HomeMy WebLinkAboutBLD2003-00146 0 •
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
PERMIT#: BLD03-00146 Received Date: 3/10/2003
SITE ADDRESS: 204 8TH AVE Issue Date: 4/3/2003
PORT HADLOCK, 98339
APPLICANT: PAUL SHIRTS
7266 STATE RT 20
PORT TOWNNSEND WA 98368
SUBDIVISION: IRONDALE Block: 54 Lot: 25-29
PARCEL#: 961805404 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER
INSTALLER: HAI PHAM VAN WAINS0116 Expires: 7/31/2004
PROJECT DESCRIPTION `MANUFACTURED HOME
MAKE: MARL'ETT
YEAR: 2003
SIZE: 52X27
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 4/3/2004.
REQUIRED INSPECTIONS:
Setback /Footing (CONTINUOUS FOOTING, SLAB or PADS 4/65cAfgr '
[ ] Blocking/Plumbing: sor... hts5A-A-pe /A) ,4k 10/3,[ ] Zoning Approval:
[ ] Septic System Approval: f
['-]' Final/Skirting/Vents/Porches/Steps: 2/(' �L/(cyr;n 6// 0 c
jk
HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIOI
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY-SEE REVERSE
HOT-LINE AVAILABLE 24 HOURS A DAY
0
SPECIAL CONDITIONS CASE # BLD03-00146 •
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.) 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.
3.) 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).
4.) The site plan as submitted with the manufactured home and detached garage building
permit application on March 10, 2003 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
March 18, 2003 shall be resubmitted for review and approval by Jefferson County
Department of Community Development.
5.) This approval is for a manufactured home installation and detached garage 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.
6.) The parcels have been designated as RR 1:5 under the Jefferson County Comprehensive
Land Use Map effective August 28,1998.
7.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
8.) A Notice to Title was recorded on September 12, 2000 under AFN 437084 to combine
Lots 25 -29 Block 54 of Irondale#2 for septic purposes. The applicant is not required to
submit a Declaration of Restrictive Covenant to combine the lots for building purposes.
9.) An address of 204 8th Avenue has been assigned to the parcel. 8th Avenue is a county
local access road (C674709) and West Moore is a private road (P450).
10.) A road approach (RAP02-0081) has been approved off of 8th Avenue. A critical area
review(CAR00-0350)was finaled on 8/7/00 for a septic permit (SEP00-0185)that will be
issued with these buildind permits (BLD03-0146 & BLD03-0147).
11.) The lots were created through the Irondale No. 2 subdivision on January 11, 1910.
12.) The building height shall not exceed 35 feet.
13.) Minimum setback from 8th Avenue and West Moore rights-of-way shall be 20 feet.
Minimum north and east property line setbacks shall be 5 feet.
The drywell shall maintain a minimum setback of 10 feet to the nearest drainfield line.
• MLA03-0C117
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD03-00146 Received Date: 3/10/2003
SITE ADDRESS: 204 8TH AVE
PORT HADLOCK, 98339
APPLICANT: PAUL SHIRTS PHONE:
7266 STATE RT 20
PORT TOWNNSEND WA 98368
SUBDIVISION: IRONDALE Block: 54 Lot: 25-29
PARCEL NUMBER: 961805404 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER:
INSTALLER: HAI PHAM VAN WAINS0116 7/31/2004
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIO MANUFACTURED HOME
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW MAKE: MARLETT SETBACK:
VALUATION 56,258.00 YEAR: 2003
LABOR & INDUSTRIES APPROVAL?
SIZE: 52X27 BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUBLIC
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
Prop: 3 Prop: 2 AREA Plat Conditions
Total: 3 Total: 2 Wetland Erosion
Seismic Streams
Flood Way Floodplain
41111
Routing Date: y4 F&W Landslide
3/Z d� Shoreline Aquifer
Type Amount Paid By: Date: Receipt: 6"t PP'4'"• V
Manufactured Homes $151.00 MAM 03/10/03 55139
Potable Water Application $50.00 MAM 03/10/03 55139 APR — 3 2003
Total: $201.00 Jefferson C Dep.rtm•ounty Planning
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SG
111
JEFFERSON COUNT. COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
NEW BUILDING 0 REPLACEMENT
SIZE 52.' )( ' dr"
YEAR 2 vo 3
MAKE /A Ai/L f 7tc
COST
BEDROOMS: BATHROOMS:
EXISTING 3 EXISTING
PROPOSED --&' PROPOSED
TOTAL 3 TOTAL 2-
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
❑ INDIVIDUAL SYSTEM 111, Conventional . PUBLIC
PERMIT#SEP O0-/gC.0 Alternative Name of water system: Pi} "1-,/ J R{jCw.
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE /VA- 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 DATE 0 3 " 0/ - 03
NAME(PLEASE PRINT) Pa-LA. / Shi7A7S
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE _47.00 RECEIPT# L'
BASE FEE
ADDITIONAL SECTIONS CASH/CK# �*v
SUBTOTAL -(S 0
DATE / 16
POTABLE WATER 6 1
•
911/ROAD APPROACH TOTAL T ---1
t 9 .
H:WOMEIPLNCNTRVNFOBLDWORMSVuiOBILEAP:11/26/01
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• II APPROVED
STORMWATER PLAN
MAR 1 8 2003
JEFFERSON COUNTY
STORMWATER MANAGEMENT' JEFFE' ,0 , UN Y
SMALL PARCEL EROSION AND SEDIMENT CONPItt319 Ev cfM NT
EROSION AND SEDIMENT CONTROL WC iastmrt. r
Property Owner: �l L / f�,/-7�s Telephone: 3 C o 3 7 (P/3
Address:
Assessor's Parcel Number: q 6 / - n21-4/w y
Building Permit or Septic Permit Application Number(if applicable): J E/O(1) -/es-
Brief Project Description: -LAt c fA_J/ Ai e/,/ /-1uA
Site Location: 2 C `l /1,2
Person Responsible for BMP Installation and Maintenance:
Address: %2 eI y 20 r/
Telephone: 3(O 37 y' 217 3
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.
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 illustidtion from Stormwater
Management Manual.) If sediment is transported onto roads, they will be cleaned
thoroughly.
Minimize the extent of land disturbing activity and preserve exisfing 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 Short Form
Revised July 17,2002
3 MAR 1 0 2003
c t t +` r f
AI
f
j ER C SION SEDIMENT CONTROL WORKSHEET
fti.at.t 4'r.z b a'i" 'a :?It?$:: rtwi
- ' ea_ at only areas that are actively being worked are uncovered.
14 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.
V 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:
(j 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.
0
SPESC Instructions—Short Form
Revised July 17,2002 �Q
4
• i
EROSION AND SEDIMENT CONTROL WORKSHEET
2. Describe how disturbed areas will be permanently stabilized(seeded,landscaped,apply gravel base
to roadways,etc.)
.S 2. z/ fD,- /4 cde-t
G- ve/ a:ax ud4y
1/Ai et:S 14,4'd%
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.).
/./,i,..evra./ 7Ld L) ,`Al...e/ 4-J-.e.. , E. ,d,- L.,J,�/I
y
_-__ __
. , _ ...
. ,. . : _--1
SPESC Instructions—Short Form MAR 1 0 2003
Revised July 17,2002
5
• •
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.
C E, A G+ i�d c �� lrr'4 t>c
-IN I1 G l/ /9��„►/ / // f i c / A,/< /54 y Ar`i
f eISM //f/e h 1 AA ,vc, 7-ac iC cc c/ /T/64..e M,
A
!�/ a r•4 i,v -1, /fnrll rG o
C7 e v^c ,i_ /4 / A ,-, V /G✓//�/ /�/ �,/ Gr L. GG // C /,,,„ :re5j?.e,
/,d,(s ✓..f 7/ i /lr T/c J 4 eN
y
The Best Management Practices proposed above will be implemented to control erosion, sediment, and
stormwater runoff.I will notify the Jefferson County for inspections as required.
Signature of Owner/Agent Date
r
N _
SPESC Instructions—Short Form
Revised July 17,2002
6