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Home My WebLink AboutBLD2006-00476 'tJILDI MLA06-00470 DING PERMIT APPLICN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00476 Received Date: 8/18/2006 SITE ADDRESS: 893 SNOW CREEK RD QUILCENE, 98376 OWNER: RONALD W REINHART PHONE: 360-509-7392 JANE REINHART 18480 HWY 305 POULSBO WA 98370 SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 802261001 Section: 26 Township: 28 N Range: 02 W CONTRACTOR: BUILDING BROKERS CONST PHONE (360)683-6216 P 0 BOX 3831 SEQUIM WA 98382-5071 Contractor's License BUILDBC011MG Expires 7/8/2008 REPRESENTATIVE: BUILDING BROKERS INC PHONE: (360) 683-6216 PO BOX 3831 SEQUIM WA 9983_82Q,^ RRNAS:7 3) 1a10,Qj �y y 1 l�v J /y# ,�{, 1 - 40 a Decuf: �.(t c e m ti,Tii F o S,I 4-,0 1 t / 1 b ,v S 1, PROJECT DESCRIPTIOI NEW POLE BLDG SHOP/GAR 13 el(C0'1 ' B` �01 �8.. 5 FR r;(1./A- TYPE OF WORK GAR, �,t 11 SQUARE FOOTAGE: �. 91O "J31N 4k sac.t TYPE OF IMP NEW 1 R2�\Sz4 O) , VALUATION P , 00, ' MAIN: - A 9 1��1 '��Z� CODE EDITIOIN. 2003 ADD'L: q�, HEAT TYPE: UH OCCUPANCY: HEAT BASE: (044 HEAT TYPE: OCCUPANCY: UNHEATED: Cr r;,Sl, # OF STORIES: CONST TYPE: OTHER:GARAGE: ,9Si� �Cl • stq. SHORELINE: CONST TYPE: SETBACK: DEC �. 1 BANK HEIGHT:j SEWAGE DISPOSAL: ALT �.' sfl l 14 lb ►,) firtfbn'r�o a v, WATER SYSTEM: PWELL 7�. It ir1 BEDROOMS: BATHROOMS: 1eiMg - 5(-4--F" i-.- al i. ' Exist: 0 Exist: 0 Prop: M . Prop: ",, Total: 0'� T • a._ Routing D te: z--� 8 180.0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $593.25 LYK 08/18/06 84727 Plan Check $385.61 LYK 08/18/06 84727 State Building Code $4.50 LYK 08/18/06 84727 ., Total: $983.36 DEC 11 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00476 Received Date 08/18/2006 SITE ADDRESS: 893 SNOW CREEK RD Issue Date 12/14/2006 QUILCENE, 98376 APPLICANT: RONALD W REINHART PHONE: 360-509-7392 JANE REINHART 18480 HWY 305 POULSBO WA 98370 SUBDIVISION: Block: Lot: 1+ PARCEL NUMBER: 802261001 Section: 26 Township: 28 N Range: 02 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 P 0 BOX 3831 SEQUIM WA 98382-5071 360-683-6001 Contractor's License: BUILDBC01 1 MG Expires: 7/8/2008 Cf'?/i✓ 7 PROJECT DESCRIPTION: NEW POLE BLDG SHOP/GARAGE -UNHTD, NO PLMB F'$ Pkka.c---eC& ae CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. • 'I:WeeZe44-1 SETBACKS: CoAelige U F F E R: R.)07-0U6 DY " ito_ 2 -Z-( C�4` (1,4'TAcct,Wi2/��v Footing:I-tole-5 mI3) 7 3 i t)-r ASOTGof.10.4.1�7►+i�xNI-S ol2_v p4� 3 /.�31 07 4 • t4s '�2 , p �{{�� p� , 62 7 t Foundation: 9t" QQ 414A K.JCJitI �6 t l jl'b Cac�ge C* 1/oF1 1 Stormwater FINAL Approval: tt /' Underground Plumbing: WA Underground Insulation: AVA Shear Wall : �p 6F nt 2/741/0 Sheathing: Framing: , .' �_Z,o•� �`+t��! Plumbing: Propane Tank/ Lines: LiCiTA-nztL (--in► �0;(( w c,l�wl ;�,C1 `i-`-t-on Insulation: �NALL ��i�iN� O,e q t/Up1 Sheetrock: VI 0 Septic Sytem Final Approval MUST be obtained before firal of structure can be attempted. Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: )47 - 0« 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 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD06-00476 Received Date: 8/18/2006 SITE ADDRESS: 893 SNOW CREEK RD Issue Date 12/14/2006 QUILCENE, 98376 Expiration Date 12/14/2008 OWNER: RONALD W REINHART PHONE: 360-509-7392 JANE REINHART 18480 HWY 305 POULSBO WA 98370 SUBDIVISION: Block: Lot: PARCEL NUMBER: 802261001 Section: 26 Township: 28 N Range: 02 W CONTRACTOR: BUILDING BROKERS CONST PHONE: (360)683-6216 P 0 BOX 3831 SEQUIM WA 98382-5071 Contractor's License BUILDBC011MG Expires 7/8/2008 PROJECT DESCRIPTION: NEW SFR POLE BLD W/ 500 GAL U/G PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,368 VALUATION 214,681.00 ADD'L: 922 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: EEE OCCUPANCY: R-2 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: GARA0 CONST TYPE: DECKLE 400 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $593.25 LYK 08/18/06 84727 Exist: 0 Exist: 0 Plan Check $385.61 LYK 08/18/06 84727 Prop: 2 Prop: 2 State Building Code $4.50 LYK 08/18/06 84727 Total: 2 Total: 2 Plan Check $51.00 LYK 04/16/07 89815 Permit $1,044.50 CJZ 09/20/07 93231 Plan Check $678.93 CJZ 09/20/07 93231 Potable Water Application $58.00 CJZ 09/20/07 93231 Total: $2,815.79 Directions to Site: 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 ATTATCHED • • CONDITIONS for Building Permit# :BLD06-00476 1.) The wetland delineation prepared by Westech Company dated April 2006 shows a shelter next to Lake Leland and a building labeled "existing shop". These buildings have not been reviewed for land use and building codes, nor have they been approved under this application. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on August 24, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Type 3 Stream, Bald Eagles, Category III Wetland, Seismic Hazard, Slight Landslide Hazard, Frequently Flooded Area (Lake Leland), Susceptible Aquifer Recharge Area (SUSC). 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 6.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 7.) A Type 3 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 100-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 8.) Stream buffers are areas that shall be maintained in their natural condition, however, minor pruning or alteration of vegetation may be permitted as long as the function and character of the buffer are not diminished. 9.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry (Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant (Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sam bucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 10.) The proposed building is located•ide the mapped landslide hazard area. • 11.) 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. 12.) 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. 13.) 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." 14.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 15.) 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. 16.) A setback of 50-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 17.) 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." 18.) 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. 19.) 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 pole building/garage. 20.) An additional setback of five (5) feet is required from the edge of the buffer area to the proposed pole building/garage. 21.) A permanent physical separation along the boundary of the 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. 22.) 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." 23.) The applicant shall fully adhere to all conditions and requirements of the eagle habitat management plan. 24.) Staff received comments from WDFW on December 4, 2006 stating the one page Bald Eagle Management Plan signed by the owner on September 19, 2006 is applicable to all current proposals. If the owner proposes to do work within 800 ft. of the nesting tree a new eagle plan will be required. Contact Shelly Ament with WDFW at(360)681-4276. 25.) The applicant is proposing to create or add 2,400 square feet of impervious surface and 2,400 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. V 26.) A Medium Stormwater Plan has • submitted and approved by the DepartmOof 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. 27.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 28.) The revised site plan as submitted on September 20, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated September 21, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 29.) This revised approval is for a single-family residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 30.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 31.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 32.) Setback from Snow Creek Rd. right-of-way is no less than 20 ft., side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 33.) 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. 34.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 35.) This is a legal conforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 36.) The building height is not to exceed 35 feet. 37.) Snow Creek Rd. (C352909) is a county local access road. A road approach (RAP02-00218) was approved on October 4, 2002 and was finaled on January 25, 2005. An address of 893 Snow Creek Rd. has been assigned to the parcel. 38.) Stormwater shall be retained and infiltrated on site. The owner shall control all sedimentation and erosion on the property. 39.) A wetland delineation report prepared by Westech Company dated April 2006 was submitted with this application to address the wetlands (Lake Leland). The wetland delineation found determined there are two Category III wetland boundaries (Lake Leland). The approved site plan shows the proposed single-family residence will be located a minimum of 10 ft. away from the required 50 ft. vegetative buffer. 40.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. N 0 ii1S°, o� JEFF COUNTY 1 E -.v ,-;i lEE 4 TE al �h '3 DEPAR OF COMMUNITY DEVELOPMENT 0 1 �� 1 �� 4,.. 04 621 Sheridan Street• Port Townsend •Washington 98368 4.. •, 360/379-4450 • 360/379-4451 Fax ,,./`s,kINGSO www.co.jefferson.wa.us/commdevelopment Master Permit Application Loi Ai+ i-4c4 Qc LC L.MLA1EEFE'E 1,rOffitanCii Project Description(include separate sheets ap necessary): 5 L-10 x hC,, ' ' ll-- i t t ►f Tax Parcel Number. Cj (D 1a �G ` P erty y Size: I q kc- (acres/square feet) Site Address and/or Directions to Property: $13 )i'1'ul...i CJ✓AIL iZd G o, \ C..z r1 P_ Property Owner(s)of Record: e u ryAA 6 1 A KG-! ,- Telephone: 5(fl - 13j'Z_ Fax: Mailing Address: email: Applicant/Agent(if different from owner): .�U, Id, /19 .gt C,ILL-y-5 Telephone: Lf.)`$3 - e9;) I It Fax: 3U0 (. '5- (coo 1 Mailing Address: �. �, ►� � 31 �(�r'.t, tl� t. � email: D C, j ;fA br C K,-,S ea+yr*K,(c7c What kind of Permit?(Check each box that applies) I Building emolition Permit 1 Variance(Minor, Major or Reasonable Economic Use) 1gle Family I Conditional Use[C(a), C(d),or Cj** nil ► _� I Discretionary"D"or Unnamed Use Classification I Manufactured Home ►�G�`� I Special Use(Essential Public Facilities)** I Modular I Boundary Line Adjustment I Commercial* I Short Plat""" I Change of Use I Binding Site Plan** I Long Plat** I Address I Road I Propane Approach I Planned Rural Residential Development(PRRD)/Amendments I Allowed"Yes"Use Consistency Analysis I Plat Vacation/Alteration** I Showed ter Management Shoreline Master Program Exemption/Permit Revisions** I Site Plan Approval Advance Determination(SPAAD) I Shoreline Management Substantial Development*" I Temporary Use Shoreline Management Variance I Comprehensive Plan/UDC/Land Use District Map Amendment I Wireless Telecommunication* I Forest Practices Act/Release of Six-Year Moratorium I Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference "Requires a Pre-Application Confer Please identify any other local,state or federal permits required for this proposal, if knowence I hereby designate 1 DESIGNATION OF AGENT //� � ct as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Q lei!. IA, Date: T. 30 -0 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 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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: t (,� Date: <t,� J �\C,� 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 lake"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferab e s nsibiltty for adherf to with the SAIThe.Apprycant has read this disclaimer and signs a d dates it below. Signature: `14.`�" L(_ j� 7 r Date: / O Le sEp 2 0 2007 _ (-'\Documents and Settings\coal\Local Settings\•temporary Internet giles\OI.K86\Master Permit Application Iz-3O-o5.dc (, dllo BUILDER STATEMENT The signer of .'- tatement does he y rtify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be : g the respons ility o he Gen I Contractor for the proposed project. XSignature: &Ai 0 Date: 3e/ '6. GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAx: L 1( .► y\G� ,�C. IC-C-r. �:)(3 t 3--(4 9.t Lee (''I ))f cl- (e CO 1 MAIL NG ADDRESS: } ,0, )t• ( EMAIL: g 0. 16 ✓L%-1 J'✓-•b C.t/7 P.G ve,-),•l.O p-,. CONTRACTOR'S LICENSE WAINS NUMBER: Q Lt ,t, D C. 0 1 1 ILA 0 NUMBER ARCHITECT/ENGINEER: DL T S \ PHONE 1(%%'$)23'_d(44I FAx:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New iii Wood Existing: L a-K► ❑ Sewer '❑ Addition ❑ Steel Proposed: a Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: sl. / Individual System ❑ Repair ❑ Masonry SEP Permit# -WO ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: —"a--- Setback: V Private well ❑ Two Party � Type of Heat: Proposed: ❑ Public Total: e " 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 / N^ • _ _ 1„_v_ If this is a Propane Tank and/or Appliance Installation permit,mark all items below that amply: Underground Tank '"Above ground Tank Size of Propane Tank:_ - / J j/" i Heat Stove Cook Stove I Woodstove 1 Fireplace Insert it Water Tank YPellet 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. ` i'" SFR- Nao j 7- 1 Square Footage Current Proposed For Office Use Only iO Amount I Revision a` 0 Main Floor Heated C� 1il_4-,i )`,�;O EH BId App. kA0 /05°C I 2°Floor Heated R2 v` i.b :?2(r S (- Consistencl sl u0 t 7 4,N t) Other Heated #ase fee: �1. 595.a , ` cio DC Metftnine a. S 'Bceeztalz °"Mhea 3a Plan; c n 47. �O l :1110:_' , 4� l te� State aurch fpitc,t-1 ji •5° Other Unheated 1 YzD Pot Water F ((�� nn A, R. r6 Garage/Carport . , ao1 .3( `_31 ` __)tea. • Decks w Rs4D J/ 1 _�. 'c 911/Rd App trv�.(7etc11r . i (c 1 Ah{ p' C Other 1q _- . 3�. Q0 I.3P :);6,- c v,s Receipt Nut 91 �1—R1 : -iVS� ,R3D2A (15S .7 > �' o �t CashlChecl � cr OD I 11113 ESTIM TE:1-C IREp $ 184 Date: 4 � C^� it l 1 a1/4)0i .Fair ma*et value or and ma foundation to finishQ-15, 01-1e-r / t/65-,80 Cyr ��I.'LC� Al ) (' o(O Initials: V J,: :, , C:\Documents and Settings\canal\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-30-05.do 1. MO' APPROVED 11/STO *1 VAtER PLAN / S�c 4� O JEFFERSON COUNTY DEC 1 3 2006 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 9836iB JEFFERSON COU TY `Tr 9 DEPT.OF C I'f •V."MMENT gSNG,�O 360/379-4450 • 360/379-4451 Fax SIGNATURE: http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 1 t r L PROJECT/APPLICANT NAME: R 0�ri ,2 ✓ 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 proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. for 1-2 .,t Ve N r.A, .", A D t? )"+ !t Ter- tier Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. r 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. //// /aic/- A e'r+r�.i<!S 7`L((' '. 4�:>s/ "-'��yyr'F-L' �/ J 7 GJ. J-'/ J' y.+�c'S=vcce /—l' 7 4. Describe the existing soils. Indicate soil type on the site map. �d1v117=/ C :ssy+ rTFf C l4 f Ll X.J.:fs 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. ,9 1 6-4/4 S. C-N- i rw ..�i)/2,9 frr' ,T, c c'.y v 5,,}/;,�/ 6. Describe any excess levels of noise generated by the proposed use or activity:c stormwater site plan template dos-rev.10/12/2003 • 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. it.)i?I c.er 4ey e, GGr-CGS. ll A_'i-;21-e-e4 .j C e' ST s ,-� •t re 1,4-64 i1 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.). 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. itt ride J. 7t 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 gar e"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. �. /L�� .7- GL''.q r. .' ,6` 7'% ,- /` .: .rt 'fits lG%L+[,_ 12. Describe the flow control system. `47,r if-e- 1 S?/c,,i/7' l3/e/Z7.X stormwater site plan template.tlx—rev.10/12/2003 6 • • 13. Describe the water quality system. / / — i 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. /7. /'xfrl � <4.4., /'mac aE:y 4 -7 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. /0/4 17. Describe the proposed surfacing material. j 'c-sfr, Cyr a'is /�C`L� C17 .:zt� ''�`�'� C tart/,,?...r .. 1'4 /J1•7 18. Describe methods for restoration of the site. I?-/`7 ICA., x ) 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. /1/4A 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 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. A''r:zt.: &t�z'ri! .5?�9 .J nnzc r L- 7 T/ . ``e'e-n4 2. Establish Construction Access. �acrS.tGw t—ii:-� i. l�: -s* 3. Control Flow Rates. J "1L' i s , 2 %.S f.13.4-#7z4,c,e2 c:r St JF rl it.�/ A c 114 Y,& /r% ,yr(et, •r1-1,1e •S ca41 atte,cc--1 4. Install Sediment Controls. j . r:C-taC2� 5. Stabilize Soils. .S bG 'j 6. Protect Slopes. -:/ t91c i S) G //74 k"t-te7 4't% '// ✓ �� ;y,�, 7. Protect Drain Inlets. /04 stormwater site plan template.doc—rev.10/12/2003 8 • • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. _ �1 ec rz �e�Tl [L, / . -- ,"7 S ki s1 9. Control Pollutants. c We/i L >1% c-xvj �J.�y p Lk h// B Zt.l�ili 10. Control De Watering(the act of pumping groundwater or stormwater away from an active construction site). /L/e Sc, i . X t<4 L1a Aigtolt26.— Lk,' tT' /€t4! tlf c ✓ rat S� l N fr1 9 Kuir' 11. Maintain Best Management Practices(BMPs)alf 12. Manage the Project. (7 1?- Foi jrn.,-/•4 ,. , '1 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). r b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). t 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site pian template.doc—rev.10/12/2003 0 • • b. Description of special'requirements for working in or near environmentally sensitive areas. I z-rirev.% i...^St''�.e3 ^► Jt�.J►.l 7 r )Z=' s:riv ?w� 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g., erodibility, settleability, permeability, depth, texture, soil structure). 5. Construction Phasing. a. Construction sequence jrlr f}, �i'rclNt+4 t:.4 - ' ✓1 Sker F/t►�'7 b. Construction phasing (if proposed) v 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. 11/17 .J "jc( II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. /L_%vt' 7. Financial/Ownership Responsibilities. a. Id_entifythe property owner responsible for the initiation of bonds and/or other financial securities. /c.2 b. Describe bonds and/or other evidence 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. 1! ' b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 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. (LANDO yN 7 MORrLED' E SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.doc—rev.10/12/2003 12 Th ' N N l Sr99 M„t�l,tZ.ZOS N/ LO N 1\\ � W U \• P Qo p p .�/ \ °),,,t :'-',4 t - .\ 4-4 t � O^ Q P�� W d' O � � 0 b J ZW �, �� c CN. / uU ® /� CO C • 20 / i oJ OO!bI l 1,4 J \ kk O�O L1 _ W nNo� N-,OL... i tl nl <1� , � � ----;<, \ 2 \4, 0 -o \ -,, 3 , z n. 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M., JEFFERSON COUNTY, WASHINGTON z at u4 h�OJ NORTH LINE OF PARCEL SEPTIC LID \ AND EXISTING 100' BUFtFER �� DRAINFIELD Q� EXISTING BRIDGE ! ,\ C.O. , ✓ : O- N RO SED GARAGE X 28' �y - WETLAND BUFFER PER FLAGGING EXISTING i� / HOUSE n\ / % <11 CO�� Sp0 p. t / /j ✓ I: 7__ i / �'o EXISTING EXISTING WELL \�G�WELL,/I x000 cjZ. I� oo l / 0 CENTERLINES TYPE 3 STREAM MAPPED 3128108 EXISTING SHOP 200 ..NOTES.- 1. THIS SURVEY WAS PERFORMED BY FIELD TRAVERSE METHODS USING A 5 SECOND TOPCON GTS-235W TOTAL STATION AND STEEL TAPE. 2. FOR BASIS OF BEARING AND SECTION SUBDIVISION DATA, SEE VOL. 24 OF SURVEYS, PAGE 27, AND VOL. 8 OF SURVEYS, PAGE 87, RECORDS OF JEFFERSON COUNTY, WASHINGTON. DRAWN BY: JKB SER#: 022826-REINHART_BASE-040208 EXISTING SHELTER Q / MAPPED SHORELINE Gy o> 5 vl pQ MAPPED SHORELINE APPROXIMATE LOCATION OF EXISTING WETLAND FLAGS, TYPICAL. REVISED S LEGEND dated DENOTES EXISTING POWER POLE. Has been APPROM by JEFFE DENOTES EXISTING SEPTIC LID. DEPT. OF CO SIGNATURE; C.O. DENOTES EXISTING SEPTIC CLEANOUT. TR DENOTES EXISTING TELEPHONE RISER. ® DENOTES EXISTING WELL WITH 100' WELL PROTECTION RADIUS. DENOTES EXISTING GRAVEL DRIVE. DENOTES OVERHEAD POWER LINE. - -- -- - DENOTES 100' BUFFER FOR TYPE 3 STREAM, UNLESS p OTHERWISE NOTED. 2 re m N - u-ti -� O �2 m APRIL 3, 2008 (REVISED APRIL 8, 2008)