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HomeMy WebLinkAboutBLD2007-00409 • • 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 PERMIT #: BLD07-00409 SITE ADDRESS: 103 N LYTER AVE Issue Date: 08/31/2007 PORT TOWNSEND, 98368 Final Date: 11/24/2008 APPLICANT: MICHAEL WATSON PHONE: TARIN WATSON 2052 VICTORIA AVE PORT TOWNSEND WA 98368 SUBDIVISION: F N96b 33 Block: Lot: PARCEL NUMBER: 962115302 Section: 35 Township: 30 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/24/2008 I:\F_BLD_Occupancy.rpt 10/29/19 UILDING PERMIT APPLICAIN MLA07-00427 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00409 Received Date: 7/25/2007 SITE ADDRESS: > N LYTER AVE OWNER: RYAN ANDERSON PHONE: 360-344-4006 RHONDA ANDERSON PO BOX 192 PORT HADLOCK WA 98339 IRON DALE SUBDIVISION: Block: 153 Lot: 2+ PARCEL NUMBER: 962115302 Section: 35 Township: 30 N Range: 01 W CONTRACTOR: HILINE HOMES PHONE: (360) 379-8600 94 KALA SQUARE PLACE PORT TOWNSEND WA 98368 Contractor's License HILINH*981BT Expires 2/10/2008 REPRESENTATIVE: p id-y,�_ r. IAe�t ? 'f" PHONE: `3`I I"22( IC-H� O.Z V t c:Fz E� 23 _ i L t....,P1(1 PROJECT DESCRIPTIOP NSFR W/ATT GARAGE & Fi tax —�fi 'KcCkS<i te1ll$ 1�SF' TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW r VALUATION 263,158.00 MAIN: ��1�-�3 1,292 �� CODE EDITION: 2006 ADD'L: 1426 `,5?�'f HEAT TYPE: EEE OCCUPANCY: R 3 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 624 SETBACK: DECK: 228 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 azv WIo Prop: 3 Prop: -a- :). o''lee Total: 3 Total: 3 2 Routing Date: L __ Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,912.15 LYK 07/25/07 92916 APPROVED Plan Check $1,242.90 LYK 07/25/07 92916 State Building Code $4.50 LYK 07/25/07 92916 AUG 31 2007 Potable Water Application $58.00 LYK 07/25/07 92916 Total: $3,217.55 Jefferson County Planning & Building Department • Jefferson County Building Division Permit Numb" BLD07-00409 Applicant: WATSON BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 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 Erosion Control Foundation Footing Footing Drains Foundation Stem Wall 71f 2c-40 r Underground Plumbing I I Under Floor Framing g/5/68• J Straps(hold downs) �lY Ext.Shear Wall Nailing Rough-in Plumbing G{I I 0 108- Framing Blocking Airseal 411 1O)or- Insulation:Walls Insulation: Floors Insulation: Ceiling Int.Shear Wall Nailing (p _�� , Fbum it he I S�.Si /V,k)�i Al kr 9 Wallboard Nailing t/ Gas Line: Interior Gas Line:Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage 6/19/08: SEE CONDITIONS 1 FOR SPLASHBLOCK DESIGN SPECS. Address Posted FINAL INSPECTION \\( 1 J )C 0,15 pci C`)r r� c ( Ion note 01C--VC) I=i i eel L..b-:v'15 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VAI In FOR ONE YFAR ! • CONDITIONS for Building Permit# :BLD07-00409 1.) GUTTERS TO DOWNSPOUTS TO SPLASHBLOCK SHOULD BE SUFFICIENT FOR STORMWATER DISPERSION. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MY DRAIN TO EACH SPLASHBLOCK. A MINIMUM OF 4 DOWNSPOUTS TO SPLASHBLOCKS ARE REQUIRED TO INFILTRATE THE 2500 SQUARE FEET C)F ROOF AREA. A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE OR OTHER IMPERVIOUS SURFACE. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FE:ET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE LACED AT EACH DOWNSPOUT DISCHARGE POINT. 2.) PRIOR TO OCCUPANCY, USE & BUILDING FINAL INSPECTION FINAL APPROVAL OF SEPTIC SEP07-232 IS REQUIRED. REQUIRED TO MEET ALL CONDITIONS OF SEPTIC PERMIT. 3.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF DISPOSAL COMPONENT AND RESERVE AREA. 4.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO BE COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 5.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 6.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 7.) 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. 8.) 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. 9.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 10.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than 2 unlicensed vehichall be stored on any lot unless totally scSed 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) The road approach permit(RAP07-0130) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 15.) The building height is not to exceed 35 feet. 16.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 17.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 18.) 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. 19.) Minimum setback from North Lyter Avenue right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 20.) A 30' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPONENT AND RESERVE AREA TO ANY DOWNSLOPE FOOTING, CURTAIN OR INTERCEPTOR DRAIN OR DRAINAGE DITCH. A 10' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPONENT AND RESERVE AREA TO ANY UPSLOPE FOOTING, CURTAIN OR INTERCEPTOR DRAIN OR DRAINAGE DITCH. • • CONDITIONS for Building Permit# :BLD07-00409 1.) DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1,000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COARSE SANDS. DRYWELLS ARE 48 INCHES IN DIAMETER (MIIMUM) AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 2.) DRYWELLS SHALL BE A MINIMUM OF 10 FEET FROM ANY STRUCTURE OR PROPERTY LINE. INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. 3.) PRIOR TO OCCUPANCY, USE & BUILDING FINAL INSPECTION FINAL APPROVAL OF SEPTIC SEP07-232 IS REQUIRED. REQUIRED TO MEET ALL CONDITIONS OF SEPTIC PERMIT. 4.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF DISPOSAL COMPONENT. 5.) ALL COMPONENTS OF THE SEPTIC SYSTEM ARE TO 3E COMPLETELY PROTECTED FROM VEHICULAR TRAFFIC OR MECHANICAL DISTURBANCE. 6.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. MUST COMPLY WITH ALL PERMIT CONDITIONS, STATE AND LOCAL CODE. 7.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS, TREATMENT AND DISPOSAL COMPONENTS. 8.) 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. 9.) 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. 10.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 11.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. • 12.) Outdoor residential storage shall be maintained in an orderly manner and shall cTaate no fire, safety, health or sanitary hazard. 13.) 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) The road approach permit(RAP07-0130) must be inspected and finaled by the Jefferson County Department of Public Works prior to the final inspection/certificate of occupancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 16.) The building height is not to exceed 35 feet. 17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 18.) 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. 19.) 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. 20.) Minimum setback from North Lyter Avenue right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 27.) Exterior lighting for residential u hall not exceed twenty feet(20') in heigh n the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 28.) 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. 29.) Minimum setback from North Lyter Avenue right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 30.) An address of 103 North Lyter Ave., Port Townsend has been assigned to the parcel. North Lyter Ave. is a county local access (C680709). 31.) The lot was created through the Irondale Division#6 Subdivision on June 28, 1910 under AFN 30490. 32.) The site is served by the Quimper public water system. 33.) A septic permit (SEP07-0232)was approved on July 25, 2007. A road approach permit (RAP07-0130) will be approved for the parcel. 34.) A Declaration of Restrictive Covenant has been recorded on July 24, 2007 under AFN 525701 for the purpose of consolidating the lots to meet minimum land area requirements for on-site septic ad to allow zero lot line setbacks. The Covenant is strictly for building and septic purposes only. �,�w�`SoN CO, JEFFERSOIDOUNTY W ,k DEPARTMENT uF COMMUNITY DEVELOPMENT `Q y ''k/t 11 F' g ' 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax kgs NGO� www.co.jefferson.wa.us/commdevelopm(:nt l ll 9 r e*Icr Master Permit Application LA: - L1 I Project Description (include separate sheets as necess ry): �[1 ,] 1 t1d '. ,i5tr w i fl& f Car4� it/6 I/5" ulllou. pr�k e Tax Parcel Proper�i Number: ��Zl�5302 Size: (3 SDC� (acres uare fe-_ Site Address and/or Directions to Property: A) L Ylle 0--- PorY Y&& eQ60„ Property Owner(s)of Record: 12y#464 Ate kke isoiN Telephone: 360• 0�' 0/G06 Fax: /V /'t email: Row Ate f9N1�P1'i(Qtomery de Mailing Address: PO $0)C /91 Per t gut/rick, w A- 4(331 .Goctti Applicant/Agent(if different from owner): Telephone: Fax: email: . Mailing Address: What kind of Permit?(Check each box that applies 'Building 0 Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** • -Single Family VGarag ache etached ❑ Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment 0 Change of Use ❑ Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Long Plat** igPropane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Flat Vacation/Alteration** ❑Allowed"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* 0 Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium 0 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: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE _ Date: 6 - z-07 By signing this application fo ,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 Dr 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 req -d later i• •:ctio Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicatiIP at h� - w. . .rior notice. Signature: IIII f •�• A Date: 6`t 2-07 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 y u are in com 'ance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera respons' lilt for a ering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: _ Date: 6-It'07 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENTII The signer of this statement doe --reby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumi I•ve respcnsibi ity , he General Contractor for the proposed project. M Signature: it _ . _. _ _ Date: 6'/`-0 1 GENERAL C•NTRACT•R OR MANUFACTURED HOME INSTALLER: PHONE: FAX: /filill t {lOifi-t (360) 37f-Off ( ) MAILING ADDRESS: ?Z kq/4 spa4re T 7 f'f565. EMAIL: CONTRACTOR'S LICENSE L WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: S- New 14 Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: .1 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: 14.Individual System ❑ Repair ❑ Masonry SEP_Permit# 7-'Z-32_ ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: ear Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 3 0 Public ELOIrit. Total: Name of System: FttD 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 •ermit mark all items below that a••I : i Underground Tank I Above ground Tank Size-of-Propane Tank: etc f' \ i Heat Stove rrook Stove I Woodstove i Fireplace Insert i Hot Water Tank I Pellet Stove Other B 8a J1 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 lank to all property lines, buildings and septic system components, including the reserve area. gitp Ve v a (0-- t ? K'', tVL *cL 1ct��, Square Footage Current Proposed fors Wei s . my Amount Revision, Main Floor Heated EH Bld App Review: 2"6 Floor Heated d -: a„ Consistency Review: I n Other Heated , �I Base fee: � 1S Mezzanine Additional Section: Heated Basement Q{ Plan Check r,k i 29 ° !l a Unheated Basement JB{� State ropq Surcharge'fee: 7 �( Other Unheated , Pot Water Review fee: q 5. ''.° Garage/Carport62 ""QTOTAL Decks g 911/Rd Approac fee: i r Other (bent& '1 2 ZS f r_.: 4 471 ,( .TOTAL: $ 31�3 I 1 . QU Receipt 1ovj �J1 rr q ` q40 f I 9 I( Cash/ChCeeck IWumber: 1 ,tt'f Ita 1 l (p2 ic5C1 ESTIMATED COST(REQUIRED) :2(c c ) Date: LAU 1()6 ' �,1�— •Fair market value of all labor and materials foundation to gh ' 2 1 `'lam 'IaCl 12.3 1 Z 6. Initials: <� _� / G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • 1FuN 1I ��. a.� c° JULJEFFERSON C �� � %c�'COUNTY . Ki DEPARTMENT OF COMMUNITY DEVELOPMENT 4 621 Sheridan Street • Port Townsend • Washington 98368 FF[tl, i :fflIN11 OCtI 360/379-4450 • 360/379-4451 Fax NO` http://www.cojefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE IMLA# 0(-ifar) PROJECT/APPLICANT NAME: / I 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.?Ki // i K04 i4y Silva/e. 4au Awe// wiIlk Q iloct e 2 QPQ 1-0 A. �k `I3 0 CF X,44 perm i q Gte stir`la . Existing Conditions Summary s- ... ' 2. Describe the existing topography._ �)'yIndicate contours on the site map. leu4)I 44.4 ( 3. D scribe the existing vegetation. Indicate native vegetation areas on the site map. W lQk a . , 4uatulre frees /ois D� �'r .o Gro u a a. • 000er us4 4. Describe the existing soils. Indicate soil type on the site map. Heil C( , eoa*et(f _ Sfa 6eA /0-// 14e 60eetio. 5. Describe the existingsite 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. $/otv drGisQG,e l" Gu,t ier. 04 Iter Aes 1404 pool Qboo e %trov u& . • • i� 6. Describe any excess levels of noise generated by the proposed use or activity . APPROVED axle STORMWATER PLAN Stormwa -r ', •' AUG 3 0 2007 Requires ili�Ity/, % ' • 0 U T 1 DEPT.OFJE, stomwater site plan template—rev.10/1/2003 SIG1vATUR P aNT 5 • • r 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. IInnndica/It''e,,llonocation on the site map. • 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.). a ci4 eg" of- L//a- age ...rs/QN4. (Neu) Qu,P . A)or oJ. txtlldia q /oaf- w;¢I, AD 5e645:i iue 4 rcv5- Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e.,per BMP T5.30 in the Manual)or,if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site: Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. Dry (AI e(( as fetu tr 1!dt LI. CO011i Or Xl N4NGe. 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"projects1 or projects that involve the potential for dispersion of contaminants.] , /JJv/A* • 11. Describe the performance goals and standards applicable to the project. -t-o keep ail slorwt coo¢et ©A Pro per 45 tfkh4-fi a let. %.t COct?IA'(c er Q is 14(e , 12. Describe the ow control system"`` V t j �o & 1/ v � J v g4!{�v 5 1 wh . �'� ) F U roue.. , r;.a pR b joo I r 1. r T4i'‘ t 6 stomwrater site plan template—rev.10/1/2003 ;,` • • 1 .. 1 � i 13. Describe the water quality system. n i()/ k. s7,7174 Juiwu Ins 14. Describe the conveyance system analysis and design. AJ/4 15. Describe the source of fill material,physical characteristics of fi I material,and deposition of excess material. pa 4) he ;,4- QCCOr ?KCa * caw reclq (4 PoN • 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 6e SkAue /K QCcortQgaGe 10/ ( GSC 17. Describe the proposed surfacing material. ,/ ,/ ,/ t3r055 J WNCrt'rl' /u?'>(teat Alt41 €. V r'vi4F/bK 18. Describe methods for restoration of the site. // //yy 1,055 tcph 414101 / 19. An Operation and Maintenance Manual is required for each floWcontrol and treatment facili ty. [This is normlly r large"projects only and only those for which facilities are required to control flow or treat runoff.]If includ dalist rthe required 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. ofra- stomiwater site plan template—rev.10/1/2003 7 • • r 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-Constnjction SWPPP 1. Mark Clearing Limits. 7k;s is Dou to w Z 4.tx 544 ke S C OfDrect J'i bL4 K 2. Establish Construction Access. $1- kes tJ Co(ote& I'i Lloect • ?Meer te94f cur u •retp. ce.tAii M,Q,r�1efs 0 ' siii( P semi(- 3. Control Flow Rates. / /4 ocd ii ek_ IV emu& J y' OrQi4aaCe Bimp 1 uSe• ' 0 t. >Immo pl?l';c a.1. tQ cut clip i1i i f Aete Q eti. 4. Install Sediment Coritr Is. � As 64+/A Q AA cCcN� Ord�;(4t e 8 NAP No ruau'rt i. . -r 0LA MI' ' i 5. Stabilize Soils. n p 4c Cu+(i•49a iu Cod mil_ Err m/xce 4$41_ 6. Protect Slopes./WA- /k) s _ef: 7. Protect Drain Inlets. Alen r proprer iA . stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. ItY 4 40 Clta 1414kedeil. CO'Ile t 9. Control Pollutants. TA aCGOPhktce w4-I, Cori 6rSio4&(C ektiP 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). L3I 11. Maintain Best Management Practices(BMPs). • Ac 00 4-61,e k Jv 3144 P, 12. Manage the Project. AS �-fIi,tel ; ,i RMP . C. tvettbtQ.. COW 11YC1`4-, Wave' ' re�.ti(4trlie " ()Pena otAs fp_ 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). 2 R©ab I lets 00e , 3 itota (view a e. z (rn Seoe./0 pea bt l(�;u,c� /045 . b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). e`" SQ Q_4t7.fiA It' S �ltlk4l � 6 abox 200 y.FR s . , SI-Pee+S #fiuu I/q/e _Aafµ.les iM 6 e Vusetr>ti AO lira mac e welt' l, ,e /rwuitAy. /off, V 77 3. Environmentally Sensitive Areas. L j ��;� ,,_ a. Description of environmentally sensitive areas that are on or adjacent to the site. A1.,,, s , LL stomwwater site plan template—rev.10/1R003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. u/i 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 5. Construction Phasing. a. Construction sequence �I Clear /o+ DI Pout(126�;QK , gqia k0.6e , 1N$ IN ote i H - b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. Laws CIeQr'i o QN(Q it+0t4A �i OK a t !Q Fiw‘44, �h -ho 6 e cot4 p( 4- eu rk. m f- SPp II. Wet Season Construction Activities. a. Proposed wet season construction activities. �t'b4facco pin,s i m le- Aco(4se moo$ s re c S)( 1tt: . b. Proposed wet season construction activities for environmentally sensitive areas. ' 9j/4 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for t e initiation of bonds and/or other financial securities. 12y'4rt iAK&.levso((___. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. '1 AJ# 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. ru//4- b. Diversions. Nl/} c. Waterways. IV/i9- d. Runoff/Stormwater Detention Calculations P/i14 stormwater site plan template—rev.10/1/2003 10 • • 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 be t of my knowledge. 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