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HomeMy WebLinkAboutBLD2006-00662 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00662 Received Date: 11/20/2006 SITE ADDRESS: 37 FIR PL Issue Date 4/4/2007 PORT TOWNSEND, 98368 Expiration Date 4/4/2008 OWNER: WILLIAM D DUNNING PHONE: 480-892-5547 SUE ANNE DUNNING 121 S PUEBLO ST GILBERT AZ 852335923 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 70+ PARCEL NUMBER: 940500069 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: TERHUNE CUSTOM HOMES PHONE: (360) 681-8898 PO BOX 3125 SEQUIM WA 98382 Contractor's License TERHUCH984MA Expires 7/1/2008 PROJECT DESCRIPTION: NSFR W/ ATT GARAGE & A/G 125 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,206 VALUATION 367,935.00 ADD'L: HEAT TYPE PRO CODE EDITION: 2003 HEAT BASE: 1,627 HEAT TYPE: HTP OCCUPANCY. R-3 UNHEATED: # OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: b18 SETBACK: DECK: 417 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,494.55 LYK 11/20/06 86875 Exist: 0 Exist: 0 Plan Check $1,621.46 LYK 11/20/06 86875 Prop: 2 Prop: 4 State Building Code $4.50 LYK 11/20/06 86875 Total: 2 Total: 4 Potable Water Application $55.00 LYK 11/20/06 86875 Total: $4,175.51 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 Tom'• Jefferson County Building Div on Permit Number: BLD06-00662 Applicant: DUNNING BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks / net gy GGArfa246TOL/GwA)" Erosion Control Foundation Footing 7/fig WPieR IP5T:41-46c Footing Foundation Stem Wall 1..`ei Underground Plumbing k-3-0-7 Straps Shear Wall Nailing Rough-in Plumbing At v— `'L C''.'' '� '� lO/i1l 7Framing ',-,1.45-7 3 0 1 t1 Nakj�owt., 4-4444-wt a w Blocking 4 , Airseal i072s/07 Insulation:Walls Insulation: Floors , I" _ Insulation: Ceiling Io/3i/0-7 t� C � v'r)t--ram K-3 Int. Shear Wall Nailing Wallboard Nailing 1 1_ 1 3 -0/ v Gas Line: Interior Oil —, Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted '7)1ill() FINAL INSPECTION j pilaf FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i � CONDITIONS for Building Permit# :BLD06-00662 1.) PRIOR TO OCCUPANCY: FINAL APPROVAL OF SEPTIC SEP07-50 AND SEP96-270 ARE REQUIRED. 2.) A NOTICE TO TITLE SHALL BE RECORDED REGARDING THE LIMITED BEDROOM CAPACITY OF THE ONSITE SEWAGE SYSTEM. 3.) NO FOOTING DRAIN ON NORTH SIDE OF HOME. A 30' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPONENT AND RESERVE AREA TO ANY DOWNSLOPE FOOTING, CURTAIN OR INTERCEPTOR DRAIN OR DRAINAGE DITCH. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on November 29, 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: Eagles Habitat Area, Level II Landslide Hazard Area, Susceptible Aquifer Recharge Area and Coastal Seawater Intrsuion Protection Zones (SIPZ). 5.) A Geotechnical Report dated August 4, 1999 prepared by James B Scott was submitted in conjunction with the application to address the landslide hazard areas. A site visit conducted by Development Review staff concurred the proposed building site is relatively stable and hence no addendum to the geotechnical report is required. 6.) 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. 7.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 8.) 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. 9.) 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. 10.) 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 (Sambucus Racemosa), Snowberry (Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry (Vaccinium Parvifolium). 11.) Marine shorelines and islands artsceptible to a condition that is known as eater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 12.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy (Resolution 44-22, effective September 23, 2002) that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 13.) 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. 14.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 60-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed single family residence. 15.) 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. 16.) 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." 17.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 18.) 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. 19.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 20.) VOLUNTARY MEASURES OF C TAL &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. 21.) 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. 22.) 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. 23.) The applicant is proposing to create or add 4124 square feet of impervious surface and 7400 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. 24.) A Stormwater Site Plan for a medium project 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. 25.) 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). 26.) The site plan as submitted with the building permit application on November 20, 2006 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 April 03, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 27.) This 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. 28.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 29.) Not more than 2 unlicensed vehiccshall be stored on any lot unless totally Ailed 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. 30.) Minimum setback from Fir PI right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Minimum setback from the top of the shorleine bluff is 60 ft. Environmnetally Sebsitive Areas further impact setback. 31.) 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. 32.) 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. 33.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 34.) The building height is not to exceed 35 feet. 35.) This project was not sent to WDFW for review for conflict with eagle habitat as no vegetation will be removed as a part of this project and the surrounding parcels are already developed. 36.) This is a legal non-conforming parcel designated as Rural Residential 1:5 under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 37.) Fir Place (P56) is a private local access road. A road approach is not required and an address of 37 Fir Place has been assigned to the parcel. 38.) This parcel was created through Cape George Village Division 3 under AFN 180841, recorded August 27, 1964, Volume 4, pages 59 & 60 with the Jefferson County Auditor's office. 39.) A minimum of two (2) on-site parking spaces are required for the single family residence. 40.) A shoreline exemption permit (XMP99-00046) was issued on June 27, 2000 for the installation of a curtain drain and tightline in order to intercept stormwater runoff and prevent erosion of s steep slope„ an associated critical area review (CAR99-00335)was completed October 17, 1999. A boundary line adjustment application (SUB06-00002) was finalled on June 5, 2006. The final survey regarding same is recorded under AFN 511932 with the Jefferson County Auditor's office. 41.) A septic permit (SEP96-00270) was approved on October 12, 2000 for a system of 240 gallons per day. 1 ,i517,917 N ,99 'L 8 '� m >i0Y8i3S g N w O2IVA 1No2IJ SZ r- O � 1z Nis. °DtiNib�v /1 1,01 .S yv0of -f f�' •� 1 �N • Is 10D taco0 iiri � z 5`°a ► •-� a :.��, , +�ll4 W5miIwN QZWQ�Y CA , �..�- QQpQOW O r,. Ut C1' Y • Z n 1:P L,#1V ::1,1 cr tgE O a `�' /i: j, Z w a,E 1. Z< lay �r W 1 05 • Q oZoa� i W So�' � � t`nt-- w � �E„~i 0�.. afP X 4 � ozo-1 boa LO GO F�3 QI C/� Q `p al IIc cW._JL,°1-1� N o �71 • �--- ��` UWto R vdQ5��a 00 In (03 Cl) (nma.c)o�� -- (f) 1co l Z i < Z .-1 r . 1 i 0 o Ita; I I ' 3ii00 00• N 1 ,9� '6� '68 gi4 dUILDING PERMIT AP MLA06-00643 PLICATTJN Review Jefferson County Department of Community Development Type:I 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00662 Received Date: 11/20/2006 SITE ADDRESS: 37 FIR PL PORT TOWNSEND, 98368 OWNER: WILLIAM D DUNNING PHONE: 480-892-5547 SUE ANNE DUNNING 121 S PUEBLO ST GILBERT AZ 852335923 CAPE GEORGE VILLAGE DIV 3 SUBDIVISION: Block: Lot: 70 PARCEL NUMBER: 940500069 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: TERHUNE CUSTOM HOMES PHONE: (360) 681-8898 PO BOX 3125 SEQUIM WA 98382 Contractor's License TERHUCH984MA Expires 7/1/2008 REPRESENTATIVE: TERHUNE CUSTOM HOMES PHONE: (360)681-8898 PO BOX 3125 SEQUIM WA 98382 PROJECT DESCRIPTION NSFR W/ATT GARAGE & A/G 125 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 367,935.00 MAIN: 2,206 CODE EDITION: 2003 ADD'L: HEAT TYPE: PRO HEAT BASE: 1,627 HEAT TYPE: HTP OCCUPANCY: R_3 OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: GARAGE: 618 SHORELINE: CONST TYPE: SETBACK: DECK: 417 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 4 Total: )3'12— Total: 4 Routing Date: [Pilaf() Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $2,494.55 LYK 11/20/06 86875 Plan Check $1,621.46 LYK 11/20/06 86875 APPflcJJEIJ State Building Code $4.50 LYK 11/20/06 86875 Potable Water Application $55.00 LYK 11/20/06 86875 APR A 2007 Total: $4,175.51 Jefferson County Planning & Building Department i ',; ()AT CO,ee3 • • s JEFFERSON COUNTYT."� , ---- -, - , , ,,-,, , '�_. ,_ ., ,, , A DEPARTMENT OF COMMUNITY DEVELOPMENT �^ i .�3� 621 Sheridan Street • Port Townsend •Washington 983gga 0 �'' 3 t7 360/379-4450 .360/379-4451 Fax http://w co jefferson.wa.us/commdevelopment/ h t , 1 ipi,r4} A ria,,,. . STORMWATER SITE PLAN S SUBMITTAL TEMPLATE - MLA# b(o- 4 PROJECT/APPUCANT NAME: I Please answer all of the following questions to the best of your ability. Where the question calls for depiction separate may choosewater to either incorporate the elements into the general plot plan for the Master Land Use Application applicant a may oeite plan map. p ► li onfa site map, the pp cation or to submit a Project Overview 1. Desm siteap. proposedibe the proposed developed conditions of the site. Indicate position and relative size of De m improvements on the • ► LA ' . ` - flab Existing Conditions Summary 2. De cribe the e ' ting topography. Indic to contours on the site map. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. r� , 4. Describe the existing soils. Indicate soil type on the site map. • / i 5. Describe the existing site hydrology(i.e., drainage;behavior of water on the site— above,below,and on the existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the applicable,and indicate acreage of each. ground). Indicate site map, if 6. Describe any excess levels of noise generated by the proposed use or STO1111 RI�iWATEFt P • � � activity: - • a 41 1 11111 s, im, JEFFERSON COUNT1f DEPT OF UNITY D SIGNATURE:I�,"~'♦ ��_ �f+storrnwater site plan template—rev.10/1/2003 5 1111/ II 1 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. S.Qd-, c9:2o4e_C- 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.). Cam, W. P S+ 5 l CiC-2- ZS—T" 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 facilities from existing facilities. 10. If the project requires the use of stormwater treatmet facilities differen the tiate proposed typesof facilities ter fr treatment ngfaci lices sprop[This for use on the site. Locate these facilities on the sitep normally for large"projects or projects that involve the potential for dispersion of contaminants.] lu (A • . 11. Describe the performance goals and standards applicable to the project. ;f to 12. Der e dip flow;eontrol system• ; ,,,�,, i4 ' 1\ / /A 1 I 7 :it itt.1 av is.i VV." ,?.'.t 1 20 T".11' f.. stormwater site plan template—rev.10/1/2003 13. Describe the water quality system. eirammoromm • 14. Describe the conveyance system analysis and design. 1 /lie ( '" f ' 9 Itrid `f . 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. CctrAs>_ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of p the Uniform Building Code. a — ��' � nn �►A/� I''n/�A Lam, ,M 1 _� �; . gal 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. __ _ .A EL .atei.' 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. • stormwater site plan template—rev.1 W12003 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. ( h(Wn� IPf�Q " c"-1 Q�� � I 4-e) 2. Establish Construction Access. VV C �-e 4 COY yd� t^t a-,23 3. Control Flow Rates. t h prAee 4. Install Sediment Controls. S i Q ± L-C 1• S2 719. d 5. Stabilize Soils. -V\at Or S"ti-0. ) CN1 OTC Pf P 6. Protect Slopes. S�Q L- kO -k a hQ C� 7. Protect Drain Inlets. 8 stommater site plan template—rev.10/12003 • I 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. Yam.: 9. Control Pollutants. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active:construction site). 11. Maintain Best Management Practices(BM s). ' Tr 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbant;e (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stomnvater site plan template—rev.10/1/2003 9 • • . b. Description of special requirements for working in or near environmentally sensitive areas. 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). r` 5. Construction Phasing. a. Construction sequence b. Constructi n as' g(if p opo d) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. _ a00 -} II. Wet Season Construction Activities. a. Proposed wet season con ction,activities. ��a t 1\--k- V\\_stn U 3 UV" cvc- - . COYA.CA.Q._ b. Proposed wet season construction activities for environmentally sensitive areas. (-1 kJ.. ...Q.-1‹.0 n )..)--ei--*1cAr\ 4- Q-X.--\-- A---5-7 ct tr-v\A An 7. Financial/Ownership Responsibilities. a. ,.Identify the property owner responsible r�the initiation of bonds and/or other financial securities. k f,-\k IAA CLW\ kC 1.1 S2 , V\l 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. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations 10 stonrnmter site plan template—rev.10/12003 I Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LAND WNER 0 AUTHORIZED REPRESENTATIVESIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: 12 stormwater site plan template—rev.10/1/2003 • • "" 11' COUNTYJEFFERSON COUY j it V A DEPARTMENT OF COMMUNITY DEVELOPMENT is`* '� •' `'- 621 Sheridan Street•Port Townsend•Washington 98368 . 360/379-4450. 360/379-4451-Fax www.co.jefferson.wa.us/commdeveiopment Master Permit Application MLA: `'(1F� La -i Pro ecfiDescription(include separate:;heats asnedessary): ��` �'t'��-i �'tY0.l�t- lin Z�-t-tty leo o+41 , V- 4Z6L. ge Tax Parcel (�. Property Number. l �_ � ^ 'Size:' �j �y_ (acres/ refeet Site Address and/or Directions to Property: -ci V- 1AQJ',e. 4. —TF LAVsesaa Property Owner(s)of Record:tA t.LIA-CLOrt, j 5 tA Q, PIA v al Telephone:Li80-139.Z -• '554. 1 Fax: "—I email: Mailing Address: 121 S_. PlAp la ' ... G t U y f_ _$ , , Applicant/Agent(if different from owner): -Gas p_ C�F..,: tM ,,,,,cS Telephone:,'I.- $2CV ' Fax: ( ' I --1-69.9 email: Mailing Address:P-O.'a30)c, 3lZ.S e_cs J,_a\/1r,,f l A:,(::., --t$3,5?2• What kind of Permit?(Check each box that applies) • L*:uiIding U Variance(Minor,Major or Reasonable Economic Use) ' U Demolition Permit U Conditional Use[C(a),C(d),or C]** AL Single Family LI Discretionary"D"or Unnamed Use Classification /_Garage gLta't -/Detached U Special Use(Essential Public Facilities)** Manufactured Home U Boundary Line Adjustment U Modular U Short Plat'"' u Commercial* U Binding Site Plan** u Change of Use U Long Plat** ).caAddress Road Approach U Planned Rural Residential Development(PRRD)/Amendments"* A0Propane U Plat Vacation/Alteration** U Allowed"Yes"Use Consistency Analysis U Shoreline Master Program Exemption/Permit Revisions** Stormwater Management U Shoreline Management Substantial Development** u Site Plan Approval Advance Determination(SPAAD)* U Shoreline Management Variance u Temporary Use U Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* U Jefferson County Shoreline Master Program Amendment u Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference *'Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE "/ Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any r-.,.,iiu,later]nscections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ^^77 Signatureill (-- ' Date: L-1-6 jci The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra e Date: ' Z.-1r •bility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signatuq� C11 \ C:\Documents and Settings\modiil\Desktop\Master Permit Application 7-8-04.doc • • A--)U_vti V\l 1i\J OWNER BUIL EM T The signer of th. element does hereby rtify that they, a Owners of the parcel erenced herein,that they are not licensed contractors and that they will ssuming the responsibility o 1 Contractor for the proposed 'ed. nature: _ Date: GENERAL CONTRACTOR Gla.ea IFp6F'A5DHOME INgTALLER: PHONE: FAX: —IT, C Y IA. -t D ►'A-� )L.gl—: 34cA7 8i=13)42Z t-5c19 MAILING ADDRESS: pa. 0.';?Oy 3kz.„.y �Y\/'L L:�.4. '�j-zZ •CONTRACTOR'S LICENSE`� ' WAINS • ` "j NUMBER: 1 Qii 61.3."C114;k2kk.VVNA NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS:. • ' G! L^�" 4[^ ' ; EMAIL Project Type: Frame Type: Bathrooms: Sh line: Type of Sewage Disposal: New )b Wood , Existing: u Sewer Addition L Steel Proposed: _$.' �, Bank. u Community System _l Alteration/Remodel ❑ Concrete Total: tj __ - Height: KIndividual System Repair ❑ Masonry S P Permit# I Demolition •u•Other. Bedrooms: Water Supply: Existing: Setba : u Private well Li Two Party Proposed: _I._ Public Type of Heat: Total: Name of System: If this is a C -al Project you must answer the following: . Numbe Parking paces: Curre • Pro Numberof F arkin . N r of occu nts(ncl owners,ten ts,em es,etc) Curr t .— Proposed IBC Occupancy: IBC Type nstruction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank Above ground Tan Size of Propane Tank: l Z- i Heat Stove i Cook Stove i VVoodstove '<Fireplace Insert i Hot Water Tank i Pellet Stove i Other . Is this appliance being installed in a Manufactured/Mobile Home? Yes No When applying fora 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 � �' Current Proposed n " Amount Main Floor •I 1 ' Consistency Review: " i _ I —Fro Floor Base fee: (12'0149-5 / 3"°Floor Additional Section_ Mezzanine: Plan Check fee! t • ._.ley Heated Basement '(.Z.-, 1 c c)t State Surcharge fee: Unheated Basement ' Pot Water Review fee: 1I y'-' t} t Other Unheated .� l /)d Approach fee ----, / C- .1T _ .__ rvi 1 d Garage/Carport . (c),� 1451do•A" TOTAL: $ ! _ `\ 51 Decks Z ,5 1.'. Receipt Number: t,Z! � Other .4Ict55,4C, Cash/Check Number: C�4f� osirthsA ESTIMATED COST(REQUIREDI 701 ate: p + IOC( .Fair market value c" .,o,,r and .d,ars?o i to lint t t '2 -4O b 4 . _ Iti�+tials: C:\Documents and Settings\modiil\Desktop\Master Permit Application 7-8-04.doc d • r lime of Garage Above 40•-0- • 14•-4- • - ZS•-8- 7-•10- 17-10- -r —1--+- c rt C 9 o -w n 'e i, .3 " O a _____-----: 10.........ca_ \ <41 4 0 (7)- C s = d C] —fl g -oC{ M Rough h for N n :",,,,, Wane a Dryer J - i� M a in lawi 0 4 Q , Q 1 n o tJ _ _ ill tI Y x Q — <-- 4,.. , v-L,. 7 wrapped . ---ip5 0) .... ,q 1. 1� -P cp N 4 0 G. t_n____I 4 4. -ik ri O \ `N \ Emceed Bvo -1 o O`` CO — dre A etroeM II 1 ts-e- - -+>, • b.-r 4•-8• i-V 5'-4• B-td • Q I o 0 o< r r r*. <€ S — r 4 - I (x 0D •e 1 A vco 0 ID g a pAlk < 1. y 3hprne GC e 7-r d-o- emu a-0- a_t- r-r 7_7- • 8. Ci • t 1L Cs` I — ` a — lbw of Deck Move Pr operty of:T E R H U N E :: :0/6/08 New Residence Foust 13 i l l & Sue Dunning Poubbo (980)697-7000 * 800-772-9276 * Fax (980)897-7500 9equlm (380)881-8898 • 877-837-4869 + Fax (960)881-7999 Bri„a By:L Ritter Dower Floor Plan SHEET: 2 Contractor Number.TerhuC 8411A www m terhuovetomhomesnet �/ �; �- . .off` Cr) 4r-0 �✓ ,2T 40•-0.' tr-6• e•-6• tr-r• 16•-r } 4•-0" o 1 3•� Ewer - v s.t I U` I '\\ ���� NCO I <� g a I \�� I x -, I ><� t� r O I ---- —\\ I o K I �� �� I 7 ` j & Il-� WxTOHD. ��j � 0 " \ �r1 - N � � t� �'i N a Q I 4• V• r-tt• e—er _ r _. 0 ,.., o al �Mfig'o g S o m o' t i i. 110c1rn (D iC-O• tts 04 10 .4---- t...,4'2-i-C1, 91 S. Fortino Van G. . 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N 3•a3 ongl• e•r3'6"Plc Above .1•301" t1• g • r oboes r abaft �, ;�, k1 (1� .. 2 Fil "q'"' ,_'' r' I CD e� ill 0 . `- a I I 0 1 ♦ = -a r-r t 8=0" a-d a•-o' 7-7 -5• 7-1• 7.1 POW ti 'To -91_��f i- CRY pP�[rvT� I +Le"�51Fr_/cE A c,vv./ii- r�-8*9/G PrcvervcitTERHUNE Date' 11/2/06 New Residence For. 1 ER custom homes Re, io>m Bill 8c Sue Dunning Paubbo (360)617-7000 • 600-772-9275 • Fax (960)697-7600 s.quim (360)6e1-6696 * 877-637-4663 • Fax 0eo)66-79 0 Drawn By; L. Ritter Cnatractaor Nmtab.r.TerhttCl30b4iu www.terhtmeca.tom e.bemenet Main Floor Plan SHEEM 1 OF