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HomeMy WebLinkAboutBLD2010-00298 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD10-00298 SITE ADDRESS: 673 HAZEL POINT RD Issue Date: 10/19/2010 QUILCENE, 98376 Final Date: 10/18/2012 APPLICANT: DONALD E PETERSON PHONE: 360-297-4790 DIANE M PETERSON 7933 NE SUNNYWOODS LN KINGSTON WA 98346-9645 SUBDIVISION: Block: Lot: TX 59 PARCEL NUMBER: 601343032 Section: 34 Township: 26 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes �r6 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/18/2012 \\tidemark\data\forms\F_BLD_Occupa ncy.rpt 10/18/2012 4110 Jefferson County Building Div sion Permit Nurr BLD10-00298 Applicant: PETERSON BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 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 q _�.L• (k - Minimum setback from the private ingress/egress easement right-of-way �` ehall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control Foundation Footing Q 1 s s 1'64= Vl /f4*J '6J Zr mOrzes 1 - Pi l 2" FootingDrainsVert r 2�It t 1 l .-1_1 a Foundation Stem Wall ci_13_1 Underground Plumbing Under Floor Framing Straps(hold downs) 'k r e d f�f3 Ext. Shear Wall Nailing J Rough-in Plumbing 21711 L Shower Pan ?“:40l-e" L-6-ct--Vrou,". owN+��� kk2 n�?w,�4�aR� J,ruit ��to�l2 Framing Per rrc.ft r/ Blocking Airseal (0 l)-C 1 t- Insulation:Walls 'sr S -L JTri-ri3 Insulation: Floors S—_`-L r^ I/ Insulation: Ceiling 5- -(Z f Int. Shear Wall Nailing Wallboard Nailing 1 la!t Gas Line: Interior Z ZI 2 Gas Line: Exterior j p_ Propane Tank D -I L- PZ 9=, Heat/Chimney gewancej — l� DrtelftAll Drainage SEE CONDITION I FOR SPLASHBLOCKS Address Posted f ttSC._ Ve-riCti Aftsz+e/ (A F.N es /t--1) FINAL INSPECTION le - 1L- /Z FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPI THIS PERMIT IS VALID FOR ONE YEAR 66LDING PERMIT APPLICATI MRAAIO 00313eview pe Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00298 Received Date: 8/18/2010 SITE ADDRESS: 673 HAZEL POINT RD QUILCENE, 98376 OWNER: DONALD E PETERSON PHONE: 360-297-4790 DIANE M PETERSON 7933 NE SUNNYWOODS LN KINGSTON WA 983469645 SUBDIVISION: Block: Lot: TX 59 PARCEL NUMBER: 601343032 Section: 34 Township: 26 N Range: 01 W CONTRACTOR: GRECOR CONSTRUCTION LLC PHONE: 360-789-5029 232 DUTERROW RD SE OLYMPIA WA 98503 Contractor's License GRECOCL945K6 Expires 6/9/2012 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,016 VALUATION 425,172.00 ADD'L: 829 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: 815 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 1,013 CONST TYPE: SETBACK: DECK: 1,406 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Pr . - 3— Total: 2 Total: 3 ``) Routing te: / /1 Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,819.35 LYK 08/18/10 119958 APPROVED Plan Check $1,832.58 LYK 08/18/10 119958 State Building Code $4.50 LYK 08/18/10 119958 OCT �� Zd�� Potable Water Application $98.00 LYK 08/18/10 119958 Total: $4,754.43 Jefferson County Planning & Building Department S CONDITIONS for Building Permit# :BLD10-00298 1.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASH BLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK(2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE POINT. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 2.) THE PROJECT IS SUBJECT TO COMPLIANCE WITH THE DEPARTMENT OF ECOLOGY IN STREAM FLOW RULE OF WRIA 17. THE PARCEL IS LOCATED WITHIN THE -Toandos- SUBBASIN IN A DESIGNATED COASTAL MANAGEMENT AREA; AS SUCH, THE FOLLOW IS REQUIRED: INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. REFER TO ENCLOSED DOCUMENTS FOR MORE INFORMATION OR CONTACT ECOLOGY AT 360-407-6300 3.) 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. 4.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 5.) 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. 6.) This parcel is within the South Coyle Peninsula no shooting area per JCC 8.50. 7.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. • 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from the private ingress/egress easement right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 11.) 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. 12.) 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. • 111/ JEFFERSON COUNTY (--- al ' j DEPARTMENT OF COMMUNITY DEVELOPMENT ' '� 621 Sheridan Street • Port Townsend •Washington 98368 'S 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment I&BZN% Master Permit Application MLA: ( 0 313 Project De cri tion (include separate sheets as n ssary): ,-r Tax Parcel Number: ( 34 30 Property Size: i " acre0square feet) Site Address and/or Directions to Pro erty: lsi(1]3 4Q2�'L j (c-�1"t r_-)Cl L_'C9_/lQ n` `�1 Property Owner(s)of Record: Telephone: .a( G-, - c/9 '6 'ice Fax: email: c i E'c)icx/et,,c,c-c..•."t Mailing Address: `7r7 3 3-/VG S(Jim/,,,cods 4, /4i40—r-,,, Zi--r•is t) 5J'31-1 lc Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: W t kind of Permit?(Check each box that applies uilding 0 Lot or Road Segregation 0 Critical Areas Stewardship Plan ❑ emolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) DIKSingle Family Qarage(�etached 0 Conditional Use[C(a), C(d),or CI** ❑-Manufactured Home ❑ t odular • • -, 0 Discretionary"D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment AUG i 8 2010 ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry 0 Binding Site Plan** ❑ Propane 0 Long Plat** ❑ Sign - 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 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 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: 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 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 pr: ide - -ss and ri.t,,.f_entry.to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any re'wed la • _inspe Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica •n > e or s is prior notice. ' /Signature: Date: $_/ 2 _ / L; The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act" r" SA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued ill not iolate the ES ny individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you a in corn liance with fferson- development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r n - to and complyi with the ESA. The Applicant has read this disCci timer and signs and dates it below. /Signature: -"Z T Date: 5 '/2 --/0 • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: jLv-L/3. - 9/7 FAX: !� tee - o (36o) - 7$ -'562,9 ( ) MAILING AD RESS: Gt 3 - 1Ja/- -r-� -, (Zd _St Ste / EMAIL: CONTRACTOR'S LICENSE C%1 y✓n p;h• y./a 9 rSs i WAINS i NUMBER: Gi G fa G L-q q 5 1A6, NUMBER ? ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL _Pr ject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New IgVood Existing: 0 Sewer ❑ Addition 0 Steel Proposed: Bank LI Community System Total: Height: I Individual S s em ❑ Alteration/Remodel 0 Concrete — y ❑ Repair ❑ Masonry P Permit# 10 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: X Private well U Two Party Typq of Heat: Proposed: Ii Public E 10 c fl (C Total: Z Name of System: • 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 i Above ground Tank Size of Propane Tank: i Heat Stove 1 Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance bein_q 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 Amount ..-RevisiQl Main Floor Heated 2016 `qq.$3 0EH Bld App Review: — I - 2'Floor Heated g 2O2545%'Consistency Review: 1 Other Heated Base fee: c92 in 55 Mezzanine Additional Section: `� Heated Basement �4 Plan Check fee: A I �32 Unheated Basement State Surcharge fee: , ,60 Other Unheated Pot Water Review fee: f Garage/Carport 8to SUBTOTAL I Decks frAbe,09-0 �d(o�'ta � 911/Rd Approach fee: Other TOTAL: $30-1g, Receipt Number: 119C1� U 42s`t1 (CC-Cash/Check Number: NOS- ESTIMATED COST(REQUIRED) `t Date: 1 , :Fair=market value of bef erials foundation to finish 1 Ass" 0 Initials: r • Stormwat APPROVED Requir STORMWATER PLAN 191,,,s---0N- 4 % JEFFERSON COUNTY OCT 1 9 2010 • ,.d DEPARTMENT OF COMMUNITY DEVELOPMENT _..�., 621 Sheridan Street • Port Townsend • Washington 98368 DEPT.OF FOER$ . -� O� 360/379-4450 • 360/379-4451 Fax SIGNATUR : t 'F. Fl o'MEN �IIN http://www.co.jefferson.wa.us/commdevelopment/ ==' IIII • STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# I O J 515 PROJECT/APPLICANT NAME: 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. 7"4< ht./id/n..5 s/,L is G. Artft-, Constt'✓.,(. -i.1•N. oq- a0/6 ,S'eeAL s ..-# „0-.,`l7 t e ce._ The1 5 .0cce, fcrC i ;s NU /Y•4tv�-,o) ve5r�a-f- o-1 /,✓i�4 JC15 �1 fh'..' 6900 Sr - -1c•,-GJ -{o Con.S•I-.-✓c Th L'" (4 f1.ir W.n" .'c 8O /„ /f? ' ,c..) 3 i.�h. w,i h�5 . Existing Conditions Summary U 2. Describe the existing topography. Indicate contours on the site map. e J iS p.io x- i/3 , 6/ L/71)1/ _(J' ) , 772 LQ +-! c1r"�-r � ,r.--<n_�i v•, S p� ��S cr- a�1 { frvv-., Ndra-h -� SotAAh/Scvl!'1-,w-t.>•f-� �ur,L 5 ;-k slop_ t2i.Mt� ,'</ U cirof Es t- 3trr -3 C o.I7e,-- ) C'o/""Le/ . D scribe the existing vegetation. Indicate native vegetation areas on the site map. F,✓-5 P 14.r�i-o,,a- 4Dri,m IXS -t 5.41_1at< — 4. Describe the existing soils. Indicate soil type on the site map. Ay r o 4 ri k/ //Cz SepI,`,_ Dom-, j,, t I f- i I�_ so s act_ /,' f .b,1ry wet sc y /af.,' w. < DC v. - 2—/— s o L 41' '�-JJ / A-Ret, S,,)i 15 C 4),,I5,e 4-z ,1')-[tom✓s c pro pet 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. 4_, c Serbes A4/9vs ie_ e -P1-i,icc . 0 t o tin) WA1-1-e• leh.4_,,,,t'Q , l,c eXc-cI teet7 be_ —Y,-, N.,,tH-, +, So S 1,.f.eA.1—— 6. Describe any excess levels of noise generated by the proposed use or activity: -)bNl,y tJO�.5< b—Y1' be vv of -t,a-) (c=ns•1-n)c41,,,, n-c4--,\,,1 .4.-y — stormwater site plan template-rev.10/21/2008 5 • 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. 7iyc )t ,sit, -- l /�c� s°�I 1 /sue v -I)jf / , 7Z�.-e Is AI Sens ce._ �r� w e t-4,J )5, /vv ?r'e&rn S 1 t/o .s et sla�s — 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.). -TA e__ ©r7/y � /S en A �rce l <s Aare) >v / era - 71T--'0 ` 1,11141 /isa ill ��4�►`t�''7 C°r+ (J' v� i�►w+� rva,c) -- wry-- �,1)c��►v��d ) ► � hc� ���,x ) ntv �r 11- .-! acre - 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. ,it/ /// v1/v ) p - ) . 77c .r - � 51 . c 1\10-1.-li � Ste..{ 1�1Sv r� �s {-- jam L✓t2 cvi6,vJ S o4r4Ce 6 QY4'CszlI j2eiCen?--,/c} � y S ,co 7v v 1 �ri�vp�f✓,'�v s sS r c� , S �JL& s P L few/7,;lf 1J[ / -f b•l-/ d c 3(00 1 ,11) .> icy - D-cce ( 1, c)& sF- 4* ) 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 irivolve the potential for dispersion of contaminants.] ' o , 11. Describe the performance goals and standards applicable to the project. 772-r' <"vn s f,vc 7 �, , l.�lfl /7.a 0.7 Al /7Le ( <-15/-/ f 7 J 4 742 r/L t e_ I°7 6, 7-A, ; e / )4_' 6si ' w 1 ,L p (-7%3 t ,•/) 12. Describe the flow control system. _/^ p L CUB tiS �t _7/ f)r'/4'1‘ ,;. vt/,// i L r'`L �7,41 d I% iJ ,1 c��t - 1 stormwater site plan template-rev.10/21/2008 6 • • 13. Describe the water quality system. Cv n s#r.'c)-._!L_p, ,514-cc 13 a►"-1 - The .S r P d / Z^'i// �O_ t�l,�}-�c,�J sla e-,b��E"�4r �11/r�4s ���r;b�v �ev��,;�-..�,� ffr�„?4 14. Describe the conveyance system analysis and design. 1 The_p/a o„ %r /U `lac_ n Id U"w.? &p J�-S /�,../ 5 6%-ic.✓,q-�C/ (/411-1 So v i-' � S d � f c -f— "W Y n -s/Of — 5 C) ,,A,J A,t&s F 11-4-."J i eld,1 C_ cun) ,..e 1 be IriF.21- s. ag;vr N r.l L c -e)-5 c. fin, i 2 c — 15. Describe the source of fill material, physical characteristics of fillmaterial, and deposition of_excess material. Not E' <c c F / 1.5 /2L'CcSS..r/ _ C/rl/ 4.07,r4 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. , '3 r~8 4",s , spc/S-e-c) by -F-7 L.,<-_l4 r ce)-79/ t1 ✓✓.-J Mill wxG 4 CO 17. Describe the proposed surfacing material. !` (� I/.�• s i ia- S� Ff { 'f a G,_,// lac I-v e)4`, 31,410 �ftic�W�7 3 1-�G L, Chn rkv 1 — , No l/�i✓C�S CM� 'lJ J C j'lJ,!-Vr.4/ 18. Describe methods for restoration of the site. -P,c-a-s r•-1-e--4 4•&' came_ cl i c 4-(l✓/r/4�u a r Drc tJ ,.r-�� i� e�I c&'J o)P�d�o . 3 ca.rcic� W. ;--ch r-.iO3 c.r J/1 f t? /vl/Lln-�a.rnW 1/g j"G1-, V -Ft, , l\ v.t-1 r 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. .5rnnhI P‘ose,c-}-- -- �l- la -- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan: l''1 1\io ' rl CoP'e--- -Qd! �,.� C.r S�i ii L'� �-- b y C�cD d'C - FJ !SpC/St StY/�/n t,•�w /-` 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. S7 5�c fry r d rR n 6 I (J. (flpin c)j 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. JL1). s A s ,4_ss - 1C'o R- r0.,sf- c -I c-c 2. Establish Construction Access. I ,acc�,s s .`s , c �e1 S lc,'vc)c,' r'2P+-r) /ersvc,�f7� ?IV ' G�-) c..c v3 -J-L -f-r✓c-k s u.te _ 77; /*n 4 /� � l s7 ( Y-r{7 �J" 3. Control Flow Rates. / _ �{mr, 14, ; ✓� , 7 �fC4 S- ( /I/7 /K /A 71r, /ia-c (U/t-*/i� I).c ✓) 1-t// F`-, .f1 ✓t��l e 9A i x& 4. Install Sediment Controls./ rs s , " �, rev c- /�t- aL/�-/ llr y f�� ( �°,� Q Ct.�,c s ",vvk d / r-►�ceisw rt.2c1� i - t Ace�G� �;• /:,4eyr. 5. Stabilize Soils. — 1-114-y - c_J 6. Protect Slopes. x 1� 11;15 V ix J(��'t-�t (of -iv`^� �(d''{�J� 4-0 / J fi RI/ / to 4-- `/l//i- R L/ Al/`) "(�(%j �L' �+Z - "Q S r j/ 7. Protect Drain Inlets. stormwater site plan template-rev.10/21/2008 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. s i4 r`t[4•;_,081 Siti IJ Ac Lvd C Ov.. Spa.-,4•-t r 5" 'f 9. Control Pollutants. r' to c ) kje,ce. + G>„ ,( - us c fo sorhs U v t. be vseo `" n Q1.1ior,) O F- rev c , <?1LL 1 i'r- c /I U�t ‘ 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction sit . - 1 N-ce'ck' C I,vAk��^. l..tc�ci(�J L r�; pi < <d C pvm)Deds rhe- Si 8 rp.Lr�s 11✓`C r� c-4,-el 1 - N° s irC Asc);1 i r 11. Maintain Best Management Practices (BMPs). 7 C /✓ F� / S po-i✓45r.ie`r 1- r, d--I W // & -k-J 03me) e_4friV CAA)/�P1 _ t� r'� 1 12. Manage the Project. I 1 0/itini r e U ('0, ,4 tom,— c,"(11 �� U s «� uliry �ty G✓ s-ilve_Jc.�,'�✓v -f v ors✓ t a Cory, / 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). t 41 u ( I _ - 1 r J ; A is ►o sr c 1. . .7 L,.) ■. - v A U i m ►A. — b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). dowel s-cc-vrr ,7i ,'5_ 31.) -f p y psxr J -fir--can't k j J /4-c re•-s �c 2-s- e, /fir/� /72// 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template—rev.10/21/2008 9 • • • b. Description of special requirements for working in or near environmentally sensitive areas. r- �_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,11 settleability, permeability,depth,texture, soil structure). AS (1Q«r ;be-J by:u �"l•.e Sn i I I S - ` 77,e S0;/3 arc_ 1� 4A bti�n fw,�� -- Wig, r lrefed- r bI7lec fr,�4/ • r/9• l s . /J r 447 c)i ,ns tl erly L, k I I - ��� eLe4H- a -�lh e /� y n. " S 1 Jif e /a S r90 - 7 5. Construction Phasing. a. Construction sequence / s:-}e pi-per- v;��+r Pre, wi,1yf � "��re ,>7 r,or - �•��J 16e 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. 1 \ S i p'r-f - /4? -1 , .� C v) /s�pf ) Fro- n, s h„��-,�rr.'-.Set) ; o 4 J - C2rber - �e.icct-• P1���1y - oct- II. Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. 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. /moo'l5; b, I ,=�1 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable.a. Sediment Ponds/Traps. A/` 4- b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • . '. 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 own: s o he affect Property. (LA DOWNER 0 AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: 8 Ji stormwater site plan template—rev.10/21/2008 12 -.•.,. \ / ,„,,, r so cr)( os e a ` (,„. j.. , .„ , , ,,.., ..,.,..s + 12,17• 1x'-p• 1_ 12'-0" j çv , r ._._._._._._._._._._._._._._._:_._. ,+' I/ „� I • I i I I f 7. I I j j \\ i I i • \ \_ g-0 3'-0, yx'�0" 3'-0" -0 6'-0" �I` \_.• i 1 GGW L.SW2W2 � i i • • 1 \ 1 6:z 1 1 • t-. \ .. 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Cal 5 F 9 x o x c„ � " � � C7r \ \ �, o '�+ [ o rn � o. cn d � u,No .?y cc 1^.. \FR r ray r [G) tz ono t`? a...,- !--iLn r z v3 x 32' X 36' WESTERN CLASSIC TAXPARCEL: oil ` ix10 00 (�j Cy NOT AVAILABLE tI� 11 r g g W/ (2) 12' ENCLOSED SHEDS uA �g x r n g eo g d -- P ci GROUND FLOOR PLAN LOT DESCRIPTION: ;1 1 'X!A is�; 1 r r d �3'� Z OWNER: SITE ADDRESS: NOT AVAILABLE t °j v t trn co '7d �, `� i-3 b- 07 +4 rrl l l l 111 I H ap i$b 4 rri - L' o ul •-" •• '-G 0 C7 DON&DIANE PETERSON SAME P 4 i "` ,„" z r o n3 o i� ^rj ,d° 7933 NE SUNNYWOODS LN 111,,,/ iy a5,# •bf-� t-71 0 00 c) oo O KINGSTON,WA 98346 PHONE NUMBER: P Z 206-919-6286 P rf, \ r ,/ 1 \ / I ��rk ( QQ Q Q\ i • i -,.. x i 1\ fr\ 1 r •- - - -7 :- - -''- IMMIII11 11111-1111`1111 11 11 - 1 fall 1 11 111 11 - - - C) ' {.-'' Ilmml IIMILU mnl1mll �111 II II u 1111m11g I MUIII ' lig 1 1 1 1 i I�I�III�I/III/I�Inimnimnl�f�tl���iIL.L1. 1 II I i MEll II111n1I111111m11111111flli �1 1 ll J III II 4 III I1 ,r 1 1 I1111n1m11111111m11111111111�11 %' A I 1 In1111mnlmlllm111111111111n111/111MINI11/111111111 ,I l I m111111i111m1 nimmlmn11I1n1 1h u 1 L , .1. 1111111 1 ' Imnl 1 I 1 1 ,I I I I I l u! 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P N° •� N J . .,,,3 - - - - ' / Lii! ' i i \r`,-') ).. 2•-3" 1 4.-0" /1'-9"/ /:� ® ® r 11: K �� l 6 ` 1 f ,t .Y $r,�rR'9 ( \ \\ -- i c 6R-- * Z `I > Y \ N t c4 4 �Y x 32' X 36' WESTERN CLASSIC TAX PARCEL: i gxo H, c, �' p O O NOT AVAILABLE °° d W/ (2) 12' ENCLOSED SHEDS ii4Pellii' i e ,--: py d -' LOT DESCRIPTION: 0 A of I• t C7 n a ' a d BASEMENT PLAN iliAlhill N��o pci poi ,�y + rri OWNER: SITE ADDRESS: NOT AVAILABLE ; I I m if b ,__, U' ,.... („ ,�. •• � 0 C7 DON&DIANE PETERSON SAME , 4t:Z.1,' nc) o-°n, ,'U..j al 7933 NE SUNNYWOODS LNdillitil�y IvotJ PHONE NUMBER: N O o § o O KINGSTON,WA 98346 R :I �o Z 206-919-6286 492.00' 1- a \ rl .. S kl , . v G W.! m 43 � I 111111 N l'i Op ry N C N N Ak.' m 0 10 ue--* z 0 r 170' o o r 1 169' 110 m \ ^ f 182' A r: n ro N F \ , L 40� 173' a.. l to !IP N Si.1( %. .S Illk • So ri, 11 N • L, kik •a wiri SiOPF `cam l (8S,/- ) I C3Bg73-d-- "[ rz •.5.. . 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