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BLD2014-00048
a ItUILDING PERMIT APPLICA N BLDI4-00048 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00048 Received Date: 2/7/2014 SITE ADDRESS: 832 GARDINER BEACH RD SEQUIM, 98382 OWNER: JOHN F GATCHET PHONE: 360-638-2886 ELOISE M GATCHET 327 SW 37TH TER GRESHAM OR 97080-8441 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 002273027 Section: 27 Township: 30 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981 DL Expires 3/12/2014 REPRESENTATIVE: RICK GROSS PHONE: 360-683-8756 ESTES BUILDERS 259003 HWY 101 PROJECT DESCRIPTIOI NSFR w/attached garage, no heat, no plumb TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,668 VALUATION 280,058.00 ADD'L: 643 HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: 250 SHORELINE: CONST TYPE: GARAGE: 635 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,294.00 MEB 02/05/14 145836 Plan Check $1,491.10 MEB 02/05/14 145836 APPROVED State Building Code $4.50 MEB 02/05/14 145836 5' M1d r ' f Qfs Total: $3,789.60 Jefferson County DCD \\fir7cm.r4\rl.+,\fnrmc% RI Il Ann PIA rn+ 7/7/7r11A • ON c') DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 `< Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jef ferson.wa.us/communitydevelopment f '� E-mail:dcdnco.jefferson.wa.us 1N� CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00048 APPLICANT: JOHN F GATCHET PHONE: 360-638-2886 ELOISE M GATCHET 327 SW 37TH TER GRESHAM OR 97080-8441 SITE ADDRESS: 832 GARDINER BEACH RD Issue Date: 03/31/2014 SEQUIM, 98382 Final Date: 10/27/2014 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 002273027 Section: 27 Township: 30 N Range: 2W PROJECT DESCRIPTION: NSFR w/attached garage, no heat, no plumb (shoreline exemption for residence and septic system) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes M THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/27/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/28/2014 Standard Conditions for Residenti•evelopment in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: 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. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07_SFR_StdConditions 3/7/2013 1 Fisheries Service can levy pplties. Portions of Jefferson County, inning marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06_SFR_StdConditions 9/6/2013 2 /1/6;DO 0 tic-DO*,_ vP 727 ' ._ b (.:__ o l' O IT- N I N &o, I N . 6, 1N NN -10/r aN b 6 ---------. I 6', N N ••t. .,-- -,,\ OP kSI• ---------') 111 / • I 0 c4 Niko ,..., cio AL Pox c (iv 4- 6f , 25' jir q," --___ t ., TIS"E.R.S" ■''''''l ( ( /J if FO Et OL k 4 CI 18 HIGH 41,4 0 .1 •Ru i 1 r..) BANK 0(/ I JCLL co co ..... - d Op . 1 -3/03, ..q. coNb a . .1- . DING 11111611.4 I I , __ ,__ _-_-_, Y )I ------' . •pANE • . 2, op c .9 • i ,,,I 17.8' C)-' CivY We I t i 0 cct-ii ,,,-, of ,N - ..„;/ A MPORT,(4 , Si(p/U-gliS oftuc.,+ h A 6-e- _Jo , 1 FI,I,-L Ca- I 244.--S 4" I 0 cc,e,+ . , , / / I Sty-Lk;fu r-e,,s Ct.:AA POWER ' I i ,c) 't''- jh >.1-■ i I -fLa-56t 66 Pee A- -Pro ty, , 7Pc<\% "4.: a oil ci ouonztd,pi7,-1- , ) tra1 *eid) 1 I \ , (Cr \ (11/11 ' C I .< , >- LC' \ Lid I I , i I CC 0 1/77 di ::30--Pre'-r I 1 W c.. 0 L.0 ----- N o C c--- I ?) 0 I i! L I ; , U•V" \-/ Z Jr'r i r ,;urr!OliNTY s '11— or ror Iv 1%IP{DIV:1(WRIT . \ 0) c.; b cv . • r— c). APPROVED .,-t. 0 . SITE PLAN GARDNER N.: BEACH ROAD N87°02'51"W 99.01 DEPT.OFJELFERSON COUNTY FEB 2 7 2014 UNITY DEVEI 0 Aft, SIGNATURE: '`.- 44 i J 4 40.0.4.1111■1111 ■•••.- • a • , <it '..."...el . R al D ow nspati _ Hil , .1 44/ eatfp Ba.ain ..-., Card Drain) flow --....,...,„, -. Dcwrrapout 0 4.E.i mil ON rrpti---r DRY WELL , . .,,.... Hole Filled PLAN VIEVti :. 1 - . Drain Rock .' NTS : . ' R.Pi et/DU ,)---1'01)A:center of Hole. )3 wit1 r Carved PVC Ho us..? /—Overflow 1 or Cter means Topacil— i Fiwnwith St.race i .,',N,,,, /--Sr:lash Block —0,- 1 i f k ,1 imam...A ---A11:1,,,It!cll.-IAN('0:- i , i • 1 .,_ _ r • .,,§,,7 tr *...0 * ,..*vi . , -'';--'4''' '7-■":" !'- -0.-4....;,:4-4-.0., I vm. ' :0.ria.73:.flagolif-taise, tria fiow , ..„---- \ irtr ktaiiikVielido.4 44' if"4-7,27gitmlAtib Fine tvlesh 3:31reEri----'- — ---FAN11,1:e.fixt3- t:ANti.vitt C8f.ch Basin tc**' lei 1,)b.rd Etrairt) ii.,, t...., 48 int Dia mti.,,r :11 4' Hole Filled wit. h Linedwith t: 1i/2"1-.'Wa'-shed Fittzt.Fltri c 0: Drain Pod a mi. S I ' ....,... ;.., tAiii, I)th-cyvv-.1.1- asglial DRY WELL Hgh Ciy-iti-ndwatar Tabk SECTION f tITS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume iii-Hydrologic Analysis and Flow Control BMPs-August 2012 3-9 Setbacks Local governments may require specific setbacks in sites with slopes over 40%, land slide areas, open water features, springs,wells, and septic tank drain fields.Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at Ieast 10 feet from any structure, property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield_ Volume III—Hydrologic Analysis and Flow Control BIIvIPs—August 2012 3-10 for Infiltration These sys are designed as specified below. Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum)and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric (geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and with • jurisdiction approval. • Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 . • Window,Skylight and Door Schedule Project Information Contact Information. John and Eloise Gatchet Estes Builders(Rick Gross) 832 Gardiner Beach 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.) 0.0 0.00 Exempt Glazed Fenestration(15 sq.ft.max.) 1.39 1 3 6 20.0 7.80 Vertical Fenestration(Windows and doors) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet inch Area UA Midgard sliding door 0.29 1 6 6 8 40.0 11.60 Milgard XO Slider 0.29 1 6 6 36.0 10.44 Milgard picture window 0.28 3 3 e 6 63.0 17.64 Mdgard picture window 0.27 1 8 6 48.0 12.96 Niggard picture window 0.28 3 2 e 2 ° 18.8 5.25 Milgard picture window 0.28 3 4 6 72.0 20.16 Milgard XO Slider 0.29 1 5 6 30.0 8.70 Milgard picture window 0.28 3 1 6 1 ° 6.8 1.89 Milgard single hung 0.29 1 3 5 15.0 435 Milgard XO Slider 0.29 2 3 3 6 21.0 6.09 Milgard XO Slider 0.29 1 2 3 6.0 1.74 Milgard single hung 0.29 2 2 4 16.0 4.64 Midgard XO Slider 0.29 2 6 4 48.0 13.92 Milgard picture window 0.27 1 3 5 15,0 4.05 Milgard picture window 0.27 1 3 4 e 13.5 3.65 Milgard XO Slider 0.29 1 5 4 20.0 5.80 Milgard picture window 0.28 2 2 6 24.0 6.72 0.0 0.00 0.0 0.00 Codel fiberglass 3/4 dM door 0.26 1 3 6 8 20.0 5.20 Masonite six panel door(house to garage) 0.16 1 3 6 8 20.0 3.20 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 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 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 Sum of Vertical Fenestration Area and UA 1 533.0 148.00 Vertical Fenestration Area Weighted U=UA/Area 0.28 Overhead Glazing(Skylights) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA 0.0 0.00 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 I 0.0 0.00 Overhead Glazing Area Weighted U=UA/Area 0.00 Total Sum of Fenestration Area and UA(for heating system sizing calculations) 553.01 155.801 Prescriptive Energy Code Comp lilke for All Climate Zones in Washington Project Information MI. Contact information John and Eloise Gatchet Estes Builders(Rick Gross) 832 Gardiner Beach 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. Authorized Representative G/�(;G Date - Sal �l } ^aw' a ,y ... Marrs r�`""• R-Valuea U-Factors Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 ` (1 �/J Glazed Fenestration SHGCb'e n/a n/a I'� = IJ v----� Ceiling 49i 0.026 L Wood Frame Wall9'k'' 21 int 0.056 " `� -11/.1 Mass Wall R-Value' 21/21h 0.056 Floor 309 0.029 jEF(ERSilV COUNTY Below Grade Wally k 10/15/21 int+TB 0.042 f 7rr T:OF COMMUNITY DEVELOPMENT Slabd R-Value& Depth 10,2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. 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: 01.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. 02. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. 03. 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 lc 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 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 0.5 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 *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 r .SON co # Al' (Q "Qw G JE•RSON COUNTY -1 DEPARTMENT OF COMMUNITY DEVELOPMENT ` 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitydevelopment �SNrNO'o"� Tel:360.379.4450 I Fax:360.379.4451 Email:dcd( co.iefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as ecessary): Tax Parcel Number: 7 7 Property Size: ( (acres/square feet) Site Address and/or Directions to Property: (KS2 67 .-„4 / - (ko/.5-c L i�,1 Property Owner(s)of Record: _ /7'7 A,id ue G�(4e74 Telephone: Fax: email: Mailing Address: d� Gl..404,lo✓ta'ac-'f° ,Tie 2, , e/.�!-' ,Gehl 71,"'d 2.2, Applicant/Agent(if different from owner): 2/42 c8G -i /'- Telephone: O-6I c1275� Fax:X00- /-7/-17 email:tic e'J% 4 d/g,Ger7 Mailing Address: d59".00.3 / /oy /D// J::', , ///h9 9&J 2- Wh3t.kind of Permit?(Check each box that applies ❑Lot or Road Segregation IPBuilding ❑Critical Areas Stewardship I ){ , C _ �J T� ❑ olition Permit ❑Variance(Minor,Major or s OM-Economic Use) ! LE'Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d) t{ ** ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnam se ClatsOnation f . ,n II ❑ Commercial* ❑Special Use(Essential Pub aeilities I J ❑ Change of Use ❑Boundary Line Adjustment 1 L' J ❑ Address ❑ Road Approach ❑Short Plat** i---- - - - --I ❑ ome Business ❑Cottage Industry ❑Binding Site Plan** JE FED S-A COUNTY lJ Propane ❑Long Plat** DEPT.OE COMMUNITY DEVELOPMENT ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis El Plat Vacation/Alteration-- ❑Stomtwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre-Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: //�' � �I �,� f/ DESIGNATION OF AGENT I hereby designate 6a.7�4�k2U�'oil'S to act as my agent in matters relating to this application for permit(s). lir / OWNER SIGNATURE i' IIIM .Imo _ , / Date: /— 2 Ar By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati n at he or sh prior notice. L Signature: ii g.(1.C., Date: 2 - ` 144 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferakle responsibili dheriny to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: 13 CS LC Date: .2 -I Li 07/24/2013 i 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 as ing the responsibili •f e General Contractor for the proposed project. ' /1►, Signature: - .a — �� i c �./ Date: /"'94, /44^ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frgrne Type: Bathrooms: Shoreline: Type of Sewage Disposal: K New iV Wood Existing: I Sewer 1 Addition C Steel Proposed: a,6 Bank I Community System 7 Alteration/Remodel I Concrete Total: Height: erndividual Syst_%n�. I Repair I Masonry SEP Permit# Q� I Demolition I Other: Bedrooms: Water Supply: Existing: Setback: "rivate well I Two Party Type of Heat: ) Q Proposed: I Public 12,ec L , P" Total: Name of System: Lead pf If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP 1 knaT retaW toH 1 Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all properly lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated /` © r, S 9/ 4F�H Bld App Review: -9 2"0 Floor Heated Heated / 113 ►v . Consistency Review: Ge loan ie.LR. 2 2r. Other Heated Base fee: 1-1 (Jc% Mezzanine Additional Section: lC Heated Basement Plan Check fee: ' _,. . 0°01 .4.6, Unheated Basement State Surcharge fee: / .{ diJ 2 C ^n, ` 1 Other Unheated. a50 1-11 i,O. Pot Water Review fee: t,1 l j /tJ/�(�] ._j '�}re Garage/Carport � SUBTOTAL /J Decks 911/Rd Approach fee: Other TOTAL: $ Receipt Number: Lt5 14. 1556'■ Cash/Check Number: S c 1"/C"), ANII ESTIMA D COST(R /f"ll QUIRED) Date: ∎Ef® .Fair :diet value of all la,; and materials foundation to finish ..... .rs g c% Initials: 07/24/2013 , Op Front Parcel Review • Parcel 002273027 Printed: February 18, 2014 I�, JOHN F GATCHET Site Address: 1 (� ELOISE M GATCHET 832 GARDINER BEACH RD 327 SW 37TH TER GRESHAM, OR 970808441 SEQUIM WA, 98382 Parcel Number: 002273027 S-T-R: 27-30N-02W Total Acreage 1 Legal Description S27 T30 R2W TAX 20(LS TAX 23)BND TGTH THRU Land Use: 9800 BLA#112565 Flood District: Fire District: 5 Planning Areas: 55, Flood Map(FIRM)Panel No: School District 323 Zoning: C�`' l COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: 1� [ ] Plot plan states "property line" ��"�� [ ] Assessor's Map(Property lines on submitted plo "j� ' "-% s identified on theAssessor's 1/4 map) [ ] Legal Access to Property YES NO _ ,: "` [ ] Parcel Tags or Scanned Documents YE [ ] ESA's: Special Reports Nearby YES 1,_ _ [ ] Designated Ag YES NAY [ ] Shoreline Designation: Yl 'NO 6j12_ -P/Y1��,�iZ2 [ ] Shoreline Slope Stability:/YES N.C7 (/ Stream Type:YES N9- FWHCA: YES N2/ Wetlands: YES Np Rare Plants:YES NV Seismic: ES/ NO Landslide: Yl✓S NfQ Flood: YES N9, Erosion: YES N9/ Aquifer Recharge Area6) NO ,)0L'(' .i SIPZ: none At Risk ,-igh Risk, Coastal CM,7 - none High Risk Mo•era e Risk Disconnected CMZ Stormwater site plan submitted: YesN� [ ] Forest Lands: YES N9 Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES N9- [ ] Agricultural Lands: YES 1\1,4 - [ ] Archaeology: YES N7 [ ] No Shooting Zone: YES N9/ [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES N/ MRL YES N- Forest Lands YEs Nom [ ] Landscaping Required: Yes N✓ [ ] Parking Spaces Re wired NO ( /Other I- 1 Building Height: 5' UBC Standard ,I [ ] Impervious Surface coverag rcentage: Resource Lands&Public: 10% Rural Residential: 25% Rural Indust>,Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] 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: ,R? Left Side: , Right Side: _- Rear: S O Shoreline Setback: 5D LSHA Setback: --- [ ] Road Classification: i.e.-,A0. .r :.'J f r 1� 1I i to .I1 Road Approach: EXISTING NOTI' QD RAP [ ] SEPA Required: YES EXEMPT Flood Certificate: OIL [ ] Existing Case(s) &Condition(s): Violations: Yes N�o/ [ ] Recorded Date of Subdivision: ' AFN Over 5yrs=UDC Plat Conditions: ((via./ <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES NQubmitted: YES NO [ ] UGA No Protest Agreement YES N submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES N9./ [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 002273027 1.) WSRC Coaching - 2011-10-03 SPAAD 07/11/2013 Other Parcel tags found for parcel 002273027 2.) WSRC Coaching - SPAAD 07/16/2013 Other Cases Associated with APN 002273027 Cases Name Review Type Status Planner BLD14-00048 GATCHET P Application Received: 2/7/2014 Permit Issued/Case closed: Case Finaled: NSFR w/attached garage, t, no plumb M LA08-00264 SUB08-00022 MLA08-00264 DAVIS I F Application Received: 6/4/2008 Permit Issued/Case closed: 2/26/2009 Case Finaled: 3/18/2009 Boundary Line Adjusment-2 lots M LA09-00370 ZON09-00123 MLA09-00370 DAVIS I A Application Received: 11/3/2009 Permit Issued/Case closed: 12/16/2009 Case Finaled: SPAAD-Site Plan Approval Advanced Determination for Residential Development SEP09-00139 DAVIS C Application Received: 11/10/2009 Permit Issued/Case closed: 12/15/2009 Case Finaled: now filed w/SEP89-3b9 SEP14-00005 GATCHET P Application Received: 1/17/2014 Permit Issued/Case closed: Case Finaled: Tank only SEP89-00359 DAVIS F Application Received: 7/29/2002 Permit Issued/Case closed: 4/12/1989 Case Finaled: 2/13/1991 SEP09-139 (expired) now filed here \\tidemark\data\forms\R_Parcel_CRMLA.rpt 2/18/2014 Page 2 of 3 SOM89-00359 DAVIS F Application Received: 2/13/1991 Perml Issued/Case closed: Cas inaled: II III II, \\tidemark\data\forms\R_Parcel_CRMLA.rpt 2/18/2014 Page 3 of 3 UILDING PERMIT APPLICATIR BLD14-00048 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00048 Received Date: 2/7/2014 SITE ADDRESS: 832 GARDINER BEACH RD SEQUIM, 98382 OWNER: JOHN F GATCHET PHONE: 360-638-2886 ELOISE M GATCHET 327 SW 37TH TER GRESHAM OR 97080-8441 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 002273027 Section: 27 Township: 30 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981 DL Expires 3/12/2014 REPRESENTATIVE: RICK GROSS PHONE: 360-683-8756 ESTES BUILDERS 259003 HWY 101 PROJECT DESCRIPTION NSFR w/attached garage, no heat, no plumb TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,668 VALUATION 280,058.00 CODE EDITION: 2012 ADD'L: 643 HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 250 SHORELINE: CONST TYPE: GARAGE: 635 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,294.00 MEB 02/05/14 145836 Plan Check $1,491.10 MEB 02/05/14 145836 State Building Code $4.50 MEB 02/05/14 145836 Total: $3,789.60 \\firlcmmr4\rl.+.\fnrmc\C R1 r'1 Ann Rlri rn+ 9/7P,111A • • 444'7" CoGL JEFFERSON COUNTY 14 A DEPARTMENT OF COMMUNITY DEVELOPMENT 4 N��o- w 621 Sheridan Street I Port Townsend,WA 98368 I Web: ww.co jefferson.wa.us/communitydevelopment j Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdOco.jefferson.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project Description(include separate sheets as pecessary): 1 Tax Parcel Number: 00a4 7 7 Property Size: (acres/square feet) Site Address and/or Directions to Property: i� c-. - : _ Syr �` c� c' . Property Owner(s)of Record: .1-71. nod O/ 6 .lid Telephone: Fax: email: Mailing Address: /L tQzn''&I' X . .ffa 4 sseyvu_r...-„,/G!//9 9�j�� Applicant/Agent(if different from owner): G��`2. ;/5GG(�G,-e'j--..- Telephone: O-AP3 01776-- Fax:- 0` /7/ email:19cKed2 w6lcc6/40-45✓'7 Mailing Address: '59X3 j/D/, L-1‘Wj(I7 ,/1-7/9 gi>`'d'a- Wh9t.kind of Permit?(Check each box that applies LI Lot or Road Segregation [ --c�, n IH13uilding ❑Critical Areas Stewardship'I?ir 1� `- W ❑ olition Permit ❑Variance(Minor,Major or 'e`sd Mite"Econoic se ' i Ingle Family ❑Garage Attached/Detached ❑Conditional Use[C(a),C(d) q G]** 111 • ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnam ii;Ulse Cla pfication,: ;I ❑ Commercial* ❑Special Use(Essential Pub i4 Facilities) ❑ Change of Use ❑Boundary Line Adjustment l ` '! j ❑ Address ❑Road Approach ❑Short Plat** i .-_------•••- ------—1 ❑,Home Business ❑Cottage Industry ❑Binding Site Plan** t LrC COUNTY E)1 Propane ❑Long Plat*"' DELT.OE CO MU[\'TY DEVELOPfMrNT ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: /��� DESIGNATION OF AGENT I hereby designate G�17e&�i d�Z5 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE ." � ' . / - r ' , 7 Are / Date: /— 7 / r - By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she prior notice. �a t 1 Signature: j _ nV r( .i;, a Date: , - t ' `' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility dhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. PP � Signature: �_, . - Date: ,.=r 1 z 07/24/2013 • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibili f e General Contractor for the proposed project. XSignature: t. 61 — Date: ! - /4- GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Pr91ect Type: Frjme Type: Bathrooms: Shoreline: Type of Sewage Disposal: New IV Wood Existing: I Sewer 7 Addition C Steel Proposed: c.A6 Bank I Community System 7 Alteration/Remodel C Concrete Total: d`.5 Height: it�ndividual Sys_tffn 7 Repair C Masonry SEP Permit# 07-aN i7 Bedrooms: Supply: I Demolition I Other: Water Su 1 Existing: Setback: private well C Two Party Type of Heat: rq, titA (J Proposed: C Public e C ` J Total: Name of System: LIAJ (-1,-rapf 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 tf this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Underground Tank Above ground tank Size of Propane Tank: 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 / No 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 Us a Only Amount Revision Main Floor Heated /U`S t� S96_3-4--'2 Eld Bld App Review: 9 2' Floor Heated !G Consistency Review: r 6%� 4011(0.4-n a `7 . Other Heated Base fee: 2 c/ 11 :.',.-) Mezzanine Additional Section: 61 CA- Heated Basement Plan Check fee: \ _. L4 61 t t ,( a. Unheated Basement State Surcharge fee: f o C- Other Unheated Pot Water Review fee: Garage/Carport J �� SUBTOTAL ._ Decks 911/Rd Approach fee: /4 Other 11 =cst I L , j TOTAL: $ ^— _.e._ _ Receipt Number: f Ut�` �' 1 I- 0-W Cash/Check Number f ESTIMATED COST(REQUIRED) Date: , } n .7 t Fair mdfrket value of all labor and materials foundation to finish t 1 I " L / rm )4 f Ci'' c . Initials: ,s 07/24/2013 `Vo 0 '12 7 '68), Q o ci 16,o 1,- Op 0 I \ N0. I N iceir b N. o cis I ,ss• \ N ..:r . N. 10 /7-n-,, \ Nte ,010A • 25' llr 4.,0 Nor ! u• ., r-- h Lt. p',% f• mr,„„,, ' 'ISERS 18"HIGH BANK-""•-■ CA 1 c Miorr ro cpLuci AN° Cyliftwie IN co Oro/v./cu.) CO b. o ... -- N- . DINGa ) an..Lig I \„ ' •PANE • 0/4„ .,..._.' • E; 5' /11 41t '''',411:,.-) I —mei 1 1 4, ,f......1 (2..-'4 i .,-l't.1).\i-°' • • MPO' ' • Fl ,-... . ) POWER •:, \ c7 J , J Cre * \ 44 C t :4 >- < r ,, ■ / / / , !if P t,. in & ' o tu r E 0 E LI V I ', 1 z ' Eo 1 , 0); r___. EN ,---,, . o r, c c . ';') h '■ FEB , 1, i ' " I L.,-, i i ■" • .:^111 ' .. 1 1:-.1(>11i k 1 riTESON COUNTY rorml!INITY DPP OPMENT cn -!..._,......2... ._-____...:._1---. c.i ED • V"' 0 GARDNER BEACH ROAD N87°02'51"W 99.01 r 1 cI 7 - u. { -, L_ y,C 0 l-.I.J ft: v CD W. F_ ft 0 . 15'-8' • 38'-r —5-9" 9•_11" T w io STORAGE N i 4 UNFINISHED I 1 SE I Maga MEKtiil t- ro.r -r.-. 2 I.._____:}1 —A il Zi A H [5 _ %o L_—___—_---_ : �_--I�b� 4j 8 O1 W. 11 NZ I' .— ..—_.. I - ;cLO _`\ rz- w '� -1LLll.P91EJr 11' 1 -3'-6' 9'-6" I y r2( I.--6'—.1 N I i 5 " l';';' 0 ,,,-,. r,-T, ----- 2 6: A° T I i 4 1' & y I A \V g - 1m 9 z" ^ N f. [ L-1 I •HALF WAL r / y � -51/2 .5 14' .+-5'— g _ R • 19' N t Lf I- F. ° 1.3'-6 1/2" . 2'-5 1/2" S 6',---- I 2G, r I 2-..1 m `------------- -----—i Fm G1 m :4"Y P chi N O PI m� m O ._ hal v) 171. (I) -" I PROJECT DESCRIPTION: SHEET TITLE: NO DESCRIPTION BY DATE = ? D ''' +§ '3W}E13-81M rn '.: GATCH ET FLOOR PLAN•o anti • 57' . 27' 30' 23' 4+--4' 7' - 7'-2" 15'•10" - 6' ..--5'-31/2" 1•81/2" 11'•41/2" 2.51/2' . iG 1 203x80 za H zags" �1°� 0 ims _.v I c0) Z. 1 114; 5 s ®I��®� •'I 7..9"A. 1 J_!..1 ii x6 -1 4 I I ; m 1 '. i U 2808 I _a f �- WI SHELF uo ABOVE -A m r S p (/1 Z 111 SHELFfl POLE A �^ N� P MC O S Vy ayy •2'+ N (6)SHELF M —1, m Al< 1 m 1 II' to N Y m — _4 _ 1E1 SHELF 8 POLE E� H I613HELi I6y00 m ; .i _ 1 zWtPIC (,(2.` 1� 'n .cur /`l 5 6-. I 9 Tt...,_,'10 8" 14.4 N 4, -11 a'UMW fa 11 25' I J 11 ` 'D fl _ 1 'y'�^ I II g � 1• IIl i y 1 ?, HIM t -I 4 _ X10.-3. ' �_N N i l'11'111ka!' II OI o 6 ; I - r3 I1i !!1 1 1 TE,�P p i il is `N° k-4'-+1/2. ce1/2 < -�='1 1'-4. 2 lir (`\ 1 z a e aPlc `c I I l " S Z i G f v im e 4: / \ � FA mil '�I 1 A 1A / s \, L/ :4, wr.T ; \ / T /4,1-41 _ E 808NIC .0811,16 m x " 3'•101/2" 13'•11/2" 3'-41/2", -12' 10'-81/2" 3'3" C Zm 17'•10" 5-8" - 6'-6"--.• O 30' 6'-6"-. 38'-8" i' 1 D 4''XII O 0;2 ; 01 r O^m � {n r UI p PROTECT DESCRIPTION SHEET TITLE: NO. DESCRIPTION BY DATE a y � ��«r ; a.,�° 915}fQ9^#73p. 71 :: morn 1�1 GATCH ET FLOOR PLAN o a p �x � • III • , JEFFERSON COUNTY E t4DEPARTMENT OF COMMUNITY DEVELOPMEN n F --_..,..,1 4 ,■ ► „ . 621 Sheridan Street• Port Townsend •Washington 98 { t:V p i'' �qe C� *4 360/379-4450 • 360/379-4451 Fax � http://www.co.jefferson.wa.us/commdevelopment/ U ,, L""_ O,N JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a 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. C� PARCEL SIZE(I.E.,SITE) Size of parcel • f acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 39 ,•2--o(1 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, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine 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 cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert'/,acres or more of Construction site for structures ZC.3 S- sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. ESC I f i,NG sq/ft Circle: Yes No Well,utilities,etc. Ex ill I N C sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway,parking,roads,etc. 3/40 sq/ft Circle: Yes No Lawn,landscaping,etc. &)LI S T i riU sq/ft Other compacted surface,etc. 6 S sq/ft Indicate Total Volumes of Proposed: c Total Land Disturbance 6 6 0 1 sq/ft Cut 2.00 Fill 00 (cu/yd) [over) stormwater calc 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 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. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 2+C3 S sq/ft Structures(all roof area) sgfft Sidewalks sgfft Sidewalks sq/t Patios ,�el -i pry sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway,parking,roads,etc 3 / yLir sq/ft Driveway,parking,roads,etc sq/ft Other C� sglft Other sq/ft Total New 41 o 1 sgfft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 4,i01 sq/ft This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v.REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no,the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater 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 the full knowledge and consent of all owners of the affected prope (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) stormwater calc worksheet—REV.2/20/2008 2 • • G cA r � °� JEFFERSON COUNTY ,ct; ; I ti` = ►.� DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 �rqS, �O (360) 379-4450 - (360) 379-4451 Fax 81N0 http://www.co.jefferson.wa.us/commdevelopment/ url ITS!DEVI.OPMENT 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 Sturttiwater 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 1U. 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 I, 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 • -- - . ■ - • " - - - - - •• ' - - • - - •e ow Inc u•es a sec ion a is s e ements an• 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 • (..rii‘ON °,), JEFFERSON COUNTY tr DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend • Washington 98368 360/379-4450 • 360/379-4451 Fax $7N http://www.cojefferson.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. ,Z6(+Aovev AF EykriIl c, tar iI (Vi iL /O A/A aPIACG UITIM rtta n i Ojibwa Ut. i /hi/I C,A 4 Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 66 1411G cu )C FfLt - ( J To LOFT 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. ET° U Pq0 wisi 4'9 ti;" £ ca ,d t"k.,cifr,/c .6/ 10G.ivc4 4. Describe the existing soils. Indicate soil type on the site map. 6E Salt., 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. MA( rk„StA wy avows IAA tt To fa rt 6. Describe any excess 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. c4 (6' a I tc Mfg 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.). I'LU,FF /SliUtUP 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. ST At Wirt K tAt,. f .r i,y OirW6!) IN OtLt 'uu' 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 11. Describe the performance goals and standards applicable to the project. /4 12.12. Describe the flow control system. stormwater site plan template—rev.10/21/2008 6 • • 13. Describe the water quality sy;tem. /4/4 14. Describe the conveyance system analysis and design. ID4460L f tt60 cent (kOF A sh / tvA tw 10 tYLA I N kiltki Cd0U6A-613 ultrart,tc 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. /JA 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the PP PP p Uniform Building Code. NA 17. Describe the proposed surfacing material. _ Ct.6AN Catil4GC &M ac, fbork 6.A -6 to to O 18. Describe methods for restoration of the site. I IS`ft4fl 'GO S.61 to WO-0C LJMd`t4 SlitA 14 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. N/1 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. N CAI 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. A/Q 1N6 tc.• Out 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. N 0 CLZA0 Xt t a 0,,S)te 2. Establish Construction Access. Brae t u z I cpNSi 6c S LAM ('G 1NS'Av 3. Control Flow Rates. cT( /AAA, gG (4 f60 TO (f'W (43'LOCt1y 6, OfkiNAc MAW? 6)044'60 Spat 4. Install Sediment Controls. c er loivcA wad, A5' U. Etj /1 44 IACCA, Pittv f /11 6 'c VV 5. Stabilize Soils. 6. Protect Slopes. NO CIU4s.rrukkoioN A CI i V irne vvt A. 64 s P6r-FGAPSO ON S,a P S op6 7. Protect Drain Inlets. 1V>/4 stormwater site plan template—rev.10/21/2008 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 9. Control Pollutants. N/A 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). 11. Maintain Best Management Practices(BMPs). imp's tou, e6- CIJM680 Pekbafelikly ,i f\O tV;i6^-fl o/1.M 6VCE` A BUJ 66T6'fr 4.0001T6'1 1T6'1 t fvaM vy 12. Manage the Project. 'r Wig ' W 3 4'J�f, W t/J7AttA . ,/:,,,Y t ' M+ 4.6a (A414 CamtreidevnitAi e1f raft, r 'fua l 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). NOV 6 kilovA b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). Si4c46c„N6 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. SNclf UlilLr stormwater site plan template—rev.10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. 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). !JrGH RAtJoc� 5. Construction Phasing. a. Construction sequence xc.ivo/1toN re-,uIVJ1tON) ffL4/01 MAl1Li) 2,6‘14 — /W4y Liftr � b. Construction phasing(if proposed) FNtSN (V Y i, (4 oh TO CiWP1170vN 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. Cc6 4 AC)vf II. Wet Season Construction Activities. a. Proposed wet season construction activities. flC✓1 dAr re.)0l/✓lt ' Jw,}! 477.40A4 k16. b. Proposed wet season construction activities for environmentally sensitive areas. A'4 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. tA/t c A4 - ro tdN CLo es6 Corudivr 80.I!J?6t i — a'C5 S tit ... NISI' b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. A/ di b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 I • 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 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stomtwater 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. stamwater site plan template.doc—rev.10112/2003 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 induded 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. AMC/ �lG /- 7- /3' (LAy(.INNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: �f. stormwater site plan template.doc—rev.10/12/2003 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 IV- . 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 • • • 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 IV 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. Example of a Project Site Example of a Prefect site Example of a Pooled Site with a single Natural with Mattfple Natural with lwfltple Natural .act Dischruges a Single Discharges Threshold Dischstile T hull�to iarse Area Threshold Discharge Aran ,t 4104041„ - e - * . -,w • : , Natural i� Nature! �� _; i Natural Dischwge i t ' i' Localicn oc i i Ladders i i t i 5. i t Nis Downstream (shortest flow path) Figure 2.1 Threshold Discharge Areas August 2001 Volume I—Minimum Technical Requirements 2-7 0 , '12 (21/' 7.„0 7 •6Z5), Q Tr, o k.JA), c5 1---. 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' i * 0 j 1 1 ,, Z i 1_,,, -) ' ,',--(II-.I'I`11'(.t)7\l' -'-e'--VC 0 - c.i b CV CD I APPROVED 8 SITE PLAN GARDNER 1--: BEACH ROAD : FEB 2 7 2014 N87°02'51"W 99.01 DEPT.OFTEtial:FFEmRuSONNITCy0DUENvTET0 SIGNATURE:„It 64., A 401111aNp-aillik Arro....- 1 I Job: MFR Load Short Form Date: N741NG ea Entire House By: INDOOR AIR R%PIRYS - Air Flo Heating Co 221 West Cedar Street,Sequim,WA 98382 Phone:360.683.7746 Fax.360.683.3971 Web:www.alrllohea ing.corn • Project Information For. Gatchet(Estes) Design Information Htg Clg 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(grill)) 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 1200 cfm Actual air flow 1200 cfm Air flow factor 0.035 cfm/Btuh Air flow factor 0.092 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.92 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) - Master Bedroom 200 3797 1954 132 179 Study 135 1425 261 50 24 Nook 392 3789 1016 132 93 Great room 270 8662 3606 302 331 Dining 180 5430 2835 189 260 Powder 42 713 146 25 13 Laundry 112 1583 220 55 20 Master Bath - 98 1708 237 60 22 Master Closet 77 156 4 -5 0 hall 143 290 8 10 1 Bedroom 1 134 2102 502 73 46 loft 219 1503 594 52 54 Stairs 91 913 611 32 56 Bedroom 2 143 2029 1020 71 93 Hall up 56 342 80 12 7 Bold/Italia values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. .,.. ta. 2014-Feb-05 07:56:15 wrightso�` Right-Suttee Universal 2013 13.0.08 RSU02757 Page 1 ilea ...AcompanylWrightsoft HVACWroject5Defautt 1.nip Caic=MJ8 Front Door faces: N • Entire House 2291 34441 13093 1200 1200 Other equip loads 0 0 Equip. © 0.81 RSM 10605 Latent cooling 1093 TOTALS 2291 34441 11698 1200 1200 • • Bold/Italic values have been manually overridden Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. � , 2014-Feb-05 07:56:15 �• Ww■ g ■eft Right-Suitee Universal 2013 13.0.08 RSU02757 Page 2 iLAP. ...rccmpany%Wrightsoft HVAClProject\Default 1.rup Caic=111.18 Front Door faces: N DEVEL( VIENT REVIEW TIME SIT Date Time Comments —?5—-/et C? 1 A.{'./c-- 61' ' . ,t UFR \\tidemark\data\forms\R_MLT_Case_CRMLA.rpt September 18,2012 goJEFFERSON COUNTY DEPARTMENOF COMMUNITY DEVELOPIIIINT Date: iQ-}'... Time Received: t.1- am/pm Mon. Tue. Wed. 01. Fri. Date: (D -9_s BLD: l �-� Contact Name: Owner: \ Contact Number: 360 (111N . v Address: '�j`�j'� 206 Notes: r 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 X___Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling S0N `'oq JEFFERSON COUN• • -` DEPARTMENT OF COMMUNITY DEVELOPMENT �,fsritN°,°= Date: /01/0 Time Received: q;3 am m Mon. Tue. Wed. Thur. c ri.Date: /dr" BLD: /4-_ O 'Z'I/ Contact Name: Owner: Contact Number: 360 1/6/. 2,0r5 Address: B3 Z GAEDNist_ 6gve4i RA 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 X Setbacks Floor Foundation Wall Address Posted, Block&Tile Ceiling s • ,s0N �� ^kw °\ JEFFERSON COUNTY t; .11 R9SxrNQo� DEPARTMENSF COMMUNITY DEVELOPI�NT Date: 7/1., Time Received: /142— 0m Mon. Tue. Wed. 410. Fri. Date: 1/3 BLD: 19 ezo€240 Contact Name: Owner: I-ACK-5013 Contact Number: 360 Address: P32.- 611E /tote, . g4Gil 206 z/ f,. 2.6I5 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 Inspections are required to be called • by 3:00 pm to receive an inspection the next day. Do to staffing issues,at this time,we canni.uarantee that you will receive an inspect the next day. day. Unless you receive a call from us,assume we will arrive on your requested inspection day. You may leave an inspection request 24 hours a day,and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m., we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. w4,,,4soN co_ JEFFERSON COUNT. DEPARTMENT OF COMMUNITY DEVELOPMENT Date: La..144, Time Received: I Q 2;(c (4 /pm Mon. Tue. Wed. Thur. O Date: 60-Z'1 BLD: 14-11-8 Contact Name: Owner: Contact Number: 360 1-(t,( X20/5 Address: 9'gZ c..-(byc.A,,,i, 13 206 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 Ceiling ygOh f`1__ - .v k r c°i JEFFERSON COUNTY DEPARTMEN•F COMMUNITY DEVELOP T 9's fiNO Date: 6—0 Time Received: 7 Cg daypm Mon. Tue. Wed. 411Fri. �1 Date: (e) -19 BLD: ) —Lke Contact Name: Owner: Contact Number: 360 Address: g'32-, C9 N-401w`z 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footin g 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 • Inspections are required to be 4 in by 3:00 pm to receive an inspection text day. Do to staffing issues, at this time, we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m., we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. Commercial projects require 24 hour notice for inspection. ,,4w¢S" CCGy JEFFERSON COU • �9s 0 DEPARTME OF COMMUNITY DEVELOPMENT Date: (0-'0 Time Received: p f® ani Mon. Tue. Wed. Thur. Cam'' Date: BLD: 14 - Contact Name: Owner: Contact Number: 360 L(7.7 4'31.6 Address: TN- Co-Atikkitvei 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 4g ON CO ° , ? JEFFERSON COUNTY ,..-/---'.---F DEPARTMEN•F COMMUNITY DEVELOP T 9'rNf NO'O Date: (O� Time Received: l 33 arri : Mon. al Wed. Thur. Fri. Date: 67---)0 BLD: /L — 5 q3 Contact Name: Owner: Contact Number: 360 / Address: 9`?2„ 644201.-..- &(A 206 Notes: -(21' l�(Airc_ Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In M 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 r K' �� JEFFERSON COUNTY � DEPARTMEN F COMMUNITY DEVELOPIINT .1.1-111116C Date: •-9 Time Received: L? / am/e) Mon. Tue. Wed. 414, Fri. Date: BLD: /`•/r., L-1 Contact Name: Owner: Contact Number: 360 Address: F32. G 4.14-1).....A..., at,k 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 • • 44Q¢5ON °o64. JEFFERSON COUNTY L., irivi DEPARTMENT OF COMMUNITY DEVELOPMENT 9y+H7 o.oo Date: ./15 Time Received: 2 :25 a 41110 Mon. Tue. Wed. Thur. dr Date: BLD: f 4 OCzS 1.5 Contact Name: ��ff Owner: Contact Number: 360 '775— Ajj IL" G4� Address: a32- 4/4gjiae. )5640.1 E-d 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 • • • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues,at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us,assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed,and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. . . . - - - .• .. .: . . • •. • . .zR1:Mni.cc, . . • \ . •.-1,V,Ifgypi. . -. . •.!:VitrAti,t. • • . . A. - 1-7,:f•r4.=7174 "-• +.:3'1.- • - . ItS1,111 -,, E Wei-3• • • • • . g•;,,,i,-,.,1 .7,.,,e,4z,,,,,,i.„---.7-,k,p. . • . • . _ • . . *.f.e •$.1• . . . • .. . . . -• - - • . Date — 77 -time received- 1Z,..S 5— am 16) Mon. Tue . :Wed: 401P—Fri. ' BLD: I if— 9-9 , • • Date: . • . OWNER: • • • Contact Name:. . ' ,, ..., ADDRESS: ''c 3'2,- 6-tant_Ditw-.0e-lik_ Contact Number.36.0 gOES" 2-t-f / .:. .. • _ Notes:_ T-f-f---6- .1,1x)E, • - 206 • ? .-,--.: • . • . - . • . - • • . - . - - .Foundation Plumbing -Framing - . Propane Tank • Mechanical , . ... _..... .... . . . Setbacks - Under-ground. Framing Under ground . Furnace • Fboting • Rough in Air seal Above ground . • Gas Sternwall _ Hydronic Exterior shear Exterior lines Oil • Straps Interior shear Interior lines . Ducts ,• • • • Post Hole • Ventilation . . Appliance • Underfloor - _ Gas/wood stove Man-Homes . . - . . Setbacks - • Insulation. : Final Inspection i•1 - • Foundation-- - . • • .--Al:' . „.. Block&Tie floor _wall ceiling. • . Address Paged • - - s -.: - . 1 MNMNMMEINIIMMIIIII...I . - ,, • ....4751:, *".,1- .:.'',? --z-,':-:_=:: ".e--1. - - - ... ,... ...„....„.,....., it-y/A ... .."..:: ... - Date 0[2- 'time received /0/ am - 6-) Tues. .Wed: Thur. -Fri. BLD: )t4— tiq . Date: OWNER: Contact Name: ,....3..., • • ADDRESS: e.1)/14-1.1-- Contact Number:360 t7k6 0 709? - ,.. . . 206 _ •v Notes: - . • Foundation Plumbing - Framing Propane Tank Mechanical ' • Setbacks Under-ground Framing _ Under Furnace'ground Fu Footing Rough in — Air seal Above ground Gas — Stemwall Hydronic Exterior shear Exterior lines Oil — Straps --- Interior shear _ Interior lines • Ducts f-____ • . Post Hole Ventilation Appliance Underfloor Gaslwood stove _ Man-Homes - . . Setbacks ' Insulation. , Final Inspection >..1 • — Foundation . , ei Block&Tie floor wall ceiling. . Address Posted _____ �"-q co, kb lt ?. JEFFERSON COUNTAik f: N DEPARTMENWIF COMMUNITY DEVELOP T Date: t 2T3Time Received: /Ji am . Mon. Tue. W d. Fri. Date: 1/ BLD: I 11-- La Contact Name: � �7 Owner: Contact Number: 360 Address: F?Z (o-t .9ivl.a."— BJA_ 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks X 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 of iii ki LO '� 1 m c r ch H 0 E •� o N RI.N y _O O •> .> \ u) U Z.. CD i N CI _ _c N Q L z O m m p 0 SI O CC mZ p} c = o o�z a Q !j o ' ' s m aa)i Q Q .� `� k co G ` N is c c F- c p 1 3 ' ` 1 E W 3 L IR v O rl o a�i o Y O O 1 . A V, v W U U O a) 0 M C ra ° CO Z •' o z Z Q Q. W \i a�gi �F, s .� ° O W c V� v 2 > coo C7 CO Z ' ° E z = U-1 >j CO I o m a a) 3 F- 0 m ._ i \ to ig w t \ v W t.1 CI C c ■ " 41 Z q •° N o 0 I,' U 0 ►I W 1 •Q N Z'') 0 N v Z N O s O J• R � 3 t� i a CO CD o �� o G lia m O m Z - ° ° a CI C � �O o C = co U O y V Y C O I- Q N _ 1 0 • 0 11 d ! W' ., o . G. C t d W v o• O t— i 6 W 0 w2 v m s V o H 0 N r O !� m e co L w Z CO ° Z W c CI T I & O N f6 TO N D Z C •\ �� \ 7 0 I- LLJ > m O (E c N a 0 } r .n 0 as m ■ • I Jefferson County Building Division Permit Number: BLD14-00048 Applicant: GATCHET 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 ÷A/If Erosion Control 0)G{1 P Foundation Footing Footing Drains -117-e Foundation Stem Wall fl).-1/ Underground Plumbing `ll Under Floor Framing ,othi..' Straps(hold downs) iiZ7//4I 2y Ext.Shear Wall Nailing ,_ 3_Ty d� Rough-in Plumbing ) /i Framing 7 x/27/1 ,/±); Blocking Airseal Insulation:Walls ,'/3/� Insulation:Floors MO/4 Insulation:Ceiling 001. Ak 14- 11* e}L 7/3//V J'' Int.Shear Wall Nailing Wallboard Nailing Gas Line: Interior i/g1 Gas Line:Exterior �� Propane Tank f p 4/011 Heat/Chimney Clearance Heat/Chimney Clearance VlIpdLF et•Stove la//e 'i ffil orA,1r` Mechanical Systems plrl?/t Duct Test Cert to paf t 4 Blower Airtight Test lepe�,t / Smoke&CO2 Id�/p 1 t ' • • Drywell/Alt Drainage Address Posted f p J(o r I System Finaled / ! 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 I0 1.2.41�� 1-e.r correat FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • l CONDITIONS for Building Permit# :BLD14-00048 1.) The existing mobil home must be removed from the property as per this approved plan. The current septic system is not sized for 2 residences. 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.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT FACILITIES- Any interceptor/curtain drain or foundation drain, or any other source of water that is downgradient or below MUST be setback a minimum of 30' from any septic system dispersal area(drainfield) and 5' from any septic tanks. Splash blocks must be directed away from ALL septic components. Subsurface stormwater infiltration, subsurface soil dispersal systems with NO discharge point must be located a minimum of 10 ft. downgradient of the drainfield. 4.) The site plan, as submitted with the building application on February 4, 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 February 27, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This project was reviewed and approved as a Shoreline Exemption under JCC 18.25.090(5). 6.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 7.) dlf \\tidemark\data\forms\F_BLD_Perm it_BIdg.rpt 3/31/2014 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00048 Received Date: 2/7/2014 SITE ADDRESS: 832 GARDINER BEACH RD Issue Date 3/31/2014 SEQUIM, 98382 Expiration Date 3/31/2015 OWNER: JOHN F GATCHET PHONE: 360-638-2886 ELOISE M GATCHET 327 SW 37TH TER GRESHAM OR 97080-8441 SUBDIVISION: Block: Lot: T 20 PARCEL NUMBER: 002273027 Section: 27 Township: 30 N Range: 02 W CONTRACTOR: ESTES BUILDERS PHONE: PO BOX 1377 SEQUIM WA 983882 Contractor's License ESTESBL981 DL Expires 3/13/2016 PROJECT DESCRIPTION: NSFR w/attached garage, no heat, no plumb (shoreline exemption for residence and septic system) TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,668 VALUATION 280,058.00 ADM.: 643 HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: 250 CONST TYPE: GARAGE: 635 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 07877 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $2,294.00 MEB 02/05/14 145836 Exist: Exist: Plan Check $1,491.10 MEB 02/05/14 145836 Prop: 3 Prop: 3 State Building Code $4.50 MEB 02/05/14 145836 Total: 3 Total: 3 Potable Water Application $67.00 MEB 03/03/14 148416 Total: $3,856.60 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