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Home My WebLink AboutBLD2010-00315 • • 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 #: BLD10-00315 SITE ADDRESS: 1505 CENTER RD Issue Date: 11/9/2010 CHIMACUM, 98325 Final Date: 5/31/2011 APPLICANT: RICHARD D PURNELL PHONE: 360-732-0898 DONNA L PURNELL 47 GRAY HAWK CHIMACUM WA 983250928 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901233004 Section: 23 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR 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 , no ' THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/31/2011 I:\F_BLD_Occu pancy.rpt 10/29/19 Jefferson County Building DDsion Permit Null: BLD10-00315 Applicant: PURNELL 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 10/26/2010 setbacks pass 10-26-10 RTB Erosion Control SEE CONDITIONS 2&3 Foundation Footing 10/26/2010 footing pass,ok to photo post footings prior to pour 10-26-10 RTB Footing Drains Foundation Stem Wall 11/4/2010 Underground Plumbing Under Floor Framing Straps(hold downs) pieD 13 Ext. Shear Wall Nailing ,( Rough-in Plumbing •3t1 Framing ?ihtt( Blocking )‘- Airseal '`1 t � Insulation:Walls ,411( Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing 3 l7 I II Wallboard Nailing 51 z\ 1 ( lip-L t,t)tyu_.. 1I I I Gas Line: Interior '3(1 i I l C�. , Gas Line: Exterior 31.1 111 r � Propane TankEsP ST116 Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION I Address Posted FINAL INSPECTION C/0 j i ('/ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR OkUILDING PERMIT APPLICAN MReiew00pe331 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00315 Received Date: 9/1/2010 SITE ADDRESS: 1505 CENTER RD CHIMACUM, 98325 OWNER: RICHARD D PURNELL PHONE: 360-732-0898 DONNA L PURNELL 47 GRAY HAWK CHIMACUM WA 983250928 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901233004 Section: 23 Township: 29 N Range: 01 W CONTRACTOR: LITTLE & LITTLE CONSTRUCTION PHONE: (360)385-5606 2009 4TH STREET PORT TOWNSEND WA 98368 Contractor's License LITTLLC157C5 Expires 3/6/2011 REPRESENTATIVE: LITTLE & LITTLE CONSTRUCTION PHONE: 360-385-5606 ALEX LITTLE (360) 385-9733 2009 4TH ST PROJECT DESCRIPTION NSFR TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,659 VALUATION 350,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: 313 HEAT TYPE: HTP OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: 5N OTHER: SHORELINE: GARA CONST TYPE: DECKLE 911 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total - -2 R uting Date: 9— I- 0 Type Amount Paid Bv: Date: Receipt: ,�l.J l�pc tl EU Permit $2,393.75 LYK 09/01/10 120018 Plan Check $1,555.94 LYK 09/01/10 120018 1��11 State Building Code $4.50 LYK 09/01/10 120018 �� Potable Water Application $98.00 LYK 09/01/10 120018 Jefferson County Planning Total: $4,052.19 &Building Department • • CONDITIONS for Building Permit# :BLD10-00315 1.) 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. 2.) 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. 3.) IF NECESSARY, A SILT FENCEOIALL BE INSTALLED AROUND THE WE RN PERIMETER OF THE PROPSOED SINGLE FAMILY RESIDENCE PRIOR TO NY LAND DISTURBING ACTIVITY TO AVOID EROSION DOWNSLOPE. APPLICANT AND/OR CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THE SILT FENCE IS INSTALLED TO THE DOE REQUIREMENTS SPECIFIED BELOW: 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. 4.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 5.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 6.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 7.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 8.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 9.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 10.) A Storwmater 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than 2 unlicensed vehiS shall be stored on any lot unless totally sSned 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. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimu setback from Center Road right-of-way shall be 30 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum setback from the eastern property boundary shall be 30 feet. 17.) 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. 18.) 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. 00(44. JEFFERSNTY I n vti DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379 4450 . 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(indude separate sheets as necessary): New construction of a SFR Tax Parcel Number 901 233 004 Property Size:14 .61 acres (acres/square feet) Site Address and/or Directions to Property: 1505 Center Road, Chimacum Property Owner(s)of Record: Dan & Donna Purnell Telephone:3 6 0-7 3 2-0 8 9 8 Fax: email: Mailing Address: 1505 Center Road, Chimacum, WA 98325 Applicant/Agent(if different from owner): Little & Little Construction Telephone:360-385-5606 Fax: 360-385-9733 email:alex@little-little.ciom Mailing Address:2009 4th St, Port Townsend, WA 98368 What kind of Permit?(Check each box that applies It Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ®Single Family 0 Garage Attached/Detached 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** RI Propane 0 Long Plat'"' ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed`Yes'Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variariee ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium ❑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 designat .Little & Li t e Lin t act as my agent in matters relating to this application for permit(s). rr OWNER SIGNATURE Li l Date: V — '7" /0 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 appf tion that h o she wants nor tice. Signature. - , )c w 1 Date: e.t.a/W.I1 t? 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 Acr 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 ackno wledges' that he,she or it holds individual and non-trans ble res sibility acJ e'ng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature. Date: C7bl/bgi/V G:\PetmitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-O8.doc lb BUILDER STATEMENT 0 The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Little & Little Construction (360) 385-5606 (360) 385-9733 MAILING ADDRESS: 2009 4th St, Port Townsend EMAIL: alex®little-little.corn CONTRACTOR'S LICENSE WAINS NUMBER: LITTLLC157C5 NUMBER ARCHITECT/ENGINEER: ProDesign Engineering PHONE (360) 377-1026 FAX:( ) MAILING ADDRESS: P.O. Box 699 Tracyton, WA 98393 • EMI- prodesign@hurricane.net Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New 1d Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: 2 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: 2 Height: X Individual System ❑ Repair ❑ Masonry SEP Permit#BHP 0 6-4 9 2 ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: x Private well ❑ Two Party Type of Heat Proposed: 2 0 Public Elect Heat Pump Total: 2 Name of System: If this is a Commercial Protect 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 bel that apply: r� 1 Underground Tank,Above ground Tank Size of Propane Tank: Existing Tank. 1 Heat Stove 1 Cook Stove 1 Woodstove Fireplace Insert 1 Hot Water Tank 1 Pellet Stove I Other Is this appliance being installed in a Manufactu obile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing ail 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. • • " ?"' 'L to '''r 3G, k" 'yd'R i tSr rr v� ,e = r w .- r'� . 2 �.,' Square Footage Current t, ' f` s. ,� rz is _ : .. : _,,.: _3 _ , �_- -, EH BidReview: Main Floor Heated App 13 1, 659 � ,� fois! i 26°Floor Heated '-. ', .,� ¢- Consistency Review: . 3 Other Heated _ Base fee: .'d r A Mezzanine 3 , ,V Additional Section: ..i.----- Heated Basement 313 - �` Plan Check fee: q ti i �t ier Imo . Unheated Basement ' State Surcharge fee: ,`5C) Other Unheated • = Pot Water Review fee: e Garage/Carport p , SUBTOTAL Decks 911 `77 911/Rd Approach fee: i Pb • 1 •- Other •c -_ TOTAL: $ -4-i2. I �;��< � L �_; Number• Receipt I2 Di . , Cash/Check Number. an� ESTIMATED COST(REQUIRED) Date: `I-1-0 - '_..` t(�� .Fair market value of all labor and materials foundation to finish ., `v $350, 000 Initials: • �� _ ___J G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc i • APPROVED .¢,50N luk& STORMWATER PLAN � JEFFERSON COUNTY ►, 1.� DEPARTMENT OF COMMUNITY DEVELOPMENT NOV - 9 2010 7111 621 Sheridan Street • Port Townsend • Washington 98363�O� 360/379-4450 • 360/379-4451 Fax JEFFERS COU TY RING http://www.co.jefferson.wa.us/commdevelopment/ DEFT.OF C IT DEVELOP SIGNATURE STORMWATER SITE PLAN SUBMITTAL TEMP MLA# ,D 33 / PROJECT/APPLICANT NAME: Purnell Residence 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. NEW CONSTRUCTION OF A 1, 972 SQFT SINGLE FAMILY RESIDENCE Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. THE SITE SLOPES FROM EAST TO WEST. THERE IS AN EXISTING PLATEAU AT THE LOCATION OF. THE PROPOSED DEVELOPMENT. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. EXISTING VEGETATION IS COMPRISED OF MOSTLY CONIFER 4. Describe the existing soils. Indicate soil type on the site map. EXISTING SOILS ARE CASSOLARY SANDY LOAM 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. THE EXISTING SITE PERCULATES NATURALLY DUE TO A SAND AND TILL LAYER AS INDICATED BY A PREVIOUS PROJECT AT THIS SITE 6. Describe any excess levels of noise generated by the proposed use or activity: NO EXCESS LEVELS OF NOISE WILL BE GENERATED BY THE PROPOSED USE. ONST T TION WT ENE ATE TY T AT NOISE D TRIN WO KIN HOURS ONT V Stormw r Required stormwater site plan template.doc—rev.10/12/2003 5 • • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steedslopes, etc.)on the site. Indicate location on the site map. THE OVERALL SITE SLOPES FROM EAST TO WEST FROM 15%-30% 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.). THE SITE IS ADJACENT TO FOREST LAND TO THE SOUTH AND EAST, RESIDENTIAL TO THE NORTH AND AGRICULTURAL TO THE WEST 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. STORMWATER WILL BE FULLY DISPERSED THROUGH TWO ON-SITE DRYWELLS 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. BEST MANAGEMENT PRACTICES ARE TO FOLLOWED THROUGHOUT THE PROJECT 12. Describe the flow control system. SILT FENCING WILL BE INSTALLED AT PERIMETER OF THE MINIMIZED WORK AREA stormwater site plan template.doc—rev.10/12/2003 6 • • 13. Describe the water quality system. N/A 14. Describe the conveyance system analysis and design. N/A 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. N/A - NO FILL NECESSARY 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. N/A - NO FILL NECESSARY 17. Describe the proposed surfacing material. DISTURBANCE WILL BE MINIMAL AND WILL BE REPLACED WITH NATIVE VEGETATION 18. Describe methods for restoration of the site. DISTURBANCE WILL BE MINIMAL AND WILL BE REPLACED WITH NATIVE VEGETATION 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. N/A 20. List here and indude any special reports or studies conducted to prepare the Stormwater Site Plan. N/A 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. N/A stormwater site plan template doe—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. NO CLEARING IS NECESSARY 2. Establish Construction Access. CONSTRUCTION ACCESS WILL BE INSTALLED AT THE BEGINING OF THE PROJECT 3. Control Flow Rates. STORMWATER WILL BE MAINTAINED ON-SITE BY HAY BALES AS NECESSARY 4. Install Sediment Controls. SILT FENCING WILL BE INSTALLED 5. Stabilize Soils. SPOILS WILL BE COVERED IN A TIMELY FASHION TO MINIMIZE RUNOFF 6. Protect Slopes. SLOPES WILL BE PROTECTED BY SILT FENCING 7. Protect Drain Inlets. N/A stormwater site plan template.doc—rev.10/122003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. N/A 9. Control Pollutants. POLLUTANTS WILL BE LIMITED, CONSTRUCTION DEBRIS WILL BE MAINTAINED IN A SAFE LOCATION AND CONCRETE SPILLAGE WILL BE DONE IN AN AREA THAT WILL NOT DRAIN OFF-SITE 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). DUE TO THE SITES HYDROLOGY, DE-WATERING IS NOT EXPECTED AND WILL BE CO ROLLED IF NECESSARY 11. Maintain Best Management Practices(BMPs). BMP'S WILL BE INSPECTED AND MAINTAINED THROUGH THE LIFE OF THE PROJECT BY THE PROJECT FOREMAN 12. Manage the Project. PHASING AND COORDINATION WILL HELP TO MINIMIZE IMPACTS 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). THE SITE IS ADJACENT TO FOREST LAND TO THE SOUTH AND EAST, RESIDENTIAL TO THE NORTH AND AGRICULTURAL TO THE WEST b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). DOWNSTREAM DRAINAGE PATH FLOWS FROM WEST TO EAST, TOWARDS CENTER VALLEY AND THE WEST FORK OF CHIMACUM CREEK 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. stormwater site plan template.doc-rev.10/12/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. A NATURAL VEGETATIVE BUFFER WILL BE MAINTAINED, CLEARING LIMITS WILL BE SET AND SILT FENCING WILL BE INSTALLED 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). THE SITE IS FAIRLY PERMEABLE, AND WITH PROPER BMP'S IN PLACE EROSION PROBLEMS ARE NOT EXPECTED 5. Construction Phasing. a. Construction sequence INITIAL SITE WORK WILL TAKE PLACE IN OCTOBER WITH THE BALANCE OF SOIL DISTURBANCE OCCURING DURING THE DRY SEASON 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. INITIAL ACCESS AND LIMITED CLEARING WILL TAKE PLACE IN OCTOBER WITH THE BALANCE OF SOIL DISTURBANCE OCCURING DURING THE DRY SEASON II. Wet Season Construction Activities. a. Proposed wet season construction activities. CONTRUCTION ACCESS, LIMITED CLEARING & GRADING, CONCRETE & FRAMING 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. DAN & DONNA PURNELL 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. N/A b. Diversions. N/A c. Waterways. N/A d. Runoff/Stormwater Detention Calculations N/A stormwater site plan template.doc—rev.10/12/2003 10 • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan, and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines, pasture areas,etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions,and direction of flow in all ditches,swales, culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4_ Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template.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 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. d6015114j (LANDOWNE OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template.doc—rev.10/12/2003 12 16 • / 14'-612" r14'-1" 1 13'-0" O /'-11 3/4'/ / -3 1 3'-T 3/a" s'-/3/a'• 3'=e va" 1 _1f- 74 110 A A / Q U r- - So-so" SO 90.. I ' to ———- II i so"66" • P yp"„66^ 1. I -. ZI 1 5•I6" I - {'55 15" \ I nA..x�.. 5 \ \ + V U I W 9.54^ 5.54.. P �1 4,1 O.N. I ff tDXx '1`-�. OH. 6'-43/4" ADS 6•-6^, n IT en T-412X J � ry4 Al nt 1 c� yE �' --:'-� my LT ? rn_, Q • rn • A I • Q :z ' �£ w;LCLO5ET —1 mA\ k.•' AnaI — 30"x 64. 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PURNELL RESIDENCE LI'1'•1'LE & LITTLE CONSTRUCTION p i€ Q 0 g 0. > o �, rn T. (360) 385-5606 F. (360) 385-9733 g >F 7. 1505 CENTER ROAD GHIMAGUM, INA C18325 2009 4th Street, Port Townsend, WA 98368 y -_ r PARCEL I.D.- IMPERVIOUS 5URFA<GE5 BUILDING'S HABITABLEAREA5 160.01- - - - - - - - NSq°57230E - 901-233-004 ENST IMPERVIOUS 5URFACE5: 1q 491 5F NEW 5TR!)CTURE, HEATED: 1 en4 9F GARAGE 1,445 SF A. BASEMENT FLOOR 310 SF ZONING DRIVEWAY: 15,046 SF B. FIRST FLOOR 1,664 5F - studio STL NEW IMPERVIOUS SURFACES 2,900 Sr NEW STRUCTURE, UNHEATED: q11 5F R-+,G A. EXTERIOR DECK 749 SF - - TOTAL IMPERVIOUS SURFACES 22,3g1 5F B. FRONT PORGH/PATIO 162 5F /� AREA � o � 210 N. Victory Avenue LCT llREl: LOT 0(:VERA6E PERCENTAGE 3.5 EASTIN6 STRUCTURE, HEATED: 7111 5F Q O 5 O Port Townsend, WA 98368 14.64 ACRES A. ADU (ABOVE GARAGE) _ __� 360-640-8814 EXI5TIN6 STRUCTURE, UNHEATED: 7q1 5F '� Simon@studio-sd.com A. 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L1--1 0 d 11 O 1 li w 1v� LOCATION �7,— m to � W G� i V ,EXI5TIN6 LU 1 Z I1 I I I� LEGAL DE5GRIPTION 0 I I �J I i i I � � •� �� \, \ i / / `j'\ !! - PARCEL 1 THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE 5OUTW ORESHIFI 2q NORTH, LESS 1 GOON GONOSISTIN6 OF 0:5) IN SEC-11ON 23 I i - PARGEL 2 - - — \ THE }^EST HALF OF THE WE5T HALF OF THE I,^EST HALF OF THE SHEET NUMBER NORTHWEST QUARTER OF THE SOUTHEAST QUARTER, IN SECTION 2, \ \ i TOWN5HIP 21 NORTH, RANGE 1, AkN.M., GONSISTINO OF 5 AORE5, 510E YARD 5ETBACK N MORE OR LESS. A ADdAGENT LAND USE: FOREST LAND 51TE PLAN N DATE 1" = 50'-0" 03/1S/10