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BLD2014-00315
• LDING PERMIT APPLICATIc BLD14-00315 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00315 Received Date: 8/29/2014 SITE ADDRESS: 294 SEAMOUNT DR BRINNON, 98320 OWNER: ROBERT S BURNS PHONE: 360-796-4829 294 SEAMOUNT DR BRINNON WA 98320-9672 9930 SUBDIVISION: Block: Lot: 22 PARCEL NUMBER: 993000022 Section: 29 Township: 25 N Range: 2V1 CONTRACTOR: BLUE MOOSE HOME SERVICES LLC PHONE: 253-223-2778 817 S. 312TH ST Contractor's License BLUEMMH898ME Expires 7/5/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOl NEW GARAGE NO HEAT NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Total: APPROVED SEP 2 5 2014 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/29/2014 �� ,gON cod JEFFERSON NTY 40E-0 1� J 31S Wry, ' �' DEPARTMENT OF COMMUNITY DEVELOPMENT "' ` '4 621 Sheridan Street• Port Townsend •Washington Washin ton 98368 p 360/379-4450 • 360/379-4451 Fax www.cojefferson.wa.us/commdevelopment l L C E I(_ i NG i Master Permit Application II Project Description(include separate sheets as necessary): I 'I 1 i . : r • .0 1+ keCcf- h0 .Ilk h , r C` _ Tax Parcel Number 9 9 3 DOD 0 21 Pro ' d . ,:'CO " ,n r pe rt Y- �Siz � ,' 14,1�-square feet) Site Address and/or Directions to Property: Property Owner(s)of Re99ord: 1,.,b .'./0 1 _� v Telephone: .6,. b" •` • f: Zoto 556--97Z • email: CD �Gt [l Mailing Address: yyQ ii -5 6 i fie �b�r-k3 ♦S Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation OBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ,C(Garage /Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home .❑ Modular - ❑Discretionary"D"or Unnamed Use Classification I E. 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 ❑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 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 his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the -••. «:i •• or 5'., is prior notice. Signature: 1 er ■ Date: ROi " 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 ar- ••compliance 'h the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra - - . , : p.• %-ility ring to and complying with the ESA. The Applicant has read this dis I ' r si ns an dates it below. Signature: ‘+er Date: I XE° A01P G:\Pe•mitCenteI\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: — GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ij Ltn 1''\ o5 H o M - U IC S ) 1 C°` (253) zz 3--2'7"7 8 ( ) MAILING ADDRESS: '8 S 3'Z. S" — EMAIL: G Tk a MOO ooSE-M& Ccyy\ CONTRACTOR'S LICENSE WAINS NUMBER: j LA jv\t/V\ 4-1 8g18 iv\ F NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal: XNew Wood Existing: J ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: — Height: ❑ Individual S y st 2 ❑ Repair ❑ Masonry — SEP Permit# 'j I _ �J ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: _ Setback: ❑ Private well ❑ Two Type of Heat: Proposed: ❑ Public 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: Underground Tank I Above ground Tank Size of Propane Tank: i Heat Stove I Cook Stove Woodstove Fireplace Insert i Hot Water Tank Pellet Stove + 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: 179 2 Floor Heated Consistency Review:- 4 . U C7 Other Heated Base fee: Mezzanine Additional Section: w4 C" Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Game/Carport rage/Carport 0 4 B > - r 0 SUBTOTAL 10� Decks 911/Rd Approach fee: Other 5 I>L,S.t012 L� it (J I �,�(P "6 TOTAL $ �,�}"l `3� Receipt Number: I � 2. 16 �� 1t r54- C Cash/Check Number: 50 5v ESTIMATED COST r ;• ' ' Date: Q,( ( J 1 *Fair market - to of all 1- and mate ' o••dation to finish V t VI l coo Initials: C s4" zC G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 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 RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07 SFR_StdConditions 3/7/2013 1 Fisheries Service can levy pees. Portions of Jefferson County, inclOg marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species"taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06_SFR StdConditions 9/6/2013 2 hou 11 Roof 1 I downspout ............. serves up to 700 sf. Of roof 50' min. ..... Vegetated flow path IIII Splash block LI 11 -1 - . - Downspout extension NTS 1- Splash / block • r -1- - Figure 3.1.7-Typical Downspout Splashblock Dispersion Vc :tme III-Hydrologic Analysis and Flow Control BMPs-August 2012 3-16 0 Design Criteria for Splashblocks A typical downspout splashblock is shown in Fi zure 3.1.7. In general, if the ground is sloped away from the foundation and there is adequate vegetation and area for effective dispersion, splashblocks will adequately disperse stolnl runoff. If the ground is fairly level, if the structure includes a basement, or if foundation drains are proposed, splashblocks with downspout extensions may be a better choice because the discharge point is moved..away from the foundation_ Downspout extensions can include piping to a splashblock/discharge point a considerable distance from the downspout, as long as the runoff can travel through a well-vegetated area as described below. The following apply to the use of splashblocks: 1. Maintain a vegetated flowpath of at least 50 feet between the discharge point and any property line, structure, slope steeper than 15%,stream, wetland,lake,or other impervious surface. Sensitive area buffers may count toward flowpath lengths. 2. A maximum of 700 square feet of roof area may drain to each splashblock. 3. For purposes of maintaining adequate separation of flows discharged from adjacent dispersion devices,the vegetated flowpath segment for the splashblock must not overlap with other flowpath segments, except those associated with sheet flow from a non-native pervious surface. 4. Place a splashblock or a pad of crushed rock(2 feet wide by 3 feet long by 6 inches deep) at each downspout discharge point. 5. No erosion or flooding of downstream properties may result. 6. Have a geotechnical engineer or a licensed geologist,hydrogeologist, or engineering geologist evaluate runoff discharged towards landslide hazard areas. Do not place Splashblocks on or above slopes greater than 15% or above erosion hazard areas without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist, or engineering geologist, and approval by the Local Plan Approval Authority. 7. For sites with septic systems,the discharge point must be downslope of the primary and reserve drainfield areas. This requirement may be waived if site topography clearly prohibits flows from intersecting the drainfield or where site conditions (soil permeability, distance between systems,etc) indicate that this is unnecessary. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-15 1 BLD14— 60315 on 1 i50 .:--0-4-144 17Z &1,. '"t i„ lotOct --- ---<-I',5 e1 ebr -" (-4-6, ,--- 1, (?. , ., K -- I■riCILtcle 5pasv, _, ...:, : 7% 61/37)?' , 4,4;114- ,, /:,,en' e°'sed -- ,... t7)._ A 's __ , ,•,•.,), i i eZ)c,,,,,,,vra\0A, IP i■,,, ',`Th4,,,„, ,f) Ex 7 ----- - 2,.\ ■ t*K4' , ',, • 1 '-' ' ,.. 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I' .-t- , 1 Yrovefae,-2,..:, f (-)-Ica'.3 e -1 7 ‘ ■ i ., I IhZ, 1\A ktt NNe5C):11 ) re:1?te.)00. e:') at / 4 L 6,o.) ..),)) et.id,,!\,* 1 m - ' 10 --E [lVE ..., , p SEP 1 6 2014 JEFFERSON COUNTY L.: DEPT.OF COMMUNITY DEVELOPMENT _ APPROVED Al SITE PLAN ,-- i A x, iAize_e_i 4,' 9.13 one)z, 2_,2 .:-.: .,. ,---2.,\- SEP , 7 ' '.3 JEFFERSON COUNTY siDGENp AT TouFREc omilm, Aitere______.: *phew ,...._. 1 . ,41 ag ci 366 - 79' 4) " 4 . 1 /2_ ( ;ILkdk,k,IL,e3 (:1 ' _- A..„2. , 1... ....1 6 4,,,_ gi ............ , . 2, G. _ vtALLA, cil-- VIA z . . L . EV p. . G C� -,p p itnj N ;,---7-, w 0 U I ti 1-11-___1L..___. .._...i EXPIR 10/4/ . a Fi • 4' \Li 2./ tk .R • * e, --.--- e ..,_ .‹-- 2-0 tijdt,/ -2°8014 ' i ?' : _ J t c _ _ . _ . , . . . _ IA- - -=- L)L-t-, ' s-. • ' - _, --.1... : : - - . . f,„„..„ _ _ _ ...... .,,,...c...t....e. 41 t. 0 - ' ` - X01 t _ (,. . _s_ _ _ _ ___. . _..... _ _ .„.. ti 4. \�.: 'I r t i 5,i ._°''r'^� 5t- F 3 r�.... `\ 1 fi y , �•• ...... °4' i a L i t.j� i. € Y 4�Z P.. Fes-.- .aA=' P.O.Box 1770 Al ' Quotation Takeoff Page: Sumner,WA 98390 DATE: 08/07/14 (253)863-5555 Fax:(253)891-1168 QUOTE #: SB408109 1. theRUSSCO. SALES REP:Mike Poorman & BUILDING SUPPLY INC. "*'GRAY LUMBER"' JOB NAME:BURNS GARAGE LOT#, SUBDIV: _ P.O .Box 7126 MODEL: TAG: ORDERED BY Tacoma,WA 98417 DELIVERY INSTRUCTIONS: BY DATE (253)752 7000 QUOTE RW 08/07/14 LAYOUT RW 08/07/14 MIKE N!BURNS GARAGE ENGN. RW 08/07/14 • BRENNON,WA SPECIAL INSTRUCTIONS: ROOF TRUSSES PROFILE I TYPE QTY BASE 0/A PITCH LUMBER OVERHANG CANTILEVER STUB I HEIGHT ID PLY SPAN SPAN TOP' BOT TOP 80T LEFT RIGHT LEFT RIGHT LEFT RIGHT GABLE 22-00-00 22-00-00 A01 2 g3 iha,each 5.0 0.00 2 X 4 2 X 4 02-00-00 02-00-00 05.08-1 187.0 bs COMMON 22-0041° I 2241°4° A02 10 78 lbs each 5.00 0.00 2 X 4 2 X 4 02-00-00 02-00-00 05-08-1:, 781.7Ihe File: F:IMITEK\BIDS12014SB4081091A0 Loading: 25- 8- 0- 7 Total Weight: 968 Max.Height: 5.7 ITEMS QTY ITEM TYPE.• DESCRIPTION LENGTH , Fr-sg-1a - NOTES 11 Blocks 2 X 4 Solid 11 Blocks 2 X 4 Vented 4-hole QUOTE#SB408109 JOB#: TRUSSES: 12 ALL PRODUCTS: 34 i I a le f ACCEPTED BY SELLER , ACCEPTED BY BUYER PURCHASER BY: TITLE: BY: ADDRESS: TITLE: DATE OF ACCEPTANCE: PHONE: DATE: 4 ' 601;Z;</* Truss Truss Type qty Ply GRAY Lt1ft I BURNS GARAGE I RMW S6408109 A01 GABLE 2 1 Job Reference(optional) The Truss Co./Trl{burny'puss,Surma'.WA/Eugene OR/Buv ian WA.131/4 7.510 a Jan 20 2014 Wok Yduedias,Inc.Thu 070828112014 Pape I ID�IGC IIHPvygzL.e-3WoJrB4b7eThzoc787bcCT vnStOAKWsygGTo -2-0-0 1 1140 i 22-0-0 i 24-0-0 i 2-0-0 11-0-0 11-0-0 2-0-0 Scale:1/4".1' 1.5x4 it 3x4= 1.5x4 n 1.5x4 II 1.5x4 II 67 8 910 5.00 12 1.5x4.11 I 1.5x4 II 1.5x4 I I 5 1.5x4 i i iii 12 1.5x4 11 4 11111 1.5x4 II 3 13 M M y 2 �� 1 k 14 �1 s9 4.. .... "iii '1S% 151 3x4= 25 24 23 22 21 20 19 18 17 18 3x4— 1.5x4 II 1.5x4 II 1.5x4 I I 1.5x4 11 1.5x4 n 1.5x4 I I 1.5x4 H I 1.5x4 I I 1.5x4 Il Sx,S= I 22-0-0 1 22-0-0 Plate Offsets(X,Y): 18:0-2-0,Edgel,119:0-2-8,0-3-01 LOADING(psi) SPACING 2-0-0 CSI DER. in (bc) Udefl Lid PLATES GRIP TCLL 25.0 Plates increase 1.15 TC 027 Vert(LL) -0.03 15 n/r 120 MT20 185/148 TCDL 8.0 Lumber Increase 1.15 BC 0.07 Vert(TL) -0.03 15 n/r 90 BCLL 0.0 • Rep Stress Ina YES WB 0.04 Horz(TL) 0.00 14 n/a n/a BCDL 7.0 Code IRC2012/TPI2007 (Matrix) Weight:94 b FT=16% LUMBER BRACING TOP CHORD 2x4 HF No.2 TOP CHORD Structural wood sheathing directly applied or 6-0-0 oc purtins. BOT CHORD 2x4 HF No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. OTHERS 2x4 HF Stud MiTek recommends that Stabilizers and required cross bracing be installed during truss erection,in accordance with Stabilizer Installation guide. REACTIONS All bearings 22-0-0. (lb)- Max Holz 2=-65(LC 9) Max Uplift All uplift 100 lb or less at joins)2,14,16,17,18,19,25,24,23,22 Max Gray All reactions 250 lb or less at joint(s)21.20,17,18,19,24,23,22 except 2=308(LC 1),14=308(LC 1),16=254(LC 20),25=254(LC 19) FORCES (Ib)-Max.Comp./Max.Ten.-All forces 250(Ib)or less except when shown. NOTES (11) 1)Unbalanced roof live loads have been considered for this design. 2)Wind:ASCE 7-10;Vult=110mph(3-second gust)V(IRC2012)417mph;TCDL=4.8psf;BCOL=4.2psf;h=25ft;Cat.II;Exp B;enclosed; MWFRS(envelope)gable end zone;cantilever left and right exposed;end vertical left and right exposed;Lumber DOL=1.33 plate lit) DOL=1.33 3) Truss designed for wind loads it the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry Gable End Details as applicable,or consult qualified building designer as per ANSUTPI 1. 4)Gable requires continuous bottom chord bearing. 5)Gable studs spaced at 2-0-0 ac. 6)This truss has been designed for a 10.0 psi bottom chord live load nonconcurrent with any other live loads. 7)'This truss has been designed for a live load of 20.0psf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. 8)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)2,14,16,17,18,19, 25,24,23,22. 9)This truss is designed in accordance with the 2012 International Residential Code sections R502.11.1 and R802.10.2 and referenced standard ANSVTPI 1. 10)"Semi-rigid pitchbreaks with fixed heels"Member end fixity model was used in the analysis and design of this truss. 11)All dimensions given in feet-inches-sixteenths(FFIISS)format. LOAD CASE(S) Standard Ake- xx ■ $ • 22-00-00 I I 1 1 I I I I I I 1 I I 1 0 b 0 1 ` !2(1l) • < 0 m N 2• � N O IP 0 Z o • n o o it N 11 v' b N • 'k Ar . lk I ° illi Z'I PilOt mi 0, 41 W \ ', r*g C l Ell n 0 m r N . , I 1 c r 1 , ! VQ i * 11„). • 7 i *-- VI ClN\ rn -1) I Oi L-i in t i ___ .._., ' 1 i c , 1 1 1 , i I , 1 01 1 --------1 ! :? i 1 , ,I 1 I') i 1 I 1 Z., 1 i I I I i 1 1 1 I 1 1 1 1 1 i i T 1 i ' 1 1 I i I I i [- - 1 1 i I 1 I 1 i 1 1 i 1 I I 2 0 k D 0 ic.. 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I I 1 ' 1 , ,.. r I , .... t4 r In ri. , /I :,,... o :),... ‘,1 1 ..., ' II Z ' "A > , .., \ / d - 4-11,.., t . 0) ' r r , --i. , , e: F., ... ro '' vl 1 ill i. 1 ,..., , . ..› , 6 v 1 I . ,/ , , V tei •i , , !- , \ ‘, ) \ , i _ ....„..,_ .. .,,.........,_ '... 1 I 1 1 171 I , I 2,, ,.. i. ./.„2. . . . , t .,-,,-- -, 4 1:'' '''' * 0 4 • e , ' lip -1,f.,•:: '. , , e >.— ;1 ';'---774. ,:K jib tio A '' „,:zio I K ■ D ÷1,1 '^ s 1 s 2 N i tt ill 1 I !-1---,�; e r jr Irr 0 O.- �1 i 3 x li iy O IN Pi w I ) + N .� li N x 0 01 IT 1 V H:i ( N I N I I I I I n Ili 4 F to k r 11 J 1 11 _ r---- -\ -.---- \--t-- 1 . --------A. li #E eOPY • • oN 00% JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 1 ,r-- ',Ii ` ■ „. 621 Sheridan Street • Port Townsend • Washington 98368 E III �O 360/379-4450 • 360/379-4451 Fax < <1 Alf C 2 6" 701 F?1 I ENO http://www.co.jefferson.wa.us/commdevelopment/ I� i JEFFERSON COUNTY __ [FPT.OE COf4^irIINI Y DF''FT OPP"ENT Stormwater Calculation Worksheet �-MLA# PROJECT/APPLICANT NAME: "?)6,6.,e-1.- 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 ZA 5-00 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: B Does the project convert s/,acres or more of Construction site for structures d C) ( sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well,utilities,etc. sq/ft Does the project convert 2'A acres or more of native vegetation to pasture? Driveway, parking,roads,etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sq/ft Cut Fill (cu/yd) [over] stormwater calc 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) "1 efLk sq/ft Structures(all roof area) 122 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 sq/ft Driveway, parking, roads, etc sq/ft Other sq/ft Other z sq/ft Total New /1(311 sq/ft Total Existing /3 22 sq/ft TOTAL NEW+TOTAL EXISTING* 1 80 U! sq/ft *This amount will be used BY STAFF t6 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: U,07% Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDO ER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATL a'¢ 7 ?"` `"'.r,aka y e63 a�#:'_t"` t - -s q' z ,Ya €a`'*„ tea}a d�4: ee"` :gay 0x a € r,"` 0 ®+ �. :,00V-�i f a ' s"''�.?' 7 C l s v - '; 4#y S¢syy � £"v s 'S`� $ f x �. us '� � a . '�� J " b' ;r�w4-0 ,� a 3. "-� i ' a�°r+e ,s e.,r ..kp, ( a?i ,3 rb ;,i': r e.Y s a'-e ... .,i L oak�h `l. �r � , , d'®_ ., .� m�7 444.1.° d .ld< $w'b stormwater calc worksheet Rev 9-9-2010—REV.9/9/2010 2 Parcel Details Page 1 of 2 li r Jefferson t 3: Home \ County Info a Departments Search Parcel Number: 993000022 SEARCH Parcel Number: 993000022 Printer Friendly Owner Mailing Address: ROBERT S BURNS 294 SEAMOUNT DR BRINNON WA98320-9672 Site Address: 294 SEAMOUNT DR BRINNON 98320 Section: 29 School District: Brinnon (46) Qtr Section: SW1/4 Fire Dist: Brinnon (4) Township: 25N Tax Status: Taxable Range: 2W Tax Code: 0441 Planning area: Brinnon (11) Sub Division: 9930 - SEAMOUNT ESTATES DIV 1 Assessor's Land Use Code: 1101 - Residential - MH W/Land Property Description: SEAMOUNT ESTATES DIV 1 LOT 22 (ENLGD BY TAX 35) Tax,A/V, Sales, Photos,and Permit Data Bldg Data Map Parcel Plats&Surveys Septic Monitoring Info cirttzt Jefferson County"-..,; HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac htt ://www.co.'efferson.wa.us/assessors/ arcel/ arceldetail.as ?Parcel NO=993000022 8/29/2014 P J P P P _ Blue Moose Home Services LLC Page 1 of 2 • CI)Washington State Department of Labor & industries 1 Blue Moose Home Services LLC Owner or tradesperson 817S314thSt Rohleder, Patrick J FEDERAL WAY,WA 98003 253-945-1394 Principals KING County Rohleder, Patrick J, PARTNER/MEMBER Rohleder, Michael Edwin, PARTNER/MEMBER WA UBI No. Business type 603 125 973 Limited Liability Company License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. BLUEMMH898ME Effective—expiration 07/05/2011—07/05/2015 Bond American Contractors Indem CO $12,000.00 Bond account no. 100168756 Received by L&I Effective date 07/05/2011 07/01/2011 Expiration date Until Canceled Insurance Security National Insurance $500,000.00 Policy no. NA106109301 Received by L&I Effective date 06/18/2014 07/01/2014 Expiration date 07/01/2015 Insurance history Savings https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603125973&LIC=BLUEMMH898ME&SAW= 8/29/2014 Blue Moose Home Services LLC Page 2 of 2 No savings accounts during the previolli year period. • Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp No active workers'comp accounts during the previous 6 year period. Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries Use of this site is subject to the laws of the state of Washington. Access Washington* <Yi.WWt Ms, https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603125973&LIC=BLUEMMH898ME&SAW= 8/29/2014 •UILDING PERMIT APPLICAN BLD14-00315 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00315 Received Date: 8/29/2014 SITE ADDRESS: 294 SEAMOUNT DR BRINNON, 98320 OWNER: ROBERT S BURNS PHONE: 360-796-4829 294 SEAMOUNT DR BRINNON WA 98320-9672 9930 SUBDIVISION: Block: Lot: 22 PARCEL NUMBER: 993000022 Section: 29 Township: 25 N Range: 2■A CONTRACTOR: BLUE MOOSE HOME SERVICES LLC PHONE: 253-223-2778 817 S. 312TH ST Contractor's License BLUEMMH898ME Expires 7/5/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW GARAGE NO HEAT NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Total: \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/29/2014 i ert� JEFFERSON COUNTY g,-- - .A DEPARTMENT OF COMMUNITY Y DEVELOPMENT '4 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax 4 p' www.co.jefferson.wa.us/commdevelopment BINS Master Permit Application MLA: Project Description(include separate sheets as necessary): CI — t-Ne hea± no p1 u wr 13 s - �} Tax Parcel Number V C.) 2 z Property Size: 2Al , CO 3,1, '1- ( /square feet) Site Address and/or Directions to Property: 2`� n-Loci,,,; 1�b' '-ac t..r,) f c 98326 Property Owner(s)of Re9ord: Ohf-ET „1x c$j , .,L i '' Telephone: 3 -79 .. " 7 b2 ci .Eik: ZOio 5 5© - 97Zt r o email: R8 6 'Ttr0 d dc.i V4t 1.� �Mailing Address: m e.. i� 5 its � �r-- j ._ Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind.of Permit?(Check each box that applies ❑Lot or Road Segregation I L Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit . Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family )Garage AttNitiEgl 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 • ❑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 o 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: 1 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 apptic4fh a,th--he or s•7 e is prior notice. Signature: >•mr i'01' 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 ar ' compliance_wjz the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-tra p ility ring to and complying with the ESA. The Applicant has read this dis la}'�erg sins an dates it below. Signature; . J Date: �/� c)��°‘ II 0 BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 13 Lk E. 1 V\b0_SE- N` mf_ 2V,C&S 1 1 C'- (253) a 2 7 7 8 v ( ) MAILING ADDRESS: 8 17 S `"ta - 5.i.- EMAIL: 6-e-T-T-kaM0OS:.L—+09(T VW.\ L® Co CONTRACTORS LICENSE WAINS NUMBER: P L A F M PV) 4-\ pj C V M F NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: I Shoreline: Type of Sewage Disposal: XNew Wood Existing: C Sewer C Addition C Steel Proposed: Bank 0 Community System C Alteration/Remodel 0 Concrete Total: Height: 0 Individual Syst gt C Repair C Masonry — SEP Permit# 1 I ''J C Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: C Public 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 IBC Occupancy: IBC Type of construction: Will you have FoodService? 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 1 Woodstove I Fireplace Insert i 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 Only Amount Revision Main Floor Heated EH Bid App Review: _ G7) ,CX.) 2—` Floor Heated Consistency Review: (1! u 0 _ Other Heated Base fee: 1 '1 G u Mezzanine Additional Section: 1°1 • L✓ Heated Basement Plan Check fee: C' (123C) Unheated Basement State Surcharge fee: �� Other Unheated V �' Pot Water Review fee: y Ga�rage/Carport j 4 o ,I�i /(4 )i SUBTOTAL ;f .. t , i Decks 911/Rd Approach fee: Other ;Ct-cr 4 �j SrLCon.115 s oc -� `t B 1 I ),`/-.4-`1 >;, TOTAL: $ t , ,, ` �)(O - --._.. Receipt Number:1 - It c-5 \ :�� t _ -` '1 U Cash/Check Number: cj ESTIMATED COST,(REQUIR Date: 'Fair marke�lrie.of allI..b and mate 'albfobndation to finish (- `� Ik4 Ie Th0 Initials: • k�g�orr '06. JEFFERSON COUNTY ,: \ ■ DEPARTMENT OF COMMUNITY DEVELOPMENT . . 621 Sheridan Street • Port Townsend • Washington 98368 4`9,41Ne 360/379-4450 • 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: ?610e, 1 '`-'c\' r - 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 O, 5' acres 1 An acre contains 43,560 square feet. Multiply the acreage by this figure. "-► Size of parcel in square feet , 6-0 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: QQ Does the project convert 3/4 acres or more of Construction site for structures d U sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. sq/ft Circle: Yes No Well,utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway, parking,roads,etc. sq/ft Circle: Yes No Lawn,landscaping, etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sq/ft Cut Fill (cu/yd) II [over] • 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 r Structures (all roof area) y � sq/ft Structures(all roof area) 1 3 21 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 sq/ft Driveway, parking, roads, etc — sq/ft Other sq/ft Other sq/ft Total New `)(1-) sq/ft Total Existing 13 2 Z sq/ft TOTAL ull EXISTING* / h s amont wilbe used BY STAFF to ch ck 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: C,07% Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DAT FOR OFFICE:(ISE ONLY' SMALL ' MEDIUM '. LARGE REDEVELOPMENT Stormwater Site Plan: Yes ?. No Op Front Parcel Review • 3Lb N_00:3/3 Parcel 993000022 Printed: September 3, 2014 ROBERT S BURNS Site Address(es): 294 SEAMOUNT DR 294 SEAMOUNT DR BRINNON, WA 98320 BRINNON, WA 98320-9672 Parcel Number: 993000022 S-T-R: 29-25N-2W Total Acreage 1 Legal Description SEAMOUNT ESTATES DIV 1 LOT 22 (ENLGD BY TAX 35) Land Use: 1101 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM)Panel No: School District 46 Zoning: /?R 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 YES NO [ ] Parcel Tags or Scanned Documents YES 1D—' [ ] ESA's: Special Reports Nearby YF NO ,fie„,A,„) re,,g,ti,-r‹ [ ] Designated Ag YES [ ] Shoreline Designation: YES I� — [ ] Shoreline Slope Stability: Y,�ENO ei∎Ls Ce-- Stream Type:YES NO FWHCA: YES NO Wetlands: YES NCy Rare Plants:YES ND-- Seismic: YES I -- Landslide: Y,F,S_— NO 5l Sl.r /b��► G� Vic. c.;tl Rcr/2 ? ex,s71-1 ;,hy'4+1- Flood: YES 1 Erosion: YES Aquifer Recharge Areaa:YE NO SIPZ: none At iR sk High Risk Sc2Astal—s CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES [ ] Agricultural Lands: YES N� [ ] Archaeology: YES _NQ--- [ ] No Shooting Zone: YES NO [ ] Stormwater: New Impervious Surface 484/ ,$ Land Disturbing Activity OK ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure: • 'y.ort YES 09 MRL YEs C� Forest Lands YES ) [ ] Landscaping Required: Yes Or [ ] Parking Spaces Required N• 2 Other 1 1 Building Height: 35' UBC Standard cam_ [ ] Impervious Surface coverag ercentage: 7Z Resource Lands&Public: 10%., Rural Residential: 25% Rural IndustlePer UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building (s) Size: /86‘ RVC:20,000 SF CC:5,000 SF INC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: ,2O Left Side: S Right Side: Rear: Shoreline Setback: LSHA Setback: no, [ ] Road Classification: 1._a c�( Access (� Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES E [ ] Flood Certificate: [ ] Existing Case(s) &Condition(s): Violations: Yes ■0-- [ ] Recorded Date of Subdivision: AFN 201 ?2 Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YESJD submitted: YES .� [ ] UGA No Protest Agreement YES submitted: YES NO [ ] Site Visit conducted YES �— [ ] Require Final Zoning Approval YES [ ] ADMIN: Setbacks entered .. '- it Plan case N/A YES New Parcel Ta• -red in Permit Plan N/A YES Special t - sorts Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 993000022 Review Cases Name Type Status Planner BLD02-00684 CLUCKEY F Application Received: 11/20/2002 Permit Issued/Case closed: 11/20/2002 Case Finaled: 10/14/2003 PROPANE TANK AND LINE INSTALLATION BLD14-00315 BURNS P Application Received: 8/29/2014 Permit Issued/Case closed: Case Finaled: NEW GARAGE NO HEAT NO PLUMBING BLD93-00401 CLUCKEY F Application Received: 6/15/1993 Permit Issued/Case closed: 6/22/1993 Case Finaled: 10/19/1998 mobile home installation OTH93-00031 CLUCKEY A Application Received: 6/14/1993 Permit Issued/Case closed: 6/22/1993 Case Finaled: well approval SEP91-00349 CLUCKEY F Application Received: 7/22/1991 Permit Issued/Case closed: 11/30/1998 Case Finaled: 10/19/1998 EES ON 08/12/05, 12/31/07 M LA09-00173 BLD09-00153 MLA09-00173 BURNS I F David Wayne Johnson Application Received: 5/27/2009 Permit Issued/Case closed: 7/7/2009 Case Finaled: 6/29/2012 NEW DECK SOM91-00349 BURNS F Application Received: 10/19/1998 Permit Issued/Case closed: Case Finaled: \\tidemark\data\forms\R ParceLCRMLA.rpt 9/3/2014 Page 2 of 2 Map Output y Page 1 of 1 ArcIMS HTML Viewer Ma• i� � : $ A Y' }" �{� ` tt ze 2 Z.-.=":2. i ,' \ '4.*IL 'hh ':'• _ Y' /''211 iiiii,$),,iiiiii V ,y,2,,...,_-....% ti ;z � N• LeRend ''''4.,.„,... zr. ,+ ,� _ oa{�s i ram Parcels H Contours I „ tO Foot Contour .._s�'. l :` ' %='J 5O Foot Contour \ r L No Shooting Zones - � 9rmnon ©Ixk Pornt j ' • _ t; O nn non•Otymp,c Can3I T rac1 n (1• :. ,ry _ ....' �i1 .._ r! 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I/r . / • , , . / . , s_. . . / . , i . , ,s I ' ..s,.. r ...:0 .•, ,s, ,s ss, s s • '' . r 1\t;-' 1 i , ' , —' '-.. ,....'\C. i ' - t 1- '' ' 1 / `PI-1'125:!',?:,°,..'1 ' 1,.f.-I•,\II.< • .,., "LI f‘'l''),•(,(.■-'''■ '[.:Lr \',,,, ,.) . , ' L , '.-)0 c'.) 0 •i)( .',/, 1,- ,,:,t -,:' . , ■ . \ \ ..7 \,,\1 ,' ! (...\ '' • ' - 4, . .. . ) ' 1 . i (......, /',..) ' t '!".',,,',,I,'ir•, !-I.. r,,, . ' / ' 1,-)q—• . f, ,–,7..-1-.-7-;-,_ %. .F. —, -N– •• i L i .„. I JEFFERSON COUNTY OF COMMUNITY DFVFLOPMFM so l c 1 ,,-s,) (,),',",si's ss,'- ,/". #sf"...., -.s.-s., APPROVED -,:i•;,--- , _ 01 , .,...1./._ i k ..„ ...:-,' '. Sri PLAN '-'z',- -:- ,';'..:.• I-) , i;L / H • I 1 ''). ( -' – r• ' ', ...,:,.. i (,) '- ; .'' .' -. -A)...,' t ', ....',' t '• ' • ) . , „, ) t ' 1 ' ''l 10'.- ) f.') :- ' JF,FFERSON COUNTY ni?,P.f. or( (),IVIIVIJNITYDFNELOPMENT __S I(:•-,-.,' i. ::-7----7--:- I , 1 3-1'l(7.21\...e...:' -- - . ' • . .• , •) .'/( / ) '00,..\\ 1;17` o JEFFERSON COUNTY iii � ''-' DEPARTMENT OF COMMUNITY DEVELOPMENT 15F,ItO C Date: 2/$/S Time Received: - j am 40 Mon. Tue. Wed. Thur. 40 li V/� �j Da : 0,4� `�Q /5 BLD: V ✓ / 5 Contact Name: Owner: `__ Contact Number: 360 0 Address: AGI,'r WW/M f%)IMI 4 071 206 550— el V6, Notes: GturCC 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 ,A Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling eSON ooG JEFFERSON COUNTY : ` DEPARTMENT OF COMMUNITY DEVELOPMENT 9'sRl NG'S )ate: l,` i 1 Time Received: t 14- Qp am/4ii' Mon. Tue. Wed. Thur. 0 Date: 1 2.--- (—A-- 3LD: I vl ,/ 315- Contact Name: Jwner: Contact Number: 360 4ddress: a 4(4 ,.ft�„4..;n,,.c,.`"t 6 e 206 5 S7) 972A, 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 ," JEFFERSON COUN• • s`.w ` DEPARTMENT OF COMMUNITY DEVELOPMENT -.stir .o-cc' Date: tZ-Z Time Received: 0/pm Mon. Tue. Wed. 0 Fri. Date: 1� 44 BLD: [41— 'i 5' Contact Name: Owner: Contact Number: 360 Address: 2 ct. ,,- fir- 206 5373 F72,6 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Dc 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 % JEFFERSON COUNTY z DEPARTMEN1WF COMMUNITY DEVELOPMI lSftl T G.O Date: Time Received: am/pm Mon. Tue. Wed. 14210 Fri. Date: ii—/3 BLD: /4/- 3($'" Contact Name: Owner: Contact Number: 360 Address: 2.E y co 206 33-0 g72,() 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 • • Jefferson County Building Division Permit Number: BLD14-00315 Applicant: BURNS 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 iD/9/, Erosion Control Post Holes Foundation Footing b/9/l O' Footing Drains Foundation Stem Wall /0/1/i Underground Plumbing Straps(hold downs) Ext.Shear Wall Nailing I! Rough-in Plumbing Framing r-f-1� Blocking Wallboard Nailing .� $ Drywell/Alt Drainage Address Posted 411C Septic System Finaled l/ Septic System Finaled sep91-00349 6-1+ +-, I I^Vvi. A final inspection will not be scheduled until all of the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION 4,1(a FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR . I CONDITIONS for Building Permit# :BLD14-00315 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 flow from the splashblocks shall be directed in a manner consistent with the standards set forth in the Stormwater Management Manual for Western Washington (2012). As such, the flow shall be directed away from adjacent properties and dispursed over fifty feet of vegetative surface. 3.) The site plan as submitted with the building permit application for a 484 square foot detached garage on September 16, 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 September 17, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) This approval is for a 484 Square foot detached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 5.) TSW 6.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 9/26/2014 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00315 Received Date: 8/29/2014 SITE ADDRESS: 294 SEAMOUNT DR Issue Date 9/26/2014 BRINNON, 98320 Expiration Date 9/26/2015 OWNER: ROBERT S BURNS PHONE: 360-796-4829 294 SEAMOUNT DR BRINNON WA 98320-9672 9930 SUBDIVISION: Block: Lot: 22 PARCEL NUMBER: 993000022 Section: 29 Township: 25 N Range: 2■1 CONTRACTOR: BLUE MOOSE HOME SERVICES LLC PHONE: 253-223-2778 817 S. 312TH ST Contractor's License BLUEMMH898ME Expires 7/5/2015 PROJECT DESCRIPTION: NEW GARAGE NO HEAT NO PLUMBING TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 35,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $432.00 SRE 08/28/14 151398 Exist: Exist: Plan Check $280.80 SRE 08/28/14 151398 Prop: Prop: State Building Code $4.50 SRE 08/28/14 151398 Total: Total: Total: $717.30 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