HomeMy WebLinkAboutBLD2006-00687 BUILDING PERMIT APPLICATI Revviewiew Type:M+ y e: I
pe: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD06-00687 Received Date: 12/5/2006
SITE ADDRESS: 1044 BLUE SKY DR
OWNER: BERNARD ROSENBERG PHONE: 360-385-2505
LAURA ROSENBERG
1679 JACKMAN ST
PORT TOWNSEND WA 98368 DISCOVERY RIDGE PRESERVE
SUBDIVISION: Block: Lot: 1
PARCEL NUMBER: 947200001 Section: 19 Township: 30 N Range: 01 W
CONTRACTOR: TOLLEFSON BUILDERS INC PHONE: (360) 732-4080
PO BOX 100
CHIMACUM WA 98325
Contractor's License TOLLEBI977N9 Expires 3/15/2007
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW DETACHED GARAGE Wl SATELLITE BDRM
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN: 348
VALUATION 44,649.00 ADD'L: 372 HEAT TYPE: EEE
CODE EDITION: 2003 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: # OF STORIES:
OTHER:
CONST TYPE: GARAGE: 480 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: OTHER
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 Total: 1
Routing Date: r
qcoloQ
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $593.25 LYK 12/05/06 86899
Plan Check $385.61 LYK 12/05/06 86899 APPROVED
State Building Code $4.50 LYK 12/05/06 86899
Total: $983.36 MAR 14 2007
Jefferson County Planning
& Building Department
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CONDITIONS for Building Permit# :BLD06-00687
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on December 18, 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:
Wetlands.
2.) 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.
3.) 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).
4.) A setback of 100-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.
5.) 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."
6.) 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.
7.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
8.) The applicant is proposing to create or add 8965 square feet of impervious surface and
14234 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
#10 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.
9.) A Large Stormwater Slte 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.
10.) 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).
11.) The site plan as submitted with thOuilding permit application on December 5,46 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 December 18, 2006 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
12.) This approval is for a single family residence and a detached garage 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.
13.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
14.) 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.
15.) Minimum setback from Blue Sky Drive right-of-way shall be 20 feet. Minimum side and
rear yard setbacks shall be 5 feet from the identified building setback line as recorded on
the face of the final subdivision.
16.) 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.
17.) 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.
18.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
19.) The building height is not to exceed 35 feet.
20.) This parcel has been designated as Rural Residential 1:10 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
21.) This parcel was created through the Discovery Rdge Preserve Subdivision under AFN
491110, filed of record November 1, 2004 in Volume 8 of Long Plat, page 28-37 with
Jefferson County Auditor's office.
22.) A septic permit (SEP06-00337) was approved on January 26, 2007 for a system of 360
gallons per day.
23.) Blue Sky Drive is a private road (P278). A road approach is not required and an address
of 1044 Blue Sky Drive has been assigned to the parcel.
24.) A minimum of two (2) on-site parking spaces shall be provided for the single family
residence.
25.) Wetland buffers as depicted on the face of the plat shall remain naturally vegetated except
where the vegetation has been disturbed, invaded by highly undesirable species such as
noxious weeds, or would substantially benefit from the increase diversityof introduced
species. Where buffer disturbance has occured during construction, replantng with native
vegetation shall be required. Minor pruning of vegetation and removal of undesirable
species may be permitted by the administrator on a case-by-case basis (Examiner Note:
Alder (Alnus Rubra) is a wetland plant.)
26.) Any removal of or major disturbance of soil within the proposed drainfield areas may ceate
site conditions that are unacceptable for the installation of sewer disposal systems.
•
Jefferson County Building Division Permit Numb€r: BLD06-00687
Applicant: ROSENBERG
BUILDING PERMIT INSPECTION APPROVALS \pplicable 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
E J L b 1/3/[17
Erosion Control
Foundation Footing
APPKGVEn 3/23/z b y a C (1 i F -OK
Footing Drains
Foundation Stem Wall /f
f/PPRcvED I/007 by *.
Underground Plumbing
Straps(hold downs)
x4 P5 DV_ 6/307 51
Ext. Shear Wall Nailing
Rough-in Plumbing
Framing
`1—I1( cvrdc.
Airseal
Insulation:Walls
5/1/Ob r:0?-
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing /4—jrs-? �—
Gas Line: Interior
11/3(/` A
Gas Line: Exterior.C'\
7/271O7 C r E
Propane Tank 5/74 -/Or '1;1
Heat/Chimney Clearance i•NA
Drywell/Alt Drainage 5h40 joy- n a
Address Posted 5/9/D�j
FINAL INSPECTION 5/7/6' -cot- `4
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
J." • 0 IF) '1 11.4 11 IAA: ifIN ii h
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., v DEPARTMENT OF COMMUNITY DEVELOPMENT 'ERMAIY (1 iYI1`Uli
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O 621 360/379-4Sheridan450 • 360/379-4451treetPort Fax nsend
�`S�IING� http://www.co.jefferson.wa.us/commdevelo• Washington 98368
plant/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 06'..." '&51 PROJECT/APPLICANT NAME: Rosenberg Residence
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.
The proposed work includes a single-family residence, detached garage, the
installation of a septic system, an extension of an existing driveway, a
a parking area, and landscaping in the immediate vicinity of the residence
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
The site is located at the crest of a ridge and generally slopes down from
the center to the north and south with natural grades between 0 and 5% .
.he site is bisected by the road that-, has_heen el evat_ed_ahove natural grades
3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
Native vegetation (mostly forest and wetland vegetation) except for the
existing road, existing driveway and an existing clearing in the forest
which is the site for the proposed residence
4. Describe the existing soils. Indicate soil type on the site map.
Soils are generally Tukey gravelly loam with a very slowly permeable
cemented layer at 20" to 40" overlain by a substantial layer of native
duff
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.
surface and subsurface water generally follow the site contours . There are
two drainage basins : one includes the mapped wetlands, the road, and
driveway entrance; the second includes the residence and garage .
6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED
No excess noise levels are anticipated
STORMWATER PLAN
Pi DEC 1 8 2006
06 ._ C _ 3
stormwater site plan template.doc—rev.10/12/2003 (( Jl��``((��N�j� (� ('r' JEFFERSONER COUNTY 5
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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.
A mapped class II wetland is shown.
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.).
The adjacent land uses are residential . The existing access road and wet-
land area are shown.
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.
Because of the size of the site, the limited development, and the perimeter
areas left with native vegetation, stormwater will be fully dispersed per
BMP T5 _ "10 No flow ront-rol devi cps are proposed_
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.]
NA
11. Describe the performance goals and standards applicable to the project.
To fully disperse stormwater onsite
12. Describe the flow control system.
NA
stormwater site plan template.doc—rev.10/12/2003
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13. Describe the water quality system.
Natural infiltration into native soils with the surface water filte.r, ed
through the heavy native duff and the natural mechanisms of th
wetland.
14. Describe the conveyance system analysis and design.
Onsite observation and shallow subsurface investigation
15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material.
Balanced cut & fill is proposed. excess material from the foundation
excavation will be placed in the immediate vicinity of the structures
and covered by the stockpiled topsoil and native duff _
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
Structures will be placed on native, undisturbed soils . No
compaction is proposed.
17. Describe the proposed surfacing material.
Gravel for the parking and new driveway areas; soil meeting BMP T5 . 13
for restoring other disturbed areas
18. Describe methods for restoration of the site.
Soil retention: stockpiling and reusing native topsoil ; Soil quality:
Qnsuring that all construction areas without improvements have a topsoil
layer conforming to BMP T5 . 13 . Planting with suitable native vegetatior
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.
NA
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
NA
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.
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R 11-1'(,( 1 1
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP)
fl ► It`d
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated y the applican 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 Clearin Limits.
The buildingg site will be flagged to prevent construction activities
from occurring outside the immediate area of the buildings
2. Establish Construction Access.
The existing driveway entrance will be utilized tor the single
construction entrance . This will be maintained and improved as
needed during rnnst-rllrt l nn
3. Control Flow Rates.
Stormwater will be controlled be minimizing the area of sst_e._distur-
bance and limiting it to the center of the cite with undisturbed arcac
with naLive forest vegetation surrounding all consLiuction activities
4. Install Sediment Controls.
Sediment controls will be installed downslope of the construction
activities as indicated on the ESC Plan prior to ground disturbing
activities
5. Stabilize Soils.
Areas stripped of vegetation will be covered within 15 days (or sooner
if weather conditions warrant) following BMP C121, C122 , and/or C123
6. Protect Slopes.
Even though most grading activities will be shallow in nature,
slopes of 3 : 1 or greater will be minimized and covered and/or
regraded as soon as practicable
7. Protect Drain Inlets.
No Drain inlets are in the vicinity of the construction activities
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I 1 • • ),) ''..` 1. t ` ' 14 4 1 J l�i'
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12 Required Elements—Construction SWPPP(continued)
8. Stabilize Channels and Outlets. nu
The use of channels or ditches is not anticipated. But if they 'are -
used, BMP C202 and BMP C220 will be followed
9. Control Pollutants.
Locations for construction debris will be identified and maintained.
BMP C151 will be followed for concrete handling. The future parking
area will he utili7erl for ataging of eguiiment to minimize rnmpartion
of othcr arcas of the site
10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
If dewatering is necessary, care will be taken to prevent erosion
and any pollutants from leaving the immediate construction site
11. Maintain Best Management Practices(BMPs).
BMP ' s will be maintained as required to ensure that they are fully
functioning during construction. They will be removed at the
completion of construction
1T2.e Manage tehera c Ptoj .
genectontractor will work to phase the project to prevent
transportation of runoff and sediment; will limit work during times
of large rainfall; will coordinate the work of all contractors on
site; and will monitor and inspect the site as required to prevent
runoff and crosion
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
It is not anticipated that adjacent areas will be affected by the
construction activities
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards).
The downstream drainage path is heavily wooded natural vegetation
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
There is a Category II wetland onsite . No impact is anticipated
as the wetland is in a different drainage basin
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• . + •
b. Description of special requirements for working in or near environmentally sensitive areas l j I II , =r��i i' i �
No work will be allowed in the wetland or in the wetland*buffet
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).
Because of the limitation of the construction area, no erosion
problems are anticipated The only potential problem would be
�-ed to the permeab -of-t�-e se; l ; f ,d��e talerest
vegetation were to be removed.
5. Construction Phasing.
a. Construction sequence
As notedo oil tt e ESC plan
b. Construction phasing(if proposed)
No phasing proposed
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
Provide a proposed construction schedule.
Construction is anticipated to commence in May with all ground-
disturbing activites completed by September.
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
None are proposed. Xf
b. Proposed wet season construction activities for environmentally sensitive areas.
None
7. Financial/Ownership Responsibilities.
a. Identify the pro rt owner responsible for the initiation of bonds and/or other financial securities.
ernar'd Nosenoerg
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts. None anticipated
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable.
NA
a. Sediment Ponds/Traps.
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stormwater site plan template doc—rev.10/12/2003 10
• S
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shal(`b'e
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 m knowledge. I also certify that this application is being made with the full knowledge and consent of all
owners of the affecte r perty.
/i ?e sb
ANDOWNER OR AUTHORIZED REPRES TATIVE SIGNATURE) (DATE
THIS SPACE MAY BE USED I- ADDITIONAL NOTES, IF NEEDED:
stormwater site plan template.doc—rev.10/12/2003 12
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��i,4S°N CO6, JEFFERSON COUNTY .
` DEPARTMENT OF COMMUNITY DEXa NEitV }A If })
621 Sheridan Street • Port Townsend • Washington 98368
j 360/379-4450 • 360/379-4451 Fax ((�� Q 5 2006
,yr p www.co.jefferson.wa.us/commdevelopmerlf
�' .I"NO [[ pt f''fpl U
Master Permit Application JM I NNIM:1111 I ►; No- cp5r7
Project Description(include separate sheets as necessary):
Pet c,H PGA M96 >;a IMEleSar ell,rlc. 1)zaReips .
Tax Parcel Property
Number: 94 i ZOO 001 Size: I0.[A,,/c}zrg jai$6 (acres/square feet)
Site Address and/or Directions to Property: 10 4.4. r,LUe. SKY prAve. rovr TOWPiSatit? 9836:t
Property Owner(s)of Record: 17,rG 4z .t' t= LA,Ur-ls• g-OS 6 - t,
Telephone: Fax: email:
Mailing Address: 1 to q ,IA,c MM1 s-ricer-i'T I pow-r lo41f4S P 11.Ri3Cog7
Applicant/Agent(if different from owner): 1 %cMetic L4..w ✓t.1C., /LbWR•I✓NC. mzGt41 TV,C:TUIj ;
Telephone: Z Ce,• 33Z•18 3z. Fax: Z O ,•3 3Z •16 34. email:TOMt.b GatiragrAyulartivre.Cpj l
Mailing Address: 3Z0 11tsg '( A.VIyitIUll HDIZTN I SI>r 1t - i 144 `iPi1o9
What kind of Permit?(Check each box that applies)
laBuilding I Variance(Minor,Major or Reasonable Economic Use)
n Demolition Permit ❑Conditional Use[C(a), C(d),or C]**
Single Family ODiscretionary"D"or Unnamed Use Classification
Garage Attached/Detached ❑Special Use(Essential Public Facilities)**
❑Manufactured Home °Boundary Line Adjustment
El Modular °Short Plat**
❑Commercial* °Binding Site Plan**
❑Change of Use ❑Long Plat**
❑Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments**
A Propane ❑Plat Vacation/Alteration**
DAllowed"Yes" Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions**
❑Stormwater Management ❑Shoreline Management Substantial Development**
OSite Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance
OTemporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* °Jefferson County Shoreline Master Program Amendment
❑Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **Requires a Pre-Application Conference
Please identify any other local,state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate NOMdsylitAliCP, to act a agent in matters relating to this application for permit(s).
OWNER SIGNATURE Qom, , /a.4......r---er,-.. Date: 0,4 / 6�J
By signing this application form,the owner/agent test 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 falsehoo r a y 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 r of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any r uired later insp io . Sta•'s access and rig entry will be assumed unless the applicant informs the County in writing at the
time of the app- ion that he o ants p'•r notje�
Signature: .• . !u t. c,- Date: /r 3o DV
The action or actions Applicant will undertake . - esult of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to - .o en al'take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Je'- in County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate t e ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if u are in compli ith the Jefferson County d ent code.The Applicant acknowledges that he,she or it holds individual
and non-trap ble responsib' adher' to an mplying with he SA. The Applicant as read this disclaim an signs and dates it below.
Signature: � •-, Date: / 4v:A
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• •
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:
IOc.L Ot Y?u►ut & IIRC. (X0)7.z-408O (36O)13z-4-08I
MAILING ADDRESS: p•O•froy l00 r G41lMdGoM 9 Q,'SLs." EMAIL: 1'0 t,L .S.•Otl ID OLYF4rUS•NET
CONTRACTOR'S LICENSE WAINS
NUMBER: t•OUL.0 I G`7l NI NUMBER
ARCHITECT/ENGINEER: ..✓ i_t -le,ot�;M 4-1 t-6.44 fc.. tit hag 1 PHONE (z.o )552,1g3Z FAX:(1o6) 33Z-i$33
MAILING ADDRESS:3Z0 Qir 'i A.•ydul✓ Norm/i5e#ut . le loci EMAIL..roM ..e)"uIeNGE4accgiTt'Ivtr.e•coti
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
VI New lysi Wood Existing: ❑Sewer
❑ Addition ❑ Steel Proposed: — J_ Bank ❑�pCommunity System
❑ Alteration/Remodel ❑ Concrete Total: _ i Height: 5?Individual System
O Repair ❑ Masonry SEP Permit#
❑ Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well U Two Party
Type of Heat: Proposed: --'_ EX Public
e �` Total: _ ( Name of System: .401.c 011ls7
DisTRar r °I1 SCFPrarAca Cer•A7
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:
IA Underground Tank ❑Above ground Tank Size of Propane Tank: boo GA 11c C
°Heat Stove ®Cook Stove ❑Woodstove ®Fireplace Insert ❑Hot Water Tank Ii Pellet Stove in Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / 6
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated �'�`8 Z2")f•�14 EH Bld App Review: /W a Pn
2 °Floor Heated ` 24 2ssil1(o Consistency Review:
Other Heated Base fee: k,-(I)70220� 3 cz a3 jSIC(
Mezzanine Additional Section: I
Heated Basement Plan Check fee:./51,3 r 73.
Unheated Basement State Surcharge fee:
4-e'
Other Unheated Pot Water Review fee: SFE
Garage/Carport 4 ris 3 loO SUBTOTAL (s.$1
Decks 911/Rd Approach fee:
Ek-lS
Other TOTAL: $ cig3 ap 1 Si
•
Receipt Number: Etr:� l 1 Ut9o0
Cash/Check Number: 9 04
25 'DS(%)
ESTIMATED COST(REQUIRED) 135 Date: CIAO
t 1�/
•Fair ry�rket value of all labor and materials foundation to'iin iti- CIAO t C:
r6 S, d _ Initials: T
•�O D
D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc
• •
JRF( ''EI��Yip If)
DEC
(---
' °N c°6. JEFFERSON COUNTY0520tJ6
��,. DEPARTMENT OF COMMUNITY DEVELOPMENT JEfff���N�UUN�r���,�►
14,4 p
..... ,, 621 Sheridan Street • Port Townsend • Washington 98368
5 •
�sHING`�O http://www.360/379-44co.j0 efferson.wa.us360/379-4451/cFaxommdevelopment/
Stormwater Calculation Worksheet
MLA# �" ��� PROJECT/APPLICANT NAME: go ...4.�I'r.r..6, gtiiSIDCNt6
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small," "medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required.
PARCEL SIZE(I.E.,SITE)
Size of parcel I 0 . I acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet T 39 ( 9 S(p sq/ft
Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation, and compaction associated with stabilization of structures and road construction.
Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir, western hemlock,western red cedar, alder, big-leaf maple, and vine maple;shrubs such as willow, elderberry, salmonberry,
and salal; herbaceous plants such as sword fern, foam flower, and fireweed.
LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared, graded, filled, Answer the following two questions related to
excavated, and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for:
Does the project convert%acres or more of
Construction site for structures i454 sq/ft native vegetation to lawn or landscaped areas?
Drainfield, septic tank, etc. 1 l 9;Z sq/ft Circle: Yes No
Well, utilities, etc. sq/ft Does the project convert 2 1/2 acres or more of
native vegetation to pasture?
Driveway, parking, etc. it Z 78 sq/ft
Circle: Yes No
Lawn, landscaping, ee�tttc..y 113!Z sq/ft
Other compacted surfan, etc. Zi 1 sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance I i)Z.31 sq/ft Cut k($ Fill 4.18 (cu/yd)
[over]
stormwater calc worksheet.doc—REV.10/12/2003 1
• •
Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS—IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) ‘5/ $Z 3 sq/ft Structures(all roof area) sq/ft
Sidewalks 241' 1 sq/ft Sidewalks sq/ft
Patios (p 0 5 sq/ft Patios sq/ft
Solid Decks sq/ft Solid Decks sq/ft
(without infiltration below) (without infiltration below)
Driveway '{ Z.9 $ sq/ft Driveway 1 0 50 sq/ft
{
Other sq/ft Other 'oM7 J 71 00 I sq/ft
Total New S 9 6 5 sq/ft Total Existing Z'fI 0.51 sq/ft
TOTAL NEW+TOTAL EXISTING* ;3{ 0 1 Cp sq/ft *This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v. REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 5.S %
Does the site have 35%or more of existing impervious surface? Circle: Yes No
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those
that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation 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 aff cted property.
' 2l tiDV�M fL O.
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
44,
d F5�y*Q„ R O�FJFI{CE U7 SEO,��.NY ?Y z k4 `
8 r, rthi
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/ SITE PLAN NOTES
ADDRESS: 1044 BLUE SKY DRIVE, PORT TOWNSEND WA 98368
OWNER: BERNARD AND LAURA ROSENBERG
COUNTY TAX ASSESSOR'S NUMBER: 001-192-002
PROPOSED FLOOR AREAS
MAIN FLOOR: 1613 SF
GARAGE (624 SF) + SATELLITE ROOM (360 SF): 984 SF
PROPERTY LINE GENERAL NOTES
PROPOSED 500 GALLON
UNDERGROUND PROPANE TANK
MIN 10' AWAY FROM PROPOSED 1. ALL MATERIALS, WORKMANSHIP, DESIGN, AND
GARAGE AND SATELLITE ROOM CONSTRUCTION SHALL CONFORM TO THE DRAWINGS,
PROPOSED GARAGE SPECIFICATIONS, AND THE INTERNATIONAL RESIDENTIAL
WITH SATELLITE ROOM CODE (CURRENT EDITION).
STORMWATER RUNOFF
2. THE PROJECTSHALL CONFORM WITH THE WASHINGTON
STATE VENTILATION AND INDOOR AIR QUALITY CODE
WATER LINE ROUTE, DO NOT CROSS
(CURRENT EDITION) AND THE WASHINGTON STATE ENERGY
SEPTIC SYSTEM PIPES. MAINTAIN 10'
CODE (CURRENT EDITION)
HORIZONTAL SEPARATION
3. ALL DIMENSIONS ARE TO ROUGH FRAMING UNLESS
NOTED OTHERWISE
PROPOSED RESIDENCE
4. SMOKE DEFECTORS SHALL BE INSTALLED IN
ACCORDANCE WITH IRC SECTION R313 AND ARE
APPROVED
INDICATED ON THE BUILDING PLANS
BY: SD
SITE PLAN
DEC 1 2GC'o
COUNTY
ENERGY & VENTILATION CODE
IEFFERSON
iEPT.0 COMMUNIT D lP
iNATUR "
NOTES
1. THE WORK WILL MEET OPTION IV OF THE PRESCRIPTIVE
REQUIREMENTS OF THE 2003 WASHINGTON STATE
ENERGY CODE.
2. HEATING WILL BE PROVIDED BY A GAS FIRED BOILER
WITH A MULTI -ZONED VALVE ACTUATED HYDRONIC
RADIANT FLOOR SYTEM.
3. THE HOUSE AND THE LIVING SPACE ABOVE THE
GARAGE SHALL BE SERVED BY INTERMITTANLY OPERATED
FANS THAT ARE CONTROLLED BY TIMERS. THE FANS
SHALL FUNCTION AS WHOLE HOUSE VENTILATION
SYSTEMS PER WASHINGTON STATE VENTILATION AND
INDOOR AIR QUALITY CODE SECTION 303. ROOMS
SHALL HAVE OUTSIDE AIR INLETS WITH NOT LESS THAN
FOUR SQUARF INCHES OF NET FREE AREA.
PROPOSED WHOLE HOUSE EXHAUST FAN FOR THE MAIN
HOUSE (PER TABLE 3-2) FOR 2 BEDROOMS AND FLOOR
AREA 1501-2000 SF: MIN. 65 CFM / MAX. 98 CFM.
PROPOSED WHOLE HOUSE EXHAUST FAN FOR SATELLITE
ROOM (PER TABLE 3-2) FOR 2 OR LESS BEDROOMS AND
FLOOR AREA <500 SF: MIN. 50 CFM / MAX. 75 CFM.
SOURCE SPECIFIC VENTILATION SHALL BE PROVIDED PER
SECTION 302.2.1 AND IS INDICATED ON FLOOR PLANS
AND ELEVATIONS ON SHEETS 3, 5, GI & G2.
3. PERCENT GLAZING OF MAIN RESIDENCE: 763.57 /
1,881 SF = 40.6 % PROPOSED GLAZING. PERCENT
GLAZING OF SATELLITE ROOM: 104.24 / 372 SF = 28 %
PROPOSED GLAZING.
4. SEE WINDOW SCHEDULE SHEET (10) FOR WINDOW
SIZES. MAX U-VALUE OF .40 FOR ALL WINDOWS.
5. SEE SHEET (6) FOR INSULATION VALUES.
6. CALCULATION FOR VENTING OF SATELLITE ROOM:
AREA OF ADU: 360 SF'144/300 = 173 SQ. IN. OF REQUIRED
VENTING. HIGH SOFFIT VENTS ARE 24 FT OF TOTAL
LENGTH (288 INCHES) W/ 1"OF FREE CLEAR AREA PER
INCH OF VENT FOR TOTAL AREA OF 288 SO. IN. SIDE
CHASE VENTS ARE 48.00 SQ. INCH OF VENT FOR TOTAL
AREA OF 558 SQ. IN. TOTAL VENT AREA PROVIDED: 288 +
48 = 336 SQ. IN. OF ROOF VENTILATION.
EXISTING ROAD FOR LOTS 2,5,AND 6
0
A
40' INGRESS, EGRESS AND UTILITY EASEMENT �
i
i
�
I
DRAWING LIST
I
r
NATURAL VEGETATION i
01 ^ITE PLAN
02 STORMWATER PLANS
I
r
03 FOUNDATION PLAN STRUCTURAL NOTES
04 FLOOR PLAN
_
05 ROOF FRAMING PLAN & STRUCTURAL NOTES
06 BUILDING ELEVATIONS
07 BUILDING SECTIONS
08 BUILDING SECTIONS
_ - 508•11
09 WALL SECTIONS
- -
10 WALL SECTIONS
NORTH 11 DETAILS
12 SCHEDULES
13 INTERIOR ELEVATIONS
14 INTERIOR ELEVATIONS
15 INTERIOR ELEVATIONS
SITE
G1 GARAGE PLANS
1" = 50'-0"
G2 GARAGE SECTIONS & ELEVATIONS
G3 GARAGE DETAILS
ROSENBERG
RESIDENCE
1044 BLUE SKY DRIVE
PORT TOWNSEND
WASHINGTON
98368
LAWRENCE
ARCHITECTURE
320 TERRY AVENUE N
SEATTLE, WA 98109
206.332.1832
F: 206.332 1834
SITE PLAN
REVISIONS
01
27 NOVEMBER 06