HomeMy WebLinkAboutBLD2010-00038 •ILDING PERMIT APPLICATI ML 049
Revv iewiew T Tyype: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00038 Received Date: 2/8/2010
SITE ADDRESS: 960 BECKETT POINT RD
PORT TOWNSEND, 98368
OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE:
GOODING O'HARA& MACKEY
242 TAYLOR ST
PORT TOWNSEND WA 983685717 BECKETT POINT FISHERMAN'S CLUB
SUBDIVISION: Block: Lot: +
PARCEL NUMBER: 932200801 Section: 23 Township: 30 N Range: 02 W
CONTRACTOR: CRAIG JOHNSON CONSTRUCTION, INC BOX 968 PHONE: 360 379 8594
PORT TOWNSEND WA 98368
Contractor's License CRAIGJC992N2 Expires 8/22/2011
REPRESENTATIVE: CRAIG JOHNSON PHONE 360-301-1537
PO BOX 968
PORT TOWNSEND WA 98368
PROJECT DESCRIPTION NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 17,506.00 MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE: UH
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OTHER:
GARAGE: 672 SHORELINE
CONST TYPE: SETBACK:
DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $293.25 LYK 02/08/10 113805
Plan Check $190.61 LYK 02/08/10 113805 APPROVED
State Building Code $4.50 LYK 02/08/10 113805 MAY i3 1U1U
Total: $488.36
Jefferson County Planning
& Building Department
Jefferson County Buildingvision Permit er: BLD10-00038
Applicant: STEVENS
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 20 6International 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 p Minimum setback for the garage from Beckett Point right-of-way shall
be ten feet. Minimum side and rear yard setbacks shall be 5 feet.
Erosion Controlg-q-td �7� SEE CONDITIONS 5 & 6.
Foundation Footing -5--'lv FED
Footing Drains
Foundation Stem Wall g_ La
Underground Plumbing
Straps(hold downs) �y L reb
Ext. Shear Wall Nailing q/ j_ra vl 17(�l
Rough-in Plumbing /
Framing
Blocking
Wallboard Nailing
Drywell/Alt Drainage SEE CONDITION 4 FOR SPLASHBLOCKS
Address Posted
(z3-1 A \ r �Z. 4 z I<<LL
FINAL INSPECTION ���� /1 '
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
• •CONDITIONS for Building Permit# :BLD10-00038
1.) A PROFESSIONAL ARCHAEOLOGICAL CULTURAL RESOURCES SURVEY IS
REQUIRED TO BE COMPLETED AND SUBMITTED TO THE DAHP, JAMESTOWN
S'KLALLAM TRIBE AND JEFFERSON COUNTY DCD PRIOR TO ANY LAND
DISTURBING ACTIVITIES.
2.) APPLICANT IS REQUIRED TO HAVE AN ARCHAEOLOGIST ON SITE TO MONITOR
AND EVALUATE ANY GROUND DISTRUBING ACTIVITIES AND THE EXCAVATION
OF FOOTINGS.
3.) PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE
DEPARTMENT WITH AN ORIGINAL "FINISHED" CONSTRUCTION" FLOOD
ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR,
ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION
INFORMATION IN THE STATE OF WASHINGTON.
4.) 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.
5.) A SILT FENCE IS REQUIRED TO BE INSTALLED BETWEEN THE WETLAND BUFFER
AND GARAGE PRIOR TO ANY LAND DISTURBING ACTIVITY.
APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT
DOES NOT ENTER THE WETLAND.
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.
6.) CONSTRUCTION ENTRANCE,HALL BE STABILIZED WHEREVER TRIIC WILL
BE LEAVING A CONSTRUCTI N SITE AND TRAVELING ON PAVED RO OR
OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE.
THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED 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.
7.) 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.
8.) 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.
9.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
10.) 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.
11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc. Pre-existing legal
lots of record less than one acre in size in rural residential districts are subject to the
stormwater requirements in Chapter 18.30 JCC and must meet the "Area of Impervious
Surface Coverage" to the maximum extent practicable as determined by the administrator.
Lot coverage is defined as amount of impervious surface, which includes rooftops,
driveways, concrete, etc.
12.) The building height is not to exceed 35 feet.
13.) Minimum setback for the garage from Beckett Point right-of-way shall be ten feet.
Minimum side and rear yard setbacks shall be 5 feet.
14.) Exterior lighting for residentialilk shall not exceed twenty feet(20') in hei om the
finished grade, excepting when such lighting is an integral part of a building o structure.
Ground level lighting is encouraged.
15.) 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.
16.) Residential developers and individual builders shall be required to preserve shoreline
vegetation and reduce the associated risk of erosion during construction and any future
activity which may impact the stability of the shoreline.
17.) Flood hazard reduction measures are to be used as required by the Jefferson County
Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter
15.15).
18.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited
unless designed to automatically equalize hydrostatic flood forces on exterior walls by
allowing for the entry and exit of floodwater. Designs for meeting this requirement must
either be certified by a registered professional engineer or architect or must meet or
exceed the following criteria: a. A minimum of two openings having a total net area of not
less than one square inch for every square foot of enclosed area subject to flooding shall
be provided. b. The bottom of all openings shall be no higher than one foot above grade.
c. Openings may be equipt with screens, louvers, or other coverings or devices provided
that they permit the automatic entry and exit of floodwater.
19.) Construction Materials and Methods of Construction to Reduce Flood Hazard
(i)All new construction and substantial improvements shall be constructed with materials
and utility equipment resistant to flood damage.
(ii)All new construction and substantial improvements shall be constructed using methods
and practices that minimize flood damage.
(iii) Electrical, heating, ventilation, plumbing, and air-conditioning equipment and other
service facilities shall be designed and/or otherwise elevated or located so as to prevent
water from entering or accumulating within the components during conditions of flooding.
Locating such equipment below the base flood elevation may cause annual flood
insurance premiums to be increased.
20.) Utilities shall be designed as specified in 15.15.080(c) of Jefferson County Flood Damage
Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15)which states:
(i) All new and replacement water supply systems shall be designed to minimize or
eliminate infiltration of flood waters into the systems; (ii) Water wells shall be located on
high ground that is not in the floodway; (iii) New and replacement sanitary sewage
systems shall be designed to minimize or eliminate infiltration of flood waters into the
systems and discharges from the systems into flood waters; (iv) Onsite waste disposal
systems shall be located to avoid impairment to them or contamination from them during
flooding.
21.) 1) All new construction and substantial improvements shall be anchored to prevent
flotation, collapse, or lateral movement of the structure.
2) All manufactured homes shall be anchored to prevent flotation, collapse, or lateral
movement, and shall be installed using methods and practices that minimize flood
damage. Anchoring methods may include, but are not limited to, use of over-the top or
frame ties to ground anchors.
4,'e_vf_g_iONki ciii%_i
JEFFERSON C NTY
111
' 7' DEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street • Port Townsend •Washington 98368
� 360/379-4450. 360/379-4451 Fax
44
www.co.jefferson.wa.us/commdevelopment
EE ,
Master Permit Application MLA: I h • /(CI
Project Description(include separate sheets as necessary):
.kU l LD .-F,41 Aug IQE EiAI2_E 110 eDM P-1 AMA AT er
avbei
Tax Parcel Number. 932-Z00 1,/3 .' Z zoo ezU f Property Size: /Z9Z125 // cre s uare feet)
Site Address and/or Directions to Property:
« ` �)• kb3.7- ii '0?--..-, (
1)(0- &TL" ASS M G1bo ff Ls �--7 114T 1 OAP —
Property Owner(s)of Record: -- t_TT E 'i (C S r iJIArrAS C_ t)6 t 1'1 �-L2 �% 4..�tl S
Telephone: Fax: email
Mailing Address:
Applicant/Agent(if different from owner): L, <.iri -, fr � vt_.,
Telephone: 3C �c1% '0("/5 3 7 Fax:
email: ��� .�_lr�X�cx-� (�Yv1W,il�c i
Mailing Address: !. '. C76 6:/�Ye
t kind of Permit?(Check each box that applies
as ❑Lot or Road Segregation
Wilding 0 Critical Areas Stewardship Plan
Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
❑Single Family Garage Attached Detached 0 Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Modular . • El Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach ❑Short Plat**
El Home Business El Cottage Industry ❑Binding Site Plan**
❑ Propane El Long Plat*'
❑Sign - ElPlanned Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration**
El Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development**
❑Temporary Use El Shoreline Management Variance
❑Wireless Telecommunication* El Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium El Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
"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— l' to act as my agent in matters relating to this application f permit(s).
OWNER SIGNATURE 'TfG`'���5 Dated L 1X./ Z'/ G- �y0
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 its 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 attorneys 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. St s arrpss and right of entry will be assumed unless the applicant informs the County in writing at the
time of the application that he olsh or notice. _
Signature: �� Cj4����i� DateJXXl L c,/C7.
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 responssibil orad ng to and co lying with the ESA. The Applicant has read this d laimer an signs and dates it below.
Signature: 1��'/ �2t < '
Date: G F2573
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• 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:
�i 7
( _ _ __ .514 n. n_.? ` ( � , "-)i-/,S-) ( )
MAILING ADDRESS: S.
/ C ,8 1 •£ 2 %t2Co EMAIL:
CONTRACTOR'S LICENSE 7 WAINS
NUMBER: - , .i � C.I G12„�J}L NUMBER
ARCHITECT/ENGINEER: r---) PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Pfoject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
�l New Wood Existing: ❑ Sewer
/❑ Addition ❑ Steel Proposed: • Bank X Community System
❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System
O Repair ❑ Masonry jj SEP Permit#
❑ Demolition 0 Other. Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
T-_-- _��eat Proposed: ❑ Public y , l�
jY`P/�of Total: Name of System: ^/ Q
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'Senace? 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 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. _
Current Proposed t` y'1 i t1;e"i� x r e Ae `: r k ,t a,p t
Square Footage u >: ,t.,, .,4. . .r..0 0 � `, ?` a-t.'
Main Floor Heated , .- rr? EH Bid App Review: r-/
ap4 tr `
22 Floor Heated `r l�* b` - Consistency Review: 3
Other Heated vs\ t Base fee:
Mezzanine f`, Add i ' , —1
Basement" ` Plan Check f
-HeatedT (q0.0
t : :�
Unheated Basement Fi�,d } s State Surcharge fee:
0 Pi-NE)
Other Unheated F fi J z Pot Water Review fee:
G- arage/Carport 7k V M 084� "-
D- ecks ~ - 911/Rd pp-roach.ffe�
O- ther .0tr 0 TOTALTOTAL $ C17(0(8 ,310
t - _ Receipt Number:
w f. Cash/Check Number:
st r
ESTIMATED COST(REQUIRED) Date: —
•Fair market value of all labor and materials foundation to finish c r �-LL
T /7+500 Initials: ------Th
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• •
rvs0N---?\\°6JEFFERSON COUNTY ` 9 8 2010
kiii. 01 DEPARTMENT OF COMMUNITY DEVELOPMENT
_t,,, / 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
$7NGO http://www.co.jefferson.wa.us/commdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# l C-—L PROJECT/APPLICANT NAME: 6.:A �--r--F Y 4 s
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.
2J' ) 26/ cA 4I:
Existing Conditions Summary
2. Describe the existing topography. Indicate contours on the site map.
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3. Describe the existing vegetation. Indicate native vegetation areas on the site map.
4. Describe the existing soils. Indicate soil type on the site map.
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-
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.
APPROVED ; .
6. Describe any excess levels of noise generated by the proposed use or activity: STORM WATER PLAN
TifpicAL, / 7 AL- aolci euG--7-/owl
MAY 122010
Stormwat-t ..� s 14 ,
Require Ilk - .1. JEFFERSO OUN
• DEPT.OF Co ►EVEL, ,,y
SIGNATURE: 1hhi /i
stormwater site plan template—rev.10/21/2008 •• —<�
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• •
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.
. fit t-)0 Y0141) /z 2F 67k E _
8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(streams,wetlands, lakes,steep lopes,etc.).
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Permanent Stormwater Control Plan
This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs
and facilities to remain in place after construction of the project is completed.
"Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious
surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control
facilities are not exceeded.
g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30
in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas
within the site. Locate thes facilities on the site plan and differentiate proposed facilities from existing facilities.
v,T-re-re f DowttsPov r
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.]
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11. Describe the performance goals and standards applicable to the project.
-KI/A
12. Describe the flow control system.
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stormwater site plan template_rev.10/21/2008
• •
13. Describe the water quality system.
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14. Describ the conveyance system analysis and design.
15. Describe the source of fill material, physical charact�st�f fill material, and deposition of excess material.
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
UniforrpAuilding Code.
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17. Describe he proposed surfacing material.
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18. Describ methods for restoration of the site.
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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.
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20. List�heere nd include any special reports or studies conducted to prepare the Stormwater Site Plan.
(te r
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.
N/A
stormwater site plan template—rev.10/21/2008
7
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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 Volume II Section 3.2.3 of the Manual (beginning
on page 3-7).
12 Required Elements—Construction SWPPP
1. Mirk Clearing Limits.
2. `�Es blish Construction Access.
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3. ,Cogtrol Flow Rates.
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4. Install Sediment Controls.
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5. Stablize Soils.
N/A
6. Pro3ect Slopes.
7. Protpct Drain Inlets.
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8
stormwater site plan template—rev.10/21/2008
• •
12 Required Elements—Construction SWPPP(continued)
8. SNVilize Channels and Outlets.
9. /Co trol Pollutants.
1.
10. Co trol De-Watering(the act of pumping groundwater or stormwater away from an active construction site).
it Maintain Best Management Practices(BMPs).
12��nage 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).
N e7(.ii 4 , A l ttE17 GAP t5 f CDO, l poa D .
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards)/
3. Environmentally Sensitive Areas.
a. escription of environmentally sensitive areas that are on or adjacent to the site.
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stormwater site plan template—rev.10/21/2008
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b. Description of special requirements 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. erodibility, settleability,permeability,depth,texture,soil structure).
N/A
5. Construction Phasing.
a. C struction sequence
T A L-
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.
A±I P A -ram Sri I SS1AA1 Ce
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
b. Proposed wet season construction activities for environmentally sensitive areas.
7. Financial/Ownership Responsibilities.
a. d ti the property oow near responsible for the initiation of bonds and/or other financial securities.
9
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Iculations on a separate sheet for the following, if applicable.
a. Sediment Ponds/Traps. N/A
b. Diversions. N/A
c. Waterways. IV w r
d. Runoff/Stormwater Detention Cal ulations /V /4
10
stormwater site plan template—rev.10/21/2008
• •
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. F_ ,%,f1Q1
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 template—rev 10/21/2008
11
• •
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 affecte pr erty.
7/7'
(LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
12
stormwater site plan template-rev.10/21/2008
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE I OMB No. 1660-0008
Federal Emergency Management Agency Expires March 31,2012 I
National Flood Insurance Program likportant: Read the instructions on pages
SECTION A-PROPERTY INFORMATION For Insurance Compa- -tJe:
Al. Building Owner's Name Mike Stevens
Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No.
Beckett Point Road across from 960 Company NAIL Number
City Port Townsend State WA ZIP Code 98368-5717
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Tract"A"Beckett Pt.So.Beach,Beckett Pt.Fisherman's Club Assessor's Plat,GL 1,Sec 23,T3ON,R2W,WM.TP#932200801
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Garage Recreational usel
A5. Latitude/Longitude:Lat.48 04 37.8 Long. 122 53 24.1 Horizontal Datum:
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. ❑ NAD 1927 ® NAD 1983
A7. Building Diagram Number 8
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 588 sq ft a) Square footage of attached garage i/fT• sq ft
b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade 11 /
within 1.0 foot above adjacent grade ��c) Total net area of flood openings in A8.b 990 sq in c) Total net area of flood openings in A9.b d) Engineered flood openings? ❑ Yes ® No �_ sq in
d) Engineered flood openings? 0 Yes ,$r No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&CommunityNumber B3.State
B2.County Name
Jefferson Co.530069 I Unincorporated area Se.Werson 0.00 WA
64. u N
Map/Panel mber 65.Suffix B6.FIRM Index B7.FIRM Panel
530069 0135 Nu B 68.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s)( ) AO,use base flood depth)
July 19,1982
ably )a, rag. Al 9.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 NAVD 1988
❑ Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes
Designation Date ❑ CBRS ElOPA ® No
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction*
*A new Elevation Certificate will be required when construction of the building is complete. ® Finished Construction
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized GP16101-2Vertical Datum NAVD 1988
Conversion/Comments NAVD 1988-3.51'=NGVD 1929 7 %!
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor)4.91. ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor 1') /.19 ❑feet
c) Bottom of the lowest horizontal structural member(V Zones only) ❑meters(Puerto Rico only)
d) � ❑feet ID meters(Puerto Rico only)Attached garage(top of slab)
_Wit_ ❑feet El meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building El feet
(Describe type of equipment and location in Comments) ID meters(Puerto Rico only)
f) Lowest adjacent(finished)grade next to building(LAG) 4.30 ®feet
g) Highest adjacent(finished)grade next to building(HAG) 4.80 ❑meters(Puerto Rico only)
®feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including El feet
El structural supportmeters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation J
information. /certify that the information on this Certificate represents my best efforts to interpret the data available. ` . KO B I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �� 0. w`s y SO
,. 4,
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a P cT 'f.
licensed land surveyor? ® Yes
El No 2
Certifier's Name Kent L.Robinson License Number 19583 -o cG
4.
Title Surveyor Company Name Northwestern Territories Inc.(NTI) Cic 19583
Address 717 South Peabody City Port Angeles State WA ZIP Code 98362 �s/O ��'rSTL1t,-1--
'v'AL LAND
Signature ate Sept. 9,2010 Telephone (360)452-8491 r ti
rmrutt I ANT: In these spaces,copy the corresponding information from Section A.
Building Street Address(including Apt.,Unit,Sud/or Bldg.No.)or P.O.Route and Box No. For(nsutar0,ce Company Usa 960 Beckett Point Road
F'olfcy Ntmbet �;.
City Port TownsendState WA ZIP Code 98368-5717
0om06Y NAIL" ►ambit'
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments This certificate is for completed construction of a detached garage located in Tract"A"Common Area across the road from and serving the
existing house on Lots 13/14 of Beckett Point South Beach. Garage is slab on grade and the walls are constructed of treated material above top of stem wall
which is set at elevation 6.03.
li -.
Sig ure
Date 9/9/10
Check here if
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)attachments
WITHOUBFE)ents
For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A, B,
and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters 0 above or❑below the HAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and❑/or 9(se feet ❑e pages 0meters above or 0 below the LAG.
8-9 of Instructions),the next higher
(elevation C2.b in the diagrams)of the building is
E3. Attached garage(top of slab)isEl feet El meters 0 above or 0 below the HAG. floor
0 feet 0 meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated feet EI meters ❑above or❑below the HAG.
in accordance with the commun
ordinance? 0 Yes 0 No IDUnknown. The local official must certify this information in Section G. rty's floodplain management
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City State
Signature ZIP Code
Date Telephone
Comments
SECTION G-COMMUNITY INFORMATION(OPTIONAL) ❑Check here if attachments
fhe local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9.
31. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
32.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
33.>1 The following information(Items G4-G9)is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued
1 . / - • 4j(,a IO�..3 e S//Q. / O I O G6. Date Ce ificate Of Compliance/Occupancy Issued
7. This permit has been issued for:
)41ew Construction ❑Substantial Improvement
8. Elevation of as-built lowest floor(including basement)of the building:
D. BFE or(in Zone AO)depth of flooding at the building site: �� feet ❑meters(PR)Datum
_CA_ .Meet ❑meters(PR)Datum
10. Community's design flood elevation
• 0 feet 0 meters(PR)Datum
ocal Official's Name
C I n S Title
ommunity Nameeem n>n in an
-ttt-- Telephone
ignature 0, _ 3
Date
93 /
)mments aDl t�
CL! LW]
11
n!`hone h.ncs if.fi nhmnnM
• •
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt, Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number
960 Beckett Point Road
City Port Townsend State WA ZIP Code 98368-5717 Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
•
//f/ , 1 1 : ,,
i _
j
x .
5
i -a 4- a' t.- f-
FRONT AND SIDE VIEW
IP
Building Photographs Photo ra ID
Continuation Page
Building Street Address(includingBldg. For Insurance Company Use:
Apt., Unit, Suite, and/or No.)or P.O. Route and Box No.960 Becket Point Road
City Port Townsend State WA ZIP Code 98368-5717 Policy Number
Company NAIL Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View"and"Rear View"; and, if required, "Right Side View"and "Left Side View."
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JEFFERSON COUNTY DCD
i BUILDING PLAN REVIEW
.4_ ia`p n
I s'a'_ i 1-°" g'ef 0 APPROVE
D AS SUBMITTED
if: K 3 a4nER,
TV APPROVED AS NOTED
o REJECTED
Date 5� 18 -10 Reviewer VvAk—
1 F , Le, Tf E_Plans are approved excepting
fq,00 any en 4rs or omissions. All work must
, t
pass Inspection In conformance with
2s• I all applicable codes and regulations.
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Contact the Building Department at
(360) - 379-4450 prior to making changes
Or revisions to the approved pl4ns. 0
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