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HomeMy WebLinkAboutBLD2012-00350 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD12-00350 SITE ADDRESS: 443 MALAMUTE LN Issue Date: 01/23/2013 PORT TOWNSEND, 98368 Final Date: 4/11/2014 APPLICANT: CATHERINE ROOSEVELT PHONE: 206-799-0560 CAROLINE MALLARD 5428 S BUDD CT SEATTLE WA 98118 SUBDIVISION: MOUNTAIN VIEW VISTA Block: Lot: 10 PARCEL NUMBER: 974600010 Section: 8 Township: 29 N Range: 01 W PROJECT DESCRIPTION: NSFR W/ATT GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 4/11/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 4/14/2014 Jefferson County Buildinlitivision Permitinber: BLD12-00350 Applicant: ROOSEVELT BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next 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 Minimum setback from Malamute Lane right-of-way shall be 20 feet. Minimum side&rear yard setbacks shall be 5 feet. All development shall be located outside of the City of Port Townsend Water Line easement. Erosion Control SEE CONDITION 3 &4 Foundation Footing ) . Footing Drains Foundation Stem Wall Underground Plumbing -13 Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing 1 Rough-in Plumbing rd/t-//3 Shower Pan Framing1 ' 10 z/13 �ErE L�oz2Fcr►ow 1Jerric&" Airseal ea/z�3 Insulation: Walls ///3 Insulation: Floors Insulation: Ceiling Int. Shear Wall Nailing �F J YLYL€)DOD J`H£AR-LAJALLS D�: ID/Z/!1 Wallboard Nailing ,fin 2q I� Tel Gas Line: Interior l t l3 Gas Line: Exterior Propane Tank f/tr/IL, Heat/Chimney Clearance ,iffi ( j Heat/Chimney Clearance Wood/Pellet Stove {4 i I►,' Mechanical Systems Duct Test Cert Blower Airtight Test Smoke&CO2 .� Itll ly L{ Drywell/Alt Drainage SEE CONDITION 2 FOR TRENCH Address Posted Ifr[�I� Water Meter Inspection IP • Cd c{ TC_-; -j ::ncz__C FINAL INSPECTION gilt/tut FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR lkILDING PERMIT APPLICAT N Meview Type: I 1 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD12-00350 Received Date: 10/29/2012 SITE ADDRESS: 443 MALAMUTE LN PORT TOWNSEND, 98368 OWNER: CATHERINE ROOSEVELT PHONE: 206-799-0560 CAROLINE MALLARD 5428 S BUDD CT SEATTLE WA 98118 MOUNTAIN VIEW VISTA SUBDIVISION: Block: Lot: 10 PARCEL NUMBER: 974600010 Section: 8 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PAUL ROSENSTIEL PHONE: 206-842-2205 407 ROBINWOOD DR BAINBRIDGE ISLAND WA 98110 PROJECT DESCRIPTION NSFR W/ATT GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,841 VALUATION 300,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 480 SHORELINE: CONST TYPE: DECK: 396 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Routing Date: b-aq—12- -------_!__._.---------- Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,393.75 LYK 10/29/12 135358 APPROVED Plan Check $1,555.94 LYK 10/29/12 135358 State Building Code $4.50 LYK 10/29/12 135358 JAN 2 3 2013 Potable Water Application $64.00 LYK 10/29/12 135358 Total: $4,018.19 Jefferson County DCD \\firlcmorL\rlofo\fnrmc\C RI n Ann RLJ rnf 1(1/00M(119 • • CONDITIONS for Building Permit# :BLD12-00350 1.) AN AS-BUILT FOR THE LOCATION OF THE WATER SERVICE LINE IS REQUIRED TO BE SUBMITTED TO THE CITY OF PORT TOWNSEND, SAMANTHATRONE (DEVELOPMENT REVIEW ENGINEER) PRIOR TO FINAL BUILDING INSPECTION. PRIOR TO FINAL BUIDING PERMIT SIGN OFF, A CONFIRMATION EMAIL OR LETTER IS REQUIRED TO BE SUBMITTED TO JEFFERSON COUNTY DCD (MICHELLE FARFAN) FROM THE SAMANTHA TRONE, CITY OF PORT TOWNSEND STATING THAT THE CITY CONCURS WITH THE AS-BUILT LOCATION OF THE WATER SERVICE LINE. 2.) THE FOLLOWING MINIMUM LENGTHS (LINEAR FEET) PER 1,000 SQUARE FEET OF ROOF AREA BASED ON SOIL TYPE MAY BE USED FOR SIZING DOWNSPOUT INFILTRATION TRENCHES: COARSE SANDS AND COBBLES 20 LF MEDIUM SAND 30 LF FINE SAND, LOAMY SAND 75 LF SANDY LOAM 125 LF LOAM 190 LF MAXIMUM LENGTH OF TRENCH MUST NOT EXCEED 100 FEET FROM THE INLET SUMP. MINIMUM SPACING BETWEEN TRENCH CENTERLINES MUST BE 6 FEET. FILTER FABRIC MUST BE PLACED OVER THE DRAIN ROCK PRIOR TO BACKFILLING. A VEGETATED FLOWPATH OF AT LEAST 25 FEET IN LENGTH MUST BE MAINTAINED BETWEEN THE OUTLET OF THE TRENCH AND ANY PROPERTY LINE, STRUCTURE, STREAM,WETLAND, OR IMPERVIOUS SURFACE. A SETBACK OF AT LEAST 5 FEET SHOULD BE MAINTAINED BETWEEN ANY EDGE OF THE TRENCH AND ANY STRUCTURE OR PROPERTY LINE. NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. 3.) A SILT FENCE SHALL BE INSTALLED BETWEEN THE ROAD AND THE PROPOSED DEVELOPMENT PRIOR TO ANY LAND DISTURBING ACTIVITY. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES NOT CROSS THE ROAD. 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 4.) CONSTRUCTION ENTRAN•SHALL BE STABILIZED WHEREVER T•FIC 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. 5.) 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 Quimper sub-basin in a designated Coastal Management Area; as such, state regulations require the following: 1. 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. 6.) 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. 7.) MANDATORY MEASURES FOR AN AT RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirements: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 8.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 9.) A flow meter shall be installed prior to final sign off of the building permit. 10.) A Storwmater Site Plan has I.submitted and approved by the Departm 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 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. 13.) All development shall comply with the conditions of the geotechnical report dated September 1997 and supplemented by a report dated March 16, 2005 both prepared by Shannon &Wilson as recorded with Jefferson County Auditor under AFN 497779. 14.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 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. 16.) 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. 17.) Minimum setback from Malamute Lane right-of-way shall be 20 feet. Minimum side & rear yard setbacks shall be 5 feet. All development shall be located outside of the City of Port Townsend Water Line easement. 18.) The building height is not to exceed 35 feet. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. \\tiriemark\riata\fnrmc\F RI n Permit Rlrin mt 1/71/7(11R Oct(e-----. ON 6. JEFFE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT i '4 621 Sheridan Street Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax �s Cs`SO$ >vuvw.co.jefferson.wa.us/commdevelopment 1111 �$IN Master Permit Application MLA: j l .1 1 Project Description(include separate sheets as necessary): I 0tt..I) )JE.-- 1 -0.3s€ Tax Parcel Number. 91 yko 00 o I D Property Size:21(01 et LPL' SV (acres/square feet), Site Address and/or Directions to Property: %-k"4 3 fl t&'NI-1 L A'1E Property Owner(s)of Record: t A`TE �.v --+.€4._T ( c4(1.0t-t a,E, M 4 it-t..A,-?•.Nw Telephone: 2oc,. lei,-0-s-t<.o Fax: email: Kb-T $- 6 5 ehc)• col. Mailing Address: S 4/-L '& S . / 0 C-f— S 4 i-4_,- i 1,4' 'e// e Applicant/Agent(if different from owner):T brut--L v 0 wi s e u'sr,C-� y� Telephone:Za G 81L Z.Z.A. T Fax: email: V o.l 'jLc SE•u S'Tr el tAr ab Mailing Address: 4 1 .+3ur, wooD L . VC. ' IA, 1 W�aLIES. - 16lib •� t.- What kind of Permit?(Check each box that applies 0 Lot or Road Segregation tltBuilding 0 Critical Areas Stewardship Plan O Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) fir Single Family 0 Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CI" O Manufactured Home .0 Modular 0 Discretionary`D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address 0 Road Approach 0 Short Plat** O Home Business 0 Cottage Industry 0 Binding Site Plan"* ❑Propane 0 Long Plat** ❑Ziyn 0 Planned kurai Residential Development(PRRD)/Amendments"" ❑Allowed'Yes"Use Consistency Analysis 0 Plat Vacation/Alteration"* ❑Stormwater Management 0 Shoreline MasterrP._rogram FxemntiotVPermit Revisions'* ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Managernect A�a ovriSgprgpnX_, . O Temporary Use 0 Shoreline Manager t I t U V ❑Wireless Telecommunication* 0 Comprehensive Plan/IJ n t O Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Sho*lline Master Program Amend *May require a Pre-Application Conference 0 Tree VegetatiOrlik est p r, 0 n ^n, i I **Requires a Pre-ApplicatiOn'Confe'encel i 2 Please identify any other local,state or federal permits required for this proposal,If known:os • j i JErE€RSON COUNTY /� DESIGNATION OF AGENT : op r nr." �r M 1 - ......? 1 hereby designate I'414L VUNietS"ir`1 S';n4 4-- to act as my agent in matters relatlrrgOto °' r t(s). /� Al /'OWNER SIGNATURE , r`� �-.. ,�5 � Date: I v " / 7-' l ) /8y 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 resultin this permit being nut 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 rovide amass and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any ' Oil inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the i time of the appilce obi he or she wants prior notice. { • Signature: l _,,;,,�1t Date: c1 t Z The action or actions Applicant wit 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 art endangered species as those terms are defined in the federal taw 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 wit 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 yliou are \Compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual i and non-transfers\ JJ. e allay for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: - Date: r '\ . L`;r! i G:\PerrttitCenter\###FORMS###\DRl)FORMS\Current DRD Forms\Master Permit Application 5-29-0&doc • 0 BUILDER STATEMENT The signer of t issstaterhent does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass rt ing-.th _responsibility of the General Contractor for the proposed project. , Signature: 'iv.,_, t Date: ;1 li' �"-'1, -.. kcENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL.: CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL • Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: N; New >k Wood Existing: 'O E Sewer E Addition C Steel Proposed: 7., S Bank = Community System O Alteration/Remodel 0 Concrete Total: 2. S Height: IT< Individual Syste • Repair C Masonry SEP Permit# l -SA_ • Demolition ri Other: Bedrooms: Water Supply: Existing: 0 Setback: F- Private well 0 Two Party T�Gpe of Heat: Proposed: 2- 0 Public G-i Ems_ Total: Z.. Name of System: ' If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of A ir,> iMs Number of occupants(includes owners,tenants, employees,etc) Current WiE qo V� • IBC Occupancy: IBC Type of construction: Will you have Fob. rvice? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: OCT 2 ?��2 1 Underground Tank 1 Above ground Tank Size of Propane Tank: ; 1 . 0. 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stbvb j 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No I JEFFERSON COt1N1Y When applying for a permit to install a propane tank you must also submit a site plan sho.windrafl 6f itHr aDiftilifi (full e lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For-Office Use Only. - • Amount Revision Main Floor Heated O 1 3 y' 1713 jt EH Bld App Review: 21 Floor Heated - Consistency Review: 0 09-99 Other Heated O Base fee: 3 � C75 Mezzanine O aAdditional Section: _______—,- Heated Basement Q Plan Check fee: Unheated Basement State Surcharge fee: �,��� O g J , x) ' Other Unheated' O 0 Pot Water Review fee: Garage/Carport SUBTOTAL CD `I 80 ,.35gZco -4_355, 1 9 Decks 0 0 911/Rd Approach fee: Other. T to 0 3 9 c' 110(-0LFv TOTAL: $"T355 ICI Receipt Number: 133w Cash/Check Number: ,, ESTIMATED COST(REQUIRED) ''' Date: 2 r market value of all labor and materials foundation to finish _----t r1 �.`- '- 2 ) �y.._ Initials: stawa t APPROVED Require,d_. STORMWATER PLAN 4��,�oN `°� JEFFERSON COUNTY JAM 1 7 2013 ti ,.4 DEPARTMENT OF COMMUNITY DEVELOPMENT 3 MT' IP ilg A 621 Sheridan Street • Port Townsend •Washington 98368 DEPT.OF • �� p 360/379-4450 • 360/379-4451 Fax 9 SIGNATURE: '�il111r.!�1►„ s$INO� http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# la-,g4 I PROJECT/APPLICANT NAME: q""SEcv�-T/1 iI\lt A_ A a) 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. I Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. L.a3,. A. c v. S t r c...('rta t -,rt ‘I i..r c. b g- w .)c 4 c (. - 'fbc i3—tt a r...) ` S I ;c= . 1,1�...) 2'3 0 Q .C-7"• 14--o.r -)-3 c' 't. 4.--r I N (_Lt.A&.e I) A. 3..-f-N- t {T'tr4 Cc_b rk ..., 1 +J 4 L. -,--....4. S `^o Td� L be-,C-c-r�Qv i P-ailt--r" t., o SF-- I i-' - — i Existing Conditions Summary `J'1 I I E\. I 2. Describe the existing topography. Indicate contours on the site map. ! '' OCT 2 9 , S i S"c_% P S cs T A--r 4,1104 T. 8 Vo ' L-.' — I IFFFER0ON COUNT. i _"fl'T OF C0MMUNITY DFVF!l 3. Describe the existingvegetation. Indicate native vegetation areas on the site map. E:r ci T F--d A —I-4-e- CL.c-F, (LF7 P P-b 1-131 t- C I'T t S Co.)eA-45-ii t,,,,t -F- t✓ lA-"V►V C. S A Lo IS S 4 5 rl is-c.L. TLS t,..J t,r F C. v-- 4 `* t-b id..,/,..5 4 1-0k ct-k, - g.; C S Cx-- O F 714-E 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 on the site map, if applicable,andindicate acreage of e_ach. k, 4 Trc tt..- C7�3_t_� t.}n`I• e‘.; t tic T 1 S r4T1 c S'-- - 1TS. t'M �v v o t=� F-41-- ;—, 11-oQ ECL-t -No C=�ST- — 'tyE I.LAN 1 esi s 'lam L ,z--—I.�/ To. v.r 7 6. Describe any excess levels of noise generated by the proposed use or activity: NI 0 iv C 5 stormwater site plan template—rev.10/21/2008 , I • • 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. • Sirs . 1.,,)E-r LA- o F rL to. rR W k4 i S T!} W'f-Vr •l o to 'r'h4' 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.). Ti`-E- A-it-C--A 1 S A ►Z',S D w A.c. p L-PfT ` -' .-is i 01/4.1.s . T -E. 12e,P� 1 S c�►. p��T a�+FZ t S a-,si t EJ1 -tom PA ►-LES I Al -r-+re- P A-T • W 41 F 2 +S �t-o n kJ r14- o .� 1.14 IS �1"-CE` is E^' ..a140 AAA 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. �u(� h Jay T L tit w t 1s� ‘-F F.a 41'—{ 1 S t� 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.] N R- 11. Describe the performance goals and standards applicable to the project. f 1 N l h t L(� r.�4 i«' R-1�,A r.� C t Qom''" ( +*! [U �IS�F+LSF LJ P- � l��+�1 lr1 --U1o0 S %.1 r 12. Describe the flow control system. ' r -J 11 V I rI ijl 1Ei FFRsn^;rnll��lN PFPT.OF COV:NUNITY PFVFLOFrocNT stormwater site plan template-rev.10/21/2008 6 • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. FALL t 7 �t J�`. -c {: tom,_r� A:c. e 3/L4 .—A-0 Cc-k- 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. IZo D E'x+S l' 3 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. 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. t.3 4 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 age es• If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-rely e t conTditions or restrictions here. I � I' iijJ(3 i N rc 'Li/ • I t JEFFERSON COUNTY U.Pi.OF COMMII !P DE'vFLOPMENT stormwater site plan template—rev.10/212008 410 • , 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. 1A�� C AL tkj i >s `-t To - K1 o,L u (-NA6Q4 TAtC- 2. Establish Construction Access. t.. ‘v 3. Control Flow Rates. - 4. Install Sediment Controls. t )J S rY�t-L 1 ` S p 7- (L \t� J P- t N 2 Sc r-t Av -To Ga--T .\4 v © ' 5. Stabilize Soils. D ki 1�SZv (t-��D 4,L 1-•1 j IT /ccQ�SS r'1 S Y c N F t,v I s 14- - A- 1,0 n D A-Y s. 6. Protect Slopes. S t�(l,Fdk a 5 t tt-iI r I` LEI , 7. Protect Drain Inlets. i f 1 •I Ii !;;0.INMINIY - Pr , ,,tii''�TY stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. �ylSTttii� C 9. Control Pollutants. o t~ c= +- iZ�;, t7 Li t a4 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). S ,rt -b it—,Tt s z.1ILA-ICY 11. Maintain Best Management Practices (BMPs). tx.c_ -t-a S i T t o 0•3-3--- g Di rV A- L L T �-1 �o-LIB+t- C c,w Tg2.c, r p tU S i? t1 L S 1 i ,.s S i �' T7N, � S�ia�tt-tZ` C asS�1-C 12. Manage the Project. I N r/ -vs r - =S Gr c.-- A y 3= s �- a +,� "X i 5 ri s ty 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). v4.1 L b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). sa. .1 S al 14i t, 1-0 T`4`�c tom+ C�a: j►�- 1 0�c�l� w�T L l� . t S gFsfl -ro STL 20 -- • 3. Environmentally Sensitive Areas. . !I I a. Description of environmentally sensitive areas that are on or adjacent to the site. T s L 14- L;1 �;+c e t-1 1 4 w ,, ,T,OPMrNT stormwater site plan template-rev.10/21/2008 9 • b. Description of special requirements for working in or near environmentally sensitive areas. At CQoSS 4 't-ts T- � Tl kE- 1Z�th-4 L J I I 11 "D 6 © t-.3-G- 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). 5. Construction Phasing. a. Construction sequence C Y O C %S I t .Q P�� L Pr N i �L) %moo 4 T - b. Construction phasing (if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. /� ' 1 -" S T Co,J 5��V c.�CO,v — vC� r t n> r 1)1 �1�-ZS�1� 4 lL A S. II. \ Wet Season Construction Activities. a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. �fco�1 L 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. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the-Moll/vrin -a{ .(i a. Sediment Ponds/Traps. . Fr, a. r_ b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations ;if; ne ..'i;G!i'dly 10 stormwater site plan template—rev.10/21/2008 • • 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 corr ct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all own rsr f th affected property. r6( 0—A— \ (LAND WNE 0 UTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: UI - v i L Li JEFFERSON COUNTY DFPT.OF COMMUNITY DEVELOPMENT stormwater site plan template—rev.10/21/2008 12 0 . z,...C-0' ...., <`• ::-‘ .. 0 r - 2 a.fc4 f) i , V r •••1/4`..- \ 0, (I\ '''' 112> • IXO ! 41101111. 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CD rn = 0 _ . rn flW --I pipe O.D. r-o r-o xran xran end cap orplu3 ° q°° clean out w}e from pipe o°a 4" or 6"perlomled pipe laird fl3.tl' a notched grade board Ate 2"x 2'notchesICBwJsolid coter(Iackin9) AEll ° n a influent pipe (max design flow s 0.5 C FS pertrench) a.o clean outwle fmm pipe low in second di persaltrench K recessa.ry AN AS -BUILT FOR THE LOCATION OF THE WATER SERVICE LINE IS REQUIRED TO BE SUBMITTED TO THE CITY OF PORT TOWNSEND, SAMANTHA TRONE (DEVELOPMENT REVIEW ENGINEER) PRIOR TO FINAL BUILDING INSPECTION. PRIOR TO FINAL BUIDING PERMIT SIGN OFF, A CONFIRMATION EMAIL OR a LETTER IS REQUIRED TO BE SUBMITTED TO JEFFERSON COUNTY DCD o sr (MICHELLE FARFAN) FROM THE SAMANTHA TRONE, CITY OF PORT TOWNSEND STATING THAT THE CITY CONCURS WITH THE AS -BUILT LOCATION OF THE WATER SERVICE LINE. °a ° pa 1 W • flow to otter b ram ing CB's PLAN as recewary NTS pipe O.D. 18' O.C. ,afvanixed bots 1'-0 f U I+ tren Tt1m a��� tz 2" xv" a° av board notches 2" plessQre treated grade • • 4" 'pedorxed board Q4 "p ap pipe laid flat c`On o a NOTES: 4"x4'support post C °04 clean (<54: fires) 1. This trench stall b3 construct°dw asb prevent poi m discharge andbr .0 142'-W4*washed mck emsn. lo 2.Trenches mw be placed nocloser fi'Iter fabrb than 50 feet t one amther (100 feet along flowlire) ' 1 % nxta Aav cantmVwater cwdAy 3. Trench and grad°- board must be t,c$ ifert in mra! areas. hate 1. Arg n to fol Lw cc rrto urs of sire SECTION A A 4. Su ppoit post span ing as req uirsd try NTS w it cc rdttions to ensu re 9radz board remains level. Figure 5.2 — Standard Dispersion Trench with Notched Grade Board N18'26' 7 128.23 r r W w w w W w C8 {V w w w y 7 w W W W W i 4' W W W W W w w 19 w W -"U NOV 4 2011 JEFFERSON CAM M W330 30" o �DRr�1, 1s�D 8.2fi,'48 .51 r C I C13 L14 ,L p Require S89055' 15 towI \ 51 �' i S2 N� •� 130 APPROXIMATE PROPERTY LINES CO v . Q A �a- ry� eg— OCb D2rafr,r-r-tC�D. \ 1 LnySEJQf41 L1= i�-rl ai_AiUit.lr 43, gnslxl I `f5 h'Et 0O/ti��nP ,3 _` + . Nr O 80.08#31 "F r 1 J� f 1 1N PTE n- �_ I t./ 0 ON Ai i34 �E._._._Q-F._ _ �!v Z-t'o ✓. �E_u1 STf ti.4 __5 w I� Lt A�D2cSS �I�t3 rl1>� grlvT LN A 000 10 110vNTN,w vlCh/ V(S-j—` APPROXIMATE LOC, OF EXISTING WELL _Lc)T- LO-- - rh^ I v ! •20) I 55 15 "W_ Q 61 .71 84739r9 coop--�"�� �6�E70 VE ZOT > > 51 'E I_nl 5C; S� -PC9, 13 �ooSGuc�T/r/AIL--L-�iL-b 1/3 Paul Von Rosenstiel Design & Construction ra.q., 407 Robinwood Dr. SW Bainbridge Island WA 98110 Telephone / Fax 206 842-2205 y