Loading...
HomeMy WebLinkAboutBLD2013-00232 BUILDING PERMIT APPLIC ON BLDI3-00232 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD1 -QQ232 Received Date: 8/1/2013 SITE ADDRESS: p I\ Pi— VI PORT TOWNSEND, 98368 OWNER: ONE HAWKEYE PARK LLC PHONE: 4640 S DISCOVERY RD PORT TOWNSEND WA 98368-9020 ONE HAWKEYE PARK SUBDIVISION: Block: Lot: + PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: MIKE SIEGER PHONE: 360-792-0854 4201 KELLY RD BREMERTON WA 98312 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI INSTALL 24X48 FOOT MOBILE HOME TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,152 VALUATION ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 69000 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $228.00 MEB 08/01/13 142316 APPROVED State Building Code $4.50 MEB 08/01/13 142316 �1 Total: $232.50 SEP 13 2013 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/1/2013 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00232 SITE ADDRESS: 61 PELICAN PL 19 Issue Date: 09/13/2013 PORT TOWNSEND, 98368 Final Date: 12/20/2013 APPLICANT: ONE HAWKEYE PARK LLC PHONE: 4640 S DISCOVERY RD PORT TOWNSEND WA 98368-9020 SUBDIVISION: ONE HAWKEYE PARK Block: Lot: + PARCEL NUMBER: 958700001 Section: 16 Township: 30 N Range: 01 W PROJECT DESCRIPTION: INSTALL 24X48 FOOT MOBILE HOME THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/20/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 1/23/2014 f • I 3.1.1 Downspout Full Infiltration Systems (BMP T5.10A) Downspout full infiltration systems are trench or drywell designs intended only for use in infiltrating runoff from roof downspout drains. They are not designed to directly infiltrate runoff from pollutant-generating impervious surfaces. Application Projects subject to Minimum Requirement#5 (Section 2.5.5, Volume I) must provide for individual downspout full infiltration systems or full dispersion if feasible. Evaluate the feasibility, or applicability, of downspout full infiltration unless full dispersion is proposed. Use the evaluation procedure below to determine the feasibility of downspout full infiltration. Flow Credit for If roof runoff is infiltrated according to the requirements of this section, Roof Downspout the roof area may be discounted from the project area used for sizing Full Infiltration stormwater facilities. Procedure for 1. Have one of the following prepare a soils report to determine if soils Evaluating suitable for infiltration are present on the site: Feasibility • A professional soil scientist certified by the Soil Science Society of America(or an equivalent national program) • A locally licensed on-site sewage designer • A suitably trained person working under the supervision of a professional engineer,geologist, hydrogeologist, or engineering geologist registered in the State of Washington. The report shall reference a sufficient number of soils logs to establish the type and limits of soils on the project site. The report should at a minimum identify the limits of any outwash type soils(i.e.,those meeting USDA soil texture classes ranging from coarse sand and cobbles to medium sand)versus other soil types and include an inventory of topsoil depth. 2. If the lots or site does not have outwash or loam soils, and full dispersion is not feasible, then consider a rain garden or bioretention BMPs (the next lower priority on-site stormwater management system). 3. Complete additional site-specific testing on lots or sites containing outwash(coarse sand and cobbles to medium sand)and loam type soils. Individual lot or site tests must consist of at least one soils log at the location of the infiltration system, a minimum of 4 feet in depth from the proposed grade and at least 1 foot below the expected bottom elevation of the infiltration trench or dry well. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-4 • Identify the NRC S series of the soil and the USDA textural class of the soil horizon through the depth of the log, and note any evidence of high ground water level, such as mottling. 4. Downspout infiltration is considered feasible on lots or sites that meet all of the following: • 3 feet or more of permeable soil from the proposed final grade to the seasonal high ground water table. • At least 1-foot of clearance from the expected bottom elevation of the infiltration trench or dry well. • The downspout full infiltration system can be designed to meet the minimum design criteria specified below. Design Criteria Figure 3.1.2 shows a typical downspout infiltration trench system, and for Infiltration Figure 3.1.3 presents an alternative infiltration trench system for sites with Trenches coarse sand and cobble soils. These systems are designed as specified below. General 1. The following minimum lengths(linear feet)per 1,000 square feet of roof area based on soil type may be used for sizing downspout infiltration trenches. Coarse sands and cobbles 20 LF Medium sand 30 LF Fine sand, loamy sand 75 LF Sandy loam 125 LF Loam 190 LF 2. Maximum length of trench shall not exceed 100 feet from the inlet sump. 3. Minimum spacing between trench centerlines shall be 6 feet. 4. Filter fabric shall be placed over the drain rock as shown on Figure 3.1.2 prior to backfilling. 5. Infiltration trenches may be placed in fill material if the fill is placed and compacted under the direct supervision of a geotechnical engineer or professional civil engineer with geotechnical expertise, and if the measured infiltration rate is at least 8 inches per hour. Trench length in fill must be 60 linear feet per 1,000 square feet of roof area. Infiltration rates can be tested using the methods described in Section 3.3. 6. Infiltration trenches should not be built on slopes steeper than 25% (4:1). A geotechnical analysis and report may be required on slopes over 15 percent or if located within 200 feet of the top of slope steeper than 40%, or in a landslide hazard area. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-5 1 • S 7. Trenches may be located under pavement if a small yard drain or catch basin with grate cover is placed at the end of the trench pipe such that overflow would occur out of the catch basin at an elevation at least one foot below that of the pavement, and in a location which can accommodate the overflow without creating a significant adverse impact to downhill properties or drainage systems. This is intended to prevent saturation of the pavement in the event of system failure. Design Criteria Figure 3.1.4 shows a typical downspout infiltration drywell system. for Infiltration These systems are designed as specified below. Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum) and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric(geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25%(4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and with jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 w, • • roof drain PLAN VIEW NTS • 4"rigid or 6'flexible perforated pipe i infiltration trench sump w/solid lid PLAN VIEW roof drain NTS II . overflow 4'rigid or r&sable splash block perforated pipe _PIA I 6' rear._ 1 e° 0 4 washed rock 46 4 0 �1 48 4 4 ,..I— 1' S.Q mire 12' :a�- 1 1/Pti/C -�°'�° .:-%as 01 1' I'n fine mesh anrnt \_CB sump vie/solid lid l 10'min�-��� h--�- varies _ fifer fabric i compacted backfill s 3 - .- 4'rigid or G'flacbk po°p o`.00 0 perforated pipe 24' ---47 0 oF.• a V 0 ° , 12' i`°0/20.7 oa c 4 a� washed rock 1 ly 4n -0 p' _- 1 1/2--3/4" S G aQa �a 0 • I.+--24 • SECTION A NTS . Figure 3.1.2-Typical Downspout Infiltration Trench Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-7 t . • • from roof grass overflow Ea min 11f - ' ••a Dr° re•washed rock... O.a0 4 C N�iE 581118 IBngth dgnBnBIOCiS °pa a pv 1$"min and site motions as typical system 41140ti VD* p�D V• A. • LzminJ 15 Whin • • X-SECTION. . . • NTS - Figure 3.1.3-Alternative Downspout Infiltration Trench System for Coarse Sand and Gravel Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-8 • • 1 Roof Dcrwnspott Hoare Catch Basin Gird Drain) Rod f� Dowrepot,f 0 DRY WELL 48 Inch Diameter Hole Hied with PLAN VIEW tilt-TWashed Drain Rock NTS 0 Roof Dcwnspout Mark Ceder of Hole Hausa 01 Caerfkrw with PVC Ioik, Splash Block Topsoil Flushwith Surface T A s ■ . r ' r}� •� r 1 min. flo p 74:1: ;r: 1; r}C.i. �c ■Ll Min.4 di a, 1'#1 .� • ��i.‹, 4" T., . Fine Mesh Screen ,C p - ..41,_1;,—;,,..,t .-■{'r C Etch Basin ,-...'f,• .P (*d Drain) `rte 48 Inch Diameter 4'' • Sides of Hole . Hole Flied with f, Lined with i,� 1 /2-3"Washed Fiker Ftric Drain Rodc 157 min. '.dit"h t'7:-..:11,1! '.:� t':! Min. 1'to a Seasonal DRY WELL H igh Groundwater Table SECTION NTS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-9 • • Setbacks Local governments may require specific setbacks in sites with slopes over 40%, land slide areas, open water features, springs,wells, and septic tank drain fields. Adequate room for maintenance access and equipment should also be considered.Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-10 • s Cr H a- 0 O 0 LL N _CI = LL �. O H O CO -J O O .. .. Vi- \ Q C/3 4- a) — CO Fs I- O -O - LO CC O O L = -O M CC "0 +.-, CO O C U O = U W O CI +, "O H O CD .. O L L L 2 I� Q -0 U U U = O M C] J CL 0- .= � � C3 I- I- O O LO � O CV CI) m O N 13 C31 = O I U CO ❑C "C3 CO 111 C 0 3 CO 3 I- CO �. O CO O CO J U 0 CA -O CC = U C = � U H J O -- J 3 J CC ¢ 3 } a- 0..1 J 3 I- N Y CO CO Y } -0 CC O CC d- Y W CO Cr Cr C LLJ CO Q CC J W Q W LLJ 0_ CO Cl I CL CO CC Cl >. CO O a- Cl Q 0 O = -- C C a- LL1 � X � O LLJ U W CO 0_ O } v W Q CC } CO CO O LLJ } I- W H = C3 J CO Y Cf3 LLJ LL Y C) 3 = CC 3 I- Y I- 3 o U W O Q 0 3 ]C L LI Q O1 I- CC U 2 J Q I- CU J 2 2 O C1 O 1- O W J N CO = LLJ d- CC a) = J W O Cl O = CO O C9 O Q Z -1-, `� C, O 1- Cl O CO - -I-, O • O CO ›. O O O .- O O O ti X . CO Lu . LO Z CO rn o O O Lf3 O O NI- O O O -0 L U CD � O = i; C O x a) .. L 3 L LLJ Y a) a) = a) -- m.) o r a) U 0 a) 'O > 0 U L L 0_ - O 0 0- C- 0 t0 X -I-, U "0 X 0 CO Cl 0 -- -- 0 a) I— I— X 4- I- Cr3 0 4- X X I- JACK WESTERMAN HO Jefferson Co.Courthouse ASSESSOR PO Box 1220. Port Townsend, WA 98368 (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: 0 -h prvv ' R (L V LL C ADDRESS: I • -Pt Cody► " mt It -6 . ix , PHONE NO. o0- 30 1 — 6c1 162. The purpose of this questionnaire is to obtain inform 1 ,4; ,1\y. C_ r 4t e current location of a mobile home or the previous o - •- • mobile home. This will help our office determine whether t bile home is alr :� 1 1• on the tax rolls in Jefferson County or if it has been moved t i t h s catkiatt trams a uer area. L 1)MOBILE HOME DATA: JEFFERSON COUNTY DEPT OF OF COMMUNITY DEVELOPMENT Q (A) MAKE i' L WOOD (B) MODEL iiND k. V\10 OD (C)YEAR (9 t! 7- (D) LENGTH b (E) WIDTH a t (F)SERIAL# 0 9 b 'W(G) YOUR PURCHASE PRICE(Do not include sales fax'► DOO 2�PURCHASE DATE 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW MOVE TO QUESTION 3)// (A) FROM WHOM DID YOU PURCHASE MOBILE ` ) \31-1 L®v ADDRESS V, CO M2--\\ r?.V I-JAI ( . (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? Yes JO) If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year.1AP601'^- 3)WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN MOBILE HOME PARK? 6e7s--) No (B)IF LOCATED IN MOBILE HOME PARK: NAME &ADDRESS OF PARK ©fi #Piit-L �{}"(L -' Lot/Space # lc) try 1 PC 1..- MUT v4 O'S W (C) IF NOT LOCATED IN MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION ADDRESS REAL PROPERTY PARCEL #/DESCRIPTION C(:))( Signaenre of a; cant THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician • k ict," rr coy JEFFERSON COUNTY 7EcEovE.� DEPARTMENT OF COMMUNITY DEVELOPMENT _ 621 Sheridan Street • Port Townsend • Washington 983:: i JUL 2 9 2013 <ys OIO 360/379-4450 • 360/379-4451 Fax J N httpa/www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: �° �"7�"� ` Ai I DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as "small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves.stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E., SITE) Size of parcel ""' °' acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet , - sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: * Does the project convert 3/4 acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. sq/ft Circle: Yes (I o Well, utilities,etc. sq/ft Does the project convert 2'/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: o Total Land Disturbance , sq/ft Cut Fill (cu/yd) ite " x,0i v . 0 't, f e `Fclot. [over] stormwater talc worksheet Rev 9-9-2010—REV 9/9/2010 1 Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways,.,patios driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE IEW EXISTING Structures(all roof area) 20" sq/ft Structures(all roof area) sq/ft Sidewalks 0 sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) _.""' Driveway, parking, roads,etc sq/ft Driveway,parking, roads,etc 010 sq/ft Other }} sq/ft Other sq/ft 'OP° Total New f sq/ft Total Existing sq/ft Pt*4ie Witt-540Ar TOTAL NEW+TOTAL EXISTING* °'" sq/ft *This amount will be used BY STAFF to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT ,( Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 3''T Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be u"'set to de - '' - the applicable Minimum Requirements. If the answer is no, the pr oposal is considered new tieve„o ment and the ' attached Fi.ure 1 should be used At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum equiremen or stormVaTermanagement. DCD staff help verify the classification of the,proect and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owner of the affected property. (LANDOWN'R •`' UTH•1'Z 9 REPRESENTATIVE SIGNATURE) (DATE) stormwater talc worksheet Rev 9-9-2010—REV.919!2010 2 Contractors or Tradespeople tinter Friendly Page Page 1 of 1 •Business and Licensing Information Name SIEGERT, MICHAEL L UBI No. Phone Status Active Address License No. SIEGEML055K2 Suite/Apt. License Type Manufactured Home Installer City Bremerton Effective Date 5/22/1995 State WA Expiration Date 7/31/2016 Zip 98312 Suspend Date County Kitsap Specialty 1 Unused I Specialty 2 Unused Infractions/Citations Information No records found for the previous 6 year period Education Information No continuing education credits have been reported for the next/current renewal https://fortress.wa.gov/lni/bbip/Print.aspx 8/1/2013 ' J 2 ` ON cod JEFFERSOPOUNTY � i W ' DEPARTMENT OF COMMUNITY DEVELOPMENT n V"' ` 621 Sheridan Street• Port Townsend •Washington 98368 360/3794450 • 360/379-4451 Fax JUL 2 9 2013 S N eS0 www.co.jefferson.wa.us/commdevelopment COUNPI Master Permit Application �A. JEFFERSON YDFYr EPT.OF COMMUNITY DEvFlnPMF Project De ription(include separate peets as necessary): a ,' tt n pt Tax Parcel Number -1 cs°}-000&i I Property Size: *` square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: a t 'y' ' '"� "f -- • Telephone:�4�) — ` Fax: email:4 /'J 4 -► h£ pf .► vt%. Mailing Address: 'r' - 'C. Pi5ti i- �r o< Applicant/Agent(if different from owner): f 0 g O)-. 1, 030 PO(1,--r To'N N - O N C 3 1p? Telephone: 301_V1(49 a. Fax:!(DO. 3$`5 — 03 0 email:tktelrtaullriele ea*14-e%o1 &1 I ta% Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation uiiding ❑Critical Areas Stewardship Plan Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) 0 Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** A Manufactured Home ❑ Modular - ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** • Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑ Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ 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 641011 w .. ajeSei .° to act as my agent in matters relating to thi`s]ap lication for permit(s). OWNER SIGNATURE � Date: 1 1 / 04743 3 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. St-,'s access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli.;1tf' that he or she �' s pr no' Signature: 4/0 �� Date: / 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 th- Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferal esponsibility fort: eri g to -nd corn•I g with the ESA. The Applicant has read this disclaimer nd sig s and dates it below. Signature: �A.. Date: lam.\n..___:✓`__.__\1444J4Cr1DAAC 44144\Tnon Cr1D1\AC\r...........TIDTI C..........\11 A n.. :. A__1:__..__C 'fn no,__ , • 0 . BUILDER STATEMENT • The signer of this statement does hereby ce ify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass g the responsib" of General Contractor for the proposed project. } Signature: Date: /p fF 1 GENERAL CONTRACTOR-OR MANUFACTURED HOME INSTALLER: PHONE: Fax: VkikIk—t G} Ces-T/M I 1465 .S.01)p %rc ( ) q-f -oi54 (3Kil-9a-0313 i MAILING ADDRESS: 440 t G E k IL ;,1 CONTRACTOR'S LICENSE WAINS NUMBER: 4 $i_. NUMBER SI G t-055 ARCHITECT/ENGINEER: N Milir- PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: athroom • Shoreline: Type of Sewage Disposal: ? T New evWood Existing: 0 Sewer a 0 Addition t ' Steel Proposed: '2- Bank ❑ Community System O Alteration/Remodel 0 Concrete Total: 2_ Heig_ Of Individual Syst ❑ Repair ❑ Masonry ..AAff SEP Permit# O Demolition ❑ Other: Bedrooms: Water Supply: Existing: 2 Setback: ❑ Private well 0 Two Party Type of He 4t:V1000 SIbv. Proposed: --' r Public , RC'�D 411) Total: � !7 lame of System: Cf7' 9''l 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: 1 Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove i Fireplace Insert 1 Hot Water Tank i 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 Off ice Use Only Amount Revision Main Floor Heated 1 '.6.2, 1 1 -.4 . EH BId App Review: \b i ()° 2"d Floor Heated Consistency Review: Other Heated Base fee: 2 2 ' Mezzanine Additional Section: ,/-�S Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 14, cam, Other Unheated Pot Water Review fee: '_____„-------- Garage/Carport SUBTOTAL 0? Decks 911/Rd Approach fee: �s • Other TOTAL: $ 3 3�, 7) Receipt Number: 11-12- : Cash/Check Number: 1 t �� ESTIMATED COST(REQUIRED) Date: jz�1 I •Fair market value of all labor and materials foundation to finish Initials: Y ,_.> ..,.. .,__.__,11144417,01.1C4#4444\r-1n C!\DT.rM,...—.....nvr-1 c..._....\Td ne..,-.:.A....r.,...«,...c 10 na,1,..- 1V1ap Output • • Page 1 of 1 ArcIMS HTML Viewer Map _001171017_ l Li"-',"le?A 4 '963301001' 1' i 001162004063302W r„k3k, . 1 ,L. 071171012 001171009 0011 '. 1 1 1 0 ' ! ! i $§ 00116 01162€09 -1063302002 063300002 . . ` , 001162009 I 1 L__ 2001171012 _ r 963302032 Ira , I i_._J 9633427087 _ f,.i penny Ln { . . — 963302106—963300610 N 963300705 .... t.'...t.: A 963302708 1 -- --1 4� 102 1, I 701 1' t t*3300184 963302747 963302501', I 983300" .1.. -__-,-. -- 963302704'�..x}63302505"m +,- _, k , t 96339k21- }�' 703 r i�.-._.I 9633021W 061302105 k. 963360801` _ 742 L$ B nd "Gape George Rd ;, ,; Flolorma St 106 703 ,, , Lots �7 1 9$8700001,_-- 968700001 r r-- „1986700302 '--- ===�= 963392 `' 1 t--,-_, 1 i i ' °r 01 4 0---r- JG Roatks 986700302 966701241 -----:-_ 963303509' 1 I = 1, - ,_ t P8tCe9ei r•;..* 963303501 ' �g E !1:13113501, ,I a ', -1 9 701241 986701 -t-1 -�. ,r � �.-_-.-�� i� � "` "; �� 606701101- .,302, 9587+t, �t ` 1 _1 1_006701201 J f_.i 11 1 � 963303403' 9633(? f2 `' 986701701 i 986701801 `r # � ►7g� 1 (186701701-1 t-r-t-- i .L.. _I -1 001163002;`"`- J "g T--__1 L S I 1 966TEi1' 1 9667 1. _ ._I „� 963303303 it 986102801 1-1,001163002 ti L 986702661! - 963303308 0, 'r' __—666702601 l 986T 1 _ _� _ 9867 €11�E IS �'" E 9 6 6 702 802 '°�--_rte ¢ 5700041 ' i I ±--, 1li l 963303003 '° _ L ==-"1.-1-_° :i .- -.._..�.�_ �O6 9�867029�0"1"T°�`"i'�r- r J�EaY�lOitls J�tl;. _ _ -�-- "'*1 —9 8 6 742902 I I g 1 1 1 9667031 2103104 W j r-n 963303104 �-! : i '98871 ,�966 �--p--t--9 v 7"03241'1 963303202 963303102 ' 1 L , ,m 9867 1986103001 t 986703104 j V 117 Maps :__t---986 1'-k----`—.___i a �x Centel eas T-1 986704-10709867°3c°1 44101 1 } FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Mon Jul 29 16:10:23 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 7/29/2013 OW Front Parcel Review • Parcel 958700001 Printed: August 8, 2013 J ONE HAWKEYE PARK LLC Site Address: -dica4 P1 f 4640 S DISCOVERY RD to PORT TOWNSEND WA 983689020 PORT TOWN . D, WA 983E PORT TOWNSEND WA, 98368 Parcel N,mbe : 958700001 S-T-R: 16-30N-01W Total Acreage 15 Lega 'esc stion ONE HAWKEYE PARK ALL LOTS (1 -43) Land Use: 1500 Floc), P' rid: Fire District: 1 Planning Area: 2 Flood Map(FI' Panel No: School District 50 Zoning: COMP PLAN A DESIGNATION: COMMUNITY P' AN: UGA: UGA Jik.9,k) \k"./ [ ] Plot plan tates "property line" n fj [ ] Assessor's ' ap (Property lines on submitted plot plan klkEh the prop (i as identified on theAssessor's 1/4 map) [ ] Legal Acce t. 'roperty YES NO [ ] Parcel Tags or Scanned Documents S 1■ 0 [ ] ESA's: Special Reports Nearby Y 9 [ ] Designated Ag YES NO N [ ] Shoreline Designation: YES O [ ] Shoreline Slope Stability: Y NO Stream Type:YES NO Fish& Wildlife:YES N� \tie V Wetlands: YES NO Rare Plants:YES NO\ Seismic: YES NO Landslide: YES NO , Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate Risk Disconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Archaeology: YES NO [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 i-ering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YEs o [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other I- 1 Building Height: 35' UBC Standard [ ] , Impervious Surface covers ercentage: _ Resource Lands&Public: lOilr Rural Residential: 25% Rural Indu : Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 958700001 Cases Name Review Type Status Planner CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation \\tidemark\data\forms\R_Parcel_CRMLA.rpt 8/8/2013 Page 2 of 366 CAROO-00431 • SANDRA SETON TRUSTEE • F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation CAR00-00431 SANDRA SETON TRUSTEE F K RUSSELL Application Received: 9/21/2000 Permit Issued/Case closed: 9/29/2000 Case Finaled: 9/29/2000 manufactured home installation \\tidemark\data\forms\R_Parcel CRMLA.rpt 8/8/2013 Page 3 of 366 , 1-- 1, 0 m -1 m 0 -- ..., ,„0 z > E m S "! c_.0 () IZE , I Aitr2ILT.9CN_._ es , co › xi e, ,..1.4 o --, m --1 III .1' III" 11 III 0 r- * ;„.., -) , - ,- _ z mi RES E RVE 7 0 NI.k-;- FI-1 :mortik 0 Az hi . 1 1 \ G, H t.$‘ 0 2 I 9 z4 ..."..... N, tzi t'l 0 III &tk IP- --4 w- , Zt.itTi . . L 4 coo 4, '1 s '' rn %re > o" ,_ fl, 73 rn ....1 1r cn — u) 4,* . -1C:1 b--- i i,- 0-At ,, i - '74 - ‘ ' 4# -.6. (-44,00,4 5616 ro — Ir NN, .. . . , .4- ,, , \ N , ,, —0 N II II c-i t s, i • cn a t , • , -c ' , ; 03\ / , \ \ , c 143, Po bi P1 j z 1 ' ', ' Pi X It n o H IA 1-3 :57-- • — S2 PC En t_i 1.-4 tL...2r , o •-3 a 0 —4 "V 0_ , 1 ■ ,-, ti) H Z G Pi = j.3 ..,„.4, \ N, tt. IC ,,_s t._ 600 - _-- 14 -•/' Izi 0 to Z 0 At; i IT; - , ..= 0 t-■ t-4 x 'f*,,, 7: , , 0 0 .) \. • ..8i ";. r54r. .1/---- . , .: 4i# e_ A r"..m ti P > I 4. * 0..41F r-- - -c. -, m ' , • cr, c''. r t (Nt Ci 0 c ..-s, • <- - -1 H b--4 Z Z fra N • ;-) r t f--. ,-, -., --/ " cti _ - rr_7-1 ;:f5 -T, C.J..) ."-' OW el. ,z wilisis Po a_c1+ > . VS 1 POR- 7,14 , ok 0 Co rn 2 (cg i V Jo 1\2 I i--- 7V 41) m v2, cr7 n5 c c. 0 vt pnl a o igsb 1--- I , CV" ei 7._ r41 ._ . o .4 z I .4 —A .ZETvi i‘) 4G) t.s 0 Zs VP sT7 qr _•fi zry.-.17. orr W Z Ic7 tra osk 2. o gig.".1 A. r... 1 NT 12-y t00% t4 C3 to, -t. .. . _ i ... _ _ o ,8 Z ...., __ 0 r, ratzeili . ,iimigieniimmi Site Plan Checklist A Site Plan. All site plans shall be drawn with a straight edge &features shall be to scale using an engineer scale. For Residential Applications A site plan printed on 11 X 17 to scale(if on larger paper please submit 7 copies) Please show the following on all site plans. ❑ North arrow ❑ Title block with the project name, address, drawing title, tax parcel number, &the name/address/phone of the person preparing the drawing. O All Property boundaries, dimensions, total parcel acreage or square footage dimensions. • Building footprint square footage for all proposed�cexisting structures[for Site Plan Approval Advance MDetermination (SPAAD)applications show buildable area rather than building footprint] ❑ Environmentally sensitive areas such as ravines, seasonal creeks, bodies of water, wetlands, steep slopes, etc. ❑ On-site septic system location or sewer lines(existing or proposed) Show measurement from foundation to septic tank, drainfield, & reserve area. Show transport line. ❑ Well location &water lines. Show 100' radius around well. O Impervious surfaces such as driveways or patios. Show driveways all the way to access road, not just to the property boundary. ❑ Setback distances from property boundaries to structures, distance between structures, &distances from structures to environmentally sensitive areas such as wetland, shorelines, steep banks, etc. O Location of any easements&encumbrances such as utility or access easements. ❑ Method & location of stormwater disposal facilitates such as drainage swales, tightlines, dry wells, curtain drains, etc. ❑ For applications on marine or river shorelines show ordinary high water mark, top of banks& heights of banks. ❑ Locate the Propane Tank, Size of tank, A/G or U/G &distance from nearest bld. I• ►- 1'7 1 • A, _ to . • I ' is.-- ).1.C1 - II 1 . • \lc( . b., II . Stae■-'1.'.. !I $ I \ . 0,4. 4 . IgR. I; • \ o �/ 7 , / \ 6 ,bI -1 • \ -1 n E E E E E E E E \/ - i I b I E ....9 P1 ' I E � I r Q \ E E lirsit 7p �I 4 E E / I rn I -J.1 8Ili i � � F3:1-:31:� � IT 5 ; . i Id..- Fi lip H 0 ill ; i, . .. 0 IN4 n N' ,_ _, i__._,,, s„,„ _ 11 .1. 2 . it 1 t3 0 \ / t..I • i 0 io N \ , I � I I 11 o Ici DIMENSION I I DIMENSION • DIMENSION 1 1P1 1 / --- - " :;4. rte . '� .' ' • Q ■ L :�,,, . _„ Sil .. \.......--,.. i,—,.....--il i 1.10-1--ij . ,,, Ig Li_ ___x - —1 . si 1 o , .....------ lq J, I I I o • _ a. J \ DIMENSION PROPERTY LINE • • \ — — — • - — �--'— — CENTERLINE VIEW STREET 4g ON Cc, r % JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �9'rRlNO,O Date: 44 _70 Time Received: 20 if' _/pm Mon. � ,, m Thur. Fri. Date: BLD: /3 .—,13Z- Contact Name: Owner: Contact Number: 360 7 D/ 6. ',C z— Address: fJ Pe/i cm,J LOT /9°' 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ...?„.9,..A: • e-_:::-., ..41% .. . . • . :,,,,,,S,2,746,W,: . • . -1.7°,72'ra ''''4'''--''.4V.".'': ."*'''''''Itt a SI-d."4. . „..„.,.#4'a 5.-•..„.- E.5.--,..,,Y7 " . - /' ( iii. - - . - . . . ..e. ,. 51 time received/_=4;t_am I pm Mon. Tues. .,Wed:4.--F t-i. BED: , 1,5 - 00 732- Date: . . - . OWNER: ease'le - Contact Name•: .. . • ADDRESS: ‘i reLd e AO A/lig Contact Number.360 36/ -4461-, •,- •4-"-"--"AZ 206 _ . . Notes: . . " . " • . . • . • . Foundation Plumbing. -Framing' . . Propane Tank - Mechani cal -. • -- ------ . . Setbacks . Under-ground Framing - _ Linder ground • Furnace Footing Rough in Alr seal Above ground - Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines . Ducts A _ Post Hole • - Ventilation Appliance • • Underfloor . Gas/wood stove Man-Homes - . Setbacks ' • Insulation . • . Final InspeOti9n ,.;.. . _ .,..1 ---z,•-•.: Q Foundation-- . . ,-,.•:' Block&Tie _ floor wall ceiling . Address PoSted • . . 1 MANUFATURED/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#: BLD13-00232 Received Date: 8/1/2013 SITE ADDRESS: 61 PELICAN PL 19 Issue Date: 9/13/2013 PORT TOWNSEND, 98368 APPLICANT: ONE HAWKEYE PARK LLC 4640 S DISCOVERY RD PORT TOWNSEND WA 98368-9020 SUBDIVISION: ONE HAWKEYE PARK Block: Lot: + PARCEL#: 958700001 Section: 16 Township: 30 N Range: 01 W CONTRACTOR/ MIKE SIEGER PHONE: 360-792-0854 DEALER 4201 KELLY RD BREMERTON WA 98312 PROJECT DESCRIPTION: INSTALL 24X48 FOOT MOBILE HOME MAKE: YEAR: SIZE: Directions To Site: To schedule inspections, call (360)379-4455 no later than 3:00 PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. Office Hours 9:00 -4:30 MONDAY-THURSDAY 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 sir6t,*'b vr►-c .71243 ,3 FINAL INSPECTION FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY-SEE REVERSE • SPECIAL CONDITIONS CASE # BLD13-00232 1.) Root intrusion into septic tank inlet pipe must be fixed prior to final approval. Contact health department when complete. 385 9402 2.) 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. 3.) The site plan as submitted on July 29, 2013 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 August 8, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is for a manufactured home replacement 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. 5.) zal \\tidemark\data\forms\F_BLD_Permit_Mobile.rpt 9/13/2013 ..... _ 0 , 73 10 m , 0, 0 z c m OVLET .. J7 -0 ......._ A tr2 LT 9CN___ _.... ____ ...._ • . • _____ _ CO xi> t 44 III :1 Ill' No _IIIII, N\it II m --1 _ C,r * 0 , ,- Ik4.,1/4= :IIIII c6k . Z RESERVE cr• d:44-t‘ 0 ,,,,,-4.. :1 hi H 0 I ' 2 GI 1 ., ''',.- -.- tii t-i . --------- e 110 11111 rTil rs.3 CZ) 1.,_tmli.c.04 Er.) 101911. -.4 1 Z tll rn et 41111111111111k1111‘'' / i,111:NN, T3 0 4 \ 1- co 14rair.o. f -- cn CIO,. 44 P. ,. • _ $4. ..1 '• 1 N ,i‘: - ----/<_ -- l'5 - 1 1 ri 13 •. V .- r .. ',S1 ts '_11..0+z., 1,i "...-- 'N.N.s. .„, f 4' i N - t) 11 0 0 c-i .. / ' I --I t '1J tll t 1 1 Z W X qj r) 4, .,.. . c - - . , .,.." % • , % ; %` / , ,, 7......; ,,,1;i, ' •t; t„ , • i 0 H r) 0 _2,4, , .” . • ■1 1 "4"' \ \ ' — ' ' .6.4) '1 '', -' , -..c. 4.,• 4r, -, \ 7 -1 ,,.„ .,..,, .-:. U H Z •-, "V V- 12_,..-- Pi Z i.3 t;.__ .i / i'e A „,, \ ,-• ,, ,,4, LI 0 ;,1 to ,c,.. ., a vir, /4 0,4s C.> * Z 0 = ,_ '' ...„- = 0 t-4 t-4 X :A -r. s.. 0 0 "T■ C71 •-3 *-3 ..0 , . 7,,-, X. ' --I r) n ----- , • -4- ••,. N.. 0 0 , • 04 4:4. t. g -4 0 - ___, 0 P : 1 „ , H H • 0 , ariN C 75 Z rtT1 .......0.... 0 rcn o ANIIIz McIN)N Im••z c■••)■■••101.1■10•1011111111•141.•••111=110•1••■•■11111 § .-.4:-7-<-,,1„_,'_,",.....-•,`_,,-4' -N T' _ c . ,,,,..... .. r no .,.• ' cri t0-fr 8,-.1 cp- .c< --- -0 C.0 M ri 511 esott‘Z .' rilaSailla, I ; M 1 ' PO(z.-cl-f (D ....i. m 1 ,,A .. , ,.. i. m ,,,... .... ,. ,„.-' se 'r- 7V • 4s.z /15:3 m .15 z c sz, vs z 1 . v•N z. 7).,,e1 \-1---- ,-- - - °Ztk 'V --i 1 , 7) ... _ 7._ t...) ....c- ...-Pi - 0 -.1s. —c- z ...., 1-1-41-1-woj • z , •k"-* cs1 vo KIP • —D GI Itii, )\-1-'" .., tie ,...1...1 1E-NT(2-y „,-------.." --pm, Foe -- Ai _:--.00•00.40"""""*" • • o � aZaa . . iLv1,1!!! E 1 • -11 • . • ' o - - , / ;g 1; ' :k- ` r m m -NN i,r� � 4r iitiN � 23 2oS • $ t 4 • O z ( I 41 2 4 w I O • T ^ PoRr I • 0IV > 12 • n to it _ 5 I G NM -p a 4. 5 _. . a In s 1 •Onz �"41,1 X a • ( ); • • � + %N. ,, * Z• got = v/NO • K 1 m -i O CO m r. 0 aoo< o , � n P ' ! Z N 'T 1 mxi t -I ZZ 4. � Z- . ��2m 000c v0--1 . • (n.... i►a A .2 onfmo7N-1 A tixV 4� Z o o I. r )1* O • P' 110110011 111111111T f D O O O r.�' rn� 0 H Gi rn mz-0 6 C° i k C) ;',2013:1 20iTiM... ‘-' fill: 7/1 off zoo ZO ro V i-94 a y9p 13R o g n FZ s iig �m O �N monnFmYG t m4m o ç -'" �� 1i \, q o; o I_ID AtA3 my z Z =ZWr • - R?� b rA cry Wr00g / w • '= gRA • � gw g ,pr !4 ,. Oyu CD . 'UY 1 N , • i 1;1%1g, . 0 iwx • 41117 ■41%11:Wiltill/11 . . !' -III 1 ri 0 4 WI o * WAllibit III t . j " • co • c Z r8 o ° ■ .s.s..IIIPVACIO________.___._:...\__...„ • , 1 .,:, • ' • g g a i O' r r0x• •0 . 1:1 n : . g III v w 4 2 • s t CO C *8 e C1 oPOPEN ice _ . , 1 Y m !I _ E !! � OMI' I . I I I 1 P . . � X . coma,5 L . ''.•CiC�■ i III' :�—' ;sc:t. 1311 '��-'�' •are'-x�"y ' � • .,� ;, t .o,� « WASHINGTON CO—ORD.. SYSTEM . �. I) -v ,\, Vin. NORTH ZONE • PER CRP 523 - GLEN COVE AERIAL ► , . •.": • r r i . ,�• MAPPING PROJECT OF, 1980 I i e . . __ , . . • . • . . . . , . . . , . . . . • • . • • . • . . . , . . • . . . • ' CA M Z• IV > Ca > 0 . 2 CD CD M > •Z > . rrl —I . 0 CI < M C 11/ , 0 0 -< ,3 . • r 2 2 . M M ni NMI M . .... ..4 0 .... m -ri 23 < 17 ill 0 . z O. • II z 13 r" > 0 —4 XI * . . --I. 71 0 Z * -4 • en 00M Z 00 . , •Tio • •te • • Z V) -ri > 0 lam ). \ :-• v) 0 . C) V D an > .• • SIXTH '. ST. * 0 13 X° 0 . • ri --ri • ,... • 8. • . .. NI • In . c ro xi OMR iv $ r 3, 40. W . • • P.M oil • . ZPgaook."1 • . . : • . . . ' • 700 • ' 00 0.,,N 0 e nr t it $ 1',35'40.111 75.01 $4.72 li. \ * •' . 4„,!.4.41;:11• .., 4 .. ..... „ 4' . ,. , ...„ • .o.. g.„. \oe. • 0 : 0 o \ 13, \\ A. m m . . ..i.--I %., NO > m r- rri • " 13 0 -.../ Z 0 %. °O qr,,,%. "It;,. 4444 • . . iv aft ' 4' 47: 40,ti?. 44%.;g * e. ol`Cip I •., •' "8 - • • t.) -<sn 1:.x —1 A c:, ...... 230 < , m -.. m3- 0c, . 111 of' 0 ca ININIP • = 0 0 gill< • 23 Z h.) -ri M IMMO riv al"' IMO 4101P 11111M1 . OF ‘1 . F sTi • M ri ' > ra . 1.1. ??4.13 ; 2.11 Ni, .41, v.,, • A . . . . I! 6 ' or ft ... . 771 ti 37! 1 46\00, ., . 4,' ••• /15. . . • gAll ab reb d'A, 1 t.+ • .• ' /0 . • .- -• "!' 4-q, 16 -b— —h. ' -:,..4.4 e . .b. . . -4-5 _ s FZI"-- - od. At( ICS , f 0 as 7 . . ,E) 7,- I,. ,. . , ? \ 12 0 1 34.711 -.%.1% * 40 • . . 0 4•—()S , , . .-. . I ri ; , 411 ,• S5-71-44 . . .. . . ... . ; .■ . '00 a • i- • . , .. ilf I .00 , .Mlr • t 41, ; .40.00 . At. . ....„.... ig • • . oeof Aloe ' • .z . • 1. . . . ,,,.: .. . . ..-7 „, • a .,. • II . . y 0 • 44. 3, - .- 1, 4. , , .4 It r- • • ...- . • P.- koof 1...'"-----1 ' 4' . •:.. • w . rn 0.0. • z, --- 44 8440.. A 0 o *00,10 .6, • • . wo • . II . - - • in • ' . erg ia *** • 15 Ca 44 • •( .• 43 n ,.. i .,u- • r..1 m o u) • 711• . irt, 44 • • V . . 0 CI ,s• • . • It . . r.; g 5 • . ri,S* ;. 4, 1 ,. .1 ... . . . . • 1 80.00-. -411 . ... . • . . ".. to . C' • "' . z • • 1 in . . . . . . . . , . Z 1.0 :IV • 0 < • I • • • M 0 E • • a . hill i r c.:2 2 . • 0 e) ri iti til . 8 " . • . .0 a . gi 1., .........-1 0 . .g pt.1 g . Eel c --, IV GI ' • • , to 0 qq . ' • .. • ! • . (44 • 5 0 ■ • . . ' : . . Ai E. , • 171 . . . . • rcliEc) . rf"' . -1-' ;' ..;-. .... ,.. ' M —4 .0 c g . . • • 88 ' allill .... • • - m IF, I . Et$ 0 8, -n r4 ''. Ga• : .8 C:3 . ' ::::'. ',:-.• . . . tO 1 . a) m• 4b . . .... ... . . WASHINGTON CO—ORD. SYSTEM - . • . - z' 8 ? • ... sib' . . . ...,- ,.- . 8 , • • . . NORTH ZONE • PER CRP 523 — GLEN COVE AERIAL . o 2 m• * . • MAPPING PROJECT OF 1980 > z u,4, ul . A C 9 f%)pm i. • . • -. . . •. a , . ii N `6":11 ... • . • • g . . . , , . .. .. ' ,.... . • vs, .. 1 . . • . • 1 • • C) rn`aZ ) � 0 • m ^rt .... Z • • • 0 y a NN < RI � °° WASHINGTON CO-ORD. SYSTEM Z Z :• r ' o NORTH ZONE Z � > 0 1 • 7 o o N PER CRP 523 - GLEN COVE•AERIAL O .0 0 "Ti Z ' U MAPPING PROJECT OF 1980 up > 0 U = —1 --I v..• zi * r g 2 . ' 0 o il ni .4 7.iC7 0‹ caZ M m = 00x0 a< o �. 70 Z N 'T1 1 1 m AnAA $ i 0 � 0 � = 1 1 1 1 ` y Z O O r a r .40 • �i6driTirf � 0-4,11 --.1. Z ..a m ... r i1S. 14fC / N ' i i.;e igg 1..2!; O 4 R N w.o� '_ '• �g so 1 ': kg W r` to Z al.•s.•..• .. !� A �. . •� • 20.00 pi cvii 5 5 _ ,• • ; ,' 8` 80.00 SODS if Jig 1" 4 • T .� + _ 0 al, T $ IP WON , �.• fn V • ocouco ' o • w000ly . • • . .., \ . . r. • g - ■ • E.r P, is ti 4' 5 $ • k$ 3�, '{ ..:/ on q� 5102 •8 ,• �� `t-a FLAMINGO ROAD 2 . 4,121.7 1• • • •�. \'46, a: . • +. . �y ot Mg n m 11 a O W I .. - 1 esbl l�s. 0910 N 11p Ian's/' E »•.3• �.:n • [ f'*1 OPEN SPACE / T M - M 00'01'00" E 120.11 _...-/ •' , XI- Ro �'+ o LOUISA ST. c- o •%::,) '71 X Z 'A i , en° . cl•'* - 13 w or 80.00 - l • • - .__..� ■ • ■ jrnn �. . � GI C7 -< � s mm -- < mv �. Sr �`'_ • v N < m D ht it 0 ft C 'A' \ ' W ,rt O n 0 TI 0 "r1 > , • L'g Cr � Q13• � yr � . 0 O orc a cr r * 00 < Z �n • r . - O .IJ _.< In Op • • • 0 0 r g•rx 7) o j " g -" Z m r" M . . 0 .417 . X om Q , • V S 49/ • AI / •.�SOPHIA ST. ,► ,. / • •43/410 . ' ell• / • K $ :7 IW- A 0 g t • co 440 : •1.... «• ' 4i lb ‘4 . • 1. ,. .•v •: O 123,74 OPEN SPACE a.107.:4 c m !o -\ 0 O D Zn m v O 0 o , Z g Z 0 •~ • .... N 0P5lW I 1121.11 Of LOUISA ST. $ H 7../,•____,,,,L,,___.,--- • . CO . ., E• < WASHINGTON C 00 RD. SYSTEM ::\.? P to..t ' °o NORTH ZONE m . . m►a .1,� N PER CRP 523 — GLEN COVE AERIAL t .sii 100.00 m w+ N MAPPING PROJECT OF 1980 • 1 ' • 1 ifilqiiinigt1, i IIt 'jt 1 R� r iittIflhihhitiU11 1111t I r! 't` • il Q g 11 .d 11 �•�rw g • R•y .. • i p.If 4� II ii $$ 1-SIX tifi; l • '• !a 14 fly.71 A Ot4, 4 7-, ,59. it7 1 il* Tille111101-4;!,; fill k r eL D s I r 1 • cv 2 . •.,, 44 21:3 m .r � �` m .o N O •i 'i} I fib :.1 1 it ' �� -� lam: . . r r :$ 1 1 k, i - 4 r -,- 2 -n ,:•1 g 7as Ail ;gig 0 � a v I V!i° C: s) 0 "'I 'a ft • . .._ mzr • • OD1. w 0 °D <1.:14. m lig R`r� ill:f 1 I I 440,11 . .F . _3 , g i ib a iti —II I 1111124$1 • 2.1 I Iii 1 • 'FT.' t 0111 tiUtti el r.1 . I IP R s ° fig