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Home My WebLink About BLD2002-00326 MLA02-00277 Review Type MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD02-00326 Received Date: 6/7/2002 SITE ADDRESS: ' Kelly U r PORT LUDLOW, 98365 APPLICANT: ALAN L CARBIS PHONE: (360)271-7072 MARY B CARBIS 19689 7TH AVE NE PMB 124 POULSBO WA 98370 SUBDIVISION: CEDARHOLM VILLA Block: Lot: 11&12 PARCEL NUMBER: 942300004 Section: 19 Township: 27 N Range: 01 E CONTRACTOR/ DEALER: REPRESENTATIVE: EMMA MURUA 19689 7TH AVE NE PMB 124 POULSBO WA 98370 PROJECT DESCRIPTION: MANUFACTURED HOME ADU TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP ADU MAKE: SKYLINE SETBACK: VALUATION 53,023.00 YEAR: 2002 LABOR & INDUSTRIES APPROVAL? SIZE: 27 X 44 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO Prop: 1 Prop: 1 AREA Plat Conditions Total: 1 Total: 1 Wetland Erosion Seismic Streams Flood Way Floodplain Routing Date: / 1 eet, F&W Landslide Shoreline AAquifer Type Amount Paid By: Date: Receipt: "a ' "V Manufactured Homes $151.00 MAM 06/07/02 47742 JUL 0 3 2002 Total: $151.00 Jefferson County Planning & B 'Iding Departf/0,1f Ste-1( • • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION 4 D U ❑ NEW BUILDING 0 �lfR,EPLACEMENT SIZE 7 /O )C' 77 YEAR 2 60 2-- MAKE J )4 Z-l`ti COST 6 3 0 3 c' -.-- BEDROOMS: BATHROOMS: r �,? n r t �f, TH EXISTING EXISTING , 2002 l I l�1( PROPOSED PROPOSED i= i TOTAL TOTAL I %" R:Air / TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: - ❑ SEWER 0 COMMUNITY SYSTEM /PRIVATE WELL 0 TWO PARY WELL ❑ INDIVIDUAL SYSTEM 0 Conventional ❑ PUBLIC PERMIT#SEP 07 CaC'+'J Alternative Name of water system: IF WATERFRONT PROPERTY, ,� r � r DISTANCE TO BANK OR HIGH WATER LINE - ft BANK HEIGHT 7 3 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 . s hours. I SIGNATURE G'�"�� /�� C�._ DATE • 0 NAME(PLEASE PRINT) / /s9g M a .fT 4- FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE RECEIPT# � T BASE FEE 1 . OO ADDITIONAL SECTIONS CASH/CK# 0( SUBTOTAL DATE 6/ / 67 POTABLE WATER kV 2CP '-' OAD APPROACH -(( /(1 . co TOTAL Tzl ZOO H`.WOMEIPLNCNTRU NFOBLDIFORMSWIOBI LEAP.11/26/01 • al 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 #: BLD02-00326 Received Date: 6/7/2002 SITE ADDRESS: 198 KELLY DR Issue Date: 7/3/2002 PORT LUDLOW, 98365 APPLICANT: ALAN L CARBIS MARY B CARBIS 19689 7TH AVE NE PMB 124 POULSBO WA 98370 SUBDIVISION: CEDARHOLM VILLA Block: Lot: 11&1 PARCEL#: 942300004 Section: 19 Township: 27 N Range: 01 E CONTRACTOR/ R & R GENERAL CONTRACTOR INC PHONE: (360)876-6131home DEALER PO BOX 1455 PORT ORCHARD WA 98366 Contractor's License CCO1RRGENCI105MN Expires 07/13/2002 INSTALLER: RONALD R WEEKES WAINS2108 Expires: 11/1/200 PROJECT DESCRIPTION MANUFACTURED HOME ADU MAKE: SKYLINE YEAR: 2002 SIZE: 27 X 44 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 7/3/2003. REQUIRED INSPECTIONS: [ ] /Footing (CONTINUOUS FOOTING, SLAB or PADS USED): [ ] Blocking/Plumbing: DK 9//7/07_ [ ] Zoning Approval: � [ ] Septic System Approval: �//< /,OAZ Z a Skirtinq/Vents/Porches7Sre'p�s ®/C /O/z fp Z Z:?..,,(-f df2,A.-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. SPECIAL CONDITIONS APPLY-SEE REVERSE HOT-LINE AVAILABLE 24 HOURS A DAY i ! SPECIAL CONDITIONS CASE # BLD02-00326 1.) The application was reviewed by the Jefferson County Department of Community Development staff on May 28, 2002 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; erosion; landslide 1, 2, & 3; eagle; conservancy shoreline. 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 Geotechnical Reportprepared by Krazan &Associates, Inc dated June 5, 2002 was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 3 feet as measured from the back face of the modular block wall (revised site plan dated June 20, 2002 identifies a 260-foot setback from top of bank to proposed residence). Setback shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed single family residence. 6.) 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. 7.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 8.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 9.) 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. 10.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 11.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, and within 500 feet of any marine shoreline shall be required to infiltrate all stormwater runoff, to the maximum extent practicable, onsite. 12.) A Small Parcel Erosion and Sediment Control Plan 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. 13.) 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). 14.) The revised site plan as submitted on June 20, 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 June 25, 2002 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 15.) This approval is for an accessory dwelling unit 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. 16.) The parcel has been designated as RR 1:5 under the Jeffeson County Comprehensive Land Use Map effective August 28, 1998. 17.) A DeclaratioN of Restrictive Covenant to tie Lots 11 & 12 together for septic and building purposes only has been recorded on June 10, 2002 under AFN 456752 18.) A septic permit(SEP87-0085)was finaled on October 10, 1990 by the Environmental Health Department. 19.) The parcel is accessed from Kelly Drive; a private road (P82). 20.) Potable water is provided by an individual on-site well. 21.) APPLICANT/CONTRACTOR(S) SHALL FULLY ADHERE TO THE GEOTECHNICAL REPORT AS PREPARED BY KRAZAN &ASSOCIATES DATED JUNE 5, 2002 AND THE RECOMMENDED CONDITIONS THEREOF. 22.) The building height shall not exceed 35 feet. 23.) Minimum setback from Kelly Drive shall be 20 feet from edge of right-of-way. Minimum side (east and wetst) sebacks shall be 5 feet. Minimum building setback from top of bank shall be 260 feet as depicted on revised site plan dated June 20, 2002 and per Geotechnical report dated June 5, 2002 prepared by Krazan &Associates. 24.) A minimum of two (2) on-site parking spaces shall be provided for the Accessory Dwelling Unit(ADU). 25.) An address of 198 Kelly Drive, Port Ludlow has been assigned to the Accessory Dwelling Unit. 26.) 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. Iil � 4- I �� ' ' �, �� r °F �o 7 T� / �� ccoq�� f Ij-Cir ,L--- / — . ° - /fif?RV ,1 go, ,,,).eip Le,,,7_ ,,, ,,>,r II �' J f�. .. 5 Crjfie '` t A•a cry, 1/f _1 p5i R E 4, F;I fgR /N o07xer I I r p vr1e-Ti�ltl'l< 1 2*.'`RA:4,Ce Z c�;OO�v ow, �o' �i is'0 z..sg \O I ,ye.bd) /�o %,f 0 6 i i \i/ ala 00 iza I I I t_A oa N I ' 2'YI R Cggbis • , A' i II Y71,'RCE q /2 -Sao - 009 ( k i Vii, r,�, Ir I 7(A)_____4.421 1 /-A g i-/0 Ali lir.-ZWI -/4 1-1 K REVISED SITE P dated 0 �� Has been APPROVED.(oI��..;,, /O ] '' ' by JEFFERSO CUNTY f 1 _ DEPT.OP CO T D ELOP ENT , I H ' • ., $URUTURE: I ! , I i I i l At4z o >/ J-- M � r; , � _"` /Xo g l 7 .F._` o I r m C. R g ii:•Ie I - rn- 1 , .0 m . c ter y4 lt' ., dL.NEN HOMES, INC. 19647 VIKING AVENUE NW pOU4SB0,WA 98370 FAX 360.697-4606 PHONE 360.897-3456 i/■///.7/// W T a link /-- i r ////■n FREEN..■ OPT BiCrE1 ■� -J LJ c_ mummy SPADE //1•//■�1 b^ L \{ E I a ■i1■ ■■/■■■■■M■u■uu \'�114 ■ // ////■■//////■//////►a� V . nil MU KITCHEN/DI icamsiii is ,i "-DPma r ■■/■■■�■ r,i :e ■■/r�■■■■1■■■■IMIIImai t ■ / � i miu t u■//mu///■/ �■■l••�■■ LAMA! g/■M■■M■■■■■► Egim mum SUMEMMEMEER _. B .Q ■■■■■�■�■■■\ BSI ANDiIIPRUjPjj iF) I/ /^ /////■ \ DP SOMUMMORMSMOMMEMEMMEMME i J ■off ■■■■■U■ ■■■U/■\ I■■U■ur ��/\M `. ■///////■////■■r■/u//// a t►fh FO. �11/p; N / CArHEDRAI rt.R�. .. __ ____ OV1 MASTER • BEDROOM No. 1 LIVING ROOM iummilli OINKS ■/ill/i _ IR_■//iI ailSl ODNG Gl ASS DOOR 6300CT/4423 2BEDROOM - 2BATHS - CA ►HEDRALti THRU-OUT (1,188 SO.FT.) n1i JUN - 7 2002 i �� AiehIA DEPT. CIF C l SLI c\/1, t Mom- C.� �