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BLD2014-00287
•UILDING PERMIT APPLICAI DN BLD14-00287 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00287 Received Date: 8/7/2014 SITE ADDRESS: 553 WOODLAND DR PORT TOWNSEND, 98368 OWNER: L SAMUEL VICKERS PHONE: 206-890-2433 1238 ALKI AVE SW #203 SEATTLE WA 98116-4869 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001275014 Section: 27 Township: 30 N Range: 1V1 CONTRACTOR: MICHAEL COXEN PHONE: 360-531-1998 6401 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License COXENDC005QN Expires 11/29/2014 REPRESENTATIVE: GUY HUPY DESIGN PHONE: 360-385-6052 211 TAYLOR ST#404 A PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOP NSFR WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,600 VALUATION 350,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: �ECRK4GE. 477 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,784.00 SRE 08/07/14 151369 Plan Check $1,809.60 SRE 08/07/14 151369 State Building Code $4.50 SRE 08/07/14 151369 Potable Water Application $67.00 SRE 08/07/14 151369 LJi,1 -2 2014 Total: $4,665.10 Jefferson County DCD \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/7/2014 SEPTIC SYSTEM REVIEW.jpeg 41- r CUs ► "/ S 0 8 2,, JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street • Port Townsend •Washington • 98368 www.jeffersoncou ntypu blichealth.org August 29, 2014 L SAMUEL VICKERS 1238 ALKI AVE SW#203 SEATTLE WA 98116-4869 RE: SITE ADDRESS: 553 WOODLAND DR CASE#: BLD14-00287 Dear L SAMUEL VICKERS: We have received the above referenced application for review. We are in need of additional information and/or items as listed below to continue our review of the proposal: When comparing the record drawing submitted for your septic system SEP13-20 and the site plan submitted on 8128114 it appears that your home location will be on top of the septic tank. Please revise the building site plan to match the record drawing of the septic system and relocate the home to meet the required minimum setback of 5'to the septic tank. 4N/I L- A f ('1-6117 I have enclosed a copy of the record drawing for your information. If a Monitoring Inspection of the onsite sewage system is required please contact a certified O&M Specialist or Licensed Designer to schedule the inspection. A list of these providers can be found at our website www.ieffersoncountvpublichealth.oro. Please notify this office when the inspection has been completed. Please submit the necessary items in order for us to complete the plan review process of this permit. If you should have any questions, please feel free to contact me at(360)385-9444. Since ly, a7 th Jefferson County Public Health Environmental Health Specialist v ld�rn� 3 8- 6 n c: File uey 0 " 3 4„11 I GJM \ltidemark\data\forms\F_BLD_SEPReview 032713.rpt https://mail.g oog le.corrdmail/u/0/lfinbo1d1481a2eb2c6ab8 3f?projector=l Ill 0-S°N co,, DEPARTMENT OF COMMUNITY DEVELOPMENT 2A 621 Sheridan Street,Port Townsend,WA 98368 -< Tel:360.379.4450 I Fax:360.379.4451 lipactir2, Web:www.co.jefferson.wa.us/communitydevelopment N p` E-mail:dcd@.co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT #: BLD14-00287 APPLICANT: L SAMUEL VICKERS PHONE: 206-890-2433 1238 ALKI AVE SW#203 SEATTLE WA 98116-4869 SITE ADDRESS: 553 WOODLAND DR Issue Date: 10/2/2014 PORT TOWNSEND, 98368 Final Date: 6/22/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001275014 Section: 27 Township: 30 N Range: 1W PROJECT DESCRIPTION: NSFR WITH ATTACHED 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 no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 6/22/2015 \\tidemarkldata/forms\F_BLD_Occupancy.rpt 6/22/2015 s C .K" -.1\- ---, ___,,,..„...._ c 01 0 ° L 0 , o 1 9 D , y I 0 c g g m 'm0 y 4 n CD ° b � zd Zrn 1 y !,m. t1 D \ i ra t� a �t On 1 { gyp A ' V (s �1 I fi i m. Z b 1 q, �6�°0 �`� 8S' j 4 off? /0 0 ' 44 Is ,/ 1,..,.,\:it, - ._4 O i ( C0.4.1 I i M 6 0 f•IN LI ((.. .„..1 tto. r „ > Z " V ''--4%, 0 _ > b 3 ci DT.n L D i � � ? i � I w �C h knI W • -a Z 6 U. LI W 1 -� /r 3 , a ! 1 7i p i CJ Z Cr o w ' A 1�b�y JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT "star NGS Date: L f-1 Time Received: 23 3 arrItV Mon. Tue. Wed. iLnsdfi Fri. Date: —2 BLD: lYr.2?-7 Contact Name: Owner: Contact Number: 360 j"31 /4 '2 Address: 5—j3 I.J OcvL.4'}#' Q 206 Notes: ti—) v Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling e',s`m eoG� JEFFERSON COUNTY S DEPARTMENT OF COMMUNITY DEVELOPMENT 'rH!NCK° Date: ``?j/ *oi.$ime Received: SS am/3 Mon. /V Wed. Thur. Fri. Date: • ' . D S BLD: 111 -- �_ g? Contact Name: A E. Owner: S Contact Number: 360 S"3 l_ ("/ 9 Address: 2 Notes: ) VOU ( C I(/'1 Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 0-U` CO cZ JEFFERSON COUNTY Ka2 DEPARTMENT OF COMMUNITY DEVELOPMENT 'SH1 NG Date: "3 (1 Time Received: 4-11,)>- am/pm Mon. Tue. Thur. Fri. C Date: '5-10 BLD: IL/ "pZj-7 Contact Name: Owner: Contact Number: 360 631 /q98 Address: SS"-f W O00c4's2 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground • Framing ` Under ground Furance Footing Rough In x Air Seal / 3 Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling „,sot: c0 e'I JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT -SHfrGSCY Date: ffime Received: am/prn Mon. Tue. Wed. 467 Fri. f , Date: 1 2,-.!'6 d BLD: t4 Z,$7 Contact Name: Owner: Contact Number: 360 5-3,1 - trnie Address: 5-.5'5 w pa7A-A--,1. 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear VA Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling w�sOi 'o JEFFERSON COUNTY + ti `� A DEPARTMENT OF COMMUNITY DEVELOPMENT Ili\ "a2 kli.x.L° T ime Received: ",e.y am/pm Mon. Tue. Wed. Thur_ Fn)ate: Date: """ Contact Name: )w Contact Number: 360 it" q owner. ,. •!. ,��-.A, � 206 address: s s s'. .' �- '. ie - Notes: Foundation Plumbing Framing Propane Tank Mechanical Furance d roun Setbacks Under ground Framing Under g Footing Gas Rough In Air Seal Above ground Stemwall Hydronic Exterior shear Exterior lines Oil Interior shear Interior lines Ducts Straps Hot Water Htr Appliance Post Hole Ventilation Underfloor Gas/Wood stove Insulation Man-Homes Final Inspection Floor Setbacks Wall Address Posted Foundation Ceiling Block&Tile 44p5°1' `b,., JEFFERSON COUNTY +� DEPARTMENT OF COMMUNITY DEVELOPMENT '✓1 s 0 9 Date: I/ Time Received: ame Mo Tue. d. Thur. Fri. Date: Jr /D BLD: 4 _ b p y$? Contact Name: Mle.FL4EL Cox» 1 CCbe 5 Contact Number: 360 5'3 - IRO Owner: 206 Address: 5.53 W nz... km DA Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground x Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted ❑Inrlr R. TIIP Ceiling 4` ).., JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Date: t( 4 Time Received: , ,R3 an Mon. Tue. k ed Thur. Fri. Date: [ I-5 BLD: 1,`4- 7 Contact Name: Owner: Contact Number: 360 3( 11'99 Address: 553 wDti) AAJO 206 Notes: ~6 b{�UCV_. Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling go 4So. CO� ��? JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SytxG,e dl_I/l� Date: /0,2r-rime Received: t-f/ am/ ' Mon. Tue. Wed. Thur. dp Date: BLD: /9- 9-�7 Contact Name: Owner: Contact Number: 360 L/./ 412z12. Address: 55 3 kYoc1 Lernm P2 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall_' Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling gpti 4giGi JEFFERSON COUNTY P��,t �,CO { DEPARTMENT OF COMMUNITY DEVELOPMENT 1V `SH Date: Time)I„ Time Received: ?:6–( am/pm Mon. ue) Wed. Thur. Fri. Date: lb-2A BLD: \ I(— 2 27 Contact Name: Owner: ' l ` ■ e& . \ ,-- Contact Number: 360 Address: a 9Q�, A ,, (.�lh 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks i/ Under-ground Framing Under ground Furance Footing / Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling • • I /11 I ....-.1/ 1 41 Catii El e3in I - / (if:Irci Drain) ' Datir- pol..1. i ------ - I 1 , - DRY WELL Hole Filled with . PLAN VIEW II/2--.-s"Wafshed NTS Drain R orY. / - ,---R oaf Do.limpoti i r—tYlf.:q.k C.Irnter of Hole / 1 9/111-1 1'1..;.3.r_cas-.1 Pvc, Houls ../—Ctvrflow ill Fl -iNiF:iritirilf.F:iirf";.ce Sr_Inh Block Topscii—. \ 1 ' i ,..., 1._n,„.1 , I •1, ,.. L. ;;: ‘-:------ — . _f I ' --."'''''•''' -,'"1 I Clan. I '',7J14 :70 I ---* f KIW , 1 f 1---'--- 1 \ )1; ,e i J't ■-',.,- . ;' k'i,; r.t,1:: ''- - -.,-•---;---,, r; -''4,jr, , ,,A i Fine N't e$h ,- r 1,' ! id Drairi) S' t.I.,5 )- 9 ,... I ,19-1-rch Dia rr1.1-FI 'I /9-'T.ii. aids of flole--, pg Hole Filled with r i Lined,..dh !),....1" I '2-3 V.ia:31-if:1:i 2 i Filta Fabric; pc. Drain R oc1,: I 1-1.LX. ...e 15'miq• 1 l'•v:12-i.-Itt;;--4,77-i-7-,f1cTI, I DRY WELL H iqi 0 I•7_,U 7r2:si' r Tn LI ; I --T-- SECTION NTS 1 1 I Figure 3.1.4-Typical Downspout Infiltration Drywell I 3 3,..rct: King County Vole III-Hydrologic Analysis and Flow Control BMPs-August 2012 3_9 • • Setbacks Local governments may require specific setbacks in sites with s,■pes over 40%, Iand 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 B:LIPs—August 2012 3-10 for Infiltration These gems are designed as specified below. 12;■ wells General 1. Dry-well bottoms must be a minimum of 1 foot above seasonal high around 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 dry-well sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15% without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and with • jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BlvlPs—August 2012 3-6 • 2.5 Minimum Requirements This section describes the minimum requirements for stormwater management at development and redevelopment sites. Section 2A should be consulted to determine which requirements apply to any given project. Figures 2.4.1 and 2.4.2 should be consulted to determine whether the minimum requirements apply to new surfaces,replaced surfaces, or new and replaced surfaces. Volumes II through V of this manual present Best Management Practices (BMPs) for use in meeting the Minimum Requirements. Throughout this chapter, requirements are written in bold and supplemental guidelines that serve as advice and other materials are not in bold. 2.5.1 Minimum Requirement #1: Preparation of Stormwater Site Plans All projects meeting the thresholds in Section 2.4 shall prepare a Stormwater Site Plan for local government review. Stormwater Site Plans shall use site-appropriate development principles, as required and encouraged by local development codes, to retain native vegetation and minimize impervious surfaces to the extent feasible. Stormwater Site Plans shall be prepared in accordance with Chapter 3 of this volume. Objective The 2,000 square feet threshold for hard surfaces and 7,000 square foot threshold for land disturbance are chosen to capture most single family home construction and their equivalent. Note that the scope of the stormwater site plan only covers compliance with Minimum Requirements #2 through#5 if the thresholds of 5,000 square feet of hard surface or conversion of 3/4 acre of vegetation to lawn or landscape, or conversion of 2.5 acres of vegetation to pasture are not exceeded. Supplemental guidelines Projects proposed by departments and agencies within the local government with jurisdiction must comply with this requirement. The local government shall determine the process for ensuring proper project review, inspection, and compliance by its own departments and agencies. Volume I—Minimum Technical Requirements—August 2012 2-16 • • 2.5.2 Minimum Requirement #2: Construction Stormwater Pollution Prevention (SWPP) Thresholds All new development and redevelopment projects are responsible for preventing erosion and discharge of sediment and other pollutants into receiving waters. Projects which result in 2,000 square feet or more of new plus replaced hard surface area, or which disturb 7,000 square feet or more of land must prepare a Construction SWPP Plan (SWPPP) as part of the Stormwater Site Plan (see Section 2.5.1). Projects that result in less than 2,000 square feet of new plus replaced hard surface area, or disturb less than 7,000 square feet of land are not required to prepare a Construction SWPPP, but must consider all of the 13 Elements of Construction Stormwater Pollution Prevention and develop controls for all elements that pertain to the project site. General Requirements The SWPPP shall include a narrative and drawings. All BMPs shall be clearly referenced in the narrative and marked on the drawings. The SWPPP narrative shall include documentation to explain and justify the pollution prevention decisions made for the project. Each of the 13 elements must be considered and included in the Construction SWPPP unless site conditions render the element unnecessary and the exemption from that element is clearly justified in the narrative of the SWPPP. Clearing and grading activities for developments shall be permitted only if conducted pursuant to an approved site development plan (e.g., subdivision approval) that establishes permitted areas of clearing, grading, cutting, and filling.These permitted clearing and grading areas and any other areas required to preserve critical or sensitive areas, buffers,native growth protection easements, or tree retention areas shall be delineated on the site plans and the development site. The SWPPP shall be implemented beginning with initial land disturbance and until final stabilization. Sediment and Erosion control BMPs shall be consistent with the BMPs contained in chapters 3 and 4 of Volume H. Seasonal Work Limitations - From October 1 through April 30, clearing, grading, and other soil disturbing activities shall only be permitted if shown to the satisfaction of the local permitting authority that silt-laden runoff will be prevented from leaving the site through a combination of the following: 1. Site conditions including existing vegetative coverage, slope, soil type and proximity to receiving waters. ✓Oli(71g 1—,V1 CY7l77?i,illi Technical Requirenlems—August 2012 7.17 • • 2. Limitations on activities and the extent of disturbed areas. 3. Proposed erosion and sediment control measures. The following activities are exempt from the seasonal clearing and Grading limitations: 1. Routine maintenance and necessary repair of erosion and sediment control BMPs. 2. Routine maintenance of public facilities or existing utility structures that do not expose the soil or result in the removal of the vegetative cover to soil. 3. Activities where there is one hundred percent infiltration of surface water runoff within the site in approved and installed erosion and sediment control facilities. Project Requirements - Construction SWPPP Elements Element 1: Preserve Vegetation/Mark Clearing Limits • Before beginning land disturbing activities, including clearing and grading, clearly mark all clearing limits, sensitive areas and their buffers, and trees that are to be preserved within the construction area. • Retain the duff layer,native top soil, and natural vegetation in an undisturbed state to the maximum degree practicable. Element 2: Establish Construction Access • Limit construction vehicle access and exit to one route,if possible. • Stabilize access points with a pad of quarry spalls, crushed rock, or other equivalent BMPs, to minimize tracking of sediment onto public roads. • Locate wheel wash or tire baths on site, if the stabilized construction entrance is not effective in preventing tracking sediment onto roads. • If sediment is tracked off site, clean the affected roadway thoroughly at the end of each day, or more frequently as necessary (for example, during wet weather). Remove sediment from roads by shoveling, sweeping, or pick up and transport the sediment to a controlled sediment disposal area. • Conduct street washing only after sediment is removed in accordance with the above bullet. Volume 1—Miniimmi Technical Requirements—August 2012 2-18 O • • Control street wash wastewater by pumping back on-site, or otherwise prevent it from discharging into systems tributary to waters of the State. Element 3: Control Flow Rates • Protect properties and waterways downstream of development sites from erosion and the associated discharge of turbid waters due to increases in the velocity and peak volumetric flow rate of stormwater runoff from the project site. • Where necessary to comply with the bullet above, construct stormwater retention or detention facilities as one of the first steps in grading. Assure that detention facilities function properly before constructing site improvements (e.g. impervious surfaces). . If permanent infiltration ponds are used for flow control during construction, protect these facilities from siltation during the construction phase. Element 4: Install Sediment Controls • Design, install, and maintain effective erosion controls and sediment controls to minimize the discharge of pollutants. . Construct sediment control B1VIPs (sediment ponds,traps, filters, etc.) as one of the first steps in grading. These BMPs shall be functional before other land disturbing activities take place. • Minimize sediment discharges from the site.The design, installation and maintenance of erosion and sediment controls must address factors such as the amount, frequency, intensity and duration of precipitation, the nature of resulting stormwater runoff, and soil characteristics, including the range of soil particle sizes expected to be present on the site. • Direct stormwater runoff from disturbed areas through a sediment pond or other appropriate sediment removal BMP, before the runoff leaves a construction site or before discharge to an infiltration facility. Runoff from fully stabilized areas may be discharged without a sediment removal BMVTP, but must meet the flow control performance standard in Element #3, bullet#1. • Locate B111Ps intended to trap sediment on-site in a manner to avoid interference with the movement of juvenile salmonids attempting to enter off-channel areas or drainages. • Where feasible, design outlet structures that withdraw impounded stormwater from the surface to avoid discharging sediment that is still suspended lower in the water colunm. Volume 1—.x772777!!!71 T2G?1IIC!1j RPC1 ilCY27Tt2/y(S—August L(117 2-19 • • Element 5: Stabilize Soils • Stabilize exposed and unworked soils by application of effective BMPs that prevent erosion. Applicable BMPs include, but are not limited to: temporary and permanent seeding, sodding,mulching, plastic covering, erosion control fabrics and matting, soil application of polyacrylamide (PAM), the early application of gravel base early on areas to be paved, and dust control. • Control stormwater volume and velocity within the site to minimize soil erosion. • Control stormwater discharges, including both peak flow rates and total stormwater volume,to minimize erosion at outlets and to minimize downstream channel and stream bank erosion. • Soils must not remain exposed and unworked for more than the time periods set forth below to prevent erosion: • During the dry season (May 1 - Sept. 30): 7 days • During the wet season (October 1 -April 30): 2 days • Stabilize soils at the end of the shift before a holiday or weekend if needed based on the weather forecast. • Stabilize soil stockpiles from erosion,protected with sediment trapping measures, and where possible, be located away from storm drain inlets,waterways and drainage channels. • Minimize the amount of soil exposed during construction activity. • Minimize the disturbance of steep slopes. • Minimize soil compaction and, unless infeasible, preserve topsoil. Element 6: Protect Slopes • Design and construct cut-and-fill slopes in a manner to minimize erosion.Applicable practices include, but are not limited to, reducing continuous length of slope with terracing and diversions, reducing slope steepness, and roughening slope surfaces (for example,track walking). • Divert off-site stormwater (run-on) or ground water away from slopes and disturbed areas with interceptor dikes, pipes and/or swales. Off-site stormwater should be managed separately from stormwater generated on the site. • At the top of slopes, collect drainage in pipe slope drains or protected channels to prevent erosion. . Temporary pipe slope drains must handle the peak 10-minute velocity of flow from a Type 1A, 10-year, 24-hour frequency Volume I—Minimiu122 Technical Requirements—August 2012 2-20 • • storm for the developed condition. Alternatively, the 10-year and 1-hour flow rate predicted by an approved continuous runoff model; increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing land cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. If using the Western Washington Hydrology Model (WWHM) to predict flows, bare soil areas should be modeled as "landscaped" area. • Place excavated material on the uphill side of trenches, consistent with.safety and space considerations. • Place check dams at regular intervals within constructed channels that are cut down a slope. Element 7: Protect Drain Inlets • Protect all storm drain inlets made operable during construction so that stormwater runoff shall not enter the conveyance system without first being filtered or treated to remove sediment. • Clean or remove and replace inlet protection devices when sediment has filled one-third of the available storage (unless a different standard is specified by the product manufacturer). Element 8: Stabilize Channels and Outlets • Design, construct, and stabilise all on-site conveyance channels to prevent erosion from the following expected peak flows: Channels must handle the peak 10-minute velocity of flow from a Type 1A, 10- year,24-hour frequency storm for the developed condition. Alternatively, the 10-year, 1-hour flow rate indicated by an approved continuous runoff model, increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing land cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. If using the Western Washington Hydrology Model (WWHM) to predict flows, bare soil areas should be modeled as "landscaped area. • Provide stabilization, including armoring material, adequate to prevent erosion of outlets, adjacent stream banks, slopes and downstream reaches at the outlets of all conveyance systems. rcim mB f—Minimum Technical Requirements— August 2012 3! • • Element 9: Control Pollutants • Design, install, implement and maintain effective pollution prevention measures to minimize the discharge of pollutants. • Handle and dispose of all pollutants, including waste materials and demolition debris that occur on-site in a manner that does not cause contamination of stormwater. • Provide cover, containment, and protection from vandalism for all chemicals,liquid products, petroleum products, and other materials that have the potential to pose a threat to human health or the environment. On-site fueling tanks must include secondary containment. Secondary containment means placing tanks or containers within an impervious structure capable of containing 110% of the volume contained in the largest take within the containment structure.Double-walled tanks do not require additional secondary containment. . Conduct maintenance, fueling, and repair of heavy equipment and vehicles using spill prevention and control measures. Clean contaminated surfaces immediately following any spill incident. . Discharge wheel wash or tire bath wastewater to a separate on-site treatment system that prevents discharge to surface water, such as closed-loop recirculation or upland application, or to the sanitary sewer,with local sewer district approval. • Apply fertilizers and pesticides in a manner and at application rates that will not result in loss of chemical to stormwater runoff. Follow manufacturers' label requirements for application rates and procedures. • Use BMPs to prevent contamination of stormwater runoff by pH modifying sources. The sources for this contamination include, but are not limited to: bulk cement, cement kiln dust, fly ash, new concrete washing and curing waters, waste streams generated from concrete grinding and sawing, exposed aggregate processes, dewatering concrete vaults, concrete pumping and mixer washout waters. • Adjust the pH of stormwater if necessary to prevent violations of water quality standards. • Assure that washout of concrete trucks is performed off-site or in designated concrete washout areas only. Do not wash out concrete trucks onto the ground, or into storm drains, open ditches, streets, or streams. Do not dump excess concrete on-site, except in designated concrete washout areas. Concrete spillage or concrete discharge to surface waters of the State is prohibited. Volume 1-Minimum Technical Requirements-August 2012 2-22 • • • Obtain written approval front Ecology before using chemical treatment other than CO2 or dry ice to adjust pH. Element 10: Control De-Watering . Discharge foundation, vault, and trench de-watering water, which has similar characteristics to stormwater runoff at the site, into a controlled conveyance system before discharge to a sediment trap or sediment pond. • Discharge clean,non-turbid de-watering water, such as well-point ground water,to systems tributary to, or directly into surface waters of the State, as specified in Element#8,provided the de- watering flow does not cause erosion or flooding of receiving waters. Do not route clean dewatering water through stormwater sediment ponds. Note that"surface waters of the State"may exist on a construction site as well as off site; for example, a creek running through a site. . Handle highly turbid or otherwise contaminated dewatering water separately from stormwater. • Other treatment or disposal options may include: 1. Infiltration. 2. Transport off-site in a vehicle, such as a vacuum flush truck, for legal disposal in a manner that does not pollute state waters. 3. Ecology-approved on-site chemical treatment or other suitable treatment technologies. 4. Sanitary or combined sewer discharge with local sewer district approval, if there is no other option. 5. Use of a sedimentation bag with outfall to a ditch or swale for small volumes of localized dewatering. Element 11: Maintain BMPs • Maintain and repair all temporary and permanent erosion and sediment control BMPs as needed to assure continued performance of their intended function in accordance with BMP specifications. • Remove all temporary erosion and sediment control BMPs within 30 days after achieving final site stabilization or after the temporary BMPs are no longer needed. Vohone I—lvlininnon Technical Regcirements—Augnst 2012 2-23 w , Element 12: Manage The Project • Phase development projects to the maximum degree practicable and take into account seasonal work limitations. • Inspection and monitoring—Inspect, maintain and repair all BMPs as needed to assure continued performance of their intended function. Projects regulated under the Construction Stormwater General Permit must conduct site inspections and monitoring in accordance with Special Condition S4 of the Construction Stormwater General Permit. . Maintaining an updated construction SWPPP—Maintain, update, and implement the SWPPP. . Projects that disturb one or more acres must have site inspections conducted by a Certified Erosion and Sediment Control Lead (CESCL). Project sites disturbing less than one acre may have a CESCL or a person without CESCL certification conduct inspections. By the initiation of construction,the SWPPP must identify the CESCL or inspector, who must be present on-site or on-call at all times. . The CESCL or inspector(project sites less than one acre)must have the skills to assess the: . Site conditions and construction activities that could impact the quality of stormwater. • Effectiveness of erosion and sediment control measures used to control the quality of stormwater discharges_ • The CESCL or inspector must examine stormwater visually for the presence of suspended sediment, turbidity, discoloration, and oil sheen. They must evaluate the effectiveness of BMPs and determine if it is necessary to install, maintain, or repair BMPs to improve the quality of stormwater discharges. Based on the results of the inspection, construction site operators must correct the problems identified by: . Reviewing the SWPPP for compliance with the 13 construction SWPPP elements and making appropriate revisions within 7 days of the inspection. . Immediately beginning the process of fully implementing and maintaining appropriate source control and/or treatment BMPs as soon as possible, addressing the problems not later than within 10 days of the inspection. If installation of necessary treatment BMPs is not feasible within 10 days, the construction site operator may request an extension within the initial 10-day response period. Volume I—,1.1inunuan Technical Requirements—August 2012 2-24 i • • Drour;enti:g BMP implementation and maintenance in the s.'c log boo'_,: (sites lame_ than 1 acre) • The CESCL or inspector must inspect all areas disturbed by construction activities, all BMPs, and all stormwater discharge points at least once every calendar week and within 24 hours of any discharge from the site. ( or purposes of this condition, individual discharge events that last more than one day do not require daily inspections. For example, if a stoimwater pond discharges continuously over the course of a week, only one inspection is required that week.) The CESCL or inspector may reduce the inspection frequency for temporary stabilized, inactive sites to once every calendar month. Element 13: Protect Low Impact Development BMPs ▪ Protect all Bioretention and Rain Garden BMPs from sedimentation through installation and maintenance of erosion and sediment control BMPs on portions of the site that drain into the Bioretention and/or Rain Garden BMPs. Restore the BMPs to their fully functioning condition if they accumulate sediment during construction.Restoring the BMP must include removal of sediment and any sediment-laden Bioretention/rain garden soils, and replacing the removed soils with soils meeting the design specification. • Prevent compacting Bioretention and rain garden BMPs by excluding construction equipment and foot traffic. Protect completed lawn and landscaped areas from compaction due to construction equipment. • Control erosion and avoid introducing sediment from surrounding land uses onto permeable pavements. Do not allow muddy construction equipment on the base material or pavement.Do not allow sediment-laden runoff onto permeable pavements or base materials. • Pavement fouled with sediments or no longer passing an initial infiltration test must be cleaned using procedures in accordance with this manual or the manufacturer's procedures. • Keep all heavy equipment off existing soils under LID facilities that have been excavated to final grade to retain the infiltration rate of the soils. Volume 1-1!./Min mz Technical Renuiren7ents—August 2012 2_25 • Standard Conditions for Residential Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07_SFR_StdConditions 3/7/2013 1 S Fisheries Service can levy penalties. Portions of Jefferson County, including marine waters, are included as "critical habitat' for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwaterfrom buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacificleagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06 5FR_StdConditions 9/6/2013 2 C I` I U d ('R'- ° -.----------.-----lk , ' • tI t Z Q 0 -A �_ / 1 \ . • l z g I - \ ! T 1n C. Sr G. i (a I n� pro � N 3- i ' .. - ---a ^ 6, '''4,r r 'd o ta O q;' /e us 8S is. it , I N ‘. i\-) p Vl -55 "-- a -70 ; {) _a)? te --...‘ \\S\ r ., c 4' 1 0 '� ,, � Z t 6\ . N (9 cri N V\ C I Ii \\ \ -.4--------- , i v' \— r N V � © `4-- _N b L to -R . Prescriptive Energy Code Comp a for All Climate Zones in Washingtor1 Project Information Contact Information VtC( ''gACA- 60 This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are 6r."1 as checked as chosen by the permit applicant. Authorized Representative 6 Date /7 /114 All Climate Zones R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 1E 0 I v��/ E Glazed Fenestration SHGCba n/a n/a D Ceiling 49' 0.026 I I AUG - 7 2014 Wood Frame Wall9'"'' 21 int 0.056 _J/ Mass Wall R-Value' 21/21h 0.056 Floor JEFFERSON COUNTY loor 309 0.029 DEPT OF COMMUNITY DEVELOPMENT Below Grade Wall°k 10/15/21 int+TB 0.042 Slabd R-Value& Depth 10,2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 01.Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. tilj2. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. L13. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option Description Credit(s) la Efficient Building Envelope 1a 0.5 ❑ 1b Efficient Building Envelope lb 1.0 1c Efficient Building Envelope 1c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑ 3a High Efficiency HVAC 3a 0.5 3b High Efficiency HVAC 3b 1.0 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 5a Efficient Water Heating 0.5 ❑ 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 ? 11200 kwh 0.0 Total Credits 2 0 0.00 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%20Energv.pdf Table R402.1.1 Footnotes • For SI: 1 foot .= 304.8 mm, ci .=continuous insulation, int.= intermediate framin . a R-values are minimums. U-factors and SHGC are maximums. When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. n The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. `"10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall,or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. a R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation,second is continuous insulation or insulated siding, so "13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. The second R-value applies when more than half the insulation is on the interior of the mass wall. For single rafter-or joist-vaulted ceilings, the insulation may be reduced to R-38. k Int. (intermediate framing)denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. AUG - 72014 I ' 11 L, JJ JEFFERSON COUNTY DEPT OF CO'1%"UNIFY OEVELO°MENT C -K ...-4\ ..... _.............s_s_s. -C n Q ri\I r- 0- frif,z • o - I 1 0 ' Q I .P \ , . - G i A \ i i `• i \ Co i \.ffl I \ . o e \k51 1 a t� z , \ `� J N 2 Y m , 1, z, ° v ■z I +� s % a I r 4 G4 L _8S r L— O �_ O /0 o ' ci 1 / 4.2,:\ - L , \\\\ 1 '� od f tr W d n a o FA c‘ r r Z 3 ` 0 Z C 0 . . )4. \ N m tIl g r; . 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(---, 1 7---1 1 '11 Tv r 1 1 1 111 1 17I 0 rn 1 6'0 In .---1 I. —----[m . c, ,t, 0" /0,0 ,, i. 1 \ 0 > ■-7-, m 0o G) 1 2 2.= c." z = I lir_ ,.., .1 0 C'' r--, P < z rn 0 CI4 k 3 74 51]m —■ L--L--------_—_- 1 • • c°& JEFFERSON COUNTY 4-4(‘'''s°N � z, �a DEPARTMENT OF COMMUNITY DEVELOPMENT 'f_� ELOPMENT 0 L V d_____- r 4 �` ''\,. 621 Sheridan Street • Port Townsend •Washington 98368 y 0 360/379-4450 . 360/379-4451 Fax !( ±.� `41N° http://www.co.jefferson.wa.us/commdevelopment/ 1, ii Li J _1 ii JEFFERSON CO r Stormwater Calculation Worksheet / /�N MLA f/ PROJECT/APPLICANT NAME: i I C..tc 5 /�{ �•�L./C---A A 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) S Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 2_i-7/ g °" sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple, and vine maple;shrubs such as willow, elderberry, salmonberry, and salal;herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert 3/ acres or more of Construction site for structures 00 0 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. /P---) sq/ft Circle: Yes CNo Well, utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway, parking, roads, etc. i S'°O sq/ft Circle: Yes -No) Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance gCn� sq/ft Cut C ) Fill 30 (culyd) ` [over] slormwater alc worksheet—REV.11/1/2013 1 • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) Z&0'0 sq/ft Structures(all roof area) sglff Sidewalks sq/ft Sidewalks sq/ft _, - I Patios sq/ft Patios sq/ft -I Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc /.'0 o sq/ft Driveway, parking, roads,etc O O a sq/ft Other �/ sq/ft Other sq/ft Total New 43 00 sq/ft Total Existing 3 O 0,_.- sq/ft TOTAL NEW+TOTAL EXISTING* 13 0 sglft 'This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes No 1. FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to.the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. / � j , /'- ;, ,'! ( 1 / Li.--- (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No Stormwater calc worksheet—REV.11/1/2013 2 Jelin County Department of Community Develeent 621 Sheridan St, Port Townsend WA 98368, (360) 379-4450 APPLICATION FOR DETERMINATION OF ADEQUATE POTABLE WATER SUPPLY Resolution#99-90 requires building permit applicants to provide evidence of an adequate potable water supply. It initial information s bmitted is not ad e Jc€0 r approval and additional information or work is needed, an hourly rate will be charged accordingly / �7 y��". 41/e ! j & '(j Phone 1-q, " C'f (� Ziq. 7 3 9 Mailin (� r / o /p Address � 1 ? Pf (i /Licit Sf,(,�) .. �°'3 `i. trie,( 1ZipCode qr/ 1 (') Parcel 7 i + 4-Z ID# �� if /5 Subdiv. tie�� ? f Block Lots)Site r' / // �;Address �] O G��/GL /fo X11 ZipCode 9 /i le/ f Type of Structure ���5�� � �t'�I�JL � �i Cam.t��,'�L.e---- Check all that a..I Note: Special condi ions may apply within Seawater Intrusion Protection Zones. (SIPZ) SAlternative system (provide justification and design per Jefferson County Environmental Health policy 97-01) U Valid Water Right Permit(generally applies to springs, attach copy) /l, Approved Public Water (Submit the attached Water Availability Notification form completed by your water purveyor stating the system is capable of and will supply water.) 1-1 Individual Well--attach copy of: 1) Well logs (If no well log report is on file, a 1 hr stabilization test may be substituted) 2) Lab analysis for water quality parameters tested within 3 years of application: -Total coliform -Nitrate-N -Chloride I I Two-party Well—items above AND recorded Operation& Maintenance agreement and recorded Easement. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 a es nd right of entry to Jefferson County and its employees, representatives or agents for the purpose of application review and any required la r i ections. Access and ght of try to the applicant's property or structure shall be requested and shall occur during regular business hours. ` // � ,/ Signatureu- 1 fiA ; V ,S Date Piz/� 7 FOR OFFICE USE ONLY __ 1) Water Right Permit# L.; \ r` V r -n, 2) Public Water Supply WS ID# it I In Compliance Yes No . . II I 3) Individual Well I Driller Name Date Drilled -' �i I� Depth Production JEFFERSON COUNTY Meets Water Quality Standards Yes No WRIA 17 DEPT.OF COMMUNITY OEVELOPNENT SIPZ Yes Circle: Coastal Moderate High No Subbasin Based upon information provided by the applicant, it appears that the potable water supply: meets conditionally meets does not meet the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings. Application Reviewed by Date Date Fee Receipt# Check# Case#BLD Je1lon County Department of Community Devellient 621 Sheridan St, Port Townsend WA 98368, (360) 379-4450 WATER AVAILABILITY NOTIFICATION PUBLIC WATER SYSTEM TO: Jefferson County Environmental Health Department FROM: 9 rf p i� (Water System Name) System Operator: Po I ies&I � rat. State ID Number: Total connections for which system is approved: -C.) U / Number of service connections existing (in use): / Number of service connections committed: -36 C� O Date and results of most recent water bacteriological analysis: - 7 9('1" II The CPS/( ,41 I V , > , water system Is capable of and i J [,Y r nFf; will supply potable water to the following location: Assessors Parcel ID#: V 0 / Z 7- 5 4 / y Legal Description: z Z i s � 7 C �r Site Address: s5 �r d [-mac.✓\ )/Lice _ Operator Signature: � Avg � Date: 7— 2 O /5( EXPIRATION DATE OF THIS SERVICE COMMITMENT: L 1 - Rev 01/09/13 dm 4ew�SON `OOH v�/ JERSON COUNTY OR E C t� O V l� N /, DEPARTMENT OF COMMUNIL!�i, I y • e ' ; N 4 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.olit • .w. . r i rv-lo. nt 's'`rf NOC° Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd a(�eo.ieffersoni a ' . ' I I ■ J Building Permits&Inspections I Development Consistency Review I Long Range Planning I Wi tershed Ste (. ee Center Master Permit Application .DEPT.OF COMMUNITY DEVELOPMENT _ Project Description(include separate sheets as necessary): NCW -S Tax Parcel Number: 0 0 1 2-9,c V 1 1 Property Size: S ,FEZ (acres/square feet) Site Address and/or Directio tp Pro 91344P(04/4 feg_C 6/14 Property Owner(s)of Rec. 0: Tele hone: i _ "' W p � JAW ax: _ � email: / r/ fr / Mailing Address: rev PA • W Wi J _. , Applicant/Agent(if different from owner): t ��IMN ' / t IF, —17 . / //, Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑Lot or Road Segregation XIBuilding ❑ Critical Areas Stewardship Plan El Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ,[s.K 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 ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑Binding Site Plan** ❑ Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development'"' ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate _�A//�_I t i to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE i. „J/6/./////��Wir� Date: < / ///()- By signing this application form,the owner/agerit a tests 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. ccess and right of ert)ry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any require'afar inspections Staffscagc and right of entry will be assumed unless the applicant info s the County in writing at the time of the appli/tjeprthi�t�rR Vito- oe n (77 / Signature: V GL�'�C �-----� Date: �/ � /7L The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued vplll not violate the ESA. i5lny individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are i cdmpliance with the fferso County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable Je•p•, ibility for ad : .to and v• plying with the ESA. The Applicant has read this disclai ifr- -- si s a dates it below. Signature: = I. //U� 4 �'II Date: a -7 /� ' [ 07/24/2013 • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 11 iCl4A1'"- GoXeW ( ) s-3/ . /9 w- ( ) MAILING ADDRESS: 610/ CA-PCGCOV.G.C KO , EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: CO,q5-1."-) D C 0 0 S Q J NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X, New X Wood Existing: 1 Sewer I Addition I, Steel Proposed: 7 Bank ❑ Community System ll Alteration/Remodel ❑ Concrete Total: Z Height: Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: a Private well L Two Party Type of Heat: Proposed: ? g Public RAO) PL Total:_ Name of System: d?U,D , If this is a Commercial Protect you must answer the following: J - —` Number of Parking Spaces: Current: Proposed: Number of ADM ila i L \1 lS Number of occupants(includes owners,tenants,employees,etc) Current Probos0d IBC Occupancy: IBC Type of construction: _ Will you have FoodSerice? Y ! No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that appl :j ,I i' 7 2014 Underground Tank Above ground tank Size of Propane Tank: i Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telldP I kna 5 .ms1ij ;Limy Is this appliance being installed in a Manufactured/Mobile Home? Yes / No nrpj-OE CO'n1gLINITY OEVELOp flENT When applying for a permit to install a propane tank you must also submit a site plan showing all of the buil rugs,a lines, tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated 6 °31' 17412-11A .0J EH Bid App Review: 79 ,nfj 2° Floor Heated Consistency Review: a(),,e C_)CD Other Heated Base fee: a,--)E314-(s) Mezzanine Additional Section: Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: LA Other Unheated Pot Water Review fee: i 0?-.4)o Garage/Carport \(Qa1�ti0 SUBTOTAL 'J � o p i Decks 208'1 F pi I1�40911/Rd Approach fee: 261 7).(ps JI TOTAL: $5&3 • 40 D(e) );(21 - .to} Receipt Number: {GZ f 1,ieCj Cash/Check Number: `, 4, 1 ESTIMATED T(REQUIRED ndmat Date: 0 �/! , 'Fair market val and material n to finish C i �1 C4---- 5D ��<l C❑( Initials: J J 07/24/2013 COXEN DESIGN & CONSTRUCTION Page 1 of 2 • • 0 Washington State Department of Labor & Industries COXEN DESIGN & CONSTRUCTION Owner or tradesperson 6401 CAPE GEORGE RD COXEN, MICHAEL GLENN PORT TOWNSEND, WA 98368 360-379-1585 Principals JEFFERSON County COXEN, MICHAEL GLENN, PRESIDENT COXEN, DENISE (End: 11/22/2010) Doing business as COXEN DESIGN &CONSTRUCTION WA UBI No. Business type 602 063 006 Corporation License Verify the contractor's active registration/license/certification (depending on trade) and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. COXENDC005QN Effective—expiration 11/15/2000-11/29/2014 Bond RLI INS CO $12,000.00 Bond account no. SRS1001002 Received by L&I Effective date 07/31/2001 07/26/2001 Expiration date Until Canceled Insurance CBIC $300,000.00 Policy no. C11SH0333 • Received by L&I Effective date 10/04/2013 11/15/2010 Expiration date 11/15/2014 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602063006&LIC=COXENDC005QN&SAW= 8/7/2014 COXEN DESIGN & CONSTRUCTION Page 2 of 2 Insurance history • • Savings . savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts ............................_....._.. No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 020,359-00 _....._..._.........._...... Doing business as MADRONA MEADOWS LTD Estimated workers reported Quarter 2 of Year 2014"1 to 3 Workers" L&I account representative TO!KRISTINE HATHAWAY(360)902-4811 -Email: HATK235 @Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. Washington State Dept. of Labor&Industries. Use of this site is subject to the laws of the state of Washington. Access Washington°'F e.rcnt'Akh fitfr https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602063006&LIC=COXENDC005QN&SAW= 8/7/2014 SUp Front Parcel Review• ttz I� ©ta$-i Parcel 001275014 Printed: August 8, 2014 L SAMUEL VICKERS Site Address(es): 1238 ALKI AVE SW#203 553 WOODLAND DR PORT TOWNSEND, WA 98368 SEATTLE, WA 98116-4869 Parcel Number: 001275014 S-T-R: 27-30N-1W Total Acreage 5 Legal Description WOODLAND HILLS NO 1 LOT 22 Land Use: 9100 Flood District: Fire District: 1 Planning Area: 4 Flood Map(FIRM) Panel No: school District 50 Zoning: �P, k'• 5 COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map (Property lines on submitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES [ ] Designated Ag YES (J [ ] Shoreline Designation: YES (11.6 [ ] Shoreline Slope Stability: YES Stream Type:YES l FWHCA: YES l Wetlands: YES i) Rare Plants:YES iEi:' Seismic: YES i Landslide: YES ell Flood: YES 1 Erosion: YES L"J Aquifer Recharge Area NO SA R'A SIPZ: non: At Risk High Risk Coastal CMZ: al High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES ( O Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES .a [ ] Agricultural Lands: YES 41411 [ ] Archaeology: YES tS[ ] No Shooting Zone: NO K,-),I( `.1-%I n t [ ] Stormwater: New Impervious Surface /430 Ng/Land Disturbing Activity 4 S Q U V ,SA's Stormwater Req's:Min Req#2 Min Req#1 thru#$ Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES ©o MRL vEs €io'\ Forest Lands vE [ ] Landscaping Required: Yes Fo [ ] Parking Spaces Re a ed NO 0 Other 1 1 Building Height: 35' UBC Standard [ ] Impervious Surface cover percentage: `ZS G o Resource Lands&Public: IOW Rural Residential: 25% Rural Ind l: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ ] Total Building (s) Size: RVC:20,000 SF CC:5,000 SF NC: 7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: A.F-1- Left Side: Ri ht Side: 3" Rear: fit' Shoreline Setback: !J /� — ( s-t S 'ac +er ti �-V pares LSHA Setback: N/A [ ] Road Classification: lot)A Road Approach: EXISTING NOT REQ'D RAP M Pap --000561 [ ] SEPA Required: YES EXEMPT [ ] Flood Certificate: WA [ ] Existing Case(s)&Condition(s): 4 e-, -sl.Qt_b.Plz,l.t Violations: Yes [ ] Recorded Date of Subdivision: ipr.':_ . A AFN Over 5yrs=UDC Plat Conditions: Se e, Poi . z..• (a q RI( D 65rrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES O submitted: YES NO [ ] UGA No Protest Agreement YES 14, ubmitted: YES NO [ ] Site Visit conducted YES [ ] Require Final Zoning Approval q,S 0 [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in rmit Plan IN YES Special Reports Scanned / YES Title Notes Updated Parcel tags found for parcel 001275014 1.) WSRC Coaching -LID 2013-01-17 site planning 04/11/2013 Cases Associated with APN 001275014 Review Cases Name Type Status Planner BLD14-00287 VICKERS P Anna Bausher Application Received: 8/7/2014 Permit Issued/Case closed: Case Finaled: NSFR WITH ATTACHED GARAGE RAP06-00059 NAPIER F Application Received: 3/31/2006 Permit Issued/Case closed: 4/7/2006 Case Finaled: 4;26,2006 RAP &911 -Woodland Dr SEP13-00020 WOOD A Application Received: 2/14/2013 Permit Issued/Case closed: 4/12/2013 Case Finaled: new owner-Sam Vickers 1238 Alki Ave SW Unit 203, Seattle, WA 98116-called 1/28/14, sar SEP90-00454 DRAPER C Application Received: 3/28/1990 Permit Issued/Case closed: 4/18/1990 Case Finaled: TO ARCHIVES 12/1/0 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 8/8/2014 Page 2 of 2 • 612-V) --- ( 7 (/ Try BUILDING PERMIT APPLICATION B Type: Typ : e: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00287 Received Date: 8/7/2014 SITE ADDRESS: 553 WOODLAND DR PORT TOWNSEND, 98368 OWNER: L SAMUEL VICKERS PHONE: 206-890-2433 1238 ALKI AVE SW #203 SEATTLE WA 98116-4869 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001275014 Section: 27 Township: 30 N Range: 1V■ CONTRACTOR: MICHAEL COXEN PHONE: 360-531-1998 6401 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License COXENDC005QN Expires 11/29/2014 REPRESENTATIVE: GUY HUPY DESIGN PHONE: 360-385-6052 I 211 TAYLOR ST#404 A PORT TOWNSEND WA 98368 PROJECT DESCRIPTIOI NSFR WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,600 VALUATION 350,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: �ECRKAGE. 477 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 05783 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,784.00 SRE 08/07/14 151369 Plan Check $1,809.60 SRE 08/07/14 151369 State Building Code $4.50 SRE 08/07/14 151369 Potable Water Application $67.00 SRE 08/07/14 151369 Total: $4,665.10 \\tidemark\data\forms\F_BLD_App_Bld.rpt 8/7/2014 s�v C� COMG `wr co GGL / JOFERSON COUNTY • \,\\ ,� DEPARTMENT OF COMMUNI ' V • • :: `tis �o� � 621 Sheridan Street i Port Townsend,WA 98368 I Web:www.co.+efif�don.w �l� rgfnEtnitydevglop I nt "'NG Co""V Tel:360.379.4450 I Fax:360.379.4451 I Email:dcd a(�.co.iefferso i a y ll / !_ttll44 LA.1Li Building Permits&Inspections I Development Consistency Review I Long Range Planning rshed StelRar -r tg ytrce Center Master Permit Application DEPT.OF COMMUNIIY DEVELOPMENT Project Description (include separate sheets as necessary): NEW -S'1R Tax Parcel Number: 0 0 I 27.f' CD 14 Property Size: S- AcCAC3 (acres/square feet) Site Address and/or Directio tp Prop (� 5-Tf-3 6 ti Idn &I---re P feK/ (04/4 CePLC , ("A (4 3 Z F Property Owner(s)of Rec• ..: - Telephone: _ir Ar VINE ax: l,.c ��i email: r / ti / Mailing Address: Zii67I i II Applicant/Agent(If different from owner: t IN_ f/; �OAVM• / ' i Telephone: Fax: -r: ��' email: Mailing Address: What kind of Permit? (Check each box that applies ❑Lot or Road Segregation XIBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) ix 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 ❑ Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** El Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments*" ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: .• DESIGNATION OF AGENT I hereby designate at) to act as my agent in matters relating to this a.plication for permit(s). OWNER SIGNATURE ,.. r Date: a—..rv��t����a — By signing this application form, he owner/agent a ests that the information provided herein,and in any attachments,is tr e 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.4ccess and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application Y re q uir at r inspections ;St ' scacp s and right of entry will be assumed unless the applicant info s the County in writing at the review and any time of the applicatio h re =" p Signature: ( Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued vgill not violate the ESA. qny individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are ir( iynpliance with the,J fferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable re-p.• ibility for ad :ting1to aid complying with the ESA. The Applicant has read this disclai - : " sit s a . dates it below. Signature: % Date: •i tf/` WIC �/ 07/24/2013 • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: • GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: MIc (4-Artn- ( 0) eW ( ) 5-3) ' /9 °' ( ) MAILING ADDRESS: 6 ? 01 CA'Preo-% C 29 . EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: CC) C&D J D C 0 O S 4 N NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAx:( ) I, MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: K New 24 Wood Existing: Sewer ❑ Addition _ Steel Proposed: ? Bank ❑ Community System ❑ Alteration/Remodel Concrete Total: ' . Height: X Individual System ❑ Repair Masonry SEP Permit# ❑ Demolition 7 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party T e of Heat: Proposed: 2 ,6, Public L _ Total: Name of System: P.u,.D . If this is a Commercial Project You must answer the following: 2 Number of Parking Spaces: Current: Proposed: Number of ADA Fia li I U V L -1 Number of occupants(includes owners,tenants,employees,etc) Current Propo's 1 IBC Occupancy: IBC Type of construction: Will you have Food Se?Qide? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: r Fl O(' 7 2014 Underground Tank Above ground tank Size of Propane Tank: u l . Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO I evotS telleP I knaT ygtaWy OUI NTti J Is this appliance being installed in a Manufactured!Mobile Home? Yes / No _prp T Or COhAh9UPJiTY0El/ LOPMEPdi When applying for a permit to install a propane tank you must also submit a site plan showing all of the bunding . • lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, Including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated 16 °°4' 1-141 ia,t EH Bid App Review: 79 ,pp 2° Floor Heated Consistency Review: a c_:CD Other Heated Base fee: ar�U•C9 Mezzanine Additional Section: t Heated Basement Plan Check fee: D Unheated Basement State Surcharge fee: Lk , Other Unheated Pot Water Review fee: �� d o Garage/Carport --7246 \(e)ai'b SUBTOTAL 'O o 1 Decks 2,08 l$ 7.,(A)911/Rd Approach fee: SI°il I` P 0 ire.-C.irk- S Z6 P 7.,(4,5 TOTAL: $50.N . 4 0 v 1 ',-05 tO Cr, Receipt Number: 151 5 Le C Cash/Check Number: I ESTIMATED COST(REQUIRED Date: 0 �/ l •Fair market vol,- • - an.materialsfouna'alton to finish C:i L� `-\., :c.(1 • r, j , Initials: LI 07/24/2013 • • eisir '' � JEFFERSON COUNTY (� ti ��V DEPARTMENT OF COMMUNITY DEVELOPMENT I hI ., I © ICE. El V IE ir 621 Sheridan Street • Port Townsend •Washington 983681 n,, i 4yS, �O$ 360/379-4450 • 360/379-4451 Fax i AUG 7 2014 �iNG http://www.co.jefferson.wa.us/commdevelopment/ ;` o JEFFERSON CO PTY Stormwater Calculation Worksheet °/FC0MMU�iITvF_ ionrcr^,r _. MLA# PROJECT/APPLICANT NAME: V i C-K / iz/c-A DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or`large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 2 l7/ g p d sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple; shrubs such as willow,elderberry, salmonberry, and salal;herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION.AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert'/.acres or more of Construction site for structures 3 OQ 4 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. jr.-' sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 2 Yz acres or more of native vegetation to pasture? Driveway, parking, roads, etc. /SEs V sq/ft Circle: Yes ale Lawn, landscaping, etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance / Cel'° sq/ft Cut CD Fill S`C (culyd) [over] stonnwater cab worksheet—REV.11/1/2013 1 • • • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE FE I El V i l NEW r OC)CI‘ki EXISTING r Structures(all roof area) 2 g 0 sq/ft Structures(all roof area) ± J Sidewalks sq/ft Sidewalks sq/ft I� riSON COUNTY Patios sq/ft Patios : q/ftlrl •■IT Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking,roads,etc 15*O 4 sq/ft Driveway, parking, roads,etc 3 0 0 O sq/ft Other �p sq/ft Other sq/ft D qr Total New �� 43 0,0 sq/ft Total Existing 3 ,0°° sq/ft )GO Ps TOTAL NEW+TOTAL EXISTING* /3 O-0 sq/ft *This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT (\L Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes (No) FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and j prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for 'large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to,jlle best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners o e affected prorty. f OLP 1'2 krill Lk (LANDO NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stor,,water c Ic worksheet—REV.11/1!2013 2 C { Aso Cl 60" /6 '0 6 /6 p 1, o ' /'o" • L I I l Z_..7°R°C- � ` I_qo S�6. �• u �i Oa m n - P q 3 °t °) 4A • r 0 I u J �— III D o• A 5 — — — r 0 "L 1 o 1 pm P I rrnrrts Nn 111 "• o o 'I N GAS .11 I n APPleANC� / O . y ' - 7 7J COPE S' \ \ —, Ills° ° m ,<<. III rs N o �n I; ; I, NI ^IH • Z smi n 3 o l n 3>DR43S I tn[lcdo D T w �I I � /� i � I n ` 3 a / �F--- ---_. - , 1— L`J`C. = / Nt,EGF. W CIL EIVAIPC10741crr \/ n C III Tu ac OF U (d T 3 fz Pn I Z j N ' m Z r III mo 1=, 6'0„ 6'o, o b n /e,a„ X010 ' • A IMl • z nG Z O 'a P u uu m 1 ,;:„,_________,,,,___ , , 1: _ I ; pno 1 . 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Fri Aug 08 14:29:46 2014 http://gisserver/servlet/corn.esri.esrimap.Esrimap?ServiceNarne=ovmap&ClientVersion=4.0... 8/8/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map • Legend Selected Features JC_Roads __ _ -- '' .. .. • ,:.. Parcels-H ' 1127: FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:33:15 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 8/8/2014 Map Output • . Page 1 of 1 ArcIMS HTML Viewer Ma. i —�..1 9999X."`e .6,--r...S ,' f 7L-1. t r fit: 0e, • '""'"''' 1' ..• Z v.+-e,' • tvr•,. �� � ' "k i F ti r ♦� VK 1r �[ � 1 { . —_ i c t:i, •. Syr = t' !. I Ir : _!3JU/03 5 i 1, itt1 Legend ElSelected Features C0.2T501, ' ,/ JC_Roads 1 .. f. • _ 00+213017 ; , }001275011 `r' r- tilL W'273U'b Parcels+) w e fir. •s 2013 Aerial Photos I z+-'a 0012&,'.X) �- + .• •ts y aolze..tw i r" 't --- - f, �Im t - q.. 1 [! •1 1 ry lyr,, ut � t , FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:32:53 1 014 http://gisserver/servlet/com.e sri.e srimap.Esri map?ServiceName=ovmap&ClientV ersion=4.0... 8/8/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map .1 - ' . .D0275021 Di / 7 ..... ,.. . .,,,,,,,..", .fyyy„,..•.6; 999900•09 I 7.9999E0'`LL '71; ' i -111' 7-. Qa'9, -,..--•••■••-963-502.20: • C, ' 11 ; IILI i 999900102 ._.....,1 s,...01$e or 7- c,7?<.:0: ,".:6 Witk:C'._:1 i.....9999)704 p............. Lsorer. IP' -_,L2,29,20 tOi 44.. -Nam iiie4.... -- .. , -,.., "/"..-...?..).......-:. % ,.....-. .....-N. .„:,....etnyse32 Legend Selected Features . W,. .-atl \ 5 •-.4.. ."•, JC_Roads ':■2'2 2",iii,.. ''•••:,..% LX)12/50'. 40. \ cc,-2.•[...:,•1,‘'`CC'2'S.29: Parcels-H _ 6.4'.Ci..1'289303 4' . USGS Topos 4.." 'w.P.9591..9002 0./... ,Z,+2'2 85003 0, ..,- •••'00'28y.x.i ' vic.54 rdyz!!.-....'i N. / \ C=S1' °P. Skreti:0003 . O°C N\ 1 ". ..) d'r ...,--* ... \,..., $ 7Z. l' MIGZ,L.Z............re.""9...--.........- ,..-_......., 09'2/5008 .--.... 1 CC' .5....Lr.` le--- rie ...., ,...„,,,,,,„ 09,2/Y205 'X'.271.‘C.:.4 -."... .4...'''''"n"......." 1. r -.N.. lef....6 02•i/3.X-1 .L.L.,....V 2?3095...,..a.. ..".. ...2. (In. L .-:- .....111...!■,.. .........64m,.....„„......v_al.,,, .......... __,....... L cc"'`. ■•••••■■••..ap.ley . ••■ •„..../s.,7.-._,......_......, 0 CC'2 7 5990 l. "" "••...0..,e."...- '"..°' LXit 34SCXYL ) 02"3,159'3 Cv.2•19150'2 ..:.2'.-.21::.2." 22:L922- CO':915002 00:'11 S9'23 et' ....../"... .." Mx.,,••=.Occt:,...o'N.:%.11 CO.117,CO r.A:...;.,....-..,a / 0 i '42211 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:32:35 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 8/8/2014 1 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 1'K Legend Selected Features JC_Roads .. . .... .. .-, Parcels-H 5.999000117 909000r - .. .. County ZOOMS 3.9091t 1 C' e T :., NPR SF Tracts 000280116 t AIA1 Rurr AaalanUN t! -• BBSs",_S2 Q�' .. .,-.� ■ Rural RaNdenNal 1:10 - — Rural ResNantm 1:20 III NPR-Smola Franey 990900/07 II "PR Mundane,' • MPS Rosen Convex r. x;980900105•; .999000104 •. - f>;1'. •y Part-sane Rwnsalen " .. ■ MPR.OPen Spam In Rums Forest Ly.,... :.. ■ Con.r.,c Forest -CC✓275•i Inbo9mo Forces! 07'1650 3 OdaSOCCO" Ilens•Mtlunral 9K65tiC'o2 Ansel CPF Ca•2tlxO3 p� fti'2!'r3'd /dtu'8 IA PR Village Canter CO'I6SCYti1 g CC !S0'2 t &l AP 1.20 ys6 9ufi::Cti:tik'3 y.. elf R Ural Vaiage Center ■ Resource Based lna. CC.'1l VY,r`I Lpnt Naustral MPR RoCraal,en [IJ yI .:'s!`s✓-"1 .Yana MRmn CAF :t=ag' =. :M _xl_Y02 Ot 00.17500 2 17>.Z5 r•�rr"vim' iii Crossroads GC Cy 2! "' i Crossroads CC 00'2750'0 - .:� Crosuams NC ifi_c Al AL 1:20 o- r; 0Ci^!•15YJ' cc- ,.-] UO-415-"1 ..•Sly••• UGA Urban Commercial CO'3,15002 CO•:Y150Ci3 LIGA Urban Lent industrial 'laces:ea:do:s.'.CM;o1Cw7ji:olS-:.:ec.,a rJ II.. .. USA MDR USA IIOR USA Poetic LISA CDR {� U GA Ylntor Onoeled Corsrerca M PR BRN Bannon CF-8a'MRLO Commerical Forest M mral Resource Overlay FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:32:05 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 8/8/2014 Map Output • • Page 1 of 1 • ArcIMS HTML Viewer Map - s •t Legend Selected Features JC_Roads Pa rcels-H 7 No Shoot ng Zones Hata Point 7 0'Innen 0 0 ttnnan Blaca Paint • n 0"non Carom Cana f tads 0 Drawn Trawl Cava I I Cnaracurn Craft 0 Sat Beall [ Pon LIIMOW South Cava Per mat, Pataama Bay 7 I:noracum Haar. ot 0 Tata Shore It • U=a0422t; FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:31:51 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0... 8/8/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma. 949000117 .909900117 949000.16' 900000114 :. `. 999900115. o. 999900110 MIIIIIIIf 499900116 4999001 13 990900112, 90080011 *' :LLtew,,i4 .999800102. 1 999900107. VIIII . r �: 999900105 '990900104 999900103 :98990010. 1,• 001275032 Legend n Selected Features • 001275011 JC_Roads 001275018 00 275017 .�7$5011 001275016 Parcels-1.i (.5...,'' : Critical Aquifer Recharge 001285003 �p�. 001215014 Areas :001275018. .,001255004. 001275012 f ❑ susc.UNK y�0 966500003 0 ootn3o96, sARPA.wsc ISO El suss 1 001276008. ■ SARPA +57003 001273002 0 SARPA.LINK / / 001275007 001 .0 74}91..:{ 991300001"f ° 991300002 185001 $ 001273004 991300002 001275010 go 001275006 001273008 001265001 4 001273065 1. 001276010 001275005 0 001345001 001345013 .:001345012 001345011. � 001335003 X001345002 001345003 61=001335003 Vyrs prcrockol ty Jobs-sal Cart/Cava Ss+oo w FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:31:23 +014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 8/8/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map / 92080 2099001 td tllav I 1.._,_•.,. 920208117 922200115 q:•,._••3 %wool c 9929001•. 7% f 99ti:;•.• t �J q / ,1 -\ It V I+ 999900102 9.29600107 l �� •27.14 999400106\ 202200105 929000104 Y'�i 920900,03 +. 999400'01 ' 5994,.,3•01, 11 —� WnC•0 012)5032 Legend_- - f 1 ^^I Selected Features \ ` \ 001275011 / . \ is/ JC Roads 001275011 l / 001275015\001275016 001275017 - Parcels-H , 001265003 '966500001 1 1. �.\. { 5oils-H - CraC 001275014 "•,. 001286003-�}� _ �, _ "•,, 001275018 001286004 CA 001275012 - y'•` A t Iva 097273006: .�`-- K001275000 007275006 -_� _�-r'"- 11 i O0fY73007. 001■ •"rl��--- - h1 991300001 5 4, 00127500) 001275005 P1361273004 0012730°7 001275002 i--Y-._ '\., ` 991300002 .p A 001273001'. 001285001 i ''S �- b _ 991300002_ 001275010 4~ 00727500Eti4 001273008. I- L_ Y__, _-__-f' 7 007273005 007285001 Q,>, 001275010____------- 01275010 _-- �i 0 4 001275006 i a __ p 001345001 a IL__ J 001345013 001345012 001345011 , 3.r42 00'549_02 001345003 4tr ou<kvl crvcm' rri'-cr,s - �.� 0 le■Ilumme4221 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:30:35 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 8/8/2014 1 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 999800117 =:•2'y_!1 989000,199990011999900110 ` f•.i...� ...._ii 9999001, f I'' iIli Ali J � I i 999902107 f '\ % - --- 1 999900106�'t 9989001055 099900108 '\. •rr�a-c. r-•>--- , 999000190 1 '`--- _•z75032 Legend % ________L—� y / f i ' Selected Features 001275011 / ` � ' _ % - y JC Roads , " 001275011 ,i,/ / ..,0012750,6 I W,zT50�/ Parcels-H l 001275015 \\001 A\ !/ �� 95850000.1._ vh Parcel Tags-H 1 \ ,./.91> \ / ° 1, _L_ I N.Scucui Raven 001255003 1e \ r'- 00'2750'8 001295004 '� 001275012 ..'V'x � Specm Rayon 1 1= _ 06502903 aa'1.�_r 001275009 ----- '�) 0012750`` 09 00'L i'', �, 001275007 00127 , 001273007 -901300002, `` 1275005 001275002 001295001 -..-------- "\ 001273004... 991300002 001275010 $h.. 001275006 I`, f'I Fir„1, fir. 0012T322s. 001205001 Q-_ __'� \ 0212780/0_.--'`�~ 1 y 1 2ou7s2o6 i ¢ = 001345001 -7! 001345013 001345012 001345011 r 001335002 `_J __----- / 1 00170,60{ = 001345002 / ' 001345003 Nem Funded by Jellerstn Cnaq Cadral Soma We. �,, ,/ 0 422h '.,, FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Aug 08 14:30:00 1 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.0... 8/8/2014 Map ��� �0�. Paoelofl ' Output ���V Page HTML Viewer Map eeeen/ �cz,ss, 171009001,7 999900116 e9900114 \ .---1,-----'7.- , - • .. 1:3 Selected Features 001275004°31273°71 11 001288901 • 11 t --- 001275010 4:4- 001275006 11 1 1 001273005 ,)_ t 001275006 I ci 001345001 ....1 001345013 001345012 , 001345011 , FOR INFORMATIONAL PURPOSES ONLY- JoMemon County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. 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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 /0 / 1/i4 E• rosion Control Foundation Footing 42-1/14 Footing Drains ,/ Foundation Stem Wall ja-za--)7 9-7 Underground Plumbing 11/1/01 t t r _r/ "L/ / ////02( Under Floor Framing �f�1 /[f � /Tl/ Straps(hold downs) Ext.Shear Wall Nailing 3 Is(to_ Rough in Plumbing 3(18111-- �. F• raming 5 ll �j ai 15 (t C B• locking A• irseal Insulation:Walls Insulation:Floors tP /5 1S Insulation:Ceiling l �S Int.Shear Wall Nailing W• allboard Nailing Gas Line:Interior C)t4 f G• as Line:Exterior P• ropane Tank (D I Heat/Chimney Clearance S• moke&CO 5-1 Address Posted (! (r 115(5" Septic System Finaled sep13-20 • • • • • 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 (91IS 11 - FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00287 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 3.) This approval is for a building permit for a single family residence with an attached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 4.) The revised site plan as submitted with the building application on September 8, 2014 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated September 9, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 5.) This parcel is within a no shooting area per JCC 8.50. 6.) AWB 7.) The foundation of the home must meet 5' minimum setback from the septic tank. See e-mail in file recieved from contractor 9/24/14. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 10/2/2014 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00287 Received Date: 8/7/2014 SITE ADDRESS: 553 WOODLAND DR Issue Date 10/2/2014 PORT TOWNSEND, 98368 Expiration Date 10/2/2015 OWNER: L SAMUEL VICKERS PHONE: 206-890-2433 1238 ALKI AVE SW #203 SEATTLE WA 98116-4869 SUBDIVISION: Block: Lot: PARCEL NUMBER: 001275014 Section: 27 Township: 30 N Range: 1V1 CONTRACTOR: MICHAEL COXEN PHONE: 360-531-1998 6401 CAPE GEORGE RD PORT TOWNSEND WA 98368 Contractor's License COXENDC005QN Expires 11/29/2014 PROJECT DESCRIPTION: NSFR WITH ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,600 VALUATION 350,000.00 ADD'L: HEAT TYPE: RAD CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: DE GE 477 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: 05783 Type Amount Paid By: Date: Receipt: BEDROOMS BATHROOMS: Permit $2,784.00 SRE 08/07/14 151369 Exist: Exist: Plan Check $1,809.60 SRE 08/07/14 151369 Prop: 2 Prop: 2 State Building Code $4.50 SRE 08/07/14 151369 Total: 2 Total: 2 Potable Water Application $67.00 SRE 08/07/14 151369 Total: $4,665.10 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY-SEE ATTATCHED •