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BLD2003-00280
MLA03-00243 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00280 Received Date: 5/2/2003 SITE ADDRESS: 7 y B ANDREW AVE PORT TOWNSEND, 98368 APPLICANT: GARY JENSEN PHONE: (360)385-4819 COLLEEN JENSEN 10964 RHODY DR PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 140 Lot: 9-12 PARCEL NUMBER: 962114002 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: CAROL L BARRETT WAINS0294 7/1/2004 REPRESENTATIVE: GARY JENSEN PHONE: (360)385-4819 10964 RHODY DR PORT AN ELES WA 98362 PROJECT DESCRIPTION MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SKYLINE SETBACK: VALUATION 16,500.00 YEAR: 1990 LABOR & INDUSTRIES APPROVAL? SIZE: 28 X 56 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 Routing Date: 0F&W Landslide 3 Shoreline Aquifer Type Amount Paid By: Date: Receipt: APP nab vE Manufactured Homes $151.00 MAM 05/02/03 56124 Potable Water Application $51.00 MAM 05/02/03 56124 JUN 1 1 2003 Total: $202.00 efferson County Alannjo .c c & Building Department ; - - ,.,,-...,, --.--....--.--, .-.- .. :,..,..:::-.-:....,,,.,.:' - '. -- \ y UJ : 4 t •j• • • • : : ..mow \ i _ ;.. r„ ,•::.:: y i . f ; ! i ` I WfA i `.. . - -I ! i i i 1 : _- .. y f i • li • - , r ; ._. • : _ .. .. ._. _ _ i t }+ tf. , r , i t 1 'r- -5..._..- 4 t S t .3i1 y £ fit : : f � -+- •���III!IT.. aQ : .. i } r : i i1 jfiff_isoti tam Btu : . j i i j i 1 . ' i • i , i. 7 i i F ! i .i_ 7 { f 3 f i i e y _ i ,.. -. — ,.,..„: as , 4,11.,44, , d . , • , , , ; : 6:.„, . . : ,_..„. _ ; ; c., ; .... ...-so N , 5 1 . . i.-._ _ . 4,', .- 1 • - . ; . ' + t i + £ C l 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#: BLD03-00280 Received Date: 5/2/2003 SITE ADDRESS: $ANDREW AVE Issue Date: 6/11/2003 PORT TOWNSEND, 98368 APPLICANT: GARY JENSEN COLLEEN JENSEN 10964 RHODY DR PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 140 Lot: 9-12 PARCEL#: 962114002 Section: 35 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: CAROL L BARRETT WAINS0294 Expires: 7/1/2004 PROJECT DESCRIPTION. .)).-X ANUFACTURED HOME INSTALLATION MAKE: SKYLINE YEAR: 1990 SIZE: 28 X 56 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 6/11/2004. REQUIRED INSPECTIONS: [ ] Setbacks/FootiONTINUOUS FOOTING,'SLAB or PADS USED): Ql � 6 / L- OJ [ ] Blocking/Plumbing: 6.- 7-03 [ ] Zoning Approval: [ ] Septic System Approval: ['] Final/Skirting/Vents/Porches/Steps: i (D.-'C4-C 1,6 HEALTH DEPARTMEN 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 # BLD03-00280 1.) The application was reviewed by the Jefferson County Department of Community Development staff on 5/02/03 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: Aquifer Recharge Area (SARPA). 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.) 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. 5.) The applicant is proposing to create or add 2,563-square feet of impervious surface. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal adhere to Best Management Practices (BMPs)to control sedimentation and erosion on the subject property. 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 site plan as submitted with the building application on 5/02/03 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 5/19/02 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 8.) This approval is for a manufactured dwelling 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. 9.) The applicant has signed and recorded a Declaration of Restrictive Covenant on 4/10/03. The document allows development across lots 9-12 without adhering to interior lot line setbacks. 10.) North Andrew Avenue is classified as a private road and thus requires a minimum 20-foot front yard setback. The back lot line is adjacent to an ingress/egress alley which also requires a minimum 20-foot setback. The remaining side lot lines require a minimum 5-foot setback. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of impervious surface which includes roof tops, driveways, concrete, etc. "<:. t • 0 JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST,PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING 0 REPLACEMENT ) SIZE 8 /t a �o ,-- ^� "� YEAR \Cii C n MAY G 2UUi MAKE C^ COST t 5 C)© JEFFERSON COUNTY DCD BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED _ __ PROPOSED TOTAL_ TOTAL ,- TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL KINDIVIDUAL SYSTEM 0 Conventional 9(PUBLIC PERMIT#SEP 0 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 C Cl�� DATE r/7/o "3 NAME(PLEASE PRINT) Co / Iee1 Z &,f FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE 47.00 RECEIPT l0 rag BASE FEE 1 6 100 ADDmONAL SECTIONS CASH/CK# a 6'3 3 SUBTOTAL I q ,o ° DATE ! 0,3 POTABLE WATER pa °O 911/ROAD APPROACH TOTAL a z d HAHOME,A NCNTRtINFesLDIFORMStMOBLEAP.11IIsdot