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HomeMy WebLinkAboutBLD2011-00059 9t1 ILDING PERMIT APPLICAT!N ML Ty 051 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00059 Received Date: 3/17/2011 SITE ADDRESS: 2613 OAK BAY RD PORT HADLOCK, 98339 OWNER: KENNETH BACH TRUSTEE PHONE: 925-829-5018 DEISY BACH TRUSTEE 26 INVERNESS CT SAN RAMON CA 945833513 SUBDIVISION: Block: Lot T 20+ PARCEL NUMBER: 921183018 Section: 18 Township: 29 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST& FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 6/30/2011 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW DETACHED POLE BLDG/GARAGE - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 26,000.00 MAIN: CODE EDITION: 2009 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: 1.120 SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total:- IT Routing Date: —217- ll Type Amount Paid By: Date: Receipt: Approved/Date Permit $401.35 LYK 03/17/11 123301 APPRJE[ Plan Check $260.88 LYK 03/17/11 123301 State Building Code $4.50 LYK 03/17/11 123301 Total: $666.73 APR I5 2011 Jefferson County Planning & Building Department Jefferson County Building Div"�ion Permit Num ,: BLD11-00059 Applicant: BACH TRUSTEE 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 Noted ; j Sz"._4, J Setbacks s^_ c7 // �y� ,j Minimum setback from Oak Bay Road right-of-way shall be 20 feet. 1`"ls/ Minimum side yard setbacks shall be 5 feet. Minimum setback from shoreline top of bank is 548 feet. Erosion Control SEE CONDITION 2 Post Holes •S /( Pr; Footing Drains Straps(hold downs) Framing (9, ._ ( pi) Blocking Drywell/Alt Drainage SEE CONDITON 1 Address Posted FINAL INSPECTION i -4-1 _�� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD11-00059 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.) 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.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements WILL apply if plumbing is proposed. 4.) 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. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) A Stormwater Site Plan has been emitted and approved by the Department s 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 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. 10.) Maximum lot coverage is not to exceed 25(Yo. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from Oak Bay Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from shoreline top of bank is 548 feet. 13.) 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. 14.) 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. 15.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. . JEFFER. COUNTY • DEPARTMENT OF COmmuNrrt DEVELOPMENT 621 Sheridan nStreet•Port Townsend •Washingttsn 98368 ,,,;,., 3601379-4450. 3601379-4451 Fax www.co.jefferson.waitritfootrundevelopment Master Permit Application MLA: I I —3I Project Description(include separate sheets as neces§ar 1 6 girl.i.„ i rkic°!V . li;►,P c)Iria/1110 -c t) f-C( ,r1'D P()T Tax Parcel Number: 921173 Q tg Size: 2. A i Ai (ecroslsquare i Site Address and/or Directions to Property: Jt I'1 L Eh i t , r: -Property Owner(s)of Recent: " /V # i 'f i. +�4 f f Telephone: ' `lag-s-o/Qr Fax: eine.: ifr evil a ,.j>re.Cant Mailing Address: Applicant/Agent(if diffetent from owner): 1✓e$ A li+ CxS 37 "f"Dt.vtn GA d COW*� Telephone:Q425) '7'rf.-l555 FOX644)7qZ-4Si 6 creel r#sZ eitMa f�fu .ers�r+% t Mailing Address: n52J 41w4 �1 Su�'t'rt. .C.. t Kinwocd p What kind of Permit?(Check each box that applies ""----, 1t:BBuildip�fion Permit ❑Critical Areas Stewardship Plan O Single Fan y 0 Variance(I�irior,Mayor or Reasonable Economic Use) Manufacture Home 0 Mockler rageAttaded(4 D Corxt bona(USG[0(a),C(d),or C1 O Ma O Commercial* O Discretionary CretU nnamed Use Classificatibn 0 Special Use(Essential Public Feelings)*" 0 Change of Use Boundary AdjustmentO Address 0 Road Approach 0 S Plat O Home Business O Cottage industry 0 Binding Site Plan" O Propane D Long Plat" O Sign 0 Planned Rural Residential Development(PRRD)/Amendments" 0 Allowed*Yes'Use Consistency Analysis D Plat Vacation/Alteration" O Stormwater Management pSM Exemption/Permit Revisions* O Site Plan Approval Advance Determination(SPAAD)" Management Substantial Development- .Q Temporary Use 0 Shortens Management VarianceO Telecommunication` D Comprehensive Plan/UDCA_and Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment * ,regain rr Pie-AppikaffeitConfarence Cl Tree Vegetation Request "Requires a P e Appplratron Contservnce Please identify any 0therlacidilAsberfa►deral permits-required for this ro P lib If known: 1,448 AlitYS' A"j, DESIGNATION OF AGENT _ I hereby designate Tcywri curl C gun )0 act as my agent In matters relating.lottia application for permit(s). OWNER SIGNATURE % �� Date: 3`"2" ";e0// By signing this application form,the ownedagent attests that the information provided herein,and In any attachments,is true and correct to the beat et his,her or its knowledge. Any material falsehood or arty omission of a material fact made by the ownariagent WM respect to this application packet may result in this permit being null and void. I Rather agree to save.indemnify end hold harmless Jefferson County against at ems,judgments,court costs,reasonable attorneys fees and expenses which may in any way accrue against Jefferson County,as a rest*afar in consequence of the granting of this permit. I further agree to provide access end rigid of entry to Jefferson County and ks employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry wilt be assumed unless the appfrcantittnforms the County in trilling time of the application that he or she wants prior notice. at the ' Signature: The action or actions Appli ant will undertake as a result of the issuance of this permit may negatively ibtp estupon one or more threatened at endangered species and could lead to a potergial lake*of an endangered species as those terms are derasadirt the federal law known as the *Endangered Species Ad"or"ESA*Jefferson County makes no assurances to the applicant that the actions#eitwil be undertaken because this permit has been issued wit not violate the ESA. My individual,grotm or agency can file a lessuk on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development t code.The Applicant acknowledges that he,she or d holds individual and non-transferable responsibility for complying with the ESA. The Applicanthas read this and --. signs and dates R below. Signature: Data: d�l "r // G:\PcanitCe*e\###FORMS###WRD FORMS Nissorr Peen*Appiiatice 5,Z08.doe .az _. t -« 4 YA:d;n:.. .o*x�t..AI,I.&.*nova".- BUILDER STATEMENT • The signer of this statement does hereby certityy hat 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: Tovor-, a C-a_4...r-\-y\A Post .Yrw1e. 0 a tr0i4 OS) 1143HI65 5 ( zs)1"t2""4518 MAILING ADDRESS: tLPS'Z.1 t 41q SuO'f°e- C., EMAIL: Qe.f+y.�-r5 ZpevAnct.b\Or . c.om CONTRACTOR'S LICENSE VA/n Y1 W G Oct, W Ot ol e o 3.7 WAINS NUMBER: 'TO V.I1JCPFoaC) L-T NUMBER ARCHITECT/ENGINEER: -rerY pnw,E.\` PHONE (145)44 ` - 000`FAx:( ) MAILING ADDRESS: J EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: )6 New X -Wood Existing: 0 Sewer CI -Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel LI Concrete Total: - Height: 60 Individual System 0 Repair 0 Masonry SEP Permit#SEP°1-ooZ.'i1 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: - Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: - ❑ Public ts,I 1 A Total: 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: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: - I Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and Septiu system components, including the reserve area. Square Footage Current Proposed V:5'\;-i6;:'" ?'-- �A' n 1 `. r i' .'b - F __°�. = — -° Main Floor Heated 5" EH Bid App Review: rj2 �a l r 4 -, �° ConsistencyReview: 2 Floor Heated - ,� - Other Heated - �_t'', Base fee: G�( .-z Mezzanine - s�3 � " Additional Section: 1` 4'' = Plan Check fee: H- eated BasementAUtilt 3(4) 3� Unheated Basement State Surcharge fee: ) - Other Unheated _ = Pot Water Review fee: , ►tPIS Garage/Carport x ` SUBTOTAL 112 0 «� r (15, '-13 Decks r ' 911/Rd Approach fee: V ISf C.67 O- ther - ,, r ,, ' 3 • TOTAL: $C}!� ,�] - 0 Receipt Number: I '5 i x:::,,,,,,:w,I.,-,-- Cash/Check Number: /�/^)(r/S :,:''" I ( ,V \C ESTIMATED COST(REQUIRED) Date: �_ � .Fair market value of all labor and materials foundation to finish 2-to,Opt) Initials: --' .. M G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • Stor •S . iv. �I Pi. i APPROVED Req �t '►i••.-`A `� �� STORMWATER PLAN (.¢,SON °� JEFFERSON COUNTY �' APR 1 3 2011 DEPARTMENT OF COMMUNITY DEVELOPMENT am,_ r 621 Sheridan Street • Port Townsend •Washington 98368 FFERSO C T O 360/379-4450 • 360/379-4451 Fax DEPT. F C DE G� FIIN http://www.co.jefferson.wa.us/commdevelopment/ ;SIGNAT E: STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# \ '-SI PROJECT/APPLICANT NAME: Fameen 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 101:ISat COUNTY DC1 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. • ' '� 2 0 SF de.-kk-cheld foss 'Femme. .3cky e. ov\ zv t C_\e0."r s'nt w:*\n:n Co:+,r\v1 \nQAv‘\\ -}r e e cl 14•-. " Ve re- i S 0.v\ C.tK‘sV rat a CO Mt &ewe rCiat.ic na - vch. be. u-i V`i z Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 5 i+"Q. \Qpe.. r rv\zisie yn-ic `� } }�rte e �- Ca�n-b.,�rS ice. La6e.le,8 ov'\ -4�e, ��te. c"c av\d �c7 SkWeS ore. .+ evne.\v, Skepie. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. l..o-ts of 51vr%/Az ct rxxii ye, es. 8;_-fie. i t no* -RA.\ Aey e.\oiled a 104 ►tea-ii c. 9v ow-1*1ft �xiS-4s 4. Describe the existing soils. Indicate soil t .e on the site ma.. CM A ' 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 a..licable,and indicate acreage of each. Site. wi a•C khe_ Eos,S-} Co�n4t ky'�. "Fv I1ow ex;s-�in9 6. Describe any excess levels of noise generated by the proposed use or activity: ;(". stormwater site plan template—rev.10/21/2008 5 • S. VATT 7. Describe.significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep skis, etc.)on the site. Indicate location on the site map. kio [`:r‘Air.n\ WYPc1S yew:I.•.co- eon J M0.p 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.). V19KQ,\V\ F.Q_S-1- sF P,' +o 1 oi-kr arch 3o. , c JL. ?)_cui NNESk 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. Roocr CZ.NAW+- o-CC 411 c 1 Alo -40 8`, re,CS }n SpltTs►u61 o ck. s‘mirQXh• d;so2YSPc YVA y-'o ,J VFe a�iQn• • 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.] kre.rec \ -f'o & \ .es Y- • 11. Describe the performance goals and standards applicable to the project. Pos# Fyram2 GQrns-tti'u�.C-tior. \ 7.2A '..vs ao0_,A• Ai1ne. e S3c:int v S 0.5 \it*\e. G-S posOo\er 12. Describe the flow control system. R uMM- of c -fv - Low fib L.d4 rs . .wv15FouIS --p las kkJ oc e. Sts-t wl_ c c .e dvsgeree.4 iV*T) &+;J vese*o o h. c k 0Nnspa n v.42.4-Lv X Awn-iv-Lc km +1n¢. stormwater site plan template—rev.10/21/2006 6 • • 13. Describe the water quality system. W0.+ZV W i 1\ ow 3r1nYo 4r1 n ve e�- 1 oh 1N\nl W (`In i c1; c� �rs 2 tx.11 Y vk - - o 4 Pre Je -4 exoS.QY1• 14. Describe the conveyance system analysis and design. C�u Nce�rs 3i43 bawhsgo.,tS *13 Sy 1 ok5\n o c eY... be. d\sQ e.d an 6. c low 31-1nrou_ajn ,no.+:vim ves3e kNiti-10-n. 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. 7"he- o "' 't Yr,ai-ex-;a.\ heA v•i‘ti\ be. cic\km,.e s ro c,K... +o k.pve.1 bv`. 1 ti''ce .n._.yNA AANie vva,46. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. CYtA \-e rock i o be. ?\ 10.1. -Ireux k. Oona c__ovInpa_CAC.c1 17. Describe the proposed surfacing material. C��sr.ea a_ (grauve\) - av;v _ 18. Describe methods for restoration of the site. f1n e_x9c1se d poi 1S Z1M\l ‘"2. -N+r,,1n; \ "ee_rl -k'I trn u91n re-" Se.-t_d irtg ?r or -c:r.CIA• 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. rJ A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. NI IC\ 21. List other necessary permits and approvals as required by other regulatory agencies. If th�¢�'per`.� ,:g Onr.nyal include conditions that affect the drainage plan or contain more restrictive drainage-related requirements, .es`rit5&tHb>;e itions or restrictions here. ' perms vs_ beA.ty; ctpp e.c.‘ -Co-( Per CtSiamer. (proper avAu ) stormwater site plan template—rev.10/21/2008 • • 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. (�o c.\ear'w- ws\\ Noe. vtrrl - 51ke. is \r�.a.d• Cietur . 2. Establish Construction Access. r aY0.j e.\ ac c.e5S \ tANtrl GI.S Gown SkYLL-C11:to� �h-siy-ay�c.e,. 3. Control Flow Rates. • t\14 seck%w.eNNA *off ,ne,c-e,SSax-.t oY re a • 4. Install Sediment Controls. Ueoye,- ke.c s. \ma:\ exes\Qv\ GovrIrro 1 ca.2.y;L°e.. \c' e..cnncl%*;ranS ,raquA(e_ - s court vnu.le ,1ng +t used. \C c.4un-1rI rt1iA PS - 4 r\ce i-0\ . -3ro Nat, \n� tea. 5. Stabilize Soils. J ' &' A11 ec oSea so'A\S z th fir;Q r -Irn Novi 1 6. Protect Slopes. ►•So ,-tet 'm pro+€A k. 7. Protect Drain Inlets. j\Io eXisfi,K, 6orr6 r. Fro-N.-ex.-A. stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. No GlIarone-ls I * st'ab: lase. 9. Control Pollutants. 1\10 ?011 u.3rcx - s *ID \oe. useA or �tri,S fNoJ�G}. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). No 11. Maintain Best Management Practices(BMPs). �h' i ' .. e e Vwf or Rrc,Qe.e-4.�_ �l 12. Manage the Project. Pro j2C't- -k-o be v`n0unn eye +\ ot`dANn e_tnstrtAe.-;o,n -Fo P�ybec 2 m w ,m to 1 eY'o s:o r pc�C.iS• 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). 5VIOCCI\ re. *0 - E- (Flpp.ro . Ssol awam . �, bv,.\ srr�'S o a Sy. A-, b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). v\in t2( * -c '0 s J \\ sw. v10.AVM-oA C.C�t'o VACS u yi+t: 1 Iaf. r7 3. Environmentally Sensitive Areas. a. Description�l /1 � of environmentally sensitive areas that are on or adjacent to the sit .� rift“:„;gp C t if,'�o Y�C..'f]¢�a.'� 3r�rns, e_A"C t Y&G 3J iN tDuulb f i i bu Sr,.Qr�\_'“v.e, J-o -We rl propexAv . stormwater site plan template—rev.10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. N 1 lA 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility, settleability, permeability, depth,texture,soil structure). 1\ o e_ross or ?.to \Qm oSSocAo-3cQ A vWivr\\ a. pm.jec� • 5. Construction Phasing. a. Construction sequence ¢. Ps , ?ask_1noLe5 c th\�g t1c�, Gook:•e,i c,v\a\ 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. SparA rsfic t 'r'Qy\ is wee fc r Mt+ i 5ske-c. ct e. .\\.� Moot- 3‘..k.,n(2.. II. Wet Season Construction Activities. a. Proposed wet season construction activities. nl\1A b. Proposed wet season construction activities for environmentally sensitive areas. NI VA 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. ec S ce- aY1 ‘b,\.\ .k• • 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. N\`A b. Diversions. t%) c. Waterways. N A d. Runoff/Stormwater Detention Calculations _ IJ, 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. III 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. W�tl� 31 to) t1 (LANDOWNER OR AUTHOR! REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 .,,.--Eit.w..w ,, ,,rd.. L„u.".:-.....,•....:..sw---..0 r...,,i,„...6:W�Aw,.....tuoikrir miam i9kw . ,,,»....amo.. .._�.a...�flL�... _._ �5�T (� Draw North Arrow in Circle v�Town lx C011lltry® Suite C•16621 Highway 99•Lynnwood,WA 98087-'3161 ■ ■ Ing POST FRAME BUILDINGS Everett:rativ Head u Puyallup:(253)1555 52 � Design DIVISION of Administrative Headquarters: (425)00-82 -941111 PER MABILT FAX: (425)742-4378 ToIl Free: 1-800-824-9552 Quality:Our Future Depends On It Contractor's Lic.#:TOWNCPF099LT �� r,i,„,_____ Pt,FrPSE CHECK8 Wind MPH �oll-up doors fit in Bays Roll-up doors will not hit Truss --T Wind Exposure 4 Roof Pitch ' Eave Height Snow Load 1..) Minimum Clearance "" FLOOR PLAN • i I f ■ ' _, . crov(L...J -so) g ..0.. i a I T , , , R i ,I2xiw , q d - iakgi-tea , ,,. ._ ... 24� , . ; ,,,i *: it,ostp itit • i I , i 1 , I it • . F----- . i3 : I _. w _ i i ea, ti ss 5 ik- L.rfv6 4 t f $ t qt...a v�Otl v /!,i-r r os — �, "''" ..w. +M +rr.y _.#n,w. .. ' ..0 M....... m , ++.n,L+++n,s•Mw..r +• .. 1 �+v �l�l l 5��.f1)0 r��; ._.t y...:.•..v.. ..q.-...._..,., - .:w..+r_.. �«.w...,.wx+....(.rwnw ,+n._}.use.. I Z"`l � - „ t t. i i I + 1 1 : . . '-4 4~� ) t I -13 5 ^yv _.. 2 ''l PT Cr Gc- _1-- __r r I Iw_� ... . _.,,, — ._. r t . .._. .._, . . t. ;. . ?" ,Yt'tI! , kco I j i ;. , , .r .._ w a .:Ti i : I I . , 11 i_ �____. . _ � u7 , BUILDING ELEVATION Customer has verified and approved the orientation of the building to the North and verifies that all items specified in Paragraph B of the contract are shown on this dra and vice versa. Customer Name: 4I"" //5 Y Lead#: 13� g Customer Signature: 8 White-Customer Copy Canary-Office Copy ©1995 Perma-Bilt Industries FR-85 3/10 ,G .�, down &Country® site Ian I POST FRAME BUILDINGS Suite C•16521 Highway 99•Lynnwood,WA 98037-3161 Please Check After Doing Site Plan: /Septic and drainfield , // Everett:(425)258-4171 Puyallup:(253)840-9552 ©Property dimensions _.El t size Draw North Arrow in Circl DIVISION OF Administrative Headquarters: (425)743-1555 -�-Sewer -lines yQ �! a xisting buildings vation of property ' "1 FAX: (425)742-4378 Toll Free: 1-800-824-9552 Q Setbacks of proposed&existing buildings odies of water PERMABILT Contractors Lic.#:TOWNCPF099LT Q PfopoSed building 0(vlain road with name _B Quality:Our Future Depends On IC. Easements Lh�opes n g. ;7 , /Access to proposed building 12-Slopes&Conto s(5'incre ents) �i n 5330/,fy LegalJeg Na Description:es: ci*! '7/r „4� _ � ,� }}� 0 5617 Job Site Address: ,rif ipL t7 Tax Account#: �T cir. 1,4 9 ;p L o? 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Customer has verified and approved the location of the building,orientation of;the building to the North,and verifies that all White-Customer Copy White-Office Copy t� utilities are shown on this drawing in the corrept location. CUSTOMER SIGNATURE 6,..,^� LEAD# ( ' ! ~� ©1995 Perma-Bilt Industries FR-34 6/07 I IIIIII IIIII IIII IIIi • 1 O •