Loading...
HomeMy WebLinkAboutBLD2010-00156 .s • CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD10-00156 SITE ADDRESS: 294 OSPREY LN Issue Date: 08/30/2010 BRINNON, 98320 Final Date: 11/16/2011 APPLICANT: KENT J ROSEMA PHONE: (425) 576-1305 JANICE WAIBEL ROSEMA 6039 111TH PL NE KIRKLAND WA 98033-7201 SUBDIVISION: PULALI POINT PARTNERS LARGE LO Block: Lot: 5+ PARCEL NUMBER: 601195005 Section: 19 Township: 26 N Range: 01 W PROJECT DESCRIPTION: NSFR W A/G 250 GAL PROP TANK in conjunction with a Shoreline Exemption Permit (SDP10-00065) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON11/16/2011 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Di sion Permit Num!! BLD10-00156 Applicant: ROSEMA 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 i'_'- /�/ Minimum setback from Osprey Lane right-of-way shall be 20 feet. ( U c,‘ r 1 c1 Minimum side yard setbacks shall be 5 feet. Minimum setback from Building Setback Line shall be 50 feet per recorded plat. Erosion Control SEE CONDITIONS 3 &4 Foundation Footing j i` / /Ct i Footing Drains j! _q *I c Foundation Stem Wall 1(1/—/7, ( 1 1 Underground Plumbing l l Under Floor Framing Straps(hold downs) Ext.Shear Wall Nailing -,_25�t( F Rough-in Plumbing 4 ,`t -FQ Framing ,t, .�GrG` r- Blocking Airseal Insulation:Walls �I Insulation: Floors Insulation:Ceiling Int. Shear Wall Nailing k".1frA Wallboard Nailing Gas Line: Interior "t., 2 1( F( Gas Line: Exterior �� Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 2 Address Posted 1 j, 6 `( ;C7 FINAL INSPECTION f(, (�. / 4 (?r I) FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 •BUILDING PERMIT APPLICOION ML Review Ty Ty 183 pe: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00156 Received Date: 5/17/2010 SITE ADDRESS: 294 OSPREY LN BRINNON, 98320 OWNER: KENT J ROSEMA PHONE: (425) 576-1305 JANICE WAIBEL ROSEMA 6039 111TH PL NE KIRKLAND WA 980337201 PULALI POINT PARTNERS LARGE LO SUBDIVISION: Block: Lot: 5+ PARCEL NUMBER: 601195005 Section: 19 Township: 26 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI NSFR W A/G 250 GAL PROP TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,362 VALUATION 350,000.00 ADD'L: 941 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: 1,239 #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 555 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: OTHER BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 3 Total: 3 ` Rout'np 11Date: - Type Amount Paid By: Date: Receipt: Approved/Date OVED Permit $2,393.75 LYK 05/17/10 117699 APPR Plan Check $1,555.94 LYK 05/17/10 117699 State Building Code $4.50 LYK 05/17/10 117699 AUG ?a) 2010 Total: $3,954.19 Jefferson County Planning & Building Department • • CONDITIONS for Building Permit# :BLD10-00156 1.) The proposed water sewer line crossing must be constructed as stated on the revised plot plan date stamped 8/2/10. If condition prevent, then contact a septic system designer, a waiver may be required. 2.) 2005 DOE STORMWATER MANUAL DRYWELL DESIGN CRITERIA ALL INFILTRATION SYSTEMS SHOULD BE AT LEAST 10 FEET FROM ANY STRUCTURE, PROPERTY LINE, OR SENSITIVE AREA. FOR SITE WITH SEPTIC SYSTEMS, INFILTRATION SYSTEMS MUST BE DOWNGRADIENT OF THE DRAINFIELD UNLESS THE SITE TOPOGRAPHY CLEARLY PROHIBITS SUBSURFACE FLOWS FROM INTERSECTING THE DRAINFIELD. DRYWELL BOTTOMS MUST BE A MINIMUM OF 1 FOOT ABOVE SEASONAL HIGH GROUNDWATER LEVEL OR IMPERMEABLE SOIL LAYERS. EACH DRYWELL MAY SERVE UP TO 1000 SQUARE FEET OF IMPERVIOUS SURFACE FOR EITHER MEDIUM SANDS OR COURSE SANDS. TYPICALLY DRYWELLS ARE 48 INCHES IN DIAMETER (MINIMUM)AND HAVE A DEPTH OF 5 FEET (4 FEET OF GRAVEL AND 1 FOOT OF SUITABLE COVER MATERIAL). FILTER FABRIC (GEOTEXTILE) MUST BE PLACED ON TOP OF THE DRAIN ROCK AND ON TRENCH OR DRYWELL SIDES PRIOR TO BACKFILLING. SPACING BETWEEN DRYWELLS MUST BE A MINIMUM OF 4 FEET. 3.) CONSTRUCTION ENTRANCES SHALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM 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. 4.) A SILT FENCE SHALL BE INST D AS CLOSE AS PRACTICABLE TO T PROPOSED SFR IN ORDER TO SURE THAT SILT DOES NOT FLOW TO ARDS THE SHORELINE BANK PRIOR TO ANY LAND DISTURBING ACTIVITY. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES NOT TRAVEL OVER THE BANK. 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.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 6.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 7.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 8.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 9.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). • • 10.) The area encompassed by the plat of Pulali Point may contain Native American archaeological resources. In the event that archaeological resources are encountered on the site in the course of development activities, the relevant lot owners and contractors shall immediately cease work and notify the Jefferson County Planning Department, the Department of Archaeology and Historic Preservation, and the Skokomish Tribe. Work shall not be started again until the site has been examined by a professional archaeologist and appropriate measures are taken to avoid impacts to archaeological resources. 11.) 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. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) 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. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 15.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 16.) The building height is not to exceed 35 feet. 17.) Minimum setback from Osprey Lane right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from Building Setback Line shall be 50 feet per recorded plat. 18.) 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. 19.) 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. 20.) 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. 21.) Maintaining ground cover will help reduce erosion from surface runoff. Any bare areas that develop should be revegetated. Native low growing vegetation that requires little or no irrigation would be the most beneficial 22.) Tree limbs, lawn clippings, etc. shoTild not be thrown over the shoreline bank beuse these piles have a tendency to damage/kill the underlying vegetation which in turn increases the erosion potential of the bluff soils. These piles also add unnecessary weight to the bluff soils, especially when saturated with water. • . ����50N c0c JEFFERSON COUNTY ` DEPARTMENT OF COMMUNITY DEVELOPMENT KI 621 Sheridan Street• Port Townsend •Washington 98368 &r, t7.°4 360/379-4450 • 360/379-4451 Fax O www.co.jefferson.wa.us/connmdevelopment Master Permit Application MLA: 10- 083 Project Description(include separate sheets as necessary): j t�� /1,1-1 Fi;1//// kliaz - ,, - /' H4 Tax Parcel Number: (p 47# ys j IXV-7-- Property Size: 2/r"1 ,t/(acres/square feet) Site Address and/or Directions to Property: •q/ oW26y ! eg//J/M7 WA 91 Property Owner(7 of Reco , L7" 4. Telephone: 'Z i5?-' (Olj / Fax: email: Mailing Address: (p 0-11/7Ji PL • &--- , /Zk 4e2/ WA" 9 3e:%.23 Applicant/A,gf nt(if different from owner): e "• <j• a Telephone:g1l•`1`97•�-+6 Fax: Ze• 7,`j !ol email/76-iyi G g•147PW/# �. / Mailing Address: "Z227j /12 Ave A/E1,7-/00, /�e-ZL :(/ei -- WA-1 yl W hat kind of Permit?(Check each box that applies puBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) TA Single Family 0 Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home 0 Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑Home Business ❑Cottage Industry 0 Binding Site Plan'`* ❑Propane ❑Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** 0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development*" ❑Temporary Use ❑Shoreline ManagemenLVariance ❑Wireless Telecommunication• ❑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: ��� D SIGNATION OF AGENT I hereby designate -lF to act as my agent in matters relating to this application for permit(s). /'OWNER SIGNATURE � '/ J� . Date: c- �- ICE By signing this application form,th 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 a s and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required late inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the app ca on that a or s wants prior notice. / r` /Signature: 2 Date: c -v tv The action or actions Applica t 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 A "or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued of 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 mpliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tray fe able re po sibility for adhering to and complying with the ESA. The Applicant has read this diissccllaim/@r and si ns and dates it below. Signature: �) f�` >Date: �c o �` t G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • BUILDER STATEMENT The signer of this statement 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 re nsilaility of the General Contractor for the proposed project. Signature: \�..._? �~ Date: to U /l G GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE [9.c '7E �rs� -sew e,/ WAINS NUMBER: Z-7j / fA/pi-e ,ff IiL NUMBER ��2vf � /�/G f PHONE ( ARCHITECT/ENGINEER: ZZZ=/ //Z/'Avg Aye- �� 7/`f%/„ /.. FAX:(071495,/�zed MAILING ADDRESS: 3 V/ j WA G� EMAIL f I .Sd,/ / AiVe_ 7 ,Cal Prjoject Type: !� Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ,)4 New X Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 2,s=5 Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: 2.:J Height:, X Individual Sys em ❑ Repair ❑ Masonry 3n SEP Permit# ,601--'daZI ❑ Demolition ❑ Other: Bedrooms: Water Supply: � -f I Existing: O Setback: I I Private well )d:Two Party Type of Heat: Proposed: ?i / ❑ Public Total: .- �0 Name of S stem:Wt-d(-/PI /764. 4XlLPP 71 r PA,1211./&4- 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: 1 Underground Tank )(Above ground Tank Size of Propane Tank: '2 -C) & -- Heat Stove )(Cook Stove 4yVoodstove 1 Fireplace Insert X Hot Water T-.. 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes(11V1 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. „� 2 a t t r�r Square Footage Current Proposed For ICE U et)nl t '�xs�M+a' ,, t 1 Amount ��i(Isibf 5 1_ 5 Main Floor Heated f `_: EH Bld App Review: 2n°Floor Heated /4/ i � Consistency Review: ,� L� r F Other Heated .w ' i7.Lt, Base fee: Mezzanine , • qj �,,� Heated Basement ' Plan Check fee:P 5a C!*1 Unheated Basement • State Surcharge fee: ,,� l Other Unheated Pot Water Review fee: �,r.- p , _O,-7 Garage/Carport SUBTOTAL 4r131 •/(11 Decks`jr0/2Gf''F j ( ❑�c7 911/Rd Approach fee: ` Other TOTAL: $21 13 i f<,t, Receipt Number: 11-11 R lt ' ` Cash/Check Number: van ESTIK TFair ni areal value of aN/abor nd tenets foundation to ED COST(REQUIR :::s: `- 1 G:\PermitCenter\###FORMS###\DRU FORMS\Master Permit Application 5-29-08.doc • • td6 JEFFERSON COUNTY ,gip __<= DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 IS � 'O 360/379-4450 . 360/379-4451 Fax http://wwvv.cojefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# I D 8� PROJECT/APPLICANT NAME: -Z vI -'j 4 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. (oI4fri-f 2-- yTb Z*60 aiF PA*l 1C7' 71-A 196 tpot /tJ 61 k'- ' L61/ . 7�b/q 0� �17 . A Y2 , c iA/-j Ol4WI-9 OF` 241-• ot</ /'at.Ac-t !col '" xisting Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. �e7 (2.5.A-r - ) •12M 14612> A e '7&Ta , 1 1,o4 e- 1 1,c4/.It2Ai2Y 1 EL-, `Z '± Tve o p Pi l/4 a 5112 , D p 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. o [n fz l-cr Ate) e J o / / N -T7L>EE v e-e4E`17?7oN-- 1 t Pocicr Flit Alm 1-.//4 a 1(24 c No62Due ETz . )or 4. Describe the existing soils. Indicate soil type on the site map. /11-1 lam. 'mil old 7- 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. 14417(/Y PrzT r e7--, our t di -y A i Ai ' 61€d1 L-e777.E V Alzfi2 A( Ac- 6. Describe any excess levels of noise generated by the proposed use or activity: APPROVED ED 6°4-- fC.71O/ 'ORMWATER PLAN stormwat- =1U' s411 Required 111► ��►4A AUG 2 G 2010 1111 M stormwater site plan template.doc—rev.10/12/2003 )EFFER' DU T DEPT.OFC•,f �+ j •J.h1 ' FNTS SIGNATU• 15 �b t ., -40 • • 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. L 911Z' OM "7D UD. /J3I77 ,41.V el-EVA-170N C/-k oP ,l4f f26 . goj 1 u occ` (l3, alb 1b -bP OP 1C7'-/4 j 416-i-1 iV.4144 c7 YV T 106" 1,.07- 7F o f N,t(1 1-4 fly D oP2 WA-1 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.). --t1-Iii (--t ` s 01- PcaLAL-1 Foll-iT I �ARE DgU 1 I � OAwct IAA`f. A (p of�6W-ri�!� 41 �A-►--t1t�-Y E L Aces irr l' WAI 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. g,doF p,2fal NS ��1(JR7'Go�l 12/2/l1 V!1 / 171�(2�12-4. .1T-Di d L Ac-t- 72. 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.] 11. Describe the performance goals and standards applicable to the project. 6- H 11'1 Nf 1a zi'eZ r--1 N-T/ n1 /2 ,t( '7',0- t)P- A-✓-E 17-trd7J oho ke2,64 ALL D/'72.4/ 7 ArFTIVZ. Z,e) / 772a VV/tom. 12. scri Debe the flow control system. j ...._._ cr. `t 1 1 W l e- (77) 6 j k 4 ] S, 1-2 I ., ,T 4 ; t , � Tv/—/—itx!%aTW- H A-N l0—' 1-C .!--4 At-- i t2 l��l t l,.?/-- 14141,7144/. 1 il , I 6 stormwater site plan template.doc-rev.10/12/2003 M" ; !. 1 t • • 13. Describe the water quality system. Y P L� , 71+&2-1 - 14.0 (l t2K C-4-4'ti9�/ �fi2 -co W1u C.I 7 D c )e 2- �bl OLJ{?t 7,eb-i-771Z -flQ&I 14. Describe the conveyance system analysis and design. rho --try f m_ di�w�1� T # �@ -1w, Y� .lam r7/Y1A/ c ot2 b/ Pi HZx4L7 4'x4 1:77l 7J u,poi4 11,q vp-A [ 2!>u-r OulLaitiq 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. 0T 2l,at. ma,, ]=t2„otif � J2 6:91i,-/TPucJZ1 t4 I 7A/vim yU/f,[_ r2q2. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Avc /9/a J UW 7 12 . ,4NJ A a9 i 'w Pam . 17. Describe the proposed surfacing material. u&• P41 f i1( T �A,lfU N-�va-- 'A" Ui .9car � 2? 1-1PA -? 2 18. Describe methods for restoration of the site. Al ,- ao1 40,0 Ga 0 G v C7t21 t j !A- w,oAY , A 6J q WlLL- �f�f}i� 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. 14 At 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. ,iTe-7-t P12/'1/4 F/cc--Q ,4J .;z2T-i1 APPaoil elD storrnwater site plan template.doc—rev.10/12/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. I7' Aid 17l2131,0N o1J f'c.bT p6/ t,1 . Vic) T72 ' V 6-77-flc ( 1 -e)I° Rio WILL_ 0 6r)W-i7V-ac-ZW I U z4J EX/'777k4 61e-A-r,e77 2. Establish Construction Access. Clo on/ AC vIA XJ 171-1-cr 642Avg- OAu VJAYi 3. Control Flow Rates. GII17- FENC6 by L i77 c -,1, too. f U _ Ulm /4-A`f t�jA A AT Y . - is t 4. Install Sediment Controls. 5. Stabilize Soils. p i 1 04-11:1 772 / r vet/ T 10606/ p e-- 0/I ,-;Ut L- 77A-P7(1_-IZ 17Oi .) 6. Protect Slopes. / P A/7 tixoN RA-1. 71-1 (4 Its C.IT & e" W/1- - GoU £4bI 7L 7. Protect Drain Inlets. v Dil�1 H t C -1 stormwater site plan template.doc—rev.10/12/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. 1;,.' e ci ei %fr7772/3— L4)14-4. A-10 IN rea-ciTA-NI- Co * 6:4N 1 ' I /1 i -' API u„ k e 7- 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). i *Tt v/-f Vi4-7 Fa//Pe0 lllof 11- i 1 b Cl�i7 � -6 -r na�r ,�( 1rtl�`7� 1-14 92 POV/A -7j -ft P r r' Da, , 11. Maintain Best Management Practices(BMPs). GG1v - S E � a 1 ►7 �l l 12. Manage the Project. --- e e�bi2 /l Y•!� — �� PU/ iN T 6)/4-477 tC-r7aN z, cr c r' bF ALL, , OP 7Z1i'' FLAN 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). P P . OP- A 17 c '1!krU 1A+I1 L- f1D�G� , 1LC. JuoT �1 N W/FT Y4 1 ie i-i -/i pp 77112e-q-7zo1i b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). c'vP j7A4! ' f',a-`f ) A-PP26x, l yVV 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. r774-P?or tArY Tv mar stormwater site plan lemplate.doc—rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. A 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). 1--e6/ TH-L 71 F- off Ta2 O ff+ 5. Construction Phasing. a. Construction sequence l7e pal N(9ATl d lit/ ffrAR I ILLL�- l H-q-/. i t21�j 1L t, b. Construction phasing (if proposed) o 1:70A-47t/4-61 1712cPow 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. 41T pr2p;' (d-u Zol o) --aal\ A-770/c1 c t o 2f f! r/Gil l2144- ( L-(71A W'r -Zot o) f t.1.7; t 9 t4e'7L f �. I I. Wet Season Construction Activities. ,A-h-0,1-7e1A9-P a. Proposed wet season construction activities. (t•!` /1 Gott 19 741/7[-{ 4121)-uZ iZPPi c<4,1- ON p r j i212--1 U , tA-140-56:Aitoi - 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. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. r� aN/�t- l2E�PoN�i l P,'f Ll r 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. �,t} a. Sediment Ponds/Traps. I`�H b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template.doc—rev.10/12/2003 10 • • i 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.doc—rev.10/12/2003 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 t e best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners th affected propert . /f� `h AV ( DOWNER OR AUTHORIZED R PR ENTATIVE SIGNATURE) (DATE THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.doc—rev.t0/12/2003 12 N:\Proiects\Rosema\Ro5_erna-1-5ite_Plan dwa site Plans -1/15/2010 11:29;12 AM_ N o n ,,__ttom�,, A E z - Ei )' x co 0 co ca v± �R CO m Co %a 8 ttN £ `....` ` �M�p�/ w Q rn n A lD ` Do v n jjl) �po• ♦ / .. \ LA Cn m rn m `% \ 11111110 �' . r Zv \ i� �/" \ o 0. oar )% SDP r o-ri d :4t,,y 1y Z tit`' �•►- °��`�` - \ ♦ \ -Ti 0A� , .7:41414Wi t��� rn Ma I— <rn � m c ��•� \ `c rn // VI_ Mkeilli . r X 11111: / o y\ . it♦ ' ' . Cn K \ § �rn \ s CP f UN(P Z \_ ,/ 1— Zo \ I 0rnDrnrnrn ♦ , )1 Dtn--1D mri ' `_, �D"Or^ a D rnn�� D ` _ \ k arn m aim nix c-oZr • I ,aoS Aao - x-oprn \ 1i C o il OHNZ� D` _ \ A_. OD v \-i 73-1 7c - for rn • aam D r ��R2 \ \ t• r , n RQr on,D m C,�rV ''S TTi'� :1t3�iI Ci \ _, .-. 1 : 1 \ n �, rnOrnZ� rn�to� _ �'�, \ > ,l'pi1 \2 % . nr 2 Z Z� r —_ID< s \`b' rn� '�. \ �% n 3p�Z� ZCI � \ \O N °I \;.,//I;,INt ` `�.z _ rnrn rn>Him ♦ -, \�iii DZZ Cl C1� - Z V _ \� \ \ n p rn I \ \<rnrn �x-i7rnc \ts A < i < xi-i-�o igii -r1 4-vo-0,,-- 1.. • \ Ho�1-N 0 \� I \ g r �, \ •, 6, \ uli �NC Mrs-/--CN ' 1 -A 1 \\\' 00 • �: 1,l c rn D sI� 4ti \�, i \ Z � = �� ZI�N-Zi ♦ _ \\\ \* )*-.------- Z rnrn _ / \ \D ♦ \ \ \- >070iiii 128 co rmM- 4,r / \\ N \�� 1 j \ -0 10 0I o m \♦ \ �- n r i \ \ % i\; I\I i__ / \ \- r. D / _ �= _ `, ,�, �J� a,O /\ r \ _J Et , m F z PI i ! JL2iz1 ` EpI o E3 rn Z. osP � O. fr.-0 I,;—•• _ , qT f) 3 \-.. I OCl N �, o Up '� -z I zZEi � r1 1 - . , 3'-5' *-0' 34'-0' / / / / 5'-di. 2T-86. 5' / / // I \ \_ \ D I A al4 cc, Q A i-;;)[ < r�avoa _ 4€0 Q Ri0 e . . D � - - � nL� oa m R II-L la 246 STUD WALL 248 STUD WALL  m o 3'-3' 9' 0-4' 10'-5' 11'-0' 2'-0' / / / / f / r No m T m i = _ 11 on In O '' xi \ \ .4 \ D © Mr ❑2x6 STUD WALL Z ..t \w \ 5' • b , - .St \ \ \ LA !_ Y ,,: I _ s I - ,! \ \ \ 0 ak• 5'-eh. 1 i 3'-5' 4'-0' 10-2-W 12'-9, la IE3 / / 1 ' ' ` / T3-0' 4 9'-0' /2 0'/ 4 0' / 34'-0' 1 / / 34-0' / i 13'-24" 0-4' 3'-*4' 3'-0' S'-314' / / / / / 3'-5' 4'-0' W'-0' 3'-2Yj 1'-Ick' 4'-5%' 3'�' / / 1 / f / 1 QD 3'4 O _ __. /.. \ \ \ \_ , it. „ \ \ \ M �2 O A o f O 13 y r O g w $ m ----Ill 1 ~ \ 2'-6= 2-Ili r-lo' , = a o 1� 7�7 11 . r L N A r A-n D re D 4 ' o ,. I1�11111��111j�Ji1�lIT i 0 7- O 4 NI 11 D II --n (-)rn-, 4-.r.,, M Ikt ,*\\ /R/ lik m ••• o r ° Ic ; r r. c 29 8 AArn D -Im m 7.7. O 37 1 rn�D—I �- r 0 \ - Im A rn rn D A TI -9. • .fig N A O ° 80 r-r _ ^J'- m • - \ s N ... T d zt i Imo _-I _ y �I - s i a �-- 2c ' 4 _ " O® --- _/_/' s • _LEI q _ ��yy �Ny _ v a —— O© r- y 4'-a z'-0' aD O tNl.W O ?T / 3'3' 9' 0-0' f II'0' / •.' A IV LO-0 W N d. rr N NNN N NN Z TI \"X/\ 0 l v w i O r-oh _ o W w / ~• _ Yrl r paI tv ' 4 - Ia er \ 2x6 STUD WALL ` ` "- [O 5'-II�'f 5'.1• - q Os, // 1 1z2 4 ; — 1% — 0 ''_0' —fie .1 3'-5' 4'-0' 10'-O' 13'-0' 1I'-0' 2'-0' 4'-0' f / / / / / / / 34-0. / / ANEW RESIDENCE FOR: 294 OSPREY LANE d r n by: rev: Ogir dia givhdll KENT ROSEMA BRINNON,WA 98320 DRS 2557 NEGIONOS SPEDECT - , A$ 4 �Jil architects and interiors inc. MAIN it UPPER LEVEL FLOOR PLANS PEate:MIT 'STATE OF WASNNGTON 2223 112th ave ne suite f 100 bellevue wa 98004 425-455-9358 30 APR 2010 OIOL 6.1`d EC 13511k4Nad GNV1d ?10073 -13n3� el3ddf NIVW 99E6-SOP-SOP Yooe6 oN.ennalleq OOI/eJlns au Gm,oyi EZLL NOIDNuSVM30 IS '0UI SJOL12JU1 pub Sioajll olo AMv+N,5 I > :atop , 0 tl. 25r m I saa OZ£86 dM'NONNI VVJ S02� IN3�1 CSSL PqM :naa :Aq w p 3NV1 AaldSO 46Z 2i0A 30N341S3H MAN d a / Amu / A-J A-&/ A-b / A-,EI I A,o1/ / / / I / A-,9 A-,f .,-,e I '`® b ti I P. PN ffil g c I ,,,z , Y iFi ® 3 _ o ® fF�� O g ill ip ih L H , .519-,E i .5b-,f .f-, ° 8 _, ,.... a.44 i ,!. ,p,f. Az r. al !o I 1:V 0 O �. \ '�"i A (N3M015/BlLL '^ 1Va9 MOONIMin iTq r\ \ _ .r—< V / / I / i .51E-17 .51-'1 A-6 / / / / A AI / A A .O-,9 -X -.0 / / a w e eq Ng N N N R i o 86 � D RR121/g/ �110„iti , iggp plg� hh a6 I ..,..,,.,..,m _.,mlZe�m�lymn4n4oeram _ .,�° R'=:,e,oe,.s,o'� il � O E5 ! I $ • w I Ie� 1 / m "?'"O `?44Yq- g44'?'?'f'f'f'f'?'f'f '7777:r:= :1"1"14'f°P:77:774:fl? �� 4 S & xxxxxxxxa.xxxxxxxxxxxxxx0e........"bbb `xxx......---.. 81tiQ i g 0.- n,-::do:, .... 1ffl38L•ib'i € tglm E z - i s < c,.... w , •