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BLD2003-00539
• 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#: BLD03-00539 Received Date: 8/28/2003 SITE ADDRESS: 150 CEDAR AVE Issue Date: 10/30/2003 PORT HADLOCK, 98339 APPLICANT: RICHARD E JOHNSON 150 CEDAR AVE PORT HADLOCK WA 98339-9511 SUBDIVISION: GARFIELD'S ADDITION Block: 7 Lot: 10-13 PARCEL#: 952800705 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ PRESTIGE PROPERTIES PHONE: (360)385-9033 DEALER 11524 RHODY DRIVE PORT HADLOCK WA 98339 Contractor's License PRESTP1066CM Expires 11/13/2004 PROJECT DESCRIPTION: MANUFACTURED HOME REPLACEMENT MAKE: GOLDENWEST YEAR: 2003 SIZE: 27 X 48 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 10/30/2004. REQUIRED INSPECTIONS: [ ] Setbacks/Footing (CONTINUOUS FOOTING, SLAB PADS USED): G- // /(c'-O3' "9_, [ :locking/Plumbing: --/8-4Z2 j [ ] Zoning Approval: [ ] Septic System Approval: i [ ] Final/Skirting/Vents/Porches/Steps: )7"_/' ~ --rnd 0-0.5, 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 MLA03-00495 Review Type: I MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD03-00539 Received Date: 8/28/2003 SITE ADDRESS: 150 CEDAR AVE PORT HADLOCK, 98339 APPLICANT: RICHARD E JOHNSON PHONE: (360) 385-5418 150 CEDAR AVE PORT HADLOCK WA 98339-9511 SUBDIVISION: GARFIELD'S ADDITION Block: Lot: PARCEL NUMBER: 952800705 Section: 2 Township: 29 N Range: 01 W CONTRACTOR/ PRESTIGE PROPERTIES PHONE: (360)385-9033 DEALER: 11524 RHODY DRIVE PORT HADLOCK WA 98339 Contractor's License PRESTP1066CM Expires 11/13/2004 REPRESENTATIVE: LOWELL G MATTHEW PHONE: (360) 681-3094 261533 HWY 101 SEQUIM WA 98382 PROJECT DESCRIPTION: MANUFACTURED HOME REPLACEMENT TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: GOLDENWEST SETBACK: VALUATION 52,000.00 YEAR: 2003 LABOR & INDUSTRIES APPROVAL? SIZE: 27 X 48 BANK HEIGHT: SEWAGE DISPOSAL: OSS 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: ur F&W Landslide _Cj Z� Shoreline Aquifer Type Amount Paid By: Date: Receipt: AprN"er' V Permit $151.00 MJA 08/28/03 58457 OCT 3 0 2003 Potable Water Application $51.00 MJA 08/28/03 58457 Total: $202.00 Jefferson County Planning & BuildinaDepartmen lJ �atlic V LTV``) JEFFERSON COUNTY OMIT-CENTER, 621 SHERIDAN ST, POR•WNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION ❑ NEW BUILDING X9 REPLACEMENT r;:_. SIZE 27 X 48 11;)1 YEAR 2003 i! i i ! i AUG 2 8 2003 1' MAKE GOLDEN WEST HOME COST 52 000- LP. PT OE OO'..-=1ZJITY DEVELOPk'EI BEDROOMS: BATHROOMS: EXISTING _D- EXISTIN8-EMOVING HOUSE AND EXISTING — — CARPORT AN PROPOSED 2 PROPOSED 2 STORAGE TOTAL Y 2 TOTAL 2 TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL XX INDIVIDUAL SYSTEM 0 Conventional X51 PUBLIC PUD 1 PERMIT # SEP 0 Alternative Name of water system: PUD 1 IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft SIGNATURE DATE 2_ " -0 ` NAME (PLEASE PRINT) LOWELL G. MATTHEW, AGENT FOR Ln C`P 2,CO3.. 1 A/, ` FFOR OFFICE USE ONLY BASE FEE `S \' 0~ RECEIPT # L'i ?L/ g-7 ADDITIONAL SECTIONS CASH/CK # ,2R• SUBTOTAL 0.3 DATE 1 . /75/ b3 POTABLE WATER g2 w 91 1/ROAD APPROACH S4-'LANA.5 TOTAL aTco, GD. H:\H OM E\PLNCN TR\FO RM S\M OBI L EAP.5/9 7 SPECIAL CONDITIONS CASE # BLD03-00539 1.) The application was reviewed by the Jefferson County Department of Community Development staff on September 30, 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: Special Aquifer Recharge Protection 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.) 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. 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 4,790 square feet of impervious surface and no land disturbing activities. Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that your proposal submit a stormwater plan meeting Minimum Requirements#1 -#5 of the Stormwater Management Manual for Western Washington. 6.) A Stormwater 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. 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) 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). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes rooftops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. • 12.) Minimum setback from Cedar Ave right-of-way and Fitchburg Ave right-of-way is 20 feet. Minimum side and rear setbacks are 5 feet. 13.) A minimum of two (2) on-site parking spaces are required for the manufactured home. 14.) This parcel was created through the Garfield's Addition subdivision January 20, 1890 and recorded with the Jefferson County Auditor under Vol 2, p 39 of Long Plats. 15.) This parcel is a legal nonconforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 16.) Cedar Ave (C637109) is a county local access road. The road approach is existing, and an address of 150 Cedar Ave has been assigned to the parcel. 17.) A septic permit(SEP73-00167)was finaled June 6, 1973 for a system with capacity of 240 gallons per day. 18.) Jefferson County PUD#1 provides potable water to this parcel. 19.) A Declaration of Restrictive Covenant was recorded October 3, 2003 under AFN 475983 with the Jefferson County Auditor binding lots 10 thru 13 of Block 7, Garfield's Addition for the purpose of meeting bulk and dimensional requirements and minimum land area. 20.) The revised site plan as submitted for the building application on October 21, 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 October 29, 2003 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 21.) This approval is for a 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. ApPR0VtD STORMWATER PLAN OCT 2 9 20°3 AUG 2 8 2003 JEFFERSO COUNTY DEPT. OF COMMUNITY DEVEOPMENT l j COUNTY JEFFERSO$ + E ��°T. OF DEVELOP"EN DEPT.OF COMMUN Y DV. ' .6 ilk .► -__ __ ._ T_..� SIGNATURE: - -• RE : STORMWATER MGMT. REQUIREMENTS RICHARD E. JOHNSON PROJECT * THIS PROJECT IS CLASSIFIED AS A MEDIUM PROJECT. UNDER 4, 999 SQ FT (4, 502 sq ft) OF WHICH HOUSE EXCAVATION 1, 520 sq ft AND 198 sq ft FOR THE CARPORT AREA CHANGE. THE PRESENT CARPORT SLAB WILL BE USED OF WHICH 6 'WILL BE REMOVED FROM THE EAST SIDE AND ADDED TO THE WEST SIDE PER PRINT. DRIVEWAY SURFACE TO BE LEFT AS NEAR PRESENT--=- CONDITION AS POSSIBLE. EACH COLLECTION PIT TO BE 108 CU. FT. • Present stormwater collection system in non existant so we intend collecting all run-off water and pipe to a collection pit as shown in diagram included. Each pit to be 4' deep by 6 ' by 6 ' , filled with size 2" to 3" rock with pipes into pit, covered with 2 sheets of 6 mil plastic, then fill to surface with rock free top soil . this method has been very successful in past projects and withstands time for collection systems . Site of collection pits are specified in site plan. • TOTAL roof collection area for carport is 792 sq ft and the house is 1400 sq ft for a total of 2192 sq ft . * The property is level so erosion will be minimal since the peroid of time from excavation to return final grade will not exceed 2 week * Excess excavated soil will be covered with plastic during constructi • All excess construction materials and trash developed will be placed in controlled area or trash trailer on site and taken to county dump as often as necessary.There are no construction pollutan used at the job site except latex paint and this will be controlled. * NO dewatering required during process . • ALL BMP' S SHALL BE USED DURING CONSTRUCTION TO ENSURE THEIR SATIS- FACTORY OPERATION DURING THE ENTIRE PERIOD OD CONSTRUCTION. * ALL NATURAL SURFACE DRAINAGE WILL BE LEFT AS IS AND MAINTAINED. • ALL ROOF GUTTERS AND DOWNSPOUT SHALL BE INSTALLED PER BMP PER PRINT. * CONSTRUCTION SHALL BE COMPLETED PRIOR TO OCTOBER 20th if possible. * REGULAR BMP ' S WILL BE INSPECTED AND MONITORED TO ENSURE SATISFACTORY OPERATION. • ,..;per- , „{,x. s ' Jei*e sr on` Count ermrien er liendan St"Port`Towrisend WA' 98368 Y-� UNIVERSAL PLOT PLAN 3 �-- JEFFE.RSON COUNTY Fill in the following information as completely as possible. r-°T OF CrY !UNITY DEVELOPMENT Project Description: INSTALL MANUFACTURE' HOPE AND CARPORT-STORAGE ROOM 9 Digit Parcel Identification Number (from your tax statement) 952 800 705 Site Address: 150 CEDAR ST. PORT HADLOCK, WA. 98339 " 91 1# & Road Name Zip Code • Legal Description: GARFIELD ADDITION 7 10-13 Subdivision Name Block Lots) Section Township North,Range WM Parcel Size (acres or square footage) 135 ' X 150 ° (20. 250 SQ.FT. ) Property Owngc RICHARD E. JOHNSON Phone 385-5418 Mailing Address 150 CEDAR ST. , PORT HADLOCK, WA. 98339 Applicant/Occupant SAME Phone (if different) Mailing Address Authorized Rep LOWELL G G. MATTHEW, PRESTIGE PROPERTIES , INC. PhonO�36 ° � 4� Mailing Address 261 533 HWY 101, SEQUTM, WA 9BIB7 General Contractor PRESTIGE PROPERTIES, INC. Phone360-681-3094 Mailing Address 261533 HWY 101, SEQUIN, WA. 98382 Contractor's State License Number PRESTPI066CM • Expiration Date 11-1--04 Septic Designer BRENT ERICSON Phone 385-3602 - Mailing Address 2323 HASTIBGS STREET, PORT TOWNSEND, WA. 98368 Architect Phone Mailing Address Loan Lender or Bond Phone Holder for Contractor Mailing Address FOR>OFFICE USE ONLY f Frei 9 stnct :Planning Distract • District Zone. 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A •I'Ls7 --" " ''''',7— ' 4k 'n ,0 — ''" \ 25 * `, �; > CgaS ifg' D foe N , iv "---27).' 1, / 8' x At • \-----__ ) - ‘ T\ iPD 5T F,Pd y� E'p /Li': — — - - - is RETURN ADDRESS "L4l S T4TI""OWA FSHINGTON MANUFACTURED HOME PLEASE CHECK ONE HTION licEnsInc APPLICATION Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210) D MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) 20011 lrolevNwe5i. 4tif X a-? 6LER23 /i42790 d 9 LAND LEGAL DESCRIPTION ON PAGE MANUFACTURED HOME WILL BE El AFFIXED 0 REMOVED REAL PROPERTY TAX PARC NUMBER RSa 060 7a LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION AO l3 7 Gar-ka IA /14,` 0,A © GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Rich.4rd if J6/vn.sv n NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE if-0 Cedes✓ Ave. Port /441116M WA- 9b'33? NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER 1R;c,hard if. J v h r.s des NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE /So Cedar 4c-e pat Ha41lasla wal. 96'319 GRANTEE NAME • I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE State of Washington Signed or attested County of before me on by Signature PRINT NAME OF REGISTERED OWNER NOTARY OR AGENT by PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY County/Office No.OR Title AND: Dealer No.OR DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date 4 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMIT,�I OFFICE CERTIFICATION *the I Certify that the manufactured home has been affixed to the real property as described. ❑ a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAME(TYPED OR PRINTED) BLDG PE MIT OFFICE/PHONE# BLDG PERMIT# SI N URE/ ()SOON (/ DAT 24,1i- oAalt-A-- bt,Dc1-55q TD-420- 9MANU HQ EAPPL(R/2/ R P> 10