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BLD2007-00264
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 #: BLD07-00264 SITE ADDRESS: 73 AERIE LN Issue Date: 06/27/2007 PORT TOWNSEND, 98368 Final Date: 6/15/2011 APPLICANT: MARK A DORSCH PHONE: JULIE K DORSCH 73 AERIE LN PORT TOWNSEND WA 98368-8711 SUBDIVISION: Block: Lot: T 34+ PARCEL NUMBER: 901081029 Section: 8 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR 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 Cy) THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/15/2011 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building DIIlion Permit Nur: BLD07-00264 Applicant: DORSCH BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks ' l_ Erosion Control Foundation Footing Footing Drains 1,0-(g-o 1 Foundation Stem Wall (-) Underground Plumbing k&AT 1-U6es )-I0 ( dy Under Floor Framing Straps(hold downs) Exr •rr-As s A 1-164.4 Doe.»s o1L 5//9log fr Ext. Shear Wall Nailing S/t /. Qk. Rough-in Plumbing A- -ob Framing .4" fft Airseal 110 q - Insulation:Walls ).)1)1 Xt Insulation: Floors •I 11)01 Insulation: Ceiling 9,EitI o`t Int. Shear Wall Nailing .��_ (, r l 1 rt t y wu:0 J 1 S Wallboard Nailing Gas Line: Interior / _ (, 1C) Gas Line: Exterior 1©213-10 Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION G / FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR GILDING PERMIT APPLICAAN MA07-00281 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00264 Received Date: 5/29/2007 SITE ADDRESS: 73 AERIE LN PORT TOWNSEND, 98368 OWNER: MARK A DORSCH PHONE: JULIE K DORSCH 1967 GENEVA ST SAN JOSE CA 951242114 SUBDIVISION: Block: Lot: T 34+ PARCEL NUMBER: 901081029 Section: 8 Township: 29 N Range: 01 W CONTRACTOR: CRANSTON CONSTRUCTION PHONE: 379-2730 PO BOX 944 PORT HADLOCK WA 98339 Contractor's License CRANSCC070J7 Expires 3/10/2008 REPRESENTATIVE: RANDY CRANSTON PHONE: (360) 379-2730 PO BOX 944 PORT HADLOCK WA 98339 PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,125 VALUATION 350,000.00 ADD'L: 647 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 785 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,393.75 LYK 05/29/07 91084 APFRcJVEI Plan Check $1,555.94 LYK 05/29/07 91084 State Building Code $4.50 LYK 05/29/07 91084 Potable Water Application $58.00 LYK 05/29/07 91084 JUN12(�17 Total: $4,012.19 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD07-00264 1.) The application was reviewed by the Jefferson County Department of Community Development staff on June 20, 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: Unstable Shoreline Slope Stability, Level I Landslide Hazard Area, Susceptible Aquifer Recharge Area and Coastal Seawater Intrusion Protection Zones (SIPZ). 2.) 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. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 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.) Landslide Hazard 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. 6.) Among the native conifer species which may be used in buffers or for re-vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea Sitchensis), Shore Pine (Pinus Contorta), Douglas Fir(Pseudotsuga Menziesii), Western Red Cedar (Thuja Plicata), and Western Hemlock (Tsuga Heterophylla). Among native tree species which may be used includes: Vine Maple (Acer Circinatum), Big-Leaf Maple (Acer Macrophyllum), Red Alder(Alnus Rubra), Pacific Madrone (Arbutus Menziesii), Quaking Aspen (Populus Tremula), Black Cottonwood (Populus Trichocarpa), Bitter Cherry(Prunus Emarginata), Oregon White Oak (Quercus Garryana), Cascara (Rhamnus Purshiana), Pacific Willow (Saliz Lasiandra), and Scouler's Willow (Saliz Scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier Alnifolia), Red Osier Dogwood (Cornus Stolonifera) Salal (Gaultheria Shallon), Ocean Spray (Holodiscus Discolor), Indian Plum (Oemlaria Cerasiformis), Pacific Ninebark (Physocarpus Capitus), Red Flowering Currant(Ribes Sanguineum), Wild Rose (Rosa Nutkana), Swamp Rose (Rosa Pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus Racemosa), Snowberry(Symphoricarpos Albus), Evergreen Huckleberry (Vaccinium Ovatum), Red Huckleberry(Vaccinium Parvifolium). 7.) 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. 8.) The parcel is located within a ccl SIPZ (seawater intrusion protection zon.ccording 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. 9.) 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. 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 30 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.) 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. 15.) 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. 16.) 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. 17.) 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. 18.) MANDATORY MEASURES FO•ASTAL 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. 19.) 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. 20.) The applicant is proposing to create or add 4316 square feet of impervious surface and 3360 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. 21.) A Stormwater Slte Plan for 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. 22.) 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). 23.) The revised site plan as submitted on June 26, 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 June 26, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 24.) This approval is for a new single family residence only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 25.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 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.) A minimum of four(4) on-site parking spaces shall be provided for the single family residence and the accessory dwelling unit. 29.) The building height is not to exceed 35 feet. 30.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 31.) Exterior lighting for residential uteshall not exceed twenty feet(20') in heigam 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.) Minimum setback from Aerie Ln right-of-way shall be 20 ft. Minimum setback from Hwy 20 right-of-way shall be 50 ft. Minimum side and rear setbacks shall be 5 ft. Environmentally Sensitive Areas further impact setback. 34.) A septic permit (SEP91-00227)was finaled July 24, 2002 for a system with 3 Bedroom capacity. 35.) A building permit(BLD01-00695) for a single family residence with attached garage (ADU) was finaled on December 11, 2002. 36.) PRIOR TO FINAL BUILDING INSPECTION MUST SUBMIT RECORDED NOTICE TO TITLE REGARDING THE SQUARE FOOTAGE OF HOME AND LIMITED CAPACITY OF DRAIN FIELD. 37.) DRAINAGE FROM CONSERVATORY MUST NOT BE PLUMBED INTO SEPTIC SYSTEM. 38.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. A ' ROVED 'tSCH STORWATER MANAGEME T ,A; • L ' . Prepared by Aumock 'esignwo s Thomas L.Au ock JUN 2 5 2007 4: TBD Case#: TBD JEFFERSON COu '1i, ` , : „/ Jj;j r DEPT.O �NNUNI 1' ? i� v/ �9 .11dIr SIG�ATUR..`a ,1�a Parcel#: 901 081 029,Jefferson County, Washington Legal: Tax Lot 34, in Sec. 8,Twp. 29 No.,R. 1 West au 73 Aerie Lane, Port Townsend, WA 98368 +'N Property Owners: Mark A. &Julie K.Dorsch ` R� � �YU��■���� 1967 Geneva Street, San Jose, CA 95124-2114 Scope of Project• The project is a 2,772 square foot single-family residence that is located on approximately 5.3 acres of hillside land at 73 Aerie Lane, Port Townsend, approximately 7/lOths of a mile north of the intersection of SR 20 and Anderson Lake Road. The proposed single-family residence will be the the site, however, an existing 1008 square foot garage with second floor ADU exists on the primary te.uctIteisnthe owner's official representative, Randy Cranston of Cranston Construction, Inc., intent and responsibility to provide this plan and implementation thereof, for stormwater management on the subject site. Soils Analysis Source of data is the Soil Survey of Jefferson County Area, Washington: The principal soil type for the subject site is "Tukey" series [TuC]. It's nominal depth to bedrock is >60 feet. The seasonal water table is approximately 1.5 to 2.5 inches. Its USDA texture is noted as gravelly loam and gravelly clay loam. Permeability is 0.6—2.0 inches per hour, with an available water capacity of 0.12—0.16 inches per inch of soil depth down the 36 inches below surface. This soil type is moderately well drained, with moderately slow permeability. Runoff is slow to medium and the hazard to soil erosion is slight to moderate. Shrink-swell potential is low,and frost reaction is slight. STORMWATER SITE PLAN SUBMITTAL Pro'ect Overview_ 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. The project is a 2,772 square foot single-family residence associated with an existing 1008 square foot garage that is located east of SR 20 on the east side of Discovery Bay. The proposed impervious surface falls within the "Medium"project requirements under the Washington State Stormwater Management Manual for Western Washington. Existing Conditions Summary 7 - O Li 2. Describe the existing topography.Indicate contours on the site map. JEFFERSON Cr The site of the single family residence is predominatelyw ��F��R�O� L O��� Douglas Fir and Alder tree areas adjacent the subject siteThepropertylhs sl essentially gentle slope landscape, with SR20, however, the building sites are relatively flat. p from east to west, downhill to ' • • 3. Describe the existing vegetation.Indicate native vegetation areas on the site map. The site is predominately third-order growth, with second-order growth under a third-order growth in the form of mature evergreens of predominately Cedar, some Douglas Fir, and deciduous trees of Maple and Alder. The housing site and garage have been cleared and leveled 4. Describe the existing soils.Indicate soil type on the site map. The existing soils consist of the Tukey[Tug series of sloped soil on terraces. 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site— above, below, and on the ground). Indicate existing storm water 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. This soil type is moderately well drained, with moderately slow permeability. Runoff is slow to medium and the hazard to soil erosion is slight to moderate. Shrink-swell potential is low, and frost reaction is slight. The existing vegetation serves well as a natural bio-filter and transpo-evaporation mechanism for stormwater. 6. Describe any excess levels of noise generated by the proposed use or activity: The proposal is for a 2,772 SF single-family residence with an existing 1008 SF garage with ADU and only the typical accessory uses associated therewith. This property is a large parcel of approximately 5.3 acres, which inherently provides large property setbacks from uses on adjacent parcels. Coupled with the lack of populated properties in the area, excess noise is not a factor. 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. None have been determined for this site. 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.). Adjacent properties consist of forest and land with residences served by paved and non paved roads, with utility services of water, sewer,power, telephone, cable available. Permanent Storm water Control Plan This portion of the Stormwater Site Plan consists of the proponent's selection and installation of the appropriate storm water control BMP's 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. Please see Master Permit Application submittals for these calculations. 9. Describe the developed site hydrology, as proposed. Indicate whether storm water will be fully dispersed (i.e., per BMP 15.30 in the Manual) or, if not, what types of storm water 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. The placement of the proposed single-family residence will provide channeled roof flow yia dq ns outs and splash-blocks to direct flows to the surface grassed areas for transpo-evaporation, and)i5tz(c l` r.f ,le\ ii�e on the owner's land. 41 sI! ` Pi • • 10. If the project requires the use of storm water treatment facilities, describe the types of storm water 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.] No specialized storm water treatment is necessary for this project. 11. Describe the performance goals and standards applicable to the project. All storm water is managed so as to not create erosion impacts or off-site migration mitigation. 12. Describe the flow control system. The placement of the proposed residence will provide channeled roof flow via downspouts and splash-blocks to direct flows to the surface grassed areas for transpo-evaporation, and natural infiltration. . 13. Describe the water quality system. None is proposed or required of this proposal. 14. Describe the conveyance system analysis and design. None is proposed due to the low rainfall statistics of the Discovery Bay area, and due also to the size of the property, and also due to the proposed implementation of"best management practices". 15. Describe the source of fill material; physical characteristics of fill material, and deposition of excess material. House foundation excavation material will be primarily re-deposited around subject residence, and back-graded to form a slope away from the residence. The balance will be recycled on-site. It is estimated that 160 cubic yards will be excavated for the crawl area and foundation, with approximately 40 yards to be re-deposited around the perimeter of the foundation. 16. Proposed methods of placement and compaction consistent with the applicable standards in the International Residential Code,2003 Edition. Heavy machinery use will provide primary spreading and compaction, normally with the use of a backhoe. 17. Describe the proposed surfacing material. Yard-area around the house will be seeded with grass and contain traditional landscaping plantings at a minimum. 18. Describe methods for restoration of the site. None required, as the site for residence does not require the removal of trees. The owner may choose to increase the number of existing trees with additional planting of same. 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. _ 1 Not applicable for this proposal. • • 20. List here and include any special reports or studies conducted to prepare the Storm water Site Plan. None known by applicant. 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. • MLA permit from Jefferson County ■ Building Permit from Jefferson County • Septic Tank Permit from Jefferson County ■ Potable Water Supply Determination CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMP's indicated by the applicant in the responses that follow are to be installed on the ground during all construction phases of the project. The proponent and official representative will be responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. The proponent and official representative will also consult the Construction Storm water Pollution Prevention (SWPP) Best Management Practices (BMP's) Packet for guidance SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Storm water Pollution Plan Elements. This section describes how each of the Construction SWPPP elements has been or will be addressed. It identifies the type and location of BMP's used to satisfy the required elements. If an element is not applicable to the proposal,justification is provided. Twelve Required Elements- Construction SWPPP 1. Mark Clearing Limits. Minimize limit of land clearing to the residential site only, and marking [flagging] equipment operation zones. 2. Establish Construction Access. Via the existing driveway, machinery will not require a formal construction access. Wash-down of vehicle tires on-site will further control such occurrence during wet days. Wash-down would take place only in designated areas where water retention and settling of suspended solids will occur. 3. Control Flow Rates. BMP C121 "Mulching" may be implemented to filter any and all downhill water flow, and thus stabilize the flow rate. 4. Install Sediment Controls. While limiting the cleared area for construction, the applicant will instal''!a "silt'fenlv to protect "downstream"areas below the construction site during construction per BMP C233. 1 5. Stabilize Soils. • • The applicant proposes to use BMP C121 "Mulching" to stabilize exposed soils that are subject to erosion, where applicable along the proposed roadway extension to the proposed new residence and parking area. 6. Protect Slopes. The applicant proposes to use "surface roughening" BMP C130 and soil stabilization with BMP C121 " Mulching"at sloped areas with a ratio of 3:1 horizontal to vertical and greater during construction, and until new vegetative growth is established, where and when necessary. 7. Protect Drain Inlets. No drain inlets exist either on or off the subject site. 8. Stabilize Channels and Outlets. No temporary or permanent on-site channels or ditches exist or are to be created to control runoff. However, since the proposal consists of a crawl-area grade that is below the finished grade outside of the foundation, in the event of water retention, a small channel would be created during construction to allow drainage of the foundation excavation which will likely require the use of BMP C209 and mulching BMP C121 until foundation backfill is completed 9. Control Pollutants. No major vehicle or machinery maintenance is to be allowed on-site over impervious surfaces, and contractor's equipment will be required to not exhibit hydraulic oil or fuel leakage prior to storage or use on the site. 10. Control De-Watering (the act of pumping groundwater or storm water away from an active construction site). Since the proposal consists of a foundation "crawl" grade that is below the finished grade outside of the foundation, in the event of water retention, a small channel may be created during construction to allow drainage of the foundation excavation which will likely require the use of BMP C209 and mulching BMP C121 until foundation backfill is completed. 11. Maintain Best Management Practices(BMP's). The owner or owner representative, Randy Cranston of Cranston Construction, is to supervise all sub- contractors to insure that BMP's are maintained to their respective functional design. 12. Manage the Project. Construction is to be phased to prevent transport of water runoff or sediment, and limiting work during wet conditions where there may be a negative impact. Coordination of utility work—i.e., same trench use included, coupled with daily inspection and maintenance of systems is proposed Since most of the utility work has been completed for the existing Garage/ADU, additional management is minimal. • • 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance(e.g., streams, lakes,wetlands, residential areas,roads). None to be affected. However, Aerie Lane is not paved, and it has a steep road approach onto SR 20 that requires that BMP's function and not impact Aerie Lane. b. Description of the downstream drainage path leading from the site to the receiving body of water (minimum distance of 400 yards). The proposed project will not result in or create off-site/downstream drainage paths. While the subject site has at least one major ravine area, the first, second, and third-order growth allows for natural drainage to be handled without downstream impact, as evidenced by examination of the downstream area. 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. None known to applicant. b. Description of special requirements for working in or near environmentally sensitive areas. None required at this time. 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, settle ability, permeability,depth,texture, soil structure). Analysis of published soil characteristics and topography of this site coupled with the proposed project scope do not indicate any erosion problem potential. 5. Construction Phasing. a. Construction sequence The applicant is to mark clearing limit area, establish construction access, foundation excavation, install proposed BMP's per plan, construct project, and then implement the permanent plan. b. Construction phasing(if proposed) Project to be started and completed within four months with no particular phasing. 6. Construction Schedule. It is known that the wet season is October 1 through April 30 a. Provide a proposed construction schedule. Begin project in Summer of 2007, and conclude by early Winter of 2007 b. Wet Season Construction Activities. 1. Proposed wet season construction activities. None anticipated beyond attempting to keep materials dry. 2. Proposed wet season construction activities for environmentally sensitive areas. Not applicable for this proposal. A • • 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. The applicant. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. The building permit process and site inspection sequence is conducted by Jefferson County, with back-up measures by the owner as part of owner's risk management for the project. 8. Engineering Calculations.Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps: Not applicable b. Diversions: Not applicable c. Waterways: Not applicable d. Runoff/Stormwater Detention Calculations: Not applicable SECTION II-EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures are depicted on the master land use application plot plan, a stormwater site plan, and/or a separate Construction SWPPP site plan.This"Section II—Erosion and Sediment Control Plan" checklist was used to ensure that the required information is depicted on the site plan submittal. Stormwater Site Plan Changes Any proposed changes or revisions to the originally approved Stormwater Site Plan shall be submitted to DCD prior to construction. The submittal will 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 there are any proposed changes or revisions for the construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site Stormwater management BMPs), the applicant will submit a final corrected plan ("as-builts")when the project is completed. This submittal will 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. i(ej2e4( C a2Y V Randy Cransto , Applicants/Owners Representative &DATE 1 Sources: J • Soil Survey of Jefferson County Area, Washington, US Dept. of Agriculture, Soil Conservation Service, August 1975 • Site Inspection by T.L. Aumock,Aumock Designworks May 2007 iIII rilik°64-4 ggoJEFFERSON COUNTY `. S DEPARTMENT OF COMMUNITY D� a ,�' "_ 621 Sheridan Street• Port Townsend Washington 9836�' 360/379-4450 • 360/379-4451 Fax �$�, ��p� www.co.jefferson.wa.us/commdevelopmt y 2 9 hn07 Master Permit Application 61! MLA: Orl-281 Project Description(include separate sheets as necessary): '41 ft1/,. `,P11INf �, GD N3'7-A?...uGT /V�/v •,5 WG,C E /C5 s$r///.Y,e-E3/d E t/e..6" Tax Parcel �G� 08/ 02� Property Number: Size: ^vs3 square feet) Site Address and/or Directions to Property: A .41 _Ql 444,4", daaer mvAi e ; af/,q g B36 8 Property Owner(s)of Record:009•4g A• Dae.s'c / f; ..11JL/.6 it.DDuts' f/ Telephone: Fax: emaiLv/e4CI°b4'C"if&Ater..,GeYGf Mailing Address: / 96 7 6-E/VEY./ JT: # „5A0AV ✓OSE, 95/24e Z//¢ Applicant/Agent(if different from owner): ,CA.46AY C,Q4/4c7v4/ Telephone 7�D•3 79..2730 Fax: email: Mailing Address:0010.0‘,9.4ggt' i eP„t-Op�,C, wq 9807, What kind of Permit?(Check each box that applies) /Building ❑Variance(Minor,Major or Reasonable Economic Use) d Demolition Permit ❑Conditional Use[C(a),C(d),or C]** if Single Family ❑Discretionary"D"or Unnamed Use Classification ❑Garage Attached/Detached ❑Special Use(Essential Public Facilities)** ❑Manufactured Home °Boundary Line Adjustment d Modular °Short Plat** ❑Commercial* °Binding Site Plan** El Change of Use °Long Plat** Q Address I Road Approach °Planned Rural Residential Development(PRRD)/Amendments** 'Sr Propane ❑Plat Vacation/Alteration** DAllowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** °Stormwater Management ❑Shoreline Management Substantial Development** ❑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 ❑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 ,' , , . , ( , , )/Y. ( to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE -.t.L , L /\ Date: 11 L / L 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. Staffs access and right of entry will be assumed unless thp appli nt informs the County in writing at the time of the application that-te)or she wants prior notice. . Signature: ,, _ �r(•L r�t ' 1 2u .i t --t. i ,...0 .c-/�-� Date: f _: ! 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 respbnsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. i= , Signature: - ; QS E.. Date: 7/L(/'r . D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc III ' Ill BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: /PHHOONNE: FAX: 0P.,4 , r G+ A,A4.s - ,v, Ge srzw CG+NS'T,iexiGs70,V .,L ee�I7q.•2 7Y,30 ( ) MAILING ADDRESS: y &i( 94o.po.er �fleOCK MAIL: CONTRACTOR'S LICENSE AINS . NUMBER: ! 4„N9ed -1o31 NUMBER ARCHITECT/ENGINEER: de,,,c,e rime p,V PHONE fjd) .344,FAx:0)5/2.-4/83 MAILING ADDRESS:..'S4/4Lr y, b r k-Y S'A',u/A- 982 AT EMAIL /". k.e/d deSi r Ge/Jd Project Type: Frame Type: Bathrooms: ShorOindr Type of Sewage Disposal: IN New IL Wood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: 3 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: ,3 Heig t: I Individual System ❑ Repair 0 Masonry SEP Permit# •Szt Q/-k.L 7 ❑ Demolition ❑ Other: Bedrooms: a Supply: Existing: O Setback: t Private well 0 Two Party Type of Heat: • Proposed: 2 - 0(/a ublic r Y re, i c_- Total: 2 / Name of System: If this is a Commercial Project you must answer the following: /y/i9 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: E1 Underground Tank A Above ground Tank Size of Propane Tank: KIM/NON ZIrOG, (A/.c. . Clriri ny- °Heat Stove SCook Stove ❑Woodstove ®Fireplace Insert 0 Hot Water Tank 0 Pellet Stove p Other /$66a Is this appliance 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 Current Proposed For Office Use Only Amount Revision Main Floor Heated �2 5 Kt E Bld App Review: r, 466,-1 (03 c 2nd Floor Heated C� I Consistency Review G- Other Heated 19. 1 Base fee: r Mezzanine Additional Section: Heated Basement Plan Check fee: p�G� GI f / 1 Unheated Basement State Surcharge fee: 4 J 7 Other Unheated Pot Water Review fee: C3, CO Garage/Carport GVO4PIJEECCbit. SUBTOTAL Gib 114Si IA Lialc . [ ci Decksi 1 /Rd AN ro ch fee: C' Other /�p2Gil=loxAtf�9 kolfi ►)I1 �,(k '� J 00 TOTAL: $LaS-3 I C1 Receipt Number: Q to 1 _ . Cash/Check Number: (12-1q ESTIMATED COST(REQUIRED) ,� Date: .Fair market afire of all labor and materials f tion To thigh- 3 Svi© if , 0 o Initials: D:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05-2.doc • C) A la I, + = V 0, N A m W N./ + - O 0) *CO > GI D 2 v mm y X _ A <nA Z I- mD x r -DP oxP 0'0 m s Dt o 88 O FT m vD clmvD m $ T0 o D ;Dz 0 o Zz= nimi og z L — _ _ 4 11 om z 3zr z $ O og 90 Eh-gm a " i C ftn w x DS o * Pz cmmo ,. g rD- > o $m o mA 12 ND Z za = 8 a° Dom z = I. � i t Rym 7' z O00Am (n ((-1zDr _mN E. o - 6n cn N >› E 2 m i m ( m811 m o mrn _ - _� : M w ; c A Pi' tk. n zom o n pof ? r-coi , 9 o` r. c o --- o Dy z P 5 i ;1 �'>m rnD co -1 Z 9 z y A X -n r y p * -1- n C Ox -� m0 o Z �Ox n n p O -: 2 m 2 O m zD Z S O m y0 A m N iyr O 41 O `_ 1, mH O C G1 2 m 0 m• I I nmm�zo o > - o� - '�y C O A '� of" g� - 1 v D z O i owo m 3 n r < �ppNi zf m o m N m p W; 0 o a 6 1. i� co ry eh mDD,z D PT_ - / z o E' I y my z m s o - rn y v r 0 COI - n n m y O m0 mf2 Q p f o o x, -C c A1agp 2, m (F-J \ A A D r m w p D y .�. w D . :...... 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Fe"m Q Q Q Q Q Q Q Q fa a s•"a" 1 a fm, �. CID 7. � o Zoe) }��;�3 �$gg a ,ems o Proposed Log Home Structural Engineer BUILDING SITE ADDRESS: Lot#Dorsch s'$$�i g�, �`- (--„,..--- ya a E I` i F 1. Designed for: Aerie Lane TAX PARCEL# l °,•-eo=.' o Port Townsend,Wa. a' °a trn 7 I� . Dynamic Structures 901081029 K. -1 �' i o � � ��g�a ��;m � Mark and Julie Dorsch ��o�� �� 1_��a u N t Provo, T 846 4 1'.1 a Z 1�` �y ?! 7 w 3`-. a GENERAL CONTRACTOR: S~ '�, IN,,'"I r:1 3 O #Post 1967 Geneva St. Provo,UT 84604 °9 . a Z O zI I • 7 `? o 1191 4 $r S Cranston Construction Co. .E1 a > 9 /" 2 Z N� a g �g s y San Jose,CA.95124 1-801356-1140 i y 3 9 ; 3 �.%� ifin-ll)1-299a I I Phone: (408)559-0135 ® -/ 1/ i ii or lit iv. ..$ ,,‘ ' Ilo � 4,, ...2., , , in. , ;", ;1 I"1:41,r,1,5 :: 1 I 1 , ' ‘ lir ,fie i >to .� ..."-...,-...... > > ri :: , p l'''' ,4 til si, �� ~a li-- . ' L':',"a,IP. 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