HomeMy WebLinkAboutBLD2010-00068 FOLDING PERMIT APPLICATIO MLA10-00086
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD10-00068 Received Date: 3/11/2010
SITE ADDRESS: 1220 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: OWNER/BUILDER PHONE:
REPRESENTATIVE: TIMBER IRON ERECTORS PHONE: 360-670-6227
PO BOX 516
CARLSBORG WA 98324
PROJECT DESCRIPTIOt NEW DETACHED GARAGE - UNHTD, NO PLMB
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 8,336.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2006 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: SHORELINE:
GARAGE: 320
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CMY
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
- 11-
Type Amount Paid By: Date: Receipt: A PPFRYV
Permit $167.25 LYK 03/11/10 113998 EL .'
Plan Check $108.71 LYK 03/11/10 113998 jUN 201�
State Building Code $4.50 LYK 03/11/10 113998
Total: $280.46 Jefferson County Planning
& Building Department
Jefferson County Building vision Permit Niter: BLD10-00068
Applicant: CABLE
BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks )---�� r ; Minimum side yard setbacks shall be 5 feet. Minimum setback from
toe of steep bank shall be 15 feet. Minimum setback from Ordinary
S LT ,2 High Water Mark shall be 30 feet.
Erosion Control y'i SEE CONDITIONS 4& 5
Post Holes ,(L %/h
Foundation Footing � Under post footings
Footing Drains I
Underground Plumbing
Ext. Shear Wall Nailing
Framing
Blocking
Drywell/Alt Drainage SEE CONDITION 3
Address Posted fr _
-14( (Inci ft.ta tr)
FINAL INSPECTION g t p
FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
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CONDITIONS for Building Permit# :BLD10-00068
1.) THE ARCHAEOLOGICAL SURVEY AND MONITORING PLAN DATED MAY 12, 2010
PREPARED BY SYLVESTER LAHREN, JR. PH.D. WAS ACCEPTED BY DAHP AND
SKOKOMISH TRIBE. IF THERE IS ADDITIONAL DEVELOPMENT OF THE LOT OR
ANY CHANGES TO THIS PROPOSED GARAGE (EXPANSIONS, REVISIONS,
CHANGE IN LOCATION, ETC) FURTHER REVIEW WILL BE REQURED AND AN
UPDATED ARCHAEOLOGICAL SURVEY WILL BE REQUIRED.
2 ) 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.
3 ) 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.
4.) A SILT FENCE IS REQUIRED TO BE INSTALLED LANDWARD OF THE TOP OF
SHORELINE BANK AND GARAGE PRIOR TO ANY LAND DISTURBING ACTIVITY.
APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT
DOES NOT ENTER DISCOVERY BAY.
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.
5.) CONSTRUCTION ENTRANC.HALL BE STABILIZED WHEREVER TReIC WILL
BE LEAVING A CONSTRUCT SITE AND TRAVELING ON PAVED ROA S 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.
6.) A Geotechnical Report dated December 30, 2009 prepared by NTI was submitted in
conjunction with this application. The report addressed the stability of the geologic hazard
area. A minimumsetback of 15-feet shall be measured perpendicularly from the top or toe
of the geologic hazard to the proposed garage.
7.) 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.
8.) 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.
9.) 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.
10.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
11.) 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.
12.) Maximum lot coverage is not t eed 25%. Lot coverage is defined as art of
impervious surface which inclua s 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.
13.) The building height is not to exceed 35 feet.
14.) Minimum side yard setbacks shall be 5 feet. Minimum setback from toe of steep bank
shall be 15 feet. Minimum setback from Ordinary High Water Mark shall be 30 feet.
15.) 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.
16.) 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.
17.) 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.
18.) 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).
19.) 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.
20.) 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.
21.) Utilities shall be designed as sified in 15.15.080(c) of Jefferson County Damage
Prevention Ordinance 07-0515- (Jefferson County Code Chapter 15.15)w ich 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.
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JEFFERSON COUNTY
W ' DEPARTMENT OF COMMUNITY DEVELOPMENT
'-) efi%
621 Sheridan Street• Port Townsend •Washington 98368
r
�N� k• 360/379-4450 • 360/379-4451 Fax
,j� www.co.jefferson.wa.us/commdevelopment
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Master Permit Application MLA: 0'
Project Description(include separate sheets as necessary):
Y6-20 /:' 7 /ePir .q_,P if-e4Q.izi9E,---igA:ri-ek ii (e7mpair /4 2-4P,-C)
Tax Parcel Number: Cfu(o rl� 2,(pa)1 Property Size: (acres/square feet)
Site tress and/or Directions to Property:` /J.��C1 Jff0� (f
Ad/lPl aWei ,...tkc5 : / /0'•9` /„�•eEi 79s OG. )7(� .<iq'
Property Owner(s)of Record: /1Qn5 /Ot j77 F3 Di h{in c C/4 Cc) Sct igin y er—5..e vr/. d
Telephone: _ A Fax: email: — -4 •CU1n
Mailing Address: e1L� �2.a1 cArif ,vi e r+7u 1)S P/�Y 1 /4Jl '5 ,3Applicant/Agent(if different from owner): /<,c- At /-i ce, ek
//8/- S?�`0 tTelephone: �� �b � Fax.�,�c�G c�/" �?Z/ email: 'rue,r�/��/� 7'�iyi�,��CG)YI
Mailing Address: /95 720)/ ✓J Ctk1S. 2/�i mtiidr) 4/� (7 0 `
What kind of Permit?(Check each box that applies 0 Lot or Road Segregation
❑Building 0 Critical Areas Stewardship Plan
1 ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family f51 Garage Attache Detached 0 Conditional Use[C(a), C(d),or C]**
❑ Manufactured Home 0 Modular • - 0 Discretionary"D"or Unnamed Use Classification
O Commercial* 0 Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
0 Address 0 Road Approach ❑Short Plat**
❑ Home Business 0 Cottage Industry 0 Binding Site Plan''*
❑ Propane 0 Long Plat**
❑Sign - • 0 Planned Rural Residential Development(PRRD)/Amendments** .
❑Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
❑Temporary Use 0 Shoreline Management Variance
❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium 0 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:
/Vow ferkCwh
..r ( r DESIGNATION OF AGENT
I hereby designate k-A-ewk " t_ to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE ( ll { ____ C-- __ Date: //`{/I
By signing this applicatiQnierfn,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 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 applica' at or he ,, nls prior notice.
Signature: -L Date: /;�t , .)f, `
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 MESA."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-transf� r e siy fpf a erng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: ( e= Date: //
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1
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 a in.the r o e nsibil• of the General Contractor for the proposed proje
Signature: Mo.
w. t �"' Date: (7`/\
_SIV
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
I n L.e' (— teil/ previe44- it ft ( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL .
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New ,P Wood Existing: ❑ Sewer /
❑ Addition El Steel Proposed: Bank ❑ Community System N A
Total: a—w Hei ht: ❑ Individual System
❑ Alteration/Remodel ❑ Concrete ` I y
❑ Repair ❑ Masonry SEP Permit# '
CI Demolition 0 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well ❑ Two Party
TypeHeat: Proposed: wit ClPublic JC/)}g
oile Total: —'r---- L7 / Na,rre_ofyste
If this is a Commercial Project you must answer the following: c
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: /
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove i Cook Stove 1 Woodstove i Fireplace Insert i Hot Water Tank 1 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.
. �
Square Footage Current Proposed � ce , a , _g ,I . ,� i!,?. a o, fit. , _ -tfi :
Main Floor Heated EH BId App Review: ,-7 2
2- nd Floor Heated • • Consistency Review: `,>'
Other Heated Base fee:
M- ezzanine t A q
Plan Check fee:`Heated Basement l bX '7 1
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
; D( _ 46
Decks : 911/Rd Approach fee:
Other - TOTAL: $ 1065 (c
Receipt Number: 1 \3CICIS
Cash/Check Number:
1 t) `-1
—ESTIMATED COST(REQUIRED) Date: �r U
.Fair market value of all labor and materials foundation to finish
Initials:
Sto,Water , s a
APPROVED
Requir PLAN
77" SON c i fr I VI,rJEFFERSON COUNTYMAY 2 7 2010
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DEPARTMENT OF COMMUNITY DEVELOPMENT
•
621 Sheridan Street • Port Townsend •Washington
as ington 98368 JEFFER ICO'qsO� 360/379-4450 . 360/379-4451 FaxDEPT.OFC YD:�PMEN
$INOhttp://www.co.jefferson.wa.us/commdevelopment/ SIGNATUR'• ���1l /
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 10—a(c) PROJECT/APPLICANT NAME: R/jA4,,d t C`t7-Q}- h e,,_462
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. n
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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. t' «'�� �'
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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,-t and indicate creage of each_ / �/
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6. Describe any excess levels of noise generated by the pro osed use or activity:
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stormwater site plan template—rev 10/21/2008 5
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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.
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8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas
(streams,wetlands, Takes,steep slo es,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. Locat these facilities on the site plan and differentiate proposed facilities from existing facilities.
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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"pro ects or protects that involve the potential for dispersion of contami ants.] .
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it Describe the performance goals and standards ap licable to the project
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12. Describe the flow c ntrol ystem._
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stormwater site plan template—rev.10/21/2008 6
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13. Describe the water quality system).
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14. Describe the conveyance system a alysis and dess/ign. / /
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15. Describe the source of fill material, physical characteristics of fill material,and deposition of xc ss material.
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16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code. /
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17. Describe the roposed surfacin material
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18. Describe 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 onl and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals
here.
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
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./ /
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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. Mark Clearing Limits.
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2. Establish Construction Accet s.
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3. Control Flow Rates.
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4. Install Sediment Controls. /f /
I nS4 )( ny,ri4 rt7`J -e{ ei`"/�r i eYl �� _ �yr� 6Jli%� L �](C1 tJor�� /1S7dcji 7�
5. Stabilize Soils.
d ldT)C I2—CP6 ,
6. Pr tot Slopes.
7. Protect Drain Inlets. _/
sTAPA^A Gr` no cii'Nci r t, I!1/z. 5 �i��c ?�PYl/ / clj r /�►�0..
stormwater site plan template—rev.10/21/2008 8
•
• •
12 Required Elements-Construction SWPPP(continued)
8. Stabilize Channels and Outlets.
RIt4-
9. Control Pollutants. I _ /�
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10. Control De-Watering (the act of pumping groundwater/or sto water away from an active constr tion site).
Sly /44 G11)e4 ex 11.1y wa C:G e; fc' ue,eCelleh
11. Maintain Best Management Practices (BMPs) - 1 .L
12. Manage the Project.
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'San .
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas, roads).
C(el�Ps r c� (�, la�C t2 c2�(i L5)h e) y,Lt 2 4 ►.S l c�ccl� zn 1.
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1 a boots.
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yard [ /I ' G n / n l /�
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3. Environmentally Sensitive Areas.
a. Description of enviiRinmentally sensitive areas tt}at are 9.or adj3Fent to the site
0 .(c1te rn/k( 14 ON AO AI 061- 5)cCC /e e1ulO pnr-e.- / /9a1/Ye7/
stormwater site plan template—rev.10/21/2008 9
• •
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.g.,er dibility,settleability, permeability,depth,to ure oil structure).
sife is bevel1a( M iJ�o )oa -' .
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5. Construction Phasing.
a. Construction sequenc �( .
6)k Q/9) 0G7) 5 7etd�1))f fre:6 ., i nsuki7ch1 �Q4c a C47
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 nstructio schedule. /� , l
S 1 o / it a (64. 09), Atyro t f'y re,e 461 (O tc
b)-1vgc '( v o-T
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
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b. Proposed wet season construction activities for environmentally sensitive areas.
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7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiati n of bonds and/or other financial securities.
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
imp ts.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable.
a. Sediment Pondsflraps.
b. Diversions.
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stormwater site plan template—rev.10/21/2008 10
• •
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 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 affected property.
,o) 9
(LAN NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
stormwater site plan template—rev.10/21/2008 12
U.S.DEPARTMENT OF HOMELAND SECURITY *ELEVATION CERTIFICATE • OMB Flo. 1660-0008
Federal Emergency Management Agency Expires March 31,2012
National Food Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Glenda Cable Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company!NAIC Number'
Adjacent to 1220 Beckett Point Road
City Port Townsend State WA ZIP Code 98368-5717 J U L 1 5 2010
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Tract"B"Beckett Point So.Beach,Beckett Pt.Fisherman's Club Assessor's Plat,Gov.Lot 2,Sec 24,T3ON,R2W,WM.#932200801
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Detached Garage-recreational use
A5. Latitude/Longitude:Lat.48 04 39.4 Long. 122 53 02.1 Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
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) u/Pc sq ft a) Square footage of attached garage 1 I 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 NIA within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b n//L#• sq in c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? 0 Yes ❑ NoN/pt rT d) Engineered flood openings? ❑ Yes ❑ No N/A
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
Jefferson Co.530069 Unincorporated area WA
B4.Map/Panel Number B5.Suffix 86.FIRM Index B7.FIRM Panel 88.Flood B9. Base Flood Elevation(s)(Zone
530069 0135 B Date Effective/Revised Date Zone(s) AO,use base flood depth)
July 19, 1982 Al 9.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes N No
Designation Date ❑ CBRS ❑ OPA
SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
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
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor)15.09 N feet ❑meters(Puerto Rico only)
b) Top of the next higher floor ❑feet ❑ meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) AI
❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) ❑feet ❑ meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 13.8 N feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 15.3 N feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including �II ❑feet ❑meters(Puerto Rico only)
structural support I'j
SECTION D-SURVEYOR, ENGINEER, R ARCHITECT CERTIFICATION it " �>s,•3
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation $ sA
information. /certify that the information on this Certificate represents my best efforts to interpret the data available. O 0 w �..iP>
I understand that Ait-- false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. p
r
® Check h r�__, mments are provided on back of form. Were latitude and longitude in Section A provided by a ♦ 'iit o�A \
/'� licensed land surveyor? ® Yes ❑ No ir.11.l / t
Certifier' '4a e Thomas D. Roorda License Number 36825
Title Surveyor Company Name Northwestern Territories Inc. (NTI) 6+-`f�g32s50 .
Address 717 South Peabody City Port Angeles State WA ZIP Code 98362 5dt LA'gD
'i EXPIRESs
Signature Date July 14,2010 Telephone (360)452-8491 ki.2_„.y.o...w...�....�,... 0,;'
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the c ponding information from Section A. • For Insurance Company Use:
Building Street Address(including Apt.,Unit,Suite, or Bldg.No.)or P.O. Route and Box No. Policy Number
1220 Beckett Point Road
City Port TownsendState WA ZIP Code 98368-5717 Company NAIC Number
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 a detached garage located in Tract"B"Common Area adjacent to and serving the existing recreational house on Lot 1A of
Beckett Point So th Beach.Garage will be 332 sq.ft.slab on grade.
JUL 152010
Signat r Date 7/14/10
❑ Check here if attachments
SECTIONON E BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AOI nfi-*w
ithout 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 It s 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 . 0 feet 0 meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is . ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet 0 meters 0 above or ❑below the HAG.
E3. Attached garage(top of slab)is . ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is . ❑feet ❑meters ❑above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property ow r 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 phlt ere. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner' or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date 10/02/09 Telephone
Comments
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION (OPTIONAL)
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. 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. ❑ 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. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes.
G4. Permit Numbe G5. Date P rmi Issued G6. Date Certificate pf Compliance/Occupancy Issued
ML 10-Sv/ab10-(08 6Il / 2oiCO slapio
37. This permit has been issued for: 'New Construction ❑ Substantial Improvement
38. Elevation of as-built lowest floor(including basement)of the building: IS .0q vi feet ❑meters(PR)Datum
39. BFE or(in Zone AO)depth of flooding at the building site: . 00 (iii feet ❑meters(PR)Datum
310.Community's design flood elevation . ❑feet ❑meters(PR)Datum
Local Official's Name A.� SCA C.F Title D12F.C-TL'YL O= C DAAnk -SV
Community Name % $ ( ' Telephone
3'0 -371 - 13
Signature � 1•i4 Date
Comments l
❑Check here if attachments
:EMA Form 81-31, Mar 09 Replaces all previous edition:
0 •
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
Beckett Point Road east of 1220
City Port Townsend State WA ZIP Code 98368-5717 Company NAIL 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.
'1t
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yo, 47.Teas nssrn v Li?: i-t .rm.:r a },x ,� s `d {' I o-t�
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L
. N� 1 ��Q �r i °b�'S` iM` a r ..IC. reQ � .tx., .rd...;-.4' ; ,' -:4i� w - "
FRONT AND SIDE VIEW LOOKING EAST
JUL 152010
•
• Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address(including Apt, Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number
Becket Point Road east of 1220
City Port Townsend State WA ZIP Code 98368-5717 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."
-.:,,,,tit �e 34' -.. ''. of :. i. i r`�
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REAR VIEW EAST SIDE
OF GARAGE
JUL 152010
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