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Home My WebLink AboutBLD2007-00153 1 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD07-00153 Received Date: 4/10/2007 SITE ADDRESS: 692 SUGAR HILL RD Issue Date 5/15/2007 Expiration Date 5/15/2008 OWNER: ELIZABETH C HANSEN PHONE 360-732-0817 KEVIN J HANSEN PO BOX 327 CHIMACUM WA 983250327 SUGAR HILL ESTATES SUBDIVISION: Block: PARCEL NUMBER: 901135002 Section: 13 Township: 29 N Range: 01 Wt 2+ CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/ATT GARAGE & U/G 1000 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 367,041.00 MAIN: 1,092 CODE EDITION: 2003 ADD'L: 2,044 HEAT TYPE PRO OCCUPANCY: R-3 HEAT BASE: 532 HEAT TYPE: RAD OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: 0 CONST TYPE: GARAGE: 616 SHORELINE: DECK: 1,008 SETBACK: SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: 2WELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,494.55 LYK 04/10/07 89699 Exist: 0 Exist: 0 Plan Check $1,621.46 LYK 04/10/07 89699 Prop: 3 Prop: 4 State Building Code $4.50 LYK 04/10/07 89699 Total: 3 Total: 4 Potable Water Application $58.00 LYK 04/10/07 89699 Total: $4,178.51 Directions to Site: SEE MAP IN FILE 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 • 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 Al Scalf, Building Official PERMIT #: BLD07-00153 SITE ADDRESS: 692 SUGAR HILL RD Issue Date: 05/15/2007 CHIMACUM, 98325 Final Date: 11/28/2011 APPLICANT: ELIZABETH C HANSEN KEVIN J HANSEN PHONE: 360 732 0817 PO BOX 327 CHIMACUM WA SUBDIVISION: SUGAR HILL0327 ESTATES Block: Lot: 2+ PARCEL NUMBER: 901135002 Section: 13 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE & U/G 1000 GAL PROP TANK 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 ON11/28/2011 I:\F_BLD_Occupancy.rpt 10/29/19 • BUILDING PERMIT APPLICATTN MLA07-00179 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00153 Received Date: 4/10/2007 SITE ADDRESS: 692 SUGAR HILL RD OWNER: ELIZABETH C HANSEN PHONE: 360-732-0817 KEVIN J HANSEN PO BOX 327 CHIMACUM WA 983250327 SUGAR HILL ESTATES SUBDIVISION: Block: Lot: 2+ PARCEL NUMBER: 901135002 Section: 13 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR W/ ATT GARAGE & U/G 1000 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,092 VALUATION 367,041.00 ADD'L: 2,044 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: 532 HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: 0 CONST TYPE: 5N GOARAGE:THER: 616 SHORELINE: CONST TYPE: DECK: 1,008 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2WELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 4 Total: 3 Total: 4 Routing Date: .- - -___ "0010-7 -- Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,494.55 LYK 04/10/07 89699 APPR(DVED Plan Check $1,621.46 LYK 04/10/07 89699 State Building Code $4.50 LYK 04/10/07 89699 MAY Lc-5 2007 Potable Water Application $58.00 LYK 04/10/07 89699 Jefferson County Planning Total: $4,178.51 &Building Department LiA, IItb( 'Ei ' It II . JEFFERSON COUNTY e3 DEPARTMENT OF COMMUNITY DEVELOPMENT `4 k 621 Sheridan Street• Port Townsend •Washington 98368 APR 1 f 0 2 it' 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment SINtli I/' { Master Permit Application MLA: MI— Project Description(include separate sheets as necessary): Residence for Beth and Kevin Hansen G/ c A‹._rtc4 C'4- r.. : Tax Parcel 901 135 002 Property 5.01 acres Number: Size: (acres/square feet) Site Address and/or Directions to Property: 692 Sugar Hill Road, Chimacum, WA 98325 Property Owner(s)of Record: Beth and Kevin Hansen Telephone:360-732-0817 Fax: same email: kevin@hansencrafts.com Mailing Address: POB 327,Chimacum,WA 98325 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies OBuilding El Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit _ El Conditional Use[C(a),C(d),or C]** it]Single Family ill Garage ttache d Detached 0 Discretionary"D"or Unnamed Use Classification El Manufactured Home 0 Modular El Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address El Road Approach 0 Binding Site Plan** 0 Home Business ❑Cottagelndustry 0 Long Plat** fd Propane ❑Planned Rural Residential Development(PRRD)/Amendments** 0 Sign ❑Plat Vacation/Alteration** 0 Allowed"Yes" Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management ❑Shoreline Management Substantial Development*" 0 Site 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 El Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion Request *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: ei='T,tZ 5 t ?µ r7-.Eb. '--/ 7/.>DESIGNATION OF GENT`c� 5 9)I hereby designate to ad as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable 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 pr ide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re ater inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli that he or she wants prior notice. Signature: Date: 41 l o f 2..,:�i7-7 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 iss d will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your adion(s)even if you re in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfer nsibili or.adherir g fo and complying with the ESA. The Applicant has read this disd "mer d signs and dates it below. Signature: Date: 14 1 L 4 2...�,r,-7 .._... C:\Documents and Settings\caral\Local Settings\'Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • 4IP BUILDER STATEMENT The signer of this s to nt does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass rri a responsibility of the General Contractor for the proposed proj ct. Signature: Gate: J GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: WAINS CONTRACTOR'S LICENSE f�. NUMBER: NUMBER NGINEERD Brostrom Engineering PHONE (360 ) 379-6402 FAX:( ) MAILING ADDRESS: 922-1/2 Washington St.#6,Port Townsend EMAIL mikaelbrostrom@yahoo.com Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ✓ New G Wood Existing: - Li Sewer Addition [ Steel Proposed: 4 Bank ri Community System ❑ Alteration/Remodel ❑ Concrete Total: 4 Height: Individual System _i Repair ❑ Masonry SEP Permit#applied for 2/2007 ❑ Bedrooms: Supply: Demolition -: Other: Water Su Existing: - Setback: Li Private well ✓ Two Party Type of Heat: Proposed: 3 Public Propane radiant floor Total: 3 Name of System: 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: OUnderground Tank I/Above ground Tank Size of Propane Tank: 1000 gallons 0 Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / ly6 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 ry EH Bld App Review. C- 1092 �/=' 1 2"°Floor Heated I5 32C3 it'Consistency Review: 2044 Other Heated Base fee: ar�" tA Mezzanine Additional Section: Heated klaseFfieRtI.tT[VV T-y 532 4j it/i_�a t(� Plan Check fee: 5A A%--E. Unheated Basement State Surcharge fee: Other Unheated 36- "7ic. Pot Water Review fee: car -5rAz12- (Ca Garage/Carport 616 I t.1�jt9.12- SUBTOTAL �j Decks �� 5 �fL> te1C1 911/Rd Approach fee: .- Other TOTAL: $471 3 Receipt Number: cCii ( '� Cash/Check Number: 1t` ESTIMATED COST(REQUIRED) .7L14 Date: ,•Fair market value of all labor and materials founda•. -• s D Initials: C.\Documents and Settings\carat\Loc^al Settings\Temporary Internet Files\0I.K86\Master Permit Application 12-19-2006.doc _______........................4 Jefferson County Building Div'on BUILDING PERMIT INSPECTION AP Permit Num BLD07-00153 PROVgLS Applicant: HANSEN To schedule inspections, call (360)379-4455 no later than 7:00 AM thepolay caof the inspection. le Code: 2003 International Building Codes 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 Inspection Item DateY Framing Inspection Approval Signature Notes Setbacks IIIIIIIIMIIIIIIII Erosion Control _ IIIIIIIIIIIIIIIIIIIII Foundation Footing _ iffigM11111.Footing Drains p MIIIIIII / J L tuAL cs ok S f�! Foundation Stem Wall ' ��, -- ok6 ► c.r Underground Plumbing �; . "�� IIJAL i ►t us�ilo Under Floor Framing Straps(hold downs) MIMIN '�` __ Ext. Shear Wall Nailing ,. t . _ �. I, Rough-in Plumbing 3 p -2- -Li'�: MIIIIIMIIIIIIIIEEIE 122 -0 7 i now; BJI`.S b�LY Framing __ ockin. ,MIHAFIIIIIMpfm _c.,: �'40,5' Le71Et. G n ,g PS a - :1 _ 2"° � 3 QF J. 11-r F� 5T rt Airseal • 7 I6 og MM. Insulation: Wallsgica y t Insulation: Floors i cJt"L�,e�(t 7 `� a 'IL° Vir,Insulation: Ceiling � 7 Int. Shear Wall Nailing 11111 E� itt5 0: WAN. Wallboard Nailing TSB OK g/ a Gas Line: Interior ' 1- ZNo�� -4rtow CAC 7 /S Og 7i7os Gas Line: Exterior e� Di4 00 E- . .._.., -�, Propane Tank S _ _ iN ' 0 . "�� Heat/Chimney Clearance IMIll -'�-All. /6dG ; ��EC/CouAJD Drywell/Alt Drainage Ira , train' " - Address Posted �� '�ursin. � �- ____________ ____________________.__________________ _____________________„.________________________.__ ____ FINAL INSPECTION 7 O Millil FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEIN ��l/ THIS PERMIT IS VALID FOR ONE YEAR G OCCUP AV.(�Q�c3 �' ed �� • • CONDITIONS for Building Permit# :BLD07-00153 1.) 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: Class II Wetlands, Seismic Hazard Areas, Level II Landslide Hazard Areas, Erosion Hazard Areas and Susceptible Aquifer Recharge Areas. 2.) A Geotechnical Report prepared by Stratum Group dated November 8, 2002 was submitted in conjunction with the application to address the geologic hazard areas. A supplemental letter dated March 30, 2007 was submitted by Dan McShane of Stratum Group to confirm the proposed foundation bearing and stormwater plans are consistent with his recommendations for development of the site near a potentially hazardous slope. 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.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 7.) 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. 8.) 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). 9.) A Geotechnical Report was submei in conjunction with this application. Thellort addressed the stability of the geologic hazard area. A setback of 15-feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed single family residence. 10.) 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. 11.) 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." 12.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 13.) 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. 14.) The project is located in close proximity to an identified wetland and is subject to the delineation provisions of Section 3.6.9 of the Jefferson County Unified Development Code. Based upon the proposed location of the project in relation to the identified wetland, the applicant has agreed to maintain a buffer(setback) that exceeds the standard buffer requirements by fifty (50) percent. The applicant acknowledges the additional setback and agrees to maintain the extra 50 percent buffer, therefore, waiving the wetland delineation requirements of the Unified Development Code. 15.) 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." 16.) 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. 17.) 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. 18.) The applicant is proposing to create or add 4198 square feet of impervious surface and 4700 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. 19.) A STormwater Slte Plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 20.) 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). 21.) The site plan as submitted with the building permit application on April 10, 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 May 14, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 22.) This approval is for a single famillidience with attached garage only. Any kill 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. 23.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 24.) 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. 25.) Minimum setback from Sugar Hill Rd right-of-way is 20 ft. Minimum setback from the north boundary line is 16 ft. Minimum side and rear setbacks are 5 ft. Environmental Sensitive Areas further impact setbacks. 26.) 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. 27.) 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. 28.) Maximum lot coverage is not to exceed 10%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 29.) The building height is not to exceed 35 feet. 30.) This parcel has been designated as Rural Forest under the Jefferson County Comprehensive Plan Land Use Map effective August 28, 1998. 31.) A septic permit (SEP07-00059) was approved on May 9, 2007 for a system of 360 gallons per day. 32.) Sugar Hill Rd is a private road (P595). The road approach is existing and an address of 692 Sugar Hill Rd has been assigned to the parcel. 33.) This parcel was created through the Sugar Hill Estates under AFN 446842, filed of record August 11, 2001 in Volume 1 of Large Lot Subdivisions, page 107-115 with Jefferson County Auditor's office. 34.) Washington State Department of Natural Resources commented on the application on November 1, 2004 and determined no stream exists on the parcel. 35.) Written waiver received on April 26, 2007 from the owner requesting to waive the 100 ft setback from the boundariers of the subject parcel adjacent to designated Rural Forest Land per JCC 18.15.150(3)(a)(ii). 36.) A minimum of two (2) on-site parking spaces are required for the single-family residence. 37.) The wetland, wetland buffer and open space shown on the plat shall be maintained in their naturally vegetated state. This shall mean that vegetation within the wetland protection area shall not be disturbed or mowed. All wetland stakes in the field shall be maintained and replaced as necessary. *AP PROVED STORMWATER PLAN lisoN • ° JEFFERSON COUNTY �� MAY 1 4 2001 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 9f 368 JEFFERSON COUNTY �' �O� 360/379-4450 •360/379-4451 Fax DEPT.OF . . UNITY DFV• PMENT NO http://www.co.jefferson.wa.us/commdevelopment/ SIGNATURE: STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 01 - —1q PROJECT/APPLICANT NAME: Beth and Kevin Hansen 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. To construct a 3920 sf single family residence on an existing clearing of approximately Y2 acre,utilizing existing gravel roads and driveway. Minimum amount of clearing. Property is 5.01 acres in size. 07 Oi53 Existing Conditions Summary JEFFERSON COUNTY U C U 2. Describe the existing topography. Indicate contours on the site map. The W lot line is slightly E of Beaver Valley Road. Lot climbs steeply about 200'vertical to an old 30'wide skid road,then climbs 20'further to a narrow,level building site on top of the ridge. E of the building site the lot slopes down gently to a copse of trees and then somewhat more steeply down to Sugar Hill Road where it is predominantly level to the E lot line about 1,000'away. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. The building site itself is mostly clear with patches of grasses,salal,Oregon grape,ferns and a few madronas,Douglas fir,and cedar. A small copse of trees at the turn of the driveway is vegetated with maples,Douglas fir,cedar,salal,huckleberry,ferns and a few small alder. The rest of the property to the E is heavily wooded with maple,cedar,Douglas fir,ferns,salal,blackberries. The steep slope W of the building site contains maples,alder,fir,and madrona as well as salal,Oregon grape,ferns,and grass. 4. Describe the existing soils. Indicate soil type on the site map. According to well report 147547: 0-2'topsoil,2-26'brown clay and gravel. Test pit 17: 1-4'Very dense,gravelly,sandy SILT with beds offine SAND;scattered cobbles,4-11'Very dense,clean to slightly silty,fine SAND. 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. Lot 2 is the highest point in this area of the ridge,therefore no water enters the building site from adjacent lots. No standing water or signs of erosion anywhere near the building site, indicating good percolation. Natural drainage pattern from the site is down a gentle slope to the E into a level,heavily vegetated area. There are no streams nor any obvious surface flows,even during very wet weather. 6. Describe any excess levels of noise generated by the proposed use or activity: VE Only normal noise occurring during construction. FACE� '11 stomivater site plan tornplate.doc—rev.10/12/2003 ° ��1' ��1� �� 5 4110 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. 5000 sf wetlands area in the woods about 500'E of the building site. A type 5 stream is shown on the county GIS,but the permit review of the adjacent lot 3 contains the following note: "DNR-STREAM LTR-Per letter dated November 2,2004,Ross Goodwin,DNR performed a site visit regarding a Type 5 stream hit. Ross determined the he could find no evidence of the stream channel shown on the critical areas map for this area." A steep slope to the W of the building site that is heavily vegetated with trees,said and other shrubs. There is no evidence of erosion or slippage noted in this area. (This area will not be disturbed during construction.) 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.). This is one lot in a subdivision consisting of ten—5-acre lots designated single family residences in a heavily forested area. Beaver Valley downhill and to the W consists of small farms. A completed house S of the building site on Lot 1 and a house under construction on Lot 3 to the N. Small,moderately steep downward slope on Lot 1,60'from the building site,which will not be disturbed. Steep slope W of building site which will remain undisturbed and is described as"stable"in attached geotechnical report by Dan McShane. Access via Sugar Hill Road and existing driveway shared with adjacent lot 3. Utilities are underground,and service lines to site are shown on the site plan. 2-party well for lots 1 and 2 located on lot 3,line runs along lot 2-3 boundary as shown on site plan. 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 these facilities on the site plan and differentiate proposed facilities from existing facilities. All stormwater will be"fully dispersed". The impervious areas(existing and new)will be less than 4%of the total property. The areas left in a forested condition and native vegetation far exceed the 65%required to meet this BMP. 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.] Not required. All stormwater will be'fully dispersed". 11. Describe the performance goals and standards applicable to the project. We intend to disturb the site as little as possible. Our goal is to have the post development stormwater management and drainage match the site's pre-developed condition. Areas disturbed during construction will be returned to native vegetation. Very little,if any,of the site will be planted as lawn. 12. Describe the flow control system. There are no existing flows as the building site is on the top of the ridge. The building site itself is dry and mostly level with soils that percolate well. For example,there is no standing water on site following heavy rains. There are no streams or ponds in the vicinity. We intend to achieve fill dispersion of the stormwater by directing it into rock-filled trenches in heavily vegetated areas as described below in#14. RECEIVER )k APR 1 0 20g7 stomiwater site plan template.doc—rev.1 W12/2003 6 'FFFFR 11 AID griii • 13. Describe the water quality system. The building site is dry and will not affect any existing flow of stonnwater. 14. Describe the conveyance system analysis and design. The building site is quite dry. No evidence of runoff ditches,streams, or standing water. Stormwater is dispersed and drains into the ground and is used by surrounding vegetation. We propose to dispose of roof-collected stormwater by piping downspouts to a large area of heavily forested ground well downhill of and'-250'from the building site. This water will be discharged into—S0 feet of dispersion trench(10'per 700 sf of roof area). The trench will be 2 ft deep by 2 ft wide,and oriented along slope contours(area is nearly level). There will be 18"of washed rock below a 4"perf pipe covered by 6"of washed rock as shown on page 5-5,fig 5.1 in Volume S of the Manual. Foundation perimeter drains will be piped to a similar,short dispersion trench in the copse immediately E of the building site. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. Little fill will be required,but if we need any it will be pit-run gravel. There will not be any excess material to dispose of as we will only order what is required. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. The driveway will have'/"minus Basalt placed by truck,compacted with a 5 ton roller. Foundation will have sand or pea gravel under slab,compacted to code with a sled compactor. 17. Describe the proposed surfacing material. 3/4"minus Basalt. Any areas of lawn will be seeded on existing soils. 18. Describe methods for restoration of the site. Areas disturbed by construction,other than the driveway,will be replanted with local vegetation and grasses. Per septic design,the drainfield area will be replanted with grass. We intend to plant trees to the N and S of the house,as well as to add to the copse of trees E of the house. 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. N/A,this is not a"large"project. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. None. 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. Septic system and drainfield(application has been submitted). CEIVED RE — stormwater site plan 1emptale.doc—rev.10/12/2003 7 r ti I t � 3 illtl LH 411 • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. Minimal clearing required;one dead madrona and two maples within the house footprint,and two sickly madronas that threatened the neighboring residence are the only frees requiring removal. 2. Establish Construction Access. A well-maintained gravel driveway shared with the adjacent lot has already been in use for a couple of years. No additional access will be required. 3. Control Flow Rates. Because the driveway is already in,and underground water,electrical and telephone lines were placed over a year ago at the same time as utilities for the adjacent lot,site disturbance will be minimal. Straw and wood chips will be used over dirt piles and disturbed areas during construction to control erosion offines. 4. Install Sediment Controls. Straw and wood chips will be used over dirt piles and disturbed areas during construction to control erosion offines. Backfilling will be done as quickly as possible. 5. Stabilize Soils. Straw and wood chips will be used over dirt piles and disturbed areas during construction to control erosion of fines. Backfilling will be done as quickly as possible. 6. Protect Slopes. Steep slope W of building site will not be disturbed during construction. Spoil will be piled well away from this area. There will be no change in the drainage on the slope due to our storm water drainage plan which directs drainage away from this slope. 7. Protect Drain Inlets. There are no drainage inlets from adjacent properties. This site is the highest ground in the vicinity. RECE1VEII , APR 1 0 2 O7 stamwater site plan template.doc—rev.10l12/2003 8 • 11111 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. There are no channels or outlets from this site. 9. Control Pollutants. All building waste materials will be properly disposed of at the landfill. Any oil,fuel,spills will be contained and cleaned up immediately and cleaning materials(sawdust,etc.)will be disposed properly at the landfill. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). We do not anticipate the need for de-watering on this dry site. If necessary,clean stormwater would be pumped/diverted to the area of vegetation east of building site and allowed to filter down through forest floor. 11. Maintain Best Management Practices(BMPs). We will be doing most of our own work and closely supervising any subcontractors. We will assure that the BMP is adhered to. 12. Manage the Project. We will be doing most of our own work and closely supervising any subcontractors. We will assure that the BMP is adhered to in order to prevent erosion,sediment or any pollutants from leaving the site during construction 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). The driveway is shared with Lot 3(adjacent to N). Except for use of the driveway,I can anticipate no disturbance to Lot 3 by construction on our site. There are no nearby permanent streams,lakes,or wetland areas that will be affected during construction. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). The nearest wetland is 500'from the building site and separated by level,heavily forested ground for at least 250'. A type 5 stream about 1,000'distant is shown on the county GIS,but the permit review of the adjacent lot 3 contains the following note: "DNR- STREAM LTR-Per letter dated November 2,2004,Ross Goodwin,DNR performed a site visit regarding a Type 5 stream hit. Ross determined the he could find no evidence of the stream channel shown on the critical areas map for this area." No other streams in evidence. 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. The nearest wetland is 500'from the building site and separated by level,heavily forested ground for at least 250. No construction activity will occur within 200'of this area. R ECEIVED stormwater site plan ternplate.doc—rev.10/12/2003 9 1 B • • b. Description of special requirements for working in or near environmentally sensitive areas. Wetland areas are 500'from the site and separated by at least 250'of heavy vegetation;no problem. We will avoid disturbing the slope to the W of the building site and maintain required 15'setback from the edge of the slope. 4. Erosion Problem Areas. Descrip n of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability, p'rmeability,depth,texture,soil structure). None foreseen. Building site is vegetated,fairly level,and dry. Excavation will be limited to a small basement utility area that will be 8'deep,and the bulk of the foundation will consist of a 2'tall stemwall and slab on grade. Because little excavation is required,erosion will be limited and the natural ground cover should suffice to inhibit flows from the immediate area of construction in conjunction with stabilization of spoils using wood chips and straw. 5. Construction Phasing. a. Construction sequence Septic system,site preparation,foundation,framing,roofing,landscaping,interior finish. b. Construction phasing(if proposed) N/A. 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. April-Septic system installation. April/May-Site Prep/foundation. May/June-Framing and roofing. July-Driveway. August- Landscaping. August through December-Interior finish. II. Wet Season Construction Activities. a. Proposed wet season construction activities. If permits are acquired in time,septic system work may be done in April. b. Proposed wet season construction activities for environmentally sensitive areas. N/A. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Kevin J Hansen and Elizabeth C Hansen b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Personal responsibility. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. b. Diversions. N/A. We intend to achieve full dispersion. c. Waterways. d. Runoff/Stormwater Detention Calculations ii (iEI\/Eit 1, APR 1 0 2007 stormwater site plan template.doc—rev.10/12/2003 10 IEf ffHSA 'CHIN NI i • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of th r affected property. ci 14)(age)0--) (LANDOWNER•'n!` ORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: R ECEIVED aPR I 0 2007 YkillV40 stormwater site plan template.doc-rev.10/12/2003 12 • S u m T U T z a O 0 r. 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