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BLD2001-00120
PE • . Mai-Of ----71L , y MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD01-00120 Received Date: 2/27/2001 SITE ADDRESS: 2:02 W MELISSA ST PORT HADLOCK, 98339 APPLICANT: LI YING LI PHONE: (360)385-7368 302 9TH AVE PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 69 Lot: 13-16 PARCEL NUMBER: 961806906 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION MOBILE HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GIBRALTAR SETBACK: VALUATION 3,000.00 YEAR: 1976 LABOR& INDUSTRIES APPROVAL? SIZE: 24 X 60 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: CITY BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: .,-� / / © � p F&W Landslide t—/ �7j r Shoreline r I Forest: Commerc is Type Amount Paid By: Date: Receipt: Manufactured Homes $141.00 MAM 02/27/01 38130 MAR 3 0 2001 Potable Water Application $30.00 MAM 02/27/01 38130 "JEFFERSON COUNTY Total: $171.00 SEp�D fVF P T SIGNATURE: JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST. PORT TOWNSEND WA 98368 • r MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING /❑ REPLACEMENT SIZE p24' XUV E lECEOV tks YEAR /f 7 6 MAKE Gr �'Q/ u.,r- FEB 2 7 2001 , COST ' �O 0P JEFFERSON COUNTY DEPT. OF COMMUNITY DEVELOPMENT BEDROOMS: BATHROOMS: EXISTING 0 EXISTING 0 PROPOSED 3 PROPOSED a... 1 TOTAL TOTAL Z TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER ❑ COMMUNITY SYSTEM ❑ PRIVATE WELL ❑ TWO PARY WELL pi/INDIVIDUAL SYSTEM 471/Conventional @PUBLIC A PERMIT # SEP 0 ❑ Alternative Name of water system: "6 II T 7(Yr- "tS DPI IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. ' 1 v ■ SIGNATURE /aigilli,01 AW • DATE '" ...2-� 7/ / NAME (PLEASE PRINT) L FOR OFFICE USE ONLY .7.)gi.5(:).;, ,,. BASE FEE 141 .©D RECEIPT ADDITIONAL SECTIONS CASH/CK# i:Q1I< 21,SUBTOTAL DATE POTABLE WATER J/ f�( 911/ROAD APPROAC�i G J - 0 TOTAL 7:2-2.ap H:\HOME\PLN CNTR\FO RMS\MOBI LEAP.10199 ' PLEASE MAIL TO: , JEFFERSON COUNTY ASSESSOR ,. JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE * ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368 (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOTA TAX STATEMENT NAME: G-. (' H; The purpose of this questionnaire is to obtain information QOA regarding either the current location of a mobile home or the ADDRESS: 30; ( Guy( previous ownership and location of a mobile home. This will / ,i l\ help our office determine whether the mobile home is already , l�D G ���� /? on the tax rolls in Jefferson County or if it has been moved to -7 this county from r tea. ;;;'-- ,��r , . TELEPHONE NO: -3 6 /� additional inform.1. L; L [ I V E • II FEB 272001 1 ° 1) MOBILE HOME DATA: �J JEFFERSON COUNTY cc�� 77 (A) MAKE �rLrd // _y (B) MODEL o2 ' 1,v,-/ - DEPT.OF COMt NirTeAlkEVF�O�PMEN�_ (D) LENGTH c 0 (E) WIDTH a (F)SERIAL NUMBER (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) '3 000 (H) PURCHASE DATE 0a aZ/a/ 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS qit :c'! . , I (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES 51 (IF NO,WHAT COUNTY? /lie S'e,yi ) IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES 5 (B) IF LOCATED IN A MOBILE HOME PARK: NAME az ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: / NAME OF LAND OWNER: L:9,--41, / i j7 LOCATION (ADDRESS) e / s Sta�'t �7 e f4.-4\ fr� 1 r"` REAL PROPERTY PARCEL NUMBER/DESCRIPTION 76 ( Wiy yea 6 81- 6 r to fs /36. 1.04,1e ` THANK YOU FOR YOUR HELP! / ' SIGNATUR KELLI LARSON, 'roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. 7 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: LI YING LI 302 9TH AVE PORT HADLOCK WA 98339 DATE ISSUED: April 17,2001 DATE EXPIRES:April 17,2002 MLA NUMBER: MLA01-00076 PROJECT PLANNER: K RUSSELL PROJECT DESCRIPTION: MOBILE HOME INSTALLATION ROAD APPROACH AND ADDRESS PROJECT LOCATION: Parcel number 961 806 906, Irondale, Block 69, Lot 13-16 in Section 34, Township 30, Range 01 West, WM located at Melissa St, Port Hadlock. FINDINGS: 1.) The Administrator finds that this application complies with applicable provisions of the Unified Developmen Code, all other applicable ordinances and regulations, and is consistent with the Jefferson County Comprehensive Plan and Land Use map. 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.) A septic permit was issued to the applicant in 11/00 to install a 110 conventional trench septic system. The permit was filed under SEP00-00236. 5.) The application was reviewed by the Jefferson County Department of Community Development staff on 3/08/0 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: Susceptible Aquifer Recharge Area. CONDITIONS: 1.) The building setback from Melissa Street shall be 20 feet. The side and rear of the property shall maintain a 5-foot setback from the lot line to the proposed development. 2.) The building height is not to exceed 35 feet. 3.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as impervious surface(driveways, roof tops,etc.). 4.) 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. f 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. Development pursuant to this permit shall be undertaken subject to the applicable development and performance standards of 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 induded 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: -Set back buildings, utilities and roads as far as possible from surface waters(streams, rivers, lakes, marine waters), or at least 150 feet from the edge of the water -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 at(206)526-6613, or the U.S. Fish and Wildlife Service at(503) 231-6121. Pursuan • RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superi• curt within twenty-one(21) calendar days of the date of issuance of this land use decision. For more inform • • to judical appeals see UDC Section 8.5.2. 4A UD',Administrator Am •1_,Tr7L4 /4- 2o2 r K1 ave /lt� y . 14ogk 149-1Xe &Art 1—fri: ee f tl,‘ If 5 a(e ... 1 '. . Ickff cm,9 , . . i e i 1l i- ./V ---6-/ Nor 4g ', \ ,- Jo i • deck , 1 X11, 1 • 6b` � . , ...,. I 1 (0 m%n ', I ■ 10° ,- • I R-e-.5-c/rve-- . . se e k - brc ; '1f4o( < 8 tun 0( l Pi r • I %. :i i < . — l 0 1 __ r o < dra; : (J aria ; m o lifil C m _ - C� N rt za 1 O G1 N R,C o < o 1 rn� O qn;11 z r11-- GIEV 0` too. /14-e, I(/(rsl l �w, f . f f 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 (800) 831-2678 PERMIT#: BLD01-00120 Received Date: 2/27/2001 SITE ADDRESS: 202 W MELISSA ST Issue Date: 4/17/2001 PORT HADLOCK, 98339 Expiration Date 4/17/2002 APPLICANT: LI YING LI 302 9TH AVE PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 69 Lot: 13-16 PARCEL#: 961806906 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ OWNER PHONE: DEALER PROJECT DESCRIPTION MOBILE HOME INSTALLATION MAKE: GIBRALTAR YEAR: 1976 SIZE: 24 X 60 THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 4/17/2002. REQUIRED INSPECTIONS: [ ] Setbacks: [ ] Footing(If continous footings are used): yr Blocking/Plumbing: ,e-oz-Kii, [4- Final/Skirting/Vents/Porches/Steps: DR. Alt. '4 [Z)o c HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY