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HomeMy WebLinkAboutBLD2013-00115 • ,'BUILDING PERMIT APPLIC N LDiew 00115 Jefferson County Department of Community eIopment 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00115 Received Date: 4/11/2013 SITE ADDRESS: OWNER: MARK R JOHNSON PHONE: ANNETTE JOHNSON 10 CUTTER LANE PORT LUDLOW WA 983659722 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990600252 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 Contractor's License WHITEJG952DN Expires 3/15/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,343 VALUATION 271,714.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 843 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $0.00 ZAL 04/11/13 Plan Check $0.00 ZAL 04/11/13 State Building Code $0.00 ZAL 04/11/13 kS\Sel \\1/44/ '\\c*, )3\\\•5"\\: Potable Water Application $0.00 ZAL 04/11/13 Total: $0.00 \\firlomrL\rlofo\fnrmo\R RI fl An RI.J rnf 411x,/')/11'2 • 0-5ON r" , DEPARTMENT OF COMMUNITY DEVELOPMENT I,;; 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/cornmunitydevelopment g f1 s 6c° E-mail:dcdaco.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD13-00115 APPLICANT: MARK R JOHNSON PHONE: ANNETTE JOHNSON PO BOX 65335 PORT LUDLOW WA 983659722 SITE ADDRESS: 72 RESOLUTE LN Issue Date: 05/14/2013 Final Date: 10/27/2014 SUBDIVISION: 9906 Block: Lot: PARCEL NUMBER: 990600252 Section: 9 Township: 28 N Range: 1 E PROJECT DESCRIPTION: NSFR WITH ATTACHED GARAGE THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/27/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/28/2014 s , JOB ----1a 10 0M lI/If_—(1r—e i [ AYLE B. HOUK & COMPANY 8, SHEET NO l OF 11704 TWO CREEKS ROAD NE BAINBRIDGE ISLAND, WA 98110 CALCULATED BY sD P I DATE ' 013 (206) 842-5769 CHECKED BY DATE SCALE kr.. II. ' Ar.I ae 17 .. _ ... 1.. s ! its� �<5 ![ t Ij.Y''. .�..._....._..... .- ..1...........,....... ... .... y:-. VL J,c0 z(c Q ...._.......W......._. e \i'-,. .,.,5 ,'B Iliab■ ,n.-- IF05-14 ,* Q = `2:" t 9,,---17, _ W Z5d V= ? e ...a i lo‘-) T 5- ax10'�zC-t, -- 375 �N � it* 1?; :_56 5 3c- 5 y2 x c', z PI-- I. = .. lNi T _ -4aYc r ,I PRODUCT 204-1(Single Sheets(205-1(Padded) i JOB r. DAYLE B. HOUK & COMPANY SHEET NO. ?-- OF 4 11704 TWO CREEKS ROAD NE BAINBRIDGE ISLAND, WA 98110 CALCULATED BY DATE (206) 842-5769 CHECKED BY DATE SCALE 411 (1)4- - Cows 1./Gc .L--.......... ../ ... 4 ',!. .)'0 A. 5r)1::1 ' 17- . . 11 v Ity.............._.. _ ._.. ........_ 9 ti--012-12,. - ..... ,(._. . ,‹ ct ,• Lam:........... .ff is 2x : '�o C.,......... ..... . t -) . R --7--__. 4'-o." �,UC1 0./ rnm a ( � ' 'o l2 ... ..._ • 0H'i L-5........ ;... . . ... ►I '--/IX- : ..?:;./1 /M/ ' /' / ' ��o -� f-/ 4'--0" _ _ I / W - o \l i ............................ V. n t_c711 • PRODUCT 204-1(Sieple Sheets)205-1(Padded) ■ . l JOB DAYLE B. HOUK & COMPANY SHEET NO. OF • 11704 TWO CREEKS ROAD NE BAINBRIDGE ISLAND, WA 98110 CALCULATED BY DATE (206) 842-5769 CHECKED BY DATE SCALE iis24a5 1 tZa� .64 / :. ............_ _..... . . _..___.. J /2-31 4., . i : ,....,4_,__ .i. tz- 6,--zz , ,— / /7 , .7,Z.:„___, r fell �;,� ` ..... ... ...... ...... .. . „ 1.01 14.., / 0► ...... ...._..... ............ .. ,Ge it , 9),5' 1/ it )2,5) ..2,9'Xl.-7.'.=....47CrFt.2..1<<'lc -2...... ._....._ ... . ... r.. ..a. Atz7F, - ..... . ( s . . YUG vY� 0to1is.I.� c�.& roq. _ 1 .G _ - yr _ .'2c-rscrl'0\VS i....V .,. A/ `ctir_ .. . _7-' ,a 7 I , 2 P. C. Li C.p` - f,-,-().)T) :r=`-,.16-. Q . pm .�. -.; rF.' 1 C . or ,_ oc t LBO ,. . .., c/a ), m; . . _ c t_.i, i7 . : Braced Wall Panels (2009 IRC) APlywood braced wall panel at 1 &2 story buildings. Provide plywood wall sheathing on all sheathable areas of wall line, including areas above and below openings. 1/2" CDX plywood one side(block all plywood panel edges)nailed with 6d nails at 6"o.c. at all panel edges, 6"o.c. into sole plates,6"o.c. into top plate and 12"o.c. intermediate studs. No holdowns required. Maximum wall height is 10'-0", u.n.o. n32"minimum alternate plywood braced wall panel at 1-story buildings. Provide plywood wall sheathing on all sheathable areas of wall line, including areas above and below openings. 1/2"CDX plywood one side(block all plywood panel edges) nailed with 8d nails at 6"o.c. at all panel edges, 6"o.c. into sole plates, 6"o.c. into top plate and 12"o.c. intermediate studs. Provide minimum 2 anchor bolts at each panel placed at panel quarter points and STHD10/10RJ OR HDU2 holdown with SSTB14 anchor blot at 8" concrete walls(min. 1800 lb. uplift) installed per the manufacturers specifications at each end of panel. Provide continuous foundation with minimum of 1-#4 rebar top and bottom for full length of wall line(do not stop footings at garage door openings). Maximum wall height is 10'-0", u.n.o. 32" minimum alternate plywood braced wall panel at 1st floor of two story buildings. 1/2" CDX plywood each side(block all plywood panel edges) nailed with 8d nails at 6"o.c. at all panel edges, 6"o.c. into sole plates, 6"o.c. into top plate and 12"o.c. intermediate studs. Provide minimum 3 anchor bolts at each panel placed at panel fifth points and hdu4 holdown with SSTB16 anchor bolt at 8"concrete walls(min. 3000 lb. uplift)installed per the manufacturers specifications at each end of panel. Provide continuous foundation with minimum of 1-#4 rebar top and bottom for full length of wall line(do not stop footings at garage door openings). Maximum wall height is 10'-0", u.n.o. 48"minimum GWB interior braced wall panel at 1 &2 story buildings. 1/2"GWB each side(block all panel edges)attached with 5d cooler,wallboard nails, or No. 6 x 1W screws at 7"o.c. to all studs and blocking, 7"o.c. into sole plates, 7"o.c. into top plate. No holdowns required. Maximum wall height is 10'-0"u.n.o. 96"minimum GWB interior braced wall panel at 1.&2 story buildings. 1/2" GWB one side(block all panel edges)attached with 5d cooler, wallboard nails, or No. 6 x 11/4"screws at 7"o.c. to all studs and blocking, 7"o.c. into sole plates, 7"o.c. into top plate. No holdowns required. Maximum wall height is 10'-0", u.n.o. /6\ 16"minimum alternate plywood braced wall panel at 1-story buildings. 1/2"CDX plywood one side (block all plywood panel edges) nailed with 8d nails in accordance with attached figure R602.10.6.2. The wall plywood shall extend up over the header and be nailed in accordance with figure R602.10.6.2. The header shall extend between the inside faces of the first full-length outer studs of each panel. A vertical ST2215 strap shall fasten the header to the inner studs on the inside face. Provide minimum (1) 5/8"anchor bolt at each panel placed at panel center point and STHD14 holdown (min. 4200 lb. uplift) installed per the manufacturers specifications at each end of panel. Where a panel is located on one side of the opening, the header shall extend between the inside face of the first full-length stud of the panel and the bearing studs at the other end of the opening. A vertical ST2215 strap shall fasten the header to the bearing studs. The bearing studs shall have a STHD8 holdown strap. Provide continuous foundation with minimum of 144 rebar top and bottom for full length of wall line. At garage door openings do not stop footing and provide a turned down slab edge reinforced with minimum of 1-#4 rebar top and bottom. This reinforcement shall be lapped not less than 15 inches with the reinforcement required in the continuous foundation located at each side of the door opening. Maximum wall height is 10'-0". A24"minimum alternate plywood braced wall panel at 1st floor of two story buildings. See braced wall panel 6 for additional information. r y, , ■ JOB DAYLE B. HOUK & COMPANY SHEET NO OF 4 '11704 TWO CREEKS ROAD NE BAINBRIDGE ISLAND, WA 98110 CALCULATED BY DATE (206) 842-5769 CHECKED BY DATE SCALE -------ff---- ._.. >c..CD 111- 11.--,...61iltilill (1)4-4 Ca 7 ._--fir Nett 4„ f / z" 1 , 2x.e) La1:(_ 92- ' 1/&--// --- - IA)) y2,1\0 A. Ez)L5s. , ___.---_--_,- E 6- ` d '-- G Igq • , 0 . - a C-G kx.. . . ..m g 4 4 a_ H.- &'-di ( ) X012 . . _ .. QPI-11-5 e , • 4, .71X-77"7/ ///H// / / a IL /1 vv N 5 ' a` n1 `2'� , H. -� o. \N ' 0 d PRODUCT 204.1(Sedie Sleds)2051(Padded) . a I1 _ v. G II 1161 /G'_4 / 10" : =. ._. a , r,-..,,,,- . .,. ,, * .- 4 ..... .,,-, ..+. «w. waw'+' M...! +- i ,. ,. ..- �,>..�'a ... t` ..H . ill Ii I , c ! *K., 1' s T" 1 .m. ' � F r Co c i z ° - .,� .- n N 9 x awxwm+erwaa� rw*asw w svw 2 44 m . °,� / ,i• -� (� 1 1 \ ..;\ al, 4". i gg I 3 �v � 0 zom ororo ,rom -ti o-< E. co Ao 1z � mm ° cnmmv � d N m 1 3 A I --1 � � id I I `I ' m } ( I � > Vz Oa w � W '` N I _ 1I '' I ,, ,,,44,Actwa,tvt;;;:.--..1,4010*N11; 4 11*''s' ' ' 1 ,,.1 allik k a' 1 0 N , h` - j � i , ': . .z,,ACx A` ,.t$aP. 401400600/411000144 d, E ,,r ` ,, 2.1' 230 i' risk ta Me TUB Braced Wall Panels (2009 IRC) / ' Plywood braced wall panel at 1 &2 story buildings. Provide plywood wall sheathing on all sheathable areas of wall line, including areas above and below openings. 1/2"CDX plywood one side(block all plywood panel edges)nailed with 6d nails at 6"o.c. at all panel edges, 6"o.c. into sole plates, 6"o.c. into top plate and 12"o.c. intermediate studs. No holdowns required. Maximum wall height is 10'-0", u.n.o. (L, 32" minimum alternate plywood braced wall panel at 1-story buildings. Provide plywood wall sheathing on all sheathable areas of wall line, including areas above and below openings. 1/2"CDX plywood one side(block all plywood panel edges) nailed with 8d nails at 6"o.c. at all panel edges, 6"o.c. into sole plates, 6"o.c. into top plate and 12"o.c. intermediate studs. Provide minimum 2 anchor bolts at each panel placed at panel quarter points and STHD10/10RJ OR HDU2 holdown with SSTB14 anchor blot at 8" concrete walls(min. 1800 lb. uplift)installed per the manufacturers specifications at each end of panel. Provide continuous foundation with minimum of 144 rebar top and bottom for full length of wall line(do not stop footings at garage door openings). Maximum wall height is 10'-0", u.n.o. Q 32" minimum alternate plywood braced wall panel at 1st floor of two story buildings. 1/2" CDX plywood each side(block all plywood panel edges) nailed with 8d nails at 6"o.c. at all panel edges, 6"o.c. into sole plates, 6"o.c. into top plate and 12"o.c. intermediate studs. Provide minimum 3 anchor bolts at each panel placed at panel fifth points and hdu4 holdown with SSTB16 anchor bolt at 8"concrete walls(min. 3000 lb. uplift) installed per the manufacturers specifications at each end of panel. Provide continuous foundation with minimum of 144 rebar top and bottom for full length of wall line(do not stop footings at garage door openings). Maximum wall height is 10'-0", u.n.o. 48" minimum GWB interior braced wall panel at 1 &2 story buildings. 1/2"GWB each side(block all panel edges)attached with 5d cooler,wallboard nails, or No. 6 x 1W screws at 7"o.c. to all studs and blocking, 7"o.c. into sole plates, 7"o.c. into top plate. No holdowns required. Maximum wall height is 10'-0"u.n.o. /5\96" minimum GWB interior braced wall panel at 1 &2 story buildings. 1/2" GWB one side(block all panel edges)attached with 5d cooler, wallboard nails, or No. 6 x 1W screws at 7"o.c. to all studs and blocking, 7"o.c. into sole plates, 7"o.c. into top plate. No holdowns required. Maximum wall height is 10'-0", u.n.o. • 16" minimum alternate plywood braced wall panel at 1-story buildings. 1/2"CDX plywood one side (block all plywood panel edges) nailed with 8d nails in accordance with attached figure R602.10.6.2. The wall plywood shall extend up over the header and be nailed in accordance with figure R602.10.6.2. The header shall extend between the inside faces of the first full-length outer studs of each panel. A vertical ST2215 strap shall fasten the header to the inner studs on the inside face. Provide minimum (1) 5/8"anchor bolt at each panel placed at panel center point and STHD14 holdown (min. 4200 lb. uplift) installed per the manufacturers specifications at each end of panel. Where a panel is located on one side of the opening, the header shall extend between the inside face of the first full-length stud of the panel and the bearing studs at the other end of the opening. A vertical ST2215 strap shall fasten the header to the bearing studs. The bearing studs shall have a STHD8 holdown strap. Provide continuous foundation with minimum of 144 rebar top and bottom for full length of wall line. At garage door openings do not stop footing and provide a turned down slab edge reinforced with minimum of 144 rebar top and bottom. This reinforcement shall be lapped not less than 15 inches with the reinforcement required in the continuous foundation located at each side of the door opening. Maximum wall height is 10'-0". /7\ 24" minimum alternate plywood braced wall panel at 1st floor of two story buildings. See braced wall panel 6 for additional information. \\\\ .. ,., ''. , . ,. ,................\.......*,..................... .': 1 , • I I. ,.-,- I \ , i 1 ' ' • . II .p'N f,•• •' ,..-. , . .. ,,,; .• , '111'1Z •„:..rt'•., ''.;41i . ' .. . . F,,,,,, . : ),,:: 141/41,4Atcota.7121,404cgaile -ii . . . ' ! ', ' 1 , ' . . .. . 0 t.:1 1(11 q . 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DEPARTMENT OF COMMUNITY DEVELOPMENT APR 1 1 2013 '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax io ,q p� www.co.jefferson.wa.us/commdevelopment JEFFERSON COUNTY �f1IN i DEPT.OF COMMUNITY DEVELOPMENT Master Permit Application MLA: Project Description(include separate sheets as necessary): Srr )Ge-t_Se t=Mt<1i VY Ce5lii_ r=°r.7GC Tax Parcel Number:-it' q90 l000 Z 5Z Property Size: 12-i 2q O4t 1 (acres/square feet) Site Address and/or Directions to Property: LOT S2 Oi_-,A-r-e. LArt.-)�.. 'c r l..-1.4&JLo iAI' Property Owner(s)of Record: Iv1 pla,•{...4 4 ..- 4, Telephone: 7.71. 1.72.7 Fax )mail:rll :.J.,_. _ _' 0.4 4 - itpvil Mailing Address: 10 Cw E- ., (—r.) c:7,,,, ,,-- lax ow 1'i) - $a(c,- I Applicant/Agent(if different from owner): CAN-t Y' *144,.>f kJ Cr-C.t Telephone: 4o (o 5. oi,o 4( Fax: email: A - °', ,dL di d ,, , ,,.tzeisr Mailing Address: v ' What kind of Permit?(Check each box that applies ❑Lot or Road Segregation ❑Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) FR'Single Family Ca'Garage f /Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular • - ❑Discretionary"0"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** El Propane ❑Long Plat** El 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 ' trr _ _.. Li to act as my agent in matters relating to this application for permit(s). OWNER SIGNATUREZ' ` NM Date: 4°/to I 13 ( By signing this application form,the ow er/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 in •-cti•ns. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appli iol hat,e • 4 he ants prior notice. Signature: / / ,. `., Date:____411.0413 The action or actions Applicant II 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 i compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans a res nsi for adhering to and complying with the ESA. The Applicant has read this disclai er and signs and dates it below. Signature: Date: U/' 13 - li BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature`.' --t " Date: _ GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 4o,Nir, t: ►-!12s.ati.2 t 2tirsdi fl 0;2,1 i�ty(�p I 1 ( ) ';06 Oil ( ) MAILING ADDRESS: f - ilt- i< I i I 0 Sure 1 5Ti -1e/�Ct1EMAIL:U--tcA �I _.cJ-,4 , .-P^. ,,,, de CONTRACTOR'S LICENSE ,Y`^ WAINS C Qj t `�Cr ,►w�' NUMBER: iik)k4-14-S.JCx6252btJ NUMBER)Il/s4,21530 EaN=,G270:30^l3 ARCHITECT/ENGINEER: psscc,o y LsoH `,t,a+td jcp b� PHONE ( ) FAX:( ) MAILING ADDRESS: plizmp v EMAIL Prgject Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: IV New VWood Existing: �+/ wer C Addition ❑ Steel Proposed: 9...k1-2.- Bank Community System C Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System C Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ P,rivate well ❑ Two Party Type of Heat: Proposed: ublic c�o‹no/14, ,f P44 M9 Total: Name of System: 2,4 ti / 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: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert 1 Hot Water Tank I Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use J;y . unit• , ision. Main Floor Heated 23 4 3 al 3. H Bld App Review: J Sew.e,rr 2�" Floor Heated Consistency Review: 00 Other Heated Base fee: /9,5� , !S Mezzanine Additional Section: --e------e — Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: ,C/ 5 0 Other Unheated Pot Water Review fee: /O / 00 Garage/Carport 84.3 51‘1 70 SUBTOTAL 351,7, q7 Decks 911/Rd Approach fee: 00 Other 1 ii J• TOTAL: $ 3 7 9 5 •�7 ------------- t--:) I Receipt Number: 1 a3(p Cash/Check Number: ESTIMATED COST(REQUIRED) Date: J J I� .Fair market value of all labor and materials foundation to finish I88 t50.,&' Initials: i °N eon JEFFERSON COUNTY r,, 1 W , �� DEPARTMENT OF COMMUNITY DEVELOPMENT R I v .,y ►• . 621 Sheridan Street • Port Townsend • Washington 9$368 MAR 1 1 2013 O0 360/379-4450 • 360/379-4451 Fax ENO http://www.co.jefferson.wa.us/commdevelopment/ ,�FFEOSt% CoUNry ocI 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. PARCEL SIZE(I.E.,SITE) II Size of parcel • ZS acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet I Z( Igo 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 C„.t Z sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. IWIk sq/ft Circle: Yes No Well, utilities, etc. -e,- sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking,roads, etc. 18 7 sq/ft Circle: Yes No Lawn, landscaping, etc. t..)a.-n v' V &> ok.) sq/ft Other compacted surface,etc. 4;;,- sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 544?0 sq/ft Cut gS Fill 40" (cu/yd) [over] stormwater catc worksheet Rev 9-9-2010—REV.9/9/2010 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) 3 62 12 sq/ft Structures(all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc I S"7 e. sq/ft Driveway, parking, roads,etc sq/ft Other sq/ft Other sq/ft Total New L> sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 54610 sq/ft *This amount will be used BY STAFF 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: .44677% Does the site have 35%or more of existing impervious surface? Circle: Yes FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for 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 property. i i1, I∎ / 0 (LANDO ■E-OR AUTHO• ZE'T E••ESENTATIVE SIGNATURE) (DATE) �.r 4 q,. s �„� �'.y. .�s r4"4"` ya ;�� �kw�v '�s4.� .; ' � a,�r r „� �� �� �,c �t fr�� ' ,e". ,m .<� t...�,�.«..?a, p'r 1�. ,". 2 .s s , ,k ..,, �G :. e. `aT , Ingi stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2 • • D i V JEFFERSON COUNTY �� $‘,./..ti DEPARTMENT OF COMMUNITY DEVELOPMENT MAR 1 1 2013 \\ ... 621 Sheridan Street • Port Townsend • Washington 98368 (11 i A1� in �Q (360) 379-4450 (360) 379-4451 Fax �LFFEiIIY G http://www. 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 Stormwater 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 III, 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. 1 stormwater site plan template—rev.10/21/2008 r• • ® a 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 '/2 acres of forested area to pasture) at the discretion of the UDC Administrator. See Volume I, Section 2.6.2 for more information. STEP 4: REVIEW THE APPLICABLE MINIMUM REQUIREMENTS The Stormwater Calculation Worksheet is a required submittal for all development and redevelopment land use applications. Completing the Worksheet helps determine the broad category of the proposal—"small," "medium," or "large" project—and the applicable Minimum Requirements. "Small" projects need to meet Minimum Requirement#2 only. "Medium" projects need to meet Minimum Requirements#1 through#5. "Large" projects need to meet all the Minimum Requirements,#1 through#10. The Minimum Requirements are as follows: 1. Preparation of Stormwater Site Plans(Chapter 3 of Manual) 6. Runoff Treatment 2. Construction Stormwater Pollution Prevention 7. Flow Control 3. Source Control of Pollution 8. Wetlands Protection 4. Preservation of Natural Drainage Systems and Outfalls 9. Basin/Watershed Planning 5. On-site Stormwater Management 10. Operation and Maintenance The Manual provides descriptions and instructions in Volume I,Chapter 2. Information sheets, application materials,and DRD planners can help describe the Minimum Requirements to applicants. Note: "Large" projects, as part of meeting Minimum Requirements #6 – Runoff Treatment – and #7 – Flow Control, are compared to Volume 1, 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 For ease of use, the Stormwater Site Plan submittal template below includes a section that lists the 12 Elements and provides the opportunity to include sufficient information for rural residential and other relatively simple Construction SWPPPs. For more complex projects,a separate narrative and set of plans may be preferred or required. Volume II of the Manual is dedicated to Construction Stormwater Pollution Prevention. A step-by-step BMP selection process and a complete description of the BMPs applicable to each element is provided in Chapters 3 and 4. Additionally, DCD provides a Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet that summarizes the 12 Elements and excerpts from the Manual sample sediment and erosion control measures for typical rural residential development. The Packet should prove useful for completing the Construction SWPPP component of the submittal template. On construction sites that infiltrate all stormwater runoff,the primary consideration in the preparation of the Construction SWPPP is the protection of the infiltration facilities from fine sediments during the construction phase and protection of ground water from other pollutants. On construction sites that discharge to surface water, the primary consideration in the preparation of the Construction SWPPP is compliance with the State Water Quality Standards.' The step-by-step procedure outlined"in Volume II, Section 3.2 is recommended for the development of these Construction SWPPPs. STEP 7: COMPLETE THE STORMWATER SITE PLAN The Stormwater Site Plan encompasses the entire submittal to Jefferson County in conjunction with a land use or building permit application. The following documents or sections should be included: • Project Overview • Existing Conditions Summary • Off-site Analysis Report(if required; usually for"large"projects) • Permanent Stormwater Control Plan • Special Reports and Studies(such as soil testing,wetland delineation,etc., if applicable) • Other Permits(approvals required by other regulatory agencies that include stormwater management conditions) • Operation and Maintenance Manual(for each flow control and treatment facility, if applicable) • Bond Quantities Worksheet (for performance bond or other financial guarantee for proper construction and operation of construction site BMPs and permanent drainage facilities,if required) The submittal template below is designed for rural residential and other relatively small or simple projects. For laTger and more complex projects—particularly those that involve stormwater treatment and/or flow control—more information may be required and an independent Stormwater Site Plan may be the preferable submittal format. STEP 8: CHECK COMPLIANCE WITH ALL APPLICABLE MINIMUM REQUIREMENTS A Stormwater Site Plan as designed and implemented should specifically fulfill all Minimum Requirements applicable to the project. The applicant should review to check that these requirements are satisfied and that all information provided is true and correct prior to signing and submitting the Stormwater Site Plan. (The signature box appears at the end of the submittal template.) stormwater site plan template—rev.10/21/2008 4 . 0 0 1p ek'a% JEFFERSON COUNTY rzr ti � � DEPARTMENT OF COMMUNITY DEVELOPMENT ...t az) 621 Sheridan Street • Port Townsend •Washington 98368 p� 360/379-4450 • 360/379-4451 Fax $TNO http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. 0//1, - -r 1 L 401i i 2 345 0'51,11 �,4-?vii&Y--/22 /D*NLg . q ' .!!L,_..,,, ... _ -1'' . "--1.1ii(L: Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. `7' 1" — ,;6A-1-.1fG@ Sr. T (:::F C712./v rc,-)A- y1s(.4 c-i-'r C c-f r' f A-I /r / /I P �■e>2 2 ...G LCi � L - ) Z.-07—.5-2_ PC--5 (17-, ar.4)-rz4r TO LU/41-71-i4- E- r- Pc7i n.?T- C? 4V LV C`,o,r z-f-12...- 12ou.c i-s[,. / 2/ ' Ei55-- o ,-� /. -' ' 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 7-7. --70-71....,O viv 1,,, /.,14. _ / 1 . //.!E' 4.6/ 41,5- Jo/ G" A' X07— (/1.10S7��`t— //v cwa ""Pg---/iC 77 dF r17&•,g107 Jg ) ---(1_ 1411, 5pAPT G Al-i---,-1-Z.—/ 40/c-0 /3 r--12.-1,2-'a C5'3-J , -1Z-L- .5- 7e' 4. Describe the existing soils. Indicate soil type on the site map. -.r I L- /S 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. / L07 ,-'„,-- I r7, 0" �. 4.— if t d .: /C.› > v/ C 7 /--p lJY c 41/T3C'/t-i5/ev e 05� --Lofr -C� /t w o c izu0 . U//7-7-4 ;4-1 --7 -/-f , C'2/-fr)e� ' , •'['_ A.i v !o'%Ars/ a �ars / -,/ /-Cc-7- 6. Describe any excess levels of noise generated by the proposed use or activity: CAN L"G' 0 a/Zs�(., "' C.0/I.2S7 j--E.t C)"7 o it '` ` �4 i "\ Il i � s ;_ V 11 6'' 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. 4107-", t2 twit !U6'it1fi U ' 5:Vf.A'/ 7711 5 p 15% a g'lc 's Aw AI. C_ A-266 /220711-1-11-&14, �A�L-o� ��Pr✓�-jZ-� 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.). G=0 C-41-r U /< i rJ G-stiT - o v tiJa err-4 f j L.4 r'+~. .D VAC--1111--2r.' L- '7 " t SojTi� - 1-/v A.-7 .4 c- cc Sri 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. cir t j 2 tom- 10(2.1 ri) L.I tit✓- lr,ct�v L t" T t Cr1-4 T- r,. '__ - `a) : . v — .__ " , fir 1341-1-7 L r v Lvv/...›t■L7' a-"5 emu)• 1. CIA-76c- t-1 t piz-'r C)c tT t r"ac P�i t t c2 c.)> f2 _ F' 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.] 11. Describe the performance goals and standards applicable to the project. it- _.!_!-. a-4 c 2.“.chit 1 r L ul.. . .t '' iV► r -- 1JLIl,C — (A) 12. Describe the flow control system. P_ICJ e S ^t- - t l • t. r► - II I- '` _ v -I-- A L � �..�i I ; 1. t` 111P'• -t•'' —,v.� '0 f stormwater site plan template-rev.10/21/2008 6 • • 13. Describe the water quality system. ■ e-ge LU 1.1"�L� L�� /furs r'ii_ - 1/ 14. Describe the conveyance system analysis and design. . El‘04._- 4"4"' �o IS , fir-L Tb e_o tv-r1 L,k. (IJ ` . — L 1. t• ` __one ` Li A-76- TZJ P(17—‘44 a 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. 'fd P 5 d t L. U.) t LL- Fr--o e__ v4_71D W GCS S Acs -+SSA;2 ' I L., 11--N-1-5 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. .L=• mss • p r(-21'14.17/ L.t e%- C--Q- / _ 4P cc t2 • 17. Describe the proposed surfacing material. 14.-5 +vat l -L- p co c-tz --a -c 3�, wt l lv 4-s) C�ct�.hA �J 18. Describe methods for restoration of the site. 1R6r2 s ot—� E't w/ c,.i l 0.0\7 o pir V > `'t-7 • ! • 4J i.-1•••. t/ -�' _G,l_ ' c - l .- ___. - t now li - iL---•00 iv_ >' r T25 S 1-x..1 )5 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. 0/A- 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. A�vItJ�' 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 i L (} U}4/C":" A' i- k -LAA PJ vL7i3O 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. A n A-Q_Y •--)(-1.-- W l t-1.,� 31✓� P VA c_G u)I-rr- - nel•-)4 PrP.P ►✓, o Pty 2. Establish Construction Access. u�O R.[� 3. Control Flow Rates. 51`Lfi—` c ac.r✓ •l 1-) -c-17 Q L t7 - of NIt •-z4E.:.l111 mica. — . 4. Install Sediment Controls. 3 U)t 5. Stabilize Soils. Cztivt4 t� `�" w1 tsGr=--�5 . ( `e 0-0-1./17.--4- T is 0t k..74-- 6. Protect Slopes. 7. Protect Drain Inlets. Ill P - :_ ••• t ')41/TI Ctr'( 47 5 Tb 4" stormwater site plan template-rev.10/21/2008 8 • 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. t 'S t 14'10 9. Control Pollutants. 1.i 1. G_,g■ - _�� 1)b -_ _ t ,... Ar P LLLt 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). A?r 4l2J -c_ >� U- i u-�_AkLL Z 1/� 'r-- 6 P1r 13c.- 1� fir vn.1(--- uJ r-r-H- S .oe 11. Maintain Best Management Practices(BMPs). ! w _ A IP t' traltia �-- 12. Manage the Project. ` It dk-1 PL. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). At2 M - 0-ou-&i 1-1 t-C_ -1 c nit >r £ H- '1 � L ApJ A vs-) A *- .• — w _ . ��•._ _ eG.L - L A wt.. r/9 17%. .F ,r-r./.i Lod. u - b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). r 1 I c `t-E? Jpp jzA,--1.4.t C7c.aw Tb.a<A-t1 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. A)/k stormwater site plan template-rev.10/21/2008 9 • b. Description of special requirements for working in or near environmentally sensitive areas. PPI 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). WoN PJ' - Cc,u S't'T-Lc-TT v&7 S iTl 5. Construction Phasing. a. Construction sequence Fe-r5-1=V Aerl FD12t t r��a,- j7 t NA r.)t7 . t 4 / b. Construction phasing(if proposed) Il�bNts' 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. �c 4.2! _ k_Aar' • I 4•■■) .. • r — Junk II. et Season Construction Activitie . Ottur a. Proposed wet season construction activities. b. Proposed wet season construction activities for environmentally sensitive areas. AJ d NCL 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiationpf bonds and/or other financial securities. 4A4 404-1.-ali b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. f+:P5oN,4t— 5 ors loC ( 6 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. 10 b. Diversions. c. Waterways. d. RunofflStormwater Detention Calculations stormwater site plan template—rev.10/21/2008 10 • • SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan, a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation (e.g.,tree lines, pasture areas,etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries(if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h. Label final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches, or ditches. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or call out pipe inverts. d. Shows grades,dimensions,and direction of flow in all ditches, swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices(BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s), pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe, and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/21/2008 11 • • Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities, flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs), the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. ��. 4117,!.‘, �t / !l •• NER OR AU HO' 9 REPRESENTATIVE SIGNATURE) DATE THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/21/2008 12 • • Jefferson County Department Of Community Development STORMWATER MANAGEMENT HANDOUT Select definitions from the 2001 Department of Ecology S tormwater 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 l—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. GIs of a Project She Example of a Prated SNa Example of a Project She with a Sing.Natural with Multiple Natural with lluhlpls Natural Disdwge and a Single Discharges and a Single • Discharges and Multiple Threshold Discharge Ares Threshold Dladarge Area Threshold Diacharpe Areas �`• : ' ` ` sie may I� �� �1 Natural � Natural —! ! Natural 1 Dischespe Discharge • i Location Locations i 1 LACSGOns i • •0 :` I % • •... f I t 14 Mile Downstream .4 (shortest Sow Path) • Figure 2.1 Threshold Discharge Areas August 2001 Volume I—Minimum Technical Requirements 2-7 Map Output : Page 1 of 1 III ArcIMS HTML Viewer Map yca a_a fJ1� � '95- -,r,C�•f-s; - r 1.„„irlik 92,26r,0244 4 '11- -- - -, . -,.,...0---- ' ; '''.:7„..r...:,--tt, '::1-,:: , ..''' ''14 zy Legend F w — Selected Features 4�C )1.'1.'42 ; JC_Roads II Parcels-H �— — : 99Q622,3‘ gr.?_� _i 2011 Aerial Photos Ltr - �� I I l ,i a ,_ ,., ,, 1 .. ... . . _ . il.�r ru�:dsi:n'rc c•rvi�vrct:/: 1 vxr:Gk; FOR INFORMATIONAL PURPOSES ONLY Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. 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N 1111111111 I c t Hãht1 ' 0 t \_-.1 k,,,-.,,,7 T \ \ I \ 7,,LalJL !I Mill F ,1 ` i i r. i e N a i ' ,.."""'"da '''.3 N t ' 1 } QLI Q v 3 e v_ a lit P 41 • . )V J seta 'id 1I. r I �q r - fi a . Ti � a•sa 1 •• Q I I N C o. 0 t 1 a W pp lilt I j : - : r ,4.. Y e,., i € I ti; 24' ate_ aa' CF- !. ., •a �— te r 1 n gp,1o' I+. N CO ■ w • ID • Jefferson County Permit Center 621 Sheridan Avenue Port Townsend, WA 98368 RE: Plat: At-4a- 2 } parr Luritew Nis 2. Lot: 5 2- Tax: °j/C1600 2.79.-' To Whom It May Concern: This is to confirm that sewer service is available for one single-family residence at the above reference lot. Signed: �-�''j _'• // l.. 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Data contained in this map is limited by the method and accuracy of its collection. Wed Apr 10 15:39:42 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 4/10/2013 D- al CC CO H O CT LL CV _0 Z LL_ � O H O ti CO O .. •- CO ¢ CI c+- a) — m co Z O -o - CO O O C_ J -C) X CC "0 4-' O C U CI = F- LU O C) Z -1-1 "0 H O OT Q •- 7 .0 L .0 U ti Q _a U U U Q Z O 7 0 J 0- CL X "�. \ U H F- O O 07 N a) N OA "0 N = O 1` U 07 Cr 'O 1 LU C O 3 LO B I- OD � O CO O CO J U C] Cr) -0 CC Z CO C g H 07 -- CO 3 3 r N N F-- ti CIO Q -0 CC O • W CO Z T„ C W CO O CC J W Z CO W LLJ 0_ CO Z CO CC O CO Z O O Y Q CI CO Z Q -- C C � 3 Cr X '� O Z 2 J 3 CO C1 CV O CC CC Q 2 O O OD J X 1- O � OC J c21 J N C) W -3 W O `< GE O I- LLJ I- O U LU "O J CV Z X W CC I- I- J CC U O I- a) J 1- = 1•- Q CO CO C1. Y LLJ U I- 0 CC W Z OA OD = CC Z CC CD O CC N 2 7 C1 O Q Z O O C9 0- Q Lf7 O +, `.. U X CC d fO - ++ O N CO 00 LO NI- CU P� O 0J O OD Z O 2 0) O Nt 07 � CO • O CO CO O .- CO NI- O O -O L CO 1"- U a) N N 7) # C O Z a) •- L a L 2 Y C — N O +- a) O a) a) 7) a) -- 7) -7 L a) U OD a) "O 7 OD U L. C_ C1 - O OO 0- S- 0 f0 X ++ U "0 X 00 U7 C1 W -- -- co OD H I x q- I— co CO 4- x X 1— Q • • \ \t(„3\__ Prescriptive Energy Code Compliance for Single Family and Duplex Housing:Zone 1 Project Information Contact Information This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition).This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review.The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself.To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edu/code Glazing Glazing U-Factor Door 9 z Wa1l12 Wall-into Wall-ext4 Slab6 Vaulted Option Area l0: 11 U-Factor Ceiling Ceiling3 Above Below Below Floors on of Floor Vertical Overhead Grade Grade Grade Grade R-49 or R-21 R-21 R-10 0 I 13% 0.34 0.50 0.20 R-38 R-38 In R-10 R-30 t TB 2 Adv. R-49 or R-21 R-21 R-10 II 25% 0.32 0.50 0.20 R-38 R-38 R-10 R-30 Int.7 TB-2 2 Adv. R-49 or R-21 R-21 R-10 III Unlimited • 0.30 0.50 0.20 R-38 R-38 R-10 R-30 2 Adv. _ See WSEC table 6-1 for footnotes — Glazing Schedule Attached to Document ❑ Does not apply.(SEE INSTRUCTIONS)Using Prescriptive Option III.All glazing and doors meet maximum U-factor.Alternate heating size method submitted. ❑ Option I or li,Glazing to floor area limit(WSEC 602.7.2) ❑ Area weighted window,skylight or door U-factor(WSEC 602.7.2) ❑ As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: ❑ R-10 foam insulation,continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description _ 1a High Efficiency HVAC Equipment 1 ❑ 1b High Efficiency HVAC Equipment 2 ❑ _ 1c High Efficiency HVAC Equipment 3 ©� _ 2 High Efficiency HVAC Distribution System ❑ _ 3a Efficient Building Envelope 1 ❑ 3b Efficient Building Envelope 2 ❑ 3c Super-Efficient Building Envelope 3 ❑ 4a Air Leakage Control and Efficient Ventilation ❑ 4b Additional Air Leakage Control and Efficient Ventilation ❑ 5a Efficient Water Heating ❑ _ 5b High Effieciency Water Heating �-- _ 6 Small Dwelling Unit ❑ 7 Large Dwelling Unit ❑ 8 Renewable Electric Energy *1200 kwh ❑ Total Credits 0.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010 • Up Front Parcel Review. Parcel 990600252 Printed: April 16, 2013 MARK R JOHNSON Site Address: ANNETTE JOHNSON RESOLUTE LN 10 CUTTER LANE PORT LUDLOW, WA 983659 WA, Parcel Number: 990600252 S-T-R: 9-28N-01 E Total Acreage 0 Legal Description PORT LUDLOW NO. 2 AREA 2 52 Land Use: 9100 Flood District: w Fire District: 3 Planning Area: 7 Flood Map(FIRM)Panel No: School District 49 Zoning: "pe,-- COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ v( Plot plan states "property line" [ Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [IX Legal Access to Property YES NO [ L}/ Parcel Tags or Scanned Documents YES NO [Vr ESA's: Special Reports Nearby YES NO [.<- i Designated Ag YES 4'f [ f' Shoreline Designation: ES [C/K Shoreline Slope Stability: YES Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ c( Forest Lands: YES 40 Adjoining Forest Lan.s: Commercial/ Rural/ Inholding [("er^ Mineral Lands: YES 4, [ L" Agricultural Lands: Y • [ f,,r Archaeology: YES [ Stormwater: New Impervious Surface Land Disturbing Activity 6,t 0 ESA's Stormwater Req's:Min Req#2 Min Reg#1 thru#5 Min Req#1 thru#101 Engineering [ ( Notice Provisions/Disclosure:Ai sort YES NO MRL YES NO Forest Lands YES NO [ andscaping Required: Yes t • [ ErParking Spaces Required NO © Other I l/` Building Height: UBC andard -- 6.J 6 5L�� [ ] ' Impervious Surface cover percentage: `�i ' , Resource Lands&Public: 1 Rural Residential Rural Inal: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural I rial Lands only [ Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 All others:subject to se ' ater constraints/None specified [ &} Setbacks: Front: Gi' Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ � Road Classification: Road Approach: EXISTING ., . RAP [CA--A-- SEPA Required: cES EXEMPT [ c - Flood Certificate: [ C..1------Existing Case(s)&Condition(s): Violations: Yes No [ Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [t.]'' Lots/Require Declaration of Restrictive Covenant YES 6;)submitted: YES NO [ UGA No Protest Agreement YES 4 O, bmitted: YES— NO Site Visit conducted YES [ V Require Final Zoning Approval Si' `1• [ V ADMIN: Setbacks entered in Permit Plan case 44130 YES New Parcel Tags entered in Permit Plan dam YES Special Reports Scanned ' ES No parcel tags found for parcel Cases Associated with APN 990600252 Cases Name Review Type Status Planner ADR13-00024 JOHNSON P Application Received: 4/16/2013 Permit Issued/Case closed: Case Finaled: 911 BLD13-00115 JOHNSON I P Application Received: 4/11/2013 Permit Issued/Case closed: Case Finaled: NSFR WITH ATTACHED GARAGE PRJ13-00197 JOHNSON P Application Received: 4/16/2013 Permit Issued/Case closed: Case Finaled: NSFR WITH ATTACHED GARAGE \\tidemark\data\forms\R Parcel CRMLA.rpt 4/16/2013 Page 2 of 2 m :::s w cn a) c H Q �' ` O.._ = o `O e 1 �1�_ a) 0 0 tl,„0„,, a� � Z 4 0 N.5 _c co , p C o Z a CD G) 3 "4 o 0 C 72- 4111 o �w C O 0 a) _c Z d m Z 1 a) a 15 Q � �V G U} . o� =mth a p •— • s O w NS CA 46 -a o oico WL O 4 a aco U O L ° r' N Q U r • tW Z co r O H ai o Z d Z Q N L m > a N ~ w 0 c in 4 790 o H J O N C a) J W > O°° >- O O CI O � y _o o m MEN� ru5. 004\1 Mc'f\. .;09)'/ SoN GO ,� OF G° to. e. 60 C� �M�N 2,016 pa tact Nam eC 3 6 P PR o°ortact Numb 20 �o Wece\ved. e`rar\ca\ (\toe M caoce pate 22 I 1i aoe dark Fu Gas prop p\\ / rd gip• a��o� vode<tro vod putts O`NreC Fr C° rc PddCess• Pb°ve Goes /� PPp�a �e ra �og es °°d stO P\u�b F Sea\ tee\oC\`� Gas�� fmc Notes or tourd teC or sbeaar/ \� F\oa\\osPect�Or aat\ \o Ex he 2S d Four s 0‘,0(`'�°d o��/ \otve�t�\at`O�C� Pddressposte Set°°t r/ t�ateC Ntc / urdeC\at o F �a\\ / ° \o5u Stem Straps F\ooc Post\"AO\e \N a.\\ roes Setbacks dat`Or or co JEFFERSON COUNTY p U/'�DEPARTMENT OF COMMUNITY DEVELOPMENT `� Time Received: l : k.el am/pm Mon. Tue. 04290 Thur. Fri. Date: . Owe CR BLD: \2- . - 1 ` Contact Name: Owner: _ V\.v -Ar' Contact Number: 360 A Address: 1e " 9 (... 1"... 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. $ON co 3 I- ..' o JEFFERSON COUN ' 4-6 ,5*Sietap. DEPARTMEINWF COMMUNITY DEVELOPIONT Date: Time Received: 11-/- am/pm Mon. Tue. Wed. Thur. Fri. Date: �j3( BLD: 13- 1 1 5 Contact Name: Owner: s c„, Contact Number: 360 ,2105" p gO y/ Address: 7 Z ?es xt-,Yr>✓ 206 Notes: Foundation Plumbing Framing • ;,-Propane Tank Mechanical s Setbacks Under-ground Frfal. Under ground Furance Footing R. :I In ,j Above ground Gas Stemwall H droni. - e: y ,� Exterior lines Oil Straps Ho Water Htr , ► z r rear Interior lines Ducts Post Hole ,/ i : tilation Appliance (J ',Underfloor Gas/Wood stove Man-Homes / Insulation r Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling e,¢SON `'°o JEFFERSON COUN DEPARTMENrOF COMMUNITY DEVELOPMNT -SyH ° Date: 1/240 Time Received: $-47 tj;15 C71pm Mon.` Tue. Wed. Thur. Fri. ∎, 'W Date: �'3.) )k BLD: 13-003 IS Contact Name: Owner: }ii)soeJ Contact Number: 360 'Z& -04,441 Address: 7z rasp'-> T. L..- 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 X Address Posted Block&Tile Ceiling x .-:- . - , • - . . - • - 0 . .,... •• ' . - •- - t.:4-,V.....;"ATM?' - • ?-6-:4 .,.,:.=::-..?s, - . . , . • • .. . -. 04iigtOtgagIgMf' .- . . . . - • ... . . . . - .... -- - - - Date 10•'•1° 'timer eceived.54z.- .,,, ,, Mon. Tue . Wed t.- Thur. -•Ft-i. • I 'c- . _ Date: 1 V — 141 - . . • . . . • • . OWNER: • • - - • Contact Name: ADDRESS: t:/.. "7 . l. - • • 1 . - R„.e. J-1-7(... 1---i-, Contact Number.360 7 7 4 ..,„,v• .:-...: 206 • Notes: . - rj---7 -1)‘(' _. i..-9, co.a - • • - - - . • . - . _ - • . :Foundation •Plumbing- - Framing • . Propane Tank - Mechanical ' • . • Setbacks . Under-ground. Framing Under ground Furnace • Footing Rough in Alr seal Above ground - Gas Stemwall Hydronic Exterior shear Exterior lines Oil -- • Straps Interior shear Interior lines . Ducts ' • • Post Hole . Ventilation . . Appliance • Underfloor _ Gas/wood-stove Man-Hornes • . - Setbacks Insulation - . . • Final Inspection Foundation-- . S Eiock&Tie floor wall ceiling . Address Posied • _ - • „ S , • :^-:...1 -7,- --......;...,..2,-.-=',... - - '• - - ;7:efigiltr:j.1 • . ...0 .,..'■;,...,,,, Tr*: • . ' • . . . . . - DateiD/14._ time received i I'50 _am 1: 11 • Mon. CD_ _Wed, Thur. -Fri. BLD: , L3 - t I S . Date: /op 5 OWNER: 2014 0 S€44) . - Contact Name: ....... 114-2.7z7 ADDRESS: .7 L gErSa4A t c . Contact hlumber:360 it f 206 .i•-.. i rOdrri 04 DRAWS Notes: . . ' - . Foundation Plumbing - Framing Propane Tank Mechanical . . Setbacks Under-ground Framing Under ground . Furnace Footing _____ Rough in Air seal . Above ground _ Gas Hydronic Exterior shear Exterior lines Oil Stemwall ; Straps _____ Interior shear Interior lines . Ducts Post Hole Ventilation Appliance Underfloor _ Gas/wood stove Man-Homes - Final Inspection *.. • Insulation. - ,..1 Setbacks . Foundatiorr • • Block&Tie floor wall ceiling . Address Posted i -.: . • • / • 147:fi":4"6WiSTI57.- e Nate 11 14 time received "3 / or _ pm �� Mon. Wed: Thur. - i. BLD: / / 5 Date: OYoN"R. . Contact Name: ADDRESS: 7 2� R,4 tY1--.,� Contact Number:360 -7 751,272'f Notes: 206 Foundation PIumbIno Framing Propane Tank Mechanical Setbacks r n. Setbacks Unde �rou _ Framing Under ground Footing Rough in Air seal 9 Furnace _ Stem/all _ Hydror:ic Above ground Gas _ Exterior shear Exterior lines Oil Straps Interior shear Post Hole (nteriorlines Dues Ventilation Appliance —Under1ocr Gas/wood stove Setbacks Insulation Final Inspection v 3io &tie floor wall ceiling . Address Posted . . • - . ..„ - . • • , . •...-.5•44.V,W.41. . . ri.:.7.7..,(....,„.....„,...14,...4. - s.P...s.PA,,F•r4,,-. - '" - . • . . . 1 . . / . .• . ,.....,.....,....4.,,,,,...4,- - - . . . - , ..1-A.- . . _ _ Date l L(/ time received _.I pm Mon. TueS. yled:MI -Pd. BLD: , k 2)" k I Date:c . q"" 1" . • • OWNER: 1.3-JA,A,,,,, C.,,0-,......--, k- Contact Name ADDRESS : - -1 7 ( ese(GO V- k-r•- Contact Number:360 : „...,...,, . - . 206 ,. Notes: - • • " - Foundation ? Plumbing - Framing' . Propane Tank Mechanical ' Setbacks Under-ground Framing Underground Furnace Footing — Rough in Air seal Above ground Gas Sternwall 5g__ Hydronic Exterior shear Exterior lines Oil Straps _____ Interior shear Interior lines . _ Ducts Post Hole Ventilation Appliance Underfloor _ Gas/wood stove Man-Homes Setbacks V Insulation. . Final Inspection Foundation Bock&Tie floor _wall ceiling. . Address Posted s -- 4g ON �'p • • / ,�Q 6. JEFFERSON COUNTY .1 ` DEPARTMENT OF COMMUNITY DEVELOPMENT 9Syo� Date: Time Time Received: /:41 a Mon. Tue. Wed. Thur. Fri. Date: 2 /// It BLD: 13 - ©O 115 Contact Name: Owner: - 1JSo>. Contact Number: 360 771- 7:727 Address: /•tr—iQ __ ~ 206 7a kRoz.zere 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 1I F-Os°N oo,. JEFFERSON COUNTY • • DEPARTMENT OF COMMUNITY DEVELOPMENT 9,py7N°Z° ( 2;b0 Date: 334Time Received: 40433)" 4A/pm Mon. Gig) Wed. Thur. Fri. Date: '2 -2.5---1.5-- BLD: 12jL.0 j — t.k Contact Name: Owner: 3`-6LA,.SafL Contact Number: 360 T 77,14272:7 Address: ZZ ��.eeD 1^I'1, 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 y 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&Tide Ceiling 1 -. • • el-s°N e JEFFERSON COUNTY { - DEPARTMENT OF COMMUNITY DEVELOPMENT *_.gsFf7NG,02 Date: 5j/.6Time Received: amt Mon. Tue. Wed. 411IP Fri. Date: . -2-.7 BLD: /3— / / 5 Contact Name: Owner: Contact Number: 360 7 7{ 27 Z Z Address: '7.2- R ,o4-4.1—e. 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In x' 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 n rfl or Gas /Wood de Wood stove o / Man-Homes Insulation. Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • • s / [ . ;' A. •• 6 ;i„ Date 'time received= __ am /6 Mon. Tues.dejr0 dr-.Fri. • BIM: /3-1/ n Date: �/` �Jj OWNER: Contact Nemec 7 -7 ADDRESS: 7 7. • l �S t'C t•T' Contact Number no-.7/. Y. 7•? /.t;, Notes: 206 • :Foundation Plumbing - Framing Propane Tank Mechanical • Setbacks _ Under-ground_ Framing Underground Furnace _ Footing 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-Hones Setbacks insulation. Final Ins Foundation— P Block&Tie _ floor _wall ceiling . Address Posted 4J i Jefferson County Building Division Permit Number: BLD13-00115 Applicant: JOHNSON BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 915\13 (" Erosion Control Foundation Footing 13 Footing Drains Foundation Stem Wall x,1/1.3 ll Underground Plumbing / Under Floor Framing t 1--5_-r'3 Straps(hold downs) 1/277I It #7 Ext.Shear Wall Nailing /l 4 Rough-in Plumbing 3/27/14/ gii,/ Framing 3/2-7/1 Blocking 3/2-7// Airseal 7 7/I Insulation:Walls 0 Insulation:Floors /�j 47/ti Insulation:Ceiling /0/2`�/f y�liLWp esit-litAs O y, v 4� Int.Shear Wall Nailing S B c;w8 (/ Wallboard Nailing / 5-f/, Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance /A ,� Mechanical Systems ��,/// Duct Test Cert /D/i. Blower Airtight Test 1�12,1 y 10 Smoke&CO2 .Z i`i Drywell/Alt Drainage Address Posted t o l211/ p✓, 1 • • FINAL INSPECTION /Z,1 /y FINAL INSPECTION LST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00115 1.) 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. 2.) The site plan as submitted with the Building Permit application on April 11, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 16, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tidemark\data\fnrmc\F RI 11 Permit RIdn rnt S/14/2n13 • BUILDING PERMIT II Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00115 Received Date: 4/11/2013 SITE ADDRESS: 72 RESOLUTE LN Issue Date 5/14/2013 Expiration Date 5/14/2014 OWNER: MARK R JOHNSON PHONE: ANNETTE JOHNSON 10 CUTTER LANE PORT LUDLOW WA 983659722 PORT LUDLOW NO. 2 SUBDIVISION: Block: Lot: PARCEL NUMBER: 990600252 Section: 9 Township: 28 N Range: 01 E CONTRACTOR: WHITEY JOHNSON GENERAL CONTR PHONE: (360)779-9884 PO BOX 1110 SUQUAMISH WA 98392 Contractor's License WHITEJG952DN Expires 3/15/2015 PROJECT DESCRIPTION: NSFR WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,343 VALUATION 271,714.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2009 HEAT BASE: HEAT TYPE: WOD OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 843 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,956.95 MKF2 04/11/13 140236 Exist: Exist: Plan Check $1,272.02 MKF2 04/11/13 140236 Prop: 3 Prop: 2 State Building Code $4.50 MKF2 04/11/13 140236 Total: 3 Total: 2 Potable Water Application $66.00 MKF2 04/11/13 140236 Total: $3,299.47 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 t", `\ J SItDWERPAN INSPECTION R.EQL(IR.ED 4Z' 164 14�• �3' 5 Z, . �� � �....,..v� `�'•�.. �,..,Pc �..a ��",,. �� ---cam -�'` ..__._ � s..� --- ..�?_.t�? ti..�..�►,;:.... � _ / L-C . ,./�+e -C.r" •s ►-+. c� �s �- ��' ' _� �"t._� _� �.. �/ t . C�.0 -�-- r.� t?...4 \,Jtt. w � �! . 2 0 -7 7 ' ► +G u. 5 C— �' t-{ ' f^• t,t1 �"� 1 ��"'l�• �mti "cp 11VS !bc I i / tr C ° ow o ®; V �W W Ce Q�m W Z V J a.cc� a v a Q w m�Cm al wO w W is0iia ui a fL' a -, °-�a� Wm ' Q 4 CW T' 1 °a m a 1w C3 C3 c 0 aa t", `\ J SItDWERPAN INSPECTION R.EQL(IR.ED 4Z' 164 14�• �3' 5 Z, . �� � �....,..v� `�'•�.. �,..,Pc �..a ��",,. �� ---cam -�'` ..__._ � s..� --- ..�?_.t�? ti..�..�►,;:.... � _ / L-C . ,./�+e -C.r" •s ►-+. c� �s �- ��' ' _� �"t._� _� �.. �/ t . 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