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HomeMy WebLinkAboutBLD2003-00381 i MLA03-00345 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD03-00381 13 >_ r Received Date: 6/18/2003 SITE ADDRESS: PITTBBURGST L .. 1•s )o V (� � PORT TOWNSEND, 98368 APPLICANT: LILI M RAIGUEL PHONE: 385-9776 200 W KINKAID ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 123 Lot: 41-46 PARCEL NUMBER: 962112314 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER: INSTALLER: JAIME KOZELISKI WAINS0626 7/31/2004 (360)385-3215 1112 JACOB MILLER RD PORT TOWNSED WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDW SETBACK: VALUATION YEAR: 1976 LABOR & INDUSTRIES APPROVAL? SIZE: 64'X 24' BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: 2 Prop: 2 Wetland Erosion Total: 2 Total: 2 Seismic Streams Flood Way Floodplain Routing Date: G / i 1 ze F&W Landslide o3F Shoreline Aquifer r� +• r ,:,i o. 1 Type Amount Paid By: Date: Receipt: Fr 0 Permit $151.00 MJA 06/18/03 57966 �� Potable Water Application $51.00 MJA 06/18/03 57966 SEp 17 2003 Total: $202.00 Jefte�son Count & Buildin De Y Planni pmentn9 r'le's tet' /, k JEFFERSON COUNTY•MUNITY DEVELOPMENT 621 SHERIDAN SORT TOVVNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION NEW BUILDING ❑ REPLACEMENT (�—-� M---�---- -- SIZE 6�{-x,z4 I I ^{ C 'GI �, tl d` y ,�YEAR / 6176 / , �' JUN 18 LI, MAKE L l✓V 0 COST JEFFERSON COUNTY OF L_'r:tt'UN?T\ DEVELOPMENT BEDROOMS: BATHROOMS: EXISTING EXISTING 2 PROPOSED PROPOSED TOTAL <- TOTAL _�' TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: . , q SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL 0 INDIVIDUAL SYSTEM J$l Conventional PUBLIC PERMIT#SEP g t422 0 Alternative Name of water system: P0,7)#1 o"fJT k Ec(5 IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE X.._ 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 �! Li- E2 p'��t - DATE -JLh-e /(5); 21)6_3 NAME(PLEASE PRINT) / L-T/L7.E-L • FA/6 1(2- FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE _47.00 RECEIPT# 57 l c C, BASE'FEE 151•On ADDITIONAL SECTIONS 144- CASH/CK# . -' , SUBTOTAL DATE _L/ i o POTABLE WATER Ca•O6 911/ROAD APPROACH 141 • ©o TOTAL 421 -W H:W OMEIPLNCNTR\INFOBLDTORMSIMOBILEAP.11/26/01 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 #: BLD03-00381 Received Date: 6/18/2003 SITE ADDRESS: 131 W ISLAND VIEW AVE Issue Date: 9/17/2003 PORT TOWNSEND, 98368 APPLICANT: LILI M RAIGUEL 200 W KINKAID ST PORT HADLOCK WA 98339 SUBDIVISION: IRONDALE Block: 123 Lot: 41-46 PARCEL#: 962112314 Section: 34 Township: 30 N Range: 01 W CONTRACTOR/ DEALER INSTALLER: JAIME KOZELISKI WAINS0626 Expires: 7/31/200' 1112 JACOB MILLER RD PORT TOWNSED WA 98368 PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION MAKE: GOLDW YEAR: 1976 SIZE: 64'X 24' THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 9/17/2004. REQUIRED INSPECTIONS: [ ] Se:backs/Footing (CONTINUOUS FOOTING, SLAB or PADS USED)) .. [ ] Blocking/Plumbing: t1C a r7C- � 1C.)-2c -c.) [ ] Zoning Approval: [ ] Septic System Approval: [ ] Final/Skirting/Vents/Porches/Steps: L.- L Gc, 1e9 /2 /s-'c�� HEALTH DEPART ENT APPR VAL 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 # BLD03-00381 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 10, 2003 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: SARPA aquifer recharge area. 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 are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit(4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit(5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 5.) 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. 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.) 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). 8.) The site plan as submitted with the manufactured home installation application on June 18, 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 July 21, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 9.) This approval is for a manufactured home installation 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. 10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 11.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk(or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 12.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. • 13.) The subject property is near an airport where a variety of airport dependent uses occur that are not compatible with development. Potential discomforts of inconveniences may include, but are not limited to: noise, aircraft take-offs and landings. 14.) The parcel was created through the Irondale Division 5 Subdivision on April 2, 1910 under AFN 29795. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) A Declaration of Restrictive Covenant was recorded on July 18, 2003 under AFN 472486 to consolidate Lots 41-46 (Less South 5 feet of Lot 41) Block 123 Irondale#5 for septic and building purposes only. 17.) The building height shall not exceed 35 feet. 18.) Minimum setback from West Island View Avenue right-of-way shall be 20 feet. Minimum setback from Pittsburg Ave right-of-way shall be 20 feet. Minimum setback from south and east property line shall be 5 feet. 19.) A boundary line adjustment(EXM97-0072)was finaled on November 26, 1997. A septic permit(SEP97-0262)was finaled on October 11, 1999. A road approach (RAP03-0154) will be issued with the manufactured home permit. 20.) ALTERATION PERMIT FROM LABOR AND INDUSTRIES MUST BE FINALLED PRIOR TO CERTIFICATE OF OCCUPANCY/FINAL INSPECTION. Department of Labor&Industries MANUFACTURED/MOBILE HOME Factory Assembled Structures Sectionio , ,: h. ATERATION PERMIT x {Put- g- INSTRUCTIONS: r '' o,� , Do not !lrelm alt,1. Complete all spaces,including the signature box(marked with an X). a complete a . * 2. Draw a map on reverse side of WHITE copy only. shaded e , '' 3. Forward completed permit and fees to the nearest L&I office. See list on reverse. %c 4. Contact and schedule the inspection(s)with the same L&I office per the checklist. areasL � �. fi Ow time -' ' & r_c_ S O„' �/V 3y((� phone7 7^ ( /� 7 Date /D o.J Addraa flu' /oc - udJo r c) 619Y R � .L66640 cJ A)4c?3(5' Installer/Contractor/Dealer Phone Contractor's registration number Address City -_._..$fate ZIP+4 Serial Ntrm s) HUD Number(s) I ` JJ Ein l o Place fee amount in proper box Place fee amount in proper box J ; 2003 Mechanical u UU� if Heat Pump Electrical Air Conditioning Heat pump 1'- J-JE Furnace Installation(gas or electric) Air Conditioner ^::T • SON COUNTY Gas Piping Furnace Installation(gas or electric) .��__—NT P g Serial No. Wood Stove if a hcable Wood Stove---- ( PP ) Pellet Stove ---- serial No. Pellet Stove(if applicable) Gas Room Heater Gas Room Heater Gas Decorative Appliance Gas Decorative Appliance(if applicable) Range:changing from electric to gas Range:changing from gas to electric Gas Water Heater replacement Electric Water Heater replacement Water Heater: changing from electric to gas Electric Water Heater replacing Gas Water Heater Plumbing Each added or modified circuit Fire sprinkler system(also requires a plan review) Hot Tub or Spa(power from home electrical panel) Each added fixture Replace main electrical panel Replacement of water piping system Low Voltage Fire/Intrusion Alarm Structural 0 Fire Safety • Inspection as part of a mechanical installation (cut truss/floor joist,sheet rocking) Miscellaneous Reroofs(may require a plan review) Plan review - , Changes to home when additions bear loads on home per Original PermitReinspection---- No. the design of a professional(also requires a plan review) 1 0 Insignia Other structural changes(may require a plan review) Eiblj Fire Safety Note: This permit expires one year after date of purchase. (Non-refundable) ElWork is compe at this tim An isci ie Work is NOT completedletd at e.this time n, I pe willt call on s when requ readysted.. Make check payable to: Dept.of Labor%Industries FEESDUE $ l Signa e, applicant or a ed r enta e c K i/ c \X N t �faz �l Ar :a 4- . s ' 44 ' a fa ? 1■ id s . s,1, ? Pi ?.� ? an . ii s 4- _r amr,. ,, --ez �' ;rt! a e ttaeo i a eta e a1ure ,im , 4. 4 to, i , y� • � w i9 -g ' t g ,Y � � ei 4t t .3 3 1,; uD ' ? P ? if l g" ,„t-5•a .r.&v. a ``�'�s a,� '�' .A 'ITV S Y" ,�4. ., '' s., „. e lg;`, y°y-1 ,`m. roF 3' yax � 4%,, 4 l '4' u?a .."^x-'re. x..ea3satt6,...3E.9£:>: .,. .gab'r'3�3..ti�sz,'nA.« a#""• a`v3 's�s`�?�im",y.c.. A',, se: _ 5 - ' 6 k ���sa �s�sau, # L3 : as sr , ;t ea e�� s s s . a t at 3Q x i a c t??fs r s '. rtw " " § t A 7 gam 'E"�` r s, p - a � s q Total pages e ..• a: _-_ o .Kc xYt.� . a .'�cz�, >s w ...:<., >«;`�. �.•tea &may..x r ��... � .. 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