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HomeMy WebLinkAboutBLD2007-00027 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 #: BLD07-00027 Received Date: 1/31/2007 SITE ADDRESS: 92 BELGIAN DR Issue Date: 3/8/2007 BRINNON, 98320 APPLICANT: JEFFREY J AVEY PO BOX 652 BRINNON WA 983200652 SUBDIVISION: LAZY C RANCH DIV 3 Block: Lot: 240 PARCEL#: 966900199 Section: 34 Township: 26 N Range: 02 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW MAN HOME - 1977 CAMEL -VIN #6965 - LIC08217 MAKE: CAMEL YEAR: 1977 SIZE: 14x66 THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 3/8/2008. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): Stormwater FINAL Approval: Blocking/Plumbing: Propane Tank/Lines Zoning Final Approval: Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 4-,2 "Oi 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 ILDING PERMITAPPLICATI!N MLviewTy036 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00027 Received Date: 1/31/2007 SITE ADDRESS: BELGIAN DR BRINNON, 98320 OWNER: JEFFREY J AVEY PHONE: 360-796-0004 PO BOX 652 BRINNON WA 983200652 LAZY C RANCH DIV 3 SUBDIVISION: Block: Lot: 240 PARCEL NUMBER: 966900199 Section: 34 Township: 26 N Range: 02 W CONTRACTOR: PHONE: PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NEW MAN HOME - 1977 CAMEL - VIN # 6965 - LIC08217 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: PUD BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 1 Total: 2 Total: 1 Routing Date: 0 / 16 Type Amount Paid By: Date: Receipt: Approved/Date Total: APPROVED MAR € 2007 Jefferson County Plannint, &Building Department • • SPECIAL CONDITIONS CASE # BLD07-00027 1.) A MINIMUM OF 5' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND SEPTIC TANK. 2.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on February 16, 2007 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: landslide hazard area 1; SARPA aquifer recharge area. 4.) 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. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) 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. 7.) 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. 8.) 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. 9.) 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. 10.) 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. • . 11.) 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. 12.) The applicant is proposing to create or add 880 square feet of impervious surface and 880 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology 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. 13.) 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). 14.) The revised site plan dated February 21, 2007 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 6, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) 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. 16.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 17.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 18.) Minimum setback from Belgian Road right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 19.) 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. 20.) 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. 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.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 24.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 25.) The lot was created through the Laze C Ranch Division 3 Subdivision on May 4, 1970 under AFN 204893. 26.) An address of 92 Belgian Drive, Brinnon has been assigned to the parcel. Belgian Drive l a . 27.) The isa parcel county isocal served ccess by the Lazy C(C251709)public water system. 28.) A septic permit (SEP96-0275) was finaled on August 14, 1997. A road approach permit (RAP07-0009) will be issued with the building permit. 29.) THE ROAD APPROACH PERMIT (RAP07-0009) MUST BE INSPECTED AND FINALLED BY THE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PRIOR TO THE FINAL INSPECTION/CERTIFICATE OF OCCUPANCY OF THIS RESIDENCE. CONTACT TERRY DUFF, PWD AT 360-385-9159 FOR THE FINAL ROAD APPROACH INSPECTION. 30.) A Declaration of Restrictive Covenant was recorded on March 1, 2007 under AFN 520932 to consolidate lots 240 &241 Lazy C Ranch Division 3 for septic and building purposes only. • 31.) The proposed manufactured home and septic are not located in the landslide hazard area of the parcel which is located at the western boundary. The driveway and manufactured home are located approximately 98 feet west from the edge of Belgian Drive right-of-way. The septic and components are located to the south of the manufactured home. JACK %VESTERMAN Ile .lc[icrson Co.Courthouse ASSESSOR PO 13ox 1220, Port Townsend, OVA 98368 (360)38. -9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: i L f NAME: ... ,_i 1 i:Y J . 4'�`:Yii JAN 3 0 2007 ; ADDRESS: P. 0 . 8 c A 6 .s'a 1- PHONE NO. .16 0 7 ?e* 000 4/ y 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 C 4/) ,::L (B) MODEL (C) YEAR i `/ -7 7 MO) >t.ENI;I'II lv (E) WIDTH I Van EoR(o5 (F) SERIAL # O 1 l L«f* (G) YOUR PURCHASE PRICE (Do not include sales tax) �‘50a PURCHASE DATE lfh(Q 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILLc c t Alf CC r i Q,, ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR Yes No If Yes, Previous address of mobile. M-Q( t OW SA-G\ � If No, What County was Mobile assessed in last year. IA- 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? Yes 6) (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: _-,:,•Ri,1, qd r LOCATION ADDRESS c-R „Q ' I h ZD r J r : N N tl /v REAL PROPERTY PARCEL #/DESCRIPTION 6 , ! O 0 --- moo t%/l' l/ �7 THANK YOU FOR YOUR HELP! Signature of applicant 4SIR X i JO COSSELL, Property Technician • • CoN coG� JEFFERSON COUNTY ` ` i rzir DEPARTMENT OF COMMUNITY DEVELOPMENT j r� ' '4 621 Sheridan Street• Port Townsend •Washington 98368r'1�� 360/379-4450• 360/379-4451 Fax «�� d fwww.co.efferson.wa.us/commdevelopment iN�� _ __ _. 1lJ Master Permit Application k J . Project Description(include sep ra e sheets as necessary): Tax Parcel 9b6/Q Number: V V / `'k ‘4"- 4 Property Size: (acres/square feet) . Site Address and/or Directions to Property: Gc‘ 'OrW e_ l" Bc ,,r\. D r\ Property Owner(s)of Record: �.:/'jQ� y � 7 Telephone:.., t 6 7 f6 tr 0 0 if Fax: email: Mailing Address: P,.o'. BQ y £f� pkiA"peN, u/R 7_7_)1 a Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑Building ❑Variance(Minor, Major or Reasonable Economic Use) d Demolition Permit ❑Conditional Use[C(a),C(d),or C]** d Single Family °Discretionary"D"or Unnamed Use Classification 0 Garage Attached/Detached °Special Use(Essential Public Facilities)** oManufactured Home °Boundary Line Adjustment d Modular °Short Plat** Q Commercial* °Binding Site Plan** Q Change of Use °Long Plat** Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments**It 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 OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment OWireless Telecommunication* °Jefferson County Shoreline Master Program Amendment CJForest 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: /2 "2 o — ,2.oe G By signing this application for ,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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: Date: / Z00 6 L "'�' b•• The action or actions Applicant wi 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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: / 2 ''2.o - 2 Pt" vv J D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc ff , .le.. s . 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:`/ * c Date: / 2. a a ` 2C Ofu GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING 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 0 Wood Existing: 1 ❑Sewer ❑ Addition ❑ Steel Proposed: Bank .�community System ❑ Alteration/Remodel 0 Concrete Total: I Height: individual Syst2jn r 2 7 ❑ Repair ElMasonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Z. Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: -,...__ Name of System: 0 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: EJ Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove ❑Cook Stove 0 Woodstove ❑Fireplace Insert 0 Hot Water Tank 0 Pellet Stove p 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: a/ ul J 2"°Floor Heated Consistency Review: /5: 0 0 Other Heated Base fee: /6 c CJ0 Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: 9 3 o o I Garage/Carport SUBTOTAL il 77. o 0 Decks 911/Rd Approach fee: Other TOTAL: 6 qc C 0 Receipt Number: 8`1 3o Cash/Check Number: 605 ESTIMATED COST(REQUIRED) Date: // D .Fair market value of all labor and materials foundation to finish { 1 Initials: 75 D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc -- -fie. sou ►e tsi• onC--- properti, 30/ l.,s M2 AN m NI s . 7 .. 4111-.." :::.. S . fr, c ! - ✓`Q t r w uo / t+12 //cSO cl;:el°\ Al / 0 '' %P / ,\X 6x.., / \ . 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