HomeMy WebLinkAboutBLD2006-00567 0
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD06-00567 Received Date 10/2/2006
SITE ADDRESS: 340 BISHOP HILL CIRCLE Issue Date 10/19/2006
CHIMACUM, 98325
APPLICANT: JAMES L BISHOP PHONE: 360-301-1979
JANICE L BISHOP/LOREN BISHOP
371 BISHOP HILL RD
CHIMACUM WA 98325-9709
SUBDIVISION: BISHOP HEIGHTS DIV II Block: Lot: 4+
PARCEL NUMBER: 933500004 Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION PHONE: (360)301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325
Contractor's License: BISHOBC093D6 Expires: 1/11/2007
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE
CALL IN FOR THE REQUIRED INSP CTIONS THAT APPLY TO YOUR PROJECT.
SETBACKS: 0A/ /�//K,
UFFER: De/. al"
Footing: p/(///AZ
Foundation: , ,�//0GYe#
Stormwater FINAL Approval:
Underground Plumbing:
Underground Insulation:
Shear Wall : AVI1 mist- pc1/4.1s .4._1t-22.r-os- Q
Sheathing: QQ • 12 ,
Framing: uF c. c . (4.- !/•G7-o6 OK 12 z8
Plumbing: Ok a 20/0.471
Propane Tank,./ Lines:
Insulation: MILLS Ok / Z of/fiiiP &-. /oz.Afr
i
Sheetrock:
Septic Sytem Final Approval MUST be obtained before final of structure can be attempted.
Road Approach Final Approval:
Zoning Final Approval:
Final/Occupancy Approval: su s-u,4 i) .4m4sq : ( W P"�I 1 7-7
HEALTH DEPARTMENT AND PUBLIC WORKkAPPROVAL R QUIRED 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
.L
BUILDING PERMI• • �L
MLA06-005.411-
T APPLICATION Review T
Jefferson County Department of Community Development Type: I
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00567 Received Date: 10/2/2006
SITE ADDRESS: 340 BISHOP HILL CIRCLE
CHIMACUM, 98325
OWNER: JAMES L BISHOP
JANICE L BISHOP/LOREN BISHOP PHONE: 360-301-1979
371 BISHOP HILL RD
CHIMACUM WA 98325-9709
SUBDIVISION: BISHOP HEIGHTS DIV II
Block: Lot: 4+
PARCEL NUMBER: 933500004
Section: 35 Township: 29 N Range: 01 W
CONTRACTOR: BISHOP BROTHERS CONSTRUCTION
371 BISHOP HILL RD PHONE: (360)301-1979
CHIMACUM WA 98325
Contractor's License BISHOBC093D6 Expires 01/11/2007
REPRESENTATIVE:
PHONE:
PROJECT DESCRIPTIOt NEW SFR W/ATTACHED GARAGE
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 110,000.00 MAIN: 1,330
CODE EDITION: 2003 ADD'L: HEAT TYPE: HTP
HEAT BASE: HEAT TYPE:
OCCUPANCY: R_3
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: 5N OTHER:
CONST TYPE: GARAGE: 576 SHORELINE:
DECK: 126 SETBACK:
SEWAGE DISPOSAL: CON BANK HEIGHT:
WATER SYSTEM: PWELL
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 3 Prop: 2
Total: 3 Total: 2
Routing Date:
►DI3 loco ';' '
Type Amount Paid By: Date: Receipt:
Approved/Date
Permit $1,049.75 KAS 10/02/06 84897 Ar Plan Check $682.34 KAS 10/02/06 84897 ! °�-
State Building Code $4.50 KAS 10/02/06 84897 en
Potable Water Application $55.00 KAS 10/02/06 84897 t� �
Total: $1,791.59 Jefferson County Planning
& Building Department
•
SPECIAL CONDITIONS FOR CAtt BLD06-00567
1.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
2.) 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.
3.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
4.) 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.
5.) Minimum setback from Bishop Hill Circle, Dena Lane, and Kevin Lane rights-of-ways shall
be 20 feet. Minimum south property line setback shall be 5 feet.
6.) 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.
7.) 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.
8.) The building height is not to exceed 35 feet.
9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
10.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
I:\F_BLD_Permit_Buildng.rpt 10/29/1999
(----6, -, ON C,O • •ECEIVED
6� JEFFERSON COUNTY
j DEPARTMENT OF COMMUNITY DEVELOPMENT rl;-
621 Sheridan Street• Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
.qs, 7;6'./
www.co.jefferson.wa.us/commdeveloprnent JE EE J, 1 1y jjttl�
Master Permit Application MLA: D( - 5 g
Project Description y(includeseparate sheets as necessary):
.51 le ,,- 4 ;' . /'. ' . ,5 if:
Tax Parcel Property /.
Number: __�, .?61 0.) 0 0 $1 Size: al /1 C/ f (acres/square feet)
•Site Address and/or Directions to Property: r., ,:, , , /, l/' (-3 r , ,J'f,3
Property Owner(s)of Record: .5,,$I / .o f 4- (,'� �7`,
Telephone: 340- 3 01 - ,_'9 - Fax: 36 0 7 ? -1 5- email:
Mailing Address: 3)7 i'?.. .A ci ,.a //;,i I?.:J C! ..,.. .- . .• s
Applicant/Agent(if different from owner):
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies)
%Building ❑Variance(Minor,Major or Reasonable Economic Use)
❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
,I$Single Famil ❑ Discretionary"D"or Unnamed Use Classification
la Garage t(Attached/,Detached ❑ Special Use(Essential Public Facilities)**
. ❑ Manufactured}come ❑ Boundary Line Adjustment
❑ Modular ❑ Short Plat**
❑ Commercial* C] Binding Site Plan**
❑ Change of Use ❑ Long Plat**
Li Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
O Propane ❑ Plat Vacation/Alteration**
0 Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
❑ Stomiwater Management [1 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance
0 Temporary Use El Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* El 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./' / ].4-07,- Date: /0 _/ 0 6
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 required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours.
Signature: -'2 35 Date: /0 / -0 t!
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 agercy can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transferable ponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: .f-11,-", Date: / '/ f3 (
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
0 •
OWNER BUILDER STATEMENT
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
i /
) , 5A , gn .4 cQ_.i .'.."0rS"✓ ( ) ( )
MAILING ADDRESS: 3 7/ ..g 5'4,9 ,_'i (7,in,,,, „EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: -'_$'/O 3C.0 !3 ?Z., NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ,p' Wood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: =i• Bank ❑ Community System
❑ Alteration/Remodel 0 Concrete Total: "l Height: Individual System
❑ Repair ❑ Masonry //Iw SEP Permit#
❑ Demolition ❑ Other: Bedrooms: Water Supply:
Existing: C.= Setback: A. Private well Li Two Party
Type of Heat: ProposedTotal: 0 Public
Name of System:
hit'a l 44,1 '
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:
❑ Underground Tank 0 Above ground Tank Size of Propane Tank:
Li Heat Stove ❑ Cook Stove Li Woodstove 0 Fireplace Insert Li Hot Water Tank ❑ Pellet Stove ❑ 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 1:::r+6t~.Yit�4S 7' (v5.CO
Current Proposed Amount
Main Floor Consistency Review:
13.E S(e gaa4c 153.0
2NU Floor f Base fee:
1c4 9, ' 15
3`'Floor Additional Section:
�( a f`ti_r
Mezzanine: 1 l r Plan Check fee: l(P3' ,l
Heated Basement State Surcharge fee: 50
Unheated Basement Pot Water Review fee: G
It � ' e ",3) '�l ~ 1lUV 911/Rd Approach fee:
Garage/Carport _ , 155-19.3 a TOTAL: $ (9\0( 4.
Decks i., t L ) r a ci tf;r q 3Receipt Number: c(4l Cfl
Other (j(' - Cash/Check Number:
I:..
E � g��� QUI a D) Date: rgl)
1
ike nd materials foundation to finish I 2 C{(?
Q J I L` 0' t D ,5� . 5/- Initials: E� ,
i
G:\PemvtCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc
• •
er.,k.SON
°co
RECEIVED
1141 ,-1,, JEFFERSON COUNTY
4 ►. DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •• Wasr'tlogtor'l ,.. ,.,',
OHO/ 360/379-4450 • 360/379-4451 Fax J[ [[(te, p �/ ���
N http://www.co.jefferson.wa.us/commdevelopment/ [ `[{� { (j 1
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# Oo `54-8 YROJECT/APPUi;AN i-NAME: .4,-,-„. si S io
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.
-- A;-1 Prat"
i'' 47 t'VctS Ye$taihe) ' !"- a .P0/ `c]i,101 /1>T
is 1Nt ` It,YS o-F -rtc_s !c ('4 .ff
r Privy
Existing Conditions Summary -: s.r;;. . r<f 1~ , ; ;r E 4
2. Describe the existing topography. Indicate contours on the site map. _
t
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.PER1 B LU
7/6 5 O- ePer-9rCL 7S WI /-A �riderSp-Pf:1'' 1
0 6 - 0687 . .
4. Describe the existing soils. Indicate soil type on the site map.
3 00 d 4-. t , LA ji c ,lEFFEOSON COUNTY OCR
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. i
/ L2/
Li f L\, , ..,A0)C : 5 v C r /�i.. , d N .- s . i ( r _. j!' <f N.
{e •t .�1 � • <as,,,+9 t. / ) -5 c' -I 'I , , , '., T . _
APPROVED
6. Describe any excess levels of noise generated by the proposed use or activity: STORMWATER PLAN
/i//'`I
•Hi >rt•. : 'is 1 -OCT 1 8 2006
Require' '1 Uirr,
i , JEFFERSON OtNT II
DEFT.OF C'. ,t D=vF ; FNT
stormwater site plan template-rev.10/1/2003 SIGNATURE. ��rl l .-I'.Lilr/ 4-_
• • •
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.
/1<
4
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.
g. 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 facilitiesfrom.existing facilities.,
; :t.
S.�J!in� f,�`�1 t F- 17r r t<'.t /l -Co e?,- c�t��.:et �";�roI.'..�' - -_
10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed
for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is
normally for large"projects or projects that involve the potential for dispersion of contaminants.]
•
11. Describe the performance goals and standards applicable to the project.
f v , jjj IR tg riy I
vrE If
T't'--Describe�thye.flow-contro{•system- f v
( `x 4a CI' ` r �
, t y
j VI' f ,i) ` 1*a
I
L. ]
E }
%lormwater site plan template—rov.10/1/2003
•
• •
13. Describe the water quality system.
OCT ;- 4 :
14. Describe the conveyance system analysis and design. JEFFEHSON COUNTY OCO
4/4
( r
15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material.
/ e r ,.
5l3 r 1 -��t'�r+,- s�r �~t° -�� r b a.c i i 1',< </c+
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
/fit(c `i.t„y d'??ri% J+.t'4errr� ("C74_5,7` LaC✓� e:
17. Describe the proposed surfacing material.
Gr-atrt/ pn .. drid�c,
18. Describe methods for restoration of the site.
4 1 Ohf S +.!nv4 ! n o 4U t c_ r�0,7.t r'ui / vL`
l �t
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 inciudeVist the Manuals
here.
f
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.
7 stormwater site plan template—rev.10/1/2003
• •
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.
3
t _5 G4fP r Gn� frCGt Val tO � b.ux �.'rfnEt
s
2. Establish Construction Access.
G, a
u � rtyc 4, �� J,bacA
3. Control Flow Rates. r, .1
/i" ye VeGYe 41,04 ArDlnnrl ot /J ecru."+ ccs D� re Yes'
4. Install Sediment Controls.. ` ci, / j
�?
pUr-717L 4e /r.cvC G /1 il }� `' n s , !1 � o e # eJ doe 1
�Ot errsJ O 7� V- 1-re ie S", Q t.e- c.5 a w 6�/e_c r nu.1 r) �r used
5. Stabilize Soils. r
p u�r tt of c yea a vGr %� {��' O !Q/ e": C %` ._ '�,"1 /c 4,1 7 � f 1'li ti fi
yy
6. Protect Slopes. / (�
�h t' o 7' A a S //. /�° S�p Q ' :tom' `' 7 �S 0- '1 U r fi/
44,1
7 J /
7. Protect Drain Inlets. j t} ) {�,
are kip / a, n i n/f�i /�W e. 5 id eRE`?�1 � �!(1 "
OCT - 2 2:
-E� 'UN LIMY
8
stormwater sae plan template—rev.10/1/2003
•
•
• RECE4VE D
OCT - 2 _
12 Required Elements--Construction SWPPP(continued)
lEff �Y OCD
8. Stabilize Channels and Outlets. Lr .
9. Control Pollutants.
De6`i s t.3 ale'.5lvasrr4 r/ /v at(id a ' 4 r CO,' e
,1 6e c/i Gt,i e r'% Q LA r rc%e A 9 1
rrt %
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
Igor, s /0 4f c p fo 41!.», , 6a„5 fic, r s Vat/
Z 79/e i'A cc 71-e sr
11. Maintain Best Mana ement Practices(BMPs).
e - tar,.r+ c u ,f7r1 t S i 6a-c �,' I :,ct i s C�t�''t e r'r / a Gay
S D 4-kr 5 r<Q tons Ca ri 7714/?at �z -
12. Manage the Project.fjrr wl l t? an oily ' i.arrhr k~ _ ( /i3e 74le whe C
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
/l/d n/C
/,7
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
4/.a N
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
n/04/t'
stomnrater site plan template-rev.10/12003
9
• • •
b. Description� of special requirements for working in or near environmentally sensitive areas.
/ cr4
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
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.
-II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
•
b. Proposed wet season construction activities for environmentally sensitive areas.
7. FinanciaVOwnership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/orother financial securities.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
/ 14
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the followirrRI' q �(
a. Sediment Ponds/Traps. r' �" A/ E-D--
b. Diversions.
c. Waterways. n�;
d. Runoff/Stormwater Detention Calculations ' `" '"
.j, t�� i7 rin7
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.
✓����� / — 6
(LANDOWNER OR AUTHORIZED R RESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: t' '
•
•
•
1R CEI\rED
OCT - ?
JEEEEDSDE COUNTY DCD
12
stormwater site plan template—rev.10/12003
i 1 y 4'-3" 3'-9h"
0 0
8.I 't
0
0 i ..,
C7
tv C� - Q(7� o , _;l
7:3
cl
„�
_ 0 16'-0" X7'-6" OHB 1 1 1
�`�' 5-1/8x12 GLB BM ABOVE p -1 -1 0
08 f o _
y 1 m
1 Z •
11 > w
0
REF
x PANTRY "' T
`A 4
m
rn
.
ivo > s
CLOSET il II-iI
2'
5'-0"
F1l z
x111,
n =<
a)
P
c
rn 27
o
0
K
1
WASHER do DRYER n'
11'-10"
CASEMENT
3 2'-6" x 4'-6'
1,4,4,4,..3:: 0,j .-----
5-0 BP
\.„ 10'-8" 3'-0" 15'-5"
52'-0"
A
13
p MF $ m •
z
o ° A 02OMcnm
N =
M���� I 1 0 =s 0 r----
d _
N � 0� S OD► w-OPT-It oz,... .7c. mi z
*� Z
1-A. 0000 ro *0 % cn -, o
O) �N D •�C Op 4' 7= p 0-11 D "-'I
A 9 0 100-*, aKzO 93 93 6 CD F M
m o
M-D 20 • z c0i1 -0 is
P2 amp Skj m gF u)
0 09g ..°00 —1 r �g3 R.
58
oPC ° sA>Mo073 oM 4
•
Ng
r-r�
12'-0" 16'-0"
�On 2'-0" 2'-6" ^- 7'-6" 5'-0" 2'-6" 2'-6r 5.--0"
x 7
Q ^ V
'y
•ti e
,,,,
%le
t t
�
2'-6" x 4'-6"2'-6" x 4'-6"
Y-•�--� CASEMENT CASEMENT
N.
I O .... ,
, r,
co
rn
C in X c xEo x 0 a.zcx rn - 1O o rnOf0 1
70
-4\
cn
r Z -
m 0 �`th
Im.
O 2
', / E
O ,J -0" z
6 0
1 vi ?
/ ---1
2 CASEMENT 6" -< 2'-0". 10'-11%"
11'
4
N CLOSET j�
°'n Q 4'-0"
xIll z _ —1 �..0
....z Z �4'-0" 71.1_
rn-4 0D 1
�i N
' o 4'-3" 3'-91" 6'-1" fzcx
n , rn
T3.13 0 r
cn
- -- - --1 3'-0" T
co
0
z. -.,.
, (ID 1
I co '
0
oii x ° 2 " V . " J
x 10'-2 �a ,'dr. 3'-8" 12-8 1
„ ., ---• •----— o
I
rn-i .��
ifr-F '' - N
1 v
IfICO;) L-f--'- =
(17 2-it
m -a1
Z rnII
1 c+ 5'-0" 7'-41i" `I'
-a i ° ■
REF CO
z PANTRY "" 4 > �� �' D °°� /---� •
z -±-1 01F1 t ...,_,4 crl
I 1 r�i x !
c�
zs0 I o CLOSET 2'-9" ° -'
00a0
1
T 5'-0"
r[---"Ril IN wr --� �- 1` - 1' cs) 0 i o i o e 1.
II
\ / a w
A
/ \ w
Q
rn O r 0 '� x w
•
WASHER do DRYER 11 -10 N o
" - 2'-0".1 1"L 12'-8" a•
CASEMENT CASEMENT iASEMENT `
• • - • - • 2'-6" x 4'-6"I 1'-6" x 2'-6" 1' 6" x 2'-6"
mimmormAllf. 11.11111111...13
5-0' BP •
2'-0"
BP
15'-5" 2-6" r 8'-10", 1'-6" 6'-7" ' 1'-6" 2'-0"
•52'-0"
X/
0
C
m
0
—I
D
3
rn
i.,yr V. � . �-i ✓•: 'J.,1. r •:�" y7� �.N:1G T 9tiM1} t1e �.., '.,, y •M l '. N" r.b '.
+ pp
SFh 1;1y t+. ;,}a,- ' .4 t> 13 .,,,,,i: ,:,1/4 byy .., v ;,''r�{ .. . - t 4 Yr ti ! t.t v,..,.• • - r Is:t a
a. i 'f ,t,.• � <k .P '# tr,�,�i.&t,.gt�r )7F.• !3afy 1 4+r. t i i �� t ? ,t .� l., �r
2, t'i A,R;.S4x0:,-
J.'•,,,/M"�F '�vi,,,t r• L�t� � 7 a' j -, f ,1 1 YAt )
S .4,i1r1,1'":Y 5�; „'At $, atl '• ". 4r,.'..Y:11' it FAO ek,f }1r t . t�. `4__. !S t. ` f..,! .'311.li itl; s..i�. +ti f.yS ,?t. }y'i,,,, .
�` �iW�" ..�tx. .i �• ��!`# d.���1 -;��dr �,t �pTxt .�,.:t .t '. t. v �!. •� t�. ! �#'yeJc'�JS i1�'`�K vi,•�9y)r,
'l q r , t 44 . 3 t r t 'f f�,. �r ^ t p i T +n d t c
—� a 5�� �' +P�'. ;� ���t ���gg��.t ,;1., i' "1 1�r F t pit r ti .; t i •l � t(
t1•,- •L Ctr i'•` i#� a'v " &�'� S t x !1 i 1i� �`` •iii, a� a". *' ty, f,•
y f. w ., l" :Lm.1.1 Y, ,,,11i. n J. 1.f31.1 . %i y 9 yr � 8,t fit,, v �1q.! 14
•. r�i f e�ta M ;+fir � r � + 7, ! i4
,�. '�'. '* - F3,k 1 ,dy 3,r,r.a 2'•r. . i4Jti: 1•4•,x1. .� :V- �Tht"!Oi1
01N't4r Y, -..Fr,� ir'i,''r ,r a“;1,`. ! } ;! 0 . r ,' ;71 y f 4;� �. i°.e rl. j,v. i,
�j i +�, y��'C ie h e t r � , r t Y
L
•3 f .x, u'9 , .!.�� �^ 'y i'��3y„ti�r. h.''a•1�� R R���r,h Y "1 R,'! f� f ' a',Bishop1�{��•���M,14 re r �-li ,Ht F � r�, �: f t ,tffxs
73 _ l 11,', i ; \?y 4`3A, 4s,il li'•,tt' ti yLtr4(0 t{lt'ir isk;•I3t `%, -a , i ' •rt , , ft `r# r �t r • 't rr}A ffi
:��,. �., t,. r, k .1 avo,,,: Ry�{f ar v.1 1.1.3 r}je yr;y • • ,i i t .;,, 't J i' .. .:t' i 4 r
rn 1.10
# f w x tr�� O t ;tlr x �f I y , ; � � r •�
E� 0 "IW v ,v` `! r F 7, ! .�R ty 1.t1 Y C ,(l r v , a „
f�• :. .t;{t,��j}j .P� `Y��Cp�{�_a e��;4^r�rt � t !ylrl t t ,.. ' r . .t > t ii� 1 ' jr�n'.y•(.
r `r. ,, , ter j� •+: !iak w! d�'.} .tot ,raS It.',,,`,, ^ LL Yfl r Y I'r I -ti S, rr>; :;, i..? „ ++Sa10
`. ,,y�, �t*:i }yya`0,, r+ rY r .'} I r y �a !' f / n ;1 a r Y e y
� '�,t1r `r. t. ""1 ?i,.tf&i i 4 it�lts� �r kiri..k 1t7 � 1 ..I t y�. ' a°r"f;•�i� , t �a•• " f t •t ! a •r p �t,
,rp 'k t�+ '�i, '{}444 'i'.'?`y '74.41. €� :'9 ?.!•lv �!r f 1 ' • f ,,„:,-,,z.,,,,,.,
• i
3.... ivi yrJ4,' ,, Srf �' a
r
.2 0 Building
ldi og
Set
back
b ack
'
411/
I �....... .. .
. •...,.
.. ......,
, ...,
....
1 i ..
v ! j ,l
27
` m
i
to
•
Uq
coI O �•
/' Fly O \
/ t--4 Le.) .. , a
, ,,:, .
, v, ,:, \ .
,,, .
, .
, \
....... ,_., „,_,
1 / ._ . 17-1
f o- ti �`
rn a
7 co \
471 '—i 1...4, V .--4 • g
Orn0 coo v !. t
• w 44, ,,,,
; I
k.J4 1,:i7,,,..-14:.;e cl:c ir
•
rt
y`
° P 0
N \)
.t •
ti �1 c
Z •
m '':''.-.'''' (--(s:'
00 0
co
2 \O - . o
cn
cn
dry rr yfi ; a, '''
'v , r �``�"tf�" ,L'20'Building Setback — — ?o; 4t
Z h 'F'y AA,v�pttiy."x.{ Y3'#..1:' 1� • t ,( r S ;R r, "•,�' 'Oi•�` 1"' i a• ••Sil x 'i •.r ! • '.r • i. ,'m ,'7��t•
Z � �Fa}1�,q;;YI+C x kR,*�. {.`iM;t\'tti'1:4'jis•�ttm.8)•rty rc '?, t t�itfJ`r1,:`e .i Y, p{ � � Rt rt ' I. ,�5 .•t !�-"t r � 'j.i v 'e
C ? ,"�Y4 1 s�;,v qi . !�1 N t. r )� •1, y'W, .�S,tl,n -v : r.: t` ws. !'`.ti:
T`�. t,l�r J1 ,;PA-'* '.4", •..�'�Y r{} ,ax ty?.. 1 , n rt .'.1 1y'J J. 1.. 11 ., 1 f1U`,
�.S- • �, , It *~cY',' td t � x ,,� �•t 9 �,...�;rt !11 � r ttt'~ s • .r ., •� i�''� r
`.` n ti",e1iNlltxr.R,l,�ta t'`ynPt,N1 "`G.i\', #'•+li ill -Fijie r *"11 r.Pe"r.tit 6f i'.: .e` ' S 1• •r . ..�.,� ,"Y
W +l t!q 41 �'r l,,ia' .7A.:{ tc ti ,t„r'r .- # .2. s^a! r r , w t t
rn Az t: .,�1 t"` ,,,„, �iNea, .: i tAts# '2*s $4, sir ;4t;R1� ti.ted,
ry� d ..f i ') ' ' r c 1 04•1 1 t�'•er . vw k.,,�� •-d� f:,Ir ! ' t..,. , -, --, .ix r• `+lFP •'� ' v , , .
71 41 ,att"t'ry e #%k R-f `6,4,! 'a ,, �,{r ) •. r S n, t t r a r. • r r i a � .
O r y y t:t ta3s4.4 M, i -rr t,r ar b1 x.. !�..7•,t��pt],fi Lflif rj�a -,�4 r ,
u {, ,,''t y�l9�t£'FA f�';}} ij'rr!' `it 1't/i<Z r<w.P w\r(!,7' tr. xr'! x r F ,,..i i•.: i . '! 1• I ? i f • ,
T P tE'<Ir. ,„.. ., ' S•it��, 3 •[ 1x a y‘ .. I, j rP r , '1. Si... r ,, '- `� ' I'
�y7..� YM`�t } '}' t t'Fr!k�[f , r l i'! ra,i,lrry a+ �;,fi� y r 1 t l�r" ar t � t 7 ,
•��y CC #t • t t t r
t,1J�1 jig.".'r (a F< F N/•1,1 j4-1 q. 4 t 1,2 ° 1. 11:t l a at • `N x �'> f-
il,P,• .d5fa r�i��a'k M+ L} t.;>�'1;4aA i ` 1Mtf( s1 1: t f.. x r a • p ,
mto t f, t t Y;f r ,a •, I1> �' a • r. AM ''' 1 i• Ygs ;y:- in.:')Ii 'I t fit• a .!A.i,a r 1 .z • r :tco t, �" .i f,,fttt#1y 4',.. :+:ty c:ti i• ;i' t { l'r lri �tl. T ;t, ;:t
..,-, D r' —1 n /
Z n`� O D C 1 7%1 ,s l✓e // 0/'/S' /1 LI
y x N •
1
r71 5n , z o o r �� ,5i'r✓e r s f/ ;le J
-p t� o O It m D \ i
D ` - z (1) A < /
A 70 w w W /
S , (n S
z -� O t� p o h /
L �_ O a n 0 V) /
r v
73 1 O O .� U1 O Zd / /
z tD (IDin h .0."-\
• �y 7.7.h
Dr ° r-n U� � .1,-n O 0 ' V rrol;;11' '''' rn
tt
m h C P c.n
o �� ® ip;v ' r-3
•° 51
ire`�O