse
ASSESSOR PO Box 1220, Port Townsend, OVA 983611
(360) :1415-910 5
MOBILE HOME INFORMATION FORM
M 12
OWNER'S NAME/MAILING ADDRESS:
NAME: Gee1•$e. 1,0 ti•i$44-
ADDRESS: 3 3 3 pine pole /e d, La Pi he oR /77 3`j
PHONE NO. 5 Wf/— . 36 — 1372.
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 11OME DATA:
(A) MAKE M A R L E.T.T t (B) MODEL P 1 RS 7 6 A!r(ON (CO YEAR 2.o 6 6
(D) LENGTH '9 $1 (E) WIDTH 2413 ii (F) SERIAL #
(G)YOUR PURCHASE PRICE (Do not include sales tax) -7 7, 2 S/ - PURCHASE DATEY/2-o
2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3)
(A) FROM WHOM DID YOU PURCHASE MOBILE
ADDRESS
(B)WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes No
If Yes, Previous address of mobile._
If No, What County was Mobile assessed in last year.
3)WHERE MOBILE HOME IS TO BE LOCATED:
(A)WILL THE MOBILE HOME BE IN MOBILE HOME PARK? cim No
(B)IF LOCATED IN MOBILE HOME PARK:
NAME & ADDRESS OF PARK P o t+ R 1 to el< (-}e c o h 4-s Lot/Space # 5
(C) IF NOT LOCATED IN MOBILE HOME PARK:
NAME OF LAND OWNER:
LOCATION ADDRESS 1/17 por-1- RAJ,lock ycr;Ah RvtJ
REAL PROPERTY PARCEL #/DESCRIPTION
for 6'eerf Mlla#
Signature of applicant
THANK YOU FOR YOUR HELP!
Ccli
JO COSSELL, Property Technician
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cJEFFERSARCOUNTY -DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368 j
& , , 360/379-4450 . 360/379-4451 Fax MAY 1 2 2006
.q,, NO2p www.co.jefferson.wa.us/commdeveloprnent
Master Permit Application MLA: NO-032
Project Description (include separate sheets as necessary): {� l
MFG. HO/41•� ( N STALL 4QI PCO Pavv•Z- -GLLA
Tax Parcel Number: 9 89 Soo Property2.
Oo/ (�,C•t �S� Size: !Od 708 O. (acres/square feet)
Site Address and/or Directions to Property: iI-)._ Pav_4 144.1 i b CA I-[--ts Rel.
Property Owner(s)of Record: &R 0 p C-R 55 -Xrr C.
Telephone: 360- ? 17- 17,2.2. Fax: 3 60-7 47- 7/33 email:
Mailing Address: 4 S o3 OLD GARAI/V&A RD. Pal<T T LJ ,$cND r=vA 18368
Applicant/Agent(if different from owner): G�'o IQGE (Ad K 16ht7 (hto wl t o c4.h 4,..'
Telephone: Fax: email:
Mailing Address:
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 ❑ Special Use(Essential Public Facilities)**
AManufactured Home ❑ 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 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 property shall be requested and shall occur only during regular business
hours.
Signature: --� gdt.. Date: if)M') '2004
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 responsibilit f�° Jd}�enngto ant c ply'rr0 with e ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ��-C � — Date: to M'y 2006
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• •
i
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.
Signature: Date:
GENERAL CONTRACTOR OR MAN CTURED HOME INSTALLER: PHONE: FAX:
(ZayccCons .Clio, / =GNAcXC pAo2ELos (3C6 ) 3 it)- 0`l26 ( )
MAILING ADDRESS: 71 6•02Agefis LN SE@ AIM `f'$$B2 EMAIL:
CONTRACTOR'S LICENSE RArO CC /64 112 WAINS
NUMBER: NUMBER IA) A...t N S 2,14 q 'f
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
X, New ❑ Wood Existing: ❑ Sewer
[_l Addition ❑ Steel Proposed: 2 Bank Height: I Community System P
I7 Alteration/Remodel ❑ Concrete Total: 2 ❑ Individual System "f
U Repair ❑ Masonry SEP Permit#
f7 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: '2 r Public
Total: 1- Name of System: p.V%p,
—W-i- N.A.
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:
n Heat Stove ❑ Cook Stove C7 Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove 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 Current Proposed For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review: / w
2n0 Floor Heated Consistency Review: / oO
Other Heated Base fee: // 3-0
G
Mezzanine Additional Section: ( -O
Heated Basement Plan Check fee: S,.--
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: 'O,,d C)
Garage/Carport SUBTOTAL
Decks 911/ d Ach fee: �-� �7 4-�/v^t' _C.( a }llt ram^Wit,
Other TOTAL: $ Li/ O O
7i•
Receipt Number: ` 5M
Cash/Check Number: I n
15
ESTIMATED COST(REQUIRED) Date: o�
•Fair market value of all labor and materials foundation to finish
Initials:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc