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BLD2001-00176
• 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 #: BLD01-00176 Received Date: 3/28/2001 SITE ADDRESS: 1033 DUCKABUSH RD Issue Date: 5/7/2001 BRINNON, 98320 Expiration Date 5/7/2002 APPLICANT: WILLIAM ZELEN PAM ZELEN 1031 DUCKABUSH BRINNON WA 98325 SUBDIVISION: Block: Lot: PARCEL*: 502171010 Section: 17 Township: 25 N Range: 02 W CONTRACTOR/ OWNER PHONE: DEALER PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION (ADU) MAKE: LIBERTY YEAR: 1977 SIZE: 14 X 50 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 5/7/2002. REQUIRED INSPECTIONS: [ ] etbacks: [ ] ooting(If continous footings are used): I /C - �'G.- - [ ] &-:--1°c/c1/10Piumbing: [ ] Final/Skirting/Vents/Porches/Stepp:) d±` 7--k;-- • 4Z 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 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street ' a Mort Townsend, WA 98368 PERMIT #: BLD01-00176 Received Date: 3/28/2001 SITE ADDRESS: 1033 DUCKABUSH RD BRINNON, 98320 APPLICANT: WILLIAM ZELEN PHONE: (360)796-3441 PAM ZELEN 1031 DUCKABUSH BRINNON WA 98325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502171010 Section: 17 Township: 25 N Range: 02 W CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION (ADU) TYPE OF WORK RES MANUFACTURED HOME:_ SHORELINE: TYPE OF IMP ADU MAKE: LIBERTY SETBACK: VALUATION 3,000.00 YEAR: 1977 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X-56 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 Seismic Streams Flood Way Floodplain Routing Date: F&W Landslide 3 _ -- t c..., Shoreline Aquifer Forest: Commerc z I A . a Type Amount Paid By: Date: Receipt: �.•.. • -_te. Manufactured Homes $141.00 MAM 03/28/01 38924 MAY 1 ?ONPotable Water Application $30.00 MAM 03/28/01 38924 Total: $171.00 JEFFERSON COUNTY DEPT. OF COM NITy DEVEL PPMaEENT SIGNATURE: JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 9830 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION II NEW BUILDING ❑ REPLACEMENT © z j% w SIZE 1 Li )( 5 V a o YEAR 7/ 21/ 77 o z� N p CD MAKE 4 i,t, (9,'1^7—ior A400{@,( /-/.5 6 2 8 r 00 z� CV oZ COST Q wR u.o BEDROOMS: BATHROOMS: PA ,_ 0 EXISTING EXISTING C] a 0 PROPOSED PROPOSED TOTAL 2... TOTAL — TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER ❑ COMMUNITY SYSTEM ❑ PRIVATE WELL I'TWO PARY WELL 'INDIVIDUAL SYSTEM NI/Conventional ❑ PUBLIC PERMIT # SEP ❑ 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 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. SIGNATURE p�� ,,d"/` - DATE / NAME (PLEASE PRINT) !• A,,` 4 2QL/ FOR OFFICE USE ONLY Li BASE FEE /7 1 - RECEIPT# ,,.31...qa___,.." ADDITIONAL SECTIONS CASH/CK'# // bo SUBTOTAL 1 7 (' DATE 0 f 30 POTABLE WATER /� 911/ROAD APPROACH �ZJ w • TOTAL TA)' H:lH O M E1 PLN C N TRWQ R M S\M O B I LEA P.10/99 I SPECIAL CONDITIONS CASE # BLD01-00176 1.) The application was reviewed by the Jefferson County Department of Community Development staff on April 16, 2001 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: SUSC aquifer recharge area (all of parcel); landslide hazard area 1 (southwest corner); elk habitat. 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.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 6.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 7.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC) Administrator shall require replanting with native vegetation. No alterations shall b made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 8.) A geotechnical report was not required nor submitted with this application (BLD01-00176). 9.) The proposal is found to be exempt from SEPA under WAC 197-11-800(1)(b)(i). 10.) The parcel is an existing legal non-conforming 4.37 acre parcel. It has been designated as RR 1:5 under the Jefferson County Comprehensive Plan Land Use Map, effective August 28, 1998. 11.) This approal is for an ADU (mobile 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. 12.) The revised site plan dated April 30, 2001 has been reviewed for consistency under the UDC. The revised site plan has been approved by Jefferson County. Any modifications, changes, and/or additions to the stamped approved site plan dated May 1, 2001 shall be re-submitted for review and approval by Jefferson County. 13.) 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. 14.) The building height shall not exceed 35 feet. 15.) Minimum setback from Duckabush Road (a county minor collector) shall be 20 feet. Minimum side and rear setbacks are 5 feet, unless there is an ESA buffer, then the stricter setback shall apply. 16.) Maximum lot coverage is not to exceed 25%. 17.) A minimum of two parking spaces are required for the ADU. 18.) A building permit application (BLD96-00489) for a propane tank was finaled on November 6, 1996. 19.) A building permit for a detached garage (BLD91-00751) was finaled on December 12, 1991. 20.) A two party well (USR96-00026) has been approved by the Jefferson County Environmental Health Department on October 11, 1996. 11.) A building permit (BLD00-00573) for a propane tank instaiiation was finaled on September 14, 2000. 22.) A septic permit (SEP01-00043) will be issued with the building permit application for the ADU. F. fl64o -~- ( 3 • MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Part Townsend, WA 98368 PERMIT #: BLD01-00176 Received Date: 3/28/2001 SITE ADDRESS: 1031 DUCKABUSH RD BRINNON, 98320 APPLICANT: WILLIAM ZELEN PHONE: (360)796-3441 PAM ZELEN 1031 DUCKABUSH BRINNON WA 98325 SUBDIVISION: Block: Lot: PARCEL NUMBER: 502171010 Section: 17 Township: 25 N Range: 02 W CONTRACTOR/ OWNER PHONE: DEALER: PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION (ADU) TYPE OF WORK RES MANUFACTURED HOME: SHORELINE: TYPE OF IMP ADU MAKE: LIBERTY SETBACK: • VALUATION 3,000.00 YEAR: 1977 LABOR & INDUSTRIES APPROVAL? SIZE: 14 X 50 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 1 Wetland Erosion Total: 2 Total: 1 Seismic Streams Flood Way Floodplain Routing Date: F&W Landslide 3 _ 4 k Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 03/28/01 38924 Potable Water Application $30.00 MAM 03/28/01 38924 Total: $171.00 • mc4- o' -- / 3 8' SEWAGE DISPOSAL PERMIT FILE SHEET Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 (800) 831-2678 PERMIT #: SEP01-00043 Date Received: 03/28/2001 SITE ADDRESS: 1031 DUCKABUSH RD Revised Date: BRINNON, WA 98320 APPLICANT: WILLIAM ZELEN PHONE: 360-796-3441 PAM ZELEN 1031 DUCKABUSH RD BRINNON WA 98325 SUBDIVISION: BLOCK: LOT: PARCEL: 502171010 Section: 17 Township: 25N Range: 02 W INTERESTED PARTY: DESIGNER: TOM MCCLANAHAN PHONE: 765-3898 120 LINGER LONGER RD QUILCENE WA 98376 SYSTEM DESCRIPTION: 110-CONVENTIONAL TRENCH TYPE OF WORK: NEW TYPE OF USE: RESC ADDITIONAL WORK: NONE ASSIGNED TO: R MARX PARCEL TAGS: YES NO STORMWATER: YES NO AREA Plat Conditions Wetland Erosion Seismic Streams Flood Way Flood Plane Routing Date: 3' Zg /b' F&W Landslide l Shoreline Aquifer Forest: Commercial Rural Proximity Type Amount Paid By Date Receipt Approved/Date New Conventional System $250.00 MAM 03/28/2001 38924 Total: $250.00 is\F_SEP_Application.rpt 11/22/19 PLEASE MAIL TO: JEFFERSON COUNTY ASSESSOR JACK WESTERMAN III JEFFERSON COUNTY COURTHOUSE ASSESSOR _ PO BOX 1220, PORT TOWNSEND WA 98368 (360) 385-9105 R 1 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS /S NOTA TAX STATEMENT NAME: V(1 L L . P,4 iv / ar tile, E. �E IlmJV The purpose of this questionnaire is to obtain information • �� 1 h regarding either the current location of a mobile home or the ADDRESS • LJ <if O previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already r,Av Al I7 i•/ 1474 g 8 3 Z(2 on the tax rolls in Jefferson County or if it has been moved to this county from another area. Please see reverse side for TELEPHONE NO: 7 q i additional information. 1) MOBILE HOME DATA: (A) MAKE L i h o r,,pi/ (B) MODEL /y 6 ZO F/i' (C) YEAR i/Z I 77 (D) LENGTH J 1 F (E) WIDTH / (F)SERIAL NUMBER 1 O 9 Pil9 2 (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 300 0 C (H) PURCHASE DATE 2) PREVIOUS OWNER / LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES (IF NO,WHAT COUNTY? 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 tip - MAR 2 8 2001 .� (B) IF LOCATED IN A MOBILE HOME PARK: JEFFERSON COUNTY NAME at ADDRESS OF PARK DEPT. OF CON4TEY'VELOPMENT (C) IF NOT LOCATED IN A MOBILE HOME PARK: }' NAME OF LAND OWNER: 1G i L4 I �,4 4. ����/ PG7-M lN_�4, r e to LOCATION (ADDRESS) /a 3 i U U c-k Cl., ,b u 5 I, R C(. 13 c (,/A 9 S 3 REAL PROPERTY PARCEL NUMBER/DESCRIPTION ®Z r 7- / - o I 0 THANK YOU FOR YOUR HELP! � � j�.�../� SIGNATURE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT UNIFIED DEVELOPMENT CODE TYPE I LAND USE PERMIT APPLICANT: WILLIAM ZELEN PAM ZELEN 1031 DUCKABUSH BRINNON WA 98325 DATE ISSUED: May 07, 2001 DATE EXPIRES: May 07, 2002 MLA NUMBER: MLA01-00138 PROJECT PLANNER: M FARFAN PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION (ADU) PROJECT LOCATION: Parcel number 502 171 010 in Section 17, Township 25, Range 02 West, WM located at 1031 Duckabush Rd, Brinnon, WA. 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.) The application was reviewed by the Jefferson County Department of Community Development staff on April 16, 2001 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: SUSC aquifer recharge area (all of parcel); landslide hazard area 1 (southwest corner); elk habitat. 3.) 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. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 6.) A geotechnical report was not required nor submitted with this application (BLD01-00176). 7.) The proposal is found to be exempt from SEPA under WAC 197-11-800(1)(b)(i). 8.) The parcel is an existing legal non-conforming 4.37 acre parcel. It has been designated as RR 1:5 under the Jefferson County Comprehensive Plan Land Use Map, effective August 28, 1998. 9.) A building permit application (BLD96-00489) for a propane tank was finaled on November 6, 1996. 10.) A building permit for a detached garage (BLD91-00751)was finaled on December 12, 1991. 11.) A two party well (USR96-00026) has been approved by the Jefferson County Environmental Health Department on October 11, 1996. 12.) A building permit(BLD00-00573) for a propane tank installation was finaled on September 14, 2000. 13.) A septic permit (SEP01-00043)will be issued with the building permit application for the ADU. CONDITIONS: 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. • 3.)., Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 4.) This approal is for an ADU (mobile 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. 5.) The revised site plan dated April 30, 2001 has been reviewed for consistency under the UDC. The revised site plan has been approved by Jefferson County. Any modifications, changes, and/or additions to the stamped approved site plan dated May 1, 2001 shall be re-submitted for review and approval by Jefferson County. 6.) 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. 7.) The building height shall not exceed 35 feet. 8.) Minimum setback from Duckabush Road (a county minor collector) shall be 20 feet. Minimum side and rear setbacks are 5 feet, unless there is an ESA buffer, then the stricter setback shall apply. 9.) Maximum lot coverage is not to exceed 25%. 10.) A minimum of two parking spaces are required for the ADU. 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 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: -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. Pursuant to RCW 36.70C, the applicant or any aggrieved party may appeal this final decision to Jefferson County Superior Court within twenty-one (21) calendar days of the date of issuance of this land use decision. For more information related tojudical appeals see UDC Section 8.5.2. fj r{, UDG'Administrator --i-ce • _.g , . . . _ .. ....._ eLk-i4 --r-4.e77", - 41)6/1-- 41 is - -- 7 / "...-6 ,s , o • / .... ,.- ,..---- <----- f\ , . .\ / / '.., . ... /1.- ,e- , -,-- i _-.; , i0 ,i- --- ...4 - ,,,.., -r /fv",--- "(D • 1( Y2) -57_, .•:••• - ,s . . / . , .., • .•'-' .• ,., 1. „. . 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