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BLD2002-00190
• • 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 #: BLD02-00190 Received Date: 4/9/2002 SITE ADDRESS: 274 PORT HADLOCK HEIGHTS RD Issue Date: 4/25/2002 PORT HADLOCK, 98339 APPLICANT: ANTONIO LOPEZ C/O BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL#: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ FUTURE HOMES PHONE: 800-755-5231 DEALER 5620 KITSAP WAY BREMERTON WA 98312 Contractor's License FUTURH1062Q8 Expires 01/17/2003 INSTALLER: DOUGLAS L SHARP WAINS1887 Expires: 7/1/2002 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION MAKE: LIBERTY YEAR: 2002 SIZE: 66 X 40 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 4/25/2003. REQUI ED INSPECTIONS: [ Setbacks/Footing (CONTINUOUS FOOTI SLAB or PADS USED): `-/ .�a C-Z v [ ] Blocking/Plumbing: [ ] Zoning Approval: [ ] Septic System Approval: [i Final/SkirtingNents/Porches/Steps: Oh I t� It'601. 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. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY • ! SPECIAL CONDITIONS CASE # BLD02-00190 1.) The application was reviewed by the Jefferson County Department of Community Development for the presence of Environmentally Sensitive Areas (ESAs). The Department conducted a review and has concluded that the property DOES NOT contain Environmentally Sensitive Areas. However, future proposals will be subject to a new ESA review and conditions may be added if new ESAs are found on the property. 2.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County Comprehensive Land Use Maps effective August 28, 1998. 3.) The applicant is proposing to create or add 3,243 square feet of impervious surface and 3,925 square feet of land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a Samall Parcel Erosion and Sediment Control Plan. 4.) A Small Parcel Erosion and Sediment Control Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 5.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i). 6.) Maximum lot coverage is not to exceed 25%. 7.) Minimum setback from Port Hadlock Heights Rd is 20 feet. Minimum side and rear setbacks are 5 feet. A 25 foot natural vegetated buffer further affects the rear setback. 8.) The building height is not to exceed 35 feet. 9.) Call Jefferson County Permit Center, Development Review Division for inspection of erosion control measures. (360) 379-4463 10.) Port Hadlock Heights Rd (P516) is a private road. No road approach permit is required. An address of 274 Port Hadlock Heights Rd has been assigned to the property. 11.) Lot 14 was created through the Port Hadlock Heights Mobile Home Park Binding Site Plan on April 15, 1998 recorded under Vol 1, page 28. 12.) A minimum of two (2) on-site parking spaces are required for the mobile home. 13.) The revised site plan as submitted with the building application on April 18, 2002 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 April 19, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 14.) This approval is for a manufactured home only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. • • MLA02-00176 Review Type:I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00190 Received Date: 4/9/2002 SITE ADDRESS: 274 PORT HADLOCK HEIGHTS RD PORT HADLOCK, 98339 APPLICANT: ANTONIO LOPEZ PHONE: (360)797-7722 C/O BRODERS INC 4503 OLD GARDINER RD PORT TOWNSEND WA 98368-9778 SUBDIVISION: PORT HADLOCK HEIGHTS MH PARK Block: Lot: 1-45 PARCEL NUMBER: 989500001 Section: 11 Township: 29 N Range: 01 W CONTRACTOR/ FUTURE HOMES PHONE: 800-755-5231 DEALER: 5620 KITSAP WAY BREMERTON WA 98312 Contractor's License FUTURHI062Q8 Expires 1/17/2003 INSTALLER: DOUGLAS L SHARP WAINS1887 7/1/2002 REPRESENTATIVE: PROJECT DESCRIPTION: MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LIBERTY SETBACK: VALUATION 97,000.00 YEAR: 2002 LABOR& INDUSTRIES APPROVAL? SIZE: 66 X 40 BANK HEIGHT: SEWAGE DISPOSAL: CMY WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 3 Prop: 2 Welland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: 4-1 c( 6 � F&W Landslide Shoreline Aquifer Type Amount Paid By: Date: Receipt: Approved/Date Manufactured Homes $141.00 MAM 04/09/02 46319 �.7ROVED Add. Manufactured Home $29.00 MAM 04/09/02 46319 Potable Water Application $30.00 MAM 04/09/02 46319 APR 2 5 2002 Total: $200.00 Jefferson County Planning & B uilding Department 0 0 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT SIZE G C K 3 7/ clr/ YEAR '2, o02` MAKE Lb -- COST 9 ? o00 , 00 BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED 3 PROPOSED 2 TOTAL 3 TOTAL 2_ TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER ACOMMUNITY SYSTEM ❑ PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM 0 Conventional 1K PUBLIC PERMIT#SEP o 2—"DI I 0 Alternative Name of water system: P U D— f3o, t4e.d.Iock 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. 1 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 A�/Li-- DATE 30 !1-44 2coL. NAME(PLEASE PRINT) R 1 C a h g r D e r s FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE _39.00 RECEIPT# $L13 BASE FEE t • 00 ADDITIONAL SECTIONS ®%'1 -00 CASH/CK# glf7 SUBTOTAL eo DATE " / ?/ ©2-72. � POTABLE WATER -°0 911/ROAD APPROACH TOTAL H:W O ME1PtNC NTRUNFOBLD�FORM SWIO8ILEAP.11/2BJ01 .per ,ry 9 rn - • d1'\LrC0� ^l Yl ( "'I'll' REVISED �PLAIT' .�c z l ip L I 'lLj toted if t?-0Z L Has been APPROVED,.,, ,- JErr trio .Uur iY by JEFFERSON COUNTY DEPT.OF COMM DEPT. OF COMMUNITY DEVELOPMENT SIGNATURE: " •/ S ��, II. t n P 6-e c,"ire.cite to Q• 1 ctrulnfee.i e " C 1 - by `(0 P l �Xt✓ I"- t B�'rfer $5 r 6X • A}e4 Ov l 7 8 F i P� � ;�+e « c. /` L^ 0 _ 7.76, t 1.fr 3 q I., ° N K 1 - . i -..0 . r Ni e.s...4 ,: V. / • P7+P 41' 14 on-e_ (,- i,- ' b -ren1( />Bi { a a perel. Al.rtox. • id ",inn. LOT 19 , 1 _ 5v PO RT k DLock HEIGNTS 767 Soo OD/ Cr0,4;b1..) ti,•s-ec4 PERMIT # BLD 02 . 0190 SEFFERSON COUNTY DCD APPROVED STORMWATER PLAN JEFFERSON COUNTY APR 1 92/02 STORMWATER MANAGEMENT ORDINANCE JEFFERSON COUNTY SMALL PARCEL EROSION AND SEDIMENT CON'-'RC_iniktibMMtrN TY DEV1a.op EROSION AND SEDIMENT CONTROL WORD] URE: Property Owner: 'R 0 P R S, 'IN C. Telephone: 36 0 r -7--9 7-7?2.Z CC Address: '4 CO3 ic� G4 ai hev R, a , po l.��- own.SCvlC et83�� Assessor's Parcel Number: 7 g 9 -CO D 6 Building Permit or Septic Permit Application Number(if applicable): SE P O 2 — 0 0 0 1 N Brief Project Description: Ni f )-} 0 on- in S +k l i 4 T l-o q o n 10 4- 1 Hei`g-h/ 5 /1/1o,b;)e /-71 o ' Site Location: 2 7 / V o 4— ck e 1',7A T S Person Responsible for BMP Installation and Maintenance: f C J�� 67r o el-etLi Address: (o, S a b a v e_) Telephone: 36 D - -1 cl 7-77 2-Z 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 \m/ore space is required. 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.). PERMIT # BED SPESC Instructions—Short Form 0 2 _ 0 1 9 0 Revised June 3, 1999 3 JEFFERSON COUNTY BCD { g EROSION AND SEDIMENT CONTROL WORKSHEET ] Phase clearing so that only areas that are actively being worked are uncovered. 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. [] 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, and property lines. 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.) Regularly inspect and maintain all BMPs especially after storms events. [] Describe other erosion and sediment control Best Management Practices. Be specific as to design and specifications. Cbi- 14A. ttc�< H-c Tcot k-E-3 NI o Li, le Gam°r ie eYk h4, an , S air d r .v,2-�- cX I-4 I g y e S s�'e.ern . e s m�� � y / /Vl S�-nrin vv4.4er prl - j� S )ie71' (i iJ �Cl�+e IG*�Se L11 5 ffI-4 !'er[It SotL( 14/11/ I0/4';1�r4�e. b1,4 SflYy,-C (.v1 tI (fit C t r Ins e 4-hr Q)C ,5 4; recta s -{s-e ms a n eL -14h,e7 f--A cc a -cs oh S ; +c . SPESC Instructions—Short Form Revised June 3, 1999 4 . • • EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways,etc.) } aVet /3kS-e of Sr ; \) e w44-- 5 e Q -1- h-e.i' AY' e 4.S W ( q + u l'e b-e_. S-e-c. d--eJ a n.J f 61. [ 4 n 1 S c ..c-e, 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.). .v v1.O t W1 ` ` b-, l 11 Cc L —Jr R �t LI\ -e- Y S �1F1 U2G1-e � ctT` Y2 Q - QS . (//1 S D r\-� 1^L-Vl 0 1 (l fiv !, 1 I to- d , rse C. 1 Y� SPESC Instructions—Short Form Revised June 3, 1999 5 • 4110 w 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, lan aping, etc.) and Best Management Practices.Describe proposed maintenance of BMPs. /, E-XC. a "1-""k 114 / C 1-e4.,-1 , 3 , Tex s - A A 011 ) W /'-/-11 '''A- aj/!s To l 16(Irch.') r-ert-40 Rack p l 1-4nJSc da-pe Na441‘,a.) v-c-y-e - U pn w ; li to 4a, n.44 J eyc-c104- ; 0 v& C. in ,' Air of 1mDb,-1 h0r✓1 • The Best Management Practices proposed above will be implemented to control erosion, sediment, and stgzmwater of.I will noti the P .t Center for inspections as required. ?21 _, 30 MCFe.6 2002_ Signature of Owner Agent Date SPESC Instructions—Short Form Revised June 3, 1999 6 .. . • • SITE PLF4 .iSIORMWME R ff Qii. 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