HomeMy WebLinkAboutBLD2004-00631 1• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD04-00631 Received Date 10/4/2004
SITE ADDRESS: 226 HIGHLAND DR Issue Date 11/17/2004
PORT LUDLOW, 98365
APPLICANT: ELISABETH MILLER PHONE: (360) 692-3656
7663 NW LENOX LN
SILVERDALE WA 98383
SUBDIVISION: SOUTH BAY#1 Block: Lot: 46
PARCEL NUMBER: 995500046 Section: 21 Township: 28 N Range: 01 E
CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: 360-697-7000
PO BOX 97
POULSBO WA 98370
Contractor's License: TERHUCH984MA Expires: 7/1/2006
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIRED INSPECTIONI THAT APPLY TO YOUR PROJECT.
SETBACKS: DI( 12/'5/D� (/�f'
UFFER: Novb" /
Footing: 4k' / L7'r lJ Coridrt/at
Foundation:
Stormwater FINAL Approval: e;.,�_ / WAY,
Underground Plumbing:
Underground Insulation:� �� / /� �,Shear Wall : D/< /i �u;,n/iZ`, Dr, yila.5-U" 2
Framing: , X 1/s 4S1
Plumbing: 4k %% 0,-jig
'NA Propane Tank/Lines: Air" '- P,zw,c�,bF Z A 0 ,3 3d 05
-----1Insulation: zk !,// OSi jr
Sheetrock: 1/t 42?/a5 ,..--
Septic Sytem Final Approval (If not on sewer):
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval:
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
•
•UILDING PERMIT APPLICA*N MRA04/005583
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD04-00631 Received Date: 10/4/2004
SITE ADDRESS: , HIGHLAND DR
PORT LUDLOW, 98365
OWNER: ELISABETH MILLER PHONE: (360) 692-3656
7663 NW LENOX LN
SILVERDALE WA 98383
SUBDIVISION: SOUTH BAY#1 Block: Lot: 46
PARCEL NUMBER: 995500046 Section: 21 Township: 28 N Range: 01 E
CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: 360-697-7000
PO BOX 97
POULSBO WA 98370
Contractor's License TERHUCH984MA Expires 7/1/2006
REPRESENTATIVE: TERHUNE CUSTOM HOMES PHONE: (360) 697-7000
PO BOX 97
POULSBO WA 98370
PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,457
VALUATION 212,154.00 ADD'L: 582 HEAT TYPE: HTP
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 433
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: SEW
WATER SYSTEM: LUDLOW PARCEL TAGS: YES _NO
BEDROOMS: BATHROOMS: STORMWATER: YES _ NO AREA _
Exist: Exist: Wetland Erosion
Prop: 3 Prop: 3 Seismic Streams
Total: 3 Total: 3 Flood Way Floodplain
Routing Date: / F&W Landslide
l(�/5 Shoreline _Aquifer
Forest: Commercial Rural
Type Amount Paid By: Date: Receipt: e P \/ E[4,
Permit $1,626.55 KAS 10/04/04 67740 ^ !�
Plan Check $1,057.26 KAS 10/04/04 67740 NOV 1 7 2004
State Building Code $4.50 KAS 10/04/04 67740
Potable Water Application $52.00 KAS 10/04/04 67740 Jefferson County Planning
& Building Department
Total: $2,740.31 Cr'l1
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09/29/2004 12:53 3603794Aii JEFF CO DOD PAGE 02
Sep 29 04 09:51p Sh on Empen% 360 4111 7399 p• 2
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Bualdin c Typc ti Project T ype:
ilk Sinylle Family • *New X Wood .
❑ Gsmige Attached/Detached 0 Addition 0 Steel
O Modular O Alteration/ReroodeI 0 Concrete
O Coremer i l 0 Repair ❑ Woozy
O Multi-Stmiy/#of U nita 0 Demolition 13 Other
O Industrial
O Othue ...._._ _ _.... . ---.-- _
•
BatluoomtF Bcdroomc Typc of Sewage Disposal: Typc of Heat
Choose one
1?> v —� Exiatiat::: —4;70' j*sei.ifer 0 Community System 0 Electricity In Oil
lProposed: Proposal: r -- 0.Individual SSstcsn 0 Woodstrnwe 4 Pxopant:
7 l ‘" TQm1 if not■cvytr fill
. out the foliowi �.ugt Heat Pump
C Convcr►tion.l 0 Alb nmtive 0 Other _
Permit# � _
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Water Supply:
` f7 Private.well 0 Two Pasty Well U Public:Name of unree py.teov
Square Footage: Office Usc For Office Use Only
Main Floor 14 S1 _IWt�•� Consistency Review.
2N Floor �r bal m i. Base fee (o
3'd Floor Plan Cheek fee • _ 61
-uric Basket State Surcharge fee 1
Unhid Basement Subtotstl 2t 3 31
Garage/Carport `-‘9J 10+aZ.C9)./I Water Review fcc
Decks 911/7RdApproach fee f
Commercial _ 1e1AQlp t.3A •t�o'rAL I
xcc� rill
>,�l,x��i.�t ix# <..P d
Other Cash/Oae�rlt# • 4"Aaa • '
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51
Date /01lJc '
Esdmatcd C 41 2 t'2y{5q• .
If within 200 e,
Dist-tncc to Rank or Ozdintuy High Water Mask ft.Bank Height — ft.
Hy'Wank the appl atann lorm,rite ttppkoioti +nuer,nee that the tnfonoation peovidoe hmeio is true anal aonect en tha best of their lYiowtaige. Any.wcoal Gleebood or any
omiaion of a mnteehd Itl.ct made by than apj&cant/owner with ompeet to oda appliatwo rackrt may ee .lt it this mink being mill and void.
I(writer.Etta m GM,inttemni(y and hole!banlilrw.Jctknatn Cnoaty a}Ninalt aN Ii.1arTn.tn iv.It;m-Trert,oa+tt areas,rnanonubte attnm'y'a rem and eartt ara which may in'any Nmy.4,-,,Kt
.iyti utJeuimtin C.a my as a usual of or in co w.iaene.of the ranting al Mir.pena:t,
I fauther agree to ptovlde acxaaa and right of fanny to Jcti'a oo County and itk empinyers,crimmrntathma or.pamo foe the p.gme of apptic.tion cevin*and any acciainad Low in.r.+ctiw>
Hamm*id n.ht orentrr tq the appbaat9 popery or rtrvaure ph-di he t+gaeatd.nty 04 ocevt donna etal;nlAr bu.inrw+Fromm
Signature: Date: •
OVER ►
G:\Prat itCcatcr\FORMS\BLDG FORMS\BLDPnvt ic.Applicttion.doc 01/08/2004
SPECIAL CONDITIONS FOR CAE # BLD04-00631 •
1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the
Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the
Landslide Hazard Area.
2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated.
Should buffer disturbance occur during construction, the Unified Development Code
(UDC)Administrator shall require replanting with native vegetation. No alterations shall be
made to the Landslide Hazard Area or its associated buffer without prior authorization by
the UDC Administrator.
3.) Prior to and during approved construction activities, the perimeter of the landslide hazard
area buffer shall be marked with a temporary sign. The sign shall be placed in such a
manner that it can be directly observed from the construction area. The sign shall contain
the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter
Existing Vegetation."
4.) All construction activities shall not encroach upon the landslide hazard area buffer. This
includes the storage or preparation of materials.
5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area
Buffer from the remainder of the subject property through installing logs, trees, a hedge
row, or any other prominent physical marking approved by the UDC Administrator.
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.) A Stormwater Site 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.
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 45%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
11.) The building height is not to exceed 35 feet.
12.) Minimum setback from Highland Drive right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet. If an ESA is present, then the more restricrive setback
shall apply.
13.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
14.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
15.) A minimum of two (2)on-site parking spaces shall be provided for the single family
residence.
16.) Per MPR Code Section 3.10T,,ccessory dwelling units (ADU's) shall not billowed in
the MPR-SF zone.
I:\F_BLD_Permit_Buildng.rpt 10/29/19
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liersV ERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT "
621 Sheridan Street • Port Townsend•Washington 98368
1Stati GI C7 360/379-4450 • 360/379-4451 Fax r
http://www.co.jefferson.wa.us/commdevelopment/ ,
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# PROJECT/APPUCA F NAME: VIA 2-A0o-A
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
apparate stormwater site plan map.
Project Overview
1. Descnbe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site map.
tau td sTR PERMIT # BED
04 - 63
Existing Conditions Summary JEFFERSON COUNTY OCO
2. Descnbe the existing topography. Indicate contours on the sitemap. �p
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
by u,St�_—trYtia.Q. pY raper
4. Describe the existing soils. Indicate soil type on the site map.
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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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6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED '
I ATER PLAN
,Slt —
Storra�wate Nov - 8 2004
Required-, 1i
stormwater site plan template—rev.10/1/2003 \ '� JEFFERSO COUNTY 5
DEPT.OF C ,
J1 YDFIF.LO .NT
SIGNATURE. '
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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.
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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.).
Resi dent') rve21 xtv hdrd 1 &tom. 1^. -
•
•--.- 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 stormwater 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.
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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 large"projects or projects that involve the potential for dispersion of contaminants.]
•
11. Describe the performance goals and standards applicable to the project.
12. Describe the flow control system.
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stormwaar al a`plan ter~,,lata—ray.1 W1 2, } 6
13. Describe the water quality system.
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14. Describe the conveyance system analysis and design.
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15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code. �j
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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.
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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.
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stormwater site plan tenplate—rev.10/1/2003 7
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
:A
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
will 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 2.5.2 of the Manual(beginning on page
2-15).
12 Required Elements-Construction SWPPP
1. Mark Clearing Limits.
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2. Establish Construction Access.
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3. ontrol Flow Rates.
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4. Install Sediment Controls.
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5. Stabilize Soils
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6. Protect Slopes.
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7. Protect Drain Inlets.
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stc.^.L ter sita;Ian ternp:ata—rev.1:METZ
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
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9. Control Pollutants. _ -
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).
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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).
71\
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
stormwater site plan template—rev.10/112003 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
1A
b. Construction phasing(if proposed) /n
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a propos‘etdO�construction schedule. ('•_Li V\lEkt\ PA Ai2COS
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
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b. Proposed wet season construction activities for environrrientdlly sensitive areas.
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7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
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b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
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8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stornn+ater site plan template—rev.10/12003 70
SECTION 11—EROSION AND SEDIMENT CONTROL PLAN
Sediment and erosion-control measures may be depicted on the master land use application plot plan,a stormwater,site plan,and/or a
separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan:'
1. General.
a. Vicinity Map
b. Jefferson County Approval Block
C. Erosion and Sediment Control Notes '
2. Site Plan.
a. Legal description of subject property.
b. North arrow.
c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas,etc.).
d. Identify and label areas of potential erosion problems.
e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable).
f. Show existing and proposed contours.
g. Indicate drainage basins and direction of flow for individual drainage areas.
h. Label final grade contours and identify developed condition drainage basins.
i. Delineate areas that are to be cleared and graded.
j. Show all cut and fill slopes indicating top and bottom of slope catch lines.
3. Conveyance Systems.
a. Designate locations for swales,interceptor trenches,or ditches.
b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control.
c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts.
d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes.
e. Provide details for bypassing off-site runoff around disturbed areas.
f. Indicate locations and outlets of any dewatering systems.
4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs.
5. Erosion and Sediment Control Facilities.
a. Show the locations of sediment trap(s),pond(s),pipes and structures.
b. Dimension pond berm widths and inside and outside pond slopes.
c. Indicate the trap/pond storage required and the depth,length,and width dimensions.
d. Provide typical section views through pond and outlet structure.
e. Provide typical details of gravel cone and standpipe,and/or other filtering devices.
f. Detail stabilization techniques for outlet/inlet.
g. Detail controlrestrictor device location and details.
h. Specify mulch and/or recommended cover of berms and slopes.
i. Provide rock specifications and detail for rock check dam(s),if applicable.
j. Specify spacing for rock check dams as required.
k. Provide front and side sections of typical rock check dams.
I. Indicate the locations and provide details and specifications for silt fabric.
m. Locate the construction entrance and provide a detail.
6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and
illustrated with detailed drawings.
7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than
sediment(e.g.,concrete wash water).
8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on
the construction site. Sampling stations should be located upstream and downstream of the project site.
stormwater sits plan template—rev.10/1/2003
11
•
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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-builts")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 signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and
correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affected property.
30 6�-(
(LAN NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
•
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stormwater site plan template—rev.10/1/2003
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REVISED SITE PLAN
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ELISABETH MILLER -
PARCEL #995-500-046 `IL.
SOUTH BAY #1 LOT #96 PROPOSED O:P O S E D 3
TERHUNE CUSTOM HOMES `�
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STORMWATER PLAN . Cr >- I `n
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NOV - 4 2004 10f--° Q _
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JEFFERSON CO NTY
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