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HomeMy WebLinkAboutBLD2005-00719 IPU MLA05-00672 ILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00719 Received Date: 11/17/2005 SITE ADDRESS: 240 VIEW RIDGE DR SEQUIM, 98382 OWNER: STEVEN V ROSS PHONE: 425-788-6200 DIANE N ROSS 18814 185TH AVE NE WOODINVILLE WA 980778227 EAGLE CREST DEVELOPMENT SUBDIVISION: Block: Lot: 7+ PARCEL NUMBER: 948400007 Section: 34 Township: 30 N Range: 02 W CONTRACTOR: TERHUNE CUSTOM HOMES INC PHONE: 360-681-8898 PO BOX 97 POULSBO WA 98370 Contractor's License TERHUCH984MA Expires 7/1/2006 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION RETAINING WALL CONNECTING HOUSE & GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 22,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: 655 SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: It I-1) o Type Amount Paid By: Date: Receipt: e �/ O / E D Permit $349.25 SLE 11/16/05 77345 /'l Plan Check $227.01 SLE 11/16/05 77345 DECQ8 2005 State Building Code $4.50 SLE 11/16/05 77345 Jefferson County Planning Total: $580.76 & Building Department 7 y 1 f !/ n�� Cotueinsotai • i ( JEFFERSON COUNTY `1 1 DEPARTMENT OF COMMUNITY DEVELOPMENT $ .,. 621 Sheridan Street • Port Townsend•Washington 98368 360/379-4450. 360/379-4451 Fax `�$ING http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPUCANT NAME:-�'�> F J l r✓ti CPC,c ` DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel 1--% acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet ?� ,, Li 2 1 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for. j�,�Do Does the project convert 3 acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. I `??C J G sq/ft Circle: Yes Eo Well,utilities,etc. i UCH sq/ft Does the project convert 2 t/z acres or more of Driveway,parking,etc. (�� V 1 1 sq/ft native vegetation to pasture? .r Circle: Yes to , Lawn,landscaping,etc. 0 U U sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance I.V) )GC "' -- t sq/ft Cut �� Fill --x� — (cutyd) [over] stormwater talc worksheet—REV.10/1/2003 1 • Impervious to development. surface is hg d surface area which cau surface that either sents or ses water to retards i off the the try of water into the sod surface in greater quantitiestior at an incree as under ased iratenditions of flow prior h A from the flow present under natural conditions prior to development. Common impervious surfacesVllroads,,packed earthebut are not limited n materiatsf tops, walkways,patios,driveways,parking lots or storage areas.concrete or asphalt paving.g and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. r i .� STORMWATER CALULATIONS-IP RVItSU3• -SURFACE ' _. a . .._ . NEW MIS TING (,fir t�u-� } roof areeaa) � Structures(all roof area) � Structures Sidewalks sq/ft Sidewalks scifit Patios sq/ft Patios r sclfit Solid Decks - sqift Solid Decks sclift (without infiltration below) (without infiltration below) �� ��tl Driveway eX t 5A-1 f1 iWr Driveway y' CD 0 sq/ft Olf�X r. S i-k-j sq/ft Other scitft Total New 1-1(-4.00 .c' uvrtTotal Existing L1 000 scyft c TOTAL NEW+TOTAL EXISTING" �� - sq/ft 'This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: `"{ % Does the site have 35%or more of existing impervious surface? Circle: Yes N( ) is considered redevelopment and the attached Figure 2 should be FURTHER INSTRUCTIONS: If the answer is yes,the proposal �considered new development and the used to determine the applicable Minimum Requirements. If the answer is no,the proposal {e Flow considered to determine the Minimumathe attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable and thet toa ern requirements. um Requirements for stormwater management DCD staff will help verify the classification of the project onlywith Minimum Requirement #2- Construction Stormwater Pollution For proponents of ''on als projects who must comply ble for employing the 12 Elements to control erosion and Prevention—an additional other submittal is not required. The proponent won phase of the project. Pick up the Construction prevent sediment and pollutants from leaving the site during Stormwater Pollution Prevention(SWPP)Best Management Practices(BMPs)Packet. Proponents of-medium"projects—those thRequirements *1 through #5-and for large" projects—those that must meet all 10 Minimum Rat must meet only Minimum Requ a submittal template of a Stormwater Site Plan, Requirements—are required to submit a Stormwater Site Plan. DCD has prepared or principally for rural residential projects. Complete the templatein the Shorm the �r Manr Site agement Instructions � and Submittal Template prepare a Stormwater Site Plan using the step-by-step guidance APPUCANT SIGNATURE By signing the Stormwater Calculation 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 (`' NER AU HORtZEDREPRESENTATVESIGNATURE) 2 etomwret.w euic worraM ht-REV.10/12003 � oiv co JEFFERSO"COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT '4 621 Sheridan Street• Port Townsend •Washington 98368 "pia, 1 i 360/379-4450 • 360/379-4451 Fax d kq �0� www.co.jefferson.wa.us/commdevelopment S�NO'S Master Permit Application MLA: Project Description(include separate sheets as necessary): Pa, r i�Cv Tax Parcel Q Property lJl Number: - t 4OQ -O0-1 Size: (acres/square feet) Site Address and/or Directions to Property: ?'b cow , — 8 Property Owner(s)of Record: A en. 4- T71 Telephone: U 2,5- "( )ZCC) Fax: email: Mailing Address: L $(E-{ -i-1/1 '� ?�) £ U,x}© lV t[ C 'O 1-1 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) 4-Peih. 142.-tpI—Untet.P% ❑ Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** ❑Single Family ❑ Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address 0 Road Approach 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment 0 Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent 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 attomey's foes 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 its employees,representatives or agents for the sole purpose of application review and an re • Ater-n tions.Access and right of entry to this property shall be requested and shall occur only during regular business hours.Signat re: - Date: ( I-41 ' S The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable onsibility f dhering to and complying with the ESA. The Applicant has read this diflaimer and signs and dates it below. Signature: Date: G:\PermitCenter\F DRD FORMS\Master Permit Application 7-8-04.doc . . _ .., 286.60' N 02 23'57"E r-,-, -, i 25' BUFFER =I C=1 r-rii --- •••••• .m.m ammo mama =no = c..n = 1 — 1 clii C) 4., 1 C3 .....4 .-",., ,„, q• CCP • 400t0e, %C 4:'+- I I • /..,---4. C: \./ -'• C ‘k(\.0 1/4,8 )( <<\ l 7 27 - \- ,,,,, \ ) --4 I pr.- / '''' , . ,...., Af. 7 0 -----...„...,... I cALN1 • 1 . ---.1 I••••••• 0 -.'... ••., ..., I CO,. • , 0 CA 0 CA ..... si I .Si _., .. . , > x- zcx, - I / 231 CO -0 ,.... . 71 IA \ CD r11 CO Z z w ci \ > rn oo ,8„.. e K Pl P1 0 •. 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