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HomeMy WebLinkAboutBLD2006-00175 110 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD06-00175 SITE ADDRESS: 103 TWINSVIEW CT Issue Date: 05/18/2006 PORT LUDLOW, 98365 Final Date: 1/10/2007 APPLICANT: PAUL A TRACI PHONE: KATHLEEN E TRACI 10 ADMIRALTY LN UNIT 310 PORT LUDLOW WA 983658255 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: 16 PARCEL NUMBER: 969800016 Section: 17 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NSFR W/ATT GARAGE & Ah3 120 GAL PROP TANK THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP:- _ TYPE OF CONSTRUCTION: 5� SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 1/10/2007 �i t h _ iota c1-i GAL I I I OICTI Building 0 icial S nature Date I:\F_BLD_Occupancy.rpt 10/29/19 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00175 Received Date 04/13/2006 SITE ADDRESS: 103 TWINSVIEW CT Issue Date 05/18/2006 PORT LUDLOW, 98365 APPLICANT: PAUL A TRACI PHONE: KATHLEEN E TRACI 10 ADMIRALTY LN UNIT 310 PORT LUDLOW WA 983658255 SUBDIVISION: LUDLOW POINT VILLAGE DIV 4 Block: Lot: 16 PARCEL NUMBER: 969800016 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 360-3 Contractor's License: KELLESI1 SOLF Expires: 6/6 2007 5 3115 PROJECT DESCRIPTION: NSFR W/ATT GARAGE &A/G 120 GAL PROP TANK CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. SETBACKS: !. G,S�CL .. UFFER: CD —D( ' /P,5 4/0 #11(1):01111:°tnidngat.ior> 4,11/44;111c1444-141 S ()V\L -2.s'0(�S� )A Q NOT �vUv�e�� o v'G v.,c c��@ � � a\ � 6A R�S�o�Ca �Stormwater FINAL AaI:�GRr iae herl*ac JCS (941 Underground Plumbing: � 61/. Underground Insulation: Shear Wall : ArERiOR 54&pz 61/1./AX ok 71s3/4 Sheathing: Framing: u.4, ,()Ut, 40a111/�04..S /M4' N Plumbing: OK E722 4.4 Propane Tank/Lines: ! Air dues Dk l Insulation: Ill p z OICB 61‘ 1-1$ eiK L�6/L/.ar !V-rad NtA6 biE� owe10 Sheetrock: Qt 96 gi9SbkF OK 6/2/4 Septic Sytem Final Approval M' UST e obtained before final of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval:Q,-/-$—B7 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 CAE # BLD06-00175 • 1.) 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. 2.) 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. 3.) 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. 4.) 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. 5.) The property owner shall comply with Water Conservatio- Measures (per list maintained 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 Storm Water 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.) Minimum setbacks from Twinsview Court and Paradise Bay Road rights-of-ways shall be 20 feet. Minimum side yard setbacks shall be 5 feet. 12.) 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. 13.) 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. 14.) The building height is not to exceed 35 feet. 15.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 16.) Per the MPR Code Section 3.17, Accessory Dwelling Units (ADU's) shall not be allowed in the MPR-SF zone. I:\F_BLD_Permit_Buildngspt 1 0/29/1 999 a. APPROVED • • ' So, het' aItilA4 . 1. STORMWATER PLAN i ! ? - .-___ -et 1 ' lhai : A4Serrillkl" c APR 1 3 2006 I ° JEFFERSON CabIV ' 4 ..i4,4„,;. ► DEPARTMENT OF C. ' ' . •I . ►► ° ENT j 41. 621 Sheridan S reet�p6ft •^ rtf3 A "' • 368 . NOAO 360/379-4450 •APHAWIT41Aki r v j i, / p http://www.co.jefferson.wa.us/commdevel..e fik -ir .,r STORMWATER SITE PLAN SUBMITTAL TEMPLATE 3�Q MLA# /^ t Q - I PROJECT/APPLICANT NAME: -Ct IA I 4-Rck..�'/) t e e lf c I 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 prop65ed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map 2n - •+c 6 u_i (6( Qi n s (1le. -ravr►i It.: resid,e•v1cc w i -1-1- c.h e d 0..,Qt c t..,il-1A N tit r&r1- c fki e CO/ 11 i ri (4-t oora ci e e-r1 -P h e -C- t cci-- )--np. �n rt i r, 1 erf 1-h _F ` 4' (o f. Existing Conditions Summary C "CC et P rl rrfi w HIvilY tiai ((UC I t G ki [ t • bt scale 2. Describe the existing topography. Indicate contours.on the site map. Slnpes c North h �f_ _ tki cvk file Front- of Io+ a.)16( -*- n +he_ iA) Pst- orr --h Sid ef- e Ccrvier c (cf is Plat ottNa 16 itt hiSbes- ar6>c1_ cs-f 1-ht /Of. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. ridereireen—Fr EeS 1'1. 6 T'eri Yhgrte r`.s 0.1 Lcf- < SGu.�-h -1-- East irkfs) ( � 1((''UF'S c c.Edak free bPlLt;P�h at RI(✓ I iinrA 1" Y'1VPUi^!r`c/ bigiJes±j, I lrc�rre cf �I;e1-0recr1 'hoers 6rt IV L corner-- oflof€n SlopJe; r jrci, e 4. Describe the existing soils. Indicate soil type on the site map. 0f ve r 1 re.e-n s i r.. b c.c It S iJ C4,v-t-,e. -. 1 r i--, (Ar N d ; 1--C c k_s , Ira_v'e, 1 1 I X 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. (0)114 orL 10•t n 1_a+ +he st js Oct a_ h h-er toveI 4\0+,11 lilts©A-- ctnd drailis biv, one si'de, to •t-hi.c (tit. e_ lot cAArrerv`k-� ct r a s t h +h e, r-ira r1 aE� e cc re c. a.l o c 1-h-e.. •f'r cn`� c(- -el,* 'J l Y\ It,*- - T;s aria& borders -+ -\e sfree_.-t- . `-) 6. Describe any excess levels of noise generated by the proposed use or activity: N Ov rno I cnTi6tn cticK nni es . The rncr'lr�r r)Oice will ') . e r� l r-er`f--p d fi -I-h - e x c(x �I-I`v on of- -h w i f e- -re r- f-h-e in IA rl/iI eck-i n h r stormwater site plan template-rev.10/1/2003 5 • • . 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. mere k; cis s-t jn Y‘� 1'\e> buck of+he kit- (So athside) F re i�. ck rce y\-{-I>r . to pe f +Gee N µ N vv f r h t of to/ ahot a ry nt(_ c_ f ora.t' -# the o r\-rh e_ w ec f id€ o f-h'e /b1-- 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.). (ih fht/1711-s The. lof `i s ((acatet& ►r.. {-he,�?�,r-1- L-u�*Iot�u i>e_svrt.: Ih-ere aY-e J)Gi es A \ t (jTh f-`--he lot r) nd Gaero=--.s the <_-7reel , Seia:er/tAatCriRoad< (701(.1 IA- cs tire, cx v I&b i>✓ Cyr the e I hf . `tI'eye s c: �tL slope_ ^ , -1--h e. try,ett sides tTC 1--he lot- d a.. 4-t-ecT lo 1-he. st i ;Hi (back) side Cif- 'the to-l--. 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. S-f-or ' tA)t7, r L 4 b c fit 11� G t S Y�c'i . 1 s e)(14-s nA r jai yi.c 1.4;o'J( 'ft)Cl 'fJj t-fih t pe 4-L, -I-1A e -rw-rl+ f 'h e. lot ru he'p c 'fi t)e ate ma -e ct re a t.Q 11 VP a'ct e is tt 1✓r �n .� �e �t;�� t d rr^cx l'n e c`p1/4,r{)r ezt c i,u I 11 b e i+h N, Y-i'vo ktia 9 et- 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater trea'finent 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"Iarg "projects 2r projects that involve the potential for dispersion of contaminants.] Y-111. (AtedI!Ayr\ frsVeci) 11. Describe the performance goals and standards applicable to the project. l� I 1 P-)Y�st MC., g-ern�� t rart i'c.es it;i�l be arced dint-i '111. e pvvlpA }- +fits S14-c n� I"rc fa/tuti 1 t r es-id Dive VtI ;141 a 0 rf f 'iiri vag e., d ve i wee-Ai 41 r 12. Describe the flow control system. \ts t6te Crbr -the 1-)ot1se_ g r cj*. Act.yvt ri ve klett, -Fi\ere tuiI 1i 1e t Adi+t i^n A- -t-he.. vt c}BLc (2Y x ref -/-tea 'Fe e- OCF c , <- al- • dl' e, y aC>` he • 6(± u'e ki y-t— E o re v `(h e✓ Env acts lilrt—'6u,yvdim`-i he boos(- , e_ s(0 w +tt ekisC) b rc.vejet-ate t. Cf.) ] 00€ti-kev lot--Nat s c1 n fo fi'i i s j of evytet fit i s aIm yukd 4- 1e_ck b� f-he hc,�se Cott-rclat-i ncllLtin ty�ctt arc( off. the -a-ri t stormwater site plan template—rev. 0/1/2003 6 t?f the It t-o`-the st►"-e • • • • k 13. Describe the water quality system. t I I o !l u t a vt t l i U i c s ai.ct.s,' li cf s w v 11 b e sTor ek i n cr. c 6-n stra ct-i't n 5h ec( etisp�seck, cutcan 4\1i-cif (,niCZste c(ts ee D-ebri II c1c 4 dr.r tkimt'1--e1r-• e4d-Clea.4L1,5 tuGcT'ei^ LuI/I Ge des chck'ed 1n5 de tl�e e stirs.: ' o/4.44 let-f-,`-r1 ur�t�le� E��; I! rt�,p,, ArTi' �r�r lea Ks ctnZci recta i r'4. -b.serbent s Lci II onhrt.aut c;-91111s (exc. S . 14. Describe the conveyance system analysis and design. .i /ct _ 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. ' l )lc' fr1/ 1MGt e r11 be itSec� . f V iL� � 1,,,� I� berem � �e 'f' v�' hPSite (-zAA.c{ disrosecd Of- acrtly-,4t'n -try u, tsf Sa ( coan1y 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. -71/fi 17. Describe the proposed surfacing material. �i re.v e l) 5 rct s 0 r rct i+)/l5ctrk/st6 11 N- .�c'.rr►ehlt 18. Describe methods for restoration of the site. 11 d'1.57`IRY'6-ect ci reez s iui 1i Q_ ett-I\ev- pio t t erk irui-i-ik lrc;ss/S ra.cti,'f bar . c avet uurtik t►\ 4 uu 4Uer K- 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. '�Zc1 " r7r l • APR 1 3 2006 stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or 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. 1 i oP ' iP cc;1 j..✓f-r-tkct*-t>ti-v. ci fe IA lI i>.e onarkeek. i.0 i'Th e*( o� �lec� P_et -y,pj�t,, Vic':,nt✓e_ Thiswill otlsv sev-vN Gis pro-feet-tan cti'on e. ;a.P lam v� %Jec P"�(L' &-s1., 2. Establish Construction Access. I iia rr.9 s�x�(( i r\s f l of r i�e w �y There i5 F�71.1 " Dl�ei cta-x's ' road �eecjd iyt iv S, e , The re f�!�i 1I Le -S 'ineines `'$• c lea.-n cru,sheck rrjt.ks cut fLe s s°esinsi Le4,.-hrue- yravg u v-e:ces w1 l) i$e mcu +firoi i hoc. Co-nsiv a.01-'i y r bcL' ailAr a a!I Vehtic.lesuill 6 e v-estreei ri fr-this P»-t.n ctam e_ dens +c these 3. Control Flow Rates. Q"'eat r.L 11 b� i m meclect -e.lts. s'ee-,-{ea. " cc vev d- =:7-re.0 7 c p;-eve a As yNe5 dV >7etttv4. ( Ve P7I-r3 7'OY1 c-C- iYlE.c . tvifh s.eNolin5Sit-AJW k 1( '6e. Gas eA . Sedi m e n,*- Ariue.wct..- s u odes ill (tee. llev- .k ►. tjks suer, a.s +he. r©ec Lit{F_n___ a stem .x rv* tivkai)e n drec.ins core_ to getAl d ra i n o to -ln-five s-t'ree r d rtu r\o ' A.r ►w.t t'f I be,tcti(i z eJ, 4. Install Sediment Controls. ere wt II Le, /ver itI L(� a�t'sr���i ran of-five jqir-Punk b+.;x-Sae. ct 'f- ee_ - ,1..vv4',Cii o-r. et--i nhei-e it n dr-CLIVVFt'p1d . Srxrf..sre. rr r.off- z;er t/v►r:re_ Max try let A f zj !r+lt sivpinurcrffti'�n l>vecrtir►o n-Gu11 inEdint crl 'There aim 415 c ,rtavv,jt' frn3 c -fhe access rv.J.. ed- he belfcrnfft 5. Stabilize Soils. 1h e_ s(c P_• •S-fr2L,tt1 aid/t&.- Ail rdro .eeI t,u 11 be 14 seo. 4c slabi'I►zv ds Is lAtM sr iI ere-yvk. -1-in e .forAd li t eYCa i>e ct+vrtA IA)i{-t; pioS C duiri>or Fcitn toci-e ,. inciu.i(a.- ttit s- tx i )( beet6'evet. i{-hs 1 asscnr icts‘pcs.ibis a eru'aitct. ottier-t(is+v.rbeet se,;) u;)l( 'c. 1cec{a4/t4 6. Protect Slopes. ;t-h r n 3 ctct y s r�F di s rc:.p+r'en • s lt7 e W i f I nct 6e dPsturl��d ,: 7. Protect Drain Inlets. rrn ri rain o V1 l u +b 1. e,s h i1iive.C i-t ivv�- F� fi'i i s i b t' , Yr u y-ew•-pc.)�-'c�r� r ha_wne i s ate._n ec c_ss r t-� -�i3.1 1C�.� Lv 1 l\ be C s t 1"r;; ete ct i f Y1 E re air i.,\ stormwater site plan template-rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. b U 4,1) the c. &AA-i.e. s b*.e s e f , v}o tewc. c,h a e Is errs •YlPc-e.cserr There ? o idevAr at- erasion an C'vtd e it,t t1ot- b fVrtt,irtNd. b� C.P0nst-ruc.O{-i` 9. Control Pollutants. 'Po ItiA-ct.e.'t -s Ali gtud a-sotids (AI i(1 be. c'v&v'ed an&store{ to a prci-ecti've s-eyes e_,coit-t-u1nev- or- he Debris Lu;II h e sF-ored 1 n a Covered( s-jtsi-Fe, dwv► <� rr. (rnae.ntChevirac p to-1T- rt &au t' e, fii'ccha►^yett j vtt) e.6s'i-N15, 'Cr)fA ►vi n-vt . Vehicle.—hill Feaks trrtmevtia4-eb repaired, 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). The "e r r)o ev1clecice cfl s cevteln3 Wcd-ew o11-he s,'f ,. ere*-i,r - Hive y,o Pi* ' - ,ie. - tu, eri ha_ is '- -- / oHclpaf 11. Maintain Best Management Practices(BMPs). f^x t s t-;nc Sc=d t rn�.v �-ra sin. �e street s w ct(es 4 t.tlt c i,t. '�',.y.t, a4ts(, dery s �cz c( i • '1 • c ni cd 'i-K'1 c1 . v�c,e� Ctltmc J t,W;ct/ // 1 e repni rec4 It%s hin of l�r► � -,� try s'c� s trctn.t; �ivl. s a -. Th-e o tt-}fce(( frorn+ham t`ic h1 (ihe uji11 be m cpni{-t,red(. fvr 5 hcbr �i'1` . 12. Manage the Project. Nut- ve ria i'rgs' u:l'(I bc•»Lca+vi-eet YrePl .e a_s ite-ed€4' r Th owners dire restcFiv i6(e.. 4r,r w inc h . p r Jecf t fheek'C U a i'nvt a�vA-AA -to clo -, or - t . k 'is scinec��,cic `� :J Ma j . A1( i3es1 VA e3eime,,,* Frct.e ices ;Az II be rncni 'relit etA4-ek.. mcioitA.trted fro cc jtotut five- eArn-s `rt,-C t6,1 1rr,cless . 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 1?rs{-ur tru,1t,--e o f- oz-ccicz c•e.-vt.' cxectc dike +b ftve, devcloprnev t f C'i 1--e Ts ecA-Li i C i cut- . b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). rr^� Rei111 It}d.tev' TrtvA.'-The roc+ Gt;itI einffr 1-e. 3 utter ekowns at scyStrad � - be- oft're cat e-aL to +bte, rn&t-i -a ( Arai n a vie n i'1 e slop r N- f-11 e 4-n9-ra- Nor+A. ect'_s+er'-rt r©r i e-r o y- tJ-►e. lot, ors Wet,(-01 i 4t-c{rcii no- sv� to +kat- i)ooder-s -j- e t-}k*, t+e-v+k. c f- f l e s jo p _. jl,,is arm r1an eLfe rks 1l4+e ur e 3. Environmentally Sensitive Areas. ct b r,tJ yt .h e S.rrc et fr.) a. Description of environmentally sensitive areas that are on or adjacent to the site. ( 3; �e M e. s I o �c: c 'v`,nl. S1z2 e So c: -h Side u.'H I r7 Id- b e A-nki rx e,P - (o-t-s tv f l l »o f f'i'g fu.r b ect,.. • l; ATI11T7U0b stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. (\Ac-t il/ _e. 4'). v-o v aft U e e fod-P-t E.&i i f 1- ±ee cwo--71;c ti . ►_ ate i/1 e red la c.ems. (u Mix i Y 1-Uri! K • p >°_ e t O ' i ' -vi to t° b^e Yt'1 Dn ^•{-ere. ct.Y�d. ery ect tmi911 _Sict_ �rS r, ees_ hEcEsca_►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). - roCl� ed�j 1j L Y-t)s I 6-1A -P u I r`,t - &-s. + "e.. s r e—• • -Mc,sh c pAA(J-f a n S;� h c_;c1 P. ©'-f `the (n. t LA1 II poi- t 'Mxec���ltle, (v p e c�--� t-h p tsJ N w (re 1--h e.. I d t- i 11 h o - b,e rW ed 5. Construction Phasing. a. Construction sequence c v� ►rmcr / r�Dlis7rxcfiD e eterice, i'S 6 ope,�=ea. S� , lief Z<tilealAte g , l , t0t.L 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 schedule. 'I,,,`tie'VdrQ"1 f= iK.ti o a-E\T 1s- .0 W crk - AA cwo 004 Fret rn i n o -0/0 R o t�f C-1-c-x-sY\�e zbb +-�JZtli�. �� b), I y1f erwr f�tEmi�13 Lvirinc QIumb;r�e /D�� II. Wet Season Construction Activities. '�11. t w5, Q o r:-sj intrri0r,-dxteri or-renl'sh :�,k (VOG); a. Proposed wet season construction activities. riv�� 6'-ore-{Cii-t_Rn�IS�Cz. Pe�fc7r/oE� rE #C kl i r\ci c.ftt e 1j i, Lel0 c b. Proposed wet season construction activities for environmentally sensitive areas. AO\ + ti c, c=� +-e r_ fr\o..L•t j b • 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. i 1J fki' P YYl 1 ��� T �� C - - l 6 ^it `70 a ai k 61 ,5 S b. Describe bonds and/or other e4dence of financial responsibility for liability associated with erosion and sedimentation impacts. / . 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 stormwater site plan template—rev.10/1/2003 10 • • 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. (LANDOWN R OR AUTHORIZED REPR NTATIVE SIGNATURE) (DAT ) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 gtILDING PERMIT APPLICAT�N MLA 06r00173 Type: Jefferson County Department of Community Development 621 Sheridan Street Poit Townsend, WA 98368 PERMIT #: BLD06-00175 Received Date: 4/13/2006 SITE ADDRESS: TWINSVIEW CT PORT LUDLOW, 98365 OWNER: PAUL A TRACI PHONE: KATHLEEN E TRACI 10 ADMIRALTY LN UNIT 310 PORT LUDLOW WA 983658255 LUDLOW POINT VILLAGE DIV 4 SUBDIVISION: Block: Lot: 16 PARCEL NUMBER: 969800016 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: PHONE: 3s5-'"i15( 1'<8z l<elte.y 5hictliSTnc -Vtxot 385 -5a( 4 (o0 KwLA ?OU 0y 1)a0� rtuwns.A,o, ()A 617N 8 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ ATT GARAGE & A/G 120 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,511 VALUATION 322,456.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: 707 HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: 543 # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: CONST TYPE: GARAGE: 529 SETBACK: DECK: 588 BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 4 Total: 3 Total: 4 Routi q D te: -4 1410(o Type Amount Paid By: Date: Receipt: `PApp oved/I at>r E Permit $2,242.55 LYK 04/13/06 8'1029 Plan Check $1,454.02 LYK 04/13/06 81029 MAY a? State Building Code $4.50 LYK 04/13/06 81029 Jefferson County Planning Potable Water Application $55.00 LYK 04/13/06 81029 &Building D Total: $3,756.07 CeQ `o-"oe"�partment '' 4.---iiirviiiii°- °14 C � JEFFERS COUNTY • +` a' IDEPARTMENT OF COMMUNITY DEVELOPMENT . __`� 1 621 Sheridan Street • Port 1dwrlser d •Washington 4636'6' 360/379-4450 • 360/379-4451 Faz qs p� www.co.jefferson.wa.us/cor tndevelopment - i I i II APR 13 2006 Master Permit Application MLA: 0- t --F) Project Description (include separate sheets as necessary): 01 1e faiml ' Y"Y ,S(6('0 C-e_ t t / 1heiketlia f'_ _ l' _ � Property t� Tax Parcel Number: (, ( g(� of Size: ,5 3/, 0 06 g (acres/square feet) Site Address and/or Directions to Property: A1 (lintLiu } �^/(oiC e b i V Li- -Lot ((> i)?/�ri ris v eli Of. Property Owner(s)of Record: 'Pc.--t_Lt I A, .7 C t 4.,y C S * W i' e Telephone: C6_'O £(nf -. (,I-c3(a f Fax: - email: K ct)a , COp-j Mailing Address: I C A 4 m i ro It-A L—.r) i - "3/ t fin -f- /Ltei /0 k.), Lt f i g '36 S Applicant/Agent(if different from owner): Telephone: Fax: --- email: — Mailing Address: -- What kind of Permit?(Check each box that applies) 0 Building ❑Variance(Minor, Major or Reasonable Economic Use) LI Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** '(Single Famil ` CI Discretionary"D"or Unnamed Use Classification Garage Attach /Detached ❑ Special Use(Essential Public Facilities)** ❑ Manufactured Home ❑ Boundary Line Adjustment ❑ Modular ❑ Short Plat** 0 Commercial* ❑ Binding Site Plan** ❑ Change of Use ❑ Long Plat** ❑ Address [I Road Approach ❑ 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 0 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: 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 a sts that the information provided herein,and in any attachments, is true and correct to the best of his,her or it's knowledge. Anymaterial 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 agains Jefferson County as a result of or in consequence of the granting of this permit. I further agree to rovide ac es ight of entry to Jefferson County and its employees, representatives or agents for the sole urpose of application review and an r uir i spections.Access and ri t of entry to this property shall be requested and shall occyfr only ' g regular business hours. / l Signature: G,'- t>' j } -,L1 let Date: The action or actions Applic t will undertake as a result of the issuance of this permit may negatively impact upon one or ore threatened or endangered species and co d lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species t"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued w' n violate t S An ividuai,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are n c plia e Jefferson County development code.The Applicant acknowledges that he,sh or it ll individual and non- transferable r ing to and do _ t the ESA. The Applica has read this disclaimer ang s ns an dates it below. Signature: i z ? _ •.— i ���7L- Date: it (I-- G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc w • BUILDER STATEMENT The signer of thi to trent es here ify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be as tr( g - r ilil 9f ttle_GeneraLContra for for the propose oroiect./' Signat;.._. / - <4.4l d - `Tiit Date / .JqL GENERAL CONTRACTOR OR Ms JI IFAr.TURED HOME INSTALLER:, ' l �•. t - vv 4,V .J ,v -- - - MAILING ADDRESS: �� EMA1 _ CONTRACTOR'S LICENSE WAINS NUMBER: ' NUMBER ARCHITECT/ENGINEER: ii (qif.� �---)1C:. PHONE (.Z,c 3) SS•b 7-7GS5 FAX: (a,53 )S.S 7-ISM l 1 11� '_ MAILING ADDRESS: (7( 5 f1 EncYee ri'n -t+ra h n f1V '`t��I 'A/ �(I /1�rJ ,EMAIL Project Type: Frame Type: Bathrooms: " tW'c gh1336- Shoreline: Type of Sewage Disposal: ', New Vr4Wood Existing: fewer ❑ Addition ❑ Steel Proposed: 3.5 Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: .8— — ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# • Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 5 — Public (-kcal- um iD Total: Name of System: nu Y))p1 L- /=`7G t %vim--- l.AU a ter v-Sc e 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: CI Underground Tank Li Above ground Tank Size of Propane Tank: 1g [`> [0 Heat Stove ❑ Cook Stove i l Woodstove ❑ Fireplace Insert ❑ Hot Water Tank i I Pellet Stove ❑ Other ;iI c;. 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 Current Proposed For Office Use Only Amount Revision Main Floor Heated 025 �/I f j EH Bid App Review: I f 0L0l/♦/y 43 6`t1 L - air 2na Floor Heated Consistency Review: 5 .°D Other Heated Base fee: Mezzanine Additional Section: ._ Heated Basement 11 n Check fee: Unheated Basement tate Surcharge fee: C Other Unheated Pot Water Review fee: Garage/Carport C SUBTOTAL I LAO Decks j 13 IL Rd Approach> — 5 aOther Y� TOTAL: $ 4 vi 6.di Receipt Number: G'oaq Cash/Check Number: l 13g ESTIMATED COST(REQUIRED) Date: A I •Fair market value of all labor and materials foun tion to finish $'-- - '0 D ' 0 aa' ' 11R/115'911 InitWs: .--) ' 3r--Th G:\PermitCenter\FORMS\DRD FORMS\Master Permit.ArVi ation 12=30-05.doc v) , 6 a 73 (44 g 4 a, 0 sa.i .. .„ . cn 00 • •NI 111.-711 00lia.'" 1 411Ltalk .'"" '7:1 ash .k,.., , r---' _l___„ -->\5--- ikJ L. ...,,.. ..,. Iwo 9 4.) .:•- .__Ara i 44 ...._. .W .--. 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