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HomeMy WebLinkAboutBLD2011-00025 S UILDING PERMIT APPLICA4N MRReeviewT 8 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00025 Received Date: 2/2/2011 SITE ADDRESS: 8123 FLAGLER RD NORDLAND, 98358 OWNER: GEORGE FISHER PHONE: 917-744-7000 ANN FISHER 2402 E ESPLANADE LN#1102 PHOENIX AZ 850169104 GLENNAN SUBURBAN ACRE SUBDIVISION: Block: 4 Lot: 13 PARCEL NUMBER: 953700432 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: LD RICHERT CONSTRUCTION PHONE: (360)379-5222 PO BOX 127 PORT TOWNSEND WA 98368 Contractor's License LDRICC*066LO Expires 5/29/2011 REPRESENTATIVE: LD RICHERT PHONE: 360-301-0543 PO BOX 127 PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOr NSFR TO REPLACE EXISTING RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 3,961 VALUATION 895,000.00 ADD'L: 456 HEAT TYPE: HTP CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 718 CONST TYPE: SETBACK: DECK: 1,600 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 3 Prop: 5 Total: 3 Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $5,109.75 LYK 02/02/11 120424 Plan Check $3,321.34 LYK 02/02/11 120424 APPROVED State Building Code $4.50 LYK 02/02/11 120424 Total: $8,435.59 MAY 4 '+ Jeff viti'Afillicterel4rtment • • February 23, 2011 GEORGE FISHER ANN FISHER 2402 E ESPLANADE LN#1102 PHOENIX AZ 850169104 RE: SITE ADDRESS: 8123 FLAGLER RD CASE#: BLD11-00025 Dear GEORGE FISHER: We have started the plan review process on the subject permit. Unfortunately, we are unable to finish the necessary plan review. We are in need of additional information and/or items as listed below: engineering critera incorrect please provide corrected calcs. Please submit the necessary items in order for us to complete the plan review process of this permit. If you should have any questions, please feel free to contact me at (360) 379-4450. Sincerely, Plans Examiner c: File LD RICHERT LD RICHERT CONSTRUCTION aN • �' c0 JEFFERSON COUNTY „Irk TM COE� 624 ShDEPAReridaENT n Street OF • PorMMUNITY t Townsend DEV•LOPMENT ton Washing 98368 360/379-4450• 360/379-4451 Fax ,, ,Olt.,* www.co.jefferson.wa.us/commdeveloprnent Master Permit Application MLA I (" g Project Description(include separate sheets amecessary): eX 16114 to I t tie liC.� lee mak- I o l.) . , Tax Parcel Number.. . 1 S_;` 00.4' 2 Property size: ,w =2$/ (acres/square feet) Site Address and/or Directions to Property: '4 Ns?, F (.ee RD DC. Property Owner(s)of Record: CC3leDaree 4 - N - Telephone: 111 "•'14• 7000_i_ . Fax: email: Mailing Address: 1�7 'sox 0-7 . knot-. gerviegs Applicant/Agent(if different from owner): L.D. 'A:4 4Q= COi.mt.A ru' - Telephone:. .S`. • bu' Fax: - 404.01 e" email: Id f'1G heir Go ,�c�, obt Mailing Address: . . �°.. T -- /� r 4. What kind of Permit?(Check each box that applies 0 Lot or Road Segregation ❑Building 4r.untical Areas Stewardship Plan 1 'Demolition.Permit ❑Variance(Minor,Major or Reasonable Economic Use) 'Single Family -fttlarage Attached/Detached ❑Conditional Use[C(a),C(d),or Cl** 0 Manufactured Home . ❑ Modular - 0 Discretionary"Cr or Unnam-•.tf� (c .1 1 l4 r C 7 ,'- i iii Commercial* 0 Special Use(Essential Publi 's. ....t ❑ Change of Use IJ Boundary Line Adjustment ❑ Address . . 0 Road Approach 0 Short Plat** ❑Home Business ❑Cottage Industry 0 Binding Site Plan'`* FEB 0 2, 2011 ' ,,Propane 0 Long Plat** ❑Sign -.: ❑Planned Rural Residential Development(PRRD)/Amendments'"''"` . • ❑Allowed"Yes"Use Consistency Analysis ❑'Plat Vacation/Alteration** al{ ( 'I i�tlh 0 0 Stormwater Management ❑'Shoreline Master Program Exelliiii� !e�IS Q Site Plan Approval Advance Determination($PAAD)* 0 Shoreline Management Substantial Development-- 0 Temporary Use . ❑Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land UsetDistiict Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre Application Conference ❑Tree Vegetation Request **R-•ulres a Pre=•L.Iication Conference Please identify any other local,state or federal permits required for this proposal,if known: f ` DESIGNATION OF AGENT . • I hereby designate to •act as my agent in •matters relating. o thi application for permit(s). OWNER SIGMA `'. 0. � '‘'''611./ (pl✓OIe 1—Mt IL- Date 11 ? r t t 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,judgmentsccourt°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 pennit. I further agree to provide ,••-ss and right of entry to Jefferson County and its employees,representatives or agents hithe•sole purpose ofappfication review and any I-quired in -'o . ft's access and right of entry will be assumed unless the applicant I rms County in writing at the. time of the.appli.=tion -dal.00 s e nts 'or notice. Signature: 4I s Date: 1 %. The action or actions • .lit:nt ill undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and • uld 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 iss -. will not V to the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if yo, ,re in corn is ce with the Jefferson County development code.The Applicant acknowledges at he, he or it holds individual and non-tran- -ra ='•sib ity r adherin and complying with the ESA. The Applicant has read this disc ran 'Signs and dates it below. Signature: _AI'�!' Date: 11 • 8 II BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature:, Date: ' GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( MAILING ADDRESS: '6. •de.X / 3 - , EMAIL: 1• C%C Q.T ONT clOIL totiyi 0•I NT•Gtr CONTRACTOR'S LICENSE VVAINS NUMBER: L.D -1 QL )t 04/4"LO NUMBER ARCHITECT/ENGINEER: { 6,^,,,ti PHONE ( ,. ,') 31,24440 FAx:( ) MAILING ADDRESS: 4 401 rb($prlA,ST. 'r.r 144 EMAIL Project Type: Frame Type: Bathrooms: Shoreline:` Type of Sewage Disposal: D New Vood Existing: 0 Sewer ❑ •ddiition 0 Steel PrcPcsed: C, Bank:. "D Community System Alteration/Remodel 0 Concrete Total: J Height System tem O Repair ❑ Masonry S P Permit# 10-I.05 O Demolition 0 Other. Bedrooms: Water Supply:,te T Existing: Setback: 0 Private well 0 Two Party N,, ,ft-pe ail 1., i, f Proposed.. '_ 35I. ublic ✓ptl' Total _ 67`IS .I acne of System.; Prin rPi✓t" if this is a Commercial ProlectYou 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 F.00dService? Yes / No if this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Unde ,round Tank :..ve ground Tank ' Size of Propane Tank: rL.roO Co: Feat Stove Took Stove! I VVoodstove I Fireplace Insert i Hot Water .I Pellet Stove I Other is .J. • u s' led in a Manufactured/.Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, includin• the reserve area. : cx L 5 4 Ss x x sx--,.,..01,.7,-,.,. � ...,.i.„.4.,;.-.,„;.,.5,k ' 7 � S.uare Foote.e Current Pro.•-ed ;.-.: . y� *t-' ''\ ` < <` ''',7,4,:,..'. ` _ '' ', 1 ._ w_•Main Floor Heated :EH Bid App Review: 2' Floor Heated 40 . ,,,, Consistency Review: Other Heated / ;, z -�;, rBe9e4 ill Mezzanine / / :: 5"*.° ErtAr----,.-..�I. Heated Basement / /- �, Plan Check fee: -. 3 ,/ t Unheated Basement y- z ^ State Surcharge fee:. v Other Unheated / ,.. .74 . .. . Garage/Carport. f; $ SUBTOTAL/no 2 Decks/ mI ;`7S,6 11000 • ,.proach fee:TOT _ Other � l � Sr�� L: $ � • e ' Receipt Number: I .11111 ,, zee 0..,,,....'=� � �� � Cash/Check Numbers. � ESTIMATED COST R R : • Date: •Fair markety., - .1 plflaboran materials foun.F -• to finish MEM f Initials. ,,- N �°� ,.� r.\n—:.!`e......\4444.44FriPlUfedliaRTIRTI.\4#4 WIRMC\C,,.r"nt T1RT1 Fn..,,c\Mashy,P•mnit Arml:rorinn 5_79-1iRtint • 0 CC O H .,- = O 0 LL CV JO Z LL � O H O CO � O CV O — .— LO -) 111 O -O - CO J O O L CD -0 X CC 10 -1-, V) Z C U Cl = H LJJ O 0 CO -I-+ "0 H O O) I -- O -C L L CO 1"-- Q -0 0 U U 111 Z O CC 0 J Cl Cl = � ••� U F- F- O O N N O "O = O U CV ❑C -0 O •CI' LL C = 3 0 3 I— 0 � O � � O CO L LI CD J U 0 # 01 -0 Q Cr O Z I C = U H Z CO -- 11_ X J X CV O O I-- CO Z CO L U LO 'O CC O Q 3 LJJ CO 0 OD C W Nt' CO J W Q L1J 0_ 0) CC LJJ CO ❑C Cr Z O N = CO CD Q O 111 Q N •- CC .- CO . • Cr DC `• 0 2 J Q C.O d CV = O Q ¢ CO CC Cl O CO I- LJJ I- H LJJ CO 0 J CO O 0 111 LL 2 111 = CC Z J F- CO DC U LUJ "O Q ^ DC LJJ W H W H Ct- U Z NI- Cr F— a) J C.0 LL Z Z L u co CL cc N LJJ O W Y 2 VJ CO = O Z O O N J J CO O Cl O 111 Z .51- 2 C9 C9 CO H +' � U CM Q N Cl LL CO - 4 O CV CO CO 7 CO •:1- � o . o m 0 ti 2 m Cn LO H NI- 0) LL CV o CI OD O NI- d- o O 'O L — .— CO U CI) N ,— co = # C O 2 CU •- L 3 L co Y O — N O +J CO H N N = N - = LL L N U 0O N 'O > CO 0 L L. O. - O CO C2 C- C) CO X -++ U ^O X (O CO 0- t0 — -- R) a) F— I--- X 4- H CO (O q- X * I- • • c(--lit:soki ° JEFFERSON COUNTY 4rq a ,.Q DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 c 360/379-4450 • 360/379-4451 Fax TNO http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# i I — PROJECT/APPLICANT NAME: (b€E el hoop I 4 i - 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. PO Oat) CL #hC,N(c. OZ- 6XCP%-)irfit'Q Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. _ �7 DAL '4 l?c .2"ITC.. F -l57•.�...c SNfi, RM, ac,D coo cu._ Existing Conditions Summary RECEIVE 2. Describe the existing topography. Indicate contours on the site map. f„ -r Cu 4;) 4 cab Scr pe 0 2 101 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. J[E cj LI ('(II I NO 0(�(t t0' A lP 7,ve TYLw+� LU 4. DDgscribe the existing oils. Indicate soil type on the site map. e ,.o° fety, vt t.0w41 ed✓UC. 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and in ' to acreage of each. � '' a— 4-#1-434 / !':s' ' APPROVED 6. Describe any excess levels of noise generated by the proposed use or activity: a ` PLAN Ai/t' MAY - 4 2011 arm AI sir RegUir' 0, weiiii la JEFF �.� ►� DEPT:OF ti ? , Y r ► 1 SIGNATUReAvif,�t1'i��! 4 stormwater site plan template-rev.10/21/2008 5 • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. �' (mfr. t J lt-T i- Ti16•✓T' " l pb peo f to ni �.44dt 8. Describe the general vicinity of the site, including adjacent land uses and structures,utilities, roads,and sensitive/critical areas (s��treams,wetlands,lakes,steep slopes,et .). lnitt Pler( Db Crt.b fr t fear — &C K t►v tW W f�• 4- ecorv4. A-71 0-Ad eF 044-1 49- es. 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. 10. If the project requires the use of stormw ter treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these faciliti s on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects t at involve the potential for dispersion of contaminants.] S3t LT- feiuc 4 13 crk, t5LIST mac, gsZn6t9 M f N 1-mA_ foie__ 14417 c1 o iv F L- S#nvc 11. Describe the performance goals and standards applicable to the project. N or To At.1.O 1✓ Cb rv'f oug j - Gjq i C, r tAAMh►..0 in,"J►AoNIt6b,-i- 12.= -D Y•i a the'flow control s stert k. Ritorkk 4 ! ;6∎0* tukTue. 1 o fns in_ Doi k�e Lbe-e ncm" INI 4.6,M 117nit, W f l: NE �f{7fAvep V tt) 10 Prl Pr!tA3 A-jell S 'A_jc+ To ,G•orr- storm stte.plan template—rev template—rev-1Mttact= 6 • • 13. Describe the water quality s tem. R*1 i Bye To frw OM-p-*TtT Cam? ,N'rfw S1 it' G+ "w` rittaX4 CLOw/^�4'" 'rp Pti OA"Cr A c 4. f chvc. itfroufri 14. Describe the conveyance system analysis and de n. i i G N b , 7tr,I F 64471 04- Co e a�--- D to GrA•..6 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. NO nu /4 kit ,c1.t-r.e3 Eki h, txce"pr e 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. 17. Describe the proposed surfacing material. T t,th` ' 0� :AD I v.S 't' .Cr1J AT�r� "Ft"IG rO4t #-T 1Da<,' 5L'2:717 18. Describe methods for restoration of the site. Ze6t1,v >W "a2hs� / t- cr t 4A t?- �2E L b4 cape C,'? t7. l0,twxo . 19. An Operation and Maintenance Manual is required for each flow control and treatment cility: [This is normally required for "large"projects only and only those for which facilities are required to control flow or tr lutSoffl If"included,list the Manuals here. a a L,; 20. List here and include any special reports or studies conducted to prepare the Stormwatei!Site Plan. 4 a ti Oe/247 ?,et W rc Tt L P( Q'crr+ 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. P/D . stormwater site plan template—rev.10/21/2008 7 • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual(beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. It I a 6 L CtL 2. Establish Construction Access. . .l(Gs'r'I w.)co (0001 Li9w 620letV eq.. DIA 0 E:- 3. Control Flow Rates. 1,41 ETIV C-45 4. Install Sediment Controls. 5. Stabilize Soils. f-C f�'1�w- 12 Er !'�A+'r Pe- 4=49 i /�'+/arrrS w t i•A -r- rs,ioiV.-''- (2,i "Tc, uMm 404N-ng 6. Protect Slopes. 7. Protect Drain Inlets. too poct ,to(Ariz, Ptie(Mr- • • stormwater site plan template-rev.10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. Nn C f �� & t✓v ' L.j Z.t 7r. -t-' est ^ 9. Control Pollutants. dAA %rrzt w - Dtt oft p au1:› CAVAet 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). �twIP R✓IA 4Ut.‘44)S Ctr74 e- i t e W puff, Grrro•sbl L■Det-icAtt— (1.7'1 (i�11-07-1 r r StTG f Tt MA 11. Maintain Best Management Practices(BMPs). ZcoCigifi %AA P ooetAtis Z � 'Rw '_ 12. Manage the Project. 1' ,V"- C., j C y C-* & - D ajfocLC Its 6 LA-4,, Pit tAI -1-77 I& 4N l�E 1 o4744.- Frn n.,CT,t9+►. r- 12e'1 2.. lf'1S Mcesn L' ) 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). '.s_al .r• tr..� — `J�✓t. f F t,7 J bC 17- C 9i. -- b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). l' ®T? Ctn..)o t Pu •C ' • s14,Aa-+rt,,..t_ OWL) : -► - 961016— 'SenAr r' C ,' d tr+'f 44 r& - is Cdr P j)43 " 3 ' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ?Aro.,4-1 stormwater site plan template—rev.10/21/2008 9 • • ` b. Description of special requirements for working in or near environmentally sensitive areas. F — ,. c't ' ''fi r- 15 t 1• • A'Tot4 Chizr"7 tt "- Tay 1 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). IA co :... Acct Col■ — Di ' PT. r-' -c-t- KA A r Fr --tsvc- 5. Construction Phasing. a. Construction sequence ik)fe• Allots tvtcijob (R 7I c er--.---- b. Constructio phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a propo ed construction schedule. A-a Fs t(h.T I L Co„fc Ku II. Wet Season Construction Activities. a. Proposed wet season construction activities. C eV te+e ti tlev /O ... � 11,GCC G: 4- 'S./17C r c b. Proposed wet season construction activities for environmentally sensitive areas. JsbNg ) 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Qom" {.---�ktre.-- b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation imp ts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. b. Diversions. 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 devic-ia> E 71-1 I f. Detail stabilization techniques for outlet/inlet. r 1Le g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. F LB 0 2 all 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. Rif[RSON CO it �CU 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 •f the affected property. �' t 2� I�'r► (LANDO -'0 AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template-rev.10/21/2008 12 MMIIMIMIMIIMMIMI■MMMIMIO.O.IIII..I. '''''-------------- . . • 110 0 AND COVERAES C. %K.S/PATIOS 7 522 S . FT ECK.S/PATIOS 6329 SQ. FT. MAR:R_OWSTONE 2y-005(2- FT. FoilNs jo2j sa. FT 2_9 2 4 s Q. FT ANN AN1 . EDIE 1055j sa. FT. R123 FLAG LER. 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IIV` • • • / / Roof Downspout House j / Catch Basin {Yard Drain} ////// Rod flow Darrspott DRY WELL 48 Inch Diameter PLAN VIEW 1 Filled h d NTS Drain Rock 00 R oaf Downs po Lt Mark Center of Hole House Of O with 1"Capped • «i Splash Block Topsa1 ushw ice Fre Mesh Screen Min.4"cia � � .%.� : {�-= =. PVC Pipe :vt,.. Y}, Catch Basin (*d Drain) 4,. 48 Inch Diameter , 4' Sides of Hole �> Hole Filled with Lined with Zia 11/2-3v Washed Filter Fabric Drain Rod( �f 19 miss. %~r• 1. It !.r Min. 1'aboae SeaSosia I- DR'Y WELL H ih Groundwater Table SECTION NTS Figure 3.4—Typical Downspout Infiltration Drywall Source: King County February — wry 2005 Volume 111 Hydrologic Analysis and Flow Control BMPs 3-9 • Setbacks Local governments may require specific setbacks in sites with steep slopes, land slide areas,open water features,springs,wells,and septic tank drain fields. Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line,or sensitive area(except steep slopes). 2. All infiltration systems must be at least 50 feet from the top of any sensitive area steep slope. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems,infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield • General • 1. Drywell bottoms must be a minimum of 1 foot above seasonal high groundwater level or impermeable soil layers. 2. If using drywells,each drywell may serve up to 1000 square feet of impervious surface for either medium sands or coarse sands. 3. 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). 4. Filter fabric(geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 4 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25%(4:1). Drywells may not be placed on or above a landslide hazard area or slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist,or engineering geologist,and with jurisdiction approval. 3-10 Volume III—Hydrologic Analysis and Flow Cont of BMPs February 2005 • I • BMP C233: Silt Fence Purpose Use of a silt fence reduces the transport of coarse sediment from a construction site by providing a temporary physical barrier to sediment • and reducing the runoff velocities of overland flow. See Figure 4.19 for details on silt fence construction. Conditions of Use Silt fence may be used downslope of all disturbed areas. • Silt fence is not intended to treat concentrated flows,nor is it intended . to treat substantial amounts of overland flow: Any concentrated flows must be conveyed through the drainage system to a sediment pond. The only circumstance in which overland flow can be treated solely by a silt fence,rather than by a sediment pond,is when the area draining to the fence is one acre or less and flow rates are less than 0.5 cfs. • Silt fences should not be constructed in streams or used in V-shaped ditches. They are not an adequate method of silt control for anything deeper than sheet or overland flow. Joints in filter fabric shall be spliced at posts.Use staples,wire rings or 2"x2"by 14 Ga.wire or equivalent to attach fabric to posts equivalent,if standard a� 1 rlgth used 1 titer fabric II j II i N =11=11=i,-,_ =—=—=1----=-1=—II—II —6'max—.7 r4"-- Minimum 4"x4"trench =n=—� I E LI / BackNN trench with native soN Post spacing may be increased or 3/4"-1.5"washed gravel to 8'if wire backing is used 2"x2"wood posts,steel fence posts,or equivalent • Figure 4.19—Sift Fence Design and , • Drainage area of 1 acre or less or in combination with sediment basin Installation in a larger site. Specifications • Maximum slope steepness(normal(perpendicular)to fence line) 1:1. • Maximum sheet or overland flow path length to the fence of 100 feet. • No flows greater than 0.5 cfs. • The geotextile used shall meet the following standards. All geotextile properties listed below are minimum average roll values(i.e.,the test result for any sampled roll in a lot shall meet or exceed the values shown in Table 4.10): 4-94 Volume ll—Construction Stonnwater Pollution Prevention February 2005 Table 4.10 Geotextile Standards Polymeric Mesh AOS 0.60 mm maximum for slit film woven(#30 sieve). 030 (ASTM D4751) mm maximum for all other geotextile types(#50 sieve). 0.15 mm minimum for all fabric types(#100 sieve). Water Permittivity 0.02 sec'minimum (ASTMD4491) Grab Tensile Strength 180 lbs.Minimum for extra strength fabric. (ASTM D4632) 100 lbs minimum for standard strength fabric. Grab Tensile Strength 30%maximum • (ASTM D4632) Ultraviolet Resistance 70%minimum (ASTM D4355) • Standard strength fabrics shall be supported with wire mesh,chicken wire,2-inch x 2-inch wire,safety fence,or jute mesh to increase the strength of the fabric. Silt fence materials are available that have synthetic mesh backing attached. • Filter fabric material shall contain ultraviolet ray inhibitors and stabilizers to provide a minimum of six months of expected usable construction life at a temperature range.of 0°F.to 120°F. • • 100 percent biodegradable silt fence is available that is strong,long lasting,and can be left in place after the project is completed,if permitted by local regulations. • Standard Notes for construction plans and specifications follow. Refer to Figure 4.19 for standard silt fence details. The contractor shall install and maintain temporary silt fences at the locations shown in the Plans. The silt fences shall be constructed in the areas of clearing,grading,or drainage prior to starting those activities. A silt fence shall not be considered temporary if the silt fence must function beyond the life of the contract. The silt fence shall prevent soil carried by runoff water from going beneath,through, or over the top of the silt fence,but shall allow the water to pass through the fence. The minimum height of the top of silt fence shall be 2 feet and the maximum height shall be 2//2 feet above the original ground surface. The geotextile shall be sewn together at the point of manufacture,or at an approved location as determined by the Engineer,to form geotextile lengths as required. All sewn seams shall be located at a support post. Alternatively,two sections of silt fence can be overlapped,provided the Contractor can demonstrate,to the satisfaction of the Engineer,that the overlap is long enough and that the adjacent fence sections are close enough together to prevent silt laden water from escaping through the fence at the overlap. February 2005 Volume II—Construction Stormwater Pollution Prevention 4-95 • • • The geotextile shall be attached on the.up-slope side of the posts and • support system with staples,wire,or in accordance with the manufacturer's recommendations. The geotextile shall be attached to the posts in a manner that reduces the potential for geotextile tearing at the staples,wire,or other connection device. Silt fence backup support for the geotextile in the form of a wire or plastic mesh is dependent on the properties of the geotextile selected for use. If wire or plastic back-up mesh is used,the mesh shall be fastened securely to the up-slope of the posts with the geotextile being up-slope of the mesh back-up support. The geotextile at the bottom of the fence shall be buried in a trench to a minimum depth of 4 inches below the ground surface. The trench shall be backfilled and the soil tamped in place over the buried portion of the geotextile,such that no flow can pass beneath the fence and scouring can not occur. When wire or polymeric back-up support mesh is used,the wire or polymeric mesh shall extend into the trench a M+ minimum of 3 inches. The fence posts shall be placed or driven a minimum of 18 inches. A minimum depth of 12 inches is allowed if topsoil or other soft subgrade soil is not present and a minimum depth of 18 inches cannot. be reached. Fence post depths shall be increased by 6 inches if the fence is located on slopes of 3:1 or steeper and the slope is perpendicular to the fence. If required post-depths cannot be obtained, the posts shalt be adequately secured by bracing or guying to prevent overturning of the fence due to sediment loading. Silt fences shall be located on contour as much as possible,except at the ends of the fence,where the fence shall be turned uphill such that the silt fence captures the runoff water and prevents water from flowing around the end of the fence. If the fence must cross contours,with the exception of the ends of the fence,gravel check dams placed perpendicular to the back of the fence shall be used to minimize concentrated flow and erosion along the back of the fence. The gravel check dams shall be approximately 1- foot deep at the back of the fence. It shall be continued perpendicular to the fence at the same elevation until the top of the check dam intercepts the ground surface behind the fence. The gravel check dams shall consist of crushed surfacing base course,gravel backfill for walls,or shoulder ballast. The gravel check dams shall be located every 10 feet along the fence where the fence must cross contours. The slope of the fence line where contours must be crossed -hall not be steeper than 3:1. Wood,steel or equivalent posts shall be used. Wood posts shall have minimum dimensions of 2 inches by 2 inches by 3 feet minimum length,and shall be free of defects such as knots,splits,or gouges. 4-96 Volume L1-Construction Stormwater Pollution Prevention February 2005 ID. Steel posts shall consist of either size No. 6 rebar or larger,ASTM A 120 steel pipe with a minimum diameter of 1-inch,U,T,L,or C shape steel posts with a minimum weight of 1.35 lbs.&or other steel posts having equivalent strength and bending resistance to the post sizes listed. The spacing of the support posts shall be a maximum of 6 feet. Fence back-up support,if used,shall-consist of steel wire with a maximum mesh spacing of 2 inches,or a prefabricated polymeric mesh. The strength of the wire or polymeric mesh shall be equivalent to or greater than 180 lbs.grab tensile strength. The polymeric mesh must be as resistant to ultraviolet radiation as the geotextile it supports. • Silt fence installation using the slicing method specification details follow. Refer to Figure 4/0 for slicing method details.. The base of both end posts must be at least 2 to 4 inches above the top of the silt fence fabric on.the middle posts for ditch checks to drain properly. Use a hand level or string level,if necessary,to mark base points before installation. Install posts 3 to 4 feet apart in critical retention areas and 6 to 7 feet apart in standard applications. Install posts 24 inches deep on the downstream side of the silt fence, and as close as possible to the fabric,enabling posts to support the fabric from upstream water pressure. Install posts with the nipples facing away from the silt fence fabric. Attach the fabric to each post with three ties,all spaced within the top 8 inches of the fabric. Attach each tie diagonally 45 degrees through the fabric,with each puncture at least 1 inch vertically apart. In additiibn,each tie should be positioned to hang on a post nipple when tightening to prevent sagging. Wrap approximately 6 inches of fabric around the end posts and secure with 3 ties. No more than 24 inches of a 36-inch fabric is allowed above ground level. The rope lock system must be used in all ditch check applications. The installation should be checked and corrected for any deviation before compaction. Use a flat-bladed shovel to tuck fabric deeper into the ground if necessary. Compaction is vitally important for effective results. Compact the soil immediately next to the silt fence fabric with the front wheel of the tractor,skid steer,or roller exerting at least 60 pounds per square inch. Compact the upstream side first and then each side twice for a total of four trips. February 2005 Volume II—Construction Stonnwater Pollution Prevention 4-97 • • - I - • Any damage shall be repaired immediately. Maintenance • ( • If concentrated flows are evident uphill of the fence,they must be Standards intercepted and conveyed to a sediment pond. • It is important to check the uphill side of the fence for signs. of the fence clogging and acting as a barrier to flow and then causing channelization of flows parallel to the fence. If this occurs,replace the . •• fence or remove the trapped sediment. • 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. . • • lithe filter fabric(geotextile)has deteriorated due to ultraviolet breakdown,it shall be replaced. - ... Pala.***mkt I •!Cirri/RA=1es • . .. . .?.. Nom sir room we spew nor • ... 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V.Onlpholod laralladon *Wow plawistlat SCI*Otabb beCatise.asiNiMASergiainPacikon Figure 4.20-Silt Fence installation by Slicing Method 4-98 Volume II-Construction Stormwater Pollution Prevention February 2005 . . • • BMP C105: Stabilized Construction Entrance Purpose Construction entrances are stabilized to reduce the amount of sediment transported onto paved roads by vehicles or equipment by constructing a stabilized pad of quarry spalls at entrances to construction sites. Conditions of Use 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. On large commercial,highway,and road projects,the designer should include enough extra materials in the contract to allow for additional stabilized entrances not shown in the initial Construction SWPPP. It is difficult to determine exactly where access to these projects will take place;additional materials will enable the contractor to install them where needed. Design and • See Figure 4.2 for details.Note:the 100' minimum length of the Installation entrance shall be reduced to the maximum practicable size when the Specifications size or configuration of the site does not allow the full length(100'). • A separation geotextile shall be placed under the spalls to prevent fine sediment from pumping up into the rock pad. The geotextile shall meet the following standards: _ Grab Tensile Strength(ASTM D4751) 200 psi min. Grab Tensile Elongation(ASTM D4632) 30%max. Mullen Burst Strength(ASTM D3786-80a) 400 psi min. AOS(ASTM D4751) 20-45(U.S.standard sieve size) • Consider early installation of the first lift of asphalt in areas that will paved;this can be used as a stabilized entrance. Also consider the installation of excess concrete as a stabilized entrance. During large concrete pours,excess concrete is often available for this purpose. • • Hog fuel(wood-based mulch)may be substituted for or combined with quarry spalls in areas that will not be used for permanent roads.Hog fuel is generally less effective at stabilizing construction entrances and should be used only at sites where the amount of traffic is very limited. Hog fuel is not recommended for entrance stabilization in urban areas. The effectiveness of hog fuel is highly variable and it generally requires more maintenance than quarry spalls. The inspector may at any time require the use of quarry spalls if the hog fuel is not preventing sediment from being tracked onto pavement or if the hog fuel is being carried onto pavement. Hog fuel is prohibited in permanent roadbeds because organics in the subgrade soils cause degradation of the subgrade support over time. • Fencing(see BMPs C103 and C104)shall be installed as necessary to restrict traffic to the construction entrance. 4-8 Volume 11—Construction Stormwater Pollution Prevention February 2005 • • • Whenever possible,the entrance shall be constructed on a firm, compacted subgrade. This can substantially increase the effectiveness of the pad and reduce the need for maintenance. Maintenance • Quarry spans(or hog fuel)shall be added if the pad is no longer in �',+^• a7,7.45 accordance with the specifications. • If the entrance is not preventing sediment from being tracked onto pavement,then alternative measures to keep the streets free of sediment shall be used. This may include street sweeping,an increase in the dimensions of the entrance,or the installation of a wheel wash. • 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 site. The pavement shalt not be cleaned by washing down the street,except when sweeping is ineffective and there is a threat to public safety. If it is necessary to wash the streets,the construction of a small sump shall be considered. The sediment would then be washed into the sump where it can be controlled. • Any quarry spalls that are loosened from the pad,which end up on the roadway shall be removed immediately. • If vehicles are entering or exiting the site at points other than the construction entrance(s),fencing(see BMPs C103 and C 104)shall be installed to control traffic. • Upon project completion and site stabilization,all construction accesses intended as permanent access for maintenance shall be permanently stabilized. Driveway shall meet the requirements of the pe It Is recommended that the entrance be crowned so that nine p drains off the pad "o � I instal 0` If there royadslde ditch present ; 4'-It"quany Geolexdie 1 r mtn thickness �_ 1� 4, Provide full width of inprassbprsss area Figure 4.2—Stabilized Construction Entrance February 2005 Volume II—Construction Stormwater Pollution Prevention 4-9 . 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I „ , 40\7 1 les.*.17. cr, Nco Q z II P i .-- $ .., .. -4 0111'4\1" \ , . 41110,1474.9P . to 4 de .4 \///, ,,/ H = I L . D . RICH ERT m v Of C EN ERA L Cc N ST-RUC-TIC) N A N D DESIGN 1 rnX7 P .O . BOX 127 PORT Y OW NSEN D WASH INGTON 98368 I la I Z 360 . 379. 5222 rn 2 Contractors or Tradespeople Pri Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L£tl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name L D RICHERT CONSTRUCTION UBI No. 601548958 Phone 3603790236 Status Active Address Po Box 127 License No. LDRICC*066L0 Suite/Apt. License Type Construction Contractor City Port Townsend Effective Date 6/20/1994 State WA Expiration Date 5/29/2011 Zip 98368 Suspend Date County Jefferson Specialty 1 General Business Type Individual Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date RICHERT, LARRY D Owner 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 CBIC SD7277 04/08/2002 Until Cancelled $12,000.00 05/29/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 6 CBIC INSSD7277 05/25/2002 05/25/2011 $1,000,000.0005/01/2010 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 2/3/2011 Jefferson County Building Di ' 'on Permit Number: BLD11-00025 Applica FISHER BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Cods To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks / !/ Minimum setback from SR 116(Flagler Road)right-of-way shall be 30 �l 7 , feet. Minifaum north and south property line setbacks shall be 5 feet. Minimum setback from top of shoreline bank shall be no less than 34 feet. 1 Erosion Control SEE CONDITIONS 2&3 1 Foundation Footing aVif Footing Drains Foundation Stem Wall 6 I. .� Underground Plumbing `y Under Floor Framing -711 it 9____ Straps(hold downs Ext.Shear Wall Nailing it 3 ( (440k— Lek/lit-�! �- O, - I-a- 1 crit Rough-in Plumbing a/�g//,Z � tv I .212.21)Z Shower Pan / 1 Framing /`.,/ag``,2 () � �" Blocking ( / Airseal 2 .lq / z -r- Insulation:Walls f R/I /).z_ Insulation: Floors Insulation:Ceiling Int. Shear Wall Nailing Wallboard Nailing eJ4/1 L I Gas Line: Interior - i- Z Z t 2-2 Gas Line:Exterior a(z a I 1 z Propane Tank 01)2— Heat/Chimney Clearance (o' k^ylA ®1 -L5--11 /1-` 171-Vi I 14 Mechanical Systems Duct Test Cert Blower Airtight Test Smoke&CO2 Drywell/Alt Drainage SEE CONDITION I DRYWELLS Address Posted FINAL INSPECTION ]l[,l /� n' lJt1 BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD11-00025 Received Date: 2/2/2011 SITE ADDRESS: 8123 FLAGLER RD Issue Date 5/4/2011 NORDLAND, 98358 Expiration Date 5/4/2012 OWNER: GEORGE FISHER PHONE: 917-744-7000 ANN FISHER 2402 E ESPLANADE LN#1102 PHOENIX AZ 850169104 GLENNAN SUBURBAN ACRE SUBDIVISION: Block: 4 Lot: 13 PARCEL NUMBER: 953700432 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: LD RICHERT CONSTRUCTION PHONE: (360)379-5222 PO BOX 127 PORT TOWNSEND WA 98368 Contractor's License LDRICC*066L0 Expires 5/29/2011 PROJECT DESCRIPTION: NSFR TO REPLACE EXISTING RESIDENCE in conjunction with a shoreline exemption permit(SDP11-00006) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 3,961 VALUATION 895,000.00 ADD'L: 456 HEAT TYPE: HTP CODE EDITION: 2009 HEAT BASE: HEAT TYPE: RAD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 718 CONST TYPE: DECK: 1,600 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $5,109.75 LYK 02/02/11 120424 Exist: 0 Exist: 0 Plan Check $3,321.34 LYK 02/02/11 120424 Prop: 3 Prop: 5 State Building Code $4.50 LYK 02/02/11 120424 Total: 3 Total: 5 Total: $8,435.59 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED • • CONDITIONS for Building Permit# :BLD11-00025 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 AS FAR AS PRACTICABLE LANDWARD FROM THE LANDSLIDE HAZARD AREA BUFFER PRIOR TO ANY LAND DISTURBING ACTIVITY. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THAT SILT DOES FLOW INTO THE LANDSLIDE HAZARD AREA OR OFF SITE. 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 111LL BE STABILIZED WHEREVER TRAFFONILL 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 applicant shall implement the approved CASP. BUILDING FINAL SHALL NOT BE ISSUED UNTIL AN AS-BUILT FOR FWHCA MITIGATION HAS BEEN SUBMITTED AND PPROVED BY JEFFERSON COUNTY DEPARTMENT OF COMMUNITY ' DEVELOPMENT. 5.) The applicant shall adhere to conditions specified in the CASP permit(CSP11-00005). 6.) Maintaining ground cover will help reduce erosion from surface runoff. Any bare areas that develop should be revegetated. Native low growing vegetation that requires little or no irrigation would be the most beneficial 7.) Tree limbs, lawn clippings, etc. should not be thrown over the bluff because these piles have a tendency to damage/kill the underlying vegetation which in turn increases the erosion potential of the bluff soils. These piles also add unnecessary weight to the bluff soils, especially when saturated with water. 8.) The existing dug well must be decommissioned by a licensed well driller prior to final building inspection. 9.) SEP10-105 must have final approval prior to BLD final approval. 10.) 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. 11.) The property owner shall comply with Water Conservation Measures(per list maintained by the UDC Administrator). 12.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 13.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 14.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 15.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 16.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 17.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 18.) 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. 19.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 20.) 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. 21.) A minimum of two(2) on-site parking spaces shall be provided for the single family residence. 22.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 23.) The building height is not to exceed 35 feet. 24.) Minimum setback from SR 116 (Flagler Road) right-of-way shall be 30 feet. Minimum north and south property line setbacks shall be 5 feet. Minimum setback from top plan.of shoreline bank shall be no less than 34 feet as depicted on the approved 25.) 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. 26.) Lighting fixtures shall be designed and hooded to prevent thThe source from brightness m being of directly visible from outside the boundaries of the property. intensity all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 27.) 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. mo . ' : r -• Date /6/4./i3 time received 0:1 am I pm Mon. Tues. ,Wed:410 - Fri. BED: l/ ` 0002.51 - Date: /41/7/3 - OWNER: Contact Name.: ADDRESS: 8f 2 3 .e. , 4,/' Contact Number 360 30 I-Q54 3 r 9i . 206 Notes: --1% Foundation Plumbing -Framinq' . Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furnace Footing Rough in Alrseal Above ground Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines • Ducts . Post Hole _ Ventilation . Appliance • Underfloor Gas/wood stove Man-Homes - Setbacks ' Insulation. Final Inspection Foundation • "' =' Block&lie floor _wall ceiling . Address Posted i ....■•■■=oL ‘t.../ ----.,. . .. - r...- rittly. - 4 t., ; ' a., •;.,i_ ; , --.02C--- . . _ // Date ; time received g"3 7 am / pm CD Tues. _Wed: Thur. -Fri. BID: 1 I-- 01, . Date: 'IP OWNER: Contact Name: , ... ADDRESS: ?I G. F )4-4.,42-r Contact Number 360 70)3 1 ra ...,,, , .. 4 Notes: C_ UL) 3 206 6 I 0 Foundation, Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furnace _ Footing Rough in Air seal Above ground Gas _ Stemwail Hydronic _ Exterior shear Exterior lines Oil , _ Straps Interior shear Interior lines ' Ducts f_ Post Hole Ventilation Appliance ____ Underfloor _ Gas/wood stove Man-Homes Setbacks _____ Insulation Filial Inspection ...1 Foundation . ^A -, Block&Tie floor wall ceiling Address Posted _ --. •, -••. . cm...) ....-L'_y 7-; -1, ii/14 2 CA — i 7 P .., ,,,.. 1...,..,s , " `77 . - Date 3 -6; / ' -.2--time received Oft P')---am pm Mon. Tu Th . -Fri. BID: — 2 Date: OWNER: i 1.....i-o Contact Name: 2.3 Contact Number:360 2 P - f- )7.5. - --. ADDRESS: , , , 4 206 Notes: iv • , . Foundation Plumbing - Framing Propane Tank echanical Setbacks Under-ground Framing Under ground Furnace _ Footing Rough in Air seal Above ground Gas _ Stemwall _ Hydronic Exterior shear Exterior lines Oil _ • Straps Interior shear Interior lines ' Ducts •r— Post Hole Ventilation Appliance — Underfloor Gas/Wood stove Man-Homes . • ....------) _ Setbacks Insulation ...---- - Final Inspection Foundation . .'-' .0. _ Block&Tie floor wall ceiling Mdress Posted i , ----- -,-..:„..:)....---.-- _ --, --„, ..-1 , _0 fir-/ -7 1 ' / . .� x:i 'h Datec '.Z y f Tune received F fri Mon Tu"'. Wed: Thur. - Fri. � f BLD: //- Z`r*-- Date: / ' ) OWNER: IA-(f Contact Name: ADDRESS: J ij Contact Number.360 .. / –Yfr ..;, 206 4 Notes: Foundation Plumbing - Framing /Pr pane Tank Mechanical Setbacks Under-ground_ Framing � Under ground Furnace — Footing Rough In Air seal Above ground __ Gas — Stemwall _ Hydronic Exterior shear _ Exterior lines Oil Straps Interior shear Interior lines Ducts _ Post Hole Ventilation Appliance — Underfloor Gas/wood stove Man-Homes Setbacks Insulation. Final inspection .= Foundation __ _ Biock&Tie floor _wall ceiling Address Posted ------,---..---- _ - 11,1111 - - AMNININIMMIN - Date ir tune received ' am / Mon Tues Wed: Thur. --FM. BM: / — (:' , Date: ' 2 • OWNER: + 1E e- Contact Name.: t) a L.-- ADDRESS: r3)-3 , Ajj1.4,-- AI Contact Number:360 77v- -1 -17 .0,, 4 ., 206 Notes: • .Foundation 9Iumbing. - Framing Propane Tank Mechanical Setbacks tv/Under-ground Framing Under ground Furnace Footing Rough in Air seal Above ground Gas ____ Stemwall Hydronic Exterior shear Exterior lines Oil Straps ____ interior shear interior lines ' Ducts f- . . Post Hole ' S Ventilation Appliance _ Underfloor _ Gas/wood stove Man-Homes . Setbacks S ' lnsulatjo S Final Inspectym Foundation Block&Tie floor _wall ceiling Address Positd 1 w 0 i - .l .. Data .2- time received 34464.0 pm Mon. Tues. ,Wed: � Fri. BLD: / Date: 23- OWNER: _ Contact Name: 0. 1 ,/ ADDRESS: ♦ Contact Number:360 7 '' 2? /Notes: 206 I Foundation Plumbing -Framing Propane Tank Mechanical • Setbacks Un r-ground_ Framing Under ground—_ Furnace — Footing ough in Air seal Above ground - Gas Stemwaii — Hydronic Exterior shear Exterior lines Oil Straps Interior shear Interior lines i Ducts _ s ,_ . Post Hole Ventilation Appliance • _ Underfloor Gas/wood stove Man-Homes . Setbacks _ ' Insulation. . Final tnspecl•ipn *E Foundation _ = Block&Tie floor wall ceiling. . Address Posted . $_ . . p. lsod ssalKod 6u11lao 11eM- moll GLUE 19 AYµ —:uol;epunod t. uol' adsulleUld uol;elnsui soeq;aS sewoH-ueW -ano;s pooMyseO Joolpapun eouegddy uollell;uGA —" 91011 Isod _. spno saulilouaau! JeaysJopa;u! sdew;s 110 soul!Jouelx3 mays Jouap3 oluwpAH IIeMwo1S — seO -- punw6 wily leas i!y u!y6noH 6ugood — aoewnd — punw6Japun 6ulweid —.punoJ6-Jepun — sveq;ag 1 eo e oa W del auegoad ullwed bulgwnld io;epuno� . : 444./ i e! -i v :sa;oN 90Z � 1 - I _ /44" 09E 20cRunN;oe;uoo 51 % (..t ¢l :ss32loay :aweN;ae;uoO `G�r id` :Z13NMO :am ----VT 1 I :018 u �n pa *son! •uoV wd /.w i c panlaoaJawl;. a;ea r - - w, •- • •. • -,,-,_„ ::.,, . -- Date 01 --2/7),. G '4). 9 time received / 1-- m pm Mon. Tues. ed. Thur. -Fri. BLD: // --S--- Date: j .A--. OWNER: Contact Name: ADDRESS: r i).-3 , , /L.- Contact Number:360 206 -4 Notes: 0 Foundation Plumbing - Framing Propane Tank Mechanical Setbacks _ Under-ground _i .-FramIng Under ground Furnace _ Footing Rough In Air seal Above ground Gas _ Stemwall _ Hydronic ..-"'-.-. Exterior shear Exterior lines Oil Straps Interior shear Interior lines , Ducts - Post Hole Ventilation Appliance Underfloor Gaslwood stove _ . Man-Homes . Setbacks Insulation. Final Inspection Foundation . -e. Block&Tie floor well ceiling Address Posted _ i - - , , - . • '-:-,,. ,,:,, 1/ s II„.ta 9 / ,-1,-.- t'- -ii Date 2. 1/4.2..e--(L At44wei • - time received. - am pm Mon. Tues. ed. ur. -Fri.• BLD: , // — 2J Date: OWNER: /i ._:, - Contact Name: ••■ i 1 I ADDRESS: 0 / .`.--' 0 1.3 2.1..--. Contact Number: q 206 4 Notes: 0 Foundation Plumbing - Framing Propane Tank Mechanical . - Setbacks Under-ground ,,, Framing fr...--j Under ground Furnace ___ Footing Rough In x/- Air seal ( Above ground ___Gas Stemwall _ Hydronic Exterior shear Exterior lines Oil _ Straps Interior shear Interior lines ' Ducts f_ . Post Hole Ventilation Appliance _ Underfloor Gas/wood stove Man-Homes . ' Setbacks Insulation. Final Inspection .,1 _ Foundation- . Block&Tie floor wall ceiling Address Poslt d i . 3- . ... .., _ . . . , - t 0 Date 1 1.2- Time received V • 20 am Mon Tues Wed Fri BLD: i 1-a('n5,, ,/ Date: I 1'�- OWNER: ''Si" i Contact Name: (�2 ADDRESS: 13 lZ J qa. �( i�, Y )Otd I�a. Contact No: 0 3 " 15/3 0 111 Note I�° 41—._ i• Foundation Plumbing Framing Propane Tank Mechanical, Setbacks Under-ground_ Framing Under ground _ Furnace _ Footing Rough in Air seal Above ground _ Gas Stemwall Hydronic Exterior shear _ Exterior lines _ Oil _ Straps Interior shear _ Interior lines _ Ducts _ Post Hole Ventilation Appliance — Underfloor Gas/wood stove_ Man-Homes Insulation Setbacks _ Final Inspection Foundation Block&Tie _ floor wall ceiling Address Posted • .. - -,. -- -. ,:- A Date t V• //time received .41 am Mon. Tues. Wed. - IL BIM: ),r Date: OWNER: .4., •1.---- A • Contact Name: ADDRESS: 8›.../ .9)--3 ■ (5 2-1----- /6-r) 6( Contact Number 360 206 4 C 11 l Notes: , . Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing Uncle!'ground Furnace _____ Footing Rough in Air seal Above ground Gas _ Stemwall Hydronic Exterior shear Exterior lines Oil Straps _ Interior shear Interior Ones , Ducts Post Hole Ventilation Appliance _____ Underfloor Gas/wood stove Man-Homes . , Setbacks Insulation. Final Inspection Foundation . tv Block&Tie floor wall ceiling. . Address Postbd ... _ _ .., '.4. _ . • [ 7 a-tan:a:I Date YIV//time received ii—:1 0 am /el Mon. Tues. .Wed Thur ri. ,— ,r 5 / s---- BLD: . Date: OWNER: • ... Contact Name: 1 0 ADDRESS: Z-e —• / er Contact Number.360 ?° / - L 206 C., i 4-... k-■_tx .. 4 C 60 ,..- -.. Notes: IF Foundation Plumbing - Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furnace _ Footing — Rough in Air seal Above ground Gas ____ Stemwall Hydronic Exterior shear Exterior lines Oil • Straps Interior shear Interior lines , Ducts Post Hole Ventilation Appliance ______ Underfloor Gas/wood stove Man-Homes . 1 Setbacks Insulation. Final Inspection .L11 • Foundation . • ,,,,,, '0 Block&Tie floor wall ceiling Address Postid i • • 'R_ _ --- _ _ 0.' . �_ `A" • • A. _ Date 1 'time received 2r‘.00 amt ;;;" .. Mon. Tues. Wed: Thur. - Fri. BIM: 1^ \ • Date: OWNER: t k. Contact Name: ADDRESS: Z2j t ct. e.�,,. G".--ci(_/' j Contact Number /t/ ^.360 7 4k Notes: 206 x • Foundation Plumbing -Framing Propane Tank • Mechanical • Setbacks „= Under-ground Framing Underground Furnace Footing Rough in Air seal Above ground _ Gas Stemwall _ Hydronic Exterior shear Exterior lines _ Oil — Straps Interior shear Interior lines Ducts Post Hole Ventilation .l Appliance Underfloor V/ Gas/wood stove Man-Homes —, Setbacks Insulation Final Inspection Foundation _ ,.,< Block&Tie floor _wall ceiling. . Address Posttd r