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BLD2010-00075
AtILDING PERMIT APPLICATIJ MLA 92 Review ew T Typype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00075 Received Date: 3/16/2010 SITE ADDRESS: 1160 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: TUFF SHED INC PHONE: 425-251-8833 17500 W VALLEY HWY STE 100 TUKWILA WA 98188-5500 Contractor's License TUFFSI8038RZ Expires 7/2/2011 REPRESENTATIVE: KARL ERICKSON PHONE: 206-852-7519 14003 INTERLAKE AVE N SEATTLE WA 98133 PROJECT DESCRIPTION NEW DEATCHED GARAGE - UNHTD, NO PLB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 24,000.00 ADD'L: HEAT TYPE: UH CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 520 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: Totals—d — �. Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $377.25 LYK 03/16/10 114018 APPROVED Plan Check $245.21 LYK 03/16/10 114018 State Building Code $4.50 LYK 03/16/10 114018 JUN t 2010 Total: $626.96 Jefferson County Planning &Building Department 1 Jefferson County Building 0sion Permit NuOr: BLD10-00075 Applicant: ERICKSON BUILDING PERMIT INSPECTION APPROVALS Npplicable 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 Minimum setback for the garage to Beckett Point right-of-way shall be three-(3) feet. Minimum side yard setbacks shall be five feet. Setback from the garage to the edge of the wetland is shown as 10 feet. Erosion Control SEE CONDITIONS 4& 5 Post Holes Foundation Footing r Footing Drains Foundation Stem Wall .. Cyr ce r 169 Underground Plumbing Straps(hold downs) Ext. Shear Wall Nailing � , Rough-in Plumbing Framing Blocking Wallboard Nailing Drywell/Alt Drainage SEE CONDITION 3 Address Posted Miscellaneous Flood Vents • ( xyvk < -1 r',1 ( .> FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR CONDITIONS for Building Permit# :BLD 10-00075 • 1.) THE ARCHAEOLOGICAL SURVEY AND MONITORING PLAN DATED MAY 19, 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 WETLAND BANK BETWEEN THE 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. 5.) CONSTRUCTION ENTRANCE1RALL BE STABILIZED WHEREVER TRA WILL BE LEAVING A CONSTRUCTIO ITE AND TRAVELING ON PAVED ROA 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.) Applicant should be aware that the public right-of-way is reserved for transportation facilities and appurtenances including, but not limited to, the road surface, shoulders, drainage ditches, or pipes, walking paths, or sidewalks, cut and fill slopes, and franchised utilities (power, water, phone, sewer, etc). Under no circumstances shall any development be allowed on the public right-of-way or interfere with maintenance of transportation facilities, drainage facilities, or utilities. The County is not responsible for preventing runoff from the right-of-way from entering adjoining property. Development of adjoining properties shall not be cause for the County to undertake roadway improvements to alter drainage patterns. The property owner shall accommodate drainage and runoff as part of the development. 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.) The road approach permit (RAP 0028) must be inspected and finaled by t efferson County Department of Public We s prior to the final inspection/certificate of o upancy of this residence. Contact Terry Duff, Department of Public Works at 360-385-9159 for the final road approach inspection. 12.) 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. 13.) The building height is not to exceed 35 feet. 14.) Minimum setback for the garage to Beckett Point right-of-way shall be three (3) feet. Minimum side yard setbacks shall be five feet. Site plan depicts a 10 foot setback from the garage to the edge of the wetland. 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 sp3d in 15.15.080(c) of Jefferson County Fk Oamage Prevention Ordinance 07-0515- o (Jefferson County Code Chapter 15.15)whicn 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. n 20'-O" ) 2r-Orr 12rv" • 6'-O" • HDU2 wz--- r HDU2 12'-0' '-0" HDU2 S-0"x 6'-8" 000a o ih -IDU2 "HOLDOWNS SHALL BE RE-TIGHTENED JUST PRIOR TO COVERING THE WALL FRAMING."2315.5.6* 2X4 WALL FRAMING STUDS @ 16"OC HDU2 HDU2 FLOOR PLAN 411 • 'iw,, ON COS JEFFERSON COUNTY '� ' A DEPARTMENT OF COMMUNITY DEVELOPMENT 'w ` '4 621 Sheridan Street• Port Townsend •Washington 98368 �, 360/379-4450 • 360/379-4451 Fax wvvw.co.jefferson.wa.us/commdevelopment &ZNG Master Permit Application ;, 6 ` '' MLA: ! `I Project Description(include separate sheets as necessary): ERtCY.SoK1 &ra(z.R /-. - l iali<i / Kt' t in )13 Tax Parcel Number: 9 3 2 2.00%O1/C 32& jT 17 Property Size: (acres/square feet) Site Address and/or Directions to Property: QVoR-c'u. s \DE- Or 13E.CX�1-'t t�T . R“J. , f\C'RaSS C 2dM t 0 3t=c.&-rT - --T . '- - Property Owner(s)of Record: 3E.c.Y.ETr ?o‘,,3 i C: t51AEt.ynn14,0$ c�.L3 t3 Telephone: _3/Al - 355--b.4-a R- Fax: / email: pac 3�(act�i le Sf�Qe(.cowl._ Mailing Address: Po /IQ S 7 Pt,r•7 I Duln�e..-4,Ccl A• 98 3 69 (Cc(a le s Applicant/Agent different from owner): PeedC� (if ) KR RL ��R�c.KSo rJ Telephone: 2o(o-$ 5�- S 101 Fax: email:Xke c cicksh ( cmp,\\.cowl Mailing Address: 14603 1iw.iTeQ..-A t:� ACE - N • SEAz-T L..f. k.aA gciSS33 What kind of Permit?(Check each box that applies 0 Lot or Road Segregation 1.Yeuilding 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family CWGarage Attached Letache) 0 Conditional Use[C(a), C(d),or C]** ❑ Manufactured Home .0 Modular 0 Discretionary"D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane 0 Long Plat** 0 Sign . 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** 0 Stormwater Management 0 Shoreline Master Program ExemptioNPermit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 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 0 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 K A rL'-. Et.'CKS c 3 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE mot" SL Date: /c13VD q 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli fn that he or shewants priorof Signature: / e Date: / 3/ D 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-trans a able rsibility tor adhering to nd complying with the ESA. The Applicant has read this disclaimer a signs and dates it below. Signature: �1 p r ILLL,Lr� Date: /�3/70 7 • • 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 tpF responsibility of the General Contractor for the proposed project. Signature: � f :,(--,---Q^-___--` Date: /I/o:// r% i GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 7-1.‘Fr- 5Th b (o(A.) ��.boorKt\<c_, 4A-Ir s (1425")ac ( -5 3? ( L) MAILING ADDRESS: 14 5(-gib u - V �4 t_�.€y 141 v it,k,I MAIL: a b c''ct r,c,.�` i k. -1 `-3(xe J ,Luvt1 CONTRACTORS LICENSE C.A. w 1 L.ih w A- COS t Sq WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: �f-c �1,1 S , 4,4 s 1 i H.? PHONE (304) tiro._060 FAX:(3(y) ri(69 _ C3 kci MAILING ADDRESS: t,t C vs;„f-yr w e.. 7 t�Wh st,L.i:„k is,y(W� EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: 'LNew ter—Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual Systt�e� O Repair 0 Masonry SEP Permit# (. , n ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party. Type of Heat: Proposed: -0— 0 Public . Un ht6_ Total: Name of S r�tem: 13 V(mom 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 apply: i Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove i Cook Stove 1 Woodstove 1 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 For Office Use Only "- " 'fit , revision 4 , Main Floor Heated EH Bid App Review: 13 r 2"e Floor Heated Consistency Review: 13 Other Heated Base fee: 7 rz' Mezzanine k.mp 01 ( - Heated Basement Plan Check fee: 2<-15-1 - Unheated Basement State Surcharge fee: Other Unheated iJ(q\,j� o �1 p L f Garage/Carport 5 b SUBTOTAL mil' 3.940 n T Decks _713 Other TOTAL: $ 000 Receipt Number: 1 I`-Ed! ' ' Cash/Check Number: G,22-- ESTIMATED (& ED) Date: •Fair et value of all labor and ma als foundation to finish `�_5- , _ ODU Initials: tit a le • • APPROVED rmWat-r _ , STORMWATER PLAN stoRequir O *`' N c°� JEFFERSON COUNTY MAY 2 2010 DEPARTMENT OF COMMUNITY DEVELOPMENT JEFFERS• IUN 621 Sheridan Street • Port Townsend •Washington 98368 DEFT.OF .. III .'i f�� 9 SIGhATUR. �����..,�/ , , S �O 360/379-4450 • 360/379-4451 Fax IY7N0 http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# t(D ' _ PROJECT/APPLICANT NAME: f_rt X c)10, G-c' t' -c_ 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. To C.D,N3 c T ,10 X c.2k,• (7-0 a (r.'. 0 EN_ Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. TC P c;CALA c i 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. & SS 4. Describe the existing soils. Indicate soil type on the site map. 5P%(01) 12cbc. 0cF-S. Lt 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. 1/433 Ft-T E_V— E tv"El_V... QC— s F R tuT Aft. AS �►J `��f►� f3F SST£_ SMCALL_ >`T t_ai{41�5 f &P . LSc£ s c t Mit t 6. Describe any excess levels of noise generated by the proposed use or activity: c sv•.•-) & p,t t 3O'S- D.k.e cc*S V- 1 tlt2010 stormwater site plan template—rev.10/21/2008 5 . 1 4 'L • • i7. describe-significant geogr ` hic feat(res and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the site. Indicate location on the site map. R.£.i{ Coco 5:DO of S1Tt 1 4l7 ] ) t. a _�. ILL 1tNl1u*.-"tot 2..f.SS‘cis 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.). 'To Sc1,.1W 4L S Ktt' Pe)tO 1-691-D V7 Et C Sc1\1t C..fc& ) -01Ccov1“--"1 S Y-k5C,rv6- 64)1 ett_ T cc S(Tt . to,;M£,P.t7i�� c A(31 w S c,3 d ram of I✓T t-itst A)ES t(3-n) R T 1 b R(Zc fl o,Q 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 these facilities on the site plan and differentiate proposed facilities from existing facilities. S:0 :,..AT tz.a.kts3 tic S P r_t_c 0) Z1 G-10... c*.(L f ZA N SPL+\s%k %Lcc*L mezTv}ii\STES-4J (-& jEtLCe \ L 1 F1v.j4ky FC..c, TLAti� TC.,"�►�-'4 �E,A(� �X�ST��;Ic- 6-AfLi�lc-E, czv CASs s: 17E 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.] IJ aTNI� V b 11. Describe the performance goals and standards applicable to the project. 1z€. iA.3T£.N.' TQ 11 k) _ t_ S tw1A311MAtL-'1 S -?oSS N 12. Describe the flow control system. WE- ALIA t a1ta- FLew, S + (1't R tv D L v L . +n.y it To �Av Fu.v `p"�S F'tg-s x(3 N) of Stu tLwk Ail' v, r stormwater site plan template-rev.10/21/2008 6 • • 13. Describe the water quality system. t�3 tkkL1) -)e-1 pt4b ►.s L s'tka tin 06.1 i M b..t vJ(3- f• STh2vk& -A T€;_ 14. Describe the conveyance system analysis and design. 0S O N-43 'DC PC3 AT \\ co t S t T. 0 t'J o E1Lt STD VV Pt kV C AREA • 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. $vT£ tc LcAJEL 0,N) —0 i..CflS °Li-) C -St 'CS,. �1L.Lr cc V.C. totx eG b%eye 5,R N®, PNb 5-tk..u.ib F., ir1,ro mAL CtF Aa)%4 6..xc_t_4S Se, \L C.E.-Anc vvcz,4.3(.1— E`�crty 7n Tc�t12-,1.36— go%A.N-DA-cle+U , 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Nro NN cc) "Kcs B€_ Te.it E2b C t.z - c 51LINt�, C c P.A C T i_b 'c e Cam-0 . 17. Describe the proposed surfacing material. C. LIVZ. ci L Fua bAttoQb Or C:-fN2 E- ) 1-0-1 STC141 U)ft T Htis ,k ? \-1 II ;DL . Ftoob G( 5S nP£N, 3(rS t n3 S"revm. `.IJyirIi 18. Describe methods for restoration of the site. g-e°t� NS E20 ST t ts- 4_ S l.. z LL R tu:0 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. rik 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. Pt rL Gki-ea t—O 6-A S -4.R'Rio tkL._. (! - S i t£. A L'AL \$�> 1 11(� Lv 10 stormwater site plan template-rev.10/21/2008 7 . • ' CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. W'c- AP..£. NcT c_LEAe # 6— 2. Establish Construction Access. 3. Control Flow Rates. 4. Install Sediment Controls. • 5. Stabilize Soils. 6. Protect Slopes. \cv LTV£L - ��c �- 5 t-{ 04 ;fV >iN* \Ti. fle. % :.w�\S;N 7. Protect Drain Inlets. stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. No L�tS1• )C- c} tJ c ©(L Ovr 1- 9. Control Pollutants. NC >e-t-t- Ati T S P£C.Tfr� 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). N, 11. Maintain Best Management Practices (BMPs). 12. Manage the Project. (..1(--F!dLL 7 t,D'F Ct-ikm Q 4 L. 6-17--S i`i t LL_ tS t- P Q�S� J T AT .ALL t wW£ y.;SZrc:v.t-r k t 3 T L £NS��E. E. Fc2c>`wtEv.1T of-' RLt I SE'C__LVS C 71--\ S -til‘tJ . 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). L_R 0 :5 L V'L A t' PV b D A t) Pte-1_ iS -0\ AV-) F .cis rt.V ,tIQ6- c<C�� , RN J W T Lik SL �tv-t- PR�AS S‘c1tOLLL ) K.OT at.. . (p Lc1.,i t'4t14 b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). r .N IQ)C )O kd,3 NI 5 f Vsoi•\. (ZA\N A C-C . 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. Oct�� � .�� Cam.., � S Z'33?Lcit) ) .to©cz-T,-k CX (�aiLD�NG- 5 tT� 1 E 2010 stormwater site plan template—rev.10/21/2008 9 • b. Description of special requirements for working in or near environmentally sensitive areas. Nc 5'1'tt1RL iv 1 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). �urnif. Ca--f-4.4 .ty , t %J' VE.V C= 5. Construction Phasing. a. Construction sequence 1 1�1101 TO 2k_t f4(LC__ A i) ?cv,tL co upAT�cc.) GA(LAC-f- b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. Scott c i7ATEs i PLA1••;t`+L> ' ::L S 2 tJ1- 1uiO II. Wet Season Construction Activities. a. Proposed wet season construction activities. pv‘A_ a b TA O 1v` , iZ T (;- 2c c-E b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. B Ec Ks TT Vic. C r S\.kf tk'iYS LL.1A.12) b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. �� a. Sediment Ponds/Traps. 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 monitonng,water quality on the construction site. Sampling stations should be located upstream and downstream of the ptdji*t site3 LO IU 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. 1JR (F.4- 5ft /��>tSrftL r /�D f (, (LANDOWNER OR AUTH RI3ED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 (n-11 U-'1 L U.S.DEPARTMENT OF HOMELAND SECURIl ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION ' For Insurance Company Use: Al. Building Owner's Name Carl Erickson Policy Number'" A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1160 Beckett Point Road City Port Townsend State WA ZIP Code 98368-5717 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Tr."A"Beckett Pt.So.Beach,Beckett Point Fisherman's Club Assessor's Plat,Gov. Lot 1,Sec 23,T3ON,R2W,WM.TP#932200801 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Detached Garagel A5. Latitude/Longitude:Lat.48 04 41.0 Long. 122 53 08.0 Horizontal Datum: El 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) 536 sq ft a) Square footage of attached garage Ida sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the atta -d garage enclosure(s)within 1.0 foot above adjacent grade 6 within 1.0 foot above adjacent grade ii c) Total net area of flood openings in A8.b 540 sq in c) Total net area of flood openings in A9.b f: sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ID Yes 0 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name 63.State Jefferson Co.530069 Unincorporated area WA B4.Map/Panel Number B5.Suffix 66.FIRM Index 67.FIRM Panel 68. Flood 69. Base Flood Elevation(s)(Zone 530069 0135 B Date Effective/Revised Date Zone(s) AO,use base flood depth) July 19, 1982 Zu ly I elf 1 qua Al 9.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base florid depth entered in Item B9. ❑ FIS Profile 0 FIRM El Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item 69: ® 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 ® No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' El Building Under Construction* ® 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 f ' 8 ��i`� Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.50 ®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) ❑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 fj- ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6.50 ®feet -❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.50^�r ®feet ❑meters(Puerto Rico only) \I h) Lowest adjacent grade at lowest elevation of deck or stairs,including (A ❑feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION .dr"""""""^"' " ,, This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation / L, ' al, information. /certify that the information on this Certificate represents my best efforts to interpret the data available. w,s til understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. (4\ s,(1 yhMc ;0. a ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ' licensed land surveyor? ® Yes ❑ No Certifier's Name Kent L.Robinson License Number 19583 , O Title Surveyor Company Name Northwestern Territories Inc. (NTI) ,. tJJ, RF , J� /STL'R � SfO G Address 717 South Peabody ity Port Angeles State WA ZIP Code 98362 `VAL LA �'; `r Signature 8/17/10 Telephone (360)452-8491 `'r% ,r' IMPORTANT: In these spaces,copy th rresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Sand/or Bldg.No.)or P.O.Route and Box No. Policy Number Beckett Point Road across from 1160 City Port TownsendState WA ZIP Code 98368-5717 Compahy Nm°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 finished construction of a detached garage located in Tract"A"Common Area across the road from and serving the existing house on Lot 12 of Beckett Point South Beach.The elevation on top of the foundation stem wall is 7.50.The wall above this elevation is constructed of treated material. J r. Sign ure Date 8/17/10 0 Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-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 . ❑feet 0 meters ❑above or 0 below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or 0 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 0 feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is . 0 feet 0 meters ❑above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . 0 feet ❑meters 0 above or 0 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 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,8,and E am correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code 7 Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The 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. G1. 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.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Iss ed G6. Date Certjf to Of Cp pli nce/Occupancy Issued rtur�to-Qa /�(,pt0-7s (0// //D 2' 67 CJ G7. This permit has been issued for: 'New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: (p . 6" xleet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 9 . 0 %feet ❑meters(PR)Datum G10.Community's design flood elevation . ❑feet ❑meters(PR)Datum Local Official's Name LJ __ t e ' IDS l/tns Title Community Name J f [ `j Telephone ni ar,h i n� IfCtnur eortgnvn i'4y DP_v, e � 7n 36p -379'- 4/VS 0 Signature �� u Date Sl ZJ ?A( o Comments �I n r,i,e,.i,Inc,.if effnrl.mnnfc • • 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 across from 1160 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. 3. y ' . ' ''''':;.4..,*.v 4'l' - '..=';‘ W.-4*-„, -,-•„Itr,o.,te.t.-7',."0, ;:-,-ki,. , . , -011111 • Pl'j• • �- r_;.. t `+ ,At TM R,y, s;!�+�'a a ,+sr "dye- ' ° " } .tp • `..;� �wF i� ,'� ;-g�� Y46Hk { ,. Y -x . • • FRONT VIEW • Building Photograph 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 across from 1160 City Port Townsend State WA ZIP Code 98368-5717 Company NAJCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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