HomeMy WebLinkAboutBLD2006-00095 •
BUILDING PERMIT 0
Jefferson County Department of Community Development
__________,..............
621 Sheridan Street, Port Townsend, WA 98368
UP21.-its: (360)379-4450 FAX (360)379-4451
BLD06-00095
190 W UNCAS RD Received Date
PORT TOWNSEND, 98368 Issue Date 03/3/2006
APPLICANT: JOHN A SABELLA 03/22/2006
ELIZABETH BOWMAN SABELLA PHONE:805 W EMERSON ST 206 281 8626
SEATTLE WA 981191411
SUBDIVISION:
PARCEL NUMBER: 902234017
Section: 23 Township: Block: Lot: T28
CONTRACTOR: 29 N Range: 02 W
OWNER/BUILDER
PHONE:
PROJECT DESCRIPTION:
PLMB
NEW POLE BLDG ( WKSHP W/qTT SHED) BOTH UNHTD $ NO
CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO
SETBACKS•
: �I�, p�,«� YOUR PROJECT.
UFFER: _
Footing: �t ti r
���,
1 b
Foundation: i \ 0A.
Stormwater INAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall :
Sheathing:
Framing: : 1 , .
'a ' - tit •
I
Plumbing:
Propane Tank/Lines:
Insulation:
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can
Road Approach Final Approval:
Zonin Approval:
Final A be attempted.
ina ccupancy Approval:
(—WEALTH DEPARTMENT AND PUBLIC WORKS N
ORKS 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 ADVA
Office Hours 9:00 a.m. - TO SCHEDULE INSPECTIONS.
p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY -SEE REVERSE
IJ ILDING PERMIT APPLICATSN MLA06-00094
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00095 Received Date: 3/3/2006
SITE ADDRESS: 190 W UNCAS RD
PORT TOWNSEND, 98368
OWNER: JOHN A SABELLA PHONE: 206-281-8626
ELIZABETH BOWMAN SABELLA
805 W EMERSON ST
SEATTLE WA 981191411
SUBDIVISION: Block: Lot: T28
PARCEL NUMBER: 902234017 Section: 23 Township: 29 N Range: 02 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NEW POLE BLDG ( WKSHP WI ATT SHED) BOTH UNHTD & NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 1,728
VALUATION 100,000.00 ADD'L: 1,728 HEAT TYPE: UH
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY: R-3 UNHEATED: # OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: 576 SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
(ln(0(1/22)
-
Type Amount Paid By: Date: Receipt: A 1 P "' se
.e VtE D
Permit $993.75 LYK 03/03/06 79134
Plan Check $645.94 LYK 03/03/06 79134 MAR as 2006
State Building Code $4.50 LYK 03/03/06 79134
Total: $1,644.19 Jefferson Cuaity I'lanninu
&Building Llepartmant
nn
411
STORMWATER SITE PLAN SUBMITre° .' PROVED
WATER PLAN
TEMPLATE
MAR 1 0 2000
MLA# PROJECT/APPLICANT NAME: John&Elizabeth Bowman Sabell
Workshop
JEFFERS OU Y
DEPT.OF C D•V OP . T
SIGNATURE.
Please answer all of the following questions to the best o1 your ability. Where the question calls or dep n
on a site map, the applicant may choose to either incorporate the elements into the general plot plan for e
Master Land Use Application or to submit a separate stormwater site plan map. p�
Stor� ater ,.01�,.. ..
Project Overview Required._ 14
1. Describe the proposed developed conditions o` the site. Indicate position and relative size of
proposed improvements on the site map.
Construct 48 x 36-foot, unheated, unplumbed workshop with attached, unheated shed.
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
Building site is flat.Gently sloping (10 percent), forested slopes rise behind site to W.and N.
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
Building site and access road grass covered.Second growth cedar/fir forest to
W.and N. Natural vegetation between building site and W.Uncas Road
4. Describe the existing soils. Indicate soil type on the site map.
Compact sand and gravel (to depth of 40 feet at well).
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.
Stormwater percolates through sand and gravel to shale layer then under\o i ( 1(A `l/771_1 ,�
to valley bottom.
6. Describe any excess levels of noise generated by the proposed use or activity: MAR - 3 2006
N/A
JEFFERS6f COf. .:.
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.
Stream at southern boundary of property buffered from building site by 300 feet of cedar/fir
forest and understory.Ten percent forested slopes to N.and W.of building site.
• •
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.).
Building site sits on flat bench amid a gently(10 percent)sloping,forested five-acre parcel
bisected by W.Uncas Road.Long-established access road to site.Water and
power to site.Single-family house to be constructed in northwest corner of parcel.
Owner's rental trailer to east of W. Uncas Road.
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.
9.
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.
Construct perimeter drain around building foundation utilizing filter fabric and
drain rock. Stormwater will be directed to dry well/sediment barrier that will impede it
so it percolates Into compact sand and gravel soil.Soil conditions prevent surface
water or sediment from leaving site.
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.]
Perimeter drain and dry well/sediment barrier
11. Describe the performance goals and standards applicable to the project.
Goal is produce no alteration to existing stormwater conditions.
12. Describe the flow control system.
N/A
AP
•
13. Describe the water quality system.
MAR - 3 2006
N/A
JEFFERSON 1 i!N({;
• •
14. Describe the conveyance system analysis and design.
N/A
15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess
material.
N/A
16. Proposed methods of placement and compaction consistent with the applicable standards on
Appendix Chapter 33 of the Uniform Building Code.
N/A
17. Describe the proposed surfacing material.
Compact sand&gravel
18. Describe methods for restoration of the site.
Disturbed areas to be re-vegetated with native plants
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.
N/A
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
N/A
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 con, 'n more restrictive
drainage-related requirements, describe those conditions or restrictions he i '' i t
N/A
MAR — 3 2006
iltr-rEq"Cililinir 'PI
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.
i •
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
REcEIT1EMAR - 3 2006
• •
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.
Owner Will Do
2. Establish Construction Access.
Owner Will Do
3. Control Flow Rates.
N/A
4. Install Sediment Controls.
Soil conditions, grass covered compact sand&gravel,eliminate movement of sediments
5. Stabilize Soils.
Re-vegetate all disturbed areas.
6. Protect Slopes.
N/A
7. Protect Drain Inlets.
N/A
R E C E1r Vj E T
tiAR z ��
12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets. % 4�,t 31`
• •
N/A
9. Control Pollutants.
No hazardous materials present on site during construction.
10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site).
N/A
11. Maintain Best Management Practices (BMPs).
Owner Will Do
12. Manage the Project.
Owner Will Do
' '( I :Ii s``, IF VV)
MAR — 3 2006
JEFFERSONN COUNTY DC[
•
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance(e.g.,streams,lakes,wetlands, residential areas,
roads).
Stream at south perimeter buffered by 300 feet of cedar/fir forest. Only adjacent residence is our trailer across W.
Uncas Road.Construction activity buffered from road by vegetation.
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
N/A
1 , JE��CEIV D
MAR - 3 2006
. •
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
N/A
b. Description of special requirements for working in or near environmentally sensitive areas.
N/A
R.ECIEIVF
MAR - 3 2006
JEFFERcilP s=!i} { OP
• •
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).
N/A
5. Construction Phasing.
a. Construction sequence
Set poles, pour slab,erect building
b. Construction phasing (if proposed)
N/A
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
Summer, 2006
II.Wet Season Construction Activities.
a. Proposed wet season construction activities.
N/A
b. Proposed wet season construction activities for environmentally sensitive areas.
N/A
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
John&Elizabeth Bowman Sabella
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
N/A
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 J E ;�
MAR ® 3 2006
rroc,n ;
•
•
SECTION II — 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 control/restrictor device location and details. R E lC E i[\;'j�t'
h. Specify mulch and/or recommended cover of berms and slopes. °'L.
i. Provide rock specifications and detail for rock check dam(s), if applicable.
j. Specify spacing for rock check dams as required. MAR - 3 2006
k. Provide front and side sections of typical rock check dams.
I. Indicate the locations and provide details and specifications for silt fabri
m. Locate the construction entrance and provide a cetail. �CETr11 uuiv
PP '
iv
6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual
should be explained and illustrated with detailed drawings.
03/03/2006 16:50 360379.1 JEFF CO DCD • PAGE 02/02
•
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 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 shal 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
structurai source control BMPa (not standard on-alto stormwater management BMPs); the applicant shall
submit a final corrected plan ("as-bullts") 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 i th full howl ge and consent of all owners of the affected property.
I
- 4) 166
(LAN OR AUThORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY SE USED FOR ADDITIONAL NOTES, IF NEEDED:
RECEIVED
MAR - 6 2006
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John &Libby Sabella
Workshop Site Plan
P-°1 � IIIIT 190 W. Uncas Road
'{ /workshop footprint,36 x 48 foot unheated / Port Townsend,WA 98368
e5 E tw�` building plus 12 x 48 foot attached shed Tax Parcel: 902 234 017
- —�._._ �r mat --_� Phone: 206-281-8626
Fax: 206-217-0899
i / J
curtain drain&dry well/sediment barrier,
\' Cell: 206-714-4732
25feetfrombuilding email:john@johnsabella.com
•
SPECIAL CONDITIONS FOR CASE BLD06-00095 •
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 or
stream buffers. 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.) 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.
7.) To help prevent seawater from intruding landward into underground aquifers, all new
development activity on Marrowstone Island, Indian Island and within 1/4 mile of any
marine shoreline shall be required to infiltrate all stormwater runoff onsite.
8.) The identified Fish and Wildlife Habitat Area (Type 3 Stream), shall maintain a vegetative
buffer setback of 100-feet. The setback shall be measured horizontally from the Ordinary
High Water Mark (OHWM) to the proposed development.
9.) An additional setback of five (5) feet is required from the edge of the stream buffer area to
the proposed pole building.
10.) A permanent physical separation along the boundary of the stream buffer area shall be
installed and permanently maintained. Such separation can include installing logs, trees,
a hedgerow, or any other prominent physical marking approved by the UDC Administrator.
11.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per
parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to
and during construction activities. The signs shall contain the following statement: "Buffer
- Do Not Remove or Alter Existing Vegetation."
12.) 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.
13.) 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.
14.) 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.
15.) MANDATORY MEASURES OF HIGH 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.
16.) MANDATORY MEASURES FOR HIGH RISK 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 requirements:
a. Variance from Chapter 173 WAC standards granted by Ecology per WAC 173-160-106
for a new groundwater well within 100 feet of a sea-salt water intrusion area per WAC
173-160-171 (i.e., within 100 feet of a groundwater source showing chloride
concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an
existing or proposed groundwater well not subject to an Ecology variance, applicant must
provide evidence through a hydrogeologic assessment(relevant components of an
Aquifer Recharge Area Report per UDC 3.6.10.e) of a reasonable probability that the
subject aquifer will not be degraded by the proposed use of well.
b. Installation of a flow meter.
c. On-going well monitoring for chloride concentration.
d. Submittal of flow and chloride data to the County per monitoring program.
3. If public water is unavailable, a qualifying alternative system may be used as proof of
potable water.
17.) The property owner shall comply with Water Conservation Measures (per list maintained
by the UDC Administrator).
18.) A flow meter shall be installed prior to final sign off of the building permit.
19.) On-going well monitoring for chloride concentration is required. The property owner shall
allow access to Jefferson County PUD or approved contractor to take samples as
required.
20.) The project shall adhere to the Best Management Practices (BMPs) to controrstormwater
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.
21.) 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.
22.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
23.) 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).
24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
25.) The building height is not to exceed 35 feet.
26.) 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.
27.) 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.
28.) Minimum setback from West Uncas Road 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 stricter
setback shall apply.
29.) The project is located in close proximity to an identified wetland and is subject to the
delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code.
Based upon the proposed location of the project in relation to the identified wetland, the
applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer
requirements by fifty(50) percent. The applicant acknowledges the additional setback
and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland
delineation requirements of the Unified Development Code.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
• - if)'AD 7 r\ 0 5- a(1p M L A 5--a5i,
r goN �p JEFFERSON COUNTY
!� DEPARTMENT OF COMMUNITY DEVELOPMENT
` ^' I 621 Sheridan Street • Port Townsend • Washington 98368 MAR _ 3 2006
360/379-4450 • 360/379-4451 Fax
� p� www.co.jefferson.wa.us/commdevelopment
$IN
Master Permit Application MLA: o(r
Project Description (include separate sheets as necessary):c34)c12u:_j I 0,0 OF L)Ai tf
(A),)PLU O S p W - A n---t t -c U ti�(� -riE D Slit--F.-ID -
Tax Parcel Property
�U �3
Number: 0/ 7 Size: (acres/s arafeet)
Site Address and/or Directions to Property: /'Yo Gt1 j/UC4' /2-0/0
Property Owner(s)of Record: it/4126 Li A- fl &f i uit -
Telephone: Fax: -, : 1 7 O c j email: ,Jo ket ,b1Avdiet tar
Mailing Address: SOS LA) >v+ �_42_ 0;ti DI-, ) `�f,4-tT� Ivry( % .11
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
uilding ❑ 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 0 Long Plat**
❑ Address T Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑ Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
n Stormwater Management ❑ Shoreline Management Substantial Development**
icSite Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
Li Temporary Use LjA �S —l.Yac�SS- ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
n Wireless Telecommunication* [l Jefferson County Shoreline Master Program Amendment
[1 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 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 its employees,representatives or agents for the sole purpose of application
review and any 'red I errn�./ tions.Access and right o>entry to is property shall be requested and shall occur only during regular business
hours. , ,�,q
Signature: b C fi� St C C1 Date: 4,, c764
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)eve '. are in c a e with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-tray - • res on i it r 'r adhering to and complying with e ES The Applicant has read this.dliscl merpdi9ns and dates it below.
/A ,/� � � Date: �/ b
0 •
OWNER BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assumin r-i po/J/p
sibili, of the General Contractor for the proposed project. ''
Signature: ' , Date: � A d6
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) MAR -( 3 g06
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX: ( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathro- oms: Shoreline: Type of Sewage Disposal:
New /" Wood Existing: ❑ Sewer
❑ Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
❑ Repair ❑ Masonry SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
Type of Heat: Proposed: ❑ Public
Total: Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants, employees, etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit, mark all items below that apply:
i Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components,
including the reserve area.
Square Footage For Office Use Only 'I1i3 '/RQL'R (rJ.('( )
Current Proposed Amount
Main Floor Consistency Review: G
2Nu Floor �_ Base fee: G
3rd Floor Additional Section:
Mezzanine: - Plan Check fee: %-fib.
%
Heated Basement - State Surcharge fee: ' /j �;�-
-�
1 �J(,I
Unheated Basement - Pot Water Review fee:
Other Unheated - 911/Rd Approach fee:
Gaskopre � / /- �t ts���I
UNt� l Eb c fir S X i 7(A 6a TOTAL: $ I Q. 19
Decks Receipt Number: rig+3L...
Other Cash/Check Number: 35-9
ESTIMATED COST(REQUIRED) t.911, Kj Date: 3 �5)t
•Fair market vSfUe-of-all IaSOFand materials foundation o finish l
/°V, eJi)/> Initials: C