HomeMy WebLinkAboutBLD2000-00297 Y
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 #: BLD00-00297 Received Date: 5/11/2000
SITE ADDRESS: 1244 WEST VALLEY RD Issue Date: 6/15/2000
CHIMACUM, 98325 Expiration Date 6/15/2001
APPLICANT: LAUREL L HALL
1090 W VALLEY RD
CHIMACUM WA 983259744
SUBDIVISION: HALL SHORT PLAT Block: Lot: 2
PARCEL#: 901154014 Section: 15 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER
INSTALLER: TRACY WATSON WAINS0043 Expires: 12/1/200
,ECT DESCRIPTION MANUFACTURED HOME INSTALLATION
BAKE: SILVERCREST
YEAR: 2000
SIZE: 40 X 58
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 6/15/2001.
REQUIRED-NdS:PE�CTIONS:
i-i ( Footing/Setback (If continous footings are used): es)l- J C- 12-'°O
[ ] Bocking/Setbacks/Plumbing: e7 y, C- - �`.JA_00
[ ] ( Final% kirtin` /Vent ches/Steps: 0 K. 3-L='-7- A �7'
?ra LiiNIE 36. PSI- A tk.V-1-z0 ciao t_ OTC Y-2-5"-c ) �1 vt Cry--- le,/- .;/G`/7
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 MAY APPLY - SEE REVERSE
HOT-LINE AVAILABLE 24 HOURS A DAY
I
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MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00297 Received Date: 5/11/2000
SITE ADDRESS: WEST VALLEY RD
CHIMACUM, 98325
APPLICANT: LAUREL L HALL PHONE: (360)732-4600
1090 W VALLEY RD
CHIMACUM WA 983259744
SUBDIVISION: HALL SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 901154014 Section: 15 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER:
INSTALLER: TRACY WATSON WAINS0043 12/1/2001
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SILVERCREST SETBACK:
VALUATION 108,044.00 YEAR: 2000
BANK HEIGHT:
LABOR & INDUSTRIES APPROVAL? SIZE: 40 X 58
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
STORMWATER: YES NO
Exist: Exist: AREA Plat Conditions
Prop: 2 Prop: 2 Wetland Erosion
Total: 2 Total: 2 Seismic Streams
Flood Way Food Plane
Routing Date: F&W Landslide
Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: ' ""'l
Manufactured Homes $141.00 MAM 05/11/00 30744 au — WWke-it.
Add. Manufactured Home $29.00 MAM 05/11/00 30744 J U N 1 5 2000
P8f4i9B Water Application $30.00 MAM 05/11/00 30744
Total: $200.00 Jefferson County Planning
& Building Department
I:\F_BLD_App_Mob.rpt 10/29/99
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
`I NEW BUILDING 0 REPLACEMENT
SIZE 4d x 0
YEAR n76OO
MAKE S/z_vr_l C/ E l
COST •�� /6 y V
BEDROOMS: BATHROOMS:
EXISTING EXISTING
PROPOSED PROPOSED —
TOTAL _s TOTAL r;
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER ❑ COMMUNITY SYSTEM A( PRIVATE WELL 0 TWO PARY WELL
-A INDIVIDUAL SYSTEM Conventional 0 PUBLIC
,
PERMIT # SEP( -(Q7 D Alternative Name of water system:
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 isr 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 atto.rney'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.
SIGNATURE _ t,a DATE `1 " CMG
NAME (PLEASE PRIN --- /C----)1-1T) 14//R-E/ / , /-/-19 LL-
' FOR OFFICE USE ONLY
BASE FEE RECEIPT#
ADDITIONAL SECTIONS 4, CASH/CK#
SUBTOTAL �` 00 DATE -! /o.
POTABLE WATER
911/ROAD APPROACH
TOTAL LL)L)
H:\HOME\PLNCNTR\INFOB D\FORMS\MOSILEAP,t0/99
r,,� Lug vc-bO 7
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD00-00297 Received Date: 5/11/2000
SITE ADDRESS: WEST VALLEY RD
CHIMACUM, 98325
APPLICANT: LAUREL L HALL PHONE: (360)732-4600
1090 W VALLEY RD
CHIMACUM WA 983259744
SUBDIVISION: HALL SHORT PLAT Block: Lot: 2
PARCEL NUMBER: 901154014 Section: 15 Township: 29 N Range: 01 W
CONTRACTOR/
DEALER:
INSTALLER: TRACY WATSON WAINS0043 12/1/2001
PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: SILVERCREST SETBACK:
VALUATION 108,044.00 YEAR: 2000
SIZE: 40 X 58 `'�
BANK HEIGHT: ��; �,i
LABOR & INDUSTRIES APPROVAL? (�,�1�
SEWAGE DISPOSAL: CON �Z. 1 • t1'a �/� J
WATER SYSTEM: PWELL
PARCEL TAGS: YES < NO
BEDROOMS: BATHROOMS: STORMWATER: YES OL. NO
Exist: Exist: AREA Plat Conditions ye...._
Prop: 2 Prop: 2 Wetland Erosion - 0
Total: 2 Total: 2 Seismic Streams
Flood Way Food Plane ,
F&W Landslide A� iO4k'
Routing Date: Shoreline Ja Aquifer - ,'�i1 T-A i=A .
Forest: Commercial 67 Rural 16 yc
Type Amount Paid By: Date: Receipt: Appprroved/Date
AreaManufactured Homes $141.00 MAM 05/11/00 30744 Critical
Add. Manufactured Home $29.00 MAM 05/11/00 30744 Rev�� � 0 /,t,T-_
PgEA�@ Water Application $30.00 MAM 05/11/00 30744 (.�'
Total: $200.00
am/stem/
Requir? ollii' -/q/711/7-------
I:\F_BLD_App_Mab.rpt
10/29/99
.
JEFFERSON COUNTY
STORMWATER MANAGEMENT ORDINANCE
SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN
EROSION AND SEDIMENT CONTROL WORKSHEET
Property Owner: Lig a,2FL t. /ML_ Telephone: 3/D b 73 dZ " 7'�.co
/0�D C l
Address: /D�fO--5C} r`I/� � �►� �-lf lmA-GU /l
Assessor's Parcel Number: q / l r4 Q/
Building Permit or Septic Permit Application Number(if applicable): SEPOO-DDO 6..,1.
Brief Project Description: /VL L) /71777E ,111219-6,L-i clfe P
(1.4s * C/Roo -00,07
Site Location: /g 7 7 . v/9-- ..,6--)" PAD ./{/rn 6cb/1j
Person Responsible for BMP Installation and Maintenance: G19(/k.C(,.- 6. /7 79 LLi
Address: /690 �. t iiivi.-CY i)
Telephone: 73.E- 9j('O- )
1. Describe/check the Best Management Practices (BMPs) that you will implement during land
disturbing activities or construction to control erosion and prevent sediment from entering water
bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or
roads. Please check the measures you plan to implement and show their approximate location on
the site plan. You may also propose measures other than those listed. Attach additional sheets, if
more space is required.
[t,]/ Stabilize construction access route. Limit construction vehicles to one route, if feasible.
Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock
to minimize tracking sediment onto roads. (See attached illustration from Stormwater
Management Manual.) If sediment is transported onto roads, they will be cleaned
thoroughly.
Minimize the extent of land disturbing activity and preserve existing vegetation.
Preserve buffers of well-established vegetation between disturbed areas and property
boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife
habitat areas, landslide or erosion hazard area, etc.).
SPESC Instructions—Long Form
Revised June 3, 1999
9
EROSION AND SEDIMENT CONTROL WORKSHEET
[I/ Phase clearing so that only areas that are actively being worked are uncovered.
[vj/ Start and complete land disturbing activities and stabilize the site between April 1 and
September 30. Stabilization means that disturbed areas will have well-established plant
cover or be landscaped to minimize erosion.
ti Stabilize exposed soil Exposed and unworked soil will be covered within 2 days between
October 1 and March 31 and within 7 days between April 1 and September 30.
[ ] Cover exposed soil with a minimum of 2 inches of straw or hay or other material
approved for this purpose.
[ ] Cover soil stockpiles with plastic sheeting and locate away from water bodies, roads,
anti property lines.
0 Place gravel base on roads, driveways, and parking areas after clearing and subgrade
preparation.
[] Protect adjacent properties and water bodies from sediment deposition:
[] Place straw or hay bales in ditches and drainage ways down slope from areas
of land disturbing activity to filter runoff before it leaves the project site or enters
water bodies. (See attached illustrations from Stormwater Management Manual.)
[ ] Install a filter fence down slope from areas of land disturbing activity to filter runoff
before it leaves the project site or enters water bodies. (See attached illustration from
Stormwater Management Manual.)
f,]/ Regularly inspect and maintain all B1VIPs especially after storms events.
[] Describe other erosion and sediment control Best Management Practices. Be specific
as to design and specifications.
SPESC Instructions—Long Form
Revised June 3, 1999
10
EROSION AND SEDIMENT CONTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized (seeded, landscaped, apply gravel base
to roadways,etc.)
J .
f7A� � filr . g ed
, •
thrE,C2-e"4-zAQ_ G71;27,&-& -ettez."(
3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to
infiltrate, dry well, infiltration trench,route runoff to existing drainage facilities,etc.).
&1
d/24Z, AitEGL..e. GV-a_z(ML
SPESC Instructions—Long Form
Revised June 3, 1999
11
EROSION AND SEDIMENT CONTROL WORKSHEET
4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing
and grading, construction, installation of drainage facilities, landscaping, etc.) and Best
Management Practices.Describe proposed maintenance of BMPs.
1
(A eJJ
�_ f�ia-r�c.�L��
add
The Best Management Practices proposed above will be implemented to control erosion, sediment, and
stormwater runo .I will notify the t C for inspections as required.
Signature of wner/Agent Date
SPESC Instructions—Long Form
Revised June 3, 1999
12
' Jefferson County Department of Community Development June 14, 2000
621 Sheridan Street, Port Townsend, WA 98368
(360) 379-4450
CRITICAL AREA STANDARD WAIVER
Applicant: LAUREL L HALL
1090 W VALLEY RD
CHIMACUM WA 983259744
Critical Area Review Case Number: CAR00-00207
Project Description: Manufactured Dwelling
Parcel Number: 901154014 S-T-R: 15-29N-01W
Site Address: 1244 WEST VALLEY RD
CHIMACUM WA, 98325
FINDING: The development, as proposed and portrayed on the Universal Plot Plan, does not encroach on
an identified critical area nor any associated buffers.
CONCLUSION: The proposed development meets the waiver requirements established in Jefferson County
Ordinance 05-0509-94.
CONDITION: The development shall be as proposed and portrayed on the Universal Plot Plan. Deviation,
additions or relocation of proposed development activities will require further review pursuant to
the Jefferson County Critical Areas Ordinance.
146
DeparkL &$ taff
c: File
I:\F_CAR_Waiver_Standrd.rpt 12/13/99
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