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BLD2013-00121
• III BUILDING PERMIT APPLICATION BLD13-00120 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00121 Received Date: 4/17/2013 SITE ADDRESS: 2682 RAIN FOREST RD FORKS, 98331 OWNER: PAUL D ERICKSEN PHONE: 360-477-9335 or CINDY S ERICKSEN 477-8030 92 RUBY RD PORT ANGELES WA 983629127 RAIN FOREST#1 SUBDIVISION: Block: Lot: 7 PARCEL NUMBER: 991500007 Section: 30 Township: 27 N Range: 10 W CONTRACTOR: BOYNTON CONSTRUCTION INC PHONE: 360-460-7747 117 CHAMPION RD PORT ANGELES WA 98362 Contractor's License BOYNTCI952OM Expires 10/1/2013 REPRESENTATIVE: TRACY GUDGEL PHONE: 360-417-0501 ZENOVIC 301 EAST 6TH STREET, STE 1 PROJECT DESCRIPTION NEW SINGLE-FAMILY RESIDENCE FLOOD DEVELOPMENT PERMIT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 978 VALUATION 120,028.00 ADD'L: 460 HEAT TYPE: RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 320 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 00445 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 1 Prop: 1 Total: 1 Total: 1 Routing Date: L�/0 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,111.35 ZAL 04/15/13 140240 _ _ Plan Check $722.38 ZAL 04/15/13 140240 R L) State Building Code $4.50 ZAL 04/15/13 140240 Potable Water Application $66.00 ZAL 04/15/13 140240 JUN 13 2013 Total: $1,904.23 Jefferson County DCD 1Miriamar4■r40+'lfr,„—,r RI Il Ann RIr!rn+ A!17!?(11'2 1 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#: BLD13-00121 APPLICANT: PAUL D ERICKSEN PHONE: 360-477-9335 or CINDY S ERICKSEN 92 RUBY RD PORT ANGELES WA 983629127 SITE ADDRESS: 2682 RAIN FOREST RD Issue Date: 06/13/2013 FORKS, 98331 Final Date: SUBDIVISION: 9915 Block: Lot: 7 PARCEL NUMBER: 991500007 Section: 30 Township: 27 N Range: 10 W PROJECT DESCRIPTION: NEW SINGLE-FAMILY RESIDENCE FLOOD DEVELOPMENT PERMIT THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. 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LIGHTING: 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. 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. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: 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. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. NATIVE VEGETATION: Among the native conifer species which may be used in buffers or for re- vegetation include, but are not limited to: Grand Fir(Aibes grandis), Sitka Spruce (Picea sitchensis), Shore Pine (Pinus contorta), Douglas Fir(Pseudotsuga menziesii), Western Red Cedar(Thuja plicata), and Western Hemlock (Tsuga heterophylla). Among native tree species which may be used includes: Vine Maple (Acer circinatum), Big-Leaf Maple (Acer macrophyllum), Red Alder (Alnus rubra), Pacific Madrone (Arbutus menziesii), Quaking Aspen (Populus tremula), Black Cottonwood (Populus trichocarpa), Bitter Cherry (Prunus emarginata), Oregon White Oak (Quercus garryana), Cascara (Rhamnus purshiana), Pacific Willow (Salix lasiandra), and Scouler's Willow (Salix scouleriana). Among the native shrub species which may be used are: Sevice-Berry (Amalanchier alnifolia), Red Osier Dogwood (Cornus stolonifera) Sala! (Gaultheria shallon), Ocean Spray (Holodiscus discolor), Indian Plum (Oemlaria cerasiformis), Pacific Ninebark (Physocarpus capitus), Red Flowering Currant (Ribes sanguineum), Wild Rose (Rosa nutkana), Swamp Rose (Rosa pisocarpa), Willows (Salix ssp.), Red Elderberry (Sambucus racemosa), Snowberry (Symphoricarpos albus), Evergreen Huckleberry (Vaccinium ovatum), Red Huckleberry (Vaccinium parvifolium). 7. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 2013-03-07_SFR_StdConditions 3/7/2013 1 8. BMPs: The project shall adhereethe Best Management Practices (BMPs t p to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine Fisheries Service can levy penalties. All areas in Jefferson County are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. • 2013-03-07_SFR_StdConditions 3/7/2013 2 r • • �,gON co JEFFERSON COUNTY COMMUNITY i % DEPARTMENT OF DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 Web:www.co.iefferson.wa.uslcommunitydevelopment �qs o� Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd @co.jefferson.wa.us PIING Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center June 12, 2013 Property Owner: Paul & Cindy Ericson 92 Ruby Rd Port Angeles, WA 98362-9127 Permit Applied For: New Single Family Residence and Detached Garage, Unheated, No Plumb. Flood Dev. 2682 Rain Forest Rd. BLD13-120 & BLD13-121 This memo is in response to your request to prepare ground for and place forms for footings and foundation prior to permit issuance. This can be done with the following conditions: 1) The area for the structure must be staked out per the attached site plan with required setbacks. 2) The setback inspection called in and signed off before footing and foundation forms are set up. Setback Signoff 3) Foundation inspection must be called in and passed prior to pour. Ftg/Fdtn Signoff This work being completed prior to the issuance of the permit is being done at your own risk. Concurrence from the property owner or appointed representative is required by signature below. OCIAAc `_6/-2 Property Owner Carl Smith or Appointed Representative Director/Building Official / 27' 10' 12'-1C 10' 1'-2• / s 11'-2 V r • 2 S• \\4 ' G +q�� q°R w w. 5d �. v a � o : - 4 'j T 0 J • -k Ci I .Fi +•e • jr-- a;1 �) i ... < . iti • A — N 9-1 ,77__ „ F .,.. \ + 1T-7 o s 4 > ill A, . 1, ' 8: oil* + it I s \ 1 e g 0 re rii; Elif! . 0 °= RR 2 A s' - X3 -0y- 0n• Y1N NIA R - Pi 0_1 a s �^ , , p 1., S4% L, k >• < �� 0 i.0 1 q ryl._ 8 R A A �� 7� F/ i g o N Se I 2 i' g , 1o'-e•ENE OF CONC. , 17' 10' N y v A N > O 27' 1 P9.7” .11. ► 4 N 7. /_ mis:gAtFOliglifN q , . f X I- >! /TRUSSES AT 211 MC.gg--ii x pAy a smM >■ Fm n BA3 0m Q_Q v F 0 ' \ L \ ig �yO{ m Q N S> 7 JAS N y¢yQ�Q((> s- S'CEILING HEIGHT A _7 WO on 1 Ls > > 41 is 128 > g l 1 P r N S In Up N 1 L. 8 2%eo.F.02 AT2a•5.5. - L >_ >e g P m / X T .1 ma■ rd. i.. .. a■ Xd! 4 ,< vi IT X �g i U 2 23t >9 " $ g „• 1 21 S'CEILING NEWT '11. ;e'i r N > will r 1D'-W wig a � y i q N CA2 it Fs O 6 2 1 A 2 9 X i g ,41 F TITLE: NEW Meat mar REsom E RR wales-maw raiEST R A JEFFERSON COUNTY,.A RENSroNs > . ' A i' FLOOR PLANS WE MAR« wo,E ,a. o • FLOOR st11 E.6TM ST.,SCE. 1 W . a PAUL & CINDY ERICKSEN ENOVIC& ,ter ANGE�� WA „� - 92 RUBY ROAD ASSOCIATES PNONE' coo).17-0501 .� PORT ANGELES, WA 98362 FAX (260)an-0514 �`f NICORPORAIED EMAIL•ZENOMCHEENOMC.MET 4 • � [ cC ov1 elk°N co JEFFERSON COUNTY !-�� " 1, r� DEPARTMENT OF COMMUNITY DEVELOPMENT �j i APR 1 5 2013 III ' `4 621 Sheridan Street • Port Townsend •Washington 98368 - �� 360/379-4450 • 360/379-4451 Fax JEFFERSON COUNTY e www.co.jefferson.wa.us/commdevelopment DEPT.OF COMMUNITY DEVELOPMENT Master Permit Application MLA: Project Description(include separate sheets as necessary): .• . _ - iis/itiniil. f•fl/,U,[- - •• (/, Off iefii Tax Parcel Number: 991500007 Property Size: /.25 key square feet) Site Address and/or Directions to Property: 2632 J a/nI2 rest lead, forks WA 96331 Property Owner(s)of Record: Raul l' Oh Ertcksen Telephone:360 477•9'335 ur477•.1.0 Fax: email:erickrr)p0/ympuu.net Mailing Address: 6N`i C C npC PO/ S./it -I, 92 Ruby Ra4 trt Ary.Ie5, WA 53362 Applicant/• (if different from owner Tracy et r Telephone:360 417-0501 Fax:3 60 40514- email: -retCy 0Zerz�Y%c.n�t- Mailing Address:3[?/ 4 fvf i .3 . _ G• d•L.:. . I 4 9::_ . What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation I4Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) Ki Single Family Ill Garage Attached/ che tad ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** • Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** o Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑Long Plat** ❑Diyn ."- ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District 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 **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate IS •i- / ii a. al i i :.• act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE //' J, Date: // April 20i3 By signing this application f ,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she wants prior notice. Signature: i//!; I. I i!'j Date: 11 Ax,7(7/3 The action or actio Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable resp•nsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: y//, 4 ,.1 ii Date: // April 20 n • • 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: Paul Boynton '"/ (.o) 460 7747 ( ) MAILING ADDRESS: 117 Champ'lon Rd. Port Angeles, WA EMAIL: CONTRACTOR'S LICENSE 98362 WAINS NUMBER: BOYNTG/9520M NUMBER ARCHITECT/ENGINEER: Tracy Gudgel R E. PHONE (350 417.0501 FAx:(36d 417.0514 MAILING ADDRESS: 301 E. 5k+h5freA-. Pori`Alleles, WA 9E3WZ EMAIL ,tracy0Zenovic.net Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New x Wood Existing: 0 Sewer E Addition 0 Steel Proposed: I Bank 0 Community System r Alteration/Remodel 0 Concrete Total: I _ Height: g individual System 0 Repair C Masonry SEP Permit# SEPI.a-X029 U Demolition C Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: ___/___ 0 Public SCOM fu I f drrant heal 4 wood Total: / Name of System: Wale Oi1t 00445 if this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: . IBC Type of construction: Will you have Food Service? Yes / No If this is a Pro•ane Tank and/or A A.•liance Installation •ermit mark all items below that a••I : i Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove i Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only; . -Amount Revision Main Floor Heated EH BId App Review: 7O ov 978 75 60.4 - 2"°Floor Heated 460 3 5 Ste• 6 0Consistency Review: ? C v Other Heated `Base fee: /1 //. 3 S Mezzanine Additional Section: --Cc .-- Heated Basement / Plan Check fee: 73a. Unheated Basement / State Surcharge fee: r t Other Unheated. - Pot Water Review fee: j o/�! r �.D a Garage/Carport SUBTOTAL a2 Ora3 Decks 911/Rd Approach fee: ^b�3—`/ Other £ -., 0 %7 O' TOTAL $ 5Q� eceipt Number: /K O -f o Sao ash/Check Number: 93(a ESTIMATED COST(REQUIRED) Date: Si lJ •Fair market value of all labor and materials foundation to finish I 410 ao 4-1 5.-ect Initials: ,l�j,' 1 U.S.DEPARTMENT OF HOMELAND SECURITY ipLEVATION CERTIFICATE fp FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Paul Ericksen Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.Q.Route and Box No Company NAIC Number 999 Rain Forest Road City Forks State WA ZIP Code 98331 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel#991500007 Lot 7 Rain Forest Lots(Vol.6 Pg.47-Plats) SE1/4 SE1/4 S.30,T27N R10W,W.M A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)bare ground A5. Latitude/Longitude:Lat.47-48'-33" Long.124-02'-09" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number Not built A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ►_ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Unincorp.Jefferson Co.530069-0625-B Jefferson WA B4.Ma Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 625 of 1625 B 7/19/82 Effective/Revised Date Zone(s) AO,use base flood depth) 7/19/82 A Local evidence B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other/Source:local observation and history BI 1. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ® Other/Source:assumed elevation BI2. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:NW cor.PUD pad Vertical Datum: 100.00'assumed Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 0 NAVD 1988 ' Other/Source:assumed Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) rte. ❑feet ❑meters b)Top of the next higher floor n/a. ❑feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) n/a. ❑feet ❑meters d)Attached garage(top of slab) g( . ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building nia. ❑feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 97.§Q ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 101.1¢ ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support Wi. ❑feet ❑meters SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION sctt'�.�� ��°��asr: � 1/2, it This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevationr �(, ;R information.I certify that the information on this Certificate represents my best efforts to interpret the data available. ( Q t 4 r' ViAs►,. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S.Code,Section 1001. J!,.4.:-'° �,� (,� t ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a .. 'i,,^ ® Check here if attachments, licensed land surveyor? ® Yes ❑ No tii / x t.1 Certifier's Name Dan P.Kousbaugh License Number RLS#11983 i li • 11593 i� Title President Company Name Dan Kousbaugh Surveying Inc,P.S. \Q , ` r Address Spruce Drive City Forks State WA ZIP Code 98331 41 r-0 �•� LI Signatur=�� y�� ` / D= e 2/1/13 Telephone (360)374-5720 �, �, Z// 13 ELEVATION CERTIFICATE, page 2 IMPORTANT:In these spaces,copy thceresponding information from Section A. • FOR INSURANCE COMPANY USE Budding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 999 Rain Forest Road City Forks State WA ZIP Code 98331 Company NAIC Number: SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments This site is bare ground at the present but did contain two travel trailers at one time. A benchmark was established on the property at the NW corner of the base pad for the PUD transformer at 100.00'. Two local property owners were consulted as to their highest observed flood levels in this area. They picked different sites about 500'east-west of each other. Flood level noted was 91.31'at each site. The original Brandeberry homestead floor level corn- - 92.51'. / iii c , (� . ,, Signa ure Date 2/1/13 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items El-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is nil. ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ga. ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ! . ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is n/a. ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is NA. ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No * Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Dan P.Kousbaugh Address 450 Spruce Drive / City Forks State WA ZIP Code 98331 Signature ') „ _ _ p /���ex.4l Date 2/1/13 Telephone (360)3745720 Comments Highest observed flood levels of 2003 flood( .31')are below projected building site elevation and floor level of old Brandeberry homstead. ®Check here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. GI.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items 04-G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: . ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: . ❑feet ❑meters Datum G10.Community's design flood elevation: . ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. • • • 3 W tO — 1 � pO .T LA C TN J/ ) rs c-..., N � /J 0 I Ir 11\ it �. i/ 1�.� �Inor 11 b--J !i II III ...m111111111. If 38 -e � �_ I 1=1'01 ------Jel!t-,--------- ----_-_-_-_,, --_______ _________-- mgr k® �►►!' 0. o s r++ '�! p i „ m C g D r- �p O n 3 o o� y ao o A K1— w s 9 y O '2 i = r^ �" 14 � N . zc', 3 •$ C.-1.1,9 ee9:s w. C p owl ea 1 D ag rn es sip im c, i '4 o lull T " "DELORME • Top°USA®6.0 t Sq i\C' . 7 Ct fjnfrR km s of .<.�:F .?. .< •i y> -ip�,;<�n.# 1 ,_.: :`,., AW.,°'C;c:ri'i;y r.g... ,�, $ a 'Za., ,...3-,4.'.rf.:.. 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Port Angeles,WA 98362' Tax 534 '� S z'i s r!mt$ � By . ■twill.t — -- eputy Treasurer • STATUTORY WARRANTY DEED 78089-JTc Escrow No.: 3597 Title Order No.: 1084 • THE GRANTOR(S) , Karen Culver,as her sepauate estate (2) for and in consideration of ten dollars and other good and valuable co. •- n paid,conveys, and warrants to Paul D.Erickson and Cindy S.Ericksen,husband and wife the following described real estate,situated In the Cou er , -••: - •• Washington: 1 Lot 7 d Rain Forest Lots Division 1,as per Plat n V. m 6 of Plats.page 47,records 1 of Jefferson County,Washington Subject to: Easements recorded under Auditor's File `;., 20 . ,and 375207 • Covenants,conditions,restrictions and/or - ti -• .. under Auditor's File No.254583 . Restrictions, condt;one, dedications, easements and provisions contained and/or delineated on the face o f t h e Plat :•. •-. .••- ., a File No.254585 Loss or damage by reason that there appears - •- --.•ruled right of areas b and from the land herein described to a pubic right of Tax Parcel Number(s): 991509007 O 0 I.1.k .. _ °, f . , - Culver • STATE OF WASHINGT• ss OOUNTY OF 111. t f,1'4' } I certify that I know or :'?','°s" :o evidence that Karen Culver Is the person who appeared before me,and said pe _•• : •,;' at she signed this instrument and acknowledged it to be her free and voluntary act for. nd purposes mentioned in this instrument. Dated: 10 4 ►1` ..I _ _ _ • l / / ,/ 7-.4-, ottary Public .. L ' : Sfate of Washington Notary ftne,sturA- • W: ngtun My Commission Expires i, May 15,2016 Resistn. oht ..., , ( My a.. _ . .4. ., 3ja� �p • use 10.050-1) ; Map Output • , Page 1 of 1 ArcIMS HTML Viewer Map 0=0260 710304001 garM 4141 amm....„3 99..S"Di MI lakirrA 09160= 710300003 7,029Ay Legend k Selected Features 991 W0003 artri7PM 14ft.ki �€ JC_Roads 99C SOMA r p.__, Parcels-H `. FEMA FIRMS ,991 III M Srirrat 7100(1)1101 7'0300012` 710300017 911.N20 x38 • 3(500 0A 7103000111 7103000.1`91. 994 • Ott 99160000$. 710300010 7"03txXa?2. 710300017 !•032fNYYt J 710313001 AAar:rar&t+d Jr,:e.°4r-.,r. Carte Cr¢ . Se-e(xn,GO 0■11M111111 2°,141 ,., FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Wed A•r 17 11:57:12 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 4/17/2013 page 1 of 2 ap Output ArcIMS HTML Viewer Map ,,hKry�1 TLS AQi '''!'{o.7 X -\, ,,, - 7103Q4401 ,Y' yi5 4 r°1 Y1,....--,- �f•~ -' /-1\ \\7/030005 5 fr` �' 710 �� 1 ti •� Y°° 'f �. , \991%4002\\ \ .. r` 1 5 \y i 7143015444 4 +� 991600403\ \\ ,,,r . J --\-, . 5r - 154 '7 75{14 +.~ ,,ri . 1 J 991 y,,.``` 7103(K1011 1 714340412 tt ,71404017 l 1 ', �" 9�l1 __-°9,9,134 5,,,,.,s „. ,so, i 710300011 1'7103050,12 ' ... -- t l tt99154 t�t1. pi 71034001011 . 7 : X / r t;i3300Ok .),. 710340017 70400 002 \# ,10013Q0.. let/corn.esri.esrimap•'Esrimap`?Se�'iceN ame =ovmapgLClientV ersion=4•••• 4/1712013 httpa/glsserver/sere Map Output • • Page 2 of 2 Legend Selected Features JC_aoads Parcels-H County Zoning MPR-SF Tracts Rural Residential 1:5 Rural Residential 1:10 Rural Resldent.ial 1:20 M PR-Single Family . MPR-hi uhifamity M PR-Resort Complex Parks and Recreation ■ MPR•Open Space Rural Forest IN Commercial Forest In'hold ing Forest Neavyindustrial Airport CPF ■ MPR-Village Carrier AP 1:20 ■ Rural Village Center ■ Resource Based lnd. Light Mdustrul M PR•Rcarcat ton Watt Mgmt CPF LI.M LtiC ■ Crossroads GC ■ Crossroads•CC ■ Crossroads.NC ■ AL 1:20 IJGA-Uroan Comnwrcisl UGA-Urban Log ht Industrial UGA-MDR IJGA-IIOR UG#.Puet c UGA LOR UGA-Visdor Oriented Commercial MPR•ORN Brannon CF-itatMRLOCormtnercai Foro t Mineral Resource Overlay FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Wed Apr 17 11:57:30 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 4/1 7/2013 Contractors or Tradespeople torter Friendly Page • Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LaI 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 BOYNTON CONSTRUCTION INC UBI No. 602479701 Phone 3604528252 Status Active Address 117 Champion Rd License No. BOYNTCI9520M Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 9/14/2005 State WA Expiration Date 10/1/2013 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status BOYNTC'006DF BOYNTON Construction General Unused 3/6/2000 8/23/2006 Re CONSTRUCTION Contractor Licensed Business Owner Information Name Role Effective Date Expiration Date BOYNTON, PAUL W President 09/14/2005 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 ICBIC SC6658 07/01/2005 Until Cancelled $12,000.00 09/14/2005 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 Contractors 9 Bonding a C12SC6658 04/02/2013 04/02/2014 $1,000,000.0003/22/2013 Insuranc Contractors 8 Bonding a C12SC6658 04/02/2012 04/02/2013 $1,000,000.00 04/17/2012 Insuranc 7 CBIC INSSC6658 02/18/2011 02/18/2012 $1,000,000.0001/31/2011 6 CBIC INSSC6658 02/18/2010 02/18/2011 $1,000,000.0002/22/2010 5 CBIC INSSC6658 02/18/2009 02/18/2010 $1,000,000.0002/10/2009 4 CBIC INSSC6658 02/18/2008 02/18/2009 $1,000,000.0001/30/2008 3 CBIC INSSC6658 02/18/2007 02/18/2008 $1,000,000.00 02/21/2007 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 Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 4/17/2013 - '- '- ' •- `- ' . . ,,. , ... „,., ....,., ,1 .m, . T_ ni m 71 ' < m m am Z 0 CO "'rl DO Ci) 1 i '.'.1 -‹ 0 0 Z 0 r.:.I. C z 7<1 4 '-.I. 0 I". C 0 J:1 I M m 0 m 0 0 Z - 0 (/) Z -< m H > m 0 ' lj > z m-I 0. .1■`:, , ' ,''',:' '.' H 55,',' ', ''' ;-",i'-;=";'iltk#',.•:7*.:**Irt;4,',it-,:iN =4:,'7=-. ',' ,,-.,. > 0 ,;:::, -,.100 30 .40 ,., ?„. ,.: I • U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Paul Ericksen Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number: 2682 Rain Forest Road City Forks State WA ZIP Code 98331 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel#991500007 Lot 7 Rain Forest Lots(Vol.6 Pg.47-Plats) SE1/4 SE1/4 S.30,T27N R1 OW,W.M A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Garage 1/ f, 2 fl 11n es A5. Latitude/Longitude:Lat.47-48'-33" Long. 124-02'-09" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 , -'7 V✓ A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. J I A7. Building Diagram Number 1A t l /1 JUN A8. For a building with a crawlspace or enclosure(s): A9. For a building with a_rf arched garage: 7 201 a) Square footage of crawlspace or enclosure(s) na sq ft a) Square foots of attached garage na q tf b) Number of permanent flood openings in the crawlspace b) Number of permanent flood'.op rrirmssan he attach `d-garage or enclosure(s)within 1.0 foot above adjacent grade na within 1.0 foot above adjac?nk.00a'COUNT c) Total net area of flood openings in A8.b na sq in c) Total net area of flood ope lrrrPr sq in d) Engineered flood openings? El Yes ® No d) Engineered flood openings? ❑ Yes'-it9_.__ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Unincorp.Jefferson Co.530069-0625-B Jefferson WA B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone 625 of 1625 B 7/19/82 Effective/Revised Date Zone(s) AO,use base flood depth) 7/19/82 A Local evidence B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other/Source:local observation and history B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ® Other/Source:assumed elevation B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,Ali,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized:NW cor.PUD pad Vertical Datum: 100.00'assumed Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 ❑NAVD 1988 tEl Other/Source:assumed Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 100.22 ®feet Cl meters b)Top of the next higher floor n/a. El feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) 100.22 ®feet ❑meters d)Attached garage(top of slab) n/a. ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 100.22 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 99.60 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 100.61 ®feet El meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support na. ®feet ❑meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION 1 This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.I certify that the information on this Certificate represents my best efforts to interpret the data available. s?.1t`Lf 4 l r I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. `�.e' . . si `a,� ' __ ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Q t A� ''o 9 - ® Check here if attachments. licensed land surveyor? ® Yes El No i r- ':co i /� Certifiers Name Dan P.Kousbaugh License Number RLS#11983 1 p% 6;;;a:,-. a Title President Company Name Dan Kousbaugh Surveying Inc,P.S. �t's ' hS Address 450 Spruce Drive City Forks State WA ZIP Code 98331 ` At I.AN�� ,,,�w Signs 4, Date 6/12/14 Telephone (360)374-5720 :, rr FEMA Form 086-0-33( /12j , See reverse side for continuation. Replaces - previous editions. CLCVAIIUIV VCK11rR,.N1C, page s IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 2682 Rain Forest Road City Forks State WA ZIP Code 98331 Company NAIC Number: SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments On 2/1/13 a benchmark was established on the property at the NW corner of the base pad for the PUD transformer at 100.00'. Two local property owners were consulted as to their highest observed flood levels in this area. They picked different sites about 500'east-west of each other. Flood level noted was 91.31'at each site. The original Brandeberry homestead floor level comes in at 92.51'. The 100 year flood level was set at 91.31' The floor of garage falls at 100.22'. Signature( . / Date 6/12/14 �lY''►� �f SECTION E—BUILDING ELEVATION INF•If ATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1—E4,use natural grade,if available.Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is 0.39 Z feet ❑meters ❑above or®below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0.62 ®feet ❑meters ®above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is n/a. ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is n/a. ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is na. ®feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ®Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Dan P.Kousbaugh Address 45'Spruce Drive ' City Forks State WA ZIP Code 98331 • Signature t A� !' Date 6/12/14 Telephone (360)374-5720 .11411 I Comments The floor elevation of the garage is 100.22'whic il.well above the estimated 100 year flood level of 91.31'. ®Check here if attachments. SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this EI vation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters. G1. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4.Permit Number G5. at�;err�rit ed ry G6. Date Certificate Of Compliance/Occupancy Issued G7. his permit has been issued for: New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datu / .�� G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Dat I ` 0 G10.Community's design flood elevation: ❑feet ❑meters D. A �G ,il/,.,, \` II Local Official's Name Title / JC/U 7 J! /I ..,. Community Name Telephone , Signature Date Comments ❑Check here if attachment FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 2682 Rain Forest Road City Forks State WA ZIP Code 98331 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. t 4 ,,65 ' ,, �' is ' , ;�• i s Fro . e � , y } V 'j 5/24 !:32 AK. lk. 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It _ _ 1 t it,,l/f)2./, (L I I ?0 1 rn e--1 m '.�ep C F r�S �i' _ `� O O ...4 W J J a __ 0 LP-Vol 4?9t7 a- o ; -- —t r i IT a !yell i NI j .. 1=1 i t.t. i a s, g �— a $ the 13 t ro = lad d x II , a9# ',n ,. s I. • ; = g il A s.t.. .•.. 23, 5 � — ��-- ° s } „f F .s•ma • j• }"' N r \.5 K -4,,..,.. • il 3 i/'1 Z �>- � - '1.a\�.� r Z g 8 F- ; \ g Q Il$g 3 w ZN 'RO \a \`\ w 1111 zt.\ g a ;.€<a E NZZ _ \\ t- 1% ir w Fart; S V) 1w AD GJ - M Cr a ; = \\\` d 1 se;11. 8,.14 In IA 4311714-7.1;o2..1-: 1 1 Q a 3 •••■• a Cr)L. 2. 2 "-*.,b'V 1 --\--: /I/ 1 I 1.111 ri3 td--) hi 1::- ill 1 i • # 1) 4;.%'.., . /.1 ,,:.1 i, i itiog .47?-4,.:- . ,f) !; f Ilit Iii tos. � � 1 i ✓' r s g.� g �X = 1: ." ff.5 i z tic. ... t 6”i trii ' 'I.os\ li ;g 'ill sil 8, it a lit 1€. } ;II t a ;� Nest ! 14 I I, t '�' is 5 P lit, fi ;; i ... .,.-kilt E':° -. � P i �a in Plii::1111i § ; 1 g ti Y j _:_ r. i= h • ,!l ;i1 1! jjjj tl o • 570770 PGS : 1 SW�Dp hifawnt2Ca4 Yep r++rlrlise.i rr of-TDmw Etipu. ter A.dl When recorded return to: Jefferson County Excise Tax Paul D.Erlcksen and Cindy S.F.ridcsen Aft # 1 a 2 0 4 Date I b ►�7.p) Z.. 92 Ruby Road Port Angeles,WA 98382 Tax$534-. '• S..(.a A:ll i By . stmt.t - ! teputy Treasurer • • 78089-.TM STATUTORY WARRANTY DEED Escrow No.: 3597 Title Order No.: '18On THE GRANTOR(S) Karen Culver,as her separate estate O for and In consideration of ten dollars and other good and valuable-•• n • paid,conveys, and warrants to Paul D.Erickson and Cindy S.Erickson,husband and wife O the following described real estate,situated In the Cou Washington: Lot 7 of Rain Forest Lots Division 1,as per Plat =•• •:• In V.• , '6 of Plats,page 47,records of Jefferson County,Washington Subject to Easements recorded under Auditor's File •:; $ •and 375207 Covenants,conditions,restrictions and/or:;:-ements •• •-• under Auditor's Flle No.254563 Restrictions. conditions, dedications. 4440400, easements and provisions contained and/or delineated on the face of the Plat -.. .:• ,••• .1,• s Fib No.254585 Loss or damage by reason that them appears -..rded fight of access b and from the land herein described to a pubic right of Tax Parcel Number(s): 991500007 O Culver M STATE OF WASIIINGT' • \ //•COUNTY OF iI t AlSii )55 I certify that I know or "t- «,:i evidence that Karen Culver Is the person who appeared before me,and said pe • - • !►'t!' at she signed this instrument and acknowledged it to be her free• and voluntary act for i nd purposes mentioned in this instrument Dated: 1 0 ��►■� TERESAI.WAY l / ,I I '-� Notary Public Ai _, II State of Washington My Commission Expires Notarin, . `'i • the a. .W . ngton MOy 15,2016 my a.."t4,444.114p. ,711r. _.... 170 . 4410 t.PB10-050r-I) ? - C rub `l C P09-AcEL 2 99/50000 -F , ® OF WA 1,,, af-HP 60) cot,to Ty AM- 4k i 32797 �'p RFGlStE�sc) SSIONAL FNECEOVE T - 56 670, <02 s,' _ (/.Zs6 4 f J) I ,! AF-1 1 5 2013 i JEFFERSON COUNTY l // j fFT.OF COMMUNITY DEVELOPMENT n 066. 3- E- ( D. a' b a-ctril ) (7/0-446t ; ' 11,90 ,51/2- ( 0, o 2 3 . x-c,rcs) . • . ,:,°°':. ASyI,�,c .s. .v k Y ` 605 (a o 153 cS) --. r .T .. q, a 32777 0 .WSSIONAL G G cz° N 1P V ouS Assuumed G /1 ire,' of. G /v w " s 1 o JEFFERSON COUNTY t;. DEPARTMENT OF COMMUNITY DEVELOPMENT j► 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450.360/378.4451 Fax httpJ/www.co jeffetson.wa.us!c ommdevelopment/ Stormwater Calculation Worksheet 1 MIJ* PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,'medium,"or large' The size determines whether a Stoanwater Site Plan is required in cor4unction with a stand-alone stormwater management permit application,bulkling permit application,or other land use approval application that Involves stormwater review. The basic information will also be helpful for completing a Stor m ater Site Plan,E required. PARCEL SRE(I.E..SITE1 Size of parcel 1.2°1 ci acres An acre contains 43,560 square feet Multiply the acreage by this figure. Size of parcel in ewers fee, 5(o,5131) stint Land-disturbing activity is any activity that results kl movement of earth,or a change nge in the existing soil cover(both vegetative and non-vegetative)and/or the existing soil topography.. Land disturbing activities include, but are not limited to clearing,grading,filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine mccle;shrubs such as willow,elderberry,saknonberry, and salad;herbaceous plants such as sword fern,foam Sower,and fireweed. . ! ! 1I : = 1.1c _,•II►111 tSi l flit- t• •1 ■ - 1►I 4-t. RI - 1.•.. _.di' ■• I;∎. •. n l l;il Calculate the total area to be cleared,graded,tiled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be clewed for: Does the project convert%acres or more of Conenrction site for structures 2 i S9, sq/t native vegetation to lawn or landscaped areas? Drainfeld,septic Dunk,etc. 00 3 al/fl Circle: Yes Well,utilities,etc. sq/it Does the project convert 234 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 2y s 93 qm C Lawn,landscaping,etc. 2. it S S O mini Yes V� Other compacted surface,etc. sq/tt Indicate Total Volumes of Proposed: Total Land Disturbance S I 2.1q sq/t cut, L k Fla I D (cu/yd) pemrrrswowewoAWroot—REV.221 20.. I Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an Increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include,but are not limited to roof tops,walkways, patios,driveways,parking lots or storage areas,concrete or asphalt paving,gravel roads,packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stonrwater. STORMWATER CALULATIONS-IMPERVIOUS SURFACE bgEt U L� MEM Structures(ail roof area) Z v U`1 aql t Structures(ail roof area) Sidewalks salt Sidewalks — Patios 1$41/ft Patios t Solid Decks sgJft Solid Decks t (without infiltration below) (without infiltration below) �1 Driveway,parking,roads,etc O sq/ft Driveway,parking,roads,etc 244.3 sq/ft Other *gift Other Witt Total New 2-Szi q sq/t Total Existing Z`/qJ TOTAL NEW+TOTAL Mal. XISTING' 53/ sg/R 'This amount will be used to check total lot coverage. The following questions wB help determine whether the proposed project is considered development or redevelopment DEVELOPMENT v.REDEVELOPMENT Divide the total wilting impervious surface above by the size of the parcel and convert to a percentage: 1 LJ 96 Does the site have 35%or more of Mks Impervious surface? Ci c e: Yes FURTHER INSTRUCTIONS: if the answer is yes,the proposal Is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for storm water management DCD staff wit help verify the classification of the project and the application requirements. For proponents of `small' projects who must comply only with Minimum Requirement 02—Construction Stommratsr Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing g the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevent ion(SWPP)Best Management Practices(BMPs) Packet Proponents of"medium"projscs—those that must meet only Minimum Requirements #1 through mss—and for large' projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the St onnwater Management Manual. APPUCANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected properly. i -II 16- Ogrli ( • * - OR aowmRq (DAV .kw,Iw.w oft wawNwt-REV.=ROM 2 FIGURE 1: NEW DEVELOPMENT Start Here Does the site have Yes See Redevelopment 35%or more of Minimum existing impervious Requirements and coverage? Flow Chart (Figure 2) No Does the project convert 34 acres or more of native • vegetation to lawn or Does the project add No landscaped areas,or 5,000 square feet or convert 2.5 acres or more • more of new of native vegetation to impervious surfaces? pasture? Yes Yes No Does the project have 2,000 square feet or "LARGE"PROJECT more of new,replaced, All Minimum Requirements or new plus replaced apply to the new impervious impervious surfaces? surfaces and converted pervious surfaces. Yes No • "MEDIUM"PROJECT Does the project have Minimum Requirements#1 land-disturbing through#5 apply to the new Yes activities of 7,000 and replaced impervious square feet or more? surfaces and the land disturbed. No • "SMALL"PROJECT See Minimum Requirement#2, Construction Stormwater Pollution Prevention Based on Fig.2.2 from 2001 Ecology SYonnwater Management Manual for Western Washington esawmiL°64, JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 631 Sheridan Street•Port Townsend•Washington 98368 Q , 360I379-4450.3601379.4451 Fax MtpJiwww.ao jeflerson.wa STORMWATER SITE PLAN SUBMITTAL TEMPLATE IMLA* r„PPr : , Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. The developed condition will consist of a 34'x27' residential home in the southwest corner of the property with an attached and covered 31'x10' deck. A 40'x24' garage will be constructed east of the residence.An existing gravel driveway will be downsized from approximately 2,473 sqft to 2,216 sqft. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. The existing topography slopes northwest,with a range of 0-30%for the surrounding area per the Natural Resources Conservation Service Web Soil Survey interactive map (NRCS). 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Existing vegetation on-site consists of mostly wooded,native vegetation. 4. Describe the existing soils. Indicate soil type on the site map. According to the NRCS, existing soils on-site consist of Klone Gravelly Loam(KGD), and is a well-draining soil. 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. All stormwater runoff on-site sheet flows either directly into the seasonal creek in the north corner of the property,or off-site and into the Hoh river to the northwest. 6. Describe any excess levels of noise generated by the proposed use or activity: Any noise associated with the project will strictly be due to construction of the new development. 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. There exists a seasonal creek, classified as a type F per Jefferson County,in the northern corner of the property.A 150' buffer is indicated on the plans. 8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities,roads,and sensitive/critical areas (streams,wetlands,lakes, steep slopes,etc.). The site is surrounded by residential property and has water and power running to the plot. The site is off of Rainforest Road which is an extension of Bradeberry Road. A seasonal creek runs through the northern corner of the property. 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. 9. 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. Due to the proximity of the septic drainage fields,reserve areas, and the 150' buffer, runoff will be collected and piped to a bio-filtration swale northwest of the proposed driveway. Surface sheet flow from the driveway(2,216 sqft)will be collected in a shallow ditch and catch basin and piped to the swale.Roof runoff from the home and garage(2,844 sgft)will be tightlined to their respective catch basins(see plans)and piped to the bio-filtration swale. 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.] There are no existing facilities on site. 11. Describe the performance goals and standards applicable to the project. N/A 12. Describe the flow control system. Flow control for the roof area and driveway will be done through a bio-filtration swale northwest of the proposed driveway, and discharged into the buffer area in the eastern portion of the property. A shallow ditch running along the northern edge of the drive way will collect runoff from the driveway and direct it toward a catch basin. Runoff from the roof will be tightlined to their respective catch basins(see plans) and piped to the swale. 13. Describe the water quality system. The project qualifies as a"medium"project and thus has no requirements for treatment. Due to the proximity of the septic drainage,reserve areas, and creek buffer, dispersion is not viable. The bio-filtration swale will act as the dispersion that is unavailable. 14. Describe the conveyance system analysis and design. N/A 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. N/A 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. N/A 17. Describe the proposed surfacing material. The driveway and parking area will consist of clean gravel. All other disturbed surfaces will be seeded. 18. Describe methods for restoration of the site. Upon completion of construction all disturbed surfaces will either be seeded, landscaped, or covered with clean gravel. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for"large" projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. N/A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. None 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. None CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention(SWPP)Best Management Practices(BMPs)Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. All trenches, swales, and other clearings necessary for storm and wastewater systems will be clearly staked 2. Establish Construction Access. Construction access will be limited to the existing driveway. 3. Control Flow Rates. All runoff generated from the construction activities will have a short flow paths and will be dispersed into the existing wooded/natural vegetation. 4. Install Sediment Controls. A silt fence will be installed as shown on the plans down gradient of the land disturbing activities. Upon final stabilization of the site the silt fence is to be removed. 5. Stabilize Soils. Mulching(BMP 121)will be used to stabilize disturbed soils. Seeding or landscaping will be used in conjunction with mulching as permanent stabilization. 6.Protect Slopes. Any new slopes due to construction will not exceed 3:1,except for the latitudinal slopes in the bio-filtration swale,unless already existing in unused topography 7. Protect Drain Inlets. None exist in the immediate area of the construction activities. 8. Stabilize Channels and Outlets. Channels will be stabilized thorough the use of mulching and seeding. Outlets will be stabilized using quarry spall pads. 9. Control Pollutants. All vehicles and equipment will be kept in the gravel driveway/parking area until needed. Waster will promptly be picked up and disposed of off-site. 10.Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). None 11.Maintain Best Management Practices (BMPs). All BMP's will be maintained to ensure proper function. Temporary BMP's will be removed upon completion of the project. 12.Manage the Project. All erosion control measures will be inspected monthly and after major storm events. Deficiencies will be repaired promptly Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams,lakes, wetlands,residential areas,roads). A 150' buffer will be given to an existing seasonal creek to prevent any disturbance due to construction. There is potential for track out onto Rainforest/Brandeberry road. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). The seasonal creek and site run off might indirectly flow into the Hoh river. All construction buffers will meet or exceed the 400 yard minimum Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. On site there exists a seasonal creek that flows east to west. A 150' buffer will be given, and can be seen on the site plans b. Description of special requirements for working in or near environmentally sensitive areas. 150' buffer from seasonal creek. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils (e.g., erodibility, settleability,permeability, depth, texture, soil structure). The soil on site is well drained KGD and shows no immediate concern for erosion problems. A typical soil profile consists of 0-7"gravelly silt loam, 7-36"very gravelly silty loam, and 36-60"very gravelly loam sand. Construction Phasing. a. Construction sequence Install TESC, clear construction area,utilities to be found/installed,construct residence and storm/wastewater systems, final stabilization b. Construction phasing(if proposed) Construction Schedule. Wet season is October 1 through April 30 (page 2-21 of the Manual). I. Provide a proposed construction schedule. Construction is proposed to start in the summer and continue for several months II.Wet Season Construction Activities. a. Proposed wet season construction activities. N/A b. Proposed wet season construction activities for environmentally sensitive areas. N/A Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other fmancial securities. Paul and Cindy Ericksen are the property owners and are 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. The owner(s)will be required to submit a master permit application which evidences the owner(s)liability 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 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,Pian. ,a. Legal description of subject property. ,b. North arrow. J9 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). OAfi Show existing and proposed contours. gg 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. )cj. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conyeyance Systems. ✓✓s Designate locations for swales,interceptor trenches,or ditches. 'lb. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. tlic. 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. re. Provide details for bypassing off-site runoff around disturbed areas. nit.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. 4k-a. Show the locations of sediment trap(s),pond(s),pipes and structures. -kb. Dimension pond berm widths and inside and outside pond slopes. PI*;c. Indicate the trap/pond storage required and the depth,length,and width dimensions. ritl,d. Provide typical section views through pond and outlet structure. 14k,i e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. Detail controi/restrictor device location and details. ,/h. Specify mulch and/or recommended cover of berms and slopes. sjt i. Provide rock specifications and detail for rock check dam(s),if applicable. Ol j. Specify spacing for rock check dams as required. Oivjc. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stomwaw sits plan tsmpots.aoe-rev.1anV200S 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-bunts')when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan tsmpl.t..doc—rev.10✓12/2009 012 • BIOFILTRATION SWALE DESIGN I ZENOVIC&ASSOCIATES PROJECT: ERICKSEN 301 EAST 6TH STREET,SUITE 1 LOCATION: JEFFERSON COUNTY PORT ANGELES,WA 98362 PARCEL NO: 991-500-007 DATE: 4/12/2013 JOB NO. 13023 AUTHOR: NAD Reference: Stomiwater Management Manual for Western Washington(D.O.E.2005) Volume V,Chapter 9 Biofiltration Swale designed to treat runoff from propsed development in the Airport Industrial Park Preliminary Steps(P) P-1 Water Quality Flowrate(Q)= s ( cfs on-line,15 min.from WWHM4 P-2 Longitudinal slope= ') g ft/ft P4 Assume vegetation will be grass-legume mixture and infrequently mowed Design Steps(D) D-1 Water depth(y)= 9 ft D-2 Manning coefficient(n)= �« D-3 Swale Shape= trapezoidal w/3:1 side slope(z)= D-4 Approximate btm.Width(b)= 1 49*y 1:rsro.5 -Z«y b- 1.05 ft use b= ` ft D-5 Calculate Area(A)= by+zy^2 A= 1.00 ft^2 D-6 Calculate Velocity(V)= k«Q/A k= from figure 9.6b V= 0.149 ft/sec D-7 Calculate Length(L)= V*t«60 sec/min where t= 9 min. L= 80.48629 ft min. use L= ft. 13023 bioswale Page 1 of 1 Treatment • Stability Check(SC) SC-1 100 Yr.Flowrate Q,oe a cfs (from WWHM4 data set) Corrected 0100= 1.23952 SC-2 Fair Coverage Estimate 02" SC-3 Low Retardance Estimated D Vmax= 3(from table 9.2) SC-4 Try n= e ¢ SC-5 VR,pp,ox= Y (from figure 9.7) SC-6 Calculate Hydraulic Radius R= VR,pp„o„/Vmax R= 0.533 SC-7 VR„ = (1.49/nr(R^1.67)`(s^.5) VRackie 1.553 SC-8 Check to see that VR is within 5%of VR Actual -5% 5% 1.524 1.68 OK If not ok then select SC-9 Check Velocity Vag=VRao /R new trial n value V= 2.91 ft/s OK SC-10 Calculate Stability Area(Asteroid= Q100/•aCWa1 Aatadxq,= 0.43 SC-11 Check to see that Aatappny<A OK SC-12 Calculte Flow Depth(y)=—b t Jb2—4Z(—A) 2Z y= 0.170 Ft. Y= 2.036 In. SC-13 Use greater value of y from D1 or 0.333 Ft above to calculate swale parameters YT= 0.833 Ft. T= 7.00 Ft. SC-14 Recalculate Hydraulic Radius(R)= byr+Zyr2 b+2y, Z2+1 R= 0.516 SC-15 Calc.Flow Capacity ow= 1.49 AR'sas n QCs= 2.11 cfs Check Qap>QIao OK Final Swale Parameters Length(L)= 100 Ft. Slope(s)= 0.02 Ft./Ft. Bottom Width(b)= 2.00 Ft. Channel Depth(YT)= 0.833 Ft. Top Width(T)= 7.00 Ft. © ► b 13023 bioswale Page 1 of 1 Treatment WWHM4 PROJECT REPORT Project Name: 13023 bio flows Site Name . Site Address: City Report Date : 4/12/2013 Gage Clearwater Data Start : 1948/10/01 Data End 1993/09/30 Precip Scale: 1.13 Version 2011/01/14 PREDEVELOPED LAND USE Name Basin 1 Bypass: No GroundWater: No Pervious Land Use Acres C, Forest, Flat 1.298 Impervious Land Use Acres Element Flows To: Surface Interflow Groundwater MITIGATED LAND USE Name Basin 1 Bypass: No GroundWater: No Pervious Land Use Acres C, Forest, Flat 1.247 Impervious Land Use Acres ROADS FLAT 0.051 ROOF TOPS FLAT 0.065 Element Flows To: Surface Interflow Groundwater ANALYSIS RESULTS Flow Frequency Return Periods for Predeveloped. POC #1 Return Period Flow(cfs) 2 year 0.234301 5 year 0.341492 '10 year 0.419301 25 year 0.525251 50 Y ear 0.609693 100 year 0.698852 Flow Frequency Return Periods for Mitigated. POC #1 Return Period Flow(cfs) 2 year 0.293103 5 year 0.409758 10 year 0.491826 25 year 0.600937 50 year 0.686137 100 year 0.774688 Annual Peaks for Predeveloped and Mitigated. POC #1 Year Predeveloped Mitigated 1949 0.337 0.416 1950 0.181 0.233 1951 0.318 0.382 1952 0.717 0.815 1953 0.151 0.210 1954 0.211 0.265 1955 0.231 0.285 1956 0.473 0.544 1957 0.254 0.311 1958 0.167 0.221 1959 0.347 0.415 1960 0.405 0.481 1961 0.223 0.275 1962 0.348 0.401 1963 0.396 0.465 1964 0.194 0.246 1965 0.233 0.286 1966 0.512 0.589 1967 0.250 0.303 1968 0.259 0.314 1969 0.437 0.513 1970 0.154 0.197 1971 0.459 0.528 1972 0.275 0.330 1973 0.261 0.312 1974 0.294 0.355 1975 0.262 0.334 1976 0.206 0.264 1977 0.134 0.168 1978 0.120 0.167 1979 0.101 0.146 1980 0.156 0.201 1981 0.245 0.311 1982 0.360 0.409 1983 0.166 0.208 1984 0.142 0.195 1985 0.270 0.347 1986 0.144 0.177 1987 0.253 0.328 1988 0.193 0.255 1989 0.161 0.219 1990 0.108 0.148 1991 0.276 0.364 1992 0.183 0.229 1993 0.204 0.251 Ranked Annual Peaks for Predeveloped and Mitigated. POC #1 Rank Predeveloped Mitigated 1 0.7166 0.8149 2 0.5120 0.5887 3 0.4729 0.5442 4 0.4592 0.5278 °0.5848 1 2 200 Fail 0.5898 1 1 100 Pass 0.5948 1 1 100 Pass 0.5997 1 1 100 Pass 0.6047 1 1 100 Pass 0.6097 1 1 100 Pass The development has an increase in flow durations from 1/2 predeveloped 2 year flow to the 2 year flow or more than a 10% increase from the 2 year to the 50 year flow. The development has an increase in flow durations for more than 50% of the flows for the range of the duration analysis. Water Quality BMP Flow and Volume for POC #1 On-line facility volume: 0.1954 acre-feet On-line facility target flow: 0.01 cfs. Adjusted for 15 min: 0.1145 cfs. Off-line facility target flow: 0.0652 cfs. Adjusted for 15 min: 0.0659 cfs. Perind and Impind Changes No changes have been made. This program and accompanying documentation is provided 'as-is' without warranty of any kind. The entire risk regarding the performance and results of this program is assumed by the user. Clear Creek Solutions, Inc. disclaims all warranties, either expressed or implied, including but not limited to implied warranties of program and accompanying documentation. In no event shall Clear Creek Solutions, Inc. be liable for any damages whatsoever (including without limitation to damages for loss of business profits, loss of business information, business interruption, and the like) arising out of the use of, or inability to use this program even if Clear Creek Solutions, Inc. has been advised of the possibility of such damages. I CO m IISt I . ' � . 1 21 M �o�////� I $ s S o, m to iii ga ti. 2> Oz I ; 1 . .i E . $g m I I 0" 0 �� ot; r w /12" MIN.4, 2' MIN. z • 2 C >N P W N r' O m 1117' �fff f+f f f•� D 0>m m N Ii.) 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' MCP-` td. " Peeverr mu). 12-aPotTj , ,t .„. • ,... JEFFERSON COUNTY ..r. *06 DEPARTMENT OF COMMUNITY DEVELOPMENT 444;4713:664. 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450.360/379-4451 Fax http://www.00jefferson.wa.uskommdevelopment/ Stormwater Calculation Worksheet MLA PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as°small,'"medium,"or large.' The size determines whether a Stomiwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application,or other land use approval application that involves stormwater review. The basic I formation will also be helpful for completing a Storm grater Site Plan,if required. PARCEL SIZE(I.E..SITii Size of parcel ,.V I ci acres �) An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet Co,513 h1 sq/ft / Land-disturbing activity is any activity that results in movement of earth,or a change in the existing soli cover(both vegetative and non-vegetative) and/or the existing soil topography.. Land disturbing activities include, but are not limited to clearing,grading,filfing, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, and vine •shrubs such as willow, , Doug lock, ,big-leaf maple, maple, ,elderbeny,salrnwfbvey, and salad;herbaceous plants such as sword fern,foam flower,and fireweed. I . 1.-jl : = it _ As K• .1/ i - k•. • ,- ILI 4_c3 L• . _. • L• L, •i I I g Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include In this calculation the area to be cleared for Construction site for structures 2 1 S native project convert or landscaped a wire of Q sq/ft vegetation to lawn a landscaped areas? Drainfleld,septic tank,etc. (O 3 sgBt Circle: Yes Well,utilities,etc. sq/it Does the project convert 234 acres or more of native vegetation to pasture? D r i v e w a y,parking,roads,e t c. ? 1.93 stmt Circle: Yes Lawn,landscaping,etc. 2 S 8 0 sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: . Total Land Disturbance el I 41 *gm Cut L k) Fill < 1D (cuiyd) [over) aaataaaaucwQIU ost—REV.2/20.2 oe 1 Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development Common impervious surfaces include,but are not limited to roof tops,walkways, patios,driveways, parking lots or storage areas,concrete or asphalt paving, gravel roads,packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stommvater. STOBMWATER CALULATIONS—IMPERVIOUS SURFACE lFW STING Structures(all roof area) 2'5 u ti stet Structures(all roof area) sglft Sidewalks sglft Sidewalks Patios �� sq/t Patios sglft Solid Decks sq/tt Solid Decks — sglft (without infiltration below) (without infiltration below) ��// Driveway,parking,roads,etc U sq/ft Driveway,parking,roads,etc 24 -_3 sglft Other sq/ft Other Total New 72841 q sq/ft Total Existing Zy sglft TOTAL NEW+TOTAL EXISTING" 53/ *gift "This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment DEVELOPMENT v.REDEVELOPMENT Divide the total egging impervious surface above by the size of the parcel and convert to a percentage: 4±96 Does the site have 35%or more of egging impervious surface? Circle: Yes FURTHER INSTRUCTIONS: if the answer is yes,the proposal is considered redevelopment and the attached Figtm 2 should be used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stommwater management DCD staff will help verify the classification of the project and the application requirements. For proponents of 'small projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—en additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project Pick up the Construction Stormwater Pollution Prevention(SWPP) Best Management Practices(BMPs)Packet. Proponents of"medium"projects—those that must meet only Minimum Requirements #1 through 05—and for large' projects--those that must meet all 10 Minimum Requirements--are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stonmivater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions end Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPUCANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. .:�/d .1 V, .I , ,i- I,6;.i�/3 OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) abwrawatar or0w kuMSt—REV.2.202D0a 2 � 5 FIGURE 1: NEW DEVELOPMENT Start Here Does the site have Yes See Redevelopment 35%or more of ► Minimum existing impervious Requirements and coverage? Flow Chart (Figure 2) No Does the project convert 3 acres or more of native • vegetation to lawn or Does the project add No landscaped areas,or 5,000 square feet or convert 2.5 acres or more • more of new of native vegetation to impervious surfaces? pasture? Yes Yes \No Does the project have "LARGE"PROJECT 2,000 square feet or more of new,replaced, All Minimum Requirements or new plus replaced apply to the new impervious impervious surfaces? surfaces and converted pervious surfaces. Yes No "MEDIUM"PROJECT Does the project have Minimum Requirements#1 land-disturbing through#5 apply to the new activities of 7,000 Yes and replaced impervious square feet or more? surfaces and the land disturbed. No • "SMALL"PROJECT See Minimum Requirement#2, Construction Stormwater Pollution Prevention Based on Fig.2.2 from 2001 Ecology Stormwater Management Ma sal for Western Washington 4 qON b JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street•Port Townsend•Washes 98368 tits 360/379-4450.360/379-4451 Fax "KING J .co j effe►son.we.us/commdevelapmenti STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA* PROJECNAPPUCANT : Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. The developed condition will consist of a 34'x27' residential home in the southwest corner of the property with an attached and covered 31'x10' deck. A 40'x24' garage will be constructed east of the residence. An existing gravel driveway will be downsized from approximately 2,473 sqft to 2,216 sqft. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. The existing topography slopes northwest, with a range of 0-30%for the surrounding area per the Natural Resources Conservation Service Web Soil Survey interactive map (NRCS). 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Existing vegetation on-site consists of mostly wooded,native vegetation. 4. Describe the existing soils. Indicate soil type on the site map. According to the NRCS, existing soils on-site consist of Klone Gravelly Loam(KGD), and is a well-draining soil. 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. All stormwater runoff on-site sheet flows either directly into the seasonal creek in the north corner of the property,or off-site and into the Hoh river to the northwest. 6. Describe any excess levels of noise generated by the proposed use or activity: Any noise associated with the project will strictly be due to construction of the new development. 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. There exists a seasonal creek, classified as a type F per Jefferson County,in the northern corner of the property.A 150' buffer is indicated on the plans. 8. Describe the general vicinity of the site,including adjacent land uses and structures,utilities,roads, and sensitive/critical areas (streams,wetlands,lakes, steep slopes,etc.). The site is surrounded by residential property and has water and power running to the plot. The site is off of Rainforest Road which is an extension of Bradeberry Road. A seasonal creek runs through the northern corner of the property. 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. 9. 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. Due to the proximity of the septic drainage fields,reserve areas, and the 150' buffer, runoff will be collected and piped to a bio-filtration swale northwest of the proposed driveway. Surface sheet flow from the driveway(2,216 sqft)will be collected in a shallow ditch and catch basin and piped to the swale.Roof runoff from the home and garage(2,844 sqft)will be tightlined to their respective catch basins(see plans)and piped to the bio-filtration swale. 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.] There are no existing facilities on site. 11. Describe the performance goals and standards applicable to the project. N/A 12. Describe the flow control system. Flow control for the roof area and driveway will be done through a bio-filtration swale northwest of the proposed driveway, and discharged into the buffer area in the eastern portion of the property. A shallow ditch running along the northern edge of the drive way will collect runoff from the driveway and direct it toward a catch basin. Runoff from the roof will be tightlined to their respective catch basins(see plans) and piped to the swale. 13. Describe the water quality system. The project qualifies as a"medium"project and thus has no requirements for treatment. Due to the proximity of the septic drainage,reserve areas, and creek buffer, dispersion is not viable. The bio-filtration swale will act as the dispersion that is unavailable. 14. Describe the conveyance system analysis and design. N/A 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. N/A 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. N/A 17. Describe the proposed surfacing material. The driveway and parking area will consist of clean gravel. All other disturbed surfaces will be seeded. 18. Describe methods for restoration of the site. Upon completion of construction all disturbed surfaces will either be seeded, landscaped, or covered with clean gravel. 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for"large" projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. N/A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. None 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. None CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention(SWPP)Best Management Practices (BMPs)Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. All trenches, swales,and other clearings necessary for storm and wastewater systems will be clearly staked 2. Establish Construction Access. Construction access will be limited to the existing driveway. 3. Control Flow Rates. All runoff generated from the construction activities will have a short flow paths and will be dispersed into the existing wooded/natural vegetation. 4. Install Sediment Controls. A silt fence will be installed as shown on the plans down gradient of the land disturbing activities. Upon final stabilization of the site the silt fence is to be removed. 5. Stabilize Soils. Mulching(BMP 121)will be used to stabilize disturbed soils. Seeding or landscaping will be used in conjunction with mulching as permanent stabilization. 6.Protect Slopes. Any new slopes due to construction will not exceed 3:1, except for the latitudinal slopes in the bio-filtration swale,unless already existing in unused topography 7. Protect Drain Inlets. None exist in the immediate area of the construction activities. 8. Stabilize Channels and Outlets. Channels will be stabilized thorough the use of mulching and seeding. Outlets will be stabilized using quarry spall pads. 9.Control Pollutants. All vehicles and equipment will be kept in the gravel driveway/parking area until needed. Waster will promptly be picked up and disposed of of site. 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). None 11.Maintain Best Management Practices (BMPs). All BMP's will be maintained to ensure proper function. Temporary BMP's will be removed upon completion of the project. 12.Manage the Project. All erosion control measures will be inspected monthly and after major storm events. Deficiencies will be repaired promptly Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance(e.g., streams,lakes, wetlands,residential areas,roads). A 150' buffer will be given to an existing seasonal creek to prevent any disturbance due to construction. There is potential for track out onto Rainforest/Brandeberry road. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). The seasonal creek and site run off might indirectly flow into the Hoh river. All construction buffers will meet or exceed the 400 yard minimum Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. On site there exists a seasonal creek that flows east to west.A 150' buffer will be given, and can be seen on the site plans b. Description of special requirements for working in or near environmentally sensitive areas. 150' buffer from seasonal creek. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils (e.g., erodibility, settleability,permeability,depth, texture,soil structure). The soil on site is well drained KGD and shows no immediate concern for erosion problems. A typical soil profile consists of 0-7"gravelly silt loam, 7-36"very gravelly silty loam, and 36-60"very gravelly loam sand. Construction Phasing. a. Construction sequence Install TESC, clear construction area,utilities to be found/installed, construct residence and storm/wastewater systems, final stabilization b. Construction phasing(if proposed) Construction Schedule. Wet season is October 1 through April 30 (page 2-21 of the Manual). I. Provide a proposed construction schedule. Construction is proposed to start in the summer and continue for several months II.Wet Season Construction Activities. a. Proposed wet season construction activities. N/A b. Proposed wet season construction activities for environmentally sensitive areas. N/A Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Paul and Cindy Ericksen are the property owners and are responsible for the initiation of bonds and/or other financial securities. i l b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. The owner(s)will be required to submit a master permit application which evidences the owner(s)liability 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 . 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. ‘iia. Legal description of subject property. ,b. North arrow. 9. 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). 1-/✓ Show existing and proposed contours. gg Indicate drainage basins and direction of flow for individual drainage areas. 'h. Label final grade contours and identify developed condition drainage basins. 00,i. Delineate areas that are to be cleared and graded. ti Jaj. Show all cut and fill slopes indicating top and bottom of slope catch fines. 3. Conveyance Systems. ✓e 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. rc. 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. rye. Provide details for bypassing off-site runoff around disturbed areas. n4„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. rika a. Show the locations of sediment trap(s),pond(s),pipes and structures. f b. Dimension pond berm widths and inside and outside pond slopes. IJ},k c. Indicate the trap/pond storage required and the depth,length,and width dimensions. mod. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. J f. Detail stabilization techniques for outlet/inlet. Detail controihestrictor device location and details. ✓ berms h. Specify mulch and/or recommended cover of ber and slopes. fl i. Provide rock specifications and detail for rock check dam(s),if applicable. j. Specify spacing for rock check dams as required. r<IP:k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. My 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. aoimw.w site pion amp ftioo—rev.1W1212003 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-builtV)when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer)that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: .wmw.w silo pion lemplalcdoc—rev.1 12i2003 „12 • BIOFILTRATION SWALE DESIGN I ZENOVIC&ASSOCIATES PROJECT: ERICKSEN 301 EAST 6TH STREET,SUITE 1 LOCATION: JEFFERSON COUNTY PORT ANGELES,WA 98362 PARCEL NO: 991-500-007 DATE: 4/12/2013 JOB NO. 13023 AUTHOR: NAD Reference: Stormwater Management Manual for Western Washington(D.O.E.2005) Volume V,Chapter 9 Biofiltration Swale designed to treat runoff from propsed development in the Airport Industrial Park Preliminary Steps(P) P-1 Water Quality Flowrate(0)= t '¢ cfs on-line,15 min.from WWHM4 P-2 Longitudinal slope= ft/ft P-3 Assume vegetation will be grass-legume mixture and infrequently mowed Design Steps(D) D-1 Water depth(y)= ) ft D-2 Manning coefficient(n)_ D-3 Swale Shape= trapezoidal w/3:1 side slope(z)= D-4 Approximate btm.Width(b)= 2.5`Q•n -zy 1.49 R y^1.67'S^0.5 b— 1.05 ft use b= ;ft D-5 Calculate Area(A)= b*y+z`y^2 A= 1.00 ft^2 D-6 Calculate Velocity(V)= k'Q/A k= from figure 9.6b V= 0.149 ft/sec D-7 Calculate Length(L)= V*t*60 sec/min where t= 9 min. L= 80.48629 ft.min. use L= ft. 13023 bioswale Page 1 of 1 Treatment Stability Check(SC) SC-1 100 Yr.Flowrate Clue r r x cfs (from WWHM4 data set) Corrected 0100= 1.23952 SC-2 Fair Coverage Estimate 42" SC-3 Low Retardance Estimated D Vmax= 3(from table 9.2) SC-4 Try n= SC-5 VR,pp,o„= (from figure 9.7) SC-6 Calculate Hydraulic Radius R= VR,a„o,/Vmax R= 0.533 SC-7 VRamw= (1.49/n)"(R^1.67) (s^.5) \Ramie 1.553 SC-8 Check to see that VR is within 5%of VR Actual -5% 5% 1.524 1.68 OK If not ok then select SC-9 Check Velocity Vague VRa /R new trial n value V= 2.91 ft/s OK SC-10 Calculate Stability Area(A,,, )= Qioo/V i Ambit?: 0.43 SC-11 Check to see that A, <A OK SC-12 Calculte Flow Depth(y)=—bt�b2—42(—A) 2Z Y= 0.170 Ft Y= 2.036 In. SC-13 Use greater value of y from D1 or 0.333 Ft above to calculate Swale parameters Yr= 0.833 Ft T= 7.00 Ft SC-14 Recalculate Hydraulic Radius(R)= by +Zyr2 b+2yr Z2+1 R= 0.516 AR SC-15 Cale.Flow Capacity 0.„p= 1•49 ox,s" n a,= 2.11 efs Check Q>Qtoo OK Final Swale Parameters Length(L)= 100 Ft Slope(s)= 0.02 Ft/Ft Bottom Width(b)= 2.00 Ft Channel Depth(yr= 0.833 Ft. Top Width(T)= 7.00 Ft. • b ► 13023 bioswale Page 1 of 1 Treatment WWHM4 PROJECT REPORT Project Name: 13023 bio flows Site Name . Site Address: City Report Date : 4/12/2013 Gage Clearwater Data Start 1 1948/10/01 Data End 1993/09/30 Precip Scale: 1.13 Version 2011/01/14 PREDEVELOPED LAND USE Name Basin 1 Bypass: No GroundWater: No Pervious Land Use Acres C, Forest, Flat 1.298 Impervious Land Use Acres Element Flows To: Surface Interflow Groundwater MITIGATED LAND USE Name Basin 1 Bypass: No GroundWater: No Pervious Land Use Acres C, Forest, Flat 1.247 Impervious Land Use Acres ROADS FLAT 0.051 ROOF TOPS FLAT 0.065 Element Flows To: Surface Interflow Groundwater ANALYSIS RESULTS Flow Frequency Return Periods for Predeveloped. POC #1 Return Period Flow(cfs) 2 year 0.234301 5 year 0.341492 10 year 0.419301 '2S year 0.525251 50 year 0.609693 100 year 0.698852 Flow Frequency Return Periods for Mitigated. POC #1 Return Period Flow(ofs) 2 year 0.293103 5 year 0.409758 10 year 0.491826 25 year 0.600937 50 year 0.686137 100 year 0.774688 Annual Peaks for Predeveloped and Mitigated. POC #1 Year Predeveloped Mitigated 1949 0.337 0.416 1950 0.181 0.233 1951 0.318 0.382 1952 0.717 0.815 1953 0.151 0.210 1954 0.211 0.265 1955 0.231 0.285 1956 0.473 0.544 1957 0.254 0.311 1958 0.167 0.221 1959 0.347 0.415 1960 0.405 0.481 1961 0.223 0.275 1962 0.348 0.401 1963 0.396 0.465 1964 0.194 0.246 1965 0.233 0.286 1966 0.512 0.589 1967 0.250 0.303 1968 0.259 0.314 1969 0.437 0.513 1970 0.154 0.197 1971 0.459 0.528 1972 0.275 0.330 1973 0.261 0.312 1974 0.294 0.355 1975 0.262 0.334 1976 0.206 0.264 1977 0.134 0.168 1978 0.120 0.167 1979 0.101 0.146 1980 0.156 0.201 1981 0.245 0.311 1982 0.360 0.409 1983 0.166 0.208 1984 0.142 0.195 1985 0.270 0.347 1986 0.144 0.177 1987 0.253 0.328 1988 0.193 0.255 1989 0.161 0.219 1990 0.108 0.148 1991 0.276 0.364 1992 0.183 0.229 1993 0.204 0.251 Ranked Annual Peaks for Predeveloped and Mitigated. POC #1 Rank Predeveloped Mitigated 1 0.7166 0.8149 2 0.5120 0.5887 3 0.4729 0.5442 4 0.4592 0.5278 .0.5848 1 2 200 Fail '0 *549d 1 1 100 Pass 0.5948 1 1 100 Pass 0.5997 1 1 100 Pass 0.6047 1 1 100 Pass 0.6097 1 1 100 Pass The development has an increase in flow durations from 1/2 predeveloped 2 year flow to the 2 year flow or more than a 10% increase from the 2 year to the 50 year flow. The development has an increase in flow durations for more than 50% of the flows for the range of the duration analysis. Water Quality BMP Flow and Volume for POC #1 On-line facility volume: 0.1954 acre-feet On-line facility target flow: 0.01 cfs. Adjusted for 15 min: 0.1145 cfs. Off-line facility target flow: 0.0652 cfs. Adjusted for 15 min: 0.0659 cfs. Perind and Impind Changes No changes have been made. This program and accompanying documentation is provided 'as-is' without warranty of any kind. The entire risk regarding the performance and results of this program is assumed by the user. Clear Creek Solutions, Inc. disclaims all warranties, either expressed or implied, including but not limited to implied warranties of program and accompanying documentation. In no event shall Clear Creek Solutions, Inc. be liable for any damages whatsoever (including without limitation to damages for loss of business profits, loss of business information, business interruption, and the like) arising out of the use of, or inability to use this program even if Clear Creek Solutions, Inc. has been advised of the possibility of such damages. 1 - co : I . Al.d, I. m 2 I Il $ 7 I I 111 I h. >o .z o I • I •, " o �� m tai► g a; I III • I ox 12 E$ 2 z :Q� A I I 111 I I I I Iii m— O > M 1 �ccc L> N�'` raj$8 ' r m i ' I „ •o (153 -$ I, r mw N S I I I i I I . \ o * n c rn :u v r p ' .•.� J I I III : I >Q 'f `i g '''Ii n 32 r v I • 1 . • ill Q 6 8 2'-C x N•• p f+i x r25D0 zmzS -\N C f" i c�i'h ,'1>� Z'QAm �l2 `� ` Nv .•. v m� mgA$ mbm N IS 0 SR g�'> -� Eg r\\-., , _ r ZZ v► IIv $ P 2 tcrl I'F ` S N m A 2 -0Zmtm I Z -I ' 1 0 0 m )0.712— q g ` q�F111/"°- / $ 2 g• O 3.6:-.- 4-. - a -\ -( ,..:..1 , (lit- i /1 ■ V j . tl Ii.te/ • I � \���� x all I o ' 1t/1 I( 1/ , ♦ \1 /I ' �� ``• ��. I II 1 l I I \ \\ \\ ► ' C� fj I I y NA-A- ' L 1 1 ) �� I l I j 1 1 l I \ \ ._.... 1 1 rtZTV - c - t' i $ I1 I Iit \ •..'� I ��r • ' IF I!' 1 I ‘ l I cZi � ---I I l ll 1 ( III I � �• MI it \\ 1 ),- l g I : : I I �� i I 11 JI 'll \�`\ I > ' In 1 3 § > n �N RESERVE AREA , I_ - -- �'' �x — i :; I 4 I — -- H w 0 I Q N J >1-V-40 y 120' SETBACK I W O O I + % 22 / ► 2'11 m m P �! I ce t�* i • 141 p r i ig$ vm" ' TI > N /V �� w 11§§024 �§ �� > I g 1 of j�$m� OQ� t O�C7 O O SA NNWC" g 0' N;62 0 o I $ I,, 4 I N OOO 21 A 1 -1 ca M i a; API s 1 c� 13 I g N� o v 8N O € A ' O �o C7 i ro 4 4 �ig� Q {. / M 77 NS v r j>. M '� `, c r -� r i (.1) Q J \ co A n I F 0 o I rn MI Z I > 10 N 2 I g i W O Z 4 D d Z I 1 " o -o 1 N 1 n . 1 - � m z a z 'V o \ I Qr b Dr pp . \\ ' ( ) ✓I I CI S 2 •$,o -014„,`").-4>y 1 m,j FZ -� \ \ ' s It,(8;.:4 I g°� " \ \ u4- N mM>� om �5- \ I g la 2 2 tn- 1 0 M AL "-..„<„ 2pg \ \ 1 to 2S 4. E N>• 2 g I N °M . w I:• o ■ I ►+0 .� 11 ' m X 12" MIN. 2' MIN. rn N�W N� p avz _ 1 aga 1-* tin A x W 11 I I ' !;ft :t� i ch mom o m D H I I to 4% 11—< O D w_a m –III—I 11=111=1 !. Z� �I- I+.001 -1Z00-0) ° —111=111 "�I -I I 000� >D : -3;r ° 1 ❖: A x o n -< (n 1 D m Z ••.4•••,•,4 Z.-. I I ' mx i 1 •,•,•,/ ;D►; N r -I I ...� o r ������ x y I_ •••)I. •,•,�1•4 m x '-'1- ••••••1 D r D p r Z 4110 <- � �� o y z z c� =1 I I= ∎' .,_ r r- r••••••1 C C A V1 o Z -1 1 1 ��j• 1-3-I� gzpmtrP 11= I 0•DOO�•••.1 �,z Z to �� I l ••••••• Z -1 I I 111 ��m-00 0 r �_ ►,•,.,•,•,,,1 qq.. o A> m -111-111 *k, W y ••••••••••••••j �l D D D y m —1 I ; Directions to: 2682 Rain Forest Road (Lot#7)—Property of Paul anad Cindy Ericksen Travel Highway 101 through Forks and beyond the Upper Hoh Road and Hoh River bridge you will see signage for the Hoh Clearwater-South Fork and Olympic Correction Center—Turn left onto the paved road traveling^'7.1 miles. Sign for the South Fork Hoh will be on your L—turn left.At the 2.3 mile mark you will see Maple Creek Road sign on your L—follow the road to the right road becomes gravel;travel^'6.4 miles to Rain Forest Road (small sign on the right hand side of the road with pink tape/tree marked with pink tape on right hand side of the road).Turn L on to Rain Forest Road.As you near the Hoh River you will first see buildings on your right.The road will fork-turn right traveling past a yellow ranch home Brandberry Homestead see plat map with green highlights. Just before you reach lot#7 there is a tie road on the right with 3 small logs forming a corner.Turn R there. Lot 7 is on the left hand side of the road. Prescriptive Energy Code Compliance for Single Family and Duplex Housing:Zone 1 Project Information Contact Information (PAUL-,Iii CINDY ERICKSEN PAUL&CINDY ERICKSEN RAIN FOREST ROAD 92 RUBY ROAD PORT ANGELES,WA 98362 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition).This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review.The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself.To obtain a copy of the energy code, go to the following web address.http://www.energy.wsu.edu/code G Glazing U-Factor Door 9 Vaulted Wall Wall.into Wall ext4 Slab6 Option Area 3 Above Below Below Floors on %of Floor Vertical Overheads U-Factor Ceiling' Ceiling Grade Grade Grade Grade R-49 or R-21 R-21 R-10 0 13% 0.34 0.50 0.20 R-38 R-38 Int TB R-10 R-30 2, Adv. • R-49 or R--21 R-21 R-10 n 25% 0.32 0.50 0.20 R-38 R-38 R-10 R-30 2, Adv. R-49 or R-21 R-21 R-10 OIII Unlimited 0.30 0.50 0.20 R-38 R-38 Int, ,� R-10 R-30 2, Adv. See WSEC table 6-1 for footnotes — Glazing Schedule Attached to Document Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III.All glazing and IS doors meet maximum U-factor.Alternate heating size method submitted. ❑ . Option I or II,Glazing to floor area limit(WSEC 602.7.2) 0 Area weighted window,skylight or door U-factor(WSEC 602.7.2) 0 As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: El R-10 foam insulation,continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Reauired. Opt. Opt.Description 1a High Efficiency HVAC Equipment 1 ❑ lb High Efficiency HVAC Equipment 2 [] 1c High Efficiency HVAC Equipment 3 ❑ 2 High Efficiency HVAC Distribution System ❑ 3a Efficient Building Envelope 1 ❑ 3b Efficient Building Envelope 2 ❑ 3c Super-Efficient Building Envelope 3 ❑ 4a Air Leakage Control and Efficient Ventilation ❑ 4b Additional Air Leakage Control and Efficient Ventilation ❑ 5a Efficient Water Heating 5b High Effieciency Water Heating ❑ 6 Small Dwelling Unit 1.0 17 7 Large Dwelling Unit ❑ 8 Renewable Electric Energy *1200 kwh ❑ Total Credits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPI 0-010 Copyright 2010 Glazing Schedule Project Information Contact Information PAUL&CINDY ERICKSEN PAUL&CINDY ERICKSEN RAIN FOREST ROAD 92 RUBY ROAD PORT ANGELES,WA 98362 Conditioned Floor Area 1292 Sum of UA for Heating System Sizing 57.6 Sum of All Glazing Areas From Below 155 Glazing to Floor Area Ratio 12.00% 602.7.2 Exception Ratio(not to exceed 1%) Exterior Doors Plan Component Door Percent Width Height Glazing Door Door ID Description Ref. U:factor Glazed Qt. Feet Inch Feet''" ' Area Area UA 3068.00 0.200 2 3 6 8 40.0 8.0 One Exempt Swinging Door<24 Square Feet - Sum of Glazing Area, Door Area, and UA (do not include exempt door) ( I 40.0 8.0 Area Weighted U=UA/Area 0.20 Sum of Area and UA for Heating system size only(include exempt door) I I 40.0 8.0 Vertical Glazing(Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U:factor Qt. Feet inch Feet inch Area UA 6050.00 , 0.320 EMI 6 111311111111 90.0- 28.80 6040.00 0.320 ell 6 24.0 7.68 5040.00 0.320 1111113111111113111111 20.0 6.40 3016.00 0.320 11111011111112111611 4.5 1.44 2030.00 0.320 011E1111111101111111 6.0 1,92 3036.00 0.320 ® 10.5 3.36 ®® ® ® ®®® ®®® 11111111111111111 ®® 1111® 11111111111111111111111 ®®® ® ®®® ® ®®® Sum of Area and UA 155.0 49.60 Area Weighted U=UA/Area 0.32, WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 Overhead Glazing Plan Component Glazing Width Height ID ` • Description Ref. U Qt. Feet Inch Feet 1rch Area UA Sum of Area and UA 1 Area Weighted U=UA/Area Doube Glazed Garden Windows Section 602.7.2 Exception Plan Component Width Height ID Description Qt. Feet Inch Feet Inch Area UA Sum of Area Sum of Area X 3(This total is automatically included in the glazing area total.) Glazing UA for Heating System Size Only=Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPI O-010 Copyright 2010 1 BUILDING PERMIT S Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00121 Received Date: 4/17/2013 SITE ADDRESS: 2682 RAIN FOREST RD Issue Date 6/13/2013 FORKS, 98331 Expiration Date 6/13/2014 OWNER: PAUL D ERICKSEN PHONE: 360-477-9335 or CINDY S ERICKSEN 477-8030 92 RUBY RD PORT ANGELES WA 983629127 RAIN FOREST#1 SUBDIVISION: Block: Lot: 7 PARCEL NUMBER: 991500007 Section: 30 Township: 27 N Range: 10 W CONTRACTOR: BOYNTON CONSTRUCTION INC PHONE: 360-460-7747 117 CHAMPION RD PORT ANGELES WA 98362 Contractor's License BOYNTCI952OM Expires 10/1/2013 PROJECT DESCRIPTION: NEW SINGLE-FAMILY RESIDENCE FLOOD DEVELOPMENT PERMIT TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 978 VALUATION 120.028.00 ADD'L: 460 HEAT TYPE RAD CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: 320 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 00445 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,111.35 ZAL 04/15/13 140240 Exist: Exist: Plan Check $722.38 ZAL 04/15/13 140240 Prop: 1 Prop: 1 State Building Code $4.50 ZAL 04/15/13 140240 Total: 1 Total: 1 Potable Water Application $66.00 ZAL 04/15/13 140240 Total: $1,904.23 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 3pm the day before 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 Jefferson County Building LTi,ision Permit Aker: BLD13-00121 Applicant: ERICKSEN 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 L t.,"\3 0g-- Erosion Control Foundation Footing G -26-13 / - Jf6f-- e ti Footing Drains g.--1-,c3 Foundation Stem Wall Underground Plumbing , Under Floor Framing Straps(hold downs) Ext. Shear Wall Nailing 10_2,5 136Q___, Rough-in Plumbing 1 (c2:f ,Y Framing ).iL//f`f 9,-- „3(a,i-1 .,,, S 01, Blocking 1I Airseal Insulation:Walls Insulation: Floors T—L2-)3 - R-- ID cIA, cortA,-e A. T 2—ice vaazr i 2,y Insulation:Ceiling 11 (1(1`t gP"-- Int.Shear Wall Nailing Wallboard Nailing -1 I Z 1 11 P---' Gas Line: Interior Gas Line: Exterior Propane Tank ✓ Heat/Chimney Clearance -11 « 11,i O Mechanical Systems f _ _ Blower Airtight Test - ` t 111 Smoke&CO2 -Z I N Drywell/Alt Drainage 1 11 l LI � Address Posted I 11 ) P FINAL INSPECTION 1 2,,....' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD13-00121 1.) See BLD13-00120 for Conrev. 2.) A"Construction Drawing" Flood Elevation Certificate was prepared by a licensed surveyor and submitted with the application. The Certificate identified the base flood elevation of feet. The lowest floor of the structure is required to be elevated at least one(1)foot above base flood elevation or feet. PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE THE DEPARTMENT WITH AN ORIGINAL"FINISHED" CONSTRUCTION" FLOOD ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON. 3.) New construction and substantial improvement of any residential structure shall have the lowest floor, including basement, elevated one foot or more above the base flood elevation (BFE). 4.) The project shall adhere to the Best Management Practices(BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 5.) The site plan as submitted with the Building Permit application on April 15, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 22, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tiriPmark\data\fnrmc\F RI 11 Parmit Rlrin rnt R/11/2f11l '0 a j) ICEIN ED April 15,2013 I , Jefferson County Lin.i Department of Community Development JEFFERSON COUNTY 621 Sheridan Street DEPL OF COMMUNITY DEVELOPMENT Port Townsend,WA 98368 To Whom it May Concern: This letter serves as a written notice that we would like advance notice of inspections relate to this application due to the remote location of the property, namely, 2682 Rainforest Road, Forks,WA. The property is approximately 140 miles from Port Townsend and a 7 hour round trip. Our intention would be to attempt to meet the inspector at the site so as to facilitate accurate and timely communication of findings during inspections so as to both expedite any needed improvements and ensure the efficient use of Jefferson County staff time. Additionally, if there is a process by which photographs can be taken and would be considered sufficient to document certain inspections,we would be happy to provide photographs for inspections deemed appropriate for needed inspection documentation. This is again suggested to ensure the efficient use of Jefferson County staff time. Thank you for consideration of this request. Paul and Cindy Ericksen 92 Ruby Road Port Angeles,WA 98362 OCL-1) b, Et.,,.(j÷sa---___. Cell Cindy: (360)477-9335 Cell Paul: (360)477-8030 rtc-0 .e.di VP pia 4i- ( (Ise ear kit_ P/1"/-714v, ii lam- _� 7 mot.,, p l rs�(3 Thy: • A. • Date GC'°-2-2-- time received /00 (:)/ pm Mon. Tues. Thur. -•Fri. • DLD: 1 2—c2 n� -Ll .i,� Date: " Co • 1 v OWNER: I - 1 _ 9J'`' -4-- • Contact Nemec n s . ADDRESS: 02•.g Y7- K ir-,' 1 e'e a� c Contact Number:360 `f.7 7 93..?> - Notes: .: : • 206 r • _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 Appliance Underfloor Gas/wood stove • Man,Honies Setbacks _ Insulation. Final Inspection Foundation w Block&Tie floor wall ceiling Address Posted i