HomeMy WebLinkAboutBLD2014-00431 116ILDING PERMIT APPLICATI Review Type:
Jefferson County Department of Community Development BLD14-00431
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD14-00431 Received Date: 11/20/2014
SITE ADDRESS: 3180 OAK BAY RD
PORT HADLOCK, 98339
OWNER: RUSSELL TOUPS PHONE: 360-520-4875
P.O. BOX 479
PORT HADLOCK WA 98339-9717
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921191004 Section: 19 Township: 29 N Range: 1E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: J PHONE:
PROJECT DESCRIPTION CARPORT 48X36
SEP02-00091
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 13,630.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: 1,728 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $421.00 SRE 11/18/14 151744 e
State Building Code $4.50 SRE 11/18/14 151744 APPROVED
Plan Check $273.60 SRE 11/18/14 151744 DEC t
Total: $699.10 2 2014
Jefferson County DCc;
\\tidemark\data\forms\F_BLD_App_Bld.rpt 11/20/2014
0 0
4,3 0 N coo. JEFFERSON COUNTY
(ct` r DEPARTMENT OF COMMUNITY DEVELOPMENT
. , 621 Sheridan Street • Port Townsend • Washington 98368 -
O 360/379-4450 •• 360/379-4451 Fax
,`S_IINGS http:!/viww.co.jefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
MLA# PROJECT/APPLICANT NAME: %il ft"//-, !- ,^
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as "small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required.
PARCEL SIZE (I.E.,SITE)
Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet ?7„ / ? 0 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 //04 0 sq/ft native vegetation to lawn or landscaped areas?
Drainfield, septic tank, etc. L sq/ft Circle: Yes
6.9■1
Well, utilities, etc. -69`" sq/ft Does the project convert 2'/2 acres or more of
native vegetation to pasture?
Driveway, parking,roads, etc. • sq/ft
Circle: Yes N
Lawn, landscaping, etc. •-} sq/ft l/
Other compacted surface, etc. --6 sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance 1 70? sq/ft Cut Fill (cu/yd)
Y )
[over]
S
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) sq/ft Structures (all roof area) , /u
/0 sq/ft
Sidewalks sq/ft Sidewalks /079 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 sq/ft Driveway, parking, roads, etc I sq/ft
Other sq/ft Other .-9-- sq/ft
Total New G _sq/ft Total Existing tr/ sq/ft
TOTAL NEW+ TOTAL EXISTING* 'Z 7/0 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: 4 %
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 Storm water 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.
(LAND./ ER OR AUTHORI'ED REP' SENTATIVE SIGNATURE) (DATE)
FOR OFFICE USE ONLY
SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No
stoonwater calc worksheet Rev 9-9-2010—REV 9r9t2010
I
1
Contact the Building Department a:a , sai€s cz are€. �� ,. Ail )r . oaa 3
I
at 379.445Q prior to maic ng Changes i p "1,c)a1, t colf9r nct wi,l�a
or revisions to,the approved plans , Ott e�sg�i➢cease c. , �n r r):siss Er�r _.. ;, . -
''' '''' '' ' ' '''' ' ' ' '' ''MASON ENGINEERING INO ,,
r - ,Phone (360) 740-6147 • Fax. (360) 740-6145 .
JEFFERSON COU DCD
BUILDING PLAN REVIEif8i:
1- 1a
APPROVED AS SUBMITIEt3 } f G_.,.
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APPROVED AS NOTED
' - . ' ' ' ., - p REJECTED iVr' ...
UBte V t F.tl Reviewer r t tl.V�F �t of 1rENT
REVIEWED FOR
CODE COMPLIANCE
' ' ' ' ' ' ' :141t1°-.‘. : ' - - ' ' ' ' . ' ' ' ' - - ' ''' '. ' ''' ' ' . ' - ' - '
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1 Structural Calculations
Toups 36x48x12 Pole Structure
' 3180 Oak Bay Road
Port Hadlock,WA 98339
1
' November 12,2014
Prepared For:
Mike Hogg
The Metal Barn
1441 King Road
Winlock,WA 98596
' 360.785.3147
Prepared By:
Todd A.Mason,P.E.
Mason Engineering,Inc.
' PO Box 1009
34 NE Boistfort, Suite 118
Chehalis,WA 98532
' 360.740.6147
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Li) SHEET mcE TRUCTURAL DESIGN � � I �� :14: F k' ,' '7.> ADDRESS 1441 KING RD,WINLOCKWA98598i . 4 . ' 03 o g g y � NC�IN�EH[ ,�1I
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„�FSO\ %, JEFFERSON COUNTY
r < DEPARTMENT OF COMMUNITY DEVELOPMENT
Date: / 7ZTime Received: A 6/Prn Mon. 40 Wed. Thur. Fri.
Date: 1 Z—7.
BLD: t4_ L_f 1 Contact Name:
Owner: Contact Number: 360 5-20 L-R75-
Address: 31 0 ov.4''.-0 / (7o 206
Notes: TA.1'
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks y Under-ground Framing Under ground Furance
Footing 'r2 Rough In Air Seal Above ground Gas
Stemwall J” Hydronic Exterior shear Exterior lines Oil 1
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
4 rN -0G JEFFERSON COUNTY
'4' DEPARTMENT OF COMMUNITY DEVELOPMENT
1S1/N GSO$
Date: 2, j Time Received: 115-q amii Mon. Tue. Wed. Thur. 0
Date: Z_(o
BLD: Kt,- 1-f 3I Contact Name:
Owner: Contact Number: 360 5,10 913 7-1-
Address: 31. 0 CO f (p 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.
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Standard Conditions for Residential Development in Jefferson County
1. LIGHTING: Lighting fixtures s ha ll be designed and hooded to pre vent the li ght source from t om beerg 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_S F R_Std Con d itio n s 3/7/2013 1
•
Fisher!CS Service can levy penalties. Portions of Jere Jel=i'erson Court`: inc'Uding marine `eaters, are included
as cri icai habitat" for a listed species Development of property alone any man ne shoreline, esh,✓ute..-
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
iioodpiains are advised to do the following:
Ail 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
7/31/03
DEPARTMENT OF COMMUNITY DEVELOPMENT
ADMINISTRATIVE
WATER CONSERVATION MEASURES LIST
To Promote Aquifer Recharge
and Prevent Seawater Intrusion
1. Roof and other intercepted precipitation shall be routed to on-site detention ponds
and/or other approved means and allowed to be released to the soil slowly.
2. Water collected from storm water and roof catchments may be used for watering
lawns and gardens. Unless catchments water has been treated to meet drinking
water standards, there shall be no cross connections allowed between the potable
supply and impounded water.
3. Ground water withdrawn from each property should not exceed a rate of three (3)
gallons per minute.
4. Install water-conserving fixtures such as low flow toilets, faucets and shower
restrictors and other water saving plumbing fixtures.
5. Landscaping should include xeriscaping and native vegetation with minimal amounts
of irrigation.
6. Use drip irrigation, soaker hose systems and root irrigation.
7. Use water basin techniques to water plants, shrubs and trees.
8. Routinely water deeply and less frequently.
9. Weed control is an important part of water conservation.
10. For your landscaping select drought tolerant plants, shrubs and trees stay away from
heavy water consumers.
11. Limit the amount of irrigated lawn.
12. Mulch your garden as well as isolated plants, trees and shrubs.
13. Use shade and windbreaks to assist in water conservation.
14. Use low flow water closets, showerheads and water conserving dish and clothes
washers.
15. Use rainwater catchment systems that corral rainwater from manmade surfaces and
into storage.
16. Install water-conserving devices such as low-volume toilets and plumbing fixtures.
17. Only 400 gallons per day or less should be pumped from all exempt wells in
Seawater Intrusion Protection Zones (SIPZ).
18.Water softeners that contribute salt to groundwater through infiltration should not be
used in SIPZ.
19. Hose bibs (outdoor spigots)for outdoor water use should not be used in SIPZ.
[end]
PLEASE NOTE:THIS LIST IS A WORK IN PROGRESSAND MAY HAVE ADDITIONS/
DELETIONS MADE AT ANY TIME. USE CURRENT LIST.
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Figure 3.1.4 -Typical Downspout Infiltration Dell
Source: Kg County
1 1/1E_,T,Ti.di-016. -ic A nal,vsis and Flow Co,'?tool BAIPs–A z igtis i 2012
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Local c,ovemirnents may require specific
setbacks with slopes�over
.1f, land slide areas; open water �eatur J springs; wells; and StDtiC
drain felds d qua te,
room for
maintenance access and equipment should
also be considered. Examples of setbacks conm-ronly^used include the
following:
1. All infiltration systems should be at least 10 feet from any sttuct-nre.
property line; or sensitive area (except slopes over 40N.
2. All infiltration systems must be at least 50 feet from the
P t top of any slope
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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.
o e III—Hydrologic
ArC ;-sis and F;`o1> Cnntroi p; _
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for htfltricfion these, sins are designed a specified below.
Drywells General
1. Dryveil bottoms must be a minimum of 1 foot above seasonal high
around water level or impermeable soil layers.
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 imper vious surface served.
3. Dwells 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 diywell sides prior to backiilling.
Spacing between drvwells must be a minimum of 10 feet.
6. Downspout infiltration drywells must not be built on slopes greater
than 25% (4:1). Dry-wells 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.
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6 JEFFERSOIbUNTY _ I
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.A DEPARTMENT OF COMMUNITY DEVELOPMENT _
621 Sheridan Street • Port Townsend • Washington 98368
\ 360/379-4450 • 360/379-4451 Fax j
www.co.jefferson.wa.us/commdevelopment
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Master Permit Application BI-011-1 13 I MLA
Project Description(include separate sheets as necessary):
. X 3 L /oh', 1 L4 r / � d7 (� ke ,A- " VV.) v-cccke� rte c:ova
Tax Parcel Number: C / - l `! _ cl Property Size: (acres/square feet)
CA,; -
Site Address and/or Directions to Property:
3 /6--'U l244_ - ee40 — — 7�-
Property Owner(s)of Record:_ sft'�'.- ei/i,
Telephone: 36 ' „-S t9/t�J 7l 7S Fax: J f /� lmail: yy ,j'�
Mailing Address: /3: e9 ' ";?i,7� 2C1 r{ • 7 '33 J east H' V/CO
Applicant/Agent(if different from owner):
Telephone: Fax: -- email:
Mailing Address:
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)
❑ Single Family Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home .❑ Modular - ❑ Discretionary"D"or Unnamed Use Classification
O Commercial* ❑Special Use(Essential Public Facilities)**
0 Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach_ ❑Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑Long Plat**
Sign ❑Plannea Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Aovance 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 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 I
his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati• ');t he or she wants •rior notice.
Signature: ' / Date: /L '/y-/''
r —
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-transfera. - re ponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: .–'I :,,--dor • Date: /
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit:Application 5-29-08.doc
1111--BUILDER STATEMENT
The signer of this statement does hereby certify tnat they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assum . he responsibility of the General Contractor for the proposed project.
Signature: „t Date: /f-' ./ /54-
GENERAL CONTRACTOR OR MANUFAL URED HOME INSTALLER: P ICNE: FAX:
) ( )
MAILING ADDRESS: EtvtAli.:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: 1 Frame Type: Bathrooms: i Shoreline: Type of Sewage Disposal:
cNew >4 Wood Existing: Sewer
Addition I C Steel Proposed: Ey7—. ' Bank
-`� i � Community System
Alteration/Remodel ❑ Concrete Total: _ Height: $Individual System
ii Repair E Masonry — SEP Permit# e,v -9/
Bedrooms: Supply:
Demolition Other: Water Su I
Existing: Setback: xre Private well ❑ Two Party
Type of Heat: Proposed: -. •- Public
y10,rr Total: Name of System: •
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants, employees,etc) Current Proposed
• ;BC 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:
1 Heat Stove i Cook Stove i Woodstove i Fireplace Insert I Hot Water Tank 1 Pellet Stove i 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.
i
Square Footage Current Proposed For Office Use•Only Amount Revision
Main Floor Heated EH Bld App Review:
t c _
-
2"m Floor Heated Consistency Review: , (i) 7
C,%
Other Heated Base fee:
v'
_ _
Mezzanine Additional Section: \C , c)o
Heated Basement Plan Check fee:
Unheated Basement y I State Surcharge fee:
Other Unheated Pot Water Review fee:
Garage/Carport N SUBTOTAL I
{ -72 3c,551. 1In / 025 i
Decks i ------------- __u911/Rd Approach fee: I
I , I
Other i TOTAL: ; $
Receipt Number: ` c •
' TI-1-1
i
Cash/Check Number:
I
ESTIMATED COST(REQUIRED) Date: \` t?-) ��
'Fair market value of all labor and materials foundation to finish i `j
• �-.{^) e c�l Initials: �Y,,,
G:\PereutCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application -29-08.doc
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Standard Conditions for Resides Development 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 ROW
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
20' d'-; 3/7/2013 1
_�/3-07 Sr`.'._ScCen.��.:cn�
Fisheries Service can iev/ pens. Portions of Jefferson County; molud
marine v�✓ rs. are incl"de:
b
as "c";ical ha itat' for a listed species. Development of property aiong anrr arine shoreline, fresh ,--,ter
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.
20' C5_5FS_StdCond t.or,s 9/5720r3
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• 0
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4,....,,_
DRY WELL H izth Groucdoratgr TaiD19
i A I
SECTION i
1 I
ITS
,
I Figure 3.1.4 -Typical Downspout Infiltration Drell I,
1
'-ource: King County
rr,11Inze iy:—I-1-i.-b-c.,,logzic Alla fySiC and Flow Conroi BMPs-ALtgist. )017
3_9
1
Setbacks
Local ,,o :' n ra may require s
specific setbacks i sites 'z t,
C'I
>
water Spr:n�s, wells;�
and Je t fields_ _�de.qu room for maintenanC° access 'Q C^ ipi en also be considered. Eka' b'es of setbacks �
IQ
commonly used include the
following: th
I. All infiltration systems should be at least 10 feet 1-om any stnicture-
property line, or sensitive area (except slopes ov--40%).
2. All infiltration systems must be at least 50 feet from the top of slope
over 40%. This setback may be reduced to 15 fee based on a
geotechnical evaluation, but Ln no instances may t be the
than
buffer width. less he
3. For sites with septic systems, infiltration systems ust be downgradient
of the drainfield unless the site topography clean, prohibits subsurface
flows from intersecting the drainfield.
'b',.-'re 1I1 S C'O c Aee 'JS?S ec! Coi 1
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,, 1.17
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*ems are.designed as specified below.
�
for Infiltration these c
Drvwells General
1. Drywell bottoms must be a minimum of 1 foot above seasonal high
around water level or impermeable soil lavers.
2'. When located in course sands and cobbles, dm'`,veils 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 f000 square
feet of impervious surface served.
Drytivells 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.
Tv-oho/2o i l—Hydrologic i?a yCis and Flo:. Control BM Ps—Au osi 2012
3-6
1)(LID • BLD14-00431
a UILDING PERMIT APPLICATION Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
-PERMIT#: BLD14-00431 Received Date: 11/20/2014
SITE ADDRESS: 3180 OAK BAY RD
PORT HADLOCK, 98339
OWNER: RUSSELL TOUPS PHONE: 360-520-4875
P.O. BOX 479
PORT HADLOCK WA 98339-9717
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921191004 Section: 19 Township: 29 N Range: 1E
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION CARPORT 48X36
SEP02-00091
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 13,630.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER: SHORELINE:
CONST TYPE: GARAGE: 1,728 SETBACK:
CONST TYPE: DECK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
IRouting Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $421.00 SRE 11/18/14 151744
State Building Code $4.50 SRE 11/18/14 151744
Plan Check $273.60 SRE 11/18/14 151744
Total: $699.10
\\tidemark\data\forms\F_BLD_App_Bld.rpt 11/20/2014
/ 50 eon JEFFERSO•OUNTY Ii �.
�w • :'• 4\ .A DEPARTMENT OF COMMUNITY DEVELOPMENT __ �!
"' `'4 621 Sheridan Street • Port Townsend •Washington 98368' I
'1 360/379-4450 •• 360/379-4451 Fax i 1 8 ? )
,g�, N �O www.co.jefferson.wa.us/commdevelopment J
3LOlL - 431 ��
Master Permit Application ML.A , �,',� �LOF^TNT
Project Description(include separate sheets as necessary):
• 3 6 pd/�.gir t/s/v/. nb - ht5 wa�c.- no(3,0u....0/
Tax Parcel Number: f"? / —/G/ _ 00 .' Property Size: (acres/square feet)
Site Address and/or Directions to Property:
• Omq/ iF� i L -- T
Property Owner(s)of Record: SSt° u - . o
Telephone: 3 6e0 "S 6 O— 4i, ',� Fax: mail: y�j C 4 t��/eu�
Mailing Address: /91 p , <���' �/2'' ,j r/�Q!� ��•3 3 cog h V t�ht
Applicant/Agent(if different from owner): /
Telephone: Fax: email:
Mailing Address:
What kind of Permit?(Check each box that applies ❑Lot or Road Segregation
wilding 0 Critical Areas Stewardship Plan
Demolition Permit , ❑Variance(Minor, Major or Reasonable Economic Use)
❑ Single Family Garage Attached/Deter a� ❑Conditional Use[C(a),C(d),or C]**
❑ Manufactured Home ❑'Modular • ❑ Discretionary'"0"or Unnamed Use Classification
0 Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑Boundary Line Adjustment
❑ Address ❑Road Approach— ❑Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑Long Plat**
0 Sign - ❑Plannea Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Aovance Determination(SPAAD)* ❑Shoreline Management Substantial Development**
G 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 , to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
I 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. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicatit he or she wants •rior notice.
Signature: ,!'�..ii / /(9 I yr./y
Date:
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-transfera• - ponsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: _„.I Date: /°r/y.e
/
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
a' •
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 assu ' he responsibility of the General Contractor for the proposed project.
Signature: Date: ___ I,^/ r /,4
GENERAL CONTRACTOR OR MANUFA URED HOME INSTALLER: a PHONE: ; FAX:
_ ( i. ) Y ( )
MAILING ADDRESS: EMAIL.:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
--
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal:
! New Wood Existing: ❑ Sewer
Addition ❑ Steel Proposed: Bank ❑ Community System
❑ Alteration/Remodel ❑ Concrete Total: _ Height: A-Individual System
❑ Repair ❑ Masonry — SEP Permit# O oZ 41 _
D Demolition ❑ Other: Bedrooms: Water Supply:
Existing: Setback: ,'Private well ❑ Two Party
Type of Heat: Proposed: " ❑ Public
h t'/1 es- Total: ``� Name of System: •
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
;BC 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 + Cook Stove i Woodstove I Fireplace Insert i Hot Water Tank I Pellet Stove i Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only, Amount Revision
Main Floor Heated EH Bid App Review: �±
-el Floor Heated Consistency Review: a432) , o u
Other Heated Base fee: Uv
Mezzanine - Additional Section: 1 C1 , ° I
Heated Basement Plan Check fee: 1 6 tpp
Unheated Basement State Surcharge fee: iy . co
Other Unheated Pot Water Review fee: _
Garage/Carport SUBTOTAL
128 393,55 • -I� i 025 . I°
Decks ---"""-------- -/-Rd-Approach fee:
—other ..
TOTAL: $
Receipt Number: ` 51-14-114
Cash/Check Number: r^, 1
ESTIMATED COST(REQUIRED) Date:
'Fair market value of all labor and materials foundation to finish k`�p'1
i t?)i L4
' Initials: C ( _
YT
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• •
gON C �.-- 1
..� 0c� JEFFERSON COUNTY � i 8 i
4 '\ .. A DEPARTMENT OF COMMUNITY DEVELOPMENT
ti� 621 Sheridan Street • Port Townsend • Washington 98368 y
O 360/379-4450 • 360/379-4451 Fax
�`s ING� http:/Iwww.co.jefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
MLA# PROJECT/APPLICANT NAME: Le SfPI' _5'
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required.
PARCEL SIZE(I.E.,SITE)
Size of parcel .p acres An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet fez /al O 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 3 acres or more of
Construction site for structures /72E( sq/ft native vegetation to lawn or landscaped areas?
Drainfield, septic tank, etc. --t :1-- sq/ft Circle: Yes
Well, utilities,etc. e9 sq/ft Does the project convert 2 1/2 acres or more of
native vegetation to pasture?
Driveway, parking,roads, etc. - sq/ft
Circle: Yes l N
Lawn, landscaping, etc. sq/ft l/
Other compacted surface, etc. --6 sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance /70?6 so/ft Cut Fill (cu/yd)
[over]
stormwater caic worksheet Rev 9.9-2010—REV 9/91201C 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) °Ida) sq/ft Structures (all roof area) fil Yla sq/ft
Sidewalks sq/ft Sidewalks 07 0-0 sq/ft
Patios sq/ft Patios - sq/ft
Solid Decks sq/ft Solid Decks '12,--- sq/ft
(without infiltration below) (without infiltration below)
Driveway, parking, roads, etc sq/ft Driveway, parking, roads, etc 't9 sq/ft
Other sq/ft Other .19-- sq/ft
Total New al 3 on _sq/ft Total Existing/ D sq/ft
TOTAL NEW+TOTAL EXISTING* 147/e, 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: tZ
Does the site have 35%or more of existing impervious surface? Circle: Yes
6):::■
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.
110 . i
(LAND LER OR A ED REP SENTATIVE SIGNATURE Jo ��r
(DATE)
FOR OFFICE USE ONLY
SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan Yes No
stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 2
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• •
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• Front Parcel Review • 13 .1Y1-60431
Parcel 921191004
Printed: December 3, 2014
RUSSELL TOUPS Site Address(es):
3180 OAK BAY RD 3180 OAK BAY RD PORT HADLOCK, WA 98339
PORT HADLOCK, WA 98339-9717
Parcel Number: 921191004 S-T-R: 19-29N-1E Total Acreage 2
Legal Description S19 T29 RI E LOT NO. 1 (N373.5'OF S 749.5')W/RD Land Use: 1101
Flood District: Fire District: 1 Planning Area: 4
Flood Map(FIRM) Panel No: School District 49 Zoning: / g s
COMP PLAN
DESIGNATION:
COMMUNITY PLAN: UGA: UGA Trans
[ ] 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)
[ Legal Access to Property S )` NO
[ .,r Parcel Tags or Scanned Documents YES
[ !]' ESA's: Special Reports N arby YES j
[ 'f Designated Ag YES
[4— Shoreline Designation: YES
[ 4 Shoreline Slope Stability:S2 NO ,,, , Lee-x-e,_
Stream Type:YES 1
FWHCA: YES trin
Wetlands: YES 0101
Rare Plants:YES Or
Seismic: YES NO
Landslide NO -51,�L.r-
Flood: YES c-c03
Erosion: YES 67
Aquifer Recharge Area:YES NO
SIPZ: none At Risk igh Risk oastal
CMZ: High• Risk Moderate 'isk Disconnected CMZ
Stormwater site plan su fitted: Ye o
[ --]' Forest Lands: YES O
Adjoining Forest Lan Commercial/ Rural/ Inholding
[ X Mineral Lands: YES r 1
[ /]' Agricultural Lands: YES 0
[ 4 Archaeology: YES 6-(
[ter- No Shooting Zone: YES
[ X Stormwater: New Impervious Surface 2 2 Gv Land Disturbing Activity 2 2c, ESA's --
Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering
[ .�]' Notice Provisions/Disclosure:Airport YES d3 MRL YES Forest Lands YES 1
[ X Landscaping Required: Yes
[ --- Parking Spaces Required O 2 Other
[ ( Building Height: 35' tJBC:.S 1I d d
.-1 Impervious Surface coveragiarcentage:
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: (7 2 F3 54'
RVC:20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified
[ ] Setbacks: Front: Left Side: c Right Side: . Rear:
Shoreline Setback:
LSHA Setback:
j .•'] Road Classification: C S6 q q C ,'iur(' /Lp h r
Road Approach: EXISTING NOT REQ'D RAP
SEPA Required: YES
Flood Certificate:
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
Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO
[/] UGA No Protest Agreement YES NO, submitted: YES NO
Site Visit conducted YES NO
Require Final Zoning Approval YES NO
[ ] 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
No parcel tags found for parcel
Cases Associated with APN 921191004 Review
Cases Name Type Status Planner
BLD04-00016 WOODLEY F
Application Received: 1/12/2004 Permit Issued/Case closed: 1/12/2004 Case Finaled: 1/14/2004
NO MLA REQ'D-ABOVE GROUND PROPANE TANK 500 GAL
BLD14-00431 TOUPS I P Tim Woolett
Application Received: 11/20/2014 Permit Issued/Case closed: Case Finaled:
CARPORT 48X36
SEP02-00091
COM99-00046 HUBBARD F
Application Received: 10/27/1999 Permit Issued/Case closed: Case Finaled: 1/3/2000
TO ARCHIVES 02/06/Ob
Installation of road without stormwater plan.
M LA03-00421
BLD03-00469 MLA03-00421 WOODLEY I F Greg Ballard
Application Received: 7/30/2003 Permit Issued/Case closed: 9/2/2003 Case Finaled: 2/19/2004
NEW MANUFACTURED HOME INSTALLATION
OTH99-00038 STEVENS F
Application Received: 12/20/1999 Permit Issued/Case closed: Case Finaled:
WET SEASON EVALUATION
PRE94-00010 HUBBARD, JR. M M GREWELL
Application Received: 3/17/1994 Permit Issued/Case closed: 3/17/1994 Case Finaled:
9 LOT LONG PLAT.
PRJ03-00023 WOODLEY A
Application Received: 2/12/2003 Permit Issued/Case closed: Case Finaled:
SEP02-00091 WOODLEY F
Application Received: 4/23/2002 Permit Issued/Case closed: 5/15/2002 Case Finaled: 6/7/2005
SOM02-00091 WOODLEY RCR
Application Received: 6/7/2005 Permit Issued/Case closed: 8/20/2014 Case Finaled:
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 2 of 3
USR03-00005 • WOODLEY • F
Application Received: 2/12/2003 Permit Issued/Case closed: 8/11/2003 Case Finaled: 8/11/2003
as a part of building permit application review, the well was found to have been drilled less than 100'from the designed
reserve draindield area. still unresloved 8/11/03sp 8/18/03, new reserve area located in compliance with code. sp
USR00-00026 HUBBARD, JR. A
Application Received: 4/12/2000 Permit Issued/Case closed: 6/5/2000 Case Finaled:
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 12/3/2014 Page 3 of 3
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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. Fri Dec 05 10:57:59
2014
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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
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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. Fri Dec 05 12:50:22
2014
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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. Fri Dec 05 10:57:15
2014
http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0&Form=True... 12/5/2014
Jefferson County Building Division Permit Number: BLD14-00431
Applicant: TOUPS
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
Post Holes
Framing Zl /T-s 0.104i•
l7 ..�
Drywell/Alt Drainage --Z. �� .i
Septic Syst ale l sep02-91
A final inspection will not be scheduled until 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 2/c c—
FINAL INSP CTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
•
CONDITIONS for Building Permit# :BLD14-00431
1.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health.Additional requirements may apply if plumbing is proposed.
2.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
3.) The site plan as submitted with the"Detached Carport, No Heat, No Water, No Electricity"
application on November 18, 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
December 11, 2014 shall be resubmitted for review and approval by Jefferson County
Department of Community Development.
4.) TSW/JMP
\\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 12/12/2014
11/ •
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD14-00431 Received Date: 11/20/2014
SITE ADDRESS: 3180 OAK BAY RD Issue Date 12/12/2014
PORT HADLOCK, 98339 Expiration Date 12/12/2015
OWNER: RUSSELL TOUPS PHONE: 360-520-4875
P.O. BOX 479
PORT HADLOCK WA 98339-9717
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 921191004 Section: 19 Township: 29 N Range: 1E
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: CARPORT 48X36
SEP02-00091
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP NEW MAIN:
VALUATION 13,630.00 ADD'L: HEAT TYPE: UH
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: U-1 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N SHORELINE:
GARAGE: 1,728
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: CON
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $421.00 SRE 11/18/14 151744
Exist: Exist: State Building Code $4.50 SRE 11/18/14 151744
Prop: Prop: Plan Check $273.60 SRE 11/18/14 151744
Total: Total: Total: $699.10
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