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Home My WebLink AboutBLD2003-00393 411 #1-Ce;-ed 3-3-OS-- CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 O" 4t (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT#: BLD03-00393 SITE ADDRESS: 150 HEMLOCK DR PORT TOWNSEND, 98368 Issue Date: 12/17/2003 Final Date: 3/3/2005 APPLICANT: FRANK POLIZZI HEATHER PHONE: 150 HEMLOCK DR POSUBDIVISION: CAPE GEORT GE VIIL AD GE DIV 3 Block: Lot: 51 PARCEL NUMBER: 940500050 Section: 13 Township: 30 N Range: 02 W PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 1997 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/3/2005 Building Official Signature Date I:\F_BLD_Occupancy.rpt 10/29/19 • • 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#: BLD03-00393 Received Date: 6/24/2003 SITE ADDRESS: 150 HEMLOCK DR Issue Date: 12/17/2003 PORT TOWNSEND, 98368 APPLICANT: FRANK POLIZZI HEATHER 150 HEMLOCK DR WA 98368 SUBDIVISION: CAAPE RT GOEORGE VILLAGE DIV 3 Block: Lot: 51 PARCEL #: 940500050 Section: 13 Township: 30 N Range: 02 W CONTRACTOR/ FUTURE HOMES PHONE: DEALER MODERN LIVING LIMITED 6119 PACIFIC HWY E PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION MAKE: LIBERTY YEAR: 2004 SIZE: 66 X 26.6 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 12/17/2004. REQUIRED INSPECTIONS: [ Setbacks/Footing (CONTINUOUS FOOTIN , SLAB or PADS USED) 3SYPj / [ ] Blocking/Plumbin [ ] Zoning Approval: [ ] Septic System Approval: [ / Final/Skirting/Vents/Porches/Steps.11 3 �jr< HEALTH DEPART ENT APP 0 AL 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 # BLD03-00393 1.) The application was reviewed by the Jefferson County Department of Community Development staff on July 28, 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: Susceptible Aquifer Recharge Area and Seawater Intrusion Protection Zone (SIPZ). 2.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous formations that allow percolation of the surface water into the soils and the underlyingnl 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. 4.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall)and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 5.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. • • 7.) The applicant is proposing to create or add 2,432 square feet of impervious surface and 2432 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 Stormwater Calculation Sheet. The applicant submitted a calculation sheet. 8.) 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. 9.) 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). 10.) The parcel is a legal non-conforming lot that is designated as Rural Residential (RR 1:5) under the Jefferson County Comprehensive Plan Land Use Map effective effective August 28, 1998. 11.) This approval is for a replacement permit for installation of a manufactured home to replace an existing 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. 12.) The site plan as submitted with the manufactured home installation application was revised on December 11, 2003. It 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 revised site plan dated December 11, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) Maximum impervious surface area (a surface area that creates a barrier to the entry of water into the soil in comparision with natural conditions prior to development, or that causes water to runoff in greater quantities or at an increased rate of flow in comparision with the flow prior to development. Common impervious surfaces may or may not include roofs, driveways, patios, packed earth, and oiled surfaces; however, open uncovered retention/detention facilities are not considered as impervious surfaces)for lot 51 shall not exceed 25 percent. 14.) Minimum setback from Hemlock Drive right of way line shall be 20-feet. Minimum side and rear yard setbacks shall be 5-feet. 15.) No building or sturcture shall be erected, enlarged or structurally modified to exceed 35-feet in height. 16.) A minimum of two (2)on-site parking spaces shall be provided for the manufactured home. 17.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 18.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 19.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 20.) The proposal is served by the existing approved Cape George Water System, therefore the SIPZ requirements do not apply. REVISED SITE PLAN dated ! •m` ` , \_. .. `, HasbnAPPROVED w�'�3 by - :4' . •iuNTY DEC 11 2003 -= ', UBPTT Or •4: r: , 1:, SIGNATURE: rfilrjl . . 'MP _ ...:1104'0 1 Oat: eS\ - 1-7,-.. t• .l ,;� 4 :e____..11_ S i i 4/ 11111,1"V r Reallittp. _ \., - e 7"1/4:--'2""1 V.' ' H I ' i '.. 4 1'44, __v 4 ,c, , _ __ „ , . _ _-_,-__-_.,, , 1, 348\* y' e ____ i ":,,,-t- _ it; i, ,.,. ir _‘...ji ,,,,.,,,,.. .. i ... -,,- ___ .„____: _ , i r �-_ .,,- - --_ I l ' 1 N. i I'I I ti . .-....... ilk T BID 13.�� .. .?ail * PERM 3 . Y Future Homes rt, o 3 3c,4- 5620 Kitsap Way Bremerton, WA 98312 ' 3 360-479-4663 le 11 MLA03-00354 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00393 Received Date: 6/24/2003 SITE ADDRESS: 150 HEMLOCK DR PORT TOWNSEND, 98368 APPLICANT: FRANK POLIZZI PHONE: HEATHER 150 HEMLOCK DR PORT TOWNSEND WA 98368 SUBDIVISION: CAPE GEORGE VILLAGE DIV 3 Block: Lot: 51 PARCEL NUMBER: 940500050 Section: 13 Township: 30 N Range: 02 W CONTRACTOR/ FUTURE HOMES PHONE: DEALER: MODERN LIVING LIMITED 6119 PACIFIC HWY E FIFE WA 98424 REPRESENTATIVE: MARK SHINGLEDECKER PHONE: FUTURE HOMES 5620 KITSAP WAY PROJECT DESCRIPTION: NEW MANUFACTURED HOME INSTALLATION TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: LIBERTY SETBACK: VALUATION 78,812.00 YEAR: 2004 LABOR & INDUSTRIES APPROVAL? SIZE: 66 X 26.6 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO STORMWATER: YES NO Exist: Exist: AREA Plat Conditions Prop: Prop: 3 Wetland Erosion Total: 40 Total: 3 Seismic Streams Flood Way Floodplain Routing Date:/ F&W Landslide w ��/��Z %-.' Shoreline Aquifer Cam..-....F. /"°...•.•,..•.. .-.,�..4 ®....,I Type Amount Paid Bv: Date: Receipt: rd/ ate . i Manufactured Homes $151.00 MJA 06/24/03 58023 o t; Potable Water Application $51.00 MJA 06/24/03 58023 DEC 1 7 2003 Total: $202.00 Jefferson County Planning & Buil 'ng Department y/`yy/ /lf/ Sc,o4 • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PUKT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION 0 NEW BUILDING REPLACEMENT SIZE � x Co(p TPlSON COUNTY DCD YEAR 200A- MAKE -\��1 / W i L COST 4 b1`z- BEDROOMS: BATHROOMS: EXISTING EXISTING PROPOSED PROPOSED TOTAL TOTAL 7.5 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: 0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL a INDIVIDUAL SYSTEM 0 Conventional 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. f SIGNATURE DATE 7� c �� NAME(PLEASE PRINT) M1 �-5----tr-1 FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE 47.00 RECEIPT# BASE FEE 151, ADDITIONAL SECTIONS CASH/CK# l 1 SUBTOTAL IQ DATE v/ 1c"i l 03 POTABLE WATER 911/ROAD APPROACH ,Q I, 'k1c\, TOTAL �"',� —'� H:W OME\PLNCNTR\INFOBLD\FORMSWIOBILEAP.11/26/01 PLEASE MAIL TO: FERSON COUNTY ASSESSOR JACK WESTER AN III C JEFFERSON COUNTY COURTHOUSE ASSESSOR PO BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105- MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOTA TAX STATEMENT NAME: F"Cz.t-\--A V- A Oc k ZZ 1 The purpose of this questionnaire is to obtain information regarding either the current location of a mobile home or the ADDRESS: previous ownership and location of a mobile home. This will �_�_ help our office determine whether the mobile home is already ` s/p` ��?'`� on the tax rolls in Jefferson County or if it has been moved to this county from another area. Please see reverse side for TELEPHONE NO: c'tc)4-` additional information. 1) MOBILE HOME DATA: (A) MAKE (B) MODEL 01 l ``�P x' E_, (C) YEAR SC-CA (D) LENGTH (. AP (E) WIDTH 2 P kJ' (F)SERIAL NUMBER (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) 9)1:2D (H) PURCHASE DATE 15'2-1 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: coy (A) FROM WHOM DID YOU PURCHASE MOBILE hi 1 ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES NO (IF NO,WHAT COUNTY? IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES NO-) (B) IF LOCATED IN A MOBILE HOME PARK: NAME at ADDRESS OF PARK SPACE NO. (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: LOCATION (ADDRESS) REAL PROPERTY PARCEL NUMBER/DESCRIPTION O' �� ` > t N THANK YOU FOR YOUR HELP! SIGNATURE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. eliaAi0d FRI 13:14 1'71S 50J 863 311i Liberty HOmes a-r-r MODERN LIVING al,00d 41, urnidli fir ram ` _ 7 a �' r . ip . ET-Err I~:_7 Q o h Aim 24 • fOrrim Qt, . b\c_ eD ' , iW rrrp r' rrp ri rFr C\S ° - p' Jr-r- `, r • �"' Nt$:\\,\ • r �� • V®2I/ • E 11,,E FEB 282005