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Home My WebLink AboutBLD2008-00390 • 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 #: BLD08-00390 SITE ADDRESS: 3380 EAST QUILCENE RD Issue Date: 12/30/2008 QUILCENE, 98376 Final Date: 9/30/2009 APPLICANT: MARTIN DE BONO PHONE: 206-352-6987 LYNNETTA DE BONO 1104 8TH AVE W SEATTLE WA 98119-3440 SUBDIVISION: GAETZ SHORT PLAT Block: Lot: 1+ PARCEL NUMBER: 701304012 Section: 30 Township: 27 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ 500 GAL U/G PROP TANK & APPLIANCES and shoreline exemption (SDP08-00070) 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 9/30/2009 I:\F_BLD_Occupancy.rpt 10/29/19 ES Review LDING PERMIT APPLICATIA 00405 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD08-00390 Received Date: 8/29/2008 SITE ADDRESS: 3380 EAST QUILCENE RD QUILCENE, 98376 OWNER: MARTIN DE BONO PHONE: 206-352-6987 LYNNETTA DE BONO 11048TH AVE W SEATTLE WA 981193440 GAETZ SHORT PLAT SUBDIVISION: Block: Lot: PARCEL NUMBER: 701304012 Section: 30 Township: 27 N Range: 01 W CONTRACTOR: Tea lot lei 1- 1 Laztlf5 PHONE: 1 3z —y.&c Po e so.- C r rn ec(. L&q?5 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR W/ 500 GAL U/G PROP TANK & APPLIANCES TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,750 VALUATION 256,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER CONST TYPE: 5N GARAG'E: 130 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: n � ITY6 Type Amount Paid By: Date: Receipt: •• •vD Permit $1,867.35 AMS 08/29/08 100792 AriOVED Plan Check $1,213.78 AMS 08/29/08 100792 DEC �2�08 State Building Code $4.50 AMS 08/29/08 100792 Potable Water Application $59.00 AMS 08/29/08 100792 Jefferson County Planning Total: $3,144.63 &Building Department Jefferson County Building vision Permit N ,,.r: BLD08-00390 '— BUILDING PERMIT INSPECTION APPROVALS appApplicant: DE BONO licable 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 - 0� Minimum setback from East Quilcene Road right-of-way shall be 20 rom top of slope on the south and north side of the buildng area shall Erosion Control Be IS feet and 20 feet or greater. SEE CONDITION 2 & 3 FOR SILT FENCE AND CONSTRUCTION Foundation Footing MIEZIal. Footing Drains 2 9/49 Foundation Stem Wall MN= 2/3 14 t! Underground Plumbing a 9 09 �;r s,4 �Under Floor Framing Straps(hold downs) SIMEBEINIMIN Ext. Shear Wall Nailing Rough-in Plumbing rig I 1 <' . - , FramingMIIM C -thbckirrg 11111111111111111111 Airseal Insulation: Walls 11112M- Insulation:Floors Insulation: Ceiling 6, M Int. Shear Wall Nailing Wallboard Nailing 1111111111 Q�a9 Gas Line: Interior /8 p- �. Gas Line: Exterior c-2)--e MIME Propane Tank Heat/Chimney Clearance - Drywell/Alt Drainage cr. 4 , . , ; - SEE CONDITION I FOR SPLAS BLOCK C'IT RIA. a ' Address Posted - _! - '? _6t Imo.- 2 I f(a ik Tit FINAL INSPECTION ' • -e r Corr.c rod FINAL INSPE TION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD08-00390 Received Date: 8/29/2008 SITE ADDRESS: 3380 EAST QUILCENE RD Issue Date 12/30/2008 QUILCENE, 98376 Expiration Date 12/30/2009 OWNER: MARTIN DE BONO LYNNETTA DE BONO PHONE: 206-352-6987 1104 8TH AVE W SEATTLE WA 98119-3440 SUBDIVISION: GAETZ SHORT PLAT Block: Lot: 1+ PARCEL NUMBER: 701304012 Section: 30 Township: 27 N Range: 01 W CONTRACTOR: TOLLEFSON BUILDERS INC TODD HULBERT PHONE: (360) 732-4080 PO BOX 100 CHIMACUM WA 98325 Contractor's License TOLLEBI977N9 Expires 3/15/2009 PROJECT DESCRIPTION: NSFR W/ 500 GAL U/G PROP TANK & APPLIANCES and shoreline exemption (SDP08-00070) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 256,000.00 MAIN: 1,750 ADD'L: HEAT TYPE: RAD CODE EDITION: 2006 HEAT BASE: HEAT TYPE OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: 130 CONST TYPE: GARAGE: SHORELINE: DECK: SETBACK: 20 SEWAGE DISPOSAL: ALT BANK HEIGHT: WATER SYSTEM: PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,867.35 AMS 08/29/08 100792 Exist: 0 Exist: 0 Plan Check $1,213.78 AMS 08/29/08 100792 Prop: 2 Prop: 2 State Building Code $4.50 AMS 08/29/08 100792 Total: 2 Total: 2 Potable Water Application $59.00 AMS 08/29/08 100792 Total: $3,144.63 Directions to Site: SEE MAP AND DIRECTIONS IN FILE HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED • CONDITIONS for Building Permit# :BLD08-00390 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. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE 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 DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 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.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM C:OMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). 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 STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 4.) A 30' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPON T AND RESERVE AREA TO ANY DOWNSLOPE FOOTING, CURTAIN OR INTERCEPTOR DRAIN OR DRAINAGE DITCH. 5.) PRIOR TO OCCUPANCY & BUILDING FINAL- FINAL APPROVAL OF SEPTIC SEP07-00005 IS REQUIRED. MUST MEET ALL CONDITIONS OF SEPTIC PERMIT. 6.) ANY PORTION OF TRANSPORT LINE UNDER A DRIVEN WAY IS TO BE SLEEVED/CASED OR EQUIVALENT. DOCUMENTATION TO BE SUPPLIED BY SEPTIC DESIGNER ON RECORD DRAWING. 7.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN BUILDING FOUNDATION AND EDGE OF DISPOSAL COMPONENT. 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.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 10.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 11.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 12.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 13.) A vegetative buffer of 15 feet and 20 feet shall be permanently maintained from the slopes on the south and north side of the building area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 14.) A Geotechnical Report prepareloStratrum Group dated November 28, 200 s submitted in conjunction with this application. The report addressed the stabile of the geologic hazard area. A setback of 15 & 20 feet shall be measured perpendicularly from the slopes on the south and north side of the building area. 15.) PRIOR TO FINAL BUILDING OCCUPANCY, PROPONENT SHALL SUBMIT A WRITTEN LETTER FROM STRATUM GROUP (THE GEOLOGIST WHO PREPARED THE GEOTECHNICAL REPORT DATED NOVEMBER 28, 2006) STATING THAT THE STRUCTURE AND/OR FACILITIES HAVE BEEN CONSTRUCTED IN CONFORMANCE WITH THE REQUIREMENTS OF THE "GEOTECHNICAL REPORT." THE LETTER SHALL BE STAMPED BY THE LICENSED GEOLOGIST/ENGINEER. 16.) 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. 17.) 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." 18.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 19.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 20.) 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. 21.) 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. 22.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 23.) 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 automobile 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 requirements 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. 24.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 25.) Residential developers and indiOal builders shall be required to preserve sOline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 26.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 27.) The building height is not to exceed 35 feet. 28.) Minimum setback from East Quilcene Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of slope on the south and north side of the buildng area shall be 15 feet and 20 feet or greater. 29.) 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. 30.) 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. EC'E �\,p -� ��SON GOCr ' JEFFERSONGOUNTY -4 y'a, DEPARTMENT OF COMMUNITY DEVELOPMENT AUG 9 ZQQ+ '' �'� •' '� ' 621 Sheridan Street• Port Townsend • Washington 98368 �� 360/379-4450. 360/379-4451 Fax JEFFfR50N COON ' p� www.co.jefferson.wa.us/commdevelopment f1/a�+D LINO l ' 0--). �1G1�� I, Master Permit Application MLA: 0�J' �t 03 Project Description(include separate sheets as necessary): C oN5Tt2uC'Ti O N I' A NE-w St NOM-- S-TDIZ "/ 1.2L10"Ct= AM/ 2 P D1OOMS AND 2 BA-1Nt2ooMS . 0 IO 503?AI p(O2-{-o,.,)k Tax Parcel Property 1,1 2 ALrze S Number: I3O 4012 Size: 15,0-1- 1.c+. (acres/square feet) Site Address and/or Directions to Property: 3380 Eas-1 Ou1LGrNe gt,. au►t-cave ,WA qq6;-1L Property Owner(s)of Record: OA2."11N + Lyre IJ T I A j& EC?ND Telephone: 2.010.35Z •L'a87 Fax: email:rtlartirldEC-mot?( kphoo.Loni Mailing Address: 1104 8Th Ave. hi. 4+1Cr IIJA '3q i 19 Applicant/Agent(if different from owner): Ct-4W/I. f,LU LIC (PR ENT ISS lid2CHI tEZ,TS' Telephone: e201P. 2$3.95 3 0 Fax:20(c. 2 SS.82Zo _ email: ttievy I P pvekh'ss arch.4o/% Mailing Address: 224 W. 4AL1a1t ' r-rie, buq gg119 What kind of Permit?(Check each box that applies Building ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Demolition Permit 0 Conditional Use[C(a), C(d), or C]** N Single Family 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification O Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)** ❑ Commercial* 0 Boundary Line Adjustment ❑ Change of Use 0 Short Plat** ❑ Address ❑ Road Approach 0 Binding Site Plan** ❑ Home Business ❑ Cottagelndustry 0 Long Plat*' ❑ Propane 0 Planned Rural Residential Development(PRRD)/Amendments** ❑ Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑Stormwater Management ❑ Shoreline Management Substantial Development** El Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance 0 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: /I DESIGNATION OF AGENT I hereby designate Che'4I CI I Ci( to act as my agent in matters relating to thi application� for permit(s). OWNER SIGNATURE / pe G Date: biS/0 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 a ion that a or w nts//prior notice. Signature: (_ / (L'<�Lf Date: i8 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-transfer e respoonsibi" for adhering to and complying with the ESA. The Applicant has read this dis 1 er and signs and dates it below. Signature: L,, X (.6614-- Date: o f z -/o i' C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc . 11110.__________________410 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: T.-43 .P, ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) Fax:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New hX Wood Existing: ___ _ Cl Sewer ❑ Addition ❑ Steel Proposed: 2. Bank ❑ Community System ❑ Atteration/Remodel ❑ Concrete Total: 2 Height: X Individual System ❑ Repair ❑ Masonry 50-O SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: 05 Setback: A Private well ❑ Two Party Type of Heat: Proposed: 2 RAD IAty 1"-Ftw02 Total: 2 aO'-0" ❑ Public (nNC-t2.t-tE- St-A 6 Nammeeoof System: MARXI.J 1)V13oN6 If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that ap 1 yl )(Underground Tank I Above ground Tank Size of Propane Tank: c)J C. i Heat Stove )ook Stove I Woodstove i Fireplace Insert >Hot Water Tank i Pellet Stov `j>GOther 1oo burr ( Is this appliance being installed in a Manufactured/Mobile Home? Yes / 6) 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 I Current Proposed ,# W' . fl Amou 'sion Main Floor Heated _ EH Bid App Review: O 0 I 1150 uo _ .�0 2na Floor Heated Consistency Review: 1 ��1J Other Heated r , : r y Base fee: 18 c-1 35 Mezzanine M ' x Additional Section: Heated Basement fi Plan Check fee: Ia. 13.- Unheated Basement -- - State Surcharge fee: c-- n y c� Other Unheated Pot Water Review fee: -1311(t 5To A(t 30 ty `t- Gi...D t7 Garage/Carport • '. 6 SUBTOTAL Decks 1 f .~ 911/Rd Approach fee: C- Other proec6ra PaVC,f'S IOO ' j� , TOTAL: $34-0-1, G3 '..€ r{ ,Receipt Number: "a Cash/Check Number: . 1i ESTIMATED COST(REQUIRED) iI ' _paw r � r�` I .Fair ma le-otanlabor and mat undation`taYrrlisli i ' 1 ` ' -` ' 11 �' C �� SG 00 Initials: ' e(t 3 G:\FermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc I • JEFFERSON COUNTY (4,;:(1-„,s0N cpsAPPROVED STORMWATER PLAN Regkire Is, rNGz JEFF R O NT DEPARTMENT OF COMMUNITY DEVELOPMENT DEP7.OF C' D.VEL .N SIGNATU : 621 Sheridan Street Port Townsend Washington 98368 360/379-4450 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# MLA 08-00405 PROJECT/APPLICANT NAME: Martin DeBono 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 plar 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. We are building a single family, 1780 square foot two bath three bedroom single story home. We will install a septic tank(1000 gallons)and a pump tank(1000 gallons). There is a drain field installed (see map)that is has 450 lineal feet of drain pipe(5 90 foot lines) over an area of approximately 900 square feet. There is a reserve field of approximately 900 square feet as well. The drain field and reserve are located about 35 feet East of the construction zone. There is an existing driveway, approximately 100 feet long and 10 feet wide that is covered in gravel. There will be no new driveway built. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. The building area consists of a level grass covered area that is approximately 80' by 42'. The land slopes up from the building site to East Quilcene Road. The land slopes down from the building site West,toward the water. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Vegetation is a mix of trees with Douglas Fir being the predominant tree. Oregon Grape,salal,and vine maples exist throughout the property. 4. Describe the existing soils. Indicate soil type on the site map. Hard pack dirt. The soil survey identifies soils as Beausite Rock out crop complex (BeF). Runoff is slow to rapid and the hazard of water erosion is slight to severe. 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 she map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. After a heavy rain, most water gets absorbed into the ground. I have never seen any pools, streams, or other surface water. If it is a real down pour,there are some puddles, but these quickly go away. • • 6. Describe any excess levels of noise generated by the proposed use or activity: Construction equipment only 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. The property is waterfront property. There is a slope to the West and North. Please see map. A geotechnical report was prepared due to landslide hazard area,erosion,seismic,and unstable shoreline slope stability 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.). Please see map. Adjacent property is a single family home to the north. The neighbor to the south has a bunch of rusty trailers and other items (rather unkempt) on the property but there is no house. Parcels are zoned rural residential and are one unit per five acres. Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. 9. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. We are following the recommendation of our geotechnical engineer and letting water drip to ground onto splash blocks. Splash blocks will be designed in accordance with the DOE 2005 stormwater manual to allow a 50 foot vegetated flow path starting from the end of the splash block. 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] Not applicable. 11. Describe the performance goals and standards applicable to the project. Geotechnical analysis states that water can drip onto ground. We are going to follow this recommendation and use dispersion blocks. 12. Describe the flow control system. Stormwater will flow from the roof to the gutter via gravity to the splash block. 13. Describe the water quality system. We have a well and the well has a water conditioning system. The well has been tested and meets all requirements. There is not a water quality system for the storm water other than gutters to splashblocks to natural vegetation. 14. Describe the conveyance system analysis and design. Gutters sized to match the collection area (roof area) and are designed to gravity drain onto splash blocks. Each splash block will allow up to 700 square feet of roof area to drain into it. Splash blocks will be 6 inches deep and two feet wide and three feet long. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. There will be no fill material used. Excess material will be disposed of onsite or hauled away depending upon how much. • 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. A compactor will be used as necessary to achieve 90%of max density. 17. Describe the proposed surfacing material. Grass with a gravel driveway. 18. Describe methods for restoration of the site. Natural plants such as salal and Oregon grape will be planted after construction. 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. Not Applicable 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. Please see the attached geotechnical report. 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. The building permit and shoreline exemption permit which has been applied for is MLA 08-00405. A septic permit (SEP07-0005)was approved on May 15,2007 and is being reviewed for consistency with the submitted site plan. 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. We have specifically marked trees that are to be removed. Trees that are not marked will not be removed. Clearing limits will be firmly established Silt fences will also be placed around the construction area to ensure sediment will not flow toward the shoreline or LSHA's 2. Establish Construction Access. • • Access is already established by means of an existing gravel driveway. There is only one entrance and it is properly constructed and stabilized as the driveway is on the original ground.There was no excavation needed to create the drive it is right off the road. 3. Control Flow Rates. Sediment traps would be installed if needed, however given the topography of the land this is not likely. 4. Install Sediment Controls. Silt fencing will be installed. Please see the attached map for location. 5. Stabilize Soils. Soil stabilization controls(mulch or other)will be used as needed. If we don't use mulch we will use straw we want to minimize mud in the construction zone. 6. Protect Slopes. Cleared area does not include any slopes. 7. Protect Drain Inlets. There are no drain inlets that can be affected. 12 Required Elements—Construction SWPPP (continued) 8. Stabilize Channels and Outlets. There are no onsite channels or ditches 9. Control Pollutants. No vehicle maintenance will be performed and construction debris will be safely stored. 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). Not applicable as water will not need to be removed 11. Maintain Best Management Practices (BMPs). BMPs will be maintained. We have gone to great lengths to enhance our land and don't want to damage it during construction. 12. Manage the Project. We will have a professional licensed contractor manage the project. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance(e.g., streams, lakes,wetlands, residential areas, roads). The property is waterfront property. There is a house to the North and vacant lot with an old trailer to the south. WE will use SWPP BMPs to minimize the impact. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Slope down to water that has ground cover(grass,salal,Oregon grape)and large trees, mostly Douglas fir. 3. Environmentally Sensitive Areas. • a. Description of environmentally sensitive areas that are on or adjacent to the site. Waterfront property with gravel beach, landslide hazard area, erosion,seismic,and unstable shoreline slope stability, hence a geotech report was submitted. b. Description of special requirements for working in or near environmentally sensitive areas. We are very concerned and will ensure that there is no run off of excess materials from the building site are carried to the water. (WE eat the clams and oysters too!) We have designed a home that minimizes impact on the environment and will be sure that the construction process is consistent with the design. 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). The site is a very secure site and not very susceptible to erosion until you get to the slope. We are following the Geo-tech recommendation and staying away from the slope by the prescribed distance to minimize erosion problems. 5. Construction Phasing. a. Construction sequence site prep—foundation—framing—roofing—finishing b. Construction phasing (if proposed) Not applicable 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. Jan 1 to Sept 1 II.Wet Season Construction Activities. a. Proposed wet season construction activities. Foundation and framing and roofing b. Proposed wet season construction activities for environmentally sensitive areas. Not applicable 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Martin DeBono b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. I own the land and will contract only with licensed insured,and bonded trades people. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. NA b. Diversions. NA c.Waterways. NA d. Runoff/Stormwater Detention Calculations NA SECTION II — EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan, and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: • ! 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation (e.g.,tree lines,pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices (BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length, and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. 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. • s 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. 6— — 11/1/08 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: F---- arisass, CA I Me V/4,1,414...1 O,1,49 0/ Z101,0E101,R 13pkIV..4.)(VI /71M741140:: • t - 0 . ON0971 NNA1 4.MIAMI (r) . : , N— L 1\ ' 61 tIda4 a5Nyaittgv v.5.15.1.amm. ON0830 w . z / ! ______ ------ ! , e ! / _/ .., ..\ ..- . i ..,:,....-- / ,t-I 6;. tt!F .' il . .---- _. , '''Tv. ; 1 • •• / : --- , . ! / gl .-.4 = g ......... ....4(0). .1 I .......... . g. , ; . .!!..2.. • fSi?fil .., Pil!ii ..2g 16 31iir'31 .,..--02-1-2;!1 glil-.df= ! ) 1 i ! 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LINE OFFICE / �V �ABOV� \V A , ABOVE ; i / 101 DS V AABOVE ON \ ABOVE V A V A \ V A SIDE OF EXTERI WALL ABOVE71, DS J /� v CLG. LINE VEAo 8 p 0 ABOVE V �� ]A A \ \1 A \ �� A3.1 p. in :N F p F' i \ \ ' \',\ \ \ oe 3'_0" 8'_5, ENTRY MAIN ROOM \ V A 107 O \ EXPOSED \ 1 H, ROOF ABOVE \)/ \\ \ / / \ 108 ✓ \\�ABOVEM OVERHANG 1 \ \ \ \ \ \ \ \ \ ABOVE A3.2 \ \ \ J RADIANT FLOOR lo MANIFOLD V A LINE OF \ i A-0s/a V A A — 1 — — — — F -- i, — r — _ OVERHANG 60 DROPPED V 1 .� A N � FACE OF FRAMI G \ CLG. V4'_OI2 r�Gji% i CLS. �i DOUBLE V A A A V r r/ V IN WHOLE HOUSE SIDEDBATH 0 �� SIN HB ! FAN 80 CFM 4 MASONRY V A A v a! N A3.2 \ ' FIREPLACE \ '; �.� m _ ABO i� 19 HALLWAY � AA UTILITY ABOVE 5 ' 104 0 Y 103co Y A3.2 3 i a 114� mi 104 L. ELECTICAL V A 2 r n iD 112 % iai �� PANEL 'coV A A g-01/2 .,�,, li 3 Z / 4'/a. 8tY4" m a V A KITCHEN v ul CLERESTORY 03 � � V 102 V A 105 � pFM z � SHELVES i ABOVE r \ r- RECESS SLAB c @ OO DS • 11a Tn AT SHOWER - NO N CURB s j \ j i \\\\ O rsN \' j✓ _ 5, j ROOF F OVERHANG BEDROOM S. �✓ SNEwEi/ A3.2 °'101i NOTE: ALL DIMENSIONS TO OUTSIDE OF Or, �� i � I FRAMING; U.N.O. d 11/z - Ds _ H$, -� ALL FIN. FLOOR ASSEMBLY o/ SLAB ON � FOE g_10" i 12'-3Y2' 5" % GRADE PER STRUCT. w/ RADIANT HEAT; O'�A- EGRESS % U.N.O. 6`T s D // / % FACE OF FRAMING (F.O.F.) SYMBOLS 0 2g_8�a _ _ _ _ _ J _ _ OVERHANG O.H. w ® SMOKE DETECTOR 0 FAN/VENT 3 Aa.1 T-10" 3'-6" 4 HB HOSEBIB = LL LL i O DS DOWNSPOUT O O o O 14'-V2' 2'-0" 1'-0" A8.1 N N FIRST FLOOR PLAN (1) . 1/4" = 1'-01, OSON COUNTY DCO a CN W CN N W N Q N N e ai `6 o 2 w N (33 XNX N ytW0 Q fn 1— N li n. lL c�i m a ro cl I� v �- I (y) 00 coZ, zwoo O � WZZccM Z O OW=o WZ5Q*k OZ _jUj coF- o W U ZQWQ w fn p: W U IL oR < cx) Q-2MC1f- - REGISTMM ARCMTE.Cf SrA7BOF WASHINOTON PERMIT SET # DATE REVISION DATE: 08.29,2008 PROJECT ARCHITECT: CDC FIRST FLOOR PLAN A211