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Home My WebLink AboutBLD2007-00619 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 #: BLD07-00619 SITE ADDRESS: 297694 HWY 101 Issue Date: 02/21/2008 QUILCENE, 98376 Final Date: 8/6/2008 APPLICANT: BRIAN LITTLE PHONE: (360) 765-0997 MARJORIE LITTLE 21 RIVERDALE CT QUILCENE WA 98376 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702273014 Section: 27 Township: 27 N Range: 02 W PROJECT DESCRIPTION: NEW SFR W/ATTACHED 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 8/6/2008 I\F_BLD_Occupancy.rpt 1 0/29/1 9 Jefferson County Building Dion Permit Nu, BLD07-00619 Applicant: LITTLE 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 2l'-`T(DSI Erosion Control 7/2�/o SEE COND'S 2&3. • Foundation Footing ,Z f 2`7( � Footing Drains Foundation Stem Wall o 3 5 B / / rm.)(5+•1 ,ustALuur NOL)WW1 (70 Den WET 5tieK) Under Floor Framing 3(3/6b Straps(hold downs) )3,a1-14,7 u�; Ext. Shear Wall Nailing `1//'? A __ Rough-in Plumbing 5/i/b9 Q/ 04 it T,ai�av mail) Framing 5/0 i� lJCDdLJ� wDa"fcr +, /��'r��•�A� Blocking 5///a8 Airseal �/, Q� ,ff Insulation:Walls Plop) Insulation:Floors 4(11 Insulation:Ceiling 7/JL4/Og Int. Shear Wall Nailing 5 Ito 10$ e CR.P Wallboard Nailing 5-17-0I oft Gas Line: Interior jd/A Gas Line: Exterior Propane Tank Nla Heat/Chimney Clearance OLERTIF 5 D Drywell/Alt Drainage ()-�v 0(p SEE COND'S 1,4,&5 NEED GEOTECH C ATION Address Posted -j/i1(84j 63/ FINAL INSPECTION ' ?rib( D � ��^ C Jr Y �/6�� r /5K 4.arC FINAL INSPECTIO rMUST BE APPROVED PRIOR O BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR ItUILDING PERMIT APPLICAgN MLA07-00669 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00619 Received Date: 12/28/2007 SITE ADDRESS: 297694 HWY 101 QUILCENE, 98376 OWNER: BRIAN LITTLE PHONE: (360) 765-0997 MARJORIE LITTLE 21 RIVERDALE CT QUILCENE WA 98376 SUBDIVISION: Block: Lot + PARCEL NUMBER: 702273014 Section: 27 Township: 27 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE TYPE OF IMP NEW MAIN: 1,772 VALUATION 18,0p4,4 ADD'L: HEAT TYPE: EEE CODE EDITION: 2006 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 478 SHORELINE: CONST TYPE: DECK: 24 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: 5t10 --)C _ Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,447.35 KAS 12/28/07 95674 APPROVE£ Plan Check $940.78 KAS 12/28/07 95674 State Building Code $4.50 KAS 12/28/07 95674 FEB 2008 Potable Water Application $58.00 KAS 12/28/07 95674 Total: $2,450.63 Jefferson County Planning &Building Department • • CONDITIONS for Building Permit# :BLD07-00619 1.) A VEGETATED FLOWPATH OF AT LEAST 25 FEET IN LENGTH MUST BE MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY PROPERTY LINE, STRUCTURE, STREAM, WETLAND, OR IMPERVIOUS SURFACE. A VEGETATED FLOWPATH OF AT LEAST 50 FEET IN LENGTH MUST BE MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY STEEP SLOPES. SENSITIVE AREA BUFFERS MAY COUNT TOWARDS FLOWPATH LENGTHS. ROOF AREAS LARGER THAN 700 SQUARE FEET WILL REQUIRE A DISPERSION TRENCH WITH NOTCHED GRADE BOARD. THE TOTAL LENGTH OF THIS DESIGN MUST NOT EXCEED 50 FEET AND MUST PROVIDE AT LEAST 10 FEET OF TRENCH PER 700 SQUARE FEET OF ROOF AREA. A SETBACK OF AT LEAST 5 FEET SHOULD BE MAINTAINED BETWEEN ANY EDGE OF THE TRENCH AND ANY STRUCTURE OR PROPERTY LINE. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. 2.) A SILT FENCE SHALL BE INSTALLED AT THE WETLAND BUFFER PRIOR TO ANY LAND DISTURBING ACTIVITY. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND THE MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 3.) A SEPERATION GEOTEXTILE EOLL BE PLACED UNDER THE SPALLS T(` PREVENT FINE SEDIMENT FROM PUMPING UP INTO THE ROCK PAD. GEOTEXTILES SHALL MEET BMP C105 RECOMMENDED STANDARDS. FENCING SHALL BE INSTALLED AS NECESSARY TO RESTRICT TRAFFIC TO THE CONSTRUCTION ENTRANCE. WHENEVER POSSIBLE, THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM, COMPACTED SUBGRADE. THIS CAN SUBSTANTIALLY INCREASE THE EFFECTIVENESS OF THE PAD AND REDUCE THE NEED FOR MAINTENANCE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF -I-HE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. IF THE ENTRANCE IS NOT PREVENTING SEDIMENT FROM BEING TRACKED ONTO PAVEMENT, THEN ALTERNATIVE MEASURES TO KEEP THE STREETS FREE OF SEDIMENT SHALL BE USED. THIS MAY INCLUDE STREEET SWEEPING, AN INCREASE IN THE DIMENSIONS OF THE ENTRANCE, OR THE INSTALLATION OF A WHEEL WASH. ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON SITE. THE PAVEMENT SHALL NOT BE CLEANED BY WASHING DOWN THE STREET, EXCEPT VVHEN SWEEPING IS INEFFECTIVE AND THERE IS A THREAT TO PUBLIC SAFETY. IF IT IS NECESSARY TO WASH THE STREETS, THE CONSTRUCTION OF A SMALL SUMP SHALL BE CONSIDERED. THE SEDIMENT WOULD THEN BE WASHED INTO THE SUMP WHERE IT CAN BE CONTROLLED. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. IF VEHICLES ARE ENTERING OR EXITING THE SITE AT POINTS OTHER THAN THE CONSTRUCTION ENTRANCE(S), FENCING (SEE BMPs C103 AND C104) SHALL BE INSTALLED TO CONTROL TRAFFIC. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 4.) STORMWATER FROM THE ROOF AND DRIVEWAY AREAS SHOULD BE DIRECTED INTO DISPERSION/INFILTRATION TRENCHES OR ALLOWED TO SIMPLY SHEET FLOW ONTO THE GROUND AT LEAST 30 FEET FROM THE TOP OF THE STEEP SLOPE. NO STORMWATER SHOULD BE DIRECTED TOWARDS THE SOUTH PROPERTY LINE IN ORDER TO AVOID ADDING TO GROUND WATER RECHARGE ABOVE THE PORTION OF THE SLOPE THAT HAS IMPERMEABLE SILT UNDERLYING THE STEEP UPPER PORTION OF THE SLOPE. 5.) NO TREES OR VEGETATION SHOULD BE REMOVED FROM THE SOUTHERN PORTION OF THE SLOPE WHERE PERIODIC SATURATED CONDITIONS TAKE PLACE. THINNING AND LIMBING OF TREES FOR VIEW PURPOSES IS ACCEPTABLE ON THE STEEP SLOPE OUTSIDE THE AREA WHERE THE UPPER SLOPE HAS THE POTENTIAL OF BECOMMING SATURATED. AT LEAST ONE TREE PER 30-FOOT CENTER SHOULD BE LEFT IN PLACE. 6.) ALL CONSTRUCTION AND DEVELOPMENT ACTIVITIES MUST COMPLY WITH ALL DESIGN SPECIFICATIONS, PERMIT CONDITIONS, STATE AND LOCAL CODES, AND RECOMMENDED STANDARDS AND GUIDANCE DOCUMENTS IN EFFECT WHEN THE PERMIT IS ISSUED. 7.) 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. • • 8.) A Geotechnical Report dated March 22, 2007 prepared by Stratum Group was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area. A setback of 30-feet shall be measured perpendicularly from the top of the steep slope on the west side of the bench area. The home should also be set back at least 50-feet back from the steep slope on the west side of the bench area where impermeable compact silt is located on the steep slope. 9.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT DATED MARCH 22, 2008 STATING THAT THE STRUCTURE AND STORMWATER FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 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 landslide hazard area or stream buffers. This includes the storage or preparation of materials. 13.) 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. 14.) The identified Fish and Wildlife Habitat Area (Type 5 Stream), shall maintain a vegetative buffer setback of 50-feet. The setback shall be measured horizontally from the Ordinary High Water Mark (OHWM) to the proposed single family residence. 15.) An additional setback of five (5) feet is required from the edge of the stream buffer area to the proposed single family residence. 16.) A permanent physical separation along the boundary of the stream buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 17.) Stream buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall be in place prior to and during construction activities. The signs shall contain the following statement: "Buffer - Do Not Remove or Alter Existing Vegetation." 18.) 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. 19.) A Stormwater Site Plan has beenemitted and approved by the Department 0 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 21.) 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. 22.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 23.) Proponent shall submit an original written confirmation letter from DOT stating that the approach has been installed based on the conditions of the Permit Number 45726 approved on January 5, 2006. 24.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 25.) 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. 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.) The building height is not to exceed 35 feet. 28.) Minimum setback from SR 101 right-of-way shall be 50 feet. Minimum setbacks from Hiddendale Drive and Riverdale Drive rights-of-ways shall be 20 feet. Minimum south setback shall be 5 feet. If an ESA is present, then the more stricter setbacks shall apply. z.. , •• r-:--e....rn , co. ....g. 7 s•-,.., T• • -..-- 7-- i 0:—.- — 6....-_ i , i z .„.......) <-..._. -... , . ,. 19,t ..„.. .-,..\ , Lil fl% , li... 1 . .., . ...- , .. ) _ .......(...- 1 —T 1 / I '..) ios.3 i . N. 1 ..„1..0 — Li I \ —----1 ....., ...... '( 0, q It co ,-2 3 1 17)*".T1 TI r-r-i C7 tzt — =) rrl ...a. C2 SW 00 , tri CAZ CO 0=01 = r*..) gillg 1:= ci2) 4=1 ....j tr4 1=1 ti l'i N : ti i i 0 R --„t„14,,ir,k ,,.-c, E_., di OZ,1 c. 4� o� JEFFERSOCOUNTY ' z ' `4 DEPARTMENT OF COMMUNITY DEVELOPMENT DEC2 2007 621 Sheridan Street • Port Townsend •Washington 98368 _ 360/379 4450 • 360/379-4451 Fax �' O� www.cojefferson.wa.us/commdevelopment IC�� sHzN�z � ttt ��.�N COUNTY DCD Master Permit Application MLA: 01- (a(P q Project Description(include separate sheets necgssa��) (A4AL is ;,'v,, i l.�i'Yw Li,1 �;� km C .I rj :E4- Tax Parcel — 2 J + p y 1 Number: ti— Property 2-f c- 4?. (acres/square feet) Site Address and/or Directions to Property: "�f 2 1 -1- 6 ct y (-- til, tot 9)u,1C0.9.._ - , Property Owner(s)of Record: (i 1 C:1-) tl( <,I)U1 1T;'I C , I t1�( Telephone: :' ",^` • i(['`.;._ ( "1 CI'.► Fax: Ni. t. email: t t to 1 1‘,"f; P(J.�I 1A4:;,"r=; Mailing Address: .. 1 hie,-1 ;-k,-Ak• a t (;t,,,1 c;iv to r\ c I .'; At. Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit? (Check each box that applies C"Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a), C(d),or C]** I/Single Family /Garage Attached/,Detached 0 Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home 0 Modular 0 Special Use (Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address 0 Road Approach ❑ Binding Site Plan** ❑ Home Business ❑Cottagelndustry 0 Long Plat** ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat 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* ❑Jefferson County Shoreline Master Program Amendment ❑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: DESIGNATION OF AGENT I hereby designate to act 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 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 the applicant informs the County in writing at the time of the application that or she nts,prror-notice. Signature: f �" =. A ,-' 7 Date: �� _ � ,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 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 respo1r)sibility or acide.`ing to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. .Signature: / � ..- - ---- Date: / " "_`-7 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 0 0 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 G heral Contractor for the proposed project. / Signature: �. Date: / 2'/ --5/7 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WA NS NUMBER: NUMBER ARCHITECT/ENGINEER: L�;.6,, /j r*,:-A- PHC NE ( -1(^c) j��'j 1 19? FAX: ( ) MAILING ADDRESS: EMAIL P,rpject Type: Frame Type: Bathrooms: Shoreline: T, e of Sewage Disposal: tl New /Wood Existing: "Sewer ❑ Addition 0 Steel Proposed: 2 _ Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 1- _ Height: individual Systeni V. ❑ Repair 0 Masonry J Ik SEP Permit# ,c -i.'Dc i 4 O Demolition 0 Other: Bedrooms: Water Supply: Existing: _ Setback: 0 Private well 0 Two Party Type of Heat: Proposed: 3_ 91Public .w t ,tam 7 t S l _ ,v- Total: _ n1"1 1 Nqmepf System:_ If this is a Commercial Proiectyou 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: i Underground Tank i Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank I Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying fora 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. P.r- r4 .a' ''-te n ,t,,..�. LAzS , '' ..z',`:�:-�� ;',` i.;1 .-. ' i. M,. Square Footage Current Proposed gi r !ni x p11 .'n a rk :i n �i,1l1e:rl't, f .:.. ,, Main Floor Heated -�. rr.ti 1; EH Bld App Review: a0 till, 2"0 Floor Heated i " ' �°' , �4 Consistency Review: Other Heated t:7 _C . Base fee: -� — 4 dot: . - 144?,55 Mezzanin i ,E( , "�� `4- w`.s h� 1. Additional Seclion: Heated Basement J '�1 ", Plan Check fee: 46 �> Unheated Baserlg 2 8 2001 4rrti ; « State Surcharge fee: yY 4 a Other Unheated r(�! ([1 '7 Pot Water Review fee: G Garage/Carport t3i1 r r 1 $� �� + SUBTOTAL Decks t �ex r a 911/Rd Approach fee: 2 ' Other tO' AL: $ G0tp. 0 L { `` Receipt Number: cf5� 'VI „ Cash/Check Number: '^ ESTIMATED COST(REQUIRED) Date: itioQ 'Fair market value of all labor and materials founds ion to finish vid 7 t2S'C r.- (cQRda +5a nitials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc 1 , • • I RECEIVED ON co JEFFERSON COUNTY DEC 2 8 • DEPARTMENT OF COMMUNITY DEVELOPMENT 2007 621 Sheridan Street • Port Townsend • Washington 98368 JEFFEH �I CDUNIY OCR 360/379-4450 • 360/379-4451 Fax I1d�J NU' O http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 0 —149&9 PROJECT/APPLICANT NAME: L,R-€A. 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. Inc icate position and relative size of proposed improvements on the site map. ,r t� �-G vi t 1e`v61 -� Pi 1 ��<<ht (22 441,1 ct r1 41 Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. j1 S � D f 1 4. i C>C Cis 1 J L Q a df..7 jk; to tax. T%u t t Larch 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. ,et�,�� d2f/pgre ,A; cv2,0-c. A "{tit 52,Li, 'if P2P/ rG pie- cl( ¢ 'Lf) v-s a. (tici,2 I cri<l 0 tka 12 Q t 4. Describe the existing soils. Indicate soil type on the site map. In Wo;vi t fq 1 A ,2.� tics s /�`'`�`e c I 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. J s cAtti, L)Th t ( cL1 6,„kra. l.t,,.k ,k) , e_ rxcsuv), ppd. s A.D ;�u •.r1;. �,,•a fxV_ 1/4-1-xi( bw s l1 ' to e"1447 r APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity STORMWATER PLAN n1c . Storrnwdter FEB 21 2008 Require JEFFERSON OUN DEPT.OF CO F.VF.LOP EN stormwater site plan template—rev.10/1/2003 SIGNATURE: 5 • 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. 'Sr Vif f / -cLoi-A).- kit etc 4-% -ea).2t^ai 2�r f fr, q't w11 Q . PA& rt... 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.). /. Ste'J_itty( ✓, ��rw�,A��n```''''''��- / ,r, �5 JL ( fA 4 V /ya.(4-'11xd (1 c sec. LoK(.QQrt f 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 compl?ted. "Medium" size projects are required to have the totals calculated of al 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 F roposed facilities from existing facilities. ��. ew. / � � U�L( �� , J¢utQ-� v.ck. A Cl Lr- •� �n(►l�c�:., �, ( Q 3 1;u)j z,rt f ) of L\ Iron. ZS-o - I f 41,(ems :� �� s s -- ee ��. 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 differertiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. RECEIVED (4 fEC 2 8 2007 12. Describe the flow control system:••-�F Afffnfil COUNTY 10 (ct • ZI •,b..• stormwat6r site plan terhplate—rev.10/1/2003 6 • I 13. Describe the water quality system. (�t RECEIVED 14. Describe the conveyance system analysis and design. DEC 2 2007 ►�(A JCi F[ S4 COY L;" 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. 11,14 ►ts6r cQ /Le^ LA/2.k C4l-C, Yv\-U- a l LA;(( 1�� 1��t ./ / (14 ok k„.k(e t /1 et., it 6 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. %.t/eA 18. Describe methods for restoration of the site. cJ ( ncLA ) lc�� 4 4; c 4 Psi 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. ' cieolsrkl'ZQ rvA- 4� 1 t2tA n.. .2n<<I .4, 41Q2J 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. r LL1tltu ^ UAl l3 (4S 1.1 �G1 t6tk Uhi 1 (6"`) stormwater site plan template—rev.10/1/2003 7 110 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 ee.ch 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. 2. Establish Construction Access. �ri j1;cl}fir\Q c Zl�'471� 3. Control Flow Rates. kit o 4. Install Sediment Controls. &p(c,ixbil /[A L-e<1 Jo-,1 f 5. Stabilize Soils. Go‘2cQ...0) C0 pep.,( f4 REC41IVET) 6. Protect Slopes. c�vo; �< <:,,1.i 2.(.4" ) �� t f1;fit DEC 2 8 2f107 7. Protect Drain Inlets. L stormwater site plan template-rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. RE cE]IVED DEC 2 8 2007 9. Control Pollutants. (s EFFFOS N COUNTY BCD 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). elI4 11. Maintain Best Management Practices(BMPs). c a l l j(1c d✓Z Prz-0/2 JL2,,,a I 12. Manage the Project. to f ti 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). ("<lti ums Gyz_ -E, a1( Syyr+ u « ta,.<4,d t, L tI( /:.c4((r f J�h� l5ju 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. n(a, stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. (4- 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). A ( 4 - 5. Construction Phasing. a. Construction sequence 0 le(c,kyr.. /74^)0,&tr. 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. II. Wet Season Construction Activities. a. Proposed wet season construption activities. (' / 44:(4) iii""/ k _ t a G� b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property offer responsible for the initiation of bonds and/or other financial securities. b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment PondslTraps. ��a�� p� b. Diversions. R �/ e. c. Waterways. d. Runoff/Stormwater Detention Calculations DEC 2 8 2007 rie;(a 9''t ;,l,;l i ; ly.i,i,l 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 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. /3454 ( DOWNER UTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: R VICEIV NID DEC 282007 JEFFE ",,NCOUNTYDCD stormwater site plan template—rev.10/1/2003 12 ... ------.„...„. --''.----" ."*-•„„„„.._..,.,.,,,.„ re 1$ ' f---1: =t------- ON 1° ----.., --..„ 1 ----......„..., -.. g. -i - ....: --_-1 ---g 5 —-.....1 irt- . D ....... ..., ......,... ----.--...„, T -7 .• -- ) 1 ll NNNc17 -" 4$1 ÷ Crs NJ to -- tor .7.-. k i , Ili Z,1 a. ,,,;,... . . ..*:. "('\ • ‘A 1 =1--- si- lk, ,•.„ / 0 , ...'...%.....--\\ *.'N' / -,, 7 oN ., , „„st 6, c, ,, -N. f)(,d., r --.> 6 7 ..vri' r 4•.- ) ' 41.0* 0/ 1 ( P. i • . i—' l ( ..„, /: '' 11 Q1 a ,g ..>. 10 40 v* )--, 1 \„ -0.. ii)I 0....-151,1-.,','P.',-.71:0/.••/,6 It-/.s I •1...*.,--. N,. 0..o, --.. '. \`„;•*4\.< •• 31 / XZ / 1I ( <i \ i - ' > ) \ 0 ,. 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