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HomeMy WebLinkAboutBLD2006-00145 06 tILDING PERMIT APPLICA1N MRL Review Ty 136 Ype: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00145 Received Date: 3/27/2006 SITE ADDRESS: 91 SYLOPASH LN BRINNON, 98320 OWNER: TERENCE M BYRNE PHONE: 12343 HIRAM PL NE SEATTLE WA 981255325 SUBDIVISION: Block: Lot: T 42+ PARCEL NUMBER: 502022012 Section: 2 Township: 25 N Range: 02 W CONTRACTOR: ARMSTRONG HMS REDMOND INC PHONE: (425)885-5552 COLLEEN 16720 REMOND WAY REDMOND WA 98050 Contractor's License ARMSTHR290KP Expires 5/7/2007 REPRESENTATIVE: ARMSTRONG HOMES PHONE: 425-883-4741 COLLEEN 16720 REDMOND WAY PROJECT DESCRIPTIOI' NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,014 VALUATION 300,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: R-3 OCCUPANCY: UNHEATED: # OF STORIES: OTHER: CONST TYPE: 5N GARAGE: 520 SHORELINE: CONST TYPE: DECK: 112 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date :[) Permit $2,113.75 LYK 03/27/06 80873 JUN aim Plan Check $1,373.94 LYK 03/27/06 80873 State Building Code $4.50 LYK 03/27/06 80873 Jefferson County Planning Potable Water Application $55.00 LYK 03/27/06 80873 & Building Department Total: $3,547.19 • BUILDING PERMI T Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00145 Received Date 03/27/2006 SITE ADDRESS: 91 SYLOPASH LN Issue Date 06/20/2006 BRINNON, 98320 APPLICANT: TERENCE M BYRNE PHONE: 12343 HIRAM PL NE SEATTLE WA 981255325 SUBDIVISION: Block: Lot: T 42+ PARCEL NUMBER: 502022012 Section: 2 Township: 25 N Range: 02 W CONTRACTOR: ARMSTRONG HMS REDMOND INC PHONE: (425)885-5552 COLLEEN 16720 REMOND WAY REDMOND WA 98050 Contractor's License: ARMSTHR290KP Expires: 5/7/2007 PROJECT DESCRIPTION: NSFR W/ATT GARAGE CALL IN FOR THE REQUIR D INSPECTIONS TH T APPLY TO YOUR PROJECT. SETBACKS: et_ LC�t btij UFFER: Footing: -cc? NA/�S Foundation:M1 � l-1111 qj ANA. Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing:''' 1 Framing: (,v f- 11.r,, 'e'U 10� 6 cP 4'pp. K 4 i�[/40:4 Plumbing:. ),' f' ()N(,)/ 1 t) A�SC`C r 044 0 ZTGst &i(-i-c:-c: WZ)r...t -d„, Propane Tank/�1Lines: �+ Insulation: C1r4 54ggL O4 I /374L/ /72 ;Z/ y‘)V (� Sheetrock:J-'3��y Septic Sytem Final Approval MUST be obtained before firal of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: in Z 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 CAbE BLD06-00145 • 1.) Per letter dated February 4, 2005 from Westech Company the proponent will utilize buffer averaging. The proposal has added 25% (37.5 feet) to the buffer along the southern half of the property and subtracted 25% (37.5 feet) along the northern portion of the property. The buffer averaging areas are each approximately 2950 square feet in size (added to the south side and subtracted from the north side. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 2.) Wetland 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 contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." PER LETTER DATED FEBRUARY 4, 2005 FROM WESTECH COMPANY, THE BUFFER ZONE WAS ORIGINALLY FLAGGED WITH YELLOW-E3LACK STRIPED FLAGGING ON 24 INCH WOODEN STAKES. THE NEW BUFFER AVERAGING LINE IS MARKED IN THE FIELD WITH ORANGE-BLACK STRIPED FLAGGING ON 24 INCH AND 48 INCH WOODEN STAKES. THE ORIGINAL BUFFER ZONE FLAGS HAVE BEEN LEFT IN PLACE AS REFERENCE POINTS. 3.) A permanent physical separation along the upland boundary of the wetland 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. 4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 5.) 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. 6.) 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. 7.) 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. 8.) MANDATORY MEASURES FO AN AT 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. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 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. 9.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 10.) 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. 11.) 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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). 14.) The building height is not to exceed 35 feet. 15.) Minimum setback from Sylopash Lane right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Rear setback: per letter dated February 4, 2005 from Westech Company the proponent will utilize buffer averaging. The proposal has added 25% (37.5 feet) to the buffer along the southern half of the property and subtracted 25% (37.5 feet) along the northern portion of the property. The buffer averaging areas are each approximately 2950 square feet in size (added to the south side and subtracted from the north side. 16.) 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. 17.) 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. 18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 19.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 20.) A minimum of two (2) on-site parking spaces shall be provided for the single Tamily residence. 21.) NO CONSTRUCTION ACTIVITY SHALL OCCUR IN THE WETLAND BUFFER ZONE. A SILT FENCE SHALL BE ERECTED BOTH AS A PHYSICAL INDICATOR OF THE LOCATION OF THE BUFFER ZONE EDGE, AND AS A PROTECTION MEASURE TO PREVENT SILTATION OF THE BUFER ZONE AND WETLAND. THE SILT FENCE SHOULD BE ADEQUATELY MAINTAINED DURING THE CONSTRUCTION PERIOD. GRADED AREAS SHOULD NOT BE LEFT AS BARE GROUND DURING THE RAINY MONTHS (OCTOBER THROUGH APRIL). 22.) GRASSES OR OTHER PLANTS SHOULD BE ESTABLISHED IMMEDIATELY UPON COMPLETION OF CONSTRUCTION. ANY BARE AREAS WHICH MUST BE LEFT FOR MORE THAN A FEW DAYS SHOULD BE COVERED WITH AN EROSION /SILTATION CONTROL BARRIER SUCH AS JUTE NETTING, OR EQUIVALENT. 23.) Flood proofing measures are to be used as required by the Jefferson County Flood Damage Prevention Ordinance. 24.) All new construction shall use construction methods which minimize flood damage. 25.) New construction shall have the lowest floor elevated to at least one foot above base flood elevation. 26.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 27.) All new construction shall: a. be anchored to prevent flotation, collapse, or lateral movement of the sturcture. b. be constructed with materials and utility equipment resistant to flood damage and potential damage to adjacent properties. c. be constructed using methods and practices that minimize flood damage. d. have structural components capable of resisting hydrostatic and hydrodynamic loads and the effects of buoyancy. e. electrical, heating, ventilation, plumbing, air-conditioning equipment, and other service facilities shall be designed and/or otherwise elevated or located so as to prevent water from entering or accumulating within the components during conditions of flooding. 28.) Flood proofing of structures shall be provided by one or more of the following methods: a. Landfill: (Note: Landfills are not permitted in the floodway.) The placement of fill may be utilized to elevate the structure and must comply with the standards and policies of the Jefferson County Shoreline Master Program, if applicable. b. Pole, pier or piling construction: The use of poles, piers, or piles for the foundation of the structure may be used to allow the unrestricted flow of flood waters during periods at a base flood. The lowest floor must be one foot above the base flood level. c. Parallel Foundation Walls: Foundation walls may be designed and constructed to provide open spaces through which water can flow unrestricted to equalize pressure. In velocity flood situations, it is important that all foundation walls be parallel to the flow of the floodwaters. d. Extended Foundation Walls and Basements: (Note: Extended foundation walls and basements are not permitted in the floodway.) The lowest habitable floor of a residence may be constructed on foundation walls that extend above grade to one foot above the height of the base flood provided that residential construction complies with the requirment of Section 5.101(2), "Residential Construction," regarding the design of enclosed areas. 29.) A"Construction Drawing" Flood Elevation Cetificate was prepared by a licensed surveyor and submitted with the application. The Certificate identified the base flood elevation of 11 feet. The lowest floor of the structure is required to be elevated at least one (1) foot above base flood elevation or 12 feet. PRIOR TO FINAL BUIDLING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL"FINISHED CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON. 30.) ' AT TIME THAT THE COUNTYUILDING INSPECTOR MAKES THE FIRS • INSPECTION, THE PROPONENT/CONTRACTOR SHALL HAVE THE RESPONSIBILITY TO MAKE SURE THAT THE FLAGGING FOR THE WETLAND BUFFER IS IN PLACE SO THEY KNOW WHAT TO MEASURE FROM TO THE FOUNDATION. IF FLAGGING IS NOT IN PLACE, THEN INSPECTION SHALL BE "FAILED". (PER LETTER DATED FEBRUARY 4, 2005 FROM WESTECH COMPANY, THE BUFFER ZONE WAS ORIGINALLY FLAGGED WITH YELLOW-BLACK STRIPED FLAGGING ON 24 INCH WOODEN STAKES. THE NEVV BUFFER AVERAGING LINE IS MARKED IN THE FIELD WITH ORANGE-BLACK STRIPED FLAGGING ON 24 INCH AND 48 INCH WOODEN STAKES. THE ORIGINAL BUFFER ZONE FLAGS HAVE BEEN LEFT IN PLACE AS REFERENCE POINTS). I:\F_BLD_Permit_Buildng.rpt 1 0/29/1 999 illId Shea/Peter Becker 11360-565-1333 p. 4 • • _-,- Sylopash Lane 4 165' b - -' • A Garage I Existing Home . _c, iv 0 -, c4 a?. 3 °-ID 0 0 .-;•'!• 71 (13 : a$ -- •••\,,:..:::>.- —''...--F -a--., - (..) .,... 6 )„, Lo * •-•;,1)- K < • —. ,m N . .. tv • , -• • -0 ....v 0 co -----.............4..;\ , ..,._.-7, ., ,-:.,. ,-.. uffer zone boundary 1 ,.x..; z c ' "\' ',,>•':-'• .._. — . --. co I.. \ •• , - t i 0 rn71 •1‘,,,,,. • •••) xj Cri Wetland boundary— ' k -0 ...- I.: - "Cs -.• CD .. • 0 cri cn .... I .--. CU = ' r- 0 1: V Co CO = 0 0 1/42 • co c 0 sp * a. g CD > cra , < 0 0) cp ,- sii CL cc — a 00 pa 0 m 0_ ET 4:6 Z (.0 7j 0_ a) 01 < Ci) "di' 0 0. m 0 2 Itki4 0 a- co 3 u) $‘ -- P cp r. 0 ' iAll (1) 0 2 2 a a 0 „ .. 0 0 . . 3 — . -ci 7:3 ,, • c.‘,,, L. l• : . Eu cu H ,1 ' = D , — I i r t i ..... ',..< , ;j I l'•) r•J "lb' ',: ''. - 0 0 0 ca APR 2 5 2006 1 - 0, 0, .-- iff(I:7 NCOJEFFERS COUNTY111 ` DEPARTMENT OF COMMUNITY DEVELOPMENT MAR 2 7 2006 eridan Street • Port Townsend •Washington 98368360/379-4450 • 360/379-4451 Fax O� www.co.jefferson.wa.us/commdeveloprnent �7L I C C C t L�c O�IV O M�y nJ �'U (1 Master Permit Application MLA: f ( ' !3 I Project Description(include separate sheets as necessary): 604 SAL,,C71- ,cSiti6tC, 001-49 -.r_SAIOC-i4CE; Tax Parcel Property f Number: 23,01 9-- Size: ! > (acres/square feet) Site Address and/or Directions to Property: ffif `3 L4 <g Li l,,S5 f :�' .0• �/� Property Owner(s)of Record:- I _. ut:-_, Telephone: Fax: _ email: Mailing Address: /� Applicant/Agent(if different from owner): l:1 .- t _-.S 11 Telephone: v S-- �j Fax: 5 - ?'-4 7 V/ email: C C . Mailing Address: iL`7, -IC77���jE I D C/'_.&9 (,L'��j�� -IL What kind of Permit?(Check each box that applies) ❑ Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑pemolition Permit []Conditional Use[C(a),C(d),or C)** Single Fa y,----, El Discretionary"D"or Unnamed Use Classification f 'Garage ` ttactied-f"betached El Special Use(Essential Public Facilities)** '❑ ManufactureaHome ❑ Boundary Line Adjustment ❑ Modular ❑Short Plat** ❑ Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** El Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** El Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* El Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑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: 1 DESIGNATION OF AGENT I hereby designate c -N) kSt.A.A to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /. mot-i-t�GT G7.-( 6e>--.r-� -' Date:2" — e, C,C 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 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 require ater inspections.Access and right of,entry to this property shall be requested and shall occur ly during regular business hours. J,/ Signature: '" fh,P4 Date: 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 y u are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transf le re onsibility for ad eri g to an mplying with the ESA. The Applicant has read this cia' an signs and dates it below. Signature: Date: > / G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc r `�:: r I_AA, 1 1) 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- I,j4cer�geo• .«•rs and that they will be assuming the responsibility of the General Contractor for the proposed project. MAR (r+ I I t Signature: Date: tt trrry a. r�i I(�S, ;;''}}i 1, S .i� rt rt,ld 1,�i� iii l+0 G NERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: • �1 Hies fl,oN(, - � �3 OF -t E7 i ()K.J) c 5 ) 8 �-5 5 5 (is ) 3 y7 9/ MAILING ADDRESS: `G 7 � ,yen l yt�tl AL ec h a �/1 EMAIL: Q,c� red F); er� ,Le j- CONTRACTORS LICENSE 777777 /7 �V'J CJ J cre VJ WAINS NUMBER: A aca l► G$R.9_ CI.��/7 NUMBER ARCHITECT/ENGINEE ' �� 71\/& PHONE AA, )6aL3f FAX:( ) MAILING ADDRESS:Are l6 . .�K V �V,/Qu v A ► Aguju k EMAIL _ C) f'(..1)0--. Pr ct Type: Fra Type: Bathrooms: Shoreline: Type of Sewage Disposal: New Wood Existing: Sewer a Addition ❑ Steel Proposed: 'L. Bank Community System H Alteration/Remodel ❑ Concrete Total: p--- Height: ,'Individual System ❑ Repair ❑ Masonry SEP Permit# OS--q9 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 4Private well E Two Party Type of Heat: Proposed: .� 0 Public El. � 1(--- 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: 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 �l3 n� .t Current Proposed f K-E U ik.fmkat_ Main Floor Consistency Review: (:)° 2'Floor Base fee: 3fa Floor _ Additional Section: ) (275 Mezzanine: Plan Check fee: Heated Basement _ State Surcharge fee: LI5 d Unheated Basement _ Pot Water Review fee: O Other Unheated 911/Rd Approach fee: V Garage/Carport �!_I S�le -f� ._ ,S Q 1 a i art. �} - TOTAL: $ ii° ic Decks +�E -- 7/s2 9 t(4'(. 0i{ Receipt Number: D$ 1 3 Other Cash/Check Number: ESTIMATED COST(REQUIRED) --` I Ccj `ill %t; Date: i .Fair mark or a71 abbr aG�G Z _ foundation to finish O�� 1 0(0 CIO Initials: C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.doc • • st.sON RECE11 'T ED rili6 JEFFERSON COUNTY MAR ,,,f,3 ►'r DEPARTMENT OF COMMUNITY DEVELOPMENT !"► " 621 Sheridan Street • Port Townsend • Washington 98368 EEFF �€ -,qSO 360/379-4450 • 360/379-4451 Fax J _ l Lb API BCD �tIN http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# ®(p "' OL PROJECT/APPLICANT NAME: 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 pro used developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. �) f f (<ST7 Is3 f O::: , e9 ��t e) . ( e. 17g. Existing Conditions Summary DP ,7 PIP 2. Describe the existing topography. Indicate contours on the site map. APPkCAt C ' O 'L4010L., 3. Describe the existing vegetation. Indicat native vegetation areas on the site map. �3W6 + A S�f iet_xcg 13 g- f lam. 7:::iU (.c 7- r S . tom. 4. Describe the existing soils. Indicate soil type on the site map. "" cv L_ __ /A '-1 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the s1 --Dbove, 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. I / WE:.7 t�ti AIL �t _ f / y / 0 Ali Aq .7. 6. Describe any excess levels of noise generated by the proposed use or activity: -- APPROVED STORMWATER Pt AN Stormwpat Pl r UN 1 9 2006 stonnwatersite plan template.doc—rev.10/12/2003 Require 5 NS IEFFER 0 •IUNDEPT.OFC:! )r N y•'y M SIGNATURE: �� Wig) • . 13. Describe the water quality system. - -- ' -' CE QED MAP 7 2006 14. Describe the conveyance system analysis and design. c c) � — r JEFFERS Om'' !f' s; 'fry 15. Describe the source of fill material, physical characteristics of fill material,and deposition of excess material.f D!C D � .0(x-J , 7 f O7 �'.... ./11734/t `_ -Mai Lot t,.E to ;: /PA . 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. 4/1 r ') A/J jLo5/-06, 464 c if 18. Describe methods for restoration of the site. /° cc 6 Q 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "age"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. /kW 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. stormwater site plan template.doc—rev.10/12/2003 7 • I 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. S(CTION 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—CAnstruction SWPPP 1. Mark Cle ring Limits. Airy, Lbrc_ C ktIJ1HlzL0 2. Establish Construction Access. ,f 6-A t 'L'_ , r / - 16 7-7 ,ta viki 3. Control Flow Rates. -77 (• 4. Install Sediment Controls. LC)r ) f 5. Stabil Soi 6— 061A 106 of Au Il • t� I c, t,1 ,fi g fir"" ) A).T/ Afil 6. Protect Slopes. o i k <(C 1[��]I II 1__5 7. Protect Drain Inlets. JE fEgSJTU stormwater site plan template.doc—rev.10/12/2003 8 • • 12 Required Elements—CFpstruction SWPPP(continued) 8. Stabilize Channels and Outlets. A/,q . 9. 2oflutants. trol U . P1 (,,,-/tr.ac Iv tec, K 7-- /t )1M v_ -'D1c—(,.i1 . Control De-Watering t e act of mping groundwat or stormwater away from an active construction site). £ dU .0 l4 I 11. M intain Best Management Practices(BMPs). i 12. Manace the Project. 3)A,D 'T (.0, i blA A 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). #74...... b. Description of the downstream drainage path leading from the site to the receiving o I tlyT twwateri(rn pif lu i ci_istan 1e of 400 yards). i 'r o ....,.,.Ia > EFFERN C011 fill nr, 3. Environmentally Sensitive Areas. ( lt� a. Description of environmentally sensitive areas that ar n or adjacent to the site. ID- rzX — /CJ stormwater site plan template.doc—rev.10/12/2003 9 • • b. Descripti of special requirements for working in or near environmentally sensitive areas. < MINA�6" -t£#J • PWc7-r A 1 ,- mocks/ Cat,...)(P(V _ 6--q-r— 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). NA- 5. Construction Phasing.Construction a. equence b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schgdule. _ �( ,A)61Q I irs Vi V) ) L c- /JD l CE%Z l � �C.� -P- i a II. Wet Season Construction Activities. a. Proo��osed wet season construction activities. 444.... b. Propos d wet season construction activities for environmentally sensitive areas. z-<-1 7. Financial/Ownership Responsibilities. y, r r Gl a. Identify the property owner responsible for the initiation of bonds and/or other ftnanot'2i'seburities:•,x-s 7-6W ti 8cfA1.)E r c,,f,,;1it? ,,[,rleFtr, b. Describe bonds and/or other evidence of financial responsibility for liability as ochdfg 7itft"l riigdn dnit4edimentation impacts. /1\14"°.' 8. Engineering Calculations. Provide Design Calcula'ons on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. c. Waterways. A--- d. Runoff/Stormwater Detention Calculations stonmwater site plan template doc—rev.10/12/2003 10 I • 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. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DA E) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: RECEi[ '' avD MAR 2 7 /2' L! �,;i) JEFFERSON Cilm nr0 stormwater site plan template.doc—rev.10/12/2003 12 of- / ym / 7'-1 V1' 3'-I IO' / 1'-14 IO.p• III-03 34 G o 0 4 10C)C1 o G 4 o 0 4 © e c5a Sc c o 1 {I''{�� �I IT tlF1A O YHG ILLb v.1E SS 11.A�. 11 \ } ,` I TYp 7'-4•ODEPIC AT GOES 1 GTEJ'i•XQ'-eY'IC AT CENTER g F7ix/'-0_PC F J -6.YN 7 -- ® / ry uaD RAIL �,. 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''7 :' 0 , • k 1. ,. dolPt?. ___----------- ....,c. ..„.. . •,, ,. 1'0 • ;'s-' 1,, -- •:-.. ‹,.. ii, .... ...... i TA 1° 36 '-- Meik (-,(. k.:::k-ick) 1444a) I ThiE ou. Tbiocoq po o • Lioikico Pcovt, /05 0 /330 / 03_ r J 1 �� J 8 • i 4 41 „.1, 3 Weil 1---- /06 4ACMG P r kii , I E C , f Q (.UA1K:17't1 RECEivED 4-r71, APR - 7 2006 JEFFERSON COUNTY DO Y InL A 0 to- 1'(c