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HomeMy WebLinkAboutBLD2014-00014 UILDING PERMIT APPLICA Tit BLDI4-00014 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00014 Received Date: 1/13/2014 SITE ADDRESS: MISTY RIDGE RD OWNER: DOUGLAS R CLARK TRUSTEE PHONE: CARMEN L CLARK TRUSTEE 16561 CREEKSIDE RD RIVERSIDE CA 925036549 SKY VIEW HEIGHTS SUBDIVISION: Block: Lot: PARCEL NUMBER: 902225011 Section: 22 Township: 29 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981DL Expires 3/12/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION SFR w/attached garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,633 VALUATION 416,496.00 ADD'L: 908 HEAT TYPE: CODE EDITION: 2012 HEAT BASE: 923 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 501 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $3,134.00 MEB 01/08/14 145697 APPROVED Plan Check $2,037.10 MEB 01/08/14 145697 APPROVED State Building Code $4.50 MEB 01/08/14 145697 Potable Water Application $67.00 MEB 01/08/14 145697 Total: $5,242.60 Jefferson County DCD \\4iricmor4\rInfo\forme\F RI fl Ann PH rn+ 1/1 Will A • O cbe, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,W A 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment I } E-mail:dcdnco.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00014 APPLICANT: DOUGLAS R CLARK TRUSTEE PHONE: CARMEN L CLARK TRUSTEE 16561 CREEKSIDE RD RIVERSIDE CA 925036549 SITE ADDRESS: 796 MISTY RIDGE RD Issue Date: 03/11/2014 Final Date: 9/23/2014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 902225011 Section: 22 Township: 29 N Range: 2W PROJECT DESCRIPTION: SFR w/attached garage THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/23/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/17/2014 .. . r igON C'O , JEF.SON COUNTY 10 DEPARTMENT OF COMMUNITY DEVELOPMENT 4gski, � o. 621 Sheridan Street wvAv.co.iefferson.wa.us/communitydevelopment Townsend,WA 98368 I Web:w .co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdQeo.ietferson.wa.us Building Permits&Inspections 1 Development Consistency Review'Long Range Planning(Watershed Stewardship Resource Center Master Permit Application MLA: Project 9escription-(include separate sheets as necessary AlPt) Gm�cWife/7 - Siei Fat-m.'/y ?p, :4MiCU Tax Parcel Number: 9o.fa'430// Property Size:�GeGL!/J (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: ..Ptit iilid A" e'n 0/4 Telephone: 76/-Alf"0597 Fax: email:�[c�Gr.��le75/ -i/t, Mailing Address: i‘6-4:./ G-* 5kle, AZ 'S4wS/?e, 6,9 9 Applicant/Agent(if different from owner): /I/,/,Gf Se/1- es s 8IGG/� Telephone: ' �/ro 3X756 Fax:---'7;10 1J 7/a7 email: 4//g81 s.itii//2(4,Cdlr7 Mailing Address: c=.959CO3 Ala,�/0/ ,__ r>,,I.f/1� 9f3�� What kind of Permit?(Check each box that applies ❑Lot or Road Segregation DBuilding ❑Critical Areas Stewardship Plan ❑ 9ernolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d) ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnam e..:E (� /7 ❑ Commercial* ❑Special Use(Essential Pub it ,F ,' U V ❑ Change of Use ❑Boundary Line Adjustment j --f/ [E"Address ❑ Road Approach ❑Short Plat** 'f ❑Home Business ❑Cottage Industry ❑Binding Site Plan** II l' ` JAN 8 2014 I ❑Propane ❑Long Plat LI ,,I'�� ❑Sign ❑Planned Rural Residential Deve`lr,a ent(PRRD)/Amendmen r. E'Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** JEFF ER r C. DV L Stormwater Management ❑Shoreline Master ProgramExe_rttptippi' b F- Pi"-sins**ENT ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantia De • ❑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 ,_ u____ **JR a Pap-llpAlication Conference_ Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby designate L ` 1 f G to act as my agent to ma rs relating to this applir,8tien for permit(s)-t ) i XOwr nSir ru 41st. -0 x ' //.t1�.. r�✓(: t 4 Date: , _2 �, k By signing the _ � the ov merfagent athlete Viet the information provided herein,and in any attachments,is true and correct to the best of r he her or its knowledge.Tv material falsehood or any omission of a material taut made by the ownerfagent with respect to this application packet I may resat in this pom+d being auk and void, I hxthec agree to save,Indemnify and hold bans ens Jefferson County against all kat:dities.Judgments.mini costs,reasonable at orrrey s fees and 1 er pensea which slay in any wary maw against Jefferson County as a result of or in consequence of the granting of the perm4. I further agrees to provide access and runlet of entry to Jefferson County and its employees,representatives or agents he this soma purpose of application 1 review and , required later inspections. Staffs access right of entry will be as . unless applicant informs the County in writing at the WOO of f ie. ,'r. _ that a..of sf>F,�W , �. I bra. �.� � _ _. v.. eetd4t%./ � oate- .c. ��a)f k The action or. : ; •_ • -.,a will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered s.r...-and could lead in 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 tfre actions that will be undertaken taiwatan this perms has been issued Vial nit Milan die ESA. Any irxsv+dhgr,group or agency can flo a lawsuit on behalf of art endangered species rogarding year action(s)even you are in compliance with the Jefferson County development tvde.The Applicant admowledges that he.she or it holds inclivklual and . r. .. .,..'.ley(�r� h. J>. �:: ! the A fat read this/�RYH!C ar1Cl signs and er and Signature: Mai �` _ ! ce Datie: Ot;7;4014 5 1 • . 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 t responsibility of the General Contractor for the proposed project. Signature: CR a,c, ThL mitm-M L C(dL1/. Date: 1/7//di GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: é7 Bc tam-s ad)4'fi- J'754 (3k) 6d'/71.7 MAILING ADDRESS: (>159003 / X.J/01/ Jj a EMAIL: /IeI/�ea/eol iul/i.awn CONTRACTOR'S LICENSE 541.5'81. 71/��✓✓/ �L NUMBER NUMBER: ARCHITECT/ENGINEER: Z rid?1/G v 4f0C%Q, PHONE 6'0 )W1.050 FAX:U0 )91 z e5/y MAILING ADDRESS: EMAIL Project Type: Fraym�e Type: Bathrooms: Shoreline: Type of Sewage Disposal: Vii'New i Wood Existing: I Sewer 7 Addition C Steel Proposed: cl. Bank I s,emmunity System 11 Alteration/Remodel C Concrete Total: 02' Height: 4/Individual System A Repair C Masonry SEP Permit# I Demolition I Other: Bedrooms: — Water Supply: Existing: Setback: Private well C Two Party Type of Heat: Proposed: 3 C Public Total: _ 3 Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Hance Installation permit,mark all items below that apply: Underground Tank Above round tank Size of Propane Tank: 420_, Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO 1 evotS telleP I knaT retaW toH I Is this appliance being installed in a-Manufactured/Mobile Home? Yes 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 b.3.3 0 03 Bid App Review: —1-01 Cid. 2"0 Floor Heated 9: p :1 j l3. 3,.�..,istency Review: F �b Other Heated ` V '7 Base fee: ( / " Mezzanine Additional Section- -__c,-. I�i Heated Basement Check fee:10 Unheated Basement tate Surcharge fee: 11, co ff Other Unheated Pot Water Review fee: / ! Garage/Carport 50/} iqz$plc . SUBTOTAL J M o Decks - 911/Rd Approach fee: I / 92114.Us Other TOTAL: G$ (0. 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Or o ° o m a ) e o a y i a H w E o E o ° t °: , e t E > E m € .� N r a ,, oc N v o bo U m 0 2 ._ .c c O t3 G . 0 E a J 3 -. m 0 m . 4 E d y 0 0. 01 0. N .c 2. E Y F .1 5 2 ' d O E 0 t C 2 0 U 2 E E •_ ti a v ° Y O L 0. 6 • • Qr N y E LN • • . • 6' N D L N A O U h N D C U E O a Cf Y d t 97.0 o = _ r, a) L �S k"_. F n U U - E a y v) x B d ,T, a -N F a ° E E 3 3 ° a_ •9 N • • . • CIVIL E16 & ASSOCIATES 301 Eat 6th Street,Suite Port Angelcs,Waahington 98362 INCORPORATED (360)417.0501 Fax(360)417.0514 E-mail;zenovic@olympus.no Thursday, May 29,2014 Jefferson County Department of Community Development 621 Sheridan Street Port Townsend,WA 98368 SUBJECT: Clark Residence,796 Misty Ridge Road,Port Townsend,WA BLD:201400014 Dear Building Department: At the request of Estes Builders this office conducted a framing inspection on May 15, 2014 on the residence noted above.The scope of the inspection included the nailing of the shearwalls and the installation of the holdown devices. The nailing of the shearwalls and the installation of the holdown devices were found to be in conformance with the approved plans and is acceptable to this office.At the time of inspection the electrical and mechanical had not been signed off.This office did not inspect any other items not specifically mentioned in this report. Please feel free to call if you have•any questions regarding this matter. Since / colt ti:. is" !t 0,4 colt Hea� +�'.E. Fc: JN 13324 o Cc: Mike Lickman of Estes Builders - `� • war irolg • r0 O I- ,-s I(n m T o I ) / //= H J -.. /l/ P 8. a i I I ❑ NO1'03'24''E 331.00' fit •6. —LJ a _ y .r�, '11. lag Ai CO I � � t I c. , (...71 < i-...,,, ... ?,-._,s_A: , 5,. (..,, r. 1 M1 ! � i 1 1 , 1 T ^5 , i L..... 1 , ,.....____ ...... , ....... ___ 1 __. . __. i __. ___ 4: _ ____. 1 -5. i _ ____ ___ _ --____ _ ________ 1 ___ ` MISTY�-DG — - - S' 1-7 ' rn ® Iri // / o 0 off. \ ( (< ( 1 \ \ V \ \ N01'03'24"E 331.00' I I I 4 D t COI am02 A `I' J 1\1 11011181.6.2.g 7,,, ,,,,,,,,: .... . C, (..\ _ (n r V1 r•-, PRO]E SHEET TITLE: NO. DESCRIPTION BY DATE _ C7 D \0\\00�\\�0o\q m " D p \��\ �\�� �360 683-6756 ( -I rn `-r_..) \ ,I,I 14 ,.:\ SEOUM.W. CLARK PLOT PLAN sus2 O o m\\OOO��OOO�O�������NJ ir • • friAitt JEFFERSON COUNTY ' _1 C' [ Q M f t r A't4iir DEPARTMENT OF COMMUNITY DEVELOPMENT. L ' i —=- 11 ii 621 Sheridan Street• Port Townsend•Washington 9868 �A N 2014 ;� 1 360/379-4450 . 360/379-4451 Fax 1 -' �� 'L.)http://www.co.jefferson.wa.us/commdevelopment/ j JEFFERSON COUNTY L DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: C-/ b /'S ,_&,GiA%fS 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 Stormwater 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 information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E..SITE) Size of parcel " acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet_ 2 j 7 700 sq/ft Land-disturbing activity is any activity that results in movement of earth,or a change 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, fining, 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 maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower,and fireweed. LAND DISTURBING ACTIVITY.CONVERSION OF NATIVE VEGETATION.AND VOLUME OF CUT/FILL Calculate the total area to be deared,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: i Does the project convert' acres or more of L L. Construction site for structures -2, 1- 1 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. W 0 0 sq/ft Circle: Yes CO Well,utilities,etc. 0 ((_i.1417-C fJJ...h! ;:N DOVE) sq/ft Does the project convert 2 t6 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. CMt.T)NG sq/ft Circle: Yes No Lawn,landscaping,etc. 0 sq/ft Other compacted surface,etc. - sq/ft Indicate Total Volumes of Proposed: — Total Land Disturbance d rT .7® sq/ft Cut Si -2- Fill S I ' (cu/yd) [over] stor nwater oak worksheet—REV.2/20/2008 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 incased rate of flow from the flow present under natural conditions pnor to development. Common impervious surfaces include.but are not limited to ro or tops.walkways,patios.driveways. parking Mots or storage areas,concrete or asphalt paving,gravel roads,packed earthen materials. arid oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater 1114 / STORMWATERJLULATIONS—IMPERVIOUS SURFACE New EXISTING • Structures(all roof area) y I 0 sglft Structures(all roof area) .stir Sidewalks C.Z Sgdit Sidewalks Patios ' sgifi Patios 0 EA Solid Decks c mini Solid Decks sgtt (without infiltration below) (without infiltration tratio n below) Driveway,parking.roads:etc — -scrill Driveway,parking.roads,etc zO Li 0 s,yft Other ,T2 Nth Other sglft Total New 2,8 0 Li sq/ft Total Existing sgfft TOTAL NEW+TOTAL EXISTING' `a 7 11 spilt -This amount wilt be used to check twat Jot coverage. The following questions will help determine whether the proposed project is Considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total ext ins' iiTtgferviOus surface above by the size of the parcel and convert to a percentage: >Do 9 Flo Coes the site have 35%or more of milting impervious surface? Circle: Yes Q FURTHER INSTRUCTIONS: If the answer is yes.the proposal is considered dered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. It the answer is no,the proposal is considered new development and the attached Figure 1 should be used At this iorfOkife,the appficant should refer to the applicable Flow Chart to detemiine the Minimum Requirements ton stonrwrater management. DCD staff will help verify the classification of the project and the application requirements, For proponents of ''smalr projects who must comply only with Minimum Requirement *i2--Construction stor weter Pollution Prevention—an additiional 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 Stonnwater Pollution Prevention(SWPP)first Management Practices(BMPs)Packet. Proponents of'medium"projects—those that must meet only Minimum Requirements fit through r#5--and for large* projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCt)has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete time template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Storrnwater Site Plan using the step-by-step guidance in the Stormwotor Management Manual. APPLICANT 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 Ilse full knowledge and consent of aft owners of the =s property. •'f , - L-f .•.>i , , c,,164 4, -, / •;,r, 011 Attri4ORIZED REPREsertTAT+VE O AT»il) triAf€} girejlerWl• - �.. ...,.'°l rc r.,:,`s. sn - .�a.,.°r.. `-.,tis't3s.F.,- _k_: .. .w.,.x�x.�.o.' eaaaraacbcxcioo:-YcV 2!21%.230$ e. • • gONC f � � � a �� � 9 , °6,4. JEFFERSON COUNTY f t�!, , ti = DEPARTMENT OF COMMUNITY DEVELOPMENT ' l' JAN C ?9,14 j �) I ,. 621 Sheridan Street • Port Townsend • Washington 983.': J `:..._ `J �' 'O (360) 379-4450 - (360) 379-4451 Fax 1 vi���Ty 81N http://www.co.jefferson.wa.us/commdevelopment/ -____w C umw UNITY DEVELOPMENT Stormwater Site Plan Instructions and Submittal Template "Medium" and "Large" Projects [Includes Construction Stormwater Pollution Prevention Plan (SWPPP)and Permanent Stormwater Control Plan] The submittal template for a Stormwater Site Plan has been developed from information presented in the Department of Ecology 2005 Stormwater Management Manual for Western Washington (Manual), which is the set of stormwater management standards for new development and redevelopment in Jefferson County. The Sturntweter Site Plan, Minimum Requirement #1 in the Manual, is the comprehensive report containing all of the technical information and analysis necessary to evaluate a proposed new development or redevelopment for compliance with stormwater requirements. A Stormwater Site Plan is required for all "medium" and "large" projects. (For background information, refer to the Stormwater Management Information Sheet.) The Stormwater Site Plan includes a Construction Stormwater Pollution Prevention Plan (SWPPP - Minimum Requirement#2) that addresses sediment and erosion control during construction and a Permanent Stormwater Control Plan that addresses stormwater on the project site in its developed condition through dispersion, infiltration, or, if necessary, flow control and/or treatment facilities. The steps for preparing and the content of a Stormwater Site Plan are summarized below and more fully described in Chapter 3 of Volume I of the Manual. The attached submittal template is intended to be a format applicable to typical rural residential construction. For these cases, completion and submittal of the template results in a complete land use application. THE TWO MAIN COMPONENTS OF A STORMWATER SITE PLAN I. Construction Stormwater Pollution Prevention Plan A Construction Stormwater Pollution Prevention Plan (SWPPP) is a document that describes the potential for pollution problems on a construction project and which explains and illustrates the measures to be taken to control these problems. The basis for requiring a SWPPP, the twelve elements required to be in a SWPPP, the suggested step-by step procedure to follow, and the suggested Best Management Practices (BMPs) to follow, are all described in Volume II of the Manual. A SWPPP consists of two sections, a narrative and the drawings. A description of the contents of the narrative and the drawings sections, and checklists for each of these sections, are in Section 3.3 of Volume II. For typical rural residential projects, DCD provides a Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet to assist with the preparation of the Construction SWPPP. II. Permanent Stormwater Control Plan A Permanent Stormwater Control Plan is a document that describes the basis for, and the means of implementing, permanent Best Management Practices (BMPs) for flow control and treatment facilities after the project is completed. The content of a Permanent Stormwater Control Plan is described in Section 3.1.5 of Volume I of the Manual. The permanent BMPs and facilities for flow control and treatment are described in Volumes Ill, IV, and V of the Manual. The submittal template is intended for rural residential projects that can fully disperse or infiltrate stormwater. The template may not be appropriate or sufficient for applications involving larger or more complex projects. stormwater site plan template—rev.10/21/2008 1 • • •• INSTRUCTIONS To prepare a Stormwater Site Plan, follow the steps outlined below, complete the Stormwater Site Plan template, sign and submit together with the Master Land Use Application (MLA). This information may also be provided on other diagrams, plans, studies, or attachments submitted with the project application. If so, please indicate such on this supplemental permit application. As the template is designed mostly for rural residential development, it may not be as useful for a larger project as an independently prepared Stormwater Site Plan. For any particular project, the Administrator may waive specific submittal requirements determined to be unnecessary for review of the application. Note: Prior to filling out the submittal template, read through these steps for preparing a Stormwater Site Plan. Preliminary or draft versions of the individual components may be helpful in the case that redesigning an original layout would result in a proposal that has less environmental impacts and is significantly simpler in terms of meeting stormwater requirements. For example, if the proposal can utilize the "full dispersion"BMP (T5.30 in the Manual), there is no need to provide for flow control or flow treatment on the site. For more information on the easiest way to meet stormwater requirements, refer to the "Low Impact Development"Information Sheet. BMPs used during the construction phase and that are included in the Construction SWPPP may also be useful as elements of the Permanent Stormwater Control Plan. STEP 1: COLLECT AND ANALYZE INFORMATION ON EXISTING CONDITIONS Collect and review information on existing site conditions, including topography, drainage patterns, soils, ground cover, critical areas, adjacent areas, existing development, existing stormwater facilities. The Jefferson County website provides an Internet Map Server (IMS)function(http://www.co.jefferson.wa.us). If available,a Development Review Division(DRD) planner may be able to assist you in collecting this information. Analyze the information to determine site limitations, including: • Areas with high potential for erosion and sediment deposition(based on soil properties,slope, etc.); • Locations of sensitive and critical areas (e.g., vegetative buffers, wetlands, steep slopes, floodplains, geologically hazardous areas, streams,susceptible aquifer recharge areas, etc.);and • The natural receiving waters to which the stormwater runoff either directly or eventually discharges. This information will be useful in site design and in the completion of the Permanent Stormwater Control Plan and Construction SWPPP. STEP 2: PREPARE PRELIMINARY DEVELOPMENT LAYOUT Based upon the analysis of existing site conditions, locate the buildings,driveways, roads, parking lots,and landscaping features for the proposed development. Consider the following points when laying out the site: • Fit development to the terrain to minimize land disturbance; confine construction activities to the least area necessary and away from critical areas; • Preserve areas with natural vegetation(especially forested areas)as much as possible; • On sites with a mix of soil types, locate impervious areas over less permeable soil (e.g., till) and try to restrict development over more porous soils(e.g., outwash); • Cluster buildings together; • Minimize impervious areas;and • Maintain and utilize the natural drainage patterns. The preliminary development layout will assist in determining threshold discharge areas for calculating whether size thresholds under Minimum Requirements#6, #7, and#8 (for"large" projects) are exceeded and as a basis for the drawings and maps required for the Stormwater Site Plan. stormwater site plan template—rev.10/21/2008 2 ., • • STEP 3: PERFORM AN OFF-SITE ANALYSIS This step is for "large" projects (i.e., adding 5,000 square feet or more of new impervious surface, converting % acres of pervious surfaces to lawn or landscaped areas, or converting 2 1/2 acres of forested area to pasture) at the discretion of the UDC Administrator. See Volume I, Section 2.6.2 for more information. STEP 4: REVIEW THE APPLICABLE MINIMUM REQUIREMENTS The Stormwater Calculation Worksheet is a required submittal for all development and redevelopment land use applications. Completing the Worksheet helps determine the broad category of the proposal—"small," "medium," or "large" project—and the applicable Minimum Requirements. "Small" projects need to meet Minimum Requirement #2 only. "Medium" projects need to meet Minimum Requirements#1 through#5. "Large" projects need to meet all the Minimum Requirements, #1 through#10. The Minimum Requirements are as follows: 1. Preparation of Stormwater Site Plans(Chapter 3 of Manual) 6. Runoff Treatment 2. Construction Stormwater Pollution Prevention 7. Flow Control 3. Source Control of Pollution 8. Wetlands Protection 4. Preservation of Natural Drainage Systems and Outfalls 9. Basin/Watershed Planning 5. On-site Stormwater Management 10. Operation and Maintenance The Manual provides descriptions and instructions in Volume I,Chapter 2. Information sheets,application materials,and DRD planners can help describe the Minimum Requirements to applicants. Note: "Large" projects, as part of meeting Minimum Requirements #6 – Runoff Treatment – and #7 – Flow Control, are compared to Volume I, Chapter 2 in the Manual to determine whether on-site stormwater management BMPs are sufficient or treatment facilities or flow control facilities are required. The flow control determination may necessitate use of the Western Washington Hydrology Model managed by the Department of Ecology. Consult Sections 2.5.6 and 2.5.7 of Volume 1, Chapter 2 of the Manual for more information. Again, the easiest way to meet stormwater requirements is to design the project so that natural drainage is preserved, impervious surface is limited, and full dispersion (BMP T5.30) is implemented. By using "low impact development" techniques in the site design, the need for treatment and flow control facilities is eliminated, simplifying preparation of the Stormwater Site Plan and often the site construction process itself. For more information on these techniques,consult the"Low Impact Development"Information Sheet. STEP 5: PREPARE A PERMANENT STORMWATER CONTROL PLAN Select stormwater control BMPs and facilities that will serve the project site in its developed condition. The selection process is presented in Volume I, Chapter 4. After consideration is given to how selected BMPs and facilities fit within and serve the entire preliminary development layout, the designer may want to reconsider the site layout to reduce the need for construction of facilities or the size of the facilities by reducing the amount of impervious surfaces created and increasing the areas to be left undisturbed. The Permanent Stormwater Control Plan should contain the following sections(Section 3.1.5 of Volume I, Chapter 3): • Existing Site Hydrology(i.e.,the behavior of water on the site—above, below,and on the ground) • Developed Site Hydrology (special requirements for projects and threshold discharge areas within projects that requirement treatment and flow facilities) • Performance Standards and Goals • Flow Control System • Water Quality System • Conveyance System Analysis and Design Essentially, in terms of site hydrology, the developed condition of the site should match the pre-developed condition, with is forested land cover (unless reasonable, historic information is provided that indicates the site was prairie prior to settlement). For "large" projects, totals of impervious surfaces, pollution-generating impervious surfaces, and pollution generating pervious surfaces must be tabulated for each threshold discharge area for which on-site BMPs are the sole stormwater management approach. stormwater site plan template—rev.10/21/2008 3 • • STEP 6: PREPARE A CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP for projects adding or replacing 2,000 square feet of impervious surface or more or clearing 7,000 square feet or more (i.e., "medium" or "large" projects), must contain sufficient information to demonstrate to the UDC Administrator that the potential pollution problems have been adequately addressed for the proposed project. An adequate Construction SWPPP includes a narrative and drawings. The narrative is a written statement to explain and justify the pollution prevention decisions made for a particular project. The narrative contains concise information concerning existing site conditions, construction schedules, and other pertinent items that are not contained on the drawings. The drawings and notes describe where and when the various BMPs should be installed, the performance the BMPs are expected to achieve, and actions to be taken if the performance goals are not achieved. There are 12 Elements that must be considered in the development of a Construction SWPPP, unless site conditions render that element unnecessary and the exemption from that element is clearly justified in the narrative. The 12 Elements cover the general water quality protection strategies for limiting site impacts during construction and are described in detail in Section 2.5.2, Volume I of the Manual. The 12 Elements of Minimum Requirement#2, Construction Stormwater Pollution Prevention,are: 1. Mark Clearing Limits 5. Stabilize Soils 9. Control Pollutants 2. Establish Construction Access 6. Protect Slopes 10. Control De-watering 3. Control Flow Rates 7. Protect Drain Inlets 11. Maintain BMPs 4. Install Sediment Controls 8. Stabilize Channels and Outlets 12. Manage the Project For eaae of use, the Stumtwaler Site Plan submittal template below includes a section that lists the 12 Elements and provides the opportunity to include sufficient information for rural residential and other relatively simple Construction SWPPPs. For more complex projects,a separate narrative and set of plans may be preferred or required. Volume II of the Manual is dedicated to Construction Stormwater Pollution Prevention. A step-by-step BMP selection process and a complete description of the BMPs applicable to each element is provided in Chapters 3 and 4. Additionally, DCD provides a Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet that summarizes the 12 Elements and excerpts from the Manual sample sediment and erosion control measures for typical rural residential development. The Packet should prove useful for completing the Construction SWPPP component of the submittal template. On construction sites that infiltrate all stormwater runoff,the primary consideration in the preparation of the Construction SWPPP is the protection of the infiltration facilities from fine sediments during the construction phase and protection of ground water from other pollutants. On construction sites that discharge to surface water, the primary consideration in the preparation of the Construction SWPPP is compliance with the State Water Quality Standards. The step-by-step procedure outlined in Volume II, Section 3.2 is recommended for the development of these Construction SWPPPs. STEP 7: COMPLETE THE STORMWATER SITE PLAN The Stormwater Site Plan encompasses the entire submittal to Jefferson County in conjunction with a land use or building permit application. The following documents or sections should be included: • Project Overview • Existing Conditions Summary • Off-site Analysis Report(if required; usually for"large"projects) • Permanent Stormwater Control Plan • Special Reports and Studies(such as soil testing,wetland delineation, etc., if applicable) • Other Permits(approvals required by other regulatory agencies that include stormwater management conditions) • Operation and Maintenance Manual(for each flow control and treatment facility, if applicable) • Bond Quantities Worksheet (for performance bond or other financial guarantee for proper construction and operation of construction site BMPs and permanent drainage facilities, if required) The submittal template below is designed for rural residential and other relatively small or simple projects. For larger and more complex projects—particularly those that involve stormwater treatment and/or flow control—more information may be required and an independent Stormwater Site Plan may be the preferable submittal format. STEP 8: CHECK COMPLIANCE WITH ALL APPLICABLE MINIMUM REQUIREMENTS A Stormwater Site Plan as designed and implemented should specifically fulfill all Minimum Requirements applicable to the project. The applicant should review to check that these requirements are satisfied and that all information provided is true and correct prior to signing and submitting the Stormwater Site Plan. (The signature box appears at the end of the submittal template.) stormwater site plan template—rev.10/21/2008 4 • 0 ��sk, ON COQ A �, JEFFERSON COUNTY 'xi `� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 ��qs �O� 360/379-4450 . 360/379-4451 Fax x37N0 http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. _'ITm P1 VlQttriy G 6-AILSO F0( a COWST1UA0."+o1I of S'/NG(.6 FAM.,t' ASP IOW-4 AN p(U.UE. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. GFNTLE C'wPE /N 4&614 01C (,t/1t6 St-T6 771•015 Prio NJ To SirGfrit.,rLog 6,5i oF (.k1M6 h 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. Cov6(N6O Wrrta 4(4) 44 MA-CE .20 y6)rl, aLA) TUGS t N A IA. ea &Cc s )os OP DO Vs wn y AND Pai. pa16,b /✓o MO rr6' 4. Describe the existing soils. Indicate soil type on the site map. S66 ATTACJJfl Sot LOG 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. oitA 44,41 66 oft S 11` f Low/ G6rv6Mv+Y IA!6P-t To Eon 6. Describe any a cess levels of noise generated by the proposed use or activity: N A stormwater site plan template—rev.10/21/2008 5 • • . 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. NONE KNo(t 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.). NONE foujt\I Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual)or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. D&1&-op60 Srrs Yt u COY wiu. Drew o rub 6atf AND (m FcJttO D iSP 's ON t 1TS /op Pow it-Pcat utL$ LI, OtrW4M6 /Nro AN Ufr Gkisupo oftwicti, 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large" projects or projects that involve the potential for dispersion of contaminants.] N/A LS It 114 A N coo° s Q tern eoutctiDN 6 4 MP 'r t rLA ,MKAN teat rough 11. Describe the performance goals and standards applicable to the project. N/4 12. Describe the flow control system. FU W y , tsP6nco oN ire (S Ac.I16 p/J ks stormwater site plan template—rev.10/21/2008 6 • • 13. Describe the water quality system. N �A 14. Describe the conveyance system analysis and design. til S t 2 c, OM o (` li f6R PAJN6a O,Ro lw (Lot,K, cow, wr ri4 rAm 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. n/ !R 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Ji/p 17. Describe the proposed surfacing material. (.,n M 6 A to a G. Ate' EMIAKS m C.1-6nn) ,GrAv4 c.. 7a aioAz 18. Describe methods for restoration of the site. Dlstu 6ia Qo LS' IAA L4, 26 CO v tf ue€ ka ai; J 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. /i1 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. )J O 1\i 6" 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. NON( 4VOWN stormwater site plan template—rev.10/21/2008 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. .NO %,t„SA/VW' (S M QL..t tL 2. Establish Construction Access. £)t sY,nk, OM/Qv/AY VAL, Q6 W A fak, CoMrriteRt* AC.CSrr 3. Control Flow Rates. SAMw U/,W QG ufs0 To Sbow VELoct:ry of DafitWAGE. AC!(,Osr gxpissra Sots • 4. Install Sediment Controls. a!Cr F6'nlcG U,PLiZO IF SFCEAw 44/1 5,141 /'14,"6s /N3FF6cp V-6 5. Stabilize Soils. STL4i✓ Attati4 rasu. €6 6D 6. Protect Slopes. ,vo CONr;DAM phi AM/IT 1-6 '5 P1AoAo ati S-rslsp S'1,0(41" 7. Protect Drain Inlets. N stormwater site plan template—rev.10/21/2008 8 • . 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and utlets. N A 9. Control Pollutants. NA 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). N /A 11. Maintain Best Management Practices(BMPs). emp wiw a e�45e Itiootc,owy "0 4(76t Mick, MA,M MA, 5vdS ANp DCF►c 6J' 400 Arm° Atom Pi qt 12. Manage the Project. '(np'r iota 66 "-OWED 4t 1 , Aert . 44 75eptujny /fp'r w Re' &r/w UiOW CrtklilltilfAT,OQ OA Coetd c°71140/LI PA7t / 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). M W6 rho W' I, b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). AM la loom/ AiirBiohic boy wrr iiv 4,00 yA ' 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. If isA. k.kroVt,1 — 10/21/2008 site plan template rev. stormwater p p • • , b. Description of special requirements for working in or near environmentally sensitive areas. AI /A 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability, permeability,depth,texture, soil structure). IV Oki d' KNa(l,)/J 5. Construction Phasing. a. Construction sequence /V b. Construction phasing(if proposed) NI 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. pee 2014 -- A ct G art 2-6144 II. Wet Season Construction Activities. a. Proposed wet season construction activities. 6XC9\ln^PA) , PO /Q/t-1 iaIv, ,�(��►'���� b. Proposed wet season construction activities for environmentally sensitive areas. Ndt/6 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. (11-0P6-0), rs OHN60 gar oihiG AAA cAtufA6p mu& ) Romp Civ6MG6 CAWA a'Y E$1E,f Ctrs cuss I Sr6c r;L.91f U L b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. V66 ARcavc 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. P/A b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan, and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation (e.g.,tree lines, pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes,ditches,or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches, swales, culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe, and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/21/2008 11 • • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes, and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems, treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property (LANDO NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 • Jefferson County Department Of Community Development STORMWATER MANAGEMENT HANDOUT Select definitions from the 2001 Department of Ecology Stormwater Management Manual for Western Washington. 2.3 Definitions Related to Minimum Requirements A full listing and definition of stormwater-related words and phrases that are used in this manual is given in the glossary. A few of the key definitions are listed here for ease in understanding the requirements that follow. • Arterial- A road or street primarily for through traffic. A major arterial connects an Interstate Highway to cities and counties. A minor arterial connects major arterials to collectors.A collector connects an arterial to a neighborhood. A collector is not an arterial. A local access road connects individual homes to a collector. + Effective Impervious surface-Those impervious surfaces that are connected via sheet flow or discrete conveyance to a drainage system. Impervious surfaces on residential development sites are considered ineffective if the runoff is dispersed through at least one hundred feet of native vegetation in accordance with BMP T5.30—"Full Dispersion,"as described in Chapter 5 of Volume V. • Highway—A main public road connecting towns and cities • Impervious surface-A hard surface area 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 stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces for purposes of determining whether the thresholds for application of minimum requirements are exceeded. Open,uncovered retention/detention facilities shall be considered impervious surfaces for purposes of runoff modeling. 2-4 Volume I—Minimum Technical Requirements August 2001 • Land disturbing activity-Any activity that results in movement of earth, or a change 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, and • excavation. Compaction that is associated with stabilization of structures and road construction shall also be considered a land disturbing activity. Vegetation maintenance practices are not considered land-disturbing activity. • Maintenance-Repair and maintenance includes activities conducted on currently serviceable structures,facilities,and equipment that involves no expansion or use beyond that previously existing and results in no significant adverse hydrologic impact. It includes those usual activities taken to prevent a decline, lapse, or cessation in the use of structures and systems. Those usual activities may include and replacement of disfunctioning facilities, including cases where environmental permits require replacing an existing structure with a different type structure,as long as the functioning characteristics of the original structure are not changed. One example is the replacement of a collapsed,fish blocking,round culvert with a new box culvert under the same span,or width, of roadway. For further details on the application of this manual to various road management functions, please see Section 2.2. • Native vegetation—Vegetation comprised of 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 trees such as Douglas Fir,western hemlock,western red cedar, alder,big-leaf maple,and vine maple; shrubs such as willow,elderberry, salmonberry,and salal; and herbaceous plants such as sword fern,foam flower,and fireweed. • New development-Land disturbing activities,including Class N- general forest practices that are conversions from timber land to other uses; structural development,including construction or installation of a building or other structure; creation of impervious surfaces;and subdivision, short subdivision and binding site plans,as defined and applied in Chapter 58.17 RCW.Projects meeting the definition of redevelopment shall not be considered new development. • Pollution-generating impervious surface(PGIS)-Those impervious surfaces considered to be a significant source of pollutants in stormwater runoff. Such surfaces include those which are subject to: vehicular use; industrial activities(as further defined in the glossary); or storage of erodible or leachable materials,wastes, or chemicals, and which receive direct rainfall or the run-on or blow-in of rainfall. Erodible or leachable materials,wastes, or chemicals are those August 2001 Volume I—Minimum Technical Requirements 2-5 t, • S substances which,when exposed to rainfall,measurably alter the physical or chemical characteristics of the rainfall runoff. Examples include erodible soils that are stockpiled,uncovered process wastes, manure, fertilizers, oily substances, ashes,kiln dust, and garbage dumpster leakage. Metal roofs are also considered to be PGIS unless they are coated with an inert,non-leachable material(e.g.,baked-on enamel coating). A surface,whether paved or not, shall be considered subject to vehicular use if it is regularly used by motor vehicles. The following are considered regularly-used surfaces:roads,unvegetated road shoulders,bike lanes within the traveled lane of a roadway, driveways, parking lots, unfenced fire lanes,vehicular equipment storage yards, and airport runways. The following are not considered regularly-used surfaces: paved bicycle pathways separated from and not subject to drainage from roads for motor vehicles,fenced firelanes, and infrequently used maintenance access roads. • Pollution generating pervious surfaces(PGPS)-Any non- impervious surface subject to use of pesticides and fertilizers or loss of soil. Typical PGPS include lawns, landscaped areas, golf courses, parks, cemeteries, and sports fields. • Pre-developed condition—The native vegetation and soils that existed at a site prior to the influence of Euro-American settlement. The pre- developed condition shall be assumed to be a forested land cover unless reasonable,historic information is provided that indicates the site was prairie prior to settlement. • Project site- That portion of a property,properties, or right of way subject to land disturbing activities,new impervious surfaces, or replaced impervious surfaces. • Receiving waters-Bodies of water or surface water systems to which surface runoff is discharged via a point source of stormwater or via sheet flow. • Redevelopment-On a site that is already substantially developed(i.e., has 35%or more of existing impervious surface coverage),the creation or addition of impervious surfaces; the expansion of a building footprint or addition or replacement of a structure; structural development including construction, installation or expansion of a building or other structure;; replacement of impervious surface that is not part of a routine maintenance activity; and land disturbing activities. 2-6 Volume I—Minimum Technical Requirements August 2001 • • • Replaced impervious surface-For structures, the removal and replacement of any exterior impervious surfaces or foundation. For other impervious surfaces,the removal down to bare soil or base course and replacement. • Site—The area defined by the legal boundaries of a parcel or parcels of land that is(are)subject to new development or redevelopment. For road projects,the length of the project site and the right-of-way boundaries define the site. • Source control BMP-A structure or operation that is intended to prevent pollutants from coming into contact with stormwater through physical separation of areas or careful management of activities that are sources of pollutants. This manual separates source control BMPs into two types. Structural Source Control BMPs are physical, structural, or mechanical devices, or facilities that are intended to prevent pollutants from entering stormwater. Operational BMPs are non-structural practices that prevent or reduce pollutants from entering stormwater. See Volume N for details. • Threshold Discharge Area-An onsite area draining to a single natural discharge location or multiple natural discharge locations that combine within one-quarter mile downstream(as determined by the shortest flowpath). The examples in Figure 2.1 below illustrate this definition. The purpose of this definition is to clarify how the thresholds of this manual are applied to project sites with multiple discharge points. Exempla of a Project Site Example of a Project Site Europe of a Prefect Site with a Single Natural with Multiple Nature! with Multiple Natural Dischwve and a Single Discharges and a Single ' Discharges and Maniple Threshold Discharge Area Threshold Dischurge Area Threshold Discharge Areas ^` hsal L Nabs! — ;�°'."7�.' '�.y[ %:. . .- „ r.%-••+. rte--�• . ••. r Mint" as y Area• `� AREA lam I)N'a� Natural Natural �. I Disthw e ! 1 D gige 1 l r i• '. j 14 Mils Downstream 4(shortest How Path? • v V Figure 2.1 Threshold Discharge Areas August 2001 Volume I—Minimum Technical Requirements 2-7 (q ap Front Parcel Review # (c4-0 Cc-f- c c— Parcel 902225011 Printed: January 14, 2014 DOUGLAS R CLARK TRUSTEE Site Address: CARMEN L CLARK TRUSTEE MISTY RIDGE RD 16561 CREEKSIDE RD RIVERSIDE, CA 925036549 WA, Parcel Number: 902225011 S-T-R: 22-29N-02W Total Acreage 5 Legal Description SKY VIEW HEIGHTS LOT 11 W/SUBJ TO EASEMENT Land Use: 9100 SUBJ/REST GOVT#541463 Flood District: Fire District: 5 Planning Area: 5 Flood Map(FIRM)Panel No: School District 50 Zoning: Z.0 COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ Plot plan states "property line" [ IX Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [t>J Legal Access to Property<` NO [ IX Parcel Tags or Scanned Documents ® NO G0. [ !.Y ESA's: Special Reports Nearby YES NO [tr-- Designated Ag YES 0 [ yr Shoreline Designation: YES 4 4 [yr Shoreline Slope Stability: YES ( To Stream Type:YES NO FWHCA: YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslid- _NO - , (,.-- Flood: YES NO U Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate Risk Disconnected CMZ Stormwater site plan submitted: YesNo [ t Forest Lands: YES 0 Adjoining Forest Lands: Commercial/ Rural/ Inholding [ t4 Mineral Lands: YES O [ Agricultural Lands: YES 0 [ j, ' Archaeology: YES [ v]' No Shooting Zone: YES �Q a 4[ 1/j Stormwater: New Impervious Surface '2- 4 Land Disturbing Activity 2- 8 �C) ESA's Stormwater Req's:Min Reg#2 Min R q#1 thru# Min Reg#1 thru#10 ( Engineering [ VI Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ 14 Landscaping Required: Yes No [ V1 Parking Spaces Required NO c Other f i/f Building Height: 410 UBC Standard [ IA- Impervious Surface coverageecentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Industri er UDC Sec 6.7 Rural Commercial: 60% Area of Building overage:60%in Rural Industrial Lands only [ V]' Total Building (s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [Vf Road Classification: Road Approach: EXISTING 0 • REQ' [ i..- SEPA Required: YES 4 EMPT [ (A' Flood Certificate: [ W.' Existing Case(s) &Condition(s): Violations: Yes No [ V Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ Lots/Require Declaration of Restrictive Covenant YES TD submitted: YES NO [ (mot- UGA No Protest Agreement YES h O submitted: YES NO [ 1-r Site Visit conducted YES CIP [ I,J- Require Final Zoning Approval YES S� [l/K ADMIN: Setbacks entered in Permit Plan case OAP YES New Parcel Tags entered in Permit Plan 4PAIIIYES Special Reports Scanned YES Title Notes Updated Parcel tags found for parcel 902225011 1.) WSRC Coaching - 2013-03-25 perk hole?,septic 05/09/2013 SMP Parcel tags found for parcel 902225011 2.) WSRC Coaching - 2013-04-01 06/27/2013 Other Parcel tags found for parcel 902225011 3.) WSRC Coaching - 08/20/2013 SMP Parcel tags found for parcel 902225011 4.) WSRC Coaching - 2013-03-25,SG 08/28/2013 Other Parcel tags found for parcel 902225011 5.) WSRC Coaching - 2013-12-11 12/23/2013 Other Cases Associated with APN 902225011 Cases Name Review Type Status Planner ADR14-00001 CLARK TRUSTEE P Application Received: 1/13/2014 Permit Issued/Case closed: Case Finaled: Address off Misty Ridge Rd. Parcel also has address off Eagle Bear Rd. Driveway off of Misty Ridge. BLD14-00014 CLARK TRUSTEE P Application Received: 1/13/2014 Permit Issued/Case closed: Case Finaled: SFR w/attached garage MLA13-00036 ADR13-00014 MLA13-00036 JACOBS 1 F Application Received: 2/20/2013. Permit Issued/Case closed: Case Finaled: 8/9/2013 ROAD NAMING PETI I ION -Eagle Bear Road USR03-00075 MARSHALL A Application Received: 7/31/2003 Permit Issued/Case closed: Case Finaled: off Casselary Rd. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 1/14/2014 Page 2 of 3 r O • 1 R r 8 ae O m T--- ---o p I ) / N II a g —, O co 9- . \\ £i \ ❑ N01'03'2 "E 331.00' x e-N -.e. 1.--', fI 1 6' \\,. , C5 . / s co 1 E ,44 co t "r j ( 1 r. c,.T 1 r ■ N MISTY RID R ` 1 _—— ovGl 7 // / �--- 0. -- o 01` o 0 K\ 1 1 \ \\ \ \ \ \ \ 1 V A ` V \ I \ \ I \ .\\ \\ L - — S \ \ N01'03'24"E `" 331.00' I I F • � � El 0 ri,ti 0141 I;tis ) 1111 , ...... .(,),:. m ......... w c7z, ...., ,,.., Q m O . ay o O mm� • L...L'±---._-4 TV \...... g s t7 � ff) V) D V ���������� ��������������� PROJECT DESCRIPTION SHEET TITLE: NO. DESCRIPTION BY DATE 2 A D p > �"°\\', \360)683-8756 m II r �0 rn ���AVN� a���A� xseaos Mnn im .. N ;;,)` \.. CLARK PLOT PLAN W .., ., • ..- r-1 e.,:i .P. •,.x 11 1P i .i„. , . i''114ku, Leena.0.1.11NOWIIIMMile ,. _ . . _ a . • 54'T -_ 0.1 lit J 3-10,rz._ -8112 30' r i S a ., + mRB� \.• Fr ' ., 'RO° 1 I - A d1T III to r-ali 6,, 0 a '• 1? 1lt-4111' J A 'q I I ' � zad u2" 1 ` / I , 11, I .7 VT •• 4 *'q 7 � � •jJ • I II / II (UNF0J8HEU),��'I1 4/ r W m < I 11 I I s N Z/ a I 4 p 0 i �'I 1 I _ye ..-11 "ci,,\ T 0 \ 5h\ 2 §P ,.. ,... , � .: , , ' ,)------1,, c) .:_,m `\ rnM ''' k: "` '`� � I m I• I 1 ' k I 22"-2 u2" I I 22,10 Ur V '.,0 1/2"� 5 ,,, i n ci _ m i--0.31/2"—f..—Pr _ toy-P 0,11 vz• 10• i 0-1. II m-1,nt O 72 m Z CI w Z m m a 2 Gf --1 U D L- . j Fm •0 � P. i .a 0 \ Gl m n N=N N ��' 111111 J 4+7:,r-a Z 2 p0 ....4-, 00 G� Omo= / • � `< v N z d Fs 2"r 40 in F' p PROJECT DESCRIPTION: SHEET TITLE: NO. DESCRIPTION BY DATE 2 D \����AAA\AAAAO��A���A���o\�AA�o\\360 603-8758 WI r- rn 0,,,��„ X:,,�„ CLARK alb 71 1-. ^' N • \ \,� 6E MW 101 BASEMENT PLAN W .\0\�00\0\�0\�0 I 1 . 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T-7 UT 3/igf, ° iiuuimuiuw�. m G n� x Al „ , ,,,, i.. � Z N ,� . zees 3065 -- O • 1' , y T m a N t PArr S w o ma 1181/T 3,9 - ^'M G r ZS D \w�1 x I — A R N'' ay° �_oZZ e r° § G) r ; - ,oa _ _ 3065 _ y• m 0 �\ c y T. � a•-r z• D W N A S w ,. p00JT01 i 03 1 O '4 I; m p p p a J A 44444 s 2 II i ' N —,1-0 % 7 i .�— N - r e• 6 J .88 o ” P�a L V ti • � ez9 i_����� �• r r 4050830 4050W / 204186 I4 1200334 , EGRESS E.-E„ Y w z i CA 0 in =71 DECK e 2 c�m s X —I Z �y • ym Ti 2 4-0 2•a p' s--r--� r.3 r-5 ln. m .4---5-10 ln• 15-11/• lr-r - -- 14,5 1/2. 1•,6• 0 c 21' 25'.11 1/2.• X m 4S to 2 GI w Z m m Z GI D Fm G1.,-In or no-1 N OY W C of alaip-I • GN m O f+ 0 PROJECT DESCRIPTION: SHEET TITLE: NO. DESCRIPTION BY DATE rn ? al �a �� % l 380 6E3-056,; 259033 HWY.101 ON 71' fiT Q .. . \ . SEWN.WA CLARK FLOOR PLAN \ V • ' • 4 v . 0 . ,, w 1 • • 49,111/T > • 9'-1 17 4•4 Ur .'-l'-• ay ixo . g. P , ,M.' `h a e X D T = b . 8 z Ii y 1 (9XELF 8 LE® v / Y � 1 . 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- - - - ■ C ^ S V D ON—SITE WASTEWATER PLANS SOILS APPLICATION LLC. v ` Z 0 m v w w � TAX PARCEL #902-225-011 o `!' 0 cN N II 53 TIMBERLINE DR '' A co 0_, °• MOUND SYSTEM FOR SEQUIM, WA 98382 Cri CLARK PH (360) 683-6300 E-MAIL SOILSAPPcc9CMAIL.COM / IICUILDING PERMIT APPLICAJN BLD14-00014 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00014 Received Date: 1/13/2014 SITE ADDRESS: MISTY RIDGE RD OWNER: DOUGLAS R CLARK TRUSTEE PHONE: CARMEN L CLARK TRUSTEE 16561 CREEKSIDE RD RIVERSIDE CA 925036549 SKY VIEW HEIGHTS SUBDIVISION: Block: Lot: PARCEL NUMBER: 902225011 Section: 22 Township: 29 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981DL Expires 3/12/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr SFR w/attached garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,633 VALUATION 416,496.00 ADD'L: 908 HEAT TYPE: CODE EDITION: 2012 HEAT BASE: 923 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 501 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $3,134.00 MEB 01/08/14 145697 Plan Check $2,037.10 MEB 01/08/14 145697 State Building Code $4.50 MEB 01/08/14 145697 Potable Water Application $67.00 MEB 01/08/14 145697 Total: $5,242.60 \\firlemer4\rle4e\forme\F P1 fl Ann 1:11r1 rn1 1 ll Z/7f11A �SOrico l "1 — i 4 . 1 1 4w. a JIERSON COUNTY ni �-4 DEPARTMENT OF COMMUNITY DEVELOPMENT �gski NGo� 621 Sheridan Street(Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd( co.iefferson.wa.us Building Permits&Inspections(Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project ascription(include separate sheets as necessary) ,4 j G r uC ark - SiJ /e A 177 � ee..1i�1 n« Tax Parcel Number: r12 vV qs0// Property Size: 6 e� (acres/square feet) Site Address and/or Directions to Property: Property Owner(s)of Record: -Po ut/aI Q,i / 1 l7 0/444' Telephone: 767-419 05'97 Fax: email:deA-,A�la5/ist-fa., L Mailing Address: /‘6-4,/ £ /e AZ�j -7 .4i s4i', Gs� `J Applicant/Agent(if different from owner): 4/I age/Sell- E,.'s4r-s 6�/� Telephone: S'd' 611-9-4776-4 Fax: 01-7/a7 email: /Pg ee.:045.4ui//Oro,Go irj Mailing Address: 26I3 //w /0/ • y GG/ , GUS 91342 What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ I, molition Permit ❑Variance(Minor,Major or -•. • -u ::-- - Ingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d) r ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unna • •- .� 'n��.<,•:'• LI V ❑ Commercial* ❑Special Use(Essential Pus i : ilities)** ❑ Change of Use ❑Boundary Line Adjustment n i` I�Address El Road Approach ❑Short Plat** ��14 ❑ Home Business El Cottage Industry ❑Binding Site Plan** U u El Propane ❑Long Plat** , E l Sign ❑Planned Rural Residentia Developme +•,i-.. -••• r ti - E'Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration • DEPT.OF ,0 I P OUNTY L Stormwater Management ❑Shoreline Master Pro gram Exem tt b®PNiENT ❑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 focal,state or federal permits required for this proposal,if known: I DESIGNATION OF AGENT ., t hereby designate ,S% S j It�a611S ,I„l•,C tto act as my agent in ma rs relating to this application for permit(s)- Osarrr:S�•rinnrar ,tl d 6L- L( f;11-1-41-,(� Date 0/) 4,: G`/eec fly cgnog bus applicat t,the owner/agent attests that the information provided herein.and in any attachments,is true and cured to the best of • his,her or its knomedge. material falsehood or any omission of a material fact made by the owne.Yagent with respect to the application packet i may result in this pen llt being nil and void. I further agree to save,indemnify and hold harmless Jefferson County against al liabilities.judgments.court costs,reasonable attorneys fees and n enses which may in any way accost against Jefferson County as a result of or in consequence of the grunting of this permit. I termer agree to provide access and right of entry to Jefferson County and its employees.representatives or agents for the solo purpose of appGratiem later ins right entry ppllcant informs the County in writing at the review and required inspections. Staffs seas�nd right of ent will be assumed unless he a iine of iM: . . ,: t tat f :in shrew' pr ice. �7 / .( C- /q/ '7 ( i Stgrrahue: , . �; . ____+ L `����itf.f Data .�• 4� �w-.70 f The action or , • tkcant eat undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or ersdangeted spe s 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 unxierfakf;n to s:s.tso this permit nas boon issued will not violate the ESA. My individual.group or agency can filo a lawsuit on behalf of an endangered Species regarding your ac:txn(s)even you am in compiince with the Jefferson County development code.The Applicant acknowledges that he.she or it trokt s individual and r hie rem hits rot. tog t '/",,^g r the ESA. T -,,,,,,t.,ant h read this disclaimer and signs asst!dates it below. x Signature: lj 0 0t P" t-1 - Date: tt ' f _ ...____ iv!2a,+rPrs • 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 t • responsibility of the General Contractor for the proposed project. Signature: —_- i. ,; , iC L M$.Y M,!tS _ , Date: t /%//'f GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: e;TPS /a/''s 0)4,d9.5- c775G (,..346) *d'/ 7/.2 7 MAILING ADDRESS: 0759003 /49/0/r ,S94.y,„ EMAIL: /c?G- o e,,,h ,/z,,_ ‘41/7_)CONTRACTORS LICENSE WAINS NUMBER: C5Y/15 46Z- ff/ 1L L NUMBER ARCHITECT/ENGINEER: ZP–ufel/C v f A:MC/a ,9 PHONE Lr/'d )y/7- / FAX:( / )y,2 ■5Jy MAILING ADDRESS: EMAIL Prot Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: IIVNew i Wood Existing: I Sewer A Addition C Steel Proposed: nL Bank I community System 1 Alteration/Remodel C Concrete Total: ,/ Height: individual System I Repair C Masonry SEP Permit# I Demolition i Other: Bedrooms: WatDer Supply: Existing: Setback: Private well C Two Party Type of Heat: Proposed: - C Public Total: _3 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or .. ..liance Installation permit,mark all items below that apply: Underground Tank Above •round tank Size of Propane Tank: 4205 Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP I knaT retaW toH i Is this appliance being installed in a-Manufactured/Mobile Home? Yes 6 When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all properly 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 /Z03.3 Al 0 O 0 3 , BId App Review: 0%).2"tl Floor Heated f b istency Review: n��O O 7 r L Other Heated Base fee: �t � t i. Mezzanine Additional Secti t,iI k !0• Heated Basement �� J , •;K 2Sd Z1.., Check fee: i '.-- -t .19 Unheated Basement • —.C�..\ estate Surcharge fee: t1 Other Unheated Pot Water Review fee: / ry Garage/Carport 50/ it`2-57 aK SUBTOTAL �rj� �7 J V Decks 911/Rd Approach fee: Other '�/ Q/' TOTAL: $Sy)v 1! V, 16 I if 6 < 1 Receipt Number: re-tS—oer4-_tS� !' Cash/Check Number: 2) /ei ESTIMATED COST(REQUIRED) Date: t /,/ it 1 Fair market value of all labor and materials foundation to finish / 2$ l �I Initials: IT) 02-5 07/24/2013 ' Load Short Form Job: ASP Date: ,�iNEAFINC ca Entire House B : INDOOR AIR EXPERTS // . Air Flo Heating Co E C V 221 West Cedar Street,Sequim,WA 98382 Phone:360.683.7746 Fax:360.683.3971 Web:www.atrfloheating.com D/ 1— Project Information For. Clark(Estes) JEFFERSON COUNTY DEPT. COMMUNITY DEVELOPMENT Design.Information . Htg CIg Infiltration Outside db(°F) 24 76 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TD(°F) 46 1 Fireplaces 1 (Loose) Daily range - M Inside humidity(%) 30 50 Moisture difference(gr/lb) 18 15 HEATING EQUIPMENT COOLING EQUIPMENT Make Make • Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 0 HSPF Efficiency 0 SEER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47°F Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 2000 cfm Actual air flow 2000 cfm Air flow factor 0.036 cfm/Btuh Air flow factor 0.088 cfm/Btuh ...... . Static,pressure...... 0 in H20... ...... .... Static pressure.. ... ............. . ... ... .. .. 0 in 1120.. .. Space thermostat Load sensible heat ratio 0.93 ROOM NAME Area Htg load CIg load Htg AVF CIg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Family Room 706 10549 1135 385 100 Work Shop 204 7493 812 273 72 Laundry 74 1446 127 53 11 Hal Main 145 1008 136 37 12 Bedroom 1 173 2674 1150 98 102 Bedroom 2 174 1711 697 62 62 i Great room 536 14923 10711 544 948 I Kitchen 301 2760 1287 101 114 Side door 180 1111 135 41 12 Guest bath 63 525 13 19 1 Master Bedroom 190 3506 1532 128 136 Master Bath 92 825 983 30 87 Master Closet 66 1180 158 43 14 Loft 561 5120 3728 187 330 Bold/italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. we' htsott� 2014-Jan-0811:18:51 , Right-Suites)Universal 2013 13.0.08 RSU02757 Page 1 ACCA ...rcompanylWrightsoft HVACWrojecttDefautt 1.rup Cale=MJ8 Front Door faces: N i • Entire House 3464 54832 22604 2000 2000 Other equip loads 0 0 • Equip. @ 0.81 RSM 18309 Latent cooling I 1653 TOTALS 3464 54832 19962 2000 2000 Bold/hails values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ��,1� 2014-Jan-08 11:16:51 -Pk wrightsoft` Right-SURe®Universal 201313.0.08 RSU02757 Page 2 ACCN...AcompanylWrightsoft HVACWroject8Defaull 1.rup Cale=MJ8 Front Door faces: N Prescriptive Energy Code Compliance for All Climate Zones in Washington Project Information Contact Information Deuig and Carmen Clark Estes Builders(Rick Gross) Misty Ridge Rd. P.O.Box 1377 Jefferson County Sequim,Wa. 98382 This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant.B L�c� Authorized Representative Date � Z�y R-Valued U-Factora Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGC be n/a n/a n 1 (.� Ceiling 49i 0.026 110 �/ L� Wood Frame Wall g,k,l 21 int 0.056 Mass Wall R-Value' 21/21h 0.056 ,, i JAiv Floor 30g 0.029 Below Grade Wall°k 10/15/21 int+TB 0.042 -- d ` JErfLRSON COJ Slab R-Value&Depth 10,2 ft n/a QF^COtiq����NITY DEVELOPMENT *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. i -- Each dwelling unit in one and two-family dwellings and townhouses, as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: O 1.Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. p 2. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. O 3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope la 0.5 ❑ 1 b Efficient Building Envelope 1 b 1.0 ❑ lc Efficient Building Envelope 1c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑ 3a High Efficiency HVAC 3a 0.5 ❑ 3b High Efficiency HVAC 3b 1.0 Ei 1.0 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 0.5 0 0.5 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 I*1200 kwh 0.0 Total Credits 1.50 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%20Energy.pdf Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int .= intermediate framing. a R=values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation, the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. ` "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-13 a R-10 continuous insulation is required under heated slab on grade floors.See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R30 g Reserved. h First value is cavity insulation, second is continuous insulation or insulated siding, so"13.+5" means R-13 cavi The second R-value applies when more than half the insulation is on the interior of the mass wall. For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. k Int. (intermediate framing)denotes standard framing 16 inches on center with headers insulated with a mini Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation re Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as spe • Window,Skylight and Door Schedule Project Information Contact Information Doug and Carmen Clark Estes Builders(Rick Idisty Ridge Rd. P.O.Box 1377 Jefferson County Sequim,Wa.98382 Width Height Ref. U-factor Qt. Feet inch Feet Inch Area UA Exempt Swinging Door(24 sq.ft.max.) 0.37 1 I3 I 6 e 20.0 7.40 Exempt Glazed Fenestration(15 sq.ft max.) l 0.0 0.00 Vertical Fenestration(Windows and doors) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA Milgl and XO Slider 0.29 1 6 24.0 6.96 Milgard XO Slider 0.29 1 4 In= 12.0 3.48, Milgard Single Hung 0.29 4 3 48.0 13.92 Magard Sliding Door 0.29 1 6 U 6 a 40.0 11.60 Milgard Single Hung 0.29 2 2 15.0 4.35 Milgard Single Hung 0.29 2 4 36.0 10.44 Milgard Single Hung 0.29 2 2 16.0 4.64 Milgard XOU Bottom Slider 0.29 4 4 80.0 23.20 Milgard Picture Window 0.28 2 4 54.7 15.31 Mligard Picture Window 0.28 2 4 66.7 18.67 Milgard Picture Window 0.28 1 6 ■6 ■ 36.0 10.08 Milgard Picture Window 0.28 1 6 u©u 18.0 5.04 Milgard XO Sider 0.29 1 5 ©111 15.0 4.35 Milgard Picture Window 0.28 1 2 4.0 1.12 Milgard Single Hung 0.29 2 3 24.0 6.96 Milgard Single Hung 0.29 3 4 48.0 13.92 Milgard Single Hung 0.29 4 3 1111131111111111 48.0 13.92 0.0 0.00 0.0 0.00 Codel TFW fiberglass door 0.16 1 3 20.0 3.20. Code!Full light fiberglass door 0.37 1 6 40.0 14.80 Codel 6 panel fiberglass door 0.16 1 ,6 40.0 6.40 Codel fiberglass door 0.16 1 1 3.0 0.48 0.0 0.00 u_u 0.0 0.00 uMu 0.0 0.00 ,., 0.0 0.00. 11111111111 0.0: 0.00 u_u 0,0 0.00 1111111111 0.0 0.00 e_u 0.0 0.00 1111111111 0.0 0:0 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 11111111111111 0.0 0.00 0.0 0.00 Sum of Vertical Fenestration Area and UA ( 688.3 192.83, Vertical Fenestration Area Weighted U=UA/Area 0.28 Overhead Glazing(Skylights) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet In h Area UA Crystahte skylight 0.50 1 2 4 8.0 4.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Overhead Glazing Area and UA 1 8.0 4.00. Overhead Glazing Area Weighted U=UA/Area 0.50 Total Sum of Fenestration Area and UA (for heating system sizing calculations) 1 716.31 204.231 �gon ,° /w - JEFFERSON COU /A e •o DEPARTME OF COMMUNITY DEVELOP/INT I,s xtNG 0 5# , ' Date: 9/i, Time Received: `AS Mon. Tue. Wed. Thur. Fri. Date: 1/jZ BLD: 1 4 14 Contact Name: Owner: &AZX Contact Number: 360 Address: _aitg 79 / s-rte g'ire Ed 206 Notes: ZIA& 701/.1 de-U14. 7..J Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4gON C, • ,�w °- JEFFERSON COU ... 29'rAl No-t° DEPARTMEN OF COMMUNITY DEVELOPMENT Date: 5 ___ Time Received: / Co a �w o . Tue. Wed. Thur. Fri. �— Date: 6-2 BLD: /1/ /C) Contact Name: Owner: Contact Number: 360 (IL/_oJy Address: - 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ' v ii , JEFFERSON COUNTY � ., DEPARTMEN•F COMMUNITY DEVELOP�T J/// N,S�r NG.�O / Date: 5Time Received: /c32,5-7 am/ Mon. Tue. Wed. Thur. gip Date: 62—c BLD: /47t— /Y- Contact Name: Owner: Contact Number: 360 %/ X jS Address: fV/f57‘y IZ,7-, 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall )( Address Posted Block&Tile Ceiling w °�� JEFFERSON COUNTY 9 DEPARTMEIOOF COMMUNITY DEVELOPONT feat' PAP SHING,c) / Date: Q"� Time Received: Jo23 am/ Mon. ue. Wed. Thur. Fri. �L Date: 9 BLD: /V—/—/� Contact Name: Ry hN Owner: Contact Number: 360 `/ / ,ZQ/y Address: 79'(& 1/0 617 k owe-- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation �� Final Inspection_1—\ - Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling { 'rNI NG-03 DEPARTMENSF COMMUNITY DEVELOPMOT _ ✓ 9 VA- Date: Q..2, Time Received: am/(69 Mon. Tue. dr. Thur. Fri. Date: 7_3 BLD: 14 — 1 L Contact Name: Owner: Contact Number: 360 LI(,i ; O/$ Address: 7142 VA c5-{4r kcc),"v 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection__/_�_ Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling ¢SON C k`O JEFFERSON COUNTY tt), VIN CAS 6.31L-- ^,t - DEPARTMENOJF COMMUNITY DEVELOP.T Cpsse 0.37 Date: '7 Time Received: pm Mon. Tue. Wed. 41110 Fri. ~�F�� Date: BLD: I -(11 Contact Name: Owner: Contact Number: 360 1477 9 ? "(i7 Address: ../ q Co VA 206 Notes: / Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing K Under ground Furance Footing Rough In )C Air Seal < Above ground Gas Stemwall Hydronic / Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling i c °°� JEFFERSON COUNTY , .74,0 F II { DEPARTMEN•F COMMUNITY DEVELOPIi�+IIT 4/1.Date: Time Received: an4-0 Mon. Tue. Wed. Thur. Fri. Date: BLD: / -- / Contact Name: Owner: /14 677 g/PLK Contact Number: 360 LibQ ZIS Address: 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear ' Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • 0 e',5°N ooGy JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT "S�° ,Z 9Y Date: G ,Time Received: e2 29 anygi Mon. Tue. Wed. 410 Fri. Date: 5----.Zq BLD: /11-11/ Contact Name: Owner: Contact Number: 360 4144.204s— Add /y!i 5/' /2, 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Y. Under ground Furance Footing Rough In Air Seal A Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • •mil■immimilroirommElmEmoimimmmWMMEIMII ¢SON °o�3 JEFFERSON COUN DEPARTMEN F COMMUNITY DEVELOPM T 64734 / 'ill.' Date: 3/2-$ Time Received: am/pm Mo Tue. Wed. Thur. Fri. Date: 3/31/1* BLD: 14 14- Contact Name: )isav Owner: Lugla Contact Number: 360 ,7O 0D6.z, Address: 7 4& Misr,- Ricr.zi Ea 206 Notes: WU CX/14117.y1-- Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing , Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling w ti JEFFERSON COUN 4 DEPARTMEN F COMMUNITY DEVELOPIT 94swiNG,O Date: Z Time Received: CLO� a dij Mon. Tue. Wed. Fri. Date: .Z4 .BLD: /%f /Y- Contact Name: /4,i Lc`t11 1 Owner: Contact Number: 360 6 '70 Sgio&z, Address: --=,( s)----'7 q 6 Gyp/s .6 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks D< Under-ground Framing Under ground Furance Footing---15 Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • • �w45ON b JEFFERSON COUNTY 4. 1. DEPARTMENT OF COMMUNITY DEVELOPMENT 94'yj 14 0-C° Date: 4 Time Received: p9 4/pm Mon. Tu ed. Thur. Fri. Date: ��( BLD: Vii/' 11 Contact Name: Owner: C ►Jc Contact Number: 360 ?bc'Z y''7 Address: 796 MO.t/° y 206 /j / c Notes: FT-6 b r c.v-‘ Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation. Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 'G2< JEFFERSON COUNTY yr�� DEPARTMENtiF COMMUNITY DEVELOPI T `1/f NG'CG� Date: Lif ID Time Received: /7 ®/13m Mon. Tue. Wed. Thur. Fr Date: 6/1// BLD: Al— / Contact Name: Owner: Contact Number: 360 7 93c'"-" Address: /i /i/5r/ Rio g. 206 Notes: / Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground X Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Sternwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling <P ,s coG _.. _.. _. . .. _.. _ A. a JEFFERSON COUN 4. $ DEPARTMEN F COMMUNITY DEVELOPM T 9,SHINGIO /'� s 01 Date: y l Time Received: 3Z/ am d5 Mon. Tue. We/dd. Thur. Date: '11-- L BLD: /4/. /9' Contact Name: Owner: GL.AKK Contact Number: 360 6. 7 ) 8-int:,2 Address: Ili 07Y 0?/466. 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall X Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling r • • Jefferson County DCD Building Division Correction Notice PERMIT NUMBER (4 i c( OWNER JOB LOCATION '( /G f Inspection of this structure has found the following violations: L. ors e 14ia c A - A IA', , eP You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date 11-1,—k a Inspector Inspector DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE , , fferson County Building Division Permit Number: BLD14-00014 Applicant: CLARK TRUSTEE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 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 313/11/ 0 Erosion Control Foundation Footing gfrii Pf / acpeZS 1 OSTALLeb 3/31t 4 ft' 1 Footing Drains / Foundation Stem Wall .,/,"r ,.) )1 1 , " � 1� J (� Underground Plumbing 1 1 \J Under Floor Framing Straps(hold downs) � w. Imo'020ftTrriZ /=fast Prosit. Or- Ext.Shear Wall Nailing F Bstrse O s Rough-in Plumbing 51:( e Y Framing GI 1`f Or....- To Br4PPit Airseal 2 l/(tf / Insulation: as , ((1� Floors I 9_- Insulation: o .. _ �+ A--iq VitccJ-1 �t-0c AttD Lis Pe,•- ft/14. Insulation:Ceiling q P 4� to e . Int.Shear Wall Nailing Wallboard Nailing Gas Line: Interior 0–Q--/9!/ F6 Gas Line: Exterior q q! 1- Propane Tank _ _ ( f`-1 Heat/Chimney Clearance r Mechanical Systems (� Duct Test Cert Q _jc7 Blower Airtight Test 9'-- _I' ,r i Smoke&CO2 g /q Drywell/Alt Drainage Cifri (` V) Address Posted ! _Q�. !` il 1c Water Meter Inspection X1 1 i , 9.--> System Finaled l • • A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION °tl (1 I I Li' FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • CONDITIONS for Building Permit# :BLD14-00014 1.) DWJ 2.) 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. 3.) The site plan as submitted with the Building Permit application on January 13, 2014 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 January 14, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In Stream Flow Rule for that region. The parcel is located within the_SALMON sub-basin in a designated Reserve Management Area; as such, conservation standards per state regulations require the following: 1. A permit-exempt well serving an individual user shall not exceed a maximum of 500 gallons per day(gpd) or an annual average more than 350 gpd, for all permit-exempt uses authorized under RCW 90.44.050. (WAC 173-517-120(1)(b)) 2. A well serving a group domestic system shall not exceed a maximum use of 500 gallons per day(gpd) or an annual average more than 350 gpd, for each residence, and shall not exceed a total use of 5,000 gpd for the group. The design and construction of group domestic systems must be consistent with applicable state department of health requirements and applicable Jefferson County or Clallam County requirements. (WAC 173-517-120(1)(c)) 3. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 3/11/2014 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00014 Received Date: 1/13/2014 SITE ADDRESS: MISTY RIDGE RD Issue Date 3/11/2014 Expiration Date 3/11/2015 OWNER: DOUGLAS R CLARK TRUSTEE PHONE: CARMEN L CLARK TRUSTEE 16561 CREEKSIDE RD RIVERSIDE CA 925036549 SKY VIEW HEIGHTS SUBDIVISION: Block: Lot: PARCEL NUMBER: 902225011 Section: 22 Township: 29 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981DL Expires 3/12/2014 PROJECT DESCRIPTION: SFR w/attached garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,633 VALUATION 416,496.00 ADD'L: 908 HEAT TYPE: CODE EDITION: 2012 HEAT BASE: 923 HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 501 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $3,134.00 MEB 01/08/14 145697 Exist: Exist: Plan Check $2,037.10 MEB 01/08/14 145697 Prop: Prop: State Building Code $4.50 MEB 01/08/14 145697 Total: Total: Potable Water Application $67.00 MEB 01/08/14 145697 Total: $5,242.60 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