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HomeMy WebLinkAboutBLD2007-00090 •UILDING PERMIT APPLICA1N ML Review T Ty 112 ype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00090 Received Date: 3/9/2007 SITE ADDRESS: 308 BLACK POINT RD BRINNON, 98320 OWNER: MARVIN L BARTLEMAY PHONE: 253-520-9029 ANNE L BARTLEMAY 21223 95TH PL S KENT WA 980312068 PLEASANT HARBOR BEACH TR SUBDIVISION: Block: Lot: 8 PARCEL NUMBER: 502155008 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: ARMSTRONG CONSTRUCTION CO INC PHONE: (253) 833-3355 2715 AUBURN WAY N AUBURN WA 98002 Contractor's License ARMSTC*373N0 Expires 5/7/2008 REPRESENTATIVE: WAYNE STEWART PHONE: 253-833-3355 108 AUBURN AVE S SEATTLE WA 98178 PROJECT DESCRIPTIOI` NEW BATHHOUSE (2 BATHROOMS, NO BDRMS) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 400 VALUATION 80,000.00 ADD'L: 400 HEAT TYPE: EEE CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 320 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 2 Total: 0 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $853.75 LYK 03/09/07 89527 /\PPncvEID Plan Check $554.94 LYK 03/09/07 89527 State Building Code $4.50 LYK 03/09/07 89527 MAY I g 2007 Potable Water Application $58.00 LYK 03/09/07 89527 Total: $1,471.19 Jefferson County Planning & Building Department IJefferson County Building Div dsion Permit NUmUcf: BLD07 00090 Applicant: BARTLEMAY 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 /d_L2-01 Erosion Control Foundation Footing to-Z2—oT Footing Drains Underground Plumbing /12_2,y077 9e. — Straps(hold downs) /0/z/G1 /},/ �I �7 �NL[. 61J lhrrE,er6E - OK 1 Ext. Shear Wall Nailing Rough in Plumbing _11.--01 44. Framing Airseal /6-24-01 ',- Insulation:Walls /6/i4,4 Insulation: Floors �I 1c.s�"f3 Insulation: Ceiling to/zq/d! 1 61_ Wallboard Nailing �' Gas Line: Interior Gas Line: Exterior fg Propane Tank �91/S/Oa d/ Drywell/Alt Drainage Address Posted 4/7_Vb FINAL INSPECTION s B( 61 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00090 1.) FUTURE DEVELOPMENT ON THIS PARCEL SHALL REQUIRE COMPLIANCE WITH LANDSLIDE HAZARD AREA REQUIREMENTS AT TIME OF PERMIT APPLICATION. A REQUIREMENT MAY INCLUDE SUBMITTAL OF A GEOTECHNICAL REPORT. 2.) The application was reviewed by the Jefferson County Department of Community Development staff on April3, 2007 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: Suburban Shoreline Designation, Level III Landslide hazard Area (NE portion along the shorleine area), Susceptible Aquifer Rechareg Areas and Coastal Seawater Intrusion Protection Zones (SIPZ). 3.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 4.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 5.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 6.) 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 zoncording 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 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. 11.) 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. 12.) 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." 13.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 14.) 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. 15.) 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. 16.) 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. 17.) VOLUNTARY MEASURES OF COASTAL &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. 18.) 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. 19.) MANDATORY MEASURES FOFASTAL 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. 20.) 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. 21.) The applicant is proposing to create or add 720 square feet of impervious surface and 560 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution Prevention) of the Department of Ecology Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 22.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through #12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 23.) 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). 24.) The site plan as submitted with the building permit application on March 9, 2007 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 10, 2007sha11 be resubmitted for review and approval by Jefferson County Department of Community Development. 25.) This approval is for a bathhouse (2 bathrooms, no bedrooms) 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. 26.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 27.) 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. 28.) Minimum setback from Black Point Rd right-of-way is 20 ft. Minimum side yard setbacks are 5 ft. Minimum setback from the top of the bank adjacent to the shoreline is 22 ft as depicted on the site plan. 29.) 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. 30.) 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. 31.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 32.) The building height is not to exceed 35 feet. 33.) This is a legal non-conforming pi, designated as Rural Residential 1:5 undille Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 34.) This parcel is served by a public water system. 35.) An Evaluation of Existing System for septic permit(SEP92-00149)was completed on April 20, 1994. 36.) Black Point Rd. (C242609) is a county local access road. The road approach is existing and an address of 308 Black Point Rd has been assigned to the parcel. 37.) This parcel was created through Pleasant Harbor Beach Tracts under AFN 333825 recorded August 20, 1990, Volume Volume 1, page 9 with the Jefferson County Auditor's office. 38.) The proposal was not sent to WDFW as Osprey are no longer a priority species per email dated March 15, 2004 from Jeff Davis, WDFW biologist. 39.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program Section 3.402.5 and is consequently exempt from the substantial development permit (SDP) requirements. Exemptions from the substantial development permit requirements do not exempt a proposed development from compliance with the applicable policies and standards of the Shoreline Master Program or other applicable Federal, State, or local permit or license requirements. 40.) The Development Review Division finds that this proposal is consistent with Shoreline Master Program Section 3.402.5, which exempts the"construction by an owner, lessee, or contract purchaser of a single-family residence [in shoreline jurisdiction] for the owner's or owner's family's use..." from the substantial development permit(SDP) requirements under certain provisions. Exemptions from the substantial development permit requirements do not exempt a proposed development from compliance with the applicable policies and standards of the Shoreline Master Program or other applicable Federal, State, or local permit or license requirements. 41.) Work within the jurisdiction of the Shoreline Master Program other than as described above shall receive separate review from this Department. 42.) Setbacks for accessory developments shall be as specified under Shoreline Master Program Section 4.105 Urban, Section 5.50 Commercial Development, and Section 5.160 Residential Development. 43.) THE 4" LINE FROM SEPTIC TANK TO PUMP CHAMBER APPERAS TO HAVE SETTLED. IT IS UNKNOWN IF IT HAS SETTLED FAR ENOUGH TO INHIBIT A 'FREEFLOW'. IF IF HAS IT WILL NEED TO BE RAISED AND READJUSTED. VERIFICATION FROM LICENSED PROFESSIONAL, DESIGNER OR INSTALLER, REQUIRED. 44.) ONCE ELECTRICITY IS AVAILABLE TO PROPERTY A DRAW DOWN, PUMP AND FLOATS COULD NOT BE CHECKED. THIS MUST BE VERIFIED PRIOR TO BUILDING FINAL AND SYSTEM USE BY LICENSED DESIGNER, INSTALLER, OR OPERATIONS AND MAINTENANCE PROFESSIONAL 45.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. PROTECTIVE BARRIERS ARE REQUIRED AROUND DRAINFIELD-MUST BE INSPECTED BEFORE FINAL OF BUILDING PERMIT. MUST NOTIFY HEALTH DEPARTMENT FOR VERIFICATION. 46.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 47.) A Geotechnical Report dated August 28, 2007 prepared by E3RA was submitted in conjunction with the application to address the landslide hazard area. 48.) PROVIDE VERIFICATION THAT BUILDING AND PORCH FOUNDATIONS ARE NO LESS THAN 2 FEET TO TRANSPORT LINE. 49.) PRIOR TO USE OR OCCUPANCY& BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP92-149 IS REQUIRED. r 1 1 R EvciRi \v, (i I( ",;;I, MAR092UJ7 ,c�w JEFFERSON COUNTYr ,� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 ,.,.. +8,1IJ ', UNI iJ1ij >a , 44s �O. . 360/379-4450 • 360/379-4451 Fax 87N0 http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# Or—)---I I v\ PROJECT/APPLICANT NAME: Jb t?rJ/,,,, 't'T_L=,bv1„dJv 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 . oposed improvements on the site map. j _ - Existing Conditions Summary Lire ,,D,,escr a the exist topograph . I dicate contours on he site map. .SO T "t• 4 ik,..4.e.rits fec`ttt . cp . 6 ,,e, I o, . ; '- ., -k-b I..o-te..c...,,�- , . 3. Describe the existin vegetation. Indicate native v etat�ion areas on the site a t pit co0eit%t �; c: ,- c. so,1,,[ v`.Iee-r ,a.�f � d' Pwe,d� 9 4. Describe the existing soils. Indicate soil type on the site map. .r.tk,may,,. 4,., ,(4_ Sfir.w.)„ --- 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 fr the site on the site map. Depict sep rate rains a basins on the site map, if applicable,andme indicate acreage of each.Ip'/`y1,;� p•-�•4-S —�Op` .k4 4 1' c..k c �"1.1, . •eGT IS 7I..e0 t Ll1 ra..` a.O+w#j W� .4.-tk 04►-i 1 GE V • wee. r... , 6. Desc ibe any excess levels offf noise generated by tlke proposed use or activity: -f`r �e�=,,,,ry�•�� co,As A.v4c` ,0,. el, tna;v,. � cip,4L►4Q Kr..6 ,S awl ----- AiPROVED p101 1" STORMWATER PLAN 0stormvater ate plan template.doc-rev.10/12/2003 11,, JElERSu� V0 APR 1 0 2007 5 11�a SIC' JEFFERSON COUNTY 4 DEPT.OF C ITY EV P IT: SIGNATURE: �C!\/� r • . 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slope etc. n the site. Indicate location on the site map. 4 o - _[ . 8. Describe the general vicinityof the site,incl din dacen land uses an structures,utilities,roads,and sensitive/critical areas (streams,wetlands, `lakes,steepj slopes,etc.l. k j,.,. Q. t v1 tR 4 .5.��iT Z b m o 0 , 4c41A, L.o *--o qC . a Aso iLDX 4 c, , ArWel fi At& ('ctow.i, t IC _DL011tyA. ova. Ste_. "-i-o c 0tia:+4 . Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site Locate t ese facilities on th site plan and differentiate pro sed facilities from existing faciliti l''W.p.Al L cL, %V i :l 4, �2.. A.-%�r ,\a'k-K,+R.ye,\•.� %N.4-0 g jet L`��,.�. '� 1.`4 ik p,a,L• c`k ayC,e1•\, .c LS"+-4r4z. W Cam', 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.] J 4 It1. ,pe cnbe the ormance,goals an standards appli a to the projects IAA kit I h. 5i 'tt� ( S CL Gates V. `E-N M ry Ca *FtIV..� Ge.a ss --, �-h L•••s 4.-t.ce.60� �e v s, v►.. w a Q vi. ",.N,N S► 1`�- uct, *0 \Pt tA.T tivv o '�o -...e ArC�w ' Kel Ot�C, - 12. lb scribe the flow control system. ( `f L'ItteRiofte ,r,b s-4'd1 k Q 6. 41:› I&titvA 41,t4.1 7R,'AA. a . stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water lity s stem. vA.. kd%)A4t)c .(4,,, ,..i-e,,\ v,.... '‘t... ,1111.14.4.c p 14. Describe the cony yance sNistem analysis and desig . ' L►,1 V\� dV�. p $42L ii OGKs d( 12.t G*E.b 'i t& \D4*N V E Val efrgiO IA 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. `t S 111,�'3*er�:4,L. x pQc- �� - L�IAs4 lit,Co,a,e.v a �4 vi. dam.le- s L,w-P 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. t10.e (aa,•1 ► c Cx ►ct I n 4+ TC.X V.t q e.. V ace Va. cie._ 17. Describe the proposed surfacing material. 18. Describ methods for restoration of the site.t I r, 'V '�- A�►' Ike 99i4K t k � ti.S I e.Q �aa(C P0vw w C-0/4.41. V 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. i o c ew S L Stormwater see plan template.doc—rev.10/12/2003 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. M Clearing Li ' • vL • 2. Establish Construction Access. • �.. 3. Control Flow Rates. . • 1wwtoc- 4. Install Sediment Controls. j - cl.14.C .. 5. Stabilize Soils. • G /4.V A�"�0 s41 S 1. L\ � Gooaa W ' C4 I tt►/`r 6. Protect Slopes. 1Ci - S� i ,ar ; d.-t- 5-414.4, ""144 t ,by • • �Y . G r • t! _ r. us. • .. T1Zsw , . . - o • 7. Prote t am Inlets. Al slormvrater site plan templale.doc—rev.10/12l2003 8 ' • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. ,i:( 9. Control Pollutants. I `'-L I+-_'fiit.Gr,- r eSaw:ict i vy viC30 - . 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction At- s.,44.• 11. Maintain Best M.naggment Practices(BMPs). N ` I , I. . . . _ c�kAV4 Cows MA-) r_i 'L �t11c,. C - 3. ' a C _ .'.mac• t 12. Manage the Project. 1 1 c!t VV. C t \... ���. �4-12.��1•Si s 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). • 0 ; _ h. J. _ t, Q p Qsl ci. -4-0 `4 - two R` b. Description f the downstream rainage path leading from the site to the receiving body of water(minimum distance of 400 yards . , A..e. Cam- 00I .. R.o o,, 14 ` •;S l300' 90 13S2' ,►,,,..., .Q e� ` t 5 Z.' te, d e (4!y 4 lso --:1 2„.5 savt-f`4R-a-'Go t.- 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 i • • \ b. Description of special requirements for working in or near environmentally sensitive areas. o A. X.. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,er ibility,settleab_ tl ity,per eability,depth,texture soil structure). O ' sE-t....7 - 5 i S 31 . 5. Construction Phasing. a. Construction sequence �p t RCR. A4, /�pC 1rVq �Cj f i;�i .,yrM f.;r v/< <•I� a p t Caw • b." Construction phasing(if proposed) • 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. / tt ./ wwtl (jh 4 ii11 r 1-t2. XS.Sook 9&..5 a1,dew aD II. Wet Season Construction Activities. a. Proposed wet season construction activities. LI 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. 4424{ Vt A b L. v It tom.Ft.11.1[r -13460.W4 ~E 4 ' b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Irr- .t otw. ta.L Res pe ,,� S ►k 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 stormwater site plan template.doc—rev.10/12/2003 10 • 0 , 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. //f9 (�NER` OR A TH RIZED REPRESENTATIVE SIGN RE) (DATE)/ l THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.doc—rev.10/17/2003 12 r_ r.... • I ,,4�soN cal, JEFFERSON COUNTY f ' ikii A DEPARTMENT OF COMMUNITY DEVELOPMENT M^n r " rnik `4 621 Sheridan Street• Port Townsend •Washington 98368 k(ilky`' 4 �y 360/379-4450• 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment • ,x G )'(!' 'f,�i6 Master Permit Application MLA: Or-1— I ),D Project Description(include separate sheets as necessary): Co lAtStQ,t e.ti* vi,..• ti,„,„irgs Tax Parcel r•-• +� Property pe d Number: O G., S p Q5 Size: A e A �/ (acres/square feet) Site Address and/or Directions to Property: � � ,• A") '� •,4 sv • Property Owner(s)O�• ` of Record: U • ►t� am, . ,1_, - ! ,, ` _- Telephone. 3- 20-- • Fax: L. email: Z Mailing Address: % �. . 1,, •. - ilk _• O Applicant/Agent(if different from owner): r . _ ,, - 6'AA- ��1 , Telephone: • • Fax: • - emailLYR Si Mailing AddressZ ( - �� a • � ' y~ Wh Ind of Permit?(Check each box that applies) uilding ❑Variance(Minor,Major or Reasonable Economic Use) d Demolition Permit ❑Conditional Use[C(a),C(d),or C]-- d Single Family °Discretionary"D"or Unnamed Use Classification 13 Garage Attached/Detached ❑Special Use(Essential Public Facilities)*" Q Manufactured Home []Boundary Line Adjustment d Modular [')Short Plat** ❑Commercial* °Binding Site Plan** Q Change of Use ❑Long Plat** 0 Address i Road Approach °Planned Rural Residential Development(PRRD)/Amendments** O Propane ❑Plat Vacation/Alteration** ❑6l4d"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** (�ite water Management ❑Shoreline Management Substantial Development*" Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary 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: ..Li4 DESIGNATION OF AGENT I hereby designate 644 q.p,i. to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE t. -�-"�-Fd�•�� - '•r��°° Date: .2/710 7 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a li tion that he or she wa lice. Signature: PpI!1gt 4- t� v&,JL-Ivr Date: "1/7/© 7 The action or actions Applicant will undertake as a result of the issuance o 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 complian with e Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tram responsibility f ring to complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: /(.Pn.•h4� it Date: J A-7 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: ENE CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: k 'cRo v4 Co s*, Z� . �' 3 .3355 c 3) I. C�Z.`� 400teILING DRESS: �7�S4,4wR ki • ;poiC{ W,tWC stw_.�CONTRACTORS LICENSE C `"� !ll��� 1 WAIN • _ J'M+ ' iitt NUMBER: ,,�� 10 d NUMBER j�i} �1y (jQ y •Cd ARCHITE* —4 VVV �4 • .4&eaWt. PHONE=)"V4'�'L'L 1 FAX:( �'�'i74.ot5.3 MAILING ADDRESS: p t ;�. 4. �tr�` S'fL �M d01 EMAIL Pro' Type: • Frarr�.Type: Bathrooms: — Shoreline: Type of Sewage Disposal: New ood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: _ Bank ❑ unity System ❑ Alteration/Remodel 0 Concrete Total: . Height: Individual S em ❑ Repair El Masonry SEP Permit#'12 00 t4q ❑ Demolition 0 Other: Bedrooms: �_ Water Supply: Existing: Setback: 0 Private well 0 Two Party 'Ile of Heft: r (1 Proposed: •C�-- ❑Public Cc-. j,�,i Total: - Name of System: oww'1- 0 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current--3 Proposed: 3 Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employee(s•`,etc) current .'- Proposed IBC Occupancy: IBC Type of construction:I CiciAittlette.Will you have Food Service? Yes LE) If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: []Underground Tank 0 Above ground Tank Size of Propane Tank: 0 Heat Stove 0 Cook Stove 0 Woodstove OFireplace Insert 0 Hot Water 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes N 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 y� c(o I IZ EH Bld App Review: / 2""Floor Heated '4 o 2bt 12 Consistency Review: Other Heated , Base fee:10 S Mezzanine © eAdd�itiund ct' n: iD Heated Basement Plan Check fee: x ee 1 ` Iq(( Unheated Basement © State Surcharge fee: ,5 Other Unheated -4--_ Pot Water Review fee: q5 O Garage/Carport _t9"— SUBTOTAL Decks I �j.311 911)CApproachfee: Othefi::;;A * Cof 60 35 � TOTAL: J�. [� 1��11 t lJ Receipt Number: Sq501 5135 Cash/Check Number: `n iAtp 'MATE R Date: 3(n, �O� arket value of all lab v�td mate ' foundation to finish -n�'L Initials: c ---<--V D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc Yv)iii8r .--1 - (1 2-- . . - S. 0 }moo/ - 1 E n Z , ern , — � , • - - 1' Si-cy _c.11: floCiai: . . ' - - - - fkaP-118- /—=1. . op .L'i ikr _ . • N DL—..- Z L��t Vo, • �s � � , . is i r. ;�;,o wSw 3 ,L.ti. ";) v.,-(--. ,1?,,4 i . iao 7 ....3..„ . .._ . . . , _ , . ______ , _. ,.._ ,__ . _ I . { , - y .4. i 5[OF>V.SP. t•-,., .- i I ' . Ili 1 ° •, ' I vepk L.s.t> t ...L.:30 (.327. • ' . \ ��iLiAateR LI16 L \) 1 - v , 8 EIVED -- ya i- I f4S :"-"*":`7----"")" 1.- - I'S t 1.--.. 0 OCT 112007 ive. rn . / z - g, � _- - 1 6Z ti v . 0 _ 1 . x - , 55 N o —4—et vet.) _ --t '771±-..c....,..i.„. 2-W5; .. • • . - - 4 •4, . . - . ..-- -JC)L . . ,. r ,._ i— _________,.. .. , , > a ,• -.m .c.,-01--1 V i PLAN' 73 • SY-- I 0 1 • dated 101),' 1(71 77 ,--) y y r-0 s�_ ._. bees' Ii111iii4C Assbe � ��by JEFFERSON COUNTY' tt nsrr.cE ,qT ; Z 1C , _ :bra m ` - - OQ ---- .ar l jy_---,. rexl , i "TI 1 ,- & . r . ,-- ----- -.1- ' t , it • m Z ! - - __ dj_ e e��`r .....„..----4 \\,)e)om` 7/ / 20'-0" / / 5'-11 1/4'1 / 2'-11 1/2" ` 11'-1 1/4" 1 1 4 1 N lib RISERS N IDW 110 TREADS c� 3'-2\ \./ � • 5'-0" i;i1� 50 CFM �=� ,I- 1 OPEN TO / 3'-2" �,'�i ABOVE • ■ BATH *1 0 GUEST JP N 4,2'-9 3/4"j, 3'-5 1/2" ii, 3'-10 1/2" a, 3'-3 3/4" / in SD CONC. SLAB FLOOR 0 `. o o `" ± r0WNF 9 1/2" PRI JOISTS - 16" 0/C N.- N ;I- 5/8" SHETROCK CEIL. — CD i x O ViOS `, h _ IV_ a ENTRY o N Cc) LINEN m 13'_5 1/2" X 12'-4" o x - TILE SHOWER\ \i- ---i r { \ \ Rr - e 4'-0" x 1'-0" 7-0" TEMP. H.V. A OB5. ::11 o 9 .33 zo CONC. COUNTER I 6 X 16 DF •2 P.T. BEAM - _1- -s--- -- ____ - - \----N 6X6 P.T. DECK ABOVE 6X6 P.T. STRUCT. 3'-1 1/2" j,2'-S 3/4"/ 8'-5 3/4" / 5'-7" / STRUCT. POST POST 20'-0" LAMP 0-` / POST / }PATIO 30' X 20' EXPOSED AGGREGATE NOTE : MAIN FLOOR ELAN HOT 11J4 = SCALE va = 1 ON DEr MING TO FRAMING • - FRESH AIR PORT (NO HO .LS - STUDS 16" OC T' DOOR TRIM -r- LOWER FLOOD ORNERS ~ CONCRETE SL R EQUAL FLOOR JOISTS 16" 0/C B SHEATHING `V ►SES 24" O/C --� T N LOCATED CFM :E - WINDOW VENT POSTS • 20'-0" / 3'-11" ` 2'-11 1/2" / /2'-5 1/2"/2'-5 1/2"/2'-5 1/2"/ / / 2'-01/4" 1'-81/2" 2'-01/4" S.H. I 1'-6" x 3'-6" (4) 1'-6" x 1'-6" FIG. \ \ • I • r 4J i m hhhuhhh1 I BATH •2 61- ■ i 4 - I N 3' 2" 3'-2" OPEN TO FLAT CEIL. , 2'-p BELOW _ _ ■F-- -— - - — LINEN DN RAILING I o SCISSOR VAULT 1 I o 3 IN 12 PITCN INSIDE N (.1 I Ili I _'I i o GNr4NC�11�1G� ROAM I 1104 . I 191-1" X 121-2 1/2" :9r, i X— I \ I•° 9111, I � iq 19 to (------ I to . I r u 1i \ \ \ 6 0 6'-0" • w PKT. PKT. I m BEAM BEAM m ' a COVERED DECK a_ I o Ez Q 20' X 8� FLAT CEILING I IA x PLY. SOFFIT x , RAILING UNDER ROOF I I - - a ' \ \ I\ 6 X 16 DF *2 P?. BEA1'1 1 16, N 6-8" 6'-8" 6-8 / / / / 20'-0" / UE FLOOR ELAN SCALE 1/4" = 1' 324 SQ. FT. • - FRESH AIR PORT