HomeMy WebLinkAboutBLD2004-00414 • '
368
BUILDING PERMIT APPLICATION MRAOwTO Type:
i
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00414 Received Date: 6/22/2004
SITE ADDRESS: 1582 WOODLAND DR
OWNER: GEORGE T GERCZAK PHONE:
FARRELL BIBB
1002 CASS ST
PORT TOWNSEND WA 983686305
SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 13
PARCEL NUMBER: 999900113 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: CHERRY STREET BUILDERS PHONE: (360) 379-5595
1002 CASS ST
PORT TOWNSEND WA 98368
Contractor's License Expires ,/q/Us
'_.c t i k (5'i 7S1.2_
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION DETACHED GARAGE
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 15,839.00 ADD'L: HEAT TYPE:
CODE EDITION: 1997 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
OTHER:
CONST TYPE: GARAGE: 672 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: PARCEL TAGS: YES NO
BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA
Exist: Exist: Wetland Erosion
Prop: Prop: Seismic Streams
Total: Total: Flood Way Floodplain
Routing Date: (,) F&W Landslide
04-- Shoreline Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: A 1 rf'!\�//E
D
Permit $441.75 RAC 06/22/04 64550 1
Plan Check $287.14 RAC 06/22/04 64550 AUG - 4 2004
State Building Code $4.50 RAC 06/22/04 64550 Jefferson County
Total: $733.39 Planning
& Building Department
Oill Warm Cony Dap�ent of Conunuolty Development
`s °6 621 Sheridan Street,Port Townsend WA 8838813681371-4458
....
'` perm?. vUO o 0
s N � .pp,. Oc�atgon
Building Type: ,Project Type: 1 Frame Type:
0 Single Family New I
XGarage Attache /Detac ed ❑ Addition /❑ Steel
❑ Modular ❑ Alteration/Remodel J 2 2 ❑ Concrete
O Commercial 0 Repair ❑ Masonry'
❑ Multi-family/#of Units 0 Demolition ❑ Other:
❑ Industrial
t
❑ Other: t
Bathrooms: b I A Bedrooms: N (A. Type of Sewage Disposal: /\.` j A Type of Heat: l A.
Choose one: /
Existing: Existing. ❑ Sewer ❑ Community System ❑ Electricity ❑ Oil
Proposed: Proposed: ❑ Individual System ❑ Woodstove ❑ Propane
Total: Total: If not sewer,fill out the following: ❑ Heat Pump
❑ Conventional ❑ Alternative ❑ Other
Permit# SEP
Water Supply: n
❑ Private well ❑ Two Party Well❑ Public:Name of water system:
Square Footage: Office Use . For Office Use Only
Main Floor Consistency Review
2ND Floor Base fee 441.7S'
3rd Floor Plan Check fee .2.17.
Basement State Surcharge fee T• sr)
Unhtd Basement /, Subtotal 7 33 • 39
Garage/Carport (U12- I c Ov� .6 Pot Water Review fee96
Decks 911/Rd Approach fee
Commercial TOTAL 733 • 39
Industrial Receipt# 64 SSZD
i GG
Other Cash/Check# "✓•2-(c.$
/ — Initials /► [ F-v
30 Date 1p10
Estimated Cost:
If within 200' oft eiT oreline,
Distance to Bank or Ordinary High Water Mark i r4 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,indemni and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue
against Jefferson County as a...ult ff' :nsequence of the granting of this permit.
I further agree to provid.access. d
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 en.. to th- ;p t .perty or s. cture shall be requested and shall occur during regular business hours.
Signature: ILd , _ . .. i4✓ " Date: 6—/S -
4 OVER ►
G:\PermitCenter\FORMS\BLDG FORMS\BLDPermit Application.doc 01/08/2004
0
BUILDING PERMIT •
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00414 Received Date 06/22/2004
SITE ADDRESS: 1582 WOODLAND DR Issue Date 08/4/2004
APPLICANT: GEORGE T GERCZAK PHONE:
FARRELL BIBB
1002 CASS ST
PORT TOWNSEND WA 983686305
SUBDIVISION: WOODLAND HILLS#2 PHASE 1 DIV Block: Lot: 13
PARCEL NUMBER: 999900113 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: CHERRY STREET BUILDERS PHONE: (360)379-5595
1002 CASS ST
PORT TOWNSEND WA 98368
Contractor's License: CHERRSB975KZ Expires: 05/09/2005
PROJECT DESCRIPTION: DETACHED GARAGE
REQUIRED INSPECTIONS:
k] SETBACKS:
[Aj UFFER:
[y] Footing'k-
k] Foundation: '>. D^3: a- s-
[y4' Stormwater FINAL Approval:
[ Underground Plumbing:
0Underground Insulation:
] Shear Wall
b(J Framing: tb—�
,V Plumbing:
[ ] Propane Tank/ Lines: / A
[xi, Insulation:
Se Sheetrock:. - ,t—t
[ ] Septic Sytem Final Approval:
ffl Road Approach Final Approval:
[ ] Zoning Final Approval: si
jLL Final/Occupancy Approval/ '.. 7c4,
HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
SPECIAL CONDITIONS FOR fitSE # BLD04-00414
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on July 28, 2004 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:
Critical Aquifer Recharge Area (SARPA), airport noise & Stormwater.
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.) 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.
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 applicant is proposing to create or add 3,648 square feet of impervious surface and
4,248 square feet (excluding driveways) of land disturbing activities. Sections 6.6 and 6.7
of the Jefferson County Unified Development Code requires that your proposal submit a
stormwter plan for a Medium Project.
7.) 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.
8.) A Stormwater Plan for a Medium Project 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.
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 site plan as submitted with the building permit application (BLD 04-414)on June 22,
2004 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 28, 2004 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
11.) This approval is for a 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.
• •
12.) This parcel is lot 13 of the Woodland Hills No. 2 Phase 1 Division 2 recorded July 1, 2003.
This property is designated Rural Residential 1 dwelling per 10 acres by the Jefferson
County Comprehensive Plan adopted August 28, 1998.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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).
15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
16.) The building height is not to exceed 35 feet.
17.) The front setback is 20 feet from the edge of the right-of-way of Woodland Drive, a county
road (C682109) located to the south. The side setbacks are 5 feet from the property line
(east and west). The rear setback is a 50 feet(vegetative buffer)from the northern
property line, which is a plat condition.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
�� JEFFERSON COUNTY JU 2 2 2004
e 4DEPARTMENT OF COMMUNITY DEVELOPMENT
.0.<1!3#). 4 621 Sheridan Street • Port Townsend•Washington 98368
360/379-4450 •360/379-4451 Fax
http://www.co jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# VT- 3 rpg PROJECT/APPUCANT NAME: G e.4X/$/Be ...." R'G4S/L aie,g.
Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the
applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a
separate stormwater site plan map.
Project Overview
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
021U .42-L�',m a12�``cmg sire . r?i= 212 Th 5/T M • 1i .5. =GOAlb'
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Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
t-.1 A i s L.r 4 A-/r 1Z f$i /NJ �3Ac c Peop ed-i/
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
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4. Describe the existing soils. Indicate soil type on the site map.
. Cr4 s iui9/s_ & .
5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above,-below,and on the ground). Indicate
existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if
applicable,and indicate acreage of each.
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APPROVED
6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN
JUL 2iiii
2OO
1 JEFFERSON COUNTY
stormwater site plan template—rev.1 d 0 4 0 DEPT.OF CO . UNITY EVE ENTt/2003 SIGNATURE.
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E11ERSUN CUUN" DCD
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7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams,
steep slopes,etc.)on the site. Indicate location on the site map.
141,4 ( i 1i 6 ;e1c1. RI 5 eJ ,ate)
8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities, roads,and sensitive/critical areas
(streams,wetlands,lakes,steep slopes,etc.).
t.,eoR.414D HILLS April/c/DILI AML / it!)14 o
Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
"Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious
surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control
facilities are not exceeded.
g, Describe the developed site hydrology, as proposed. Indicate whether stommwater will be fully dispersed(i.e., per BMP T5.30
in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas
within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities.
.0 P'wu.Y D` outset)
10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for ar projects or projects that involve the potential for dispersion of contaminants.]
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11. Describe the performance goals and standards applicable to the project.
12. Describe the flow control system.
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stormwater site plan template—rev.10/12003 6
13. Describe the water quality system.
14. Describe the conveyance system analysis and design.
•
15. Describe the source of fill material,/lph�yssiccaal characteristics of fill material,and deposition of excess material.
A- t
/1train • i/T4 ffor SOil. s
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
17. Describe the proposed surfacing material.
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18. Describe methods for restoration of the site.
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•
19.- An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for
"large"projects only and only those for which facilities are required to control flow or treat runoff.) If included,list the Manuals
here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include
conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or
restrictions here.
13 -pal Sri c • J, 415 Rea'L
7
stormwater she plan template—rev.10/1/2003
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the
template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater
Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential
development.
SECTION I-CONSTRUCTION SWPPP NARRATIVE
1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or
wilt be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable
to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.52 of the Manual(beginning on page
2-15).
12 Required Elements-Construction SWPPP
1. Mark Clearing Limits.
to iM,✓ ,.�G� xf -1-0 33a1J JA 4s (2) -4,440
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2. Establish Construction Access.
3. Control Flow Rates.
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4. Install Sediment Controls.
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vriZ*.J 134- 4 i,C'
5. Stabilize Soils.
at) s> J.. p/L .5
6. Protect SI s.
Alfrf
7. Protect Drai Inlets.
8
stormwater site plan template—rev.10/1f2003
•
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
`4
9. Control Pollutants.
A.ocA' 'ldAL 4o> . -Aucti.cQ �¢-Z .?'1�-
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
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11. Maintain Best Management Practices(BMPs).
12. Manage the Project.
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2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
Ai/4
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards). Ali 4
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
N�A1tL�
stormwater site plan template—rev.10/1/2003
9
b. Description of special requirements for working in or near environmentally sensitive areas.
4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site
soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure).
5. Construction Phasing.
a. Construction sequence cc
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b. Construction phasing(if proposed)
N14
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I: Provide a proposed construction schedule.
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II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
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b. Proposed wet season construction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
4 /7.46QD of th
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps. 1 I�t
b. Diversions. XL hat
c. Waterways. rJ j k
d. Runoff/Stormwater Detention Calculations AL-t
10 stormwater site plan template—rev.10/1/2003
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs
(not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-bulks")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By sig '•• t Construction S •PP worksheet, I as the applicant/owner attest that the information provided herein is true and
corr- - •-st of my ; edge. I also certify that this application is being made with the full knowledge and consent of all
o - •f : • ected p -rty.
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(LA Ii . ' - °AUTHORIZED•v-RES: ATIVE SIGNATURE) (DATE)
THIS SPA. MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
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stormwater site plan template—rev.10/12003 12
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