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HomeMy WebLinkAboutBLD2009-00421 MANUFAC I ED/MOBILE HOME INSTAL TION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD09-00421 Received Date: 12/28/2009 SITE ADDRESS: 63 CAPE GEORGE RD Issue Date: 3/11/2010 PORT TOWNSEND, 98368 APPLICANT: RILEY PISKULA 513 ARCADIA W PORT TOWNSEND WA 983688925 SUBDIVISION: IRVING PARK ADDITION Block: 28 Lot: 1+ PARCEL#: 963302801 Section: 17 Township: 30 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW M/H -SER#-06910976EA & 06910976EB MAKE: SKYLINE YEAR: 1'C1L SIZE: 56X27 Directions To Site: To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes • p.)CL- FINAL INSPECTION 1, 1 I I( FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR / SPECIAL CONDITIONS APPLY- SEE REVERSE l U 1�(lr1 4 I © tC , IJ LA:A i vt,) - 51;a ' 03UILDING PERMIT APPLICID Review N ML y 421 T Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD09-00421 Received Date: 12/28/2009 SITE ADDRESS: f 3 CAPE GEORGE RD PORT TOWNSEND, 98368 OWNER: RILEY PISKULA PHONE: 360-301-4410 513 ARCADIA W PORT TOWNSEND WA 983688925 IRVING PARK ADDITION SUBDIVISION: Block: 28 Lot: 1+ PARCEL NUMBER: 963302801 Section: 17 Township: 30 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW M/H - SER #-06910976EA & 06910976EB TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: 1,512 CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2_ Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $213.00 LYK 12/28/09 113766 APPROVED Potable Water Application $62.00 LYK 12/28/09 113766 Total: $275.00 MAR 11 201U Jefferson County Planning & Building Department SPECIAL CONDITIONS CASE # B•09-00421 • 1.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BEAT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on March 11, 2010 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 & SUSC 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•defined as Seawater Intrusion Areas, an cial 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.) 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.) The applicant is proposing to create or add 1624 square feet of impervious surface and 1512 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. 9.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's 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. 10.) 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). 11.) The site plan as submitted with the manufactured home installation application on December 28, 2009 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 11, 2010 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 12.) 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. 13.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) 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 automobile 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 requirements 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. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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.) Minimum setbacks from Cape George Road and South Discovery Road rights-of-ways shall be 20 feet. Minimum south and west property setbacks shall be 5 feet. 20.) 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. 21.) 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. 22.) An address of 63 Cape George 0d, Port Townsend has been assigned to Marcel. Cape George Road is a county minor collector(C622808). 23.) The lots were created through the Irving Park Addition Subdivision on May 5, 1888 no AFN. The plat was amended on December 26, 1990 under AFN 337104. 24.) The parcel is served by the City of Port Townsend public water system. 25.) A complaint case (COM06-0014) for clearing and illegal septic was finaled on April 25, 2006. A boundary line adjustment(EXM97-0026)was finaled on May 21, 1997. A road approach permit(RAP05-0122)was finaled on November 21, 2008. A septic permit (SEP09-0162)was approved on February 17, 2010. 26.) NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as "critical habitat" for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: -All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters - Remove minimal vegetation for site development, especially large trees -Allow trees that have fallen into surface waters to remain there - Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. JACK WESTEIIMAN III 0 Jefferson County 411.thouse ASSESSOR PO Box 1220. Port Townsend. WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ' IA DDRESS: NAME: R► 1_el PIS Ku-(o ADDRESS: 51314 A rC 4 i of ) o ff- ;LAP h send / OA 9ff36g PRONE NO. %D - 301 - V V iO 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: DEC 2 U (A) MAKE SIK`y 1 11 C. (B) MODEL Y S 6 3 s (C)YEAR gg 04.91o97CE4 (D) LENGTH SC:, (E) WIDTH tX7 (F) SERIAL # Off,7/09 76 E a (G) YOUR PURCHASE PRICE (Do not include sales tax) g)500.0O PURCHASE DATE /044 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE Skcnc See !;I G ADDRESS SS ID D Leq,,r 2 eA4\ P`toy i Lor5,V Ie um6„,3, (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAS YEAR? Yes 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? Yes g (B)IF LOCATED IN MOBILE HOME PARK: NAME & ADDRESS OF PARK Lot/Space # (C) IF NOT LOCATED IN MOBILE HOME PARK: D I, NAME OF LAND OWNER: �t le./ 1 ISK-i-(ei LOCATION ADDRESS G 3 C_4 p e. Cz e.ori c- ► 1 d REAL PROPERTY P CEL e #/DBE��IPTIO Gjn ad 6 3 3 o 0 `04 4h c► Sig ature o applicant THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician Floor 7 to n cfbG�Co ('�°'�r `�� f Ski /I'nG �t� In01i(e I`''ff tornG -13 0 , ,zso r-- 7 z SI 3- S 11t 4 �1 pU ., ciffiN4' JEFFERSON COUNTY h ' DEPARTMENT OF COMMUNITY DEVELOPMENT '4 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax qS, �O$ www.co.jefferson.wa.us/commdevelopment Master Permit Application DEC 2 0 __, MLA: C)c -zI21 Project Descrription(include separate sheets as necessary): V1 o i is 4o mL _.n A i(g-Hon Tax Parcel Number: 9C 3 j4:),:),. g()I Property Size: (acres/square feet) Site Address and/or Directions to Property: ;,3 Cc'1e 6eo5L f oqA • Property Owner(s)of Record: , tl y {�i (� Telephone: 3(o1O 30 I_ - 114 I O Fax: email: Mailing Address: Sa A A rr.c;c1 i q (i cs+ ')o r 4' ToL,)A scrtg L /4 9g3,; Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: wt kind of Permit?(Check each box that applies ❑Lot or Road Segregation ilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]** I .. Manufactured Home 'Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment El Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑ Cottage Industry ❑Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ` ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** 0 Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* El Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **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 its 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 a i tion tha e r she wants prior notice. / // Signature: C, Date: ! a 1 09 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 tederal 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-transf, & I! / esponsib" for adherin to and complying with the ESA. The Applicant has read this disci imer and signs and dates it below. Signature: /2 /CA 4 � Date: I \+N+u Cno X,el.IH+/\no n CY ND Alc\!`..__..__r-snrs r.____,,,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 s ming t re pon ibility of the General Contractor for the proposed project. Signature: • � Date: /a t/ og E: F GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: 2 p r _ Litilo ( ) EMAIL: MAILING ADDRESS: WAINS CONTRACTOR'S LICENSE NUMBER NUMBER: PHONE ( ) Fes'( ) ARCHITECT/ENGINEER: EMAIL MAILING ADDRESS: Shoreline: Type of Sewage Disposal: Project Type: Frame Type: Bathrooms: oZ ❑ Sewer U Addition U New ' Wood ExisPro to ed: B k CICommunity System Steel p Total: a Hei t: �, Individual System ❑ Alteration/Remodel 0 Concrete SEP Permit# 0 Repair ❑ Masonry Water Supply: ❑ Other: Bedrooms: Demolition Existing: 3 Set ck: ❑ Private well 0 Two Party Proposed: V Public Type of Heat: Total: 3 Name of System: If this is a Commercial Proiectyouu must answer the following: Number of ADA Parking Spaces: Number of Parking Spaces: Current: Proposed: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy:�— IBC Type of construction: Will you have Food Ser,ice? Yes I 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 annliance bein• 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. uare Foots a Current Proposed f r Office Use 9 r Amount revision S4 EH BId App Review: �� Main Floor Heated I Sim 2nd Floor Heated Consistency Review: i Other Heated Base fee: 3 Additional Section: Mezzanine Heated Basement Plan Check fee: _ --- Unheated Basement State Surcharge fee: Tom_. Other Unheated Pot Water Review fee: i OD / Garage/Carport SUBTOTAL "I Decks 911/Rd Approach fee: ek 13--n al • Other TOTAL: $ 51 Receipt Number: t (`316(c) Cash/Check Number: ESTIMATED COST(REQUIRED) Date: � T , — �>—� •Fair market value of all labor and materials foundation to finish Initials: r-\PP.,nirCrr+rrr\###FARMS###\DR[)FORMS\Current MD Fnrmc\MacrrrPrrrnit Annliratinn S-7)-11Ram o w m Q � � NI II• C-FI 'Q •L C ��1 .., CO C as Ci en V) .,.., CO 0 0 as o CO U-I ::::4-j4: eilz Li, . = �m `—° �m woU oIP _J z {- 2 0 . L C�� l/) 11� -Y N O Z Qc� • a = dOv c:- 1 1— t OJ � � o � zQar Q. �Gs/ ri m mUUzz Q*9)A11-1/2/-Nti _ `uk O CO mI kj:/-...4..2/° •X , .QrcX� UQN'L >, rij� / Z 4-1 a v Imo- OJ oa oCl7 /ca w a I E O N -; O h rn i b CL Co co ON O O CB e, 0 0 d? 1 y "s= o in. • r- N `9 0 i '•�l�is �t° w ct b�•. z U LU d 401, 400, O \43 W 1 W 101•10 (iii � 0/11 Ili d' O 411114":1 O N �/-'fir, oN A�� CO CO M 4') � ' 0: VI Z 73 r ,S 4. ;iCO NWI !-_ ! 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