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BLD2014-00092
, UILDING PERMIT AP ` BLD14-00092 I�LICN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00092 Received Date: 3/14/2014 SITE ADDRESS: 893 PAYNE RD QUILCENE, 98376 OWNER: WARD A MC DONALD TRSTE 't PHONE: 360-981-8192 JOY S MC DONALD TRUSTEE I-- 11636 WICKS LAKE RD SW PORT ORCHARD WA 98367-9229 SUBDIVISION: Block: Lot: TX 37 PARCEL NUMBER: 601283019 Section: 28 Township: 26 N Range: 01 W CONTRACTOR: ARMSTRONG HMS BREMERTON INC PHONE: (360)373-5061 2531 PERRY AVE BREMERTON WA 98310 Contractor's License ARMSTHB307QL Expires 5/7/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOD NSFR, no garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,062 VALUATION 154,487.00 ADD'L: 331 HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 36 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,405.00 MEB 03/10/14 148433 f� Plan Check $913.25 MEB 03/10/14 148433 APPROVED State Building Code $4.50 MEB 03/10/14 148433 Potable Water Application $67.00 MEB 03/10/14 148433 Total: $2,389.75 Jefferson Count, 1 DCD N4irlemnr4\rlo+o fnrmelF RI n Ann Rlrl rn4 '2/1 A/9(11A 110 I 4 'ON c'o,. DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 " Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment Yet fa �i` E-mail:dcd @co.jefferson.wa.us N 01 CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00092 APPLICANT: WARD A MC DONALD TRSTE PHONE: 360-981-8192 JOY S MC DONALD TRUSTEE 11636 WICKS LAKE RD SW PORT ORCHARD WA 98367-9229 SITE ADDRESS: 893 PAYNE RD Issue Date: 04/4/2014 QUILCENE, 98376 Final Date: 3/18/2015 SUBDIVISION: Block: Lot: TX 37 PARCEL NUMBER: 601283019 Section: 28 Township: 26 N Range: 1W PROJECT DESCRIPTION: NSFR, no garage THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes el THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 3/18/2015 \\tidemark\data\forms\F_BLD_Occupancy.rpt 3/18/2015 • S BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00092 Received Date: 3/14/2014 SITE ADDRESS: 893 PAYNE RD Issue Date 4/4/2014 QUILCENE, 98376 Expiration Date 4/4/2015 OWNER: WARD A MC DONALD TRSTE PHONE: 360-981-8192 JOY S MC DONALD TRUSTEE 11636 WICKS LAKE RD SW PORT ORCHARD WA 98367-9229 SUBDIVISION: Block: Lot: TX 37 PARCEL NUMBER: 601283019 Section: 28 Township: 26 N Range: 01 W CONTRACTOR: ARMSTRONG HMS BREMERTON INC PHONE: (360)373-5061 2531 PERRY AVE BREMERTON WA 98310 FA-)(<5470 6Contractor's License ARMSTHB307QL Expires 5/7/201 ç73 `r PROJECT DESCRIPTION: NSFR, no garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 154 487.00 MAIN: 1,062 CODE EDITION: 2012 ADD'L: 331 HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: DECK: 30 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,405.00 MEB 03/10/14 148433 Exist: Exist: Plan Check $913.25 MEB 03/10/14 148433 Prop: 3 Prop: 2 State Building Code $4.50 MEB 03/10/14 148433 Total: 3 Total: 2 Potable Water Application $67.00 MEB 03/10/14 148433 Total: $2,389.75 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 6 II 1 Jefferson County Building Division Permit Number: BLD14-00092 Applicant: MC DONALD TRSTE 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 qisiii Erosion Control Foundation Footing / �/ OVA e Footing Drains -12-S) i_ / Foundation Stem Wall .-I,2_ 1 of Underground Plumbing id A Under Floor Framing 6 l 11 1 9 / Straps(hold downs) 31$91( 3 Ext.Shear Wall Nailing .s /6 rj- IrT -q-11 Rough-in Plumbing f'cl'i / Framing 0 P/q Airseal (713//-S- (' Insulation:Walls ei/l Insulation:Floors /g /4 Insulation:Ceiling �/� .if Wallboard Nailing q q lc Duct Test Cert 3 to Is- Blower Airtight Test , .5- Smoke&CO2 3if) lc- Drywell/Alt Drainage 9 tc- r Address Posted ;g , S V ry Water Meter Inspection h, S V System Finaled S 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 3/06' FINAL INSPECTIO MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR k • w7_J 3 ,,, " „ 1 , ...... ,,, s zril 4 ?._,..1 A p y (o p ' / % .,,,i • m r / r: ■— X v • • ••• z � c 144 ' rs 0O rri �I "��\ 3, 1:. i'''' ■ e 111 g.- ri t-i Cr\ Cii At a I z a� , i --) --_____._.,:j) rrii-' o pr /torl :,. ,,, =3 4,01 , ii it:3 / cn r o o Q ,''tl /i" 11 P17". t4774 tilt(� Dy 1 1 L J w„et r , A a ' 1 �t t� ; 1 r' t r*, I j 1 W --- 7 c-76 - t -,-, , 73 t 0 , t i top,...1. :4 c*,.. r . 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H 1E a� A -I 3 oz v ‹ o v . �y PC cD 3 vii (1) cD in N 011 vii 3 `� p�^ sit 0 II_ \ OA, AY�So ila I -i 0 ` x C Ir 11 �` c3D MI m m IIP= A m X O 0 04, -, ', co o -, rl' S 0. on ;H Z z —I O m n 0 C < o u V1 o_ 7 O O -n T fn CC C (.D rt -s -1 D < O rt O r`• CD CD N C 5 Q) o C o 0 0) 0) y O 7 Z Oa = -, 7 -s 3 -1 -' 00 CQ v 0 o w a 1-11 aa) •° rn m D C "0 r r z: O m m Oc Q Z Z fD`D = 3 3 0 0 0 an as m Cr CD = E s. 3• cc cc Z = 3 CD N Q Q R i C (D o rn rA• o O i Cli• > T! w sz 3 t 3 V) = - eD vi O -a m tai ; 3 Q C S 0 ai 0 v CO vi o O c G� 02. 0 (D cD vrt■ 0 H fDD Jefferson County DCD Building Division Correction Notice PERMIT NUMBER N-672... OWNER JOB LOCATION 6'13 Pyivv iro Inspection of this structure has found the following violations: ® 1)0\1 dtfr RAt-1 ec A-arnd Beiou) sKyLitss o- Z ;tsar • -* 1Z9 & "" -YO rest & Icz. P.0 ef?ibils6 Poo) rb S-Asocu 15,4-1.4414Z CO TO )NSA:t_M' You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date ViV iS Inspector J 11 BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE I z D O W v r o) co T o 0 0_ -- Q rr O 0! O (p -, (D N O' o r+ -n N 3 co (p 0. v x v ‹ O� xCO „,w O o (D 3 7 V (D 0 N CM H 3 O x NI '�N -I v `m x c 111 m D73 * i X (311 .0 h. , WI. ....Zi (1) a O. c 041 -1 3 <' -I z x 0 m' c a V 00- O m- i' 3 0_ ac) , N 111.., 411116. ' � ...11 O'n 8 n m C m 5 7.. = y n c rD o: ° ° D m a; ,,. m- =- vi 3 m 0 0 (D rD C MI °—' ° 0 ° o °; m v v oo Z Cu 1111111= 3 3 0 0� v m C v v m M ("D (D•-1. OG O" O Z Z 0 rD su c a) g 13 o' o' ago ao o 2 3 o - - o o -I m m 5' 5' c c -� m (ND (ND a.Q. 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CO a Q > a) 4 W o u o © E a 4 Z C c - CO` CO O CO O c E (-^ t _c .4, o }, 0 - co Q L L y a) 3 U 2 u. u- O O C 'O rn -c: •i-_- a) C C O4-, a-, o XC L.1-1 } O z Z CA -O C U L W C C .0 4 O D C O = z > c 0 n 0 1— •55 D nn 0 >- c Q v a _ 'S eC 0 LL Q. a) D _ w w _E 'N 3 p n on = n a) ,n C ar s p u C ra a O a) v 0 — CO�Y'Iar;. �F5 m .n o f = p a3 025 'p +� O Cr) N 2 +, -6 rn C a) LL 0 cu C V a) C 'J (1) N 0 N n tC o O > LL LL m co -1 'O O o CO O < Z ir<or Hodge 1,/ engineering inc. J 9 8/20/2014 Report#13.0921A RE: 893 Payne Road McDonald Residence Shear Nailing Special Inspection To Whom It May Concern: I have provided the lateral load engineering for the McDonald Residence to be built at 893 Payne Road Quilcene Washington. The framing for the residence is being provided by Armstrong Homes at their panel plant at 2715 Auburn Way North. At the request of the builder I have reviewed the panelized construction and nailing for the plant fabricated wall panels for the McDonald Residence. See attached panel layout. The shear nailing meets my engineering requirements. It is acceptable to install the holdown straps on the inside face of the wall provided that the strap is not bent. Please contact me with any questions regarding this project. p ,..s9 . , ''s 8/20/2014 . +C i µ Report# .S .. f i ,f � V 4t 4.r. • ' lr) John H 'X 7!t_, ,s , ';. '}\ tl t This letter is the professional opinion of the engineer of record and regards his engineering only. This letter does not allow the builder to disregard Code requirements. Any schedule or cost impact is the responsibility of the builder or owner. The Building Inspector, not the engineer, has the final authority to allow field changes to approved plans. 111f1:1, 1 i# 1"iC.'i`li1'4. 1110. , 16 to, D2 ST14014RJ • 137 qv - .11Millar '.. I• SUJI .511-014RJ . ink Ipl ST14014R.), 1 5T1-1)14RJ bl BEDROOM #1 * BEDROOM #2 F UNINISHED hort i UNFINISHED , I , ' 1 Ii______ ' • _ 1 , . 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S??. t n. c c y n ?; v E c o c . 3 a - o ' 3 ° o o a w co n O 2 N O S • n p .. _S 7 0 ti - co- 7 c E _ p w A I i IBM i I w • S Southwest Regional Office, Water Resources Program April 2010 • The MIU must be compatible with a Neptune CE5320B handheld Data Collector. • A lithium battery with capacitor must supply the power to the MIU. The battery must be field replaceable, and designed for at least a 20-year life expectancy. • Manufacturer must be certified, or in process of being certified, as meeting ISO 9001 2000 standards. Installation Specifications • The meter must be installed according to manufacture specifications despite varying installation conditions. For example: variable pipe-fittings,pipe sizes, well locations, and landscape conditions. • Meter installation must assure an even velocity profile. Installers must use straight sections of pipe before and after the meter, straightening vanes, or other flow conditioning devices as necessary to provide even flow through the meter. • Meters will be installed 8 to 12 inches below the meter box lid, or as appropriate for location and geographic area. • It is the home builder's or well owner's responsibility to maintain the meter and meter box in good working order. If installation does not meet specifications or there are abnormal readings,the home builder or well owner must assure that equipment is reinstalled, repaired, or replaced as necessary. HD Supply Waterworks Washington State Branches Bellin_ham 3735 Irongate Rd 98226 (360) 734-4210 (360) 734-4712 4106 134th Street NE 98271 360) 651-1147 (360) 651-1151 Pasco 645 Lockheed St 99301 (509) 547-2410 (509) 547-2367 Puyallu• 602 Valley Ave,NE 98372 2518 (253) 840-8558 (253) 840-1141 South Seattle 10013 MLK Jr Wa 98178-2078 (206 722-4800 (206) 682-1611 S•okane 1215 N Bradley Rd 99212 (509) 893-1055 (509) 893-1098 Tacoma 10708 Golden Given Rd E 98445-1852 (253) 531-1144 (253) 531-9561 Vancouver 9115A NE 117th Ave 98662 (360)256-6151 360)256-6225 Woodinville 5823 238th SE 98072 (425)483-2724 (425)486-0981 Publication Number: 10-11-011 2 0 Please reuse and recycle • ' �4 DEPARTMENT OF Rule Implementation in WRIA 17 ECOLOGY State of Washington Southwest Regional Office, Water Resourom Program April 2010 Water Metering Specifications fo the WHY IT TMATTERS Quilcene-Snow Watershed WAC 173-517"Water Jefferson County, Washington State Resources Management Program for Man the Quilcene- As of December 31, 2009, all new water uses in the Qu1ilce il e-Snow Snow Water Resource,. watershed ater Resources Inventory Area [WRIA] 17) ust be !nventoiy Area(WRIA 17)" measured. T(W his applies to surface and ground water uses, i luding became effective December 31, 2oa9, well uses under the groundwater permit exemption. Water sers are required to install a meter to record and report their water u.e. In addition to uses beginning after December 31, 2009, the etering requirement applies to existing users with water rights. Exi ting permit- Ecology Contact information: exempt well users do not fall under this requirement. Eva Richards,, Southwest Regional',Office 360-407-6643, The following provides a general outline of meter, interfac: unit and Eva Richards ecy w `gov installation requirements. See contacts in the side bar for as,istance. Meter Specifications Meter Purchaslng/ • Meters must measure cold water flow in one directi i�n only. Installation: Brad Hammar • Meters must use positive displacement technology. HD Supply Waterworks • Meters must comply with: 425-766-3'311 o American Water Works Association (AWWA standard brad.hamrnarc( -hdsuppivcom C700-latest revision. o AWWA and National Institute of Standards a . Technology(NIST) standards for cold water eters, as tested under guarantee by the manufacturer. • Meter must include an absolute encoder register thair o Conforms to AWWA standard C-707-latest re ision. o Is compatible with a Neptune R900i®Meter I erface Unit (MIU) for automatic meter reading. • The meter manufacturer must be certified, or in pro.-ss of being Special accommodations: certified, as meeting ISO 9001 2000 standards. If you need this publication in • The meter design must include meter box specificatiIns. an alternate format, call the Water Resources Program at 360-407-6872. Persons with hearing loss,call 711 for Meter Interface Unit(MIU)Neptune R900i® WPear s sons hington with Ra ela spy eech:Service. • The meter must include a Neptune R.900i®MIU me:ting NIST disability,call 877-833-6341. standards for automated meter reading systems. Publication Number: 10-11-011 1 • • 3.1.1 Downspout Full Infiltration Systems (BMP T5.10A) Downspout full infiltration systems are trench or drywell designs intended only for use in infiltrating runoff from roof downspout drains. They are not designed to directly infiltrate runoff from pollutant-generating impervious surfaces. Application Projects subject to Minimum Requirement#5 (Section 2.5.5,Volume I) must provide for individual downspout full infiltration systems or full dispersion if feasible. Evaluate the feasibility,or applicability, of downspout full infiltration unless full dispersion is proposed. Use the evaluation procedure below to determine the feasibility of downspout full infiltration. Flow Credit for If roof runoff is infiltrated according to the requirements of this section, Roof Downspout the roof area may be discounted from the project area used for sizing Full Infiltration stormwater facilities. Procedure for 1. Have one of the following prepare a soils report to determine if soils Evaluating suitable for infiltration are present on the site: Feasibility • A professional soil scientist certified by the Soil Science Society of America(or an equivalent national program) • A locally licensed on-site sewage designer • A suitably trained person working under the supervision of a professional engineer,geologist,hydrogeologist,or engineering geologist registered in the State of Washington. The report shall reference a sufficient number of soils logs to establish the type and limits of soils on the project site. The report should at a minimum identify the limits of any outwash type soils(i.e.,those meeting USDA soil texture classes ranging from coarse sand and cobbles to medium sand)versus other soil types and include an inventory of topsoil depth. 2. If the lots or site does not have outwash or loam soils, and full dispersion is not feasible,then consider a rain garden or bioretention BMPs (the next lower priority on-site stormwater management system). 3. Complete additional site-specific testing on lots or sites containing outwash(coarse sand and cobbles to medium sand)and loam type soils. Individual lot or site tests must consist of at least one soils log at the location of the infiltration system,a minimum of 4 feet in depth from the proposed grade and at least 1 foot below the expected bottom elevation of the infiltration trench or dry well. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-4 O • Identify the NRCS series of the oil and the USDA textural class of the soil horizon through the depth of the log,and note any evidence of high ground water level, such as mottling. 4. Downspout infiltration is considered feasible on lots or sites that meet all of the following: • 3 feet or more of permeable soil from the proposed final grade to the seasonal high ground water table. • At least 1-foot of clearance rom the expected bottom elevation of the infiltration trench or dry well. • The downspout full infiltration system can be designed to meet the minimum design criteria specified below. Design Criteria Figure 3.1.2 shows a typical downspout infiltration trench system, and for Infiltration Figure 3.1.3 presents an alternative infiltration trench system for sites with Trenches coarse sand and cobble soils. These systems are designed as specified below. General 1. The following minimum length(linear feet)per 1,000 square feet of roof area based on soil type mad be used for sizing downspout infiltration trenches. Coarse sands and cobbles 20 LF Medium sand 30 LF Fine sand, loamy sand 75 LF Sandy loam 125 LF Loam 190 LF 2. Maximum length of trench shal not exceed 100 feet from the inlet sump. 3. Minimum spacing between trer4h centerlines shall be 6 feet. 4. Filter fabric shall be placed ove i the drain rock as shown on Figure 3.1.2 prior to backfilling. 5. Infiltration trenches may be played in fill material if the fill is placed and compacted under the direct supervision of a geotechnical engineer or professional civil engineer with geotechnical expertise,and if the measured infiltration rate is at lust 8 inches per hour. Trench length in fill must be 60 linear feet per 1,000 square feet of roof area. Infiltration rates can be tested using the methods described in Section 3.3. 6. Infiltration trenches should not )e built on slopes steeper than 25% (4:1). A geotechnical analysis aid report may be required on slopes over 15 percent or if located wi° in 200 feet of the top of slope steeper than 40%,or in a landslide hazard area. Volume III—Hydrologic Analysis and Flow Cgntrol BMPs—August 2012 3-5 • • 7. Trenches may be located under pavement if a small yard drain or catch basin with grate cover is placed at the end of the trench pipe such that overflow would occur out of the catch basin at an elevation at least one foot below that of the pavement,and in a location which can accommodate the overflow without creating a significant adverse impact to downhill properties or drainage systems. This is intended to prevent saturation of the pavement in the event of system failure. Design Criteria Figure 3.1.4 shows a typical downspout infiltration drywell system. for Infiltration These systems are designed as specified below. Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum) and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric (geotextile)must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25%(4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist,hydrogeologist,or engineering geologist, and with jurisdiction approval. it Volume III Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 a • 0 I roof r drain PLAN VIEW NTS • 4 id or 6 p ilexIe ir. -) momd„ 43----) pe'rfrated ipe iniiiliration trench I surnp w/solid id I PLAN VIEW I r NTS overflow 4'rigid or 6 flexible Splash block perforated pipe 1 Al -.jN/\-*. /~lr• mi�fiq I m 9 ;°a° • 1 b °• �� iap°q . washed rock aoaa4 laz.a4 ,.. —11' 5.1y'min_I 12' ;* = 11tZ'-34 ouo an 01 11'min V.." go-:-..RE"...0.0. 111 l fine mesh scree--CB sump rrlsotid lid -+--- varies . -�10'min —*A filter fabric } I compacted bawl O ' . V.I7..' r r .i•ih , • e 4'rigid or G flexible 9 oV° ,op o perforated pipe 24' g o a o ,,V,I a a a0 oa°V°(r washed rock - ` D O 12 !`. p°° pa 11?-3/4' ti /�a4apa °ra4ap' I r • // l I-4—24'—e•-1 SECTION A I NTS I Figure 3.1.2-Typical Downspout Infiltration Trench Source: King County I Volume III—Hydrologic Analysis and Flow Ontrol BMPs—August 2012 3-7 • • from roof grass - s overflow 6'min • a, ao• 1W-W? O°a 4V°°4n washed rock... 446 oa4 p4,o° 18'mm NOTE.Same length dS °� , • and site fimdations as typical system oa o 0° Q° a 2'mbt 15'min X-SECTION. .. • NTS - _s Figure 3.1.3-Alternative Downspout Infiltration Trench System for Coarse Sand and Gravel Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-8 • • 4 Roof Downepai Holm Catch Best, 1 / Al Rod flow Do 0 48 Inch Die. , Fill, it PLA VIEW /2-I 0 Roof o p it f' o Caged PVC House /, or r e shB Top,. Flt sot h Sulace trig ll C . M #f ),:-......t. w,� .J4w4 p �3 CR ',- .-, � . - . chBesinE 0 '' 48Irch 4'.;meter #) . Sites • H 4'' Hole Fil -.� _I.,with 1;: 1y2..3., ; : 3 . Fly `c Dreln R•.,� w 1e miss N«*¢ �.� Min. 1' - ,nal ' FELL DRY H i Groundwater able SECTION NTS Figure 3.1.4-Typical Downspo t Infiltration Drywell Source: King County Volume III—Hydrologic Analysis and Flow I ontrol BMPs—August 2012 3-9 • • Setbacks Local governments may require specific setbacks in sites with slopes over 40%,land slide areas,open water features, springs,wells,and septic tank drain fields. Adequate room for maintenance access and equipment should also be considered.Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line,or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-10 ' Prescriptive Energy Code Come for Single Family and Duplex Housin one 2 P t Info�rma o Con .ct Information �2rt a� 0 ' r7, 'P-4,4VI.,.A AID Ail- ‘ , Al %..auf This set of forms has been developed to assist permit applicants documenting compliance with the ,*o / Washington State Energy Code, (2009 edition).This set is for structures built under the IRC and located 546/ in Climate Zone 2. The following forms provide much of the required documentation for plan review, The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edulcode Glazing Wall'` Wall-into Wall- ext' Slab° �„ Glazing U-Factor Door' , . Vaulted Option Area Above Below Below Floors on %of Floor Vertical Ov-erheadr' l;-Factor Ceiling Ceiling' Grade Grade Grade Grade R-49 or R-2 I R-21 R-10 0I 12% 0.32 0.50 0.20 R-38 R-38 R TB R-12 R-30 2 Adv. I R- 9 or R-19 ■ R-2 I R-10 Cu.1 ' 15% 0.32 0.50 0.20 R-38 R-J8 R 5 TB R-12 R-30 2, Adv. R-49 or R-19+ R-21 R-10 XIO Unlimited 0.30 11,50 0.20 R-38 R-38 R_5 TB R-10 R-30 Adv. See WSEC table 6-2 for footnotes Gazing Schedule Attached to Document Does not apply. (SEE INSTRUCTIONS)Using Prescriptive Option III.All glazing E and doors meet maximum U-factor. Alternate heating size method submitted. n Option I or Il,Glazing to floor area limit(WSEC 602.7.2) Cl Area weighted window,skylight or door U-factor(WSEC 602.7.2) ❑ As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: 0 R-10 foam insulation. continuous with thermal break(WSEC 502.1.4.9) �(�' - Chapter 9 Options Total of 1 Credit Required OV \` Opt. Opt. Description ((��� la High Efficiency HVAC Equipment 1 ��✓ ���k ; ❑ lb High Efficiency HVAC Equipment 2 ❑ 1 c High Efficiency HVAC Equipment 3 \\,\ . 2 High Efficiency HVAC Distribution System ,k GO��r‘, .\ ! 3a Efficient Building Envelope 1 �\\ FEc�.\, ❑ 3b Efficient Building Envelope 2 �\\\\ V 1� 00 Li 3c Super-Efficient Building Envelope 3 \v ,'\.6 00�` ❑ 5 s 4a Air Leakage Control and Efficient Ventilation ❑ 4b Additional Air Leakage Control and Efficient Ventilation ❑ 5a Efficient Water Heating El 5b High Effieciency Water Heating u-1 6 Small Dwelling Unit 7 Large Dwelling Unit ❑ 8 Renewable Electric Energy *1200 kwh ❑ Total Credits 0.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010 • S • TABLE 9-1 ENERGY CREDITS(DEBITS) OPTION DESCRIPTION CREDIT(S la HIGH EFFICIENCY HVAC EQUIPMENT I: Gas.propane or oil-fired furnace or boiler with minimum AFUE of 92%. 1 or Air-source heat pump with minimum HSPF of 8.5. lb HIGH EFFICIENCY HVAC EQUIPMENT 2: Closed-loop ground source heat pump: 2 with a minimum COP of 3.3. I c HIGH EFFICIENCY HVAC EOITIPMENT 3 DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL: In home where the primary space heating system is zonal 1(:) electric heating.a ductless heat pump system shall be installed and provide heating to at least one zone of the housing unit. HIGH EFFICIENCY HVAC DISTRIBUTION All heating and cooling system components installed inside the conditioned space. All combustion equipment shall be direct vent or sealed combustion. Locating system components in conditioned crawl spaces is 1 not permitted under this option. Electric resistance heat is not permitted under this option. Direct combustion heating equipment with AFUE less than 80%is not permitted under this option. 3a EFFICIENT BUILDING ENVELOPE 1: Prescriptive compliance is based on Table 6-1,Option Ill with the following modifications: Window U.= .28 floor R- 38.slab on grade R-10 full,below grade slab R-10 full. 0.5 or Component performance compliance: Reduce the Target LA from Table 5-1 by 5%.as determined using EQUATION 1. 3b EFFICIENT BUILDING ENVELOPE 2: Prescriptive compliance is based on Table 6-I,Option III with the following modifications: WiftdOIA U .=.25 and wall R-21 plus R-4 and R-38 floor,slab on grade R-I0 full, below grade slab R-10 full,and R-2I plus R-5 below grade basement walls. or Component performance compliance:Reduce the Target UA from Table 5.1 by 15%,as determined using EQUATION 1. , - 3c SUPEZ,EPHCIENT BUDDING ENVELCIPE,3: VI/SEC Prescriptive Worksheet (2010 Edition) WSUEP10-010 Copyright 2010 • Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window U .22 and wall R-21 plus R-12 and R-38 floor,slab on grade R-10 fidl, below grade slab R-10 full and R-21 plus R-12 below grade basement walls and R-19 advanced ceiling and vault. 2 or Component performance compliance:Reduce the Target UA front Table 5.1 b3 30%.as determined using EQUATION 1. 4a AIR LEAKAGE CONTROL AND EFFICIENT Envelope leakage reduced to SLA of 0.00020 building envelope tightness shall be considered acceptable when tested air leakage is less than specific leakage area of 0.00020 when tested with a blower door at a pressure difference of 50 PA. Testing shall occur after rough in and after installation of penetrations of the building envelope, 0.5 including penetrations for utilities,plumbing.electrical ventilation,and combustion annlianees. and All whole house ventilation requirements as determined by Section Ml 50 of the Washington State Residential Code shall be met with a heat recovery ventilation system in accordance with Section M1508.7 of that Code 4h ADDITIONAL AIR LEAKAGE CONTROL AND EFFICIENT'VENTILATION: Envelope leakage reduced to SLA of 0.00015 building envelope tightness shall be considered acceptable when tested air leakage is less than specific leakage area of 0.00015 when tested with a blower door at a pressure difference of 50 PA, Testing shall occur after rough in and after installation of penetrations of the Wilding envelope. including penetrations for utilities,plumbing,electrical. ventilation,and combustion appliances. and All whole house ventilation requirements as determined by Section M1508 of the Washington State Residential Code shall be met with a heat recovery ventilation system in accordance with Section M1508.7 of that Code. 5a EFFICIENT WATER HEATING ' Water beating system shall include one of the following. Gas, propane or oil water heater-with a minimum EF of or Electric Water Heater with a minimum EF of.93. 03 and for both cases All showerhead and kitchen sink faucets installed in the house shall meet be rated at 175 GPM or less. All other lavatory faucets shall he rated at 1.0 GPM or less.- 5b HIGH EFFICIENCY WATER BEATINGWater heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of or WSEC Prescriptive Worksheet (2010 Edition) VVSUEP10-010 Copyright 2010 S Solar water heating supplementing a minimum standard water heater. Solar water heating will provide a rated 1.5 minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation(SRCC)Annual Performance of OG-3001 Certified. Solar Water Heating Systems. or Electric heat pump water heater with a minimum EF of 2.0. 6 SMALL DWELLING UNIT l: Dwelling units less than 1 500 square feet in floor arca with less than 300 square feet Of'window.+door area Additions 1 to existing building that are less than 750 square feet of heated floor area. 7 LARGE DWELLING UNIT!c� Dwelling units exceeding 5000 square feet of floor area shall -1 be assessed a deduction for purposes of complying with Section 901 of this Code. 8 RENEWABLE ELECTRIC ENERGY. For each 1200 kWh of electrical generation provided annually by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits- Generation shall be calculated as follows: For solar electric systems.the design shall be demonstrated to meet this requirement using the National Renewable Energy Laboratory calculator PVWATTs. Documentation 0.5 noting solar access shall be included on the plans. For wind generation projects designs shall document annual power generation based on the following factors: The wind turbine power curve:average annual wind speed at the site;frequency distribution of the wind speed at the site and height of the tower. Footnotes: I. Interior Duct Placement: Ducts included as Option 2 of Table 9-1 shall be placed wholly within the heated envelope of the housing unit. The placement shall be inspected and certified to receive the credits associated with this option. EXCEPTION: Ducts complying with this section may have up to 5%of the total linear feet of ducts located in the exterior cavities or buffer spaces of the dwelling. If this exception is used the ducts will be tested to the following standards: Post-construction test: Leakage to outdoors shalt be less than or equal to I CFM per 100 ft2 of conditioned floor area when tested at a pressure differential of 01 inches s g,(25 Pa) across the entire system_ including the manufacturer's air handler enclosure. All register boots shall be taped or otherwise sealed during the test. WSEC Prescriptive Worksheet (2010 Edition) WSUEP10-010 Copyright 2010 • • Gary A. Flowers, PLLC Geological & Geotechnical Consulting 19532 12th Avenue NE Shoreline,WA 98155-1106 March 9,2014 Project No. 14005 U MAO 1 0 2014 Ward&Joy McDonald I 11636 Wicks Lake Rd SW L --- Port Orchard, WA 98367 ( JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Subject: Geological/Geotechnical Report Proposed New McDonald Residence Lot 21 Zelatchet Point Development 893 Payne Road,Jefferson County,Washington This report presents the results of our geological/geotechnical assessment for the property at 893 Payne Road near Quilcene in Jefferson County, Washington. The purpose of this study was to provide an assessment of the property and steep slope area in order to meet the requirements of Jefferson County and to provide design recommendations for placement and construction of the new residence. We understand that you intend to build a two story house with partial daylighted storage beneath the downslope portion of the residence. The structure will be located on a previously graded relatively flat bench area. This report summarizes our fieldwork and offers recommendations based on our present understanding of the project. EXISTING SITE CONDITIONS The subject site is a 5 acre parcel that is located on the end of a west-southwest trending ridge. Steeper slopes drop off to the south and north. The end of the ridge contains relatively gentle slopes except near the bottom of the slope along the edge of a drainage ravine. Drainage ravines are located to the north and south-southeast of the ridge. The planned home site is located on the upper portion of the parcel near the intersection of three driveways that lead to adjacent homes. This area has been cleared and leveled during past clearing/grading/logging operations. Several old logging skid roads are present on the property. A septic system was recently installed on the property with the septic tanks on the edge of the planned home site and the drain field located about 75 feet down gradient. The planned building site is relatively level with only several feet of elevation drop across the area. Along the southwest edge of the building site is about a 3 foot drop. This small slope appears to be man made during the previous clearing and grading. The remainder of the upper slope area, in the immediate vicinity of the planned residence, has a gradient that is on the order of 20 to 30 percent. Further down the slope the gradient increases to about 50 percent before flattening out at the bottom of the ridgeline. Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 1 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington The slope is heavily vegetated with both small and large evergreen and deciduous trees and a heavy understory. During our slope reconnaissance we observed a landslide scarp located near elevation 100. This area is more than 300 feet removed from the planned building area. The landslide scarp was on the order of 40 feet wide and varied from 5 to 8 feet tall. The run out area for the landslide debris was onto the near flat area at the toe of the ridge. A geologic contact between granular sediments and fine grained sediments was observed in the face of the scarp. Ground water seepage between the geologic units was observed and is the likely cause of the slope movement. No other wet areas or hydrophilic vegetation, indicative of ground water seepage, were observed during our reconnaissance. However, due to the very heavy vegetation on the slope other such areas may be present. Two discharge pipes were observed at the toe of the slope near the assumed west property line. Both pipes are 4 inch diameter ADS pipe and were flowing a significant quantity of water. Anecdotal evidence indicates that when the house located downslope and to the west of the McDonald building site was constructed a shallow seep area was encountered. An interceptor drain was installed at the time to collect the water and divert it to the toe of the slope. According to the former owners of the adjacent property the pipes flow a significant quantity of water following heavy rain storm events but are usually empty during the drier times of the year. Subsurface Soil and Ground Water Conditions Soil conditions at the project site were inferred from field observations, visual reconnaissance of the site, excavation of 4 exploration pits, review of the McDonald well log and review of published geologic information for the area. On January 12, 2014 a series of four exploration pits were excavated with a small excavator by Ward McDonald, geologist with a local geotechnical firm. The pit logs were provided to this office for review and use in preparing this report. The hand written logs were typed and a copy is attached. Below is a summary of the findings. The exploration pits were located around the sides of the planned location of the new residence. Beneath a thin sod duff/colluvial layer or fill soils, each of the pits encountered dense to very dense, glacially consolidated, gravelly SAND to sandy GRAVEL with cobbles. The fill soils were only observed in EP-1 and EP-2 and were on the order of 12 inches thick. The pits were all stopped at a relatively shallow depth due to the difficult excavating conditions. The well log for the property, which was drilled during July 2013 by Gresham Pump & Well Drilling, Inc. and is located adjacent to the building site, indicates that the upper 28 feet of sediment beneath the building site is sandy gravel with cobbles. This unit correlates with the very dense sandy gravel to gravelly sand observed in the exploration pits. Below this upper unit the well log indicates interbedded granular and fine grained soils extending to the full depth of the well at 238 feet below existing ground surface. Static water level in the well was at a depth of 173 feet below existing ground surface which is approximately the bottom of the slope. Gary A.Flowers,PLLC. 19532 12th Avenue h11: Shoreline,Washington 98155-1106 206-417-7640 2 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington Mappings As per the Jefferson County Environmental Critical Areas Map, the upper portion of the slope (above approximate elevation 100 feet) is mapped as a slight landslide hazard area and the lower portion of the slope (below approximate elevation of 100') is mapped as a moderate landslide hazard area. The map also indicates that the lower portion of the slope (below approximate elevation 80 feet) is a seismic hazard. The site does not contain any mapped erosion hazard areas. This mapping is in agreement with our geologic reconnaissance of the site_ According to the Washington State Department of Natural Resources, Open File Report 76-26, Geologic Map of East-Central Jefferson County, by R. U. Birdseye, 1978, the subject site is mapped as Vashon age lodgement till. Lodgement till is a nonhomogenous mixture of sand, gravel and sometimes cobbles and boulders in a silt/clay matrix. The lodgement till was deposited at the base of the most recent advancing continental ice sheet about 15,000 years ago. The overriding ice sheet consolidated the sediments into a very dense condition which accounts for the high strength values of the sediments. CONCLUSIONS AND RECOMMENDATIONS On the basis of our field investigation and analysis, it is our opinion that the property is suitable for the planned construction provided the recommendations contained herein are incorporated into the development. Landslide Hazard Conclusions On the basis of our field investigation and analysis, it is our opinion that the property is grossly stable from a potential rotational type of landslide failure. However, Puget Sound slopes are naturally active and bluff retreat affects all steep slopes to some extent. The existing landslide feature described above is an indication of what can happen in areas where ground water daylighting on slope faces is present. Due to the very dense nature of the over-consolidated glacial deposits that form the core of the hillside, and the heavy vegetative cover, the potential for even surficial slides on the gentler portion of the slope near the planned residential site is low under natural conditions. Based on the proposed location of the planned residence there is no setback requirement as there is no steep slope (>40%) near the site and there is no planned development or alteration of the steep slope area much further down the slope. It is our opinion that the proposed development will not decrease slope stability on adjacent properties and the newly created building site will be stable under normal geologic conditions. Gary A.Flowers,PLLC. 19532 12`h Avenue NE Shoreline,Washington 98155-1106 206.417-7640 3 . ..................... • • McDonald Residence Geotechnical Services Report Jefferson County, Washington Erosion Hazard Conclusions The subject site is not mapped as an erosion hazard area. Construction on the relatively level building site is located hundreds of feet from any water source and the pathway between the site and the water source is heavily vegetated. However, good building practice would dictate that a silt fence be installed immediately downslope of the construction area to mitigate potential sediment laden water from reaching the drain field during a severe storm event. Other standard good construction practices would include re-vegetating stripped areas as soon as possible, covering soil stockpiles with plastic sheeting and channeling storm water runoff away from the drain field area and the other adjacent driveways. If a stripped area is not to be worked for an extended period of time it should be mulched with 2 to 3 inches of straw to reduce erosion potential. Seismic Hazard Conclusions The lower portion of the subject site, below approximate elevation 80 feet, is mapped as a seismic hazard area. Generally,there are four types of potential geologic hazards associated with large seismic events: 1) surficial ground rupture; 2) seismically induced landslides; 3) liquefaction; and 4) ground motion. The potential for each of these to impact the site is discussed below. Recent mapping by the United States Geological Survey (USGS) indicates that a fault trace is located along the approximate center of Dabob Bay which is about 1 mile to the west of the subject site. The USGS is currently studying this fault zone and other fault zones in the Puget Sound area and have determined that the faults are active and capable of producing large earthquakes. The anticipated return rate of these faults is thought to be in excess of 1,100 years. Due to the distance to the fault trace, the long return rate, and the random nature of where an event may occur along the trace,no mitigation is recommended. Due to the distance from any significant steep slopes (>40%), the relatively flat lying nature of the actual building area and the glacially consolidated nature of the sediments that form the core of the hillside, it is our opinion that the potential risk of damage to the proposed structure by seismically induced landsliding on the site is low. The sediments that form the core of the slope have been glacially consolidated. In addition, the initial approximate 28 feet of sediments directly underlying the site are very coarse grained. The potential for liquefaction to occur beneath the building site is nil. Based on the encountered stratigraphy, it is our opinion that any earthquake damage to the proposed structure, when founded suitable bearing sediments in accordance with the recommendations provided in this report, would be caused by the intensity and acceleration associated with the event and not any of the above-discussed impacts. Design of the project Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 4 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington should be consistent with 2012 International Building Code (IBC) guidelines. In accordance with the 2012 IBC,Table 1615.1.1,the parcel is classified as Site Class C. Geotechnical Recommendations The new residence should be supported on continuous spread footings that extend a minimum depth of 18 inches below final grade and bear on undisturbed or recompacted natural, glacially consolidated soils that underlie the site. An allowable soil bearing value of 3000 psf may be used for design purposes. An increase of one-third for transient loads would be applicable. Resistance to lateral loads on the structure can be provided by passive earth pressure on footings and stem walls and/or sliding resistance between the concrete members and the underlying soil. We recommend the use of 200 pcf for passive pressure and a coefficient of sliding friction of 0.4. Retaining Walls Retaining walls should be designed for an active earth pressure of 35 pcf if free to rotate and 50 pcf if fixed. Retaining walls over 3 feet tall should have a wall drain that extends to within 2 feet of ground surface comprised of an approved drainage mat or minimum 12 inch wide washed rock. The wall drain must connect to a footing drain to eliminate potential hydrostatic pressure buildup. The onsite soils will be sufficient for wall backfill purposes. Any significant organics should be removed before use. The wall backfill should be reasonably compacted as it is placed to reduce settlement potential. If any concrete walkways, driveways or patio slabs will be placed above the backfill, the compaction effort should increase to 90 percent of the maximum density. Concrete Slabs Concrete slabs on grade may be placed directly on the undisturbed or recompacted natural sediments. Where moisture intrusion is a concern a heavy duty (minimum 10 mil) plastic vapor barrier should be placed between the concrete and soil subgrade. If the vapor barrier is compromised in any way during construction it should be replaced or an additional layer added. Any penetrations through the vapor barrier should be taped and sealed. Drainage In addition to foundation drains around the perimeter of any basement walls footings, there will be area drains and roof drains that will collect storm water runoff and an interceptor drain immediately above the house. All collected storm water should be tightlined to an approved drainage system or to the bottom of the slope. Although no gradation analyses were conducted on the soils from the exploration pits, based on the soil logs it appears that infiltration of storm water could be considered. A shallow natural drainage occurs along the east margin of the Gary A.Flowers,PLLC. 19532 12"'Avenue NE.. Shoreline,Washington 98155-1106 206-417-7640 5 ............. • • McDonald Residence Geotechnical Services Report Jefferson County, Washington property as shown on the attached figure. Alternatively the collected storm water could be piped to the bottom of the slope. If the water is piped to the bottom of the slope we recommend that HDPE (high density polyethylene) butt welded pipe be used for long term maintenance free operation. The pipe should be anchored at the top of the slope and a perpendicular and perforated T section added at the bottom for velocity control. Provided all storm water is properly disposed into an approved storm water conveyance system, the proposed project will not increase surface water discharge or sedimentation to adjacent property beyond predevelopment conditions. SUMMARY Construction monitoring and consultation services should be provided to verify that subsurface conditions are similar to those described in our report. Should conditions be revealed during construction that differs from the anticipated subsurface profile, we will evaluate those conditions and provide alternative recommendations where appropriate. Our findings and recommendations provided in this report were prepared in accordance with generally accepted principles of engineering geology as practiced in the Puget Sound area at the time this report was submitted. We make no other warranty, either express or implied. Thank you for the opportunity to be of service on this project. Should you have any questions regarding this matter,please do not hesitate to contact our office. Sincerely, ao{Washr�. i' � \ 'c 1056 4%19 Gary A. Flowers Gary A. Flowers, P.G.,P.E.G. Engineering Geologist Attachments: Vicinity Map Site and Exploration Sketch Exploration Pit Logs Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 6 4 . JEFFER OUNTY 15t/0 ( q Cl 2 . +4 • DEPARTMENT OF COMMUNITY DEVELOPMENT e' 621 Sheridan Street•Port Townsend•Washington 98368 360/379-4450 . 360/379-4451 Fax www.co.jefferson.wa.us/canmdeveiopment Master Permit Application MLA' Project Description f nil sepa t 'sheets as necessary): `' Y�jY�c ) (! � � �f (acres/square feet) Tax Parcel Number. i /A J O/'7 Sze: 5.1 a Site Add and/or Di -«�. to Property: i 3,a j.G. ■ u ace, A. 99571' Property • ner(s)of Record: / i , ,8 , '-- email: if Telephone: :/ • P' F. • y Mailing Address: /%�G1/���i . � Applicant/Ag t rf d'i :re from owner): lii t i�� il.. E%� ' ,_... 4 �./JIB �� 0 ',So email: / 4 Li / A i Telephone: � Q Fax � , V Mailing Address: . 2 �..tl A . , Ai - i i A ' �Bu W t kind of Permit?(Check each box that applies ❑Critical Areas Stewardship Plan ttding ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Ingle Family Permit /Detached ❑ Use[C(a),C(d), 1 Single cte ❑ Modular Attached ❑ ,D'or Unnamed Use Classification Manufactured Home ❑ Modular ❑ 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. ❑Sign ❑Planned Rural Residential Development(PRRDyAmendments ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vac ation/Alterat on** *"❑Stormwater Management ❑Shoreline Master FxemptronlPenrut Revisions ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoteine management Substatantlal Development ❑Temporary Use ❑Shorelkle Management Variance ❑Wireless Telecommunication• ❑Comps Pian/UDCILand Use District Map Amendment ❑Forest Practices Ad/Release of Six-Year Moratorium ❑Jefferson County,Shoreline Master Program Amendment *May requ re a The Application Conference ❑Tree Vegetation Request "Requires a PreApppication conference Please identify any other local,state or federal pgnmits required for this proposal,if(mown: s(GMATION OF AGENT I hereby designate _ it) R P &— act as my agent in matters relating to this application for permit(s). a P� t7iate: A A) !ill i 4 OWNER SIGNATURE By signing this application form,the ownerlagent that the information provided herein,and in any attachment%is true and correct to the best of his her or its knowledge. Any matenal falsehood or any omission of a materiel fact made by the owner/agent will!respect to this application packet may result in this permit being null and void_ court reasonable attorney's fees and I further agree to save,indemnify and hold harmless Jefferson County against aN Nabies,judgments, expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit and its employees or agents for the sole purpose of application I further agree required provide access and right of entry to Jefferson wig be assumed the applicant informs the County in writing at the review and any required la,- spections. Staff's access a '`,� entry time of the appl�o that V. "Illlii/%--- •' f L� PI x Signature: -�►. � • = Date: one or more threatened or The action or actions Applicant will . - = as a result of the issuance of this permit may negatively federal law known as the endangered species and could lead to a •. ential'takei of an endangered species as those terms are defined in th6 to the applicant that the aeons that will be undertaken because this `Endangered Species Act"or-ESA?Jefferson County makes assurances of an endangered species regarding your or can file a moult on behalf that ng,she or lt es regarding larding al permit has been issued will not violate the ESA My' �r'�R a9er�y file code.The Appicare agcnvwledg action(s)even if you are in compliance with the Jefferson/�,�,development and signs dates it below• and non-transferatple 0q--7 to and•• �, with the FAA. The APpi�tt halt'read /y" ` Signature /�J1i�` G:\PeamtCenter\###FORMS\DRD FORMS\Masba Permit Application$-29-08.doc • BUILDER STATEMENT t . The signer of this statement does hereby.,certify that+ :J,� Owners ct the Parcel reterenoed herein,that they are not licensed contractors and that they will be ass ing I the �►,,L • the proposed pro U ' . r� i� Date: / �G�J / / Signature: GAynio4;t.RAL CCTOR OR U ACM), _ ' INSTAL 1 FR. PNO!!E: FAX , o r m 4W c�r�373-say/ 1 "-- I -So 63, EIAI+r , MAILING ADDRESS. �I i / ' i/. .f' I�kr V IA c X11. CONTRACTOR'S LICENSE �j(? G`Y �t a n p.L NI BER NUMBER: �1 i'o J 1 Q ARCHITECT/ENGINEER: , EN lyre /' ,f��ffior►-her P ( 5;73'✓/(FAX:(e '• sf MAILING ADDRESS: Y��'V a,( ,i�.�/I�rcr •'¢t =S +G•C/'G� ode q�Cn � i'K �n'1 Type: e Type: gayer: Shoreline• Typ�o�f Sewage plposal: Protect ype: (� ❑ Sewer New Wood Existing: ❑ Addition ❑ Steel Proposed: k ❑ Community S Total: _ Heim �Individual Sys�G hd`t ❑ Aiteration/Remodel ❑ Corx;rete �SEPPermit#, ❑ Repair ❑ Masonry Bedrooms: Water Supply: ❑ Demolition ❑ Other Existilg: d setback: /Kp• ate well ❑ Two Party T of H==t ❑ Public Y (� �/ Toted: Name of System: 1!this is a Commercial Protect you must answer the fpropose: Proposed Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,errtployees,etc) Current IBC Occupancy IBC Type of corlsiradion: Will you Food Service? Yes 1 No If this Is a Propane Tank anglor Appliance Installation Dernrlk mark ail it ms below that aonhr i Underground Tank I Above ground Tank Size of Propane Tank i Heat Stove i Cook Stowe i Woodslove I Fu se Insert i Hot Water Tank t P Stove Other Is this appliance beinst installed in a Martufact 'ed I Mottle Home? Yes / No When applying tnr a permit to install a propa ne tank you must also submit a site plan showing alt of the buildings,all Property lines,tank location and size,distances hoar the propane tank to all property lines,buildings and selptdc sYs ►components, includin• tyre reserve are a S•uare Foot ' _ , Main Floor Bated , • , EH Bid App Review: r 2 ' Floor Heated istency Review •7 g F Base fee: ad Other Heated l• Mezzanine / 7 Heated Basement =. Plan Check fee: °IC3 ,2v Unheated Basement State Surcharge . J Other Unheated Pct Water Review. fee: / v ��: SIJBTQT/1►L tw Garage/Carport _ >M� Decks Q ' 4- 911/Rd Approach's _ Other 4f , TOTAL: $ vv m Receipt IWrmbe1 O 1-(33 —�► - CashlCrckNumb�r: L/ � ESTIMAT Z�y�??:ra•' rte Date: o ' /c .Fair market value of all tabor and materials ibrnrdation to Amish s!r Initials: s G:\Per thtcenter\###FORMS###WRD FORMS\M P t Application 5-24-0Rdoc 1 illJp Front Parcel Review • Parcel 601283019 Printed: March 18, 2014 WARD A MC DONALD TRSTE Site Address: JOY S MC DONALD TRUSTEE 893 PAYNE RD 11636 WICKS LAKE RD SW PORT ORCHARD, WA 98367 QUILCENE WA, 98376 Parcel Number: 601283019 S-T-R: 28-26N-01W Total Acreage 5 Legal Description S28 T26 R1W TAX 37 (TR 21) Land Use: 9100 Flood District: Fire District: 2 Planning Area: Flood Map(FIRM)Panel No: School District 48 Zoning:-%?\tT) COMP PLAN DESIGNATION: rC IMUNITY PLAN: UGA: UGA Trans X ] Plot plan states "property line" Assessor's Map (Property line ubmitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) Legal Access to Property YES NO • [4 Parcel Tags or Scanned Document NO [/] ESA's: Special Reports Nearby YES 0 Designated Ag YES 00 [/r Shoreline Designation: YES Or. [j] Shoreline Slope Stability: te NO U,,,n zk.e_ Stream Typ 4S NO Nt F WHCA: 46 NO 1V, Wetlands: YES 10 O Rare Plants:YES O1 Seismic: c ' Landslide: NO Nx.da —r,� o _4ga d� Flood: YES NO Erosion: YES C)i Aquifer Recharge Are Are.,00 NO E Lc5 C. SIPZ: none At Risk High Risk (as1 CMZ: none High Risk Mod ate RiskDisconnected CMZ Stormwater site plan submitted: No 5.c_ pta,„‘ Forest Lands: YES lO Adjoining Forest Lank Commercial/ Rural/ Inholding [T Mineral Lands: YES NO [A Agricultural Lands: Y [/I Archaeology: YES NO [ -1 No Shooting Zone: YES 61) [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other f 1 Building Height: 35' UBC Standard [se] Impervious Surface cover ercenta e: .205°/-01 ` Resource Lands&Public: 10 u 1 Residential: Rural Indul: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building-Coverage:60%in Rural Industrial Lands only [[4 Total Building(s) Size: ( OW ( 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 Nie9 Setbacks: Front: eD.C.7 Left Side: cj Right Side: 5 Rear: rj Shoreline Setback:__ LSHA Setback: i=r- V Road Classification: • r.;Jam, _ & - a. • r/ Road Approach. ISTING NOT REQ'D RAP / J SEPA Required: YES XEMPT Flood Certificate: ] Existing Case(s) &C ndition(s): ,511/2., ) Violations: Yes N 1 Recorded Date of ubdivision: Pr AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance Lots/Require Declaration of Restrictive Covenant YE, ir' submitted: YES NO [ UGA No Protest Agreement YE 0 submitted: E NO Site Visit conducted YES ] Require Final Zoning Approval ES�1O) [ ] 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 601283019 Cases Name Review Type Status Planner BLD14-00092 MC DONALD TRSTE I P Application Received: 3/14/2014 Permit Issued/Case closed: Case Finaled: NSFR, no garage BLD14-00092 MC DONALD TRSTE I p Application Received: 3/14/2014 Permit Issued/Case closed: Case Finaled: NSFR, no garage SEP91-00179 MC DONALD F Application Received: 4/4/1991 Permit Issued/Case closed: 5/14/1991 Case Finaled: 10/20/1994 SEP91-00179 MC DONALD F Application Received: 4/4/1991 Permit Issued/Case closed: 5/14/1991 Case Finaled: 10/20/1994 SOM91-00179 MC DONALD F Application Received: 10/20/1994 Permit Issued/Case closed: Case Finaled: SOM91-00179 MC DONALD F Application Received: 10/20/1994 Permit Issued/Case closed: Case Finaled: USR13-00017 MC DONALD TRSTE A Application Received: 6/13/2013 Permit Issued/Case closed: Case Finaled: NEW WELL (893 PAYNE ROAD) USR13-00017 MC DONALD TRSTE A Application Received: 6/13/2013 Permit Issued/Case closed: Case Finaled: NEW WELL (893 PAYNE ROAD) \\tidemark\data\forms\R_Parcel_CRMLA.rpt 3/18/2014 Page 2 of 2 Map Output II Page 1 of 1 ArcIMS HTML Viewer Map / 7/ . aiz _. 6012'84006 60128.4092' f 601283010 I..."""'°°McKee or / ;, 6012840096012&1-:: r?r ' r' 601284003 L 601284022 �— l e11-4004 6012:'„V.2- 1._......______ 845,` �, r *44" 6012� 4 60I 1284001 ; _.. 601284023 00012&1010 Le ge nd JC_Raads 6.. _, Payne Rd - I Parcels-H 601283002 - �_- Parcel Tags-H EL 2018 60118:102[} -^- 60129.3013 t, 601283019 601283014 _ -� Na Spoc�ai Repan . �� 601283016' ar C SoccweRauon 'It 601283021 :601283022 601241001 601283012 = `F _ --._ - 601283016 .: ~ 601283011 ! - Y-___ 601283023 "-_ - 601283017 -' 601332006 -_-�-- _ 601243024 ^^'601332- 1601283017 601283024 83024 y ti 601332606 0601332007 601332018 601332006 -.N .^_ s 601332008' ki"-----' � 601332009 �� 601332017 1332001 - 601332016;' `Y1 y 601332004 601332014 rt 601332010/.s 601332016 'daps proodad try JeUsztri Cart?Cc r..1 x...,ces GtS 6013320110 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. Tue Mar 18 11:47:30 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/18/2014 Map Output • Page 1 of 1 ArcIMS HTML Viewer Map /I' , ■ ,, 601283008 60121!1'. /a { ,, ,t 60128.10'2-, / 6412$3000 -- ` ./ 66;2830' a:. ['+3401F .`-'-`_'` _ 2.E.-1,2,0!) — � / iLJ 1 + 'i ,,i f t, k- T I','t "�, `Payne Rd ' Selected Features X83025 �q0 i t 1 —� JC Roadts 'S _ WI I '� r I 6012830"20` Parcels-H 283018 ' --- _ .�i �1, 531283010 - -- `� Contours • w 10 Fast Contour ='2830 1 = _t7*- > i I / / 50F004 Contour M t i 3 3 � 00128141 q q " 0612$302't'Y I : 60128.3022 ' o ! ' `- _,t� c... ....,:,,, I r } i- Il W01283013`,r5 ice. !._ 1~'� r 6012830., \. --,tee r—___.!:.. - 415 protdei Cr!'.9efssan Carty Cerra&mons CAS y: ■ c fi j 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. Tue Mar 18 11:47:56 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/18/2014 Map Output ��y III�} -� ArcIMS HTML Viewer Map 77.--7_} \ I 601283008 6°1284" 7.1 (..______________.--------\\ \"- . ''\fib/204024 / � ,__- Lng*nd �o_Rnaus -- i parcel,'* Contours / ] *o��mwn -' ^' mf°mo°m° , � = ^=, , / ~ `_- F Fish 1131)1131 e / w w=,"�^�"m �? ,�^ w, w=^°*^°��,�° "� C L \ / w" w""f~xo""**-o�o"m / `- /4" o mgenmoed Shoreline 1--\ '',-,-.7=.' \ \ \ , L, t_..----- s, - 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. Tue Mar 1811:50:452O14 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/18/2014 ' Map Output • Page 1 of 1 ArcIMS HTML Viewer Map / .)) V _ ) __'282(X)1'. ' ' 601281006 r i 601284002 r} �'� t x41284005 i,'_. o o 4i R -4- D1 I }r+ , _ 560,1284 ,_6.0.4'4 4�'± r "-C r f � j ��CJ. x01284003 601284441 f l " �,∎I 601284004 60..„&i .i. r�;i ` - _ t - 012 r ,�-- \ „ 4.' r6i)1284C{.Pf 601283005 ' 7.1284023 c8300] .- ,��—..--r . � � L ege nd __ ewx2t3•a' �--' ._„ .ti °6412840s� �- 'L *w-- , .„..-0101284005' Selected Features -------7...."183025.+ -r ' P Fyn' R- 7 3`- . 1 .C Roads -...6012830.41: - N] 213107.4 _ 283618 '." 601 1 " ; N Parcels-H .&..J- 601283019' l �',i L +�50128;#0'1 ' - �" �� 1.-�-'w `.,X � Contours ,Itu ,.5 � P 'l \ 1Qfoof Contour { 1 1 l s �. I 1.". ' x4! j, o I 601283021. ' 60128d02z y 601281001 I f✓ 5QfaotContour $F 283012 - L.,, 'Y( jr. . .f., (_ --) �s4t2a,34,x. r , ?-,, e' j — '"I f . b0 126i011 - _ ' \ 1 x4'283423 \x41331446 " 60128 1 h , r --1 LL,i _.,i e r.,_y. cUt283424 ; 32006 .601283017 c o I ` -f 801332001. n ¶01332018 ! ' , I t+ v'' __ L A ___,. ,601332C�8 ti r��5' ' 1. f--, 4 , `"), �t s 1. 4i = , ; y I 601332401 _4, • 7 ti. i - 6t?4331C'_ 4 132017 ir'� r j ] � L r 6015...'s._' ti 0� P I7 \ '' . E s f i `� 4 10'332004 601332014 4 , 6011120' c� 5 ` _ i' - 60'1332016 `i. - tlms Ra tded Je er-sal C �;< M Carty Ccllors S CAS 6_':32SI11 • , •��,�`�-.v 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. Tue Mar 18 11:46:20 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?S erviceName=ovmap&ClientV ersion=4.... 3/18/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map .. 1 __s412a34a� 6412&ict, 54 . 841202., ! 'f �\ s-77:. � Legend.., ._ _ A- ,r7 5 :: Pa:in a Rd sC_Raads 31283025 rte'' ,, " -- ! ii i t Parcels-H T1, ; ,' ? -..11'ti . �, ti I. Contours --� 1;01283419 "� _ __ ,r,:' 14 Foot Contour x .-----7-------..- .- ` - if .y— —„_--�-'s +f._ _ rv. J,/ 56 root Contour `-- Seismic Hazard `—'` rv: N 60128' 412&100* i--\ ‘,,, -;:i- \ \ 00120023, i ' ---. 7;5._ 601283C,:",' \, l''). — ----% \',-.;'''',„.',.. ,.. , -.,___. :co+ os wooded r QSan County Cents � I, .■ ,. ::-: _ %M n i 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. Tue Mar 18 12:00:37 2014 I http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/18/2014 Map Output 40 • Page 1 of 1 ArcIMS HTML Viewer Map ,,::,'2&01 a McKee Dr _ 60128400960128,i. ': f< ...-------',-4.-_,A., , ni : ,, . 4 641284003 6(012v i: _ - • .k 7 �.. 284004 601284021 I 601284024 60128400? 1-.—_.. ._.601284023 :,_ ,1' i 60128401C. Legend - I 601284006 . I Selected Features .- . Payne Rd'` -- I ___. dC_Roads 60;283018 601283020 i Parcels-H 601283019 —� Landslide Hazard 1 601283015 Slides 601283021 :601283022 601281001 [bp -i Mc4araic 6 0 1 2810/6 . c83011F_ '' 6(r283°23 Slghi 601283017 --- ---.- -.-''''2"6..:-----,,,C5— _ 601332007 601283024 601332006 601283017 601283024 =,. .-' - m641112007 601332018 l _?33200b m S; 6+1332008' �' I ...•.d SCI . 601332W' : 601332009 601332017 601332015< 332044 601332014 �4 yti , 601332010`. '�, 601332; ;laps am ded by Jean sal Canty Coal Servroes CIS 6013320110 ::. 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. Tue Mar 18 12:01:13 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/18/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map c2 • , 6012810°6 /60128404)6 1 601284002 601283010 McKee Or 7/(//1 60128400 E i _ t, 601284003 L 60128442 r f� F . . 60/ ai . 1 ..- - �- 80128�°4--0�4-4 601284021 r. r---- i 641253049 '� _��� _ T- ._... 601284024' 60128400/ 01283406 _" X641284023 i .-_ __601283007` Legend - 5 '18 ' ' 601264005 601281T:.: 641283401 Selected Features — J2 r �r_ Payne Rd ,., �... '" JC_Roads = l 601283029 r-_ ,18-4,:i. 1 601283018 601283020 Parcels-H 641283018 641283073 — Critical Aquifer Recharge \'"? 6 0 1 2834 1 4 ., Areas •-----/ t / :801283415 601283421 641283022 E.Y 28: I I SU SC.U N K 601283012 y:-' 1- v_.__ F sARPA+SUSC _ 641283416 y��, ----- ❑ 601283011 ;- '2r-u-___-6412$3023 1 susC ti Q 601283017:.-' 601283024 __ I I SaRPA 501332006.__.... y 601332007 i. 'x64'.1S�f)17 ��64128342A� — � SARPA.UNK 601332406 W 1)1332005 -- m601332007 ': 601312018 601332008 S'�,y,, r 601332001, , f 601332 601332011 7 '\. 601332015 . 1°> ,. °---- 601332004 601332014 Cq 1. 6413320116 601332010. 6 \laps ctamiei W JaNersm Casty Cerrar Sam os%GIS 601332011 0 531ft 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. Tue Mar 18 12:01:59 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 3/18/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map f f� G .7 MC L'. k 1 6.,::,2:12/..:.::::+ 25.102,1 - '2y,1_;V; y:=' Legend ~-- G "1'"'' Selected Features __-,f- — .w Payne R:i JC_Roads - Parcels-H '` fShoreline Slope Stability (7.) .------1 /r ri stab,c +%'G' _.'<'-.:' _. n intormtxl laic . e 1 • l ( I unstame , Lin scan to Reacnt Lino shot El t Ei J' ;[�.' �4 U n%tau le Ott Lantlsntie 222,........E p` Z' -.`c8a''2'1 \1 / ...irloed e, .J ....,..: `c,_ 2.:12+::'+ e0'283024 f rt• J iG, 32t�?8 J/ ..-''J'2; n. \ 1 ...'. if ------"-/ ,-2.22,:......, r y'3220'J 1r 4. ,\ ..:......:.:2'..X.:4 6.'332 <1 h 6:2'22.::', f '"" 2 2G'``- %Lim;rardndo.;.crc f/rICnrr.;'�eltIr Sc.'.., GIs 6.,...)4 332...),. :. _.'11 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. Tue Mar 18 12:02:21 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 3/18/2014 Map Output 0 • Page 1 of 1 ' HTML ArcIMS Viewer Map ' . 60',282001 601284006! 6012840:2 1 so, 601284003 1 601284022 /717 .------'-,-.4L—A, . I 1 60'1284004 601284021 i / ' Legend 601283001 601284010 Selected Features ---- _-- xo_so°u, ▪ ' ' 601283020 parcel,* "°~^°"° " ' n/nc � �"�t�n ' ^�x��n II 601281001!„ 601293021 601283012 7 Coastal omc 601332006----- d 601332007 601293024 I • --` mmo�mwo/ 601332017 601332001 ��� ~� /4 'r �,��+ ' �� ' \ /601332004 601332014 � / =`=^0`° 'dam*aeo�by... .m Casty o=*at Senates om 601332011 53111 FOR INFORMATIONAL PURPOSES ONLY- JeffansonCountydoaanotattaattothe000unyoyofthedataoonbainedhanainondmakaanovvarrantywith respect to its correctness or validity Data contained in this map is limited by the method and accuracy of its collection. Tue Mar 18 12:03:08 2014 h1hp://gismcrvcc/ocrv}eT/conn.euri.earivap.Borionnp?ServicoNumc~~ovnnnp&C}icn\\/ersioo=4.... 3/18/7014 • • .• ...,.... ....::, g pi"mxx .. g -. r":!NgS slC iNvgZO 'A '' i x AOC my Qc;J1 T . A N m o}4I Q' F•y N D '�•e • 0,9 y,agc s — o mrZ X 1.2i No goy : — ADO s '. ,n i z g s mA >p. > F 8 g oz F y q a c c ?u $,, Rg§ >4 zf n n; — n mo"=' 010 ' oZ N �` i< '' Rid €' • 088 m <o s•. A \ - n — Cl 0 ?�: a >, 888 • ' 8 — N (SE 1/4 29 - 26N - 1W) � 260.00 307.22 i1,.? p II IO 90V 120')1.69 C). I mso I l\ -_ _ - P \\ w� 08 RI / A ,V °� / / - \ ` w N a / N i f Q/ / 2 c/ / 4o y ,, w-ue � — / r > ° p /6j303 Y o -'L > a / m / 1 \ r O GOVT LOT 4 �ti�//'/ r�\ o z xs f 'ti g u " 644 �NxN 0, Fa // N N 5644 O y)n"p w� ��d /// p P. N f J \ l+B/ // !q�?ei� LIE ro 2 Cy"I a - 0 woo \VN m y�N J ll N{Ztip \\ o- A, Xr W \ P DDoo (� ' a 8I XXNti \ N$ ( ) a Cf I AWN(II \\ O u 9 1 Av. Z Cv J6 /-i^\\ A w ' I N fJ / 6• ( \ " ' j / ► \\ / 2,99° "$ ti pq 20 \ Gov r z m S n LOT s\ \ \ ,o 150.10 A> 3 Q „„ \ \ 320.00 I I 575.95 O 2641,72 349.91 395,00 (SE 1/4 28 - 26N - 1W0 O fTl N _p N J v)r C m N i = m =A N u s o y QD N o 2 - 0 OM C 1 BLD14-00092 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00092 Received Date: 3/14/2014 SITE ADDRESS: 893 PAYNE RD QUILCENE, 98376 OWNER: WARD A MC DONALD TRSTE PHONE: 360-981-8192 JOY S MC DONALD TRUSTEE 11636 WICKS LAKE RD SW PORT ORCHARD WA 98367-9229 SUBDIVISION: Block: Lot: TX 37 PARCEL NUMBER: 601283019 Section: 28 Township: 26 N Range: 01 W CONTRACTOR: ARMSTRONG HMS BREMERTON INC PHONE: (360)373-5061 2531 PERRY AVE BREMERTON WA 98310 Contractor's License ARMSTHB307QL Expires 5/7/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR, no garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION 154,487.00 MAIN: 1,062 CODE EDITION: 2012 ADD'L: 331 HEAT TYPE: EEE HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 30 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,405.00 MEB 03/10/14 148433 Plan Check $913.25 MEB 03/10/14 148433 State Building Code $4.50 MEB 03/10/14 148433 Potable Water Application $67.00 MEB 03/10/14 148433 Total: $2,389.75 \ + f \ RI Il Ann PIA rn+ 1/1 A/')I\1A ON:- JEFFERSOAtUNTY _- DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend ownsend •Washington 98368 360/379-4450 . 360/379-4451 Fax www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description Descriptionc,Ilseparate sheets as necessary): YY Tax Parcel Number. 44/4'83O/T ' Property Size: 5,1 + -:a (acres/square feet) Site Addre and/or Di on to Property: �3 a yhe lid Qu llcc,rit. A 9 37(0 Property • ner(s)of Record: / i • d /i clew Telephone: :/- ,8 — i '6L- F- " email: iii w Mailing Address: �� �/ ar,: < ff '0 " /_ -A ; / ' l eJ"j' � �Applicant/Ag o f d r5 from owner): AMMI . ,r- ,—Ai i Telephone: 0 Fax: '0 fa - " email: ' , # Lt, ./..14 .. 1 e Mailing Address:.? tom/ A . , ad ,d)■ A '% CI W t kind of Permit?(Check each box that applies lBuitding ❑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 ❑ Commercial* ❑Special Use(Essential Public Facilities)'" ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat*' ❑Home Business ❑Cottage Industry ❑Binding Site Plan'" ❑Propane D Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed'Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** D Stormwater Management ❑Shoreline Master Program Exemption/Pemnit Revisions*a O Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development'" O 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 Pro-Application Conference Please identify any other local,state or federal pg{mits required for this proposal,if known: aS(GNATION OF AGENT I hereby designate _ ft", R 0 6-- ' ,0 act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE . : L *. 0 �� Date:�//A) 1—`I GP it By signing this application form,the owner/agent nests 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 Co - and its employees,representatives or agents for the sole purpose of application review and any required la Ospections. Staffs access a ` f entry will be assumed unless the applicant informs the County in writing at the time of the applicatio that r she wants • • • '«_. ru XSignature: _ / ' . • Date: /" /L` •' /'/ The action or actions Applicant will unde r ke 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 ••tential"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 n•assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any ind' roue 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 fl■ •,development code.The Applicant acknowledges that he,she or it holds individual and non-transfe Ie onsibil' for ad to and••• •0r •with the ESA. The Applicant has read this disclaimer and signs a dates it below. XSignature:- 4, e4 �Y c �J Date: /- / L G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • 411 BUILDER STATEMENT The signer of this statement does hereby certify that th JI' _ Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass ing •a:ponsib. ., the Genera fr •a •or for the proposed project. L J icSignature: _ . ..e. I Date: I GEN ML Co CTOR OR U'ACTURE H E INSTALLER: PHONE: FAX: - � irr o r�mt, aYJ (f&O 79—SDI/ 4Go)373-co 63 MAILINGADDRESS: J E��� y aV? �Y " EMAI( Q/J�trent)" A t '���G�[, CONTRACTORS LICENSE (.�, t+n.1�/co re V1/AINS A C r NUMBER: r'>� I , tI V NUMBER 1�1i^ ARCHITECT/ENGINEER: pl., LCD he�yn iI,�fl�Oriiar PHONE FAX:MAILING ADDRESS: A ,��.�{° ,,,, ' ��� '�ilp' oKg�n�f Ine•c••• 2g•W/k, Project Type: me Type: ,[ Bathrooms. Shoreline: V Type'of Sewage pikposal: KNew AWood Existing: _ 13 Sewer ❑ Addition ❑ Steel Proposed: Bank 0 Community Syste ]ejtj ❑ Alteration/Remodel ❑ Concrete Total: Height: Individual System„T""GT hl" ❑ Repair ❑ Masonry S P Permit# Bedrooms: Supply: 0 Demolition ❑ Other. b Water Su Existing: Setback: Private well 0 Two Party Ty•e of H=at: Proposed: 0 Public �, a�1►nr Total: Name of System: q , V ""V' # ' " • t&ut'ri If this Is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation Dernhit.mark all items below that apply: i Underground Tank j Above ground Tank Size of Propane Tank:` I Heat Stove I Cook Stove i Woodstove t 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 tine propane tank to all property lines,buildings and septic system components, includin• the reserve area. S•uare Foot ! v•• :• - 2 Main Floor sated EH Bid App Review: J d 2 ' Floor Heated y/ • sistency Review: Other Heated Base fee: / ,,� Mezzanine nr' -1 � Additional Section: pf Heated Basement ,CJ :-.1-,--:- . Plan Check fee: r Unheated Basement # State Surcharge fee: q 3----°). 7 Pot Water Review fee: Other Unheated f t , . Garage/Carport a SUBTOTAL Decks 3 c 911/Rd Approach __ - Other r TOTAL: $ 7. i � Receipt Number. I Li k 33 Cash/Check Number. L / ESTIMAT�Z ?TT3• ` Date: 2 / -ii'Fair market value of all labor and materials foundation to finish J t`� I _ /'7 D90 Initials: • y G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • 4' coy JEFFERSON COUNTY IA DEPARTMENT OF COMMUNITY DEVELOPMENT °- _ 621 Sheridan Street • Port Townsend • Washington 982 I MAR 1 0 2014 q Y O 360/379-4450 . 360/379-4451 Fax PIING_ http://www.co.jefferson.wa.us/commdevelopment/ JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: WA N6 4 ��\r,. ll` 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 " I \ acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 12-14(1-) - (a 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 3/4 acres or more of Construction site for structures �� sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. 'KM sq/ft Circle: Yes Well, utilities,etc. fl sq/ft Does the project convert 2'/2 acres or more of p� native vegetation to pasture? Driveway, parking,roads, etc. 40(3 sq/ft Circle: Yes No Lawn, landscaping,etc. VA sq/ft Other compacted surface, etc. NA sq/ft Indicate tT-Total Volumes of Proposed: Total Land Disturbance b sq/ft Cut 1()V Fill 2J0 (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 0 0 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 and oiled, macadam or other surfaces which lots similarly impede the natural infiltration of stormwater. a avel roads, packed earthen materials, STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW 0 4XISTING Structures(all roof area) I 1 0 s /ft 4 Structures(all roof area) sq/ft Sidewalks Iii sq/ft Sidewalks N sq/ft Patios sq/ft F atios sq/ft Solid Decks fl sq/ft Solid Decks (without infiltration below) sq/ft 11__��y�.p� (without infiltration below) Driveway, parking, roads, etc "� V l� sq/ft Driveway, parking, roads, etc Other 0 A sq/ft sq/ft Other sq/ft Total New t )i)U sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 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: ; Uri 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 Minirrum 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 Storr-iwaterManagement 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 AUT ZED REPRESENTATIVE SI NATURE) �' l � Ul � � (DATE) SMALL, 1 DIUM LARGE RE p EYELQOANT,,; ,! . Storitpw;tterSite Rlan N i t:J stormwater calc worksheet Rev 9-9-2010—REV.9/9/2010 2 r' f --)r _-� \ ( w_ .F___ J( o A \7 V C FA C Cl) ' 1 FA z z C) C-- L=2 S Iu c� o -P -0 tin Z _ .n , 21.-7. r I �C JJ , 8'-5/• , 13'.1'x" , III ROOF.INE m I \ lc,,,,,s-tv,...... \ \ 4 1 I. pa •g Fa UNFINISHED ATTIC AREA .r w 3.-4° F,_ NO DRYWALL o I b g �^x 1114i in I w 0-na 1 2,�p EDGEI \ o rn 13 a r 1. _ I R Pi'i fn !11 O m 4 i m I vc2 ^' F rr I1 al ❑ _ 10 = p • Gr1 0 N m b CIeS Z © * .« eta 1 - I I .2- ' ON a • .. - N-• -=O X '1 \ \\\\\\dJ\ , i\\\\\\\ \. NS. 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L ■ !C ,„ „A..\..........\u. �k '2r ® 41.0 x5.0" $ 3'-0°x3'$" T.F �� "�J 30"x5'-0• �, CD • SH A c SH �a, .�i SH �A a : K' Al Om 17 p'17— WALL HEIGHT 9'-D 7(LL• O • I �' 0 x a X°a ai x mZ ■■ ■■■ 14'-714• .IR ; to S;;agEi373g ' ' �TJ-11 to P •....:,,..•'�Pi 1M MS. X:"I N 4f 65-4 0 3 C C C)z1 O . 0 C�II'�' tl v" m ITI Ylr « -o _ m 37,c-0 =b ;. �. ��— ao°z sa0i'�.5v-, O ,,r-0 x �s o_ o n 1 c1 ,mz -62� > `o3 f� z a N�� yy� D o � m � Z ��oX N� � mo•• PORCH smm t- �.TJCA p* cFoa Ul ao5,a m= ice g H,al co 0 ".1Q C�;� C �mZ r y' m.7�1pi�•A A O O 9.O 0. E r 6-2W 1Z.-7/• A 4.-0/. 2'-314° Z-0" 2'_514" 5'-," 5'-4" i H f1�Tw'c4�1 o� oZ _ II II a 'I.�i �� z mO a S • o 42'-0" r 'g W W O O -, 43 Ci)W N g S NEW HOME FOR : WARD &JOY McDONALD < SZej SITE ADDRESS: 893 PAYNE RD:QUILCENE,WA.-JEFFERSON CO.A1,444,41,01,,,i,m o ro 6. , N m ? Z PLANS ARE DRAWN TO MEET 2012 IRC BUILDING CODES LOCAL JURISDICTIONS MAY REQUIRE ADDITIONAL PLANS. O c�0 U ENGINEERING MAY BE REWIRED FOR SPECIAL FOUNDATION DESIGNS DUE TO SLOPE AND LOCAL SOIL CONDITIONS. r-1i i A LATERAL ANALYSIS MAY BE REQUIRED FOR WIND AND EARTHQUAKE DESIGN. m 809 LIVINGSTON 5T.NE- LACEY,WA. 98516 (360)491-5418 PURHAS • UD EPNS EED BLNSB ILDRR�dI I SRPCERSHOLHAVEPLA RV WARRANTIES,LICENSED BUILDER OARCHITE BEFORE CONSTRUCTION. \\., \ \ SOME MODIFICATION MAY BE NECESSARY FOR COMPLIANCE WITH LOCAL AND STATE REGULATIONS. 1 • Gary A. Flowers, PLLC Geological & Geotechnical Consulting 19532 12th Avenue NE Shoreline,WA 98155-1106 - March 9, 2014 C [ v - Project No. 14005 Dj L nj; i Nil A H 1 0 2014 Ward&Joy McDonald I j ' i J 11636 Wicks Lake Rd SW L y --- Port Orchard, WA 98367 JEFFERSON COUNTY OF COMMUNITY DEVELOPMENT Subject: Geological/Geotechnical Report Proposed New McDonald Residence Lot 21 Zelatchet Point Development 893 Payne Road,Jefferson County,Washington This report presents the results of our geologicallgeotechnical assessment for the property at 893 Payne Road near Quilcene in Jefferson County, Washington. The purpose of this study was to provide an assessment of the property and steep slope area in order to meet the requirements of Jefferson County and to provide design recommendations for placement and construction of the new residence. We understand that you intend to build a two story house with partial daylighted storage beneath the downslope portion of the residence. The structure will be located on a previously graded relatively flat bench area. This report summarizes our fieldwork and offers recommendations based on our present understanding of the project. EXISTING SITE CONDITIONS The subject site is a 5 acre parcel that is located on the end of a west-southwest trending ridge. Steeper slopes drop off to the south and north. The end of the ridge contains relatively gentle slopes except near the bottom of the slope along the edge of a drainage ravine. Drainage ravines are located to the north and south-southeast of the ridge. The planned home site is located on the upper portion of the parcel near the intersection of three driveways that lead to adjacent homes. This area has been cleared and leveled during past clearing/grading/logging operations. Several old logging skid roads are present on the property. A septic system was recently installed on the property with the septic tanks on the edge of the planned home site and the drain field located about 75 feet down gradient. The planned building site is relatively level with only several feet of elevation drop across the area. Along the southwest edge of the building site is about a 3 foot drop. This small slope appears to be man made during the previous clearing and grading. The remainder of the upper slope area, in the immediate vicinity of the planned residence, has a gradient that is on the order of 20 to 30 percent. Further down the slope the gradient increases to about 50 percent before flattening out at the bottom of the ridgeline. Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 1 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington The slope is heavily vegetated with both small and large evergreen and deciduous trees and a heavy understory. During our slope reconnaissance we observed a landslide scarp located near elevation 100. This area is more than 300 feet removed from the planned building area. The landslide scarp was on the order of 40 feet wide and varied from 5 to 8 feet tall. The run out area for the landslide debris was onto the near flat area at the toe of the ridge. A geologic contact between granular sediments and fine grained sediments was observed in the face of the scarp. Ground water seepage between the geologic units was observed and is the likely cause of the slope movement. No other wet areas or hydrophilic vegetation, indicative of ground water seepage, were observed during our reconnaissance. However, due to the very heavy vegetation on the slope other such areas may be present. Two discharge pipes were observed at the toe of the slope near the assumed west property line. Both pipes are 4 inch diameter ADS pipe and were flowing a significant quantity of water. Anecdotal evidence indicates that when the house located downslope and to the west of the McDonald building site was constructed a shallow seep area was encountered. An interceptor drain was installed at the time to collect the water and divert it to the toe of the slope. According to the former owners of the adjacent property the pipes flow a significant quantity of water following heavy rain storm events but are usually empty during the drier times of the year. Subsurface Soil and Ground Water Conditions Soil conditions at the project site were inferred from field observations, visual reconnaissance of the site, excavation of 4 exploration pits, review of the McDonald well log and review of published geologic information for the area. On January 12, 2014 a series of four exploration pits were excavated with a small excavator by Ward McDonald, geologist with a local geotechnical firm. The pit logs were provided to this office for review and use in preparing this report. The hand written logs were typed and a copy is attached. Below is a summary of the findings. The exploration pits were located around the sides of the planned location of the new residence. Beneath a thin sod dufflcolluvial layer or fill soils, each of the pits encountered dense to very dense, glacially consolidated, gravelly SAND to sandy GRAVEL with cobbles. The fill soils were only observed in EP-1 and EP-2 and were on the order of 12 inches thick. The pits were all stopped at a relatively shallow depth due to the difficult excavating conditions. The well log for the property, which was drilled during July 2013 by Gresham Pump & Well Drilling, Inc. and is located adjacent to the building site, indicates that the upper 28 feet of sediment beneath the building site is sandy gravel with cobbles. This unit correlates with the very dense sandy gravel to gravelly sand observed in the exploration pits. Below this upper unit the well log indicates interbedded granular and fine grained soils extending to the full depth of the well at 238 feet below existing ground surface. Static water level in the well was at a depth of 173 feet below existing ground surface which is approximately the bottom of the slope. Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 2 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington Mappings As per the Jefferson County Environmental Critical Areas Map, the upper portion of the slope (above approximate elevation 100 feet) is mapped as a slight landslide hazard area and the lower portion of the slope (below approximate elevation of 100') is mapped as a moderate landslide hazard area. The map also indicates that the lower portion of the slope (below approximate elevation 80 feet) is a seismic hazard. The site does not contain any mapped erosion hazard areas. This mapping is in agreement with our geologic reconnaissance of the site. According to the Washington State Department of Natural Resources, Open File Report 76-26, Geologic Map of East-Central Jefferson County, by R. U. Birdseye, 1978, the subject site is mapped as Vashon age lodgement till. Lodgement till is a nonhomogenous mixture of sand, gravel and sometimes cobbles and boulders in a silt/clay matrix. The lodgement till was deposited at the base of the most recent advancing continental ice sheet about 15,000 years ago. The overriding ice sheet consolidated the sediments into a very dense condition which accounts for the high strength values of the sediments. CONCLUSIONS AND RECOMMENDATIONS On the basis of our field investigation and analysis, it is our opinion that the property is suitable for the planned construction provided the recommendations contained herein are incorporated into the development. Landslide Hazard Conclusions On the basis of our field investigation and analysis, it is our opinion that the property is grossly stable from a potential rotational type of landslide failure. However, Puget Sound slopes are naturally active and bluff retreat affects all steep slopes to some extent. The existing landslide feature described above is an indication of what can happen in areas where ground water daylighting on slope faces is present. Due to the very dense nature of the over-consolidated glacial deposits that form the core of the hillside, and the heavy vegetative cover, the potential for even surficial slides on the gentler portion of the slope near the planned residential site is low under natural conditions. Based on the proposed location of the planned residence there is no setback requirement as there is no steep slope (>40%) near the site and there is no planned development or alteration of the steep slope area much further down the slope. It is our opinion that the proposed development will not decrease slope stability on adjacent properties and the newly created building site will be stable under normal geologic conditions. Gary A.Flowers,PLLC. 19532 12'h Avenue NE Shoreline,Washington 98155-1106 206-417-7640 3 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington Erosion Hazard Conclusions The subject site is not mapped as an erosion hazard area. Construction on the relatively level building site is located hundreds of feet from any water source and the pathway between the site and the water source is heavily vegetated. However, good building practice would dictate that a silt fence be installed immediately downslope of the construction area to mitigate potential sediment laden water from reaching the drain field during a severe storm event. Other standard good construction practices would include re-vegetating stripped areas as soon as possible, covering soil stockpiles with plastic sheeting and channeling storm water runoff away from the drain field area and the other adjacent driveways. If a stripped area is not to be worked for an extended period of time it should be mulched with 2 to 3 inches of straw to reduce erosion potential. Seismic Hazard Conclusions The lower portion of the subject site, below approximate elevation 80 feet, is mapped as a seismic hazard area. Generally,there are four types of potential geologic hazards associated with large seismic events: 1) surficial ground rupture; 2) seismically induced landslides; 3) liquefaction; and 4) ground motion. The potential for each of these to impact the site is discussed below. Recent mapping by the United States Geological Survey (USGS) indicates that a fault trace is located along the approximate center of Dabob Bay which is about 1 mile to the west of the subject site. The USGS is currently studying this fault zone and other fault zones in the Puget Sound area and have determined that the faults are active and capable of producing large earthquakes. The anticipated return rate of these faults is thought to be in excess of 1,100 years. Due to the distance to the fault trace, the long return rate, and the random nature of where an event may occur along the trace,no mitigation is recommended. Due to the distance from any significant steep slopes (>40%), the relatively flat lying nature of the actual building area and the glacially consolidated nature of the sediments that form the core of the hillside, it is our opinion that the potential risk of damage to the proposed structure by seismically induced landsliding on the site is low. The sediments that form the core of the slope have been glacially consolidated. In addition, the initial approximate 28 feet of sediments directly underlying the site are very coarse grained. The potential for liquefaction to occur beneath the building site is nil. Based on the encountered stratigraphy, it is our opinion that any earthquake damage to the proposed structure, when founded suitable bearing sediments in accordance with the recommendations provided in this report, would be caused by the intensity and acceleration associated with the event and not any of the above-discussed impacts. Design of the project Gary A.Flowers,PLLC. 19532 121 Avenue NE Shoreline,Washington 98155-1106 206-417-7640 4 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington should be consistent with 2012 International Building Code (IBC) guidelines. In accordance with the 2012 IBC,Table 1615.1.1,the parcel is classified as Site Class C. Geotechnical Recommendations The new residence should be supported on continuous spread footings that extend a minimum depth of 18 inches below final grade and bear on undisturbed or recompacted natural, glacially consolidated soils that underlie the site. An allowable soil bearing value of 3000 psf may be used for design purposes. An increase of one-third for transient loads would be applicable. Resistance to lateral loads on the structure can be provided by passive earth pressure on footings and stem walls and/or sliding resistance between the concrete members and the underlying soil. We recommend the use of 200 pcf for passive pressure and a coefficient of sliding friction of 0.4. Retaining Walls Retaining walls should be designed for an active earth pressure of 35 pcf if free to rotate and 50 pcf if fixed. Retaining walls over 3 feet tall should have a wall drain that extends to within 2 feet of ground surface comprised of an approved drainage mat or minimum 12 inch wide washed rock. The wall drain must connect to a footing drain to eliminate potential hydrostatic pressure buildup. The onsite soils will be sufficient for wall backfill purposes. Any significant organics should be removed before use. The wall backfill should be reasonably compacted as it is placed to reduce settlement potential. If any concrete walkways, driveways or patio slabs will be placed above the backfill,the compaction effort should increase to 90 percent of the maximum density. Concrete Slabs Concrete slabs on grade may be placed directly on the undisturbed or recompacted natural sediments. Where moisture intrusion is a concern a heavy duty (minimum 10 mil) plastic vapor barrier should be placed between the concrete and soil subgrade. If the vapor barrier is compromised in any way during construction it should be replaced or an additional layer added. Any penetrations through the vapor bather should be taped and sealed. In addition to foundation drains around the perimeter of any basement walls footings, there will be area drains and roof drains that will collect storm water runoff and an interceptor drain immediately above the house. All collected storm water should be tightlined to an approved drainage system or to the bottom of the slope. Although no gradation analyses were conducted on the soils from the exploration pits, based on the soil logs it appears that infiltration of storm water could be considered. A shallow natural drainage occurs along the east margin of the Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 5 • • McDonald Residence Geotechnical Services Report Jefferson County, Washington _ _ _ property as shown on the attached figure. Alternatively the collected storm water could be piped to the bottom of the slope. If the water is piped to the bottom of the slope we recommend that HDPE (high density polyethylene) butt welded pipe be used for long term maintenance free operation. The pipe should be anchored at the top of the slope and a perpendicular and perforated T section added at the bottom for velocity control. Provided all storm water is properly disposed into an approved storm water conveyance system, the proposed project will not increase surface water discharge or sedimentation to adjacent property beyond predevelopment conditions. SUMMARY Construction monitoring and consultation services should be provided to verify that subsurface conditions are similar to those described in our report. Should conditions be revealed during construction that differs from the anticipated subsurface profile, we will evaluate those conditions and provide alternative recommendations where appropriate. Our findings and recommendations provided in this report were prepared in accordance with generally accepted principles of engineering geology as practiced in the Puget Sound area at the time this report was submitted. We make no other warranty, either express or implied. Thank you for the opportunity to be of service on this project. Should you have any questions regarding this matter,please do not hesitate to contact our office. Sincerely, eet Wash,, r _ � \ 1056& o $ed Geoff IGary A. Flowers Gary A. Flowers,P.G.,P.E.G. Engineering Geologist Attachments: Vicinity Map Site and Exploration Sketch Exploration Pit Logs Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 6 r • • J Y t el 6 T 0J op --) s'61 VI o / x a J 1. 0 0- '2 1 U.)..0\k'..-\\<.•, 1 V _ r..�.. _. .7-.._. A 1 1 •f f { if,-,r r. NI _ 6 t r ▪ {'- , r , fi,,)' ,- 1.,,, ' .-- A - - ,. !} _.. - - ,-- .- V ' ' ' , • L _ • 4 ' ' 1 `` __ . I , 1 •', , , r a f.� r., Wit: 31t 1p E J Y -`1. Y _ {jr V . c4.--,,. \ F `F 1£ { [s y6 ,,�\�, 7 f TY,i- t • o \\ x n ,:i m 3 T 3 2. �, M TT'�� Q . : : '° a.w' , I-',� ,, �`. ,sa , h d , a w s.- 1 aLC,J V, Q Q �. /w '1 a- . c n !- I Y f.r r �/ �. Sy►• .`g ,, 2 wC r , ` � X `' , 3 ,� LI! a Pi ,g N O �$\ �� o -a I 2 Ili I 1 I. , '- :t• \ ;fr 01 x r ` S -'c\ _Y • \`** 8 r v : J\ 1e. , r a r sl 7`� .!� j ' �, � Z 1Q _ _ -- -11 s— — — _ — " mra-`_ — . i / i ,C--f i f r /'R tea' ` P\ e— i 4, 5.s„ It fr f r l \ s A.,, 1 fJ 1 " ---- a ,�y0 w • McDonald Property Geotechnical Services Report Jefferson County, Washington EXPLORATION PIT LOGS McDONALD PROPERTY 893 PAYNE ROAD QUILCENE, JEFFERSON COUNTY, WASHINGTON EP-1 Located east of proposed structure 0.0'-0.3' Topsoil/Sod 0.3' - 1.0' Medium dense,moist,gray, sandy GRAVEL (Fill) 1.0'-1.4' Loose,moist,brown, silty SAND -weathered (SM) 1.4'- 1.8' Dense to very dense, moist, reddish brown, very gravelly, fine to medium SAND -weathered(SP) 1.8'-2.5' Very dense,moist, gray,very gravelly,fine to medium SAND with cobbles(SP) T.D. @ 2.5 feet, 1-12-14 No ground water observed. Pit stopped due to very difficult digging for small excavator below 1.5 feet EP-2 Located west of proposed structure 0.0' -0.3' Topsoil/Sod 0.3' - 1.0' Loose to medium dense, moist, gray, sandy GRAVEL(Fill) 1.0' - 1.6' Loose to medium dense,moist,brown, silty,gravelly SAND -weathered (SM) 1.6'-3.0' Dense to very dense, moist, reddish brown, gravelly, fine SAND with cobbles - weathered(SP) 3.0'-4.0' Very dense,moist,gray, gravelly, fine SAND with cobbles(SP) T.D. @ 4.0 feet, 1-12-14 No ground water observed. Pit stopped due to very difficult digging for small excavator below 1.5 feet EP-3 Located southwest of proposed structure 0.0'- 1.0' Forest duff and colluvium 1.0' - 1.5 Loose to medium dense,moist,brown,silty, gravelly SAND-weathered(SM) 1.5'-3.0' Dense to very dense, moist, reddish brown, gravelly, fine SAND with cobbles - weathered(SP) 3.0'-4.5' Very dense,moist,gray,gravelly,fine SAND with cobbles(SP) T.D. @ 4.5 feet, 1-12-14 No ground water observed. Pit stopped due to very difficult digging for small excavator below 1.5 feet Gary A.Flowers,PLLC. 19532 121°Avenue NE Shoreline,Washington 98155-1106 206-417-7640 • 410 McDonald Property Geotechnical Services Report Jefferson County, Washington EP-4 Located southeast of proposed structure 0.0' — 1.0' Forest duff and colluvium 1.0' —2.0 Dense to very dense, moist, reddish brown, slightly silty, gravelly, SAND with cobbles-weathered(SP) 2.0' —3.0' Very dense,moist,gray, gravelly, fine SAND with cobbles (SP) T.D. @ 3.0 feet, 1-12-14 No ground water observed. Pit stopped due to very difficult digging for small excavator below 1.5 feet FINIS Gary A.Flowers,PLLC. 19532 12th Avenue NE Shoreline,Washington 98155-1106 206-417-7640 • f CONDITIONS for Building Permit# :BLD14-00092 1.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In-Stream Flow Rule for that region. The parcel is located within the_Toandos sub-basin in a designated Coastal Management Area; as such, state regulations require the following: 1. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180). BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more INFORMATION; see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 2.) Planner CJZ 3.) 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. 4.) A Geotechnical Report was submitted in conjunction with this application. The report addressed the stability of the geologic hazard area and the infilltration of stormwater on site. A setback of 30 feet shall be measured perpendicularly from the top or toe of the geologic hazard to the proposed (indicate type of development). 5.) The site plan as submitted with the single family residence application on March 10, 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 March 18, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 6.) This approval is for a single family resdience 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. 7.) A Special Report was submitted in conjunction with the application to address the geological hazadous area and stormwater infilltration. 8.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 9.) 10' minimum separation required between the water line and any onsite sewage system components including sewage transport lines. 10.) ADDITIONAL SEPTIC SYSTEM INSPECTION REQUIRED PRIOR TO FINAL APPROVAL of this building permit. A report by a certified O&M Specialist or licensed Designer documenting the following is required: The condition and settings of the septic system and reserve area are consistent with the Record Drawing and Inspection Report on file. The report shall be submitted in a format approved by Environmental Health. Fees will be charged if inspection by Environmental Health Staff is required. • • 11.) SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT FACILITIES- Any interceptor/curtain drain or foundation drain, or any other source of water that is downgradient or below MUST be setback a minimum of 30' from any septic system dispersal area (drainfield) and 5'from any septic tanks. Splash blocks must be directed away from ALL septic components. Subsurface stormwater infiltration, subsurface soil dispersal systems with NO discharge point must be located a minimum of 10 ft. downgradient of the drainfield. II \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 4/4/2014