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HomeMy WebLinkAboutBLD2006-00701 i CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 ."5-47: 1--"j"- PERMIT #: BLD06-00701 SITE ADDRESS: 5672 CAPE GEORGE RD Issue Date: 02/2/2007 PORT TOWNSEND, 98368 Final Date: 7/1/2008 APPLICANT: FREDERICK S SEABORNE PHONE: 206-842-1133 KAREN R SEABORNE 9670 BATTLE POINT DR NE BAINBRIDGE ISLAND WA 98110 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001193011 Section: 19 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NEW SFR W/ ATTACHED GAR THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes .(no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/1/2008 I:\F_BLD_Occupancy.rpt 10/29/19 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00701 Received Date: 12/15/2006 SITE ADDRESS: 5672 CAPE GEORGE RD Issue Date 2/2/2007 PORT TOWNSEND, 98368 Expiration Date 2/2/2008 OWNER: FREDERICK S SEABORNE PHONE: 206-842-1133 KAREN R SEABORNE 9670 BATTLE POINT DR NE BAINBRIDGE ISLAND WA 981101485 SUBDIVISION: Block: Lot: TX 10 PARCEL NUMBER: 001193011 Section: 19 Township: 30 N Range: 01 W CONTRACTOR: KELLEY SHIELDS INC PHONE: (360) 385-7156 260 KALA POINT DR PORT TOWNSEND WA 98368 Contractor's License KELLES1150LF Expires 6/6/2007 PROJECT DESCRIPTION: NEW SFR W/ ATTACHED GAR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,089 VALUATION 403,884.00 ADD'L: 583 HEAT TYPE: EEEE CODE EDITION: 2003 HEAT BASE: '1,426 HEAT TYPE: OCCUPANCY: R 3 UNHEATED: 663 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 563 CONST TYPE: SETBACK: DECK: 326 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,696.15 CJZ 12/15/06 86964 Exist: Exist: Plan Check $1,752.50 CJZ 12/15/06 86964 Prop: 3 Prop: 4 State Building Code $4.50 CJZ 12/15/06 86964 Total: 3 Total: 4 Potable Water Application $55.00 CJZ 12/15/06 86964 Total: $4,508.15 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 • • Jefferson County Building Division Permit Number: BLD06-00701 Applicant: SEABORNE BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:CC)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 Erosion Control Foundation Footing ,2A ©� �tl,v 111 `4- t0 I/i,‘ VVI-V(-0 Footing Drains Foundation Stem Wall FA,(2-49/it-, Underground Plumbing /5/o7 at L114u4�� Straps(hold downs) Ext. Shear Wall Nailing ZI .t-.7 Rough-in Plumbing Framing Blocking Airseal (O. -01 V Insulation:Walls i/�/a7 Insulation: Floors u�i fm Insulation: Ceiling �.2fl- U VA 4rED eE11-0145 12-'�ccce e5itht4S 1501L 11//d!fr Int. Shear Wall Nailing Wallboard Nailing Propane Tank 1 Heat/Chimney Clearance Drywell/Alt Drainage b Address Posted FINAL INSPECTION r/'/cs' 9•(---- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD06-00701 1.) The application was reviewed by the Jefferson County Department of Community Development staff on December 22, 2006 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Type 5 stream; Eagle; landslide hazard area 1; SUSC aquifer recharge area; coastal SIPZ. 2.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) 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. 5.) A Type 5 Stream (Fish and Wildlife Habitat Area) has been identified on the subject property. The stream will require a setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM). Fish and Wildlife Habitat Areas shall also have Buffers and Building Setbacks established. 6.) Stream and landslide hazard area 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. 7.) 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). 8.) Marine shorelines and islands are susceptible to a condition that is known as seawater 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. 9.) The parcel is located within a coal,SIPZ (seawater intrusion protection zonecording 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. 10.) A vegetative buffer of 15-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. 11.) A Geotechnical Report dated March 31, 2006 prepared by NTI was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 15-feet from the top of the slope bordering the flat area wehre the proposed development is planned shall be measured perpendicularly from the top of the geologic hazard. 12.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 13.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 14.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 15.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 16.) 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. 17.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 18.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50 feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence, ADU, and new detached garage. 19.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence, ADU, and detached garage. 20.) A permanent physical separation along the boundary of the stream 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. 21.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 22.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 23.) The applicant is proposing to create or add 4700 square feet of impervious surface and 6500 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.) The project shall adhere to the B anagement Practices (BMPs) to control Ellmwater, 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. 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 December 15, 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 February 1, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 27.) This approval is for a single family residence with attached garage, ADU, and 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. 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 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. 30.) Minimum setback from Cape George right-of-way shall be 20 feet. Minimum east property setback shall be 5 feet. Minimum west property setback shall be 20 feet. Minimum rear setback shall be 5 feet. If there is an ESA, then the more stricter setbacks shall apply. 31.) 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. 32.) 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. 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.) A minimum of 4 parking spaces shall be provided: 2 for the single family residence and 2 for the ADU. 36.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 37.) An address of 5672 Cape George Road, Port Townsend has been assigned to the SFR. An address of 5672A Cape George Road, Port Townsend has been assigned to the ADU. Cape George Road is a county minor collector (C622808). 38.) The parcel is served by PUD water. 39.) A letter dated January 9, 2007 from NTI was submitted stating that the submitted Stormwater Site Plan Template for the project has been reviewed by them and that it is consistent with the recommendation of the geotechnical report. Permanent runoff from roof drains should be routed to a dispersion trench. 40.) Per phone message dated January 8, 2007 from Shelly Ament, WDFW biologist, the proposal will not have an impact on Eagles or their habitat. No plan required. 41.) A road approach permit (RAP01-(S)was approved on January 22, 2002. AD (ZON01-0074) was approved on October 20, 2003 and finaled on December 15, 2006. A pre-application conference (PRE01-0067)was finaled. A road approach permit (RAP03-0043) for a water service connection was approved on February 2, 2003. A septic permit(SEP06-0488)was approved on January 17, 2007. 42.) SEPTIC DRAINFIELDS SHALL NOT BE CONSTRUCTED LESS THAN 30 FEET FROM THE EDGE OF THE SLOPE. 43.) It will be necessary to maintain ground cover to reduce erosion from surface runoff. Any bare areas that develop should be revegetated. Native deep-rooted vegetation that requires little or no irrigaton would be the most beneficial. 44.) Vegetation on the slope face and within the 15 foot landslide hazard area buffer at the top of the slope provides stabilization to the slope soils. Existing established vegetation should be left in as natural a state as possible. If a better view is desired, ninor thinning and pruning should be done in such a way that minimizes disturbance to the soil and root zone and that insures the continued health of the vegetation. Damaged trees or trees that are in danger of falling, due to undermining of the roots for example, should be evaluated for removal because of the damage potential to the slope caused by the root mass of a large tree being pulled out of the ground. If trees are removed, the trunks should be left in place so that the root mass can continue to provide stabiliation to the soil. A tree expert could provide valuable constultation in this matter should the need arise. 45.) Heavy irrigation or other activites that would contribute large quantities of water to the soil should be avoided. 46.) Surface water should not be allowed to flow over the face of the slope as an uncontrolled or concentrated flow and cause erosion of the slope face. This can be controlled with vegetation and using berms or swales to direct runoff to a drainage system. 47.) Surface runoff from hard surfaces such as roofs, driveways, walkways and patios should be controlled and routed to a drinage control system such that surface water discharge to adjacent properties does not exceed predevelopment conditions. 48.) Silt fences or other sediment control devices may be needed during construction such that dedimentation to adjacent properties does not significantly exceed predevelopment conditions. 49.) All drainage control devices should be maintained in good working order and inspected at least once a year. 50.) Footing drains should be incorporated in the design of the structures. Footing drains should be kept separate from roof drains. 51.) THE ROAD APPROACH PERMIT (RAP01-0272) MUST BE INSPECTED AND FINALLED BY THE JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PRIOR TO THE FINAL INSPECTION/CERTIFICATE OF OCCUPANCY OF THIS RESIDENCE. CONTACT TERRY DUFF OF THE DEPARTMENT OF PUBLIC WORKS AT 360-385-9159 FOR THE FINAL ROAD APPROACH INSPECTION. 52.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM NTI WHO PREPARED THE GEOTECHNICAL REPORT DATED MARCH 31, 2006 STATING THAT THE STRUCTURES AND/OR FACILITIES (INCLUDING STORMWATER) HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE ORIGINAL LETTER SHALL BE WET-STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. ANN .Q ox -C JEFFERSON OUNTY •� ill g ,\ ,,� DEPARTMENT OF COMMUNITY DEVELOPMENT i '"' ' `4 621 Sheridan Street• Port Townsend•Washington 98368 I `' 1 1 1, � 360/379-4450• 360/379-4451 Fax p www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 0(e • (Ql O - ��df'fAtN f Project Description(include separate sheets as necessary): - -- u S i ri ci L Fil vvl I L y 1 i 4r 'L'1 A,r.-rnu it '> Tax Parcel Property Number: OV' 1�2) — 6 ' , /n7 � Size: 7, 3 Z . (acres/square feet) Site Address and/or Directions to Property: C-A r! (leer."... ) J. Property Owner(s)of Record: \d' cN S I C�4Z Q k __ T 1l Telephone: i b(e2"-r e 4-2. - t '3 3 Fax: email:Mailing Address: Ci(;o 70 13 PrrrtAC., FS/,s r 1)ic N '' Ai W f�x j L I SLAT-,I) 98//0 Applicant/Agent(if different from owner): K6-u-El1 564/ 5 /NG_ I Telephone:'2itnO"2,V 5— —7 l 5`C2 Fax: 3(96---Z S?"S- -?i/ email: ��U Mailing Address: L -4- 6/NT Pit P7 7 C gg!L" What kind of Permit?(Check each box that applies) .wilding J Variance(Minor,Major or Reasonable Economic Use) U Demolition Permit J Conditional Use[C(a),C(d),or C]** Single Family J Discretionary"D"or Unnamed Use Classification Qarage Attached/Detached J Special Use(Essential Public Facilities)** ❑ Manufactured Home I Boundary Line Adjustment U Modular J Short Plat** U Commercial* J Binding Site Plan** U Change of Use J Long Plat*"' U Address i Road Approach J Planned Rural Residential Development(PRRD)/Amendments** U Propane J Plat Vacation/Alteration** U Allowed"Yes"Use Consistency Analysis J Shoreline Master Program Exemption/Permit Revisions** U Stormwater Management J Shoreline Management Substantial Development** U Site Plan Approval Advance Determination(SPAAD)* J Shoreline Management Variance U Temporary Use J Comprehensive Plan/UDC/Land Use District Map Amendment U Wireless Telecommunication* J 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 1� � 14 4o act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE `~��� Date: I.2'114' e4, By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. ,-;...... ... Signature:Gd �'---.,._..0 Date: / l/'c/L 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-transferable resyonsibility for hering to and complying with the ESA. The Applicant has read this disclaimer and si s and dates it below. Signature: y) }rss.� Date: / / /C.— I,4- C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-S-04.doc • • III I.r 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 o eneral Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: LL�'t,LC`( St+/0/35 /�C, ('36n)3�5-+1n 5to ( 360) 385-3115 MAILING ADDRESS: �(00 �/�,./a fa. /), EMAIL:d C 'te.l etc tQ, 0'1�,.,vov s . j. I—t CONTRACTOR'S LICENSE r���r� r / �i WAINS NUMBER: KE�,1.�S T 1 so L F. NUMBER ARCHITECT/ENGINEER: 4�i1 u„�y SA 11��{ )/..C)L/N OVA PHONE (�b) )) 138.i`7/ Ax:(3kaa) ;S'S_ 1, MAILING ADDRESS: "' !'^ i TS EMAILCIS).I e.Ids tQI 0/(a br►10v s , ),r;cr-(„ Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New se Wood Existing: U Sewer U Addition U Steel Proposed: �f/Z. Bank U Community System U Alteration/Remodel U Concrete Total: 31/2— Heig t: X Individual System U Repair U Masonry N�l� SEP Permit# O(,,— 'lit u Demolition u Other. Bedrooms: Water Supply: Existing: Setback: U Private well U Two Party Type of Heat Proposed: 3 D,t�Public Total: Name of System: 1PUP (---/t,C, d e If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(include ers,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: 1 U• nderground Tank j A ve ground Tank Size of Propane Tank: I H• eat Stove I C tove I Woodstove I Fireplace Insert I Hot Water Tank 1 Pellet Stove i Other Is this applia 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 �� ' I Current Propose .t,.Q 62 b Main Floor (%1 0� Consistency Review: zio$ 2N.Floor e e1� ase fee: II^^ 1� 3 Floor Additional Section: Mezzanine: Plan Check fee: Heated Basement 4 3g State Surcharge fee: • Unheated Basement (P(o3 ��`� Pot Water Review fee: �� .�• Other Unheated _ 911/Rd Approach fee: `f Garage/Carport G� { t + wG11 TOTAL: $ 1 ara 1J Decks �► 3 .,, ?Z( Receipt Number: "1!_9(0t- (claw Other hJCheck Number: GIU ESTIMATED COST(REQUIRED) �o3f�24' pate;3 + .Fair marketmarketlelue of all labor and materials foundation to finish _-- \ . 304 0/a0 Ini'ahrls: 3ac, d C:\Documents and Settings\mochil\Desktop\Master Permit Application 7-8-04.cioc j i 1 i ,r r 0 A 6,,E L V 6'4 -.6-0, / �'-0'-� ]C4 R alb^!(191 >lbi/OYI . IY L tb I' P oR-13 . . 1;r Iii g i L.,.0 y Y . }v ba, �❑� ❑ i III y I I �I limn: lIi cae I N oY fi'9" ''.n d 1• I I P� 1===== ===`=] i fiat t■ o a i ;� ��g k: 1.),„ ^ "p ]•. 'so rah. = ---3 `� to ---� __ 4 28 s _ � � pug -67 bV/2. y ...C._ C.::.) i . .....,, E ,! u'Kr I as* ns 3/64/6. 2/04/691 1 1 L /a 2/66 7/56/011 i I/OA/116A / 36'4 t I 0--/ / 61 0. / V ^ 1 Za i (--, 41 -s `V ^V I • 0 . t V IxIt31 N'O" I R 6 6/P9/81f0 I 5/Oi/6WJ T \ ! i n i Oda t a O c_ r 7. g Us... x'O 1 rs . I t.1 .1 40 e) all a rei o 1'4 .1 1' I • II r t t tl - o 9 1 0 it z t s 1, \ iu � t 'o n SI_ \ / --X1- •[ >/crvoro vos/om F S•�_ Mtr• • `t 4®r� • r NTI ENGINEERING & SURVEYING, INC. IMF 717 SOUTH PEABODY STREET,PORT ANGELES,WA 98362 OF Engineers■Land Surveyors■Geologists Construction Inspection■Materials Testing NTI (360)452-8491 1-800-654-5545 FAX 452-8498 E-Mail:info(a�nti4u.com www.nti4u.com PER IT nib January 9, 2007 Rick Seaborne JEFFES0� off 9670 Battle Point Dr. N.E. �' � ��� C , Bainbridge Island, WA 98110 Subject: Geological Review of Stormwater Site Plan Template for 5672 Cape George Rd., Located in Section 19, T3ON, R1 W, W.M., Jefferson County, WA MLA#: MLA06 00670 CASE#: BLD06-00701 Dear Mr. Seaborne: As requested we have reviewed the Stormwater Site Plan Template (SSPT) for this project which you have prepared. Our review was for the purpose of determining if the concept of the SSPT was consistent with the recommendations of the geotechnical report previously prepared by this office for this project. It is our opinion that the concept of the submitted SSPT is consistent with the recommendations of the geotechnical report. Permanent runoff from roof drains should be routed to a dispersion trench per Jefferson County standard detail. If you have any questions regarding this matter or need further assistance, please feel free to contact this office. . Sincerely, NTI ENGINEERING & SURVEYING, INC. ����w Hives •.\, L C2- A. ,. , , David Hanna; P.E. fiv f' U. 0 7 t�IVil Engineer '$ 1P,, 23747 c9 z _ 1 gi `O �GISTEr•' lv I0NAL"0 EXPIRES 8-25-07 Bill Payton, L.E.G. Engineering Geologist 1. :ash ` 0 r o , G:\Gen\Bill\Reports\seaborne.19(30-1).dreinage review.doc .0\ REcEnTOI 4 �i . s,"-,1111 .0 .41,...rt_ tiffikito* ( , ,; n r 41[FFE�SUN�(lt�N1N I� ► � .. .--- William C. Payton Jr. i(-- ON.--- 4" , , °,�, JEFFERSON COUNTY i DEC 1 5 2006 ,;_:� ti ,'. DEPARTMENT OF COMMUNITY DEVELOPMENT 1 • `,� 621 Sheridan Street• Port Townsend •Washington 98368 �EVEL.0PP.IENT qs �p 360/379-4450 . 360/379-4451 Fax t_.._. kTNG http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: 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. JEFFEIRSON COUNTY DC Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. Nkr.L...) Si/-4 CI LIZ; r2/1-244 i(-`f /46141 6--(4 Th-r-Mr-{-1W t'V-1 :_: Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 7, 2 / 1 ..c.cP/p4 , ADustr csN Aio0t; 54..6 t "eci-A. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. U►'1-,1 k ` 'Qa 7"/*1-7(4.A LA[- P -giet4- L01-4-d2e !- ov E; 1 S 4. Describe the existing soils. Indicate soil type on the site map. 1 1-1-LI Go A-y✓t 5. Describe the existing site hydrology(i.e.,drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stomiwater 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. N 417-P1Pam- . 6. Describe any excess levels of noise generated by the proposed use or activity:, APPROVED mw s STORMWATER PLAN stonmrater site plan tempia..doc-rev.10/12/2003 StorRequirea F E B - 1 2007 5 IEFF O N Y DEPT.OF I Y VEL P E Jl SIGNATURE: • • 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 E- - C7 eb r:c,t4 1Z( (i ,� 1, _ 1 8. Describe the general vicinity of the site,including adjacent land uses and structures, uti i-es, roads,yptsej1 v- st 1.-:I argI (streams,wetlands, lakes,steep slopes,etc.). U�u EVLI.OPtA1 NT 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. — C'oNS7/24-C47Lats 1.4uJJ - 0l�'1= tylL.— ger C &.T1 ,4 to uSt NGi besf i--r 'PEk-__)[.I '' T71s SEA Tt )JAB uo- Ut= � --77 ol, DI-) ?WE. SrrE" a,vat nisic -r:—to Sc.o pc.s 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. — I.uN— 0r—(= Ce1",91 -► wk51) ONSt r( 4 11,-wp.� ' igeltwt S L c. 1085 12. Describe the flow control system. — D�l(-.-r- �-�.►G NC? + t"3Pfs t w5, stonnwater site plan template.doc—rev.10/12/2003 6 . i n 13. Describe the water quality system. 1 E1C ��n- '{ t j _'-,-VEL3PMENT 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. - C.-IA.(S lt44 Oti DA)ukl vAr-kt . 18. Describe methods for restoration o the site. — R-e-1'�.,rr'r '4 M P.0i UF. \I tt.rnT( bJ 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 Stormwaler Site Plan. s 4 cv -- 2Jr - 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. stormwater site plan template.doc-rev.10/12/2003 7 • "� DEC 1 5 l CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN ( WPPP) jE`JELOPR.IENT 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. Cep M 2. Establish Construction Access. -c-R-ugltt=eN, c e G77 OA) 3. Control Flow Rates. — I N�rnrt 1. )tzr LT a Ss.Tl cr?u .1 4. Install Sediment Controls. —5CE 3 5. Stabilize Soils. M,v 1-.G r=t c.& 4 AD t STurarY3 N-tAS Cn�g.�-rzv c ri oiN 6. Protect Slopes. 7. Protect Drain Inlets. 1...)) stormwater site ptan tempiate.doc—rev.10/12/2003 8 • • girl = = , 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. jDEC 1 5 _r.VELOPMENT 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(BMPs). 12. Manage the Project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (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). t' u I Fo 'L)1=1= z ( ( ,-Sn o ' 1) i 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template.doc—rev.10/12/2003 9 4• ,i b. Description of special requirements for working in or near environmentally sensitive areas. DEC 1 5 CU:: i 1 3p ELOPME',IT 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. SUL-' 2.001 II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. 0wiaell, wi PP-oPeR-r-cr OWN to-' S 1NSu Ace'- • b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 14 Ey sN-/cis /NC. - 2C•ol090 c/ /g4Tr l am . 8. Engineering Calculations. Provide Design Calculations on a separate sheet for th following,if applicable. 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 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 prope . 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