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HomeMy WebLinkAboutBLD2008-00107 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 #: BLD08-00107 SITE ADDRESS: 46 GARTEN RD Issue Date: 05/2/2008 PORT LUDLOW, 98365 Final Date: 7/16/2008 APPLICANT: IDA MAE TESTER PHONE: 360-437-1316 1721 SHINE RD PORT LUDLOW WA 983659512 SUBDIVISION: IDA MAE TESTER SHORT PLAT Block: Lot: 2+ PARCEL NUMBER: 821344062 Section: 34 Township: 28 N Range: 01 E PROJECT DESCRIPTION: NEW REPLACEMENT M/H SER# 32114 THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: rY1AnLt PaLfu✓e-b Poole_ — 0f-514e-; =nS C TYPE OF CONSTRUCTION: L SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/16/2008 I:\F_BLD_Occupancy.rpt 10/29/19 MANUFA URED/MOBILE HOME INSTtLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD08-00107 Received Date: 3/18/2008 SITE ADDRESS: 46 GARTEN RD Issue Date: 5/2/2008 PORT LUDLOW, 98365 APPLICANT: IDA MAE TESTER 1721 SHINE RD PORT LUDLOW WA 983659512 SUBDIVISION: IDA MAE TESTER SHORT PLAT Block: Lot: 2+ PARCEL#: 821344062 Section: 34 Township: 28 N Range: 01 E CONTRACTOR/ AMERICAN HOME CENTER PHONE: 253-841-3600 DEALER 16311 MERIDIAN E PUYALLUP WA 98375-6202 Contractor's License AMERIHC9780C Expires 9/3/2009 PROJECT DESCRIPTION: NEW REPLACEMENT M/H MAKE: SILVERCREST YEAR: 2008 SIZE: 27 X 58 Directions SEE DIRECTIONS& MAP IN FILE To Site: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 5/2/2009. + , CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. �� Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED): O,� AA ..01/De T See c.c,,,Lt -o„, ►,tte . �� e�. 5 At;.tj (re..;s� �fe ploy, 6.29,0V63. Stormwater FINAL Approval: a *in #14 a 1, 1 Blocking/Plumbingfl3/.ckc.3G �c�;E.-ae4„u dK 6/` 408, Propane Tank/Lines tL LLeCir►e, Zoning Final Approval: (efli4 1 Septic System Final Approval (If not on sewer): Road Approach Final Approval: Final/Skirting/Vents/Porches/Steps: 64(e tivcl VrJr[S /Gff5 Ins oK 7//0 oK HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT-LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE •ILDING OI PERMIT APPLICAT ML ReviewTy 142 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00107 Received Date: 3/18/2008 SITE ADDRESS: 46 GARTEN RD PORT LUDLOW, 98365 OWNER: IDA MAE TESTER PHONE: 360-437-1316 1721 SHINE RD PORT LUDLOW WA 983659512 IDA MAE TESTER SHORT PLAT SUBDIVISION: Block: Lot: 2+ PARCEL NUMBER: 821344062 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: AMERICAN HOME CENTER PHONE: 253-841-3600 16311 MERIDIAN E PUYALLUP WA 98375-6202 Contractor's License AMERIHC9780C Expires 9/3/2009 REPRESENTATIVE: AMERICAN HOME CENTER PHONE: 253-841-3600 16311 MERIDIAN E PUYALLUP WA 98375-6202 . - bLIS 0838 gnx PROJECT DESCRIPTION NEW REPALCEMENT M/H TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,551 VALUATION CODE EDITION: 2006 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 214 BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: -_ 3.18-0F C __ Type Amount Paid —Bv: Date: Receipt: Approved/Date Manufactured Homes $168.00 LYK 03/18/08 97114 PPR Total: $168.00 A MAY a 2008 Jefferson County Plannin & Building Department g SPECIAL CONDITIONS CASE # BLD08-00107• r 1.) DESIGN CRITERIA FOR SPLASHBLOCKS 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 MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHBLOCK OR PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD E PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE V DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFIELD AREAS. V, 0 Applicant proposes to STORE the existing mobile home on site for some time. Prior to , 11111 final of the new mobile home the unit must be inspected to verify that no water, sewer or electrical is connected to the unit. Additional permit and review will be required prior to any use of the unit. 3.) The application was reviewed by the Jefferson County Department of Community Development staff on May 2, 2008 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: stable/intermediate shoreline slope stability; landslide hazard area 1; SUSC aquifer recharge area; high risk SIPZ. 4.) 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. 5.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 6.) 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. 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 High Risk SIPZ (seawater intrusion protection zone) according to the County GIS map. There are 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 High Risk SIPZ is defined as: areas within 1,000 feet of a groundwater source with a history of chloride analyses above 200 milligrams per liter(mg/L). 9.) To help prevent seawater frotruding landward into underground aquife•ll 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.) 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. 12.) The applicant is proposing to create or add 3600 square feet of impervious surface and 2940 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. 13.) 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. 14.) 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). 15.) The site plan as submitted with the replacement manufactured home installation application on March 28, 2008 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated May 2, 2008 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 16.) This approval is for a manufactured home replacement 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. 17.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 18.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 19.) 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. 20.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 21.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 22.) Minimum setback from private ingress/egress easement rights-of-ways shall be 20 feet. Minimum east and wetst setbacks shall be 5 feet. Minimum setback from SR 104 right-of-way shall be 50 feet. If and ESA is present, then the more stricter setbacks shall apply. 23.) 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. 24.) Lighting fixtures shall be desiel and hooded to prevent the light source frSbeing 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. 25.) The building height is not to exceed 35 feet. 26.) An address of 46 Garten Road, Port Ludlow has been assigned to the parcel.s Garten Road is a county local access (C504409). The parcel has a private ingress/egress easement off of Garten Road through Lot 2 as its access. 27.) The lot was created through the Ida Mae Tester Short Plat on July 5, 2000 under AFN 435122. The lot is subject to Notice to Potential Purchasers. 28.) Potable water was proven at time of manufactured home installation on July 28, 2000. This application is for a replacement manufactured home. The parcel is within the Bywater Bay public water service area. 29.) A critical area reivew(CAR00-0291) for a mobile home installation was finaled on July 17, 2000. A building permit(BLD00-0435) for a mobile home installation was finaled on October 2, 2000. A septic permit(SEP94-0391)was finaled on November 14, 1997. A building permit(BLD04-0614) for a detached garage was finaled on August 11, 2005. 30.) The location of the replacement manufactured home is located approximately 100 feet west of the county mapped landslide hazard area. Therefore, not mitigation is proposed. 2008/MAR/18/TUE 11 : 47 AM AMEREiN HOME CENTER FAX No. 253 848 0838 P. 002/002 B3/18/?00B 11:49 3603794451 JEFF CO PERMITCE R PAGE 01/Q2 . JACK R ,STERNIAN H1 .Iftforrron(:npnty 1'earil,oli,r. ASSESSOR PO Alex 1220. Part Townomend,WA 94368 1300138 S-91 n♦r MOBILE DOMES INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAA1DEE: rt'IA 0" . T�Sh is/;-3'It *.rep....;‘ w (..G s AnnJtEss: a!6 ,41 27- -Al ,2 PRONE NO- 36Q -,4137 --/.3/6 The irr>trrpose of this questionnaire is to obtain information''regarding either the torrent location of aI mobile home or the previous ownership and location of a mobile home. This will help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to thin',county from another area. l lII01Iif1LE 111OW.E DATA: • (A) MAKE Sf IVc JZcre V- (0)ItiODEL, ii.-$- L- (10) LENGTH. 5-2 7'2.'Pd rG11 4E) WIDTH, A7 ' (T)SERIAL# F4r r O e- 4I) YOUR PIRICIIASE PRICE(Do not intlnde sales tax), ? 1,090.`-. TURCRASE DATE iii/ter 2) PREVIOUS OWNER/LOCATION OF MOBILE ROME, (IT NEW MOVE TO QUESTION 3) IA) FROM W)RIOM DM YOU PlrRC.1nASE MOBILE ------ ADDRESS (B)WAS MOIIII,E ROME AASSLSSEn 1,N JEFFERSON COUNTY LAST YTAf?Yes No It Yes.Prevlonu address of mobile. It Nn,What Canary was Mobile assessed im last year. 3PIVIIIIERE MOBILE none IS TO RE LOCATED: (A)WILL TIDE MOBILE DONE DE IN MOBILE HOME PARK? Yes C (II)IV LOCATED IN MOBILE HOME PARR NAME do ADDRESS Or PARK - Lot./Space# (C) IF NOT LOCATED liv MOBILE HONE PARK: NAME OF LAND OWNED: LOCATION ADDRESS 6 rA le -e 14 - HEAL.PDoPEn'I`I' PAHCEL#/nEsCnrrwr,N, _ at3 i-/i-tcJG_ Er�En=►r N COUNTY UCD L -:,/ �, ' 1' Me fiIIAN VOW ICO►[! YOUR RELY! 0-444c-- e../31,i__ : Signature a ppliena 4S CO$SELL, I"rroperty Technician, :HPMPIDN-SILUERCREST y V g gig :tom CV = CO P4 I _z z ull II ig,q1 .! ii H.H::i.: ::: 1 1 it Ell !` s r. - - � -� CD °. -•. .rr . ---------- Ni..' ‘..Ci I ---,NW ! r.:-..-4 . - .:.:- 1 I Q w ` = Cr I- IL CAX I r O •`*I ft w CD l i N — Or 2 <a 2w CO L 1- Q9' __ r - 4 ,ci) e c0� JEFFERSON AtNTY rtS4, . DEPARTMENT OF COMMUNITY DEVELOPMENT `� 621 Sheridan Street • Port Townsend •Washington 98368 �,��.�, ' 360/379-4450 • 360/379-4451 Fax ,, 11,:r 1S,li-IN00 www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: 02- 1 42. Project Description(include separate sheets as necessary): r 1 P 'IC( r c' ( �Y�( _ S h1 jtv I ytt?w Y1 7U hit a0.'Gc,�L&.Ired b owl e. , 5+v✓t -cms'jiA " ' ti 6L S'C Tax Parcel .7 I Li 10( Property j' Number: Size: T (acres/square feet) Site Address and/or Directions to Property: `711.e Uet r f c ri f&GL Property Owner(s)of Record: %04 in /-&5} e,, Telephone: 0- q3 7 /(- Fax: email: Mailing Address: 7 ] ) c.)( r . 34 Applicant/A ent if different from owner): l4�P�l�.a,vl f WOe. 'i n V- Telephone: - �LI I 1tigO0 Fax: �l email: A-HG.Stt1/iCG- ).6}✓yt/aS>`.17e'{- Mailing Address: I — (4 C D 3 75 What kind of Permit?(Check each box that applies F Building 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d),or C]** ❑ Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification bManufactured Home 0 Modular ❑Special Use(Essential Public Facilities)** Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** 0 Address 0 Road Approach 0 Binding Site Plan** ❑ Home Business 0 Cottagelndustry 0 Lone Plat** ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign 0 Plat Vacation/Alteration** ❑Allowed "Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management 0 Shoreline Management Substantial Development** 0 Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use 0 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 A111'✓I/A�vt N0;4C n if y it'/41)41f'to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE )2 - ---)Ii`cxx, d "..) Date: 3 —/7— ,9 X' 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 fac: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 empl pyees, 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 he or she wants prior notice. Signature: -� tSil_ri ai.;J _ Date: 3- /7 - n ' The action or actions Applicant will undertake as a result of the issuance of this perrni: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 responsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature:_ Zt --1A,,Q �`� Date: 3-/7 -G)5' G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • BUILDER STATEMENT w 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: PHONE: FAX: AVIle✓1 ca) t-/o n r, ,kV- (263 ) siI 3(gOo 3 ) wg -U,Y3g' MAILING ADDRESS: /(3) l /' e4 (,/ut/? C EMAIL: q I-/G stay cc-- 6-(D1/nlatSf f7I CONTRACTOR'S LICENSE vv �j� WAINS 7 ryeo/ NUMBER: �im V I I-IG 17'O (NUMBER 631 / Ors-IG4.7 ,6k'I-'O 7/i/ ARCHITECT/ENGINEER: / //A PHONE ( ) FAX: ( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: J� Shoreline: Type of Sewage Disposal: 71 New ❑ Wood Existing: v 0 Sewer ❑ Addition ❑ Steel Proposed: 9% Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: _„a. Height: 'Individual System L Repair ❑ Masonry "SP Permit# [] Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: 6 , Public Val-lib 4, 441 r Total: nName of System: pvO If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank l Above ground Tank Size of Propane Tank: l Heat Stove l Cook Stove i Woodstove l Fireplace Insert l Hot Water Tank i Pellet Stove l Other 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 1551 EH Bid App Review: 0 �0 2na Floor Heated Consistency Review: rj U Other Heated Base fee: ©0 (k; Mezzanine Additional Section: Heated Basement Plan Check fee: ---- Unheated Basement State Surcharge fee: _.-- Other Unheated Pot Water Review fee: 4 Garage/Carport SUBTOTAL Decks C cic tbY),3 2N, I 1 2 I c 911/Rd Approach fee: Other TOTAL: $ CM•6 , Receipt Number: C a Cash/Check Number: C911(P ESTIMATED COST(REQUIRED) Date: •Fair market value of all labor and materials foundation to finish "I S Initials: c *) G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc • • ¢,S4N G,4414%, RECEWED JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT M +f. ° t- ploati. y 621 Sheridan Street • Port Townsend • Washington 98368 JJ++ C 379-4451 Fax http360/3www.co.jeffe s/on wa.s/ommdevelopment/ JEFFEHSON LE U STORMWATER SITE PLAN SUBMITTAL TEMPLATE • MLA# I�- 2 PROJECT/APPLICANT NAME: I DA 4/ T-ET 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. P;1- P(LA c.e_,-vk a-7 x •o 4,t471.'ccJ4..e.„ .,-cf rev SxhitAg 44 e , f1-c eterc s //f Se6 S' tau b4 i ie Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. Pmp , , 5 s 94(f SicP r Af 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. i Rcell 4,C e4S/ h 4#,wrg,NFO G(24 412cAs _44,(,-/7-7¢6yE"O GP/4--s5- - ,q/L-G¢-5 4. Describe the existing soils. Indicate soil type on the site map. 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. / k_ %� S"j��l7 /ter v -Cle.04 r fVZ-27 . !-Qc 4 4 7€v+a,4 �' 7`Z�.. 5 tc P�-�.L , , .5-7faZen ar41-c7- 5 �,r- � o)v — 6. Describe any excess levels of noise generated by the proposed use or activity: A PROVED .#fx.^4K= ACot t1% OR AT p MAY 2 2nng Stormwat Require JEFF RS• Tau stormwater site plan template—rev.10/1/2003 DEPT.OFCr, r)1 t: p E SIGNATURE: ' �..11h\ir. 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 m p. y ,�/isTx) A.h.)�c� , �p�c,rA1-� 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.). r�� nn / , ` c:Frc 4Z-- '✓t 4 4.._ c 6 c%e s.v .>,F �! .m � . vs w, Atok 4 r S'urr t Teir A*-ter 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 th site. Locate these facilities on th site plan and differ tiate proposed fa ''ies rom existing facilities. ��e f ,f . c . - G 4-fre_ / 7�Zy� -1- sin- f lts� ,....: -4c._ 4{ cite..,." ,4rc4- o" less 76.4.a t S-1 czao 5 >e..n.-Ls-vr C. i•I•r(titj Oa..?i# A) -trl(.•e- ,.r-ems' 10. If the project requires the use of stormwater treatment facilities,describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] s r e - / e—d ?"f i * P Ck ! aN c-cGL(r-• -•(:)l. setves� //14N 11. Describe the performance goals and standards Tplicable to the project.. / / /j B s. , t— .f/`11.r yvt C,../.t--�c/-R_. / 40 �(Uv(& -{t.1�.. _ _ c�.a..t,/-�e,�L�tJ' 00-47 // �QiljJr ~ •1 (- fe- tl...G 7Ltr4 ., /M . Sf QS d12- sel. /Il 12. Describe the flow control system. � � ��,s ��` �l A Flog^-> -464'e/Z S% ' 7 G t! '4--2)R-r-' Y.. i I- 1 t , i I i ._ 1 1 1 'If ' a stormvL er Bite plan'tetr to-rev.10/1/2003 6 0 • 13. Describe the water quality system. Agc-ems/Z ---: w./lr er.. 4e - giareit-i 14. Describe the con eyance system analysis and design. J 15. Describe the source of fill material,physical characteristics� of fill material,and deposition of excess material. -D/STk-Ll 3 C n ."0r 4.s F'" /'( `_ ex-c:Ar. A f4 of.4 u,4(( +� ^Y csrr 4 0 4.4 04r4,4,1A.'( ,r'r '°r 4/(,d. a S-e cQ f kS Ft t(( w444..+ V lc.✓4'6'Mer $ ,00514 Ace o N Ne.w t-l-,)w"e- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. -'/ /, " e=";),-4=v5-7`4,-y-Zrei-6.---cee-Krs- r_exel 4e- - e- #'-4-Z4✓'-C. f Is 17. Describe the proposed surfacing material. eSerri ve. S 4,i4 S- 18. Describe methods for restoration of the site. AAT62 i0 4cG,kt -'�rpr c)F tAvsl e. , N47-evc S0/c.s (-4-,i/l A 61-- ->frr-/ 4441-PD 4-c01441 ae AAA - . 4- ,K.ir,c. - t're.)✓A `d-e ,4 en IA',444 ccw/ v 6 07o G,a d< /+-ca.1 A-uri r 114 it 51 r u.clu 12 c 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. /�� ii' v 20. List here and include 7:2?jaistudies conducted to prepare the Stormwater Site Plan. fiep 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. A4ikJe stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits..4 /�JS/c� Clcrr7�u�c.4�� CCP.f�Zf'r� 2. Establish Construction Access. _� E 1�i 57 iXj G r ftv{iL /''A , Ede 4-tam -Y 'R�•o o" (�YK� k 3. Control Flow Rates. / G7d .54 4 tom/ .S��+e„, D Ace Esc,q-d.�-'7'�� Iry jAC._ ds.'�+e, fi t_ c flr� .s /.n..vi fN '- +-.d- IS-h&j-it /d Na 7— Pi- At_ )/crly 4. Install Sediment Contryls. 0 /lam f ce'cc c . //c, /ge/OR, 0.sCv ee4., ti6 Al/ ,c/ 5. Stabilize Soils.de''eft S'l.irA // e SC4‘1 0-60X) e 4-s. 4 6t S Z-G 6. Protect Slopes./,. c,0t,e--•e -Ad ,N S i// srsc4•-4/4-494, 7� - cwI`- A,// J%vry 7. Protect Drain Inlets. // ,kI ) _P/e4/ty ux t`4-73 (se, v2 P .>, _ lysb // stormwater site plan template—rev.10/1/2003 8 • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. // No c t c" ere-- ex7 /� f • t vet-- / -4R— 9. Control Pollutants. - 7/t /ec0-cc .. ozrr r40( 44.) 10. Control De-Watering(the act of pumping groundwater or/stormwater away from an active construction site). 57/2 .C"Ci4,,c .�r.�c� 3"'n4 2 64-7!ve. ' C) ro c: -g,,•", Ac_ 4 ti2.rWr 11. Maintain Best Management Practices(B s). 5; / C. �1// "3-c crC«ilG�-e tee" ./ 74, .4t-e-4sA.zrt rs- 4,,e- 4111 "..." ,Qc,.r-- e 7' 12. Manage the Project. lcc,sc�J CA-+r 44) / iKe_ vrc✓ 5 7'C 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). . A.cO�-=, t b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 4694, ' 64, 17' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. lvc21Ve--- R CEVED °: 1 r8 Jagu �.�:W r( r y�� j stormwater site plan template—rev.10/12003 i 1 J 1 L+ J 9 • b. Description of speci I r uirements for working in or near environmentally sensitive areas. 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). . ,vt* e- �Le5 -' /7c.�_ '7`72 Ica- J 8 t Q- Pt size Us es s-czf?" 5. Construction Phasing. a. ConstructsRn seque e , / �l Y— d. ,�-Qc�• s A,�kr.r� 6/sea« e �k.,e�: / iM41- bra b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a propo constructio/�schedule. / /� ,� 1 S,5i.. t/ ¢ /"Ts - �r� r7 $1 ( q - Pe20 i 55 --J i A / -r- hi' C/o i sY.r1 GiAa s e 'i- .;AtC 6ca4c2 l . II. Wet Season Construction Activities. `tio ° /0 a. Proposed wet season construction activities. b. Proposed wet season constructio activities for environmentally sensitive areas. CI 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. 44/f b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. �W Mom- jay 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. Ai a. Sediment Ponds/Traps. b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/12003 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. (- tt IiJog DOWNE R AUTHORIZE REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: storrnwater site plan template—rev.10/1/2003 12 APPROVED PLANS COM rev 1710 REMAIN ON BAIL DINS 'r •pr.. 30'Access&Utility easement per WITH C "i AFN 368614 tio-1," ia'1f POSTED PERMIT SIGN OFF a .EET I ' ,C) • 36T-0„% :-- rwast,\ S. ti:.x M 1 @'9 Replace Existing 14 X 66 924 sq Ft Home ::::i'[t::::: with NEW 26'8"X 58'plus 8'prow porch h::: 4 — —— 1,551.5 sq ft of home with 214.4 sq ft of factory built • deck on Frame • o •::::0:: / \ ,•LO .•:: Power •::: .: Meters / \ m... / \ C,2,15'-0" / / 125'-0„ 50'-0" i 50'-0" '7 i i I i 1 1 1 i -1 / 50'Vegetative \ 1 7 1/ path ath fors lash \ m'-1 P o \blocks • coco \ / \O / ——— '°9. Reserve i d ' S3�Ah 149, /7V h CD tA _ • • Power /, _l _1 �p It Vault ^i �l i3• ..........................•.::..::..:..::.:H.:..::.:.:i.::.:.:.:..:.::..:.::.:.:::.:.::.:.::::::.::-::::.:'::.::: Existing !4 ri ' .. r , Garage 11; I i (4401 64 CV 111k,.. 7 I 8-0' , �`` 1147 PI , t` rn r O rn` K(72 .06 C CI) IriTil 4D2-- Z • • 3S6'S/'.. D z CCC=oN Route 104 e' "' o 1. rn ( ( )J z 0 ft. 30 ft. 50 ft. 100 ft. Scale: 1in=50ft.0in. *. , ,,, it Bill & Jeni Wells : :?Q ::::: ::::' 46 Garten Rd .., • :: :o, `:,, rn b Port Ludlow, WA 98365 ,� _� 5 'O' 3j8„ . ' • , \ t. m Parcel # t �. 'b O 821344062 WW1 .... • _• � ' i c=, pi•— 4 - ,,,-,.., .a_ 0;