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HomeMy WebLinkAboutBLD2010-00404 • 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 #: BLD10-00404 SITE ADDRESS: 662 CASCARA DR Issue Date: 02/24/2011 QUILCENE, 98376 Final Date: 4/20/2012 APPLICANT: MIKE COLES PHONE: 360 598 3565 14900 SANDY HOOK RD NE POULSBO WA 98370-7868 SUBDIVISION: QUILCREST VIEW TRACTS Block: 4 Lot: PARCEL NUMBER: 701185004 Section: 18 Township: 27 N Range: 01 W PROJECT DESCRIPTION: New Single Family Residence 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 THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON4/20/2012 I:\F_BLD_Occupancy.rpt 10/29/19 Jefferson County Building Division Permit Number. BLD10-00404 Applicant: COLES 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 7 a pre sl Setbacks --� ,) if ( / r/ `ICIm/im m au n setback froscara Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. Erosion Control SEE CONDITIONS 2&3 Foundation Footing i 3 C(44. C r�.e..P t�.a ct �1 c, d �� IaFooting Drains ' � C yL �y�...,. S Foundation Stem Wall . 1ll�) tl Underground Plumbing ( / Under Floor Framing G , `f Straps(hold downs) 42.. ki5 4,1 I o%c,L,,, G k L S l( f c r > Ext. Shear Wall Nailing frfq Rough-in Plumbing .'6lt/ Framing al3- Blocking ()-3 Airseal l) —i/ Insulation:Walls Insulation: Floors 1trik �tp Insulation: Ceiling ,273o—� 1� Int. Shear Wall Nailing r✓CS Wallboard Nailing &asJ_n Interiaz LinGa Propane Tank_ Heat/Chimney Clearance id ,y_ 1Z�t'L3Drywell/Alt Drainage / /?7ty SEE CONDITION I ��� z Address Posted _/ _J\ i ' I_ LOWei (1 LOtr LtiSfaStoct LiPs FINAL INSPECTION �- �i? ( 71-73 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD10-00404 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.) A SILT FENCE SHALL BE INSTALLED BETWEEN THE PROPOSED STRUCTURE AND THE PRIVATE DRIVEWAY TO THE SOUTHEAST AND IF REQUIRED, ANY OTHER AREA THAT MAY APPEAR TO BE ERODING DURING THE CONSTRUCTION PHASE. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES NOT ENTER THE STREAM. IF NECESSARY A SILT FENCE SHALL ALSO BE INSTALLED SOUTH OF THE 55 FOOT STREAM BUFFER. 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. 3.) CONSTRUCTION ENTRANCES S L BE STABILIZED WHEREVER TRAFFI,ILL 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.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In Stream Flow Rule for that region. The parcel is located within the Donovan sub-basin in a designated Reserve Management Area; as such, conservation standards per state regulations require the following: 1. A permit-exempt well serving an individual user shall not exceed a maximum of 500 gallons per day (gpd) or an annual average more than 350 gpd, for all permit-exempt uses authorized under RCW 90.44.050. (WAC 173-517-120(1)(b)) 2. A well serving a group domestic system shall not exceed a maximum use of 500 gallons per day(gpd) or an annual average more than 350 gpd, for each residence, and shall not exceed a total use of 5,000 gpd for the group. The design and construction of group domestic systems must be consistent with applicable state department of health requirements and applicable Jefferson County or Clallam County requirements. (WAC 173-517-120(1)(c)) 3. 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; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 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.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 7.) 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. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than 2 unlicensed vehicl hall be stored on any lot unless totally scrad 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. 10.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) The building height is not to exceed 35 feet. 13.) Minimum setback from Cascara Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 14.) 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. 15.) 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. 41, • MLA10-00387 BUILDING PERMIT APPLICATION ReviewType:l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00404 Received Date: 12/8/2010 SITE ADDRESS: 10102 CASC,AeA be. OWNER: MIKE COLES PHONE: 360 598 3565 14900 SANDY HOOK RD NE POULSBO WA 983707868 QUILCREST VIEW TRACTS SUBDIVISION: Block: 4 Lot: PARCEL NUMBER: 701185004 Section: 18 Township: 27 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOI New Single Family Residence TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 611 VALUATION 150,000.00 ADD'L: 537 HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: 537 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: SHORELINE: CONST TYPE: DECK: 191 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 2PARTYWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 10 ( --- -\ __— Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,368.95 RAC 12/08/10 120329 /� P R O`V'E Plan Check $889.82 RAC 12/08/10 120329 �"� State Building Code $4.50 RAC 12/08/10 120329 FEJ� I 'uin Potable Water Application $98.00 RAC 12/08/10 120329 Total: $2,361.27 Jefferson County Planning & Building Department e ♦ • • 23'-0" ). 27-1" B_7" 10'-10' 1 6'-1" AL. 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Nii I 1 [1.11 IIII _:— '650 FX 305 SH 2650 FX ROOF- — — — BELOW ,'-0 1/2" 6'-0 1/2" 5'-5 1/2" 17-1" 5'4 1/2" 23'-0" Second Floor Plan Scale 3/16' 1'-0" Nov. 10,2010 0 29 " • / 11'-6" / 11'-6" / Ilk 4 4040'SLD _.c R in — — — — — 1 f 9 2" l • II r _ /' cc; a (si (V fh N : HEATED ATTIC V — 4� S. I FIREPLACE FLUE Itzr o Er o 1 CO Si fi,I y l \ \ 1 3070FX 3070FX _1 1 f 4 '" I 3-8" J. 43" / / 5'-512" / 12-1" / 5'-51/2" / / 23'-0" / Attic Floor Plan Scale 3/16'=1'-0" Nov. 10,2010 • • �.g$ON 0 4 JEFFERSON COUNTY U DEC - . 1 DEPARTMENT OF COMMUNITY DEVELOPMENT . )1,. %4111W. ,' '. 621 Sheridan' Street• Port Townse'rrd • Washington 98368 : K1,....... 0 360/379-4450 • 360/379-4451 Fax `��TNC1 http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PL.AWSUBMITTAL TEMPLATE, IMLA# . u, 'lI•PROJECT/APPLICANTTNAME: M 1,, `C...�-', ,C©I€. , , Please answer all of the following questions to the best of your ability. Where the question calls for,depiption on a site map, the applicant may choose to either incorporate the elements into the general plot plan for fhe Master Land Use Applicaiion'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. gU4£.I7 A TWO 5TOFZ7, MOO 5.r, SINGLE rA1+41L`f R5 tW =1.1 C,C- t2N A 10 ACSE 511'L. TFit oLs5S t.-ltLl. 1.11 A\1i A Ci{A,_WL s pAc8 71610 FU-t4_l 5451 l..n©1Zs A I-12 A 1- 8/ArTL-1.J Alit Fbirt°P/ T1f� 5LTLC' 18 .OIZ. TL4L I ov �a I % ra. RE1° E i mg on itions ummary 2. Describe the existing topography. Indicate,contours.ori the site map. . 0 E. c�..v.rts. •,5�F 'g ,. . Ci •.. t . _ , . r _ s 6. r 14, `1'b L - LI XLr7 AP,4 , RA p .1-4A5 t i'-tLE tc ?E-S' >t4. ,W,ouW 15 . f: G A• ._ _ _ a'A. Ids C r OP r ._ ,. 3. Describe the existin. ve•etation. Indicate native ve.etation areas on the site ma.. A it _ Lair EL ' ♦ '. / ,. 5 . E E . µ :. La.a0 " a - Q ^ a g ' ram '_ P. .. 4' d • S LO ca's5::17 I,Lt T t-1. rA S"T. 4. Describe the existing soils. Indicate soil type on the site map. 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 orr the site map, if applicable, and indicate acreage of each:, , • OP -PSA414AG6 FS. G A-0 , O L.� . .5_ .•o t?.e e k ---c m a .v\eRl41.4.. , 5tZ' � • , . . APP�t�2VF.I1 6. Describe any excess levels df noise generated.by the proposed use or activir TORA4NJATER PLAN boo' `-61065tt . ' 1,41,LL 136''� hlF4le.1s,TL ' tax catspT puK,,,,t�.16 r +b,l. FEB 2 4,aOL1 Stormwat r r Re uir ti 1EFFERS ' N q 6)1/43 DEPT.OF C IT EL P FN stormwater site plan template—rev.10/21/2008 SIGNATU R • 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. l.1cT 9 OtPig3 C,0I61 TILT 14-1 A Nth'W 1,k1n7T Pt- .Ro rrg,0 6''t st, 714 gos4; c ` . 1'tau- 15 #4► 5 KA LL ?o NO O al Lot 5. 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.). -T fig' 60 IA cTL2,t) 10 W S Eg Is T f Ip LDZ 5 © trz4L Ll. Gf �!t_1 l Z j� �-��� -r t. v 5 tT LA.51tert3 &5 nAtRA. p o FF sT Qv .05,NA C,(2u6.117r Ko JlotrwtCa..SQcJ C-OutA•LY LUPO 14 tt cT Q Api ArG `� 5 AMC 5" TO to AcKL IF,L S I D 1.04 0i1-.. LOTS. 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. Qescribe 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. �L GLi TT Ms ARp p 't i 1,441u 0, °tT rz._!, t +f.,1 -c (p /4 5 57 6$� ' Go INuNa L GT.L t7 'To A `1212, ' 4F.t1. To IPA PUCE . E. STotcr414 c51z;. •PotW VrOti LAD ATtot4 oR& t,ls 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. 1,.1 FA c..-T (.tL4 #5E L tv1444L. Pn LD J p LIF,eit-V A s r, ft Wis tt pkL Lam, t3 E 1 s "0,f by . roilEu .A XI S t 1Lt. 56. i i • vq.44,4 D vu-ca, NA • • t ivoint C',nm roLET tli O tsl coca. G o ksr. 12. Describe the flow control system. pLo(04 cAD14112,oL. Q f ()OF L R 2C 5.F) 1ivticl.. 13E a NC 4L204 x-5` QdtcP GetAY.L�2 L7 LL Wy c 'O T riatamcv. Q su s -1✓t_es v Ke s. 4 C ►TTAc t 't?. stormwater site plan template—tev.10/21/2Q08 6 13. Describe the water quality system. 5 ( 1E 'VER L . Pi y 4 p Leis 1 t5LE , -hp. Ap.c- tsrb ST ikpl S �'T C� 5 14 c,tgliVoS A.641 ' 5T /s..ttl id,./ILL ML- LY .P T—� 1=f__ LsX.fasEP SOLL.S pURI L4G (o14ST Rl/ fJo1.J. 14. Describe the conveyance system analysis and design. dd 1 GU`TTe'Rs To p ow to ors r IA4 c-1 -to W t4 G f�J�p Ec p6 15: J�/!�'/ t*rs 4 TM�'N r elNINEc.TEb To A toK.Nr LJL,LL. 15. Describe the source of fill material, physical characterjstics of fill material,and deposition of excess material. 1L LC ‘ MAT iL -k p ea 551162 ' WILL; 150.- I C21A :dal�-5 EX�A+1cA� r a E�<<c� GQ � tell• C P yeL 11 KErQULt ZP Pam, c.Q1,�. �'S.uc.�lo,N W1Lr_ �5 16. Proposed methods of placement and compaction consistent with the applicable standard on Appendix Chapter 33 of the Uniform Building Cdde. - • . , sA1 /2 ci-6 t 'sLA.Y5 ,k11p ' , Foy��AZ1d Las tL a cep Co Pt!fAn E'P I'�-I - S R Uc. (>t2-Ju__ �1 S 19 i ul�Lic, PC..AHS. Z 17. Describe the proposed surfacing material. kl/y y PAi, Al c? AABA. 1Jl44 •IIAVL 3/4 " t;ILUuS BASALT F°LAc.c-p ®r ZRcJCI. ift co ter1.4rc.Ze'p . o G:IIII e z l-€i4 7 18. Describe methods for restoration of the site. p j 7 /tom �,�P/J�Lj' o, cos" . N1 Ti = Ge.TA le")Al I. /c.A-t-Ij' !At ALA._ AP'A ., l.,lII , . 5776- .L4A s p ts-ror45Ep. 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. NA 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. ERC'!t 1 ti! p• G R655 LDS t 13lr C./Kr-ATI PEN SDL 1 r ON 5 . R Q. $4x 2181 / p-Qfk-T )1 A. t&3(0 z, ATT L i 1 U<-E gsi1 Y 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 envlronmeital(y sensitive areas and o'ff-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 SWPPFTelements has been or will be addressed.'Identify the type,and location of BMl}s-used to,satisfy tile required 'element. ,If an element is not applicable to the proposal,justify in writing. Descriptions of fhe 12 Elements are found at Volume U Section 3.2.3 of the Manual(beginning on page 3-7). - . • 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. ' 2. Establish Construction Access. • • - C/14.45'�'RA)GT 1 O to t LL I Eev.xt ["7 3. Control Flow Rates. P . •N S ° 7114 1� xsT s 2L -rl 1-4k4gsT L 4 SfA.t T _c,6 141m; 3tLLp sty" 4. Install Sediment Controls. Cy Hie 5 T> AAu-1 c-vu l c.,' oP4'& , - Pt- T1/4;Zt3EP - 5. Stabilize Soils. F3, ,,V— 6. Protect Slopes. 7. Protect Drain Inlets. n PP-AL\1 -41y.•1:-ET5 crq,1 5 Cie ,• stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. it, 9. Control Pollutants. ' At V G H l 15 1 5 (R , 1,4,1 Li.. fs.lp N P L L V ji5r 14T ccei rIZO 1 1,.11 V P L C x► (►ftc LL ch.) I.-5 Ar 1 or‹.. 1GQ N TA 14Lb4ATPF:p )TEtoi5- 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). -T vs. 1sy Ot� k te �l S1.ot,2vb A► WTER I.�14LL )3F Put4PEP Tb b L H ! Tt Oezz Gbt4sTle(r-Tta a• bRZETZ'[rt7 AFQHA. PAP At,ta[t1E17 To rcc.Tt pot, ., T 4R0 FO1 37 11. Maintain Best Management Practices(BMPs). �( kAkvER V,{uc,a s Una_ E3E KG I bi-E F cl N PM,L� 9Asli,. AND A«_ scif,_ M TIC cCT°K 3. k7611 H Is Pl REcT 5 v its s to N. 12. Manage the Project. I7 i.LIL.J.S____ _f24._._E_s__Lt216.4_&L.C_Pi Ls A (-1 GayliPci7 a6c7/ WI rid Y s t!, G o'4 sTI IcTio .. l'tc t2 J 1c CLc- c jj 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). V kL s ( 5 Y[ ow.) TM ApJi c6-447 jp p La AFZ.e RM 'g Ar-vRA, Td 13 A'cG-!J l AI 5JZ I b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). . 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. . 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). ., . , - j - 5. Construction Phasing. " a. 'Construction sequence - ' b. Construction phasing(if proposed)` . 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual): j I. Provide a proposed construction schedule. II. Wet Season Construction Activities. . • • , •• • a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. , I • 7. Financial%Ownership Responsibilities. , a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. M tie—a C6le b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation I impacts. j I 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. I c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches,or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches, swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s),pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/21/2008 11 • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of he a cted prope A U (LA OWNER OR AUTHORIZED REPRESENTA E SIGNATURE) (D E) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 ��ON • •/ LJD /() - XGi C06. JEFFERSON COUNTY ,, - 0 a / r4r ' DEPARTMENT OF COMMUNITY DEVELOPMENT Nok I ti ` `& ,,,,,.).),.'c 621 Sheridan Street• Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax `s www.co.jefferson.wa.us/comnndevelopment .... Master Permit Application MLA: /0 - 7 Project Description(include separate sheets as necessary): s•-)1 (Q `G,�w; ( " i .-\es/d.Q.kr ce, Tax Parcel Number: 7 0 1 j 5 60q 4. Property Size: J 0,!L2 ac,/rAi (acres/square feet) Site Address and/or Directions to Property: 44- 5/ 5 3, 2 '5. * (03 5 CA5CARA 'DR saVZkkTC. Property Owner(s)of Record: Nit 1,=-.e.. C0I e. .. Telephone: 3 6 O 59 2 35 S Fax: /I email: Mailing Address: (� goo SA NW Qbe t �(4 V (J4 C -x) Applicant/Agent(if different f m owner): / ty Telephone: ' Fax: v email: Mailing Address: 666 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ,�Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or Cl'"` ❑ Manufactured Home .❑ Modular ' ' 0 Discretionary"D"or Unnamed Use Classification i ❑ Commercial* ❑Special Use(Essential Public Facilities)** O Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** ❑ Home Business 0 Cottage Industry ❑ Binding Site Plan** 0 Propane ❑Long Plat** ❑ Sign . 0 Planned Rural Residential Development(PRRD)/Amendments** ❑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** 0 Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment •❑ Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate In.,K co to S to act as my agent in matters relating to this application for permit(s). /OWNER SIGNATURE CAA.— Date: I t. I I 1 10 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 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 application th she wa t 'or notice. ---, Signature: Date: {! /i t (0 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable r s 'bility f' all ering to and complying with the ESA. The Applicant has read this disclai er an signs and dates it below. ,if Signature: ... 1 4. Date: Li11 1 v al, • , 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 assumin t e resp i •ity of the General Contractor for the proposed proje Signature: Date: t 1 /1 /6 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: mtKe (611$ (� O ) sz/2 356f( ) • MAILING ADDRESS: ,V /1 / /4 EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: J / NUMBER ARCHITECT/ENGINEER: Cp4." p 951 &i,I'LGI �QS/ PHONE (%)) (oZ', 15 6tAx•( )) MAILING ADDRESS: ! •O.6 o„ I OM� Cs Cu.,J Je_ evit 9 g36¢ EMAILw,k�s Q G ,,.,y yos,els.iev C141404,•UcM' Project Type: Frame Type: Bathrooms: __ Shoreline: Type of Sewage Disposal: X\New l ' Wood Existing: ❑ Sewer ❑ Addition 0 Steel Proposed: Z Bank ❑ Community System ❑ Alteration/Remodel 0 Concrete Total: 1. _ Height: 6(Individual System O Repair 0 Masonry SEP Permit# O Demolition 0 Other: Bedrooms: - Water Supply: Existing: Setback: ❑ Private well Two Party Type of Het: ProposedTol El . o✓c c c A t( Name of System: • If this js2 Commercial Project you must answer the following: Number of Parking Spa . • ro ed:_____,---Ntmben3fltDA Parking Spaces: Number of occupants(includes ovine , Current Proposed IBC Occupanc • IBC Type o stru on: 'eve Food'Service? Yes / No If ' a Propane Tank and/or Applian a stal tion permit,mark all items below that a �:„... i Underground Tank i Above ground Tank Size of Propane Tank: 1 Heat Stove -. ookStov- �oodstove 1 Fireplace Insert aof A -ter Tank i Pellet Stove i Other APA- Is this appliance being installed in a Manufactured/Mobile Home Yes / 2:01, 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. Sa f ,;7,',ft,'�"s 1—10 �rrk'., F c x 1 .,.ur�� y1t 4,t : x` Square Foota•e Current Proposed -/,:Rkfigt_ M, C,4P,'s" . : t{g ,a ,l'il RiX,r°: i `c tc, , Main Floor Heated ,f EH BId App Review: 6 II. T� �. .. �� -13 -i Floor Heated `x Consistency Review: i x Other Heated A 4} 1 G, �� ¢ ` 3 `i Base fee: D • •So Mezzanine s Additional Section: Heated Basement :- Plan Check fee: . — — l' Q . State Surcharge fee: Unheated Basement _ o : • Other Unheated , i` Pot Water Review fee: .— r Garage/Carport .: pis SUBTOTAL grA5 D-7 911/Rd Approach fee: Decks % f_ ) Eict S il r Other i w or x 15( 3( TOTAL: $ D "';f ltU I Receipt Number: / 6 3 2 g y Cash/Check Number: // / Z ,; (D t0 ESTIMATED COST(REQUIRED) Date: D .Fair►Market-value-of-all hAborand materi foundation to finish l2 _-- / 000 Initials: C--. {I 50) ..,., _.•.r_ \44-44vnRxdC3tfftt\TIP T1 RrlRMC\C,,.ro.,t MR Pnrmc\Tvfacrvr Prrrnit Annliratinn 5-29-11R.dnr ELEV. 260' S 88d19'34" W 750.00 ELEV. 250' T o. ELEV. 255' m ELEV. 250' S 88d19'34" W LINE OF EXISTING FORESTED AREA XISTING p�J� GARAGE/SHOP'------- g 7 o 2000 S.F. 0 , o U ,� --- -_ ----\---- - - - - - , M EXIST WELL, 144 S.F. 1 f 750.00 EXISTING TREES o \ %� n F ri .1 21 TO REMAIN O \ , APPROXIMATE PROPERTY LINE , s_ 129_3 LOT 4 ; ' r , EXIST GRAVEL ROAD TWO GLENDON BIOFILTER M31 UNITS CURTAIN DRAIN GSTP 1,000 GALLON P.C. SEPTIC TANK \1,000 GALLON TWO COMPARTMENT SEPTIC TANK _ \ s APPROXIMATBOTTOM E \ AREA FOR TWO OF DRY SWALE NEW SINGLE C/> 100%RESERVE FAMILY HOUSE GLENDON UNITS 258' SETBACK r-3, r`,v 460' SETBACK LOT 4 PARCEL #701185004 5.05 ACRES , i LOT 5 PARCEL #701185005 5.17 ACRES 7a6 ,< Sv �6G ROOF STORMW=,TER FLOW CONTROL SYSTEM ► L5 °� GUTTERS & DOP/NSPOUTS CONNECTED TC ONE 4'x4'x5' DEEP DF'NVELL w/ -3" E3. DRAIN / ROCKCK RE: FIGURE 3.4 ATTACHED 89 82 N 88d193 E LOT 3 '�ELEV.300' N 88d19'3" E 184.40 FORESTED AREA APPROXIMATE LOCATION OF EXISTING SMALL POND 100%+ ADDITIONAL RESERVE DRAINFIELD tZ�3 LOT 4 WATER LINE INSTALL 10" MIN FROM ALL SEPTIC SYSTEM COMPONENTS CASE BELOW ROADWAYS NEW 2 SPACE LINE OF EXISTING PARKING & / DRIVEWAY FORESTED AREA EXIST GRAVEL ROAD APPROXIMATE PROPERTY LINE 109, LOT 6 ELEV.290' G ---- -- -- `\ \ --------- -------- ,32 W \c 2�.S 3 6 10 H , - 00 O?,1 \ 0 ---_ S 89d2'44" E N 89d2'44" W ELEV. 320' 20'SETBACK - 197.35 ---------.---------------- 160 77 110 A PGA �6 3-------- ------------------------- -------- -- LOT 8 stDrmwete ReQuire SITE PLAN SCALE 1"=30' TOTAL PARCEL ACERAGE = 10.22 ACRES 0 30' 90, 150' APP SITE ®L N'� LEGAL DESCRIPTION LOT 4 & LOT 5 of "Ouilcrest" View Tracts, a survey recorded October 6, 1989 in Volumn 10 of Surveys, page 163, records of Jefferson County, Washington, F E % 4 go I being a portion of the Southeast 1/4 of Section 18, and Goverment Lot 4 of Section / 19, both Township 27 North , Range 1 West, W.M., Jefferson County, Washington. S3, 0p0, TOGETHER WITH an easement as depicted on said survey, and described in instrument 1 E N � r N 1 0� recorded October 6, 1989 under Auditor's File No. 325127. records of Jefferson County, DFPT. OF 0 1T59 �i Washington. SIGNATURE: 'u'� Situate in the County of Jefferson, State cf Washington. END OF LEGAL DESCRIPTION. H N ui Q1 N O O O co O m J O W �J /F-i W 1� } co i Q W U Zo W (D % L• O = O 00 W � T O vJ J U J z 0- 0 ULLI W Uj 5� L ISSUE: BUILDING PERMIT 12/8/2010 SITE PLAN