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Home My WebLink AboutBLD2014-00262 •UILDING PERMIT APPLICAI1J MLA14-58 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00262 Received Date: 7/24/2014 SITE ADDRESS: 1501 WAHL LAKE RD PORT LUDLOW, 98365 OWNER: POPE RESOURCES PHONE: 360-697-6626 C/O OLYMPIC RESOURCE MGMT 19950 7TH AVE NE#200 POULSBO WA 98370 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801361001 Section: 36 Township: 28 N Range: 1V1 CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION COMMERICAL SHOP 1 48x60 pole building - 2 12x60 lean too- 1 6x24' lean too with 12x60 2nd floor only TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 4,572 TYPE OF IMP NEW INDUSTRIAL: VALUATION 109,161.00 MAIN: CODE EDITION: 2012 ADD'L: HEAT TYPE: EEE OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 CONST TYPE: OTHER: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: 1 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,097.00 SRE 07/22/14 151278 s#�� Plan Check $713.05 SRE 07/22/14 151278 APPROVED State Building Code $4.50 SRE 07/22/14 151278 Total: $1,814.55 APR [ 0 2015 Jefferson County DCD 11tidemark\data\forms\F_BLD_App_Bld.rpt 7/24/2014 rot DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.3 79.4451 Web:wwcv.co.Jefferson.wa.us/corrununitydcvelopment 95.f,f N 05,0c E-mail:dcd@co.leffcrson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00262 APPLICANT: MILES SAND & GRAVEL COMPANY PHONE: PO BOX 130 AUBURN WA 98071-0130 360-535-2651 contact is Lars SITE ADDRESS: 1501 WAHL LAKE RD Issue Date: 04/20/2015 PORT LUDLOW, 98365 Final Date: 9/4/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801361001 Section: 36 Township: 28 N Range: 1W PROJECT DESCRIPTION: COMMERICAL SHOP with bathroom (no MLA filed) 1 48x60 pole building - 2 12xbO lean too- 1 6x24' lean too with 12x60 2nd floor only THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 9/4/2015 Building Official, \\tidemark\datalforms\F_BLD_Occupa ncy.rpt 10/1/2015 a� ° JEFFERSON COUNTY /, y/ DEPARTMENT OF COMMUNITY DEVELOPMENT J//// -16Wr f V /0: Z3 Date: 4/3o Time Received: 9 4jj 'pm Mon. Tue. Wed. hur Fri. Date: 7/L BLD: 14 j 00 i LZ Contact Name: Owner: / iftLES Contact Number: 360 5137°/ sr Address: /SG; 04gt_ Lv 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance _ Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection X Setbacks Floor X Foundation Wall Address Posted Block&Tile Ceiling „4-50” N JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT • °$ ''rHSN G'S Date: 4/1 Time Received: q: ,7' (arr pm Mon. Tue. Wed. Thur. Fri Date: /5//S BLD: 1 4 - o0.2.0- Contact Name: Owner: MILES Silkfo "I' aeloveL Contact Number: 360 [f37-/Z/ j Address: 15 206 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 r: _ Ceiling ' 4V''IN �'oG JEFFERSON COUNTY 44 $_ DEPARTMENT OF COMMUNITY DEVELOPMENT ' ,1 I"G' Mon. Tue. Wed. Thur. am/pm )ate: Time Received: Date: Contact Name: 3LD: - • , Contact Number: 360 7 g.)--60 Dwner: 206 Address: ' 1.' C Notes: Framing Propane Tank Mechanical Foundation Plumbing __ __.--- er-g Under ground Furance Under-ground Framing Gas Setbacks Air Seal Above ground Rough In Oil Footing Exterior shear Exterior lines Stemwall Hydronic Ducts Interior shear Interior lines Straps Hot Water Htr Appliance Ventilation Gas/Wood stove Post Hole Underfloor Insulation Ma Final Inspection n-Homes �— Floor Address Posted Setbacks Wall Foundation „0:-.- `,� r;"`" `%J JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT S'rF/1 N GEC' Date: / 1 t1 Time Received: 8Li/ Fpm Mon. Tue. Wed. Thur. 0 Date: 1"-/ 7 BLD: JL(-Ze-j2_„ Contact Name: Owner: Contact Number: 360 4137 /;?/9 Address: / tj / c..✓/1-1 / L/( 206 Notes: -- k, 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 1 Foundation Wall Address Posted Block&Tile Ceiling ` o6--j JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SS',�X G�_ Date: i9 / Time Received: i„V a 4611, Mon. Tue. Red. Thur. Fri. Date: BLD: 19* .02-L L Contact Name: Owner: Contact Number: 360 4137/2./y Address: ISO I l--()k-A C4\4--- 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing 71., Underground 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 >I,, Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling gec'N cord JEFFERSON COUNTY . 49So� DEPARTMENT OF COMMUNITY DEVELOPMENT IQ Received: Z :y0 ame9 Mon. OP W d. Thur. Fri. Date: Time 4 Date: /f/5 Contact Name: Ow 14 y 00Z62- Contact Number: 360 37- /;19 Owner: 4-11—EL- 4112--2-61 S ��Vy� `/ 206 Address: j. a/ W AAL J i Op Notes: /J,4BOPS/.AR £1DG/,V /W kr 44'T 1C0 Foundation Plumbing Framing Propane Tank Mechanical Under-ground Framing Under ground Furance Setbacks Gas Footing Rough In Air Seal Above ground Stemwall Hydronic Exterior shear Exterior lines Oil Straps pp Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Insulation Man-Homes Final Inspection Setbacks Floor Wall Address Posted Foundation T„ Ceiling I ��,s0: eOU .� K JEFFERSON COUNTY IIvl DEPARTMENT OF COMMUNITY DEVELOPMENT 'FpocS,k'fe Date: �/�Time Received: 1 U. 35- �'�'�_ OPm Mon. Tue Wed. Thur. Fri. Date: BLD: L! - 2 t,, Z Contact Name: ei CV. Owner: WV- .>`GhCI ifrrra u2I w , Contact Number: 360 C1 -i I Address: I�>O I \/4 I L.C.-e 2 301 - l � �Q(Z`�( - 14€357-. Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks 1t Under-ground Framing Underground 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 Man-Homes Gas/Wood stove Insulation Setbacks Final Inspection Floor Foundation Wall Block &Tile Address Posted Ceiling C, o0 o--r7 2 0 C C Lo -73 2. mmm nom 7 - x�° Q1 aZm , 0 2 DN >cn �i o ~° co en °m ° co zy P�Zm �� ;A E 0 � gym ` c �� ° PV �. m o m c ilt n ro x O � t op� Fa ix� cz,W aa AZ?� n Ar m °4 Rp•; z • \ O y•A ' ^ 2 p A -<i` O m ° - 1 �, FJ -D Z In Ic FA 2AO '� ' Lo -< n m m LZ9oo�, r i , Om 4- ( -1-"O�,n al z° --d- o d M ° �oAy �� ` 1 N �� 4,000 / o nW X A ` � /, 2 r 4.■6) / � z y--• ^ N / ;o •- ,..00 \gii .1%. -* 1 �— wz_____, NII...... .'--. 1. o\ A no V / om ° 2 00 mmn Pmc.2A mn A Or y7 VlZp Oyu O� A �2 +//-- M 60 °0 j 'l7 h1 2 �� OCU h4 ooc oc n =m ' o ^ 1m 2 'z m � z X CN N n = I 47. : {? 0 x x W v z\t o o I 2 \ • -I AA OZ m 2O in z2 °n C-13).7. 2 � OA O (w ON z N O --dl I1 0 2 ACi , 1 0_ . O ° ( Ati f r "= g N m - 6-0":3 * m Y ,-9, .., i -'� = zzm g� Zmy „n myE mm,-P m41- ni ^ ZOm c e, , O ° . yr ° o 00[:'1,0 F zF zA � 14 - - mmnj , 0 oo �cl Pi n�i °oDitnzo=o �22mF � �° irbl3z f - < °2 m-czMzz�pz mu,m-rnZOro z< xzyR Cn �' N 4 z °mm�c` ° >A�zc°inz`� ° o `Dh O0— 2 2A� O h A0r-0 `� y _' o <°�vmvz�°zm am6rnv� xv m ?cC - L A-z(y° 0 E n Ain, t'`•t \ ° ° onl°�z'{-n A�'c�Ocorn A ? Ate'' • ■., AST, m 2A°m v z om- AA o . ((� �///7 �� a. 4..4. I 't7 C 1�1 Z �1 O Y o A 2 n x m d-,2 y ~ I” ` �/ L�- �:/ 11 m 11.. ��' i � y �i'^2o2m yommz°z 1 In F(n ,T`E"'. n m .y r- n n- "T 0.��'11V • v tilt' �O mo m 0 z0 M = JUL 22 DM iim r, 4.44// Ca - • J • „•� 11 JEFFERSON COUNTY I�� ' U DEPT.OF CO',1 U'iUNITY D=''"ELOPMENT '� N - to, ' Y V zi n C6NtrAt D r r u\ �' C m TAX PARCEL #801-361-001 �ov,NrQ )3 vi (/�iN7sysfie�s 7 c • IV) . m N m N 35<-f(, %ho r v4 J K . 0. co 6 Si' N ° - PUMP TO CONVENTIONAL SYSTEM FOR F -k �v �o�J� W . 9836� I MILES SAND AND GRAVEL DY /TAM RRI_RiM CAV /ta111 RRI_SRSO arson County Department of Community De ment ', 621 Sheridan St, Port Townsend WA 98368, (3609-4450 APPLICATION FOR DETERMINATION OF ADEQUATE POTABLE WATER SUPPLY Resolution#99.90 requires building permit applicants to provide evidence of an adequate potable water supply. If initial information submitted is not adequate for approval and additional information or work is needed, an hourly rate will be charged accordingly. Name Miles Sand & Gravel Company Phone 253-833-3705 Mailing Address 400 Valley Avenue NE, Puyallup, WA Zip Code 98372 Parcel ID#801361001 Subdiv.S 36, T 20N, R1 W, W.M. Block Lot(s) Site Address 1500 Wahl Lake Road, Port Ludlow, WA Zip Code 98365 Type of Structure Maintenance Facility (wood frame, metal roof, metal siding) Check all that a I Note: may Special conditions apply within Seawater Intrusion Protection Zones. (SIPZ) P Y PPY Alternative system (provide justification and design per Jefferson County Environmental Health policy 97-01) Valid Water Right Permit(generally applies to springs, attach copy) 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.) ✓ 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 riTwo-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 access and right of entry to Jefferson County and its employees, representatives or agents for the purpose of application review and any required later Inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. / � ) Signature ��,( � `-�^-�- Date ``o /// // FOR OFFICE USE ONLY 1) Water Right Permit# 2) Public Water Supply WS ID# In Compliance Yes No 3) Individual Well Driller Name Date Drilled Depth Production Meets Water Quality Standards Yes No WRIA 17 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 • M2/21/2014 15:2. -.45150 TWISS ANALYTICOAR PAGE 01/01 26276 Twelve Trees Lane,Suite C ArTYW 1 S'` S POulebo,WA 98370 vatmcAE,INC. (360)779.5141 4 COLIFORM BACTERIA ANALYSIS Oats Sample Weeder! Time Sample County 1 1 • J l /20/di Cellxted 3 042„..„6 tits Type Of Webr System(ched only ono boxy t I ❑Group A 14 Group 0 0 Other Gimp A end Gmu 9 Systems-Reeder h,m WOW F,seiiteeInventorytWFl: c t r v %stun Name.S I fro. f 4L.. t .1 Contact person:gilOM1 prcrSat)PaG i Day Phone:( 141 eel Phone:4,631 377.1 766 1 Eve.Phone.( ) FAX( ) -1 .-.'dreme*re:(P full nane.adSCU ad a,ode} . • 'tics•. •6--3 . 1'•+'t - 1 4'Vat16,.AVa,A1+ 1 111 A 483?2 , 1 SAMPLE INFORMATION , I Samplecdechdby(nsnch <.Specie;lecetion*temsample : Special mstrecdoneorc0!emank: 1 j.t0I 1.46,11/4 Gt NfAhi Type of Sample(must check onty.dnobox ofN1 WmeollIA li*.ed bebw) 1 ([Routine Distnbution Sample - 2:Repel' t Sample Later unax6dsctocy Pau @nay ,v . Gebrineted:Yea No "X. Li Diseihution System I Chorine Residua Total Flee LtSourraGrc ridwatar Rule(GWR) ' I (Powb6nn of 1,000 or less) 1 3.Raw Water Source Sample.. I El E.toll-OVIR source sample Unseesfacmry wine lab number. er. Q Fecal-Surfaoe,GW1,some spdnge --- _ .QGY+er -. Unsatisfactory routine collect dale: - _ , I $ I I I - ---f--J CNO nsled:l ea No r• wa te.xxe saae.eata'w= Chbnne Residual Total__Free_ i 443&mph Coilxmd far information Only 1 Investigative Construction/Neese rs..___ PrivateRseidence_Other_ I LABUSE ONLY DRINKING WATER RESULTS AB USE ONLY I E luusatiowary Total Collator Nowt and Satisfactory 1 ❑Ewa present (]E.WGabsent _ l ❑•F@m potion paned Q Fecal oWtemt absent I i r Reploco mwd sample Reguifs& .. '.. I ❑Saguia ex old 00 mere) Q TNT ❑ ❑Improper Container O Turbid culture ` .Based;Density Reads:Plate Count ,- /ml. E:cdr MOO. I Total Gallium (100m1 'Fecal coNtoon paw. j M mmoa Code. T flat ndTtme k![aWed . MICR- 2730 ___ r Data Analyzed, .. NIA, Deis Reooded MIL a.rraefu erocn :�, . O 1 4 4 96Or k381f717-0/ . arp+noo.',lustswow(1no) - _ w,..iaj.,dLJa , ., • • TWISS ANALYTICAL LABORATORIES,INC. 26276 Twelve Trees Lane.Suite C Poulsbo,WA 98370 Telephone(360)779-5141 FAX(360)779-5150 IOC - IOC IOC-IOC by Various EPA Approved Methods Source/Point of Entry-Report of Analysis . , Date Collected: 1011712013 Group: 13 System ID No: Pending System Name: Shine Lab-Sample#: 01030802 County: Jefferson Sample Location: Shine Well DOH Source No: Sample Purpose: 0 Date Received: 10/17/2013 Sample Composition: S Date Analyzed: 10/18/2013 Send Report To: Miles Sand&Gravel Date Reported: 10/31/2013 ..• 400 Valley Ave NE Sample Type: Pre-treatment/Raw Puyallup,WA 98372 Collected By: Ryan Ransavage • Phone Number: 253-377-1760 Bill To: Miles Sand&Gravel 400 Valley Ave NE . Puyallup,WA 98372 • DOH# 1 Analyte I Results Units 1 SRL I Trigger 1 MCI.* I MCL I Method I I i ■ . I L I Exceeded ' (Analyst Init.) ...- --------i EPA/State Regulated 1---^, 4._ 1_, ; ,; Arsenic _ i 0.0019 m __1_0.0014_ 1_ 0.05 : 0.1)5 l ,_l_. EPA 2009_0<Ni -.-i -... ..,, _84SiUM . ,_:,,,...-i (0.1). . MpIL.j,...„ 0.1 I 2 L_ 2 + .__ ;,... EPA 200.7_44] _ Cadrnipa ,.._ i 40.0_011_1 _ma._ opoi 1.,. 0os Lops i EPA 200.7 41(W) 7,....___.. Chromium mail. i 0007 ' 0.1 I_ 0.1 I_ ' EPA 200.7 i IcY10,_ LI I 12... Selenium 1 <0.0021 ! ' 1_ J . O5 5PA za02,(Kvii_. 110 Beryllium <( .0003) : rnp.j_1„__!.00223 L.11,101±0.004 ; ___I Elt1100.3._(KW) _,..._ HI Nickel <000) 1 nwtj. 000_1_ o1 1 01 l 1 EP_A 2007kW) -- 112 Antimn o <0003) mR/L 0.00 -i- 3 1 sao6 att__. i __EPA 200.9(KW.1.. ,.,. 113 Thallium <0001).... me._ .1 0.001 I 0.002 1.. 0.002 ' ....._. ... 1 1 i..6„ I ,. Cvantde,Free _ I _<_(9.025_I,, ,,,nyak.....4.._ .0.1_i_ 0.2_4. 2 I __ SM 4500-CN F(.1c9rpl I Fluoricie - -'; -.5(0.5)- T-mg,it i 0.5 I - 2 i 4 I f E---PA300.00 ) -- 1 114 ;1 Nitrite-N __ Q.t.111____! m8/1... 1 0.1 .1_.9.541-_ 1 I 1 EP4300.0(KT_ ...., 1___ 20 J.,___ Nitrate-N ' 0.1 . ..rnt./1. 17.0..,..j _5___ .,1 10 i . _._±.._,... 0 LK W) _...! l 16112 Total Niu:ateMitrite ____',_ a6 nia. 0.5 :r 5- _..1 10 8L Iron _1______<(QJ_1. _I _Int& I U __ 1._ 03 J. _ _ _,pia.no.zinyl 1 11_1_ _ _______ Manganese_ _ I 40.01) ; m&I. 1..._ 9.0.1 4 __ .L Q05 i _. I- ..--FaEA20071KM..... --! 13 i. _ Silver <1,941JnWLi 0.1 ! ! 04_4 I I EPA 300.13...1.(.11_/)._,._, .......,I ,„„..1 250 i- - , ________1 _ fqs._ai m...ga. i 5.9 I 250 . I EPA300.0 4W) 1 24 j Zino_ : <(0.2)_ ! ingli,„ L., 5 1 ! EPA 200.7(KW1 .1 14 Sodium <5.0, i mti/L 7-----1-la I i , .......„,... .._,I __.._ .„ .......... 15...AHardnesa.Total(as Cac0311_48fi ut/I as c.o y)__ ! !.,,. sm 2340 B(KW).___. i L,..,.....L6 _.1..,.....__. _ _ Conductivity ..__ 1 .... .,_.112 ,__,ri,,,..,,,t4S/cm_j._ 70 ! _ 4...i_ 700_1....,•,_. _l SM 2510 EllsT1 Turbidit ! 040 NTU ' 0.1 : ! L.,._ SM 2130 B($T) 18 Color 115) ' CU 15 I 1 15 ...._ L SM 2120 13...(STI_______: SRL: (Slate Reporting Level),indicates the minimum reporting level required by the Washington Department of Health (DOH). Trigger Level: DOH Drinking Water response level. Systems with compounds detected at concentrations in excess of this level are required to take additional samples Contact your regional DOH office for funher information. MCL: (Maximum Contaminant Level),lithe contaminant amount exceeds the MCL,immediately contact your regional DOH office. NA. (}lot Analyzed),in the results column indicates this compound was not included in the current analysis. ND! (Not Detected),in the results column indicates this compound was analyzed and not detected at a level greater than or equal to the SRL e(0.00x) indicates the compound was not detected in the sample at or above the concentration indicated. The O010 mp/L MCL for Arsenic is for Group A NTNC systems. All other systems should check with their county Health District to determine what level is applicable. 136308 • III WATER WELL REPORT aOPM,aOI0 01' ECOLOGY Original&1' copy-Ecology, 2i°copy-owner, 3' copy-driller CURRENT ,t..^s",.,. Notice of Intent No.VVE14702 Construction/Decommission("x"in circle) © Construction Unique Ecology Well ID Tag No. B147226 ❑ Decommission ORIGINAL INSTALLATION Water Right Permit No. Notice of Intent Number PROPOSED USE: ❑Domestic ❑ Industrial ❑wmiapat • Property Owner Name POPE RESOLRCES/OLYMPIC RESOURCE ❑DeWeter ❑Irrigation ❑Test Well ❑Omer Well Street Address WAHL LAKE TYPE OF WORK:Owner's number of well(if more than one) City CIIIi\'1ACUNvI County JEP1'hRSUN ❑ New well ❑Reconditioned Method: ❑Dug ['Bored ❑ Driven Cl ❑ Deepened ❑Cable ❑D Rotary ❑ Jetted Locations 1/4-1/4 NE 1/4 Sec 1 Twn27 R 11V EWM ❑ Check •DIMENSIONS:Diameter of well 6 inches,drilled 138 ft. or Depth of completed well 138 R. (s,t,r Still REQUIRED) WWM) One CONSTRUCTION DETAILS Lat/Long Lat Deg Lat Min/Sec casleg E lWelded 6 ^ Diem.from +1 ft.to 120.8 ft. Long Min/Sec Installed: ❑Liner installed " Diem.from_ ft-to . ft Long De . $ on$ ❑Threaded " Diem.From ft.to ft. Tax Parcel No.(Required) 701011001 Perforations: ❑Ya ONo CONSTRUCTION OR DECOMMISSION PROCEDURE Type of perforator used Formation:Describe by color,character,size of material and structure,and the kind and SIZE of perfs ill.by in.and aD.of perfs from - ft,to ft. nature of the material in each stratum penetrated,with at least one entry for each change Screens: Ellyn 0 N ❑x K-Pee Location TOP of information. (USE ADDITIONAL SHEETS IF NECESSARY.) Manufacturer's Name JOHNSON MATERIAL FROM TO Type STAINLESS STEEL Model No. TELESCOPING Dime. 5 Slotsize 12 from 118 fl.to 138 R, GRAY SAND&GRAVEL,CEMENTED 0 114 Diem. Slot size from ft.to ft. BROWN W/GRAY SAND&GRAVEL 14 Gravel/Filter packed: ❑ Yes (71 No Size ofgravel/sand LAYERED&CEMENTED 110 Materials placed from ft.to ft- GRAY SAND,H2O 110 138 Surface Seal: ❑ Yes ❑ No To what depth? 18 ft. GRAY SILTY SAND W/CLAY 138 Material used in seal BENTONITE Did any strata contain unusable water? ❑Yes l] No Type of water? Depth of strata _ _ Method of sealing strata off PUMP:Manufacturer's Name NONE Al TIME TYPe: H.P. WATER LEVELS: Land-surface elevation above mean sea level ft. . Static level 88.9 R.below top of well Date 6/12/12 Artesian pressure lbs.per square inch Date Artesian water is controlled by (cap,valve,etc.) WELL TESTS:Dawdown is amount water level is lowered below static level Was a pump test made? ❑ Yes ID No If yes,by whom? Yield: gal./min.with ft.drawdown after hrs. _ Yield: gal./rain.with ft.drawdown after hrs. Yield: galimin.with R.drawdown after hrs. Recovery data(time token aszem when pump turned o/0(water level measured from well top to water level) Time Water Level Time Water Level Time Water Level I Date of test Bailer Test 15 gal./min.with 0 ft.drawdown after 1 hrs. Ainest gal./min.with stem set at ft.for hrs. I Artesian flow g.p.m. Date Temperature of water Was a chemical analysis made? ❑ Yes El No Start Date 6/11/12 Completed Date 6/12/12 WELL CONSTRUCTION CERTIFICATION: I constructed and/or accept responsibility for construction of this well,and its compliance with all Washington well construction standards.Materials used and the information reported above are true to my best knowledge and belief. (]DrillerQEngineer❑Trainee Name(p' )CRA A G SHAM Drilling Company GRESHAM WELL DRILLING INC Driller/Engineer/Trainee Signature Address P 0 BOX 1600 Driller or trainee License No. 0761 IF TRAINEE:Drillet's License No: City,State,Zip POULSBO , WA , 98370 Contractor's Drillers Signature: Registration No. GRESHWD055BC Date 6/15/12 ECY 050-1-20(Rev 06/08)If you need this document in an altenate format,please call the Water Resources Program at 360-407-6600. Persons with hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call 877-833-634/. • • Sally Ellis From: Sound Building Systems [soundbuildingsystems @hotmail.com] Sent: Thursday, August 21, 2014 3:46 PM To: Sally Ellis Subject: FW: BLD14-00262 Commerical shop Attachments: 2014.01.31 Bacteria Test results.pdf; Group B Pre Testing Twiss Labs.pdf; Well Log.pdf; Potable Water App 08.18.14.pdf Maybe you can open these. They are on septic system. Can we pay the $107.00 when pick up permit or should we put check in the mail. Thank you Sally and have a nice day. Gina 1 • • *�w4soN coe, Jefferson County Community Development Inv# 14-118 -4 621 Sheridan Port Townsend,WA 98368 HgKrN6q° (360)385-4450 t " ., 4u11r \ 4 • 1 / l • Name: Sound Building Date: 8/21/2014 Address: 3546 Thorndyke rd City: Port Ludlow State: WA 98365 MLA: Phone: Case: bId14-00262 DATE DESCRIPTION OF SERVICES QTY UNIT PRICE TOTAL Aug-14 POTABLE WATER 1 107.00 $ 107.00 $ NA,��1 Qud'eci TOTAL: 1 $ 107.00 *****PLEASE PAY FROM INVOICE***** Submitted By: Make Check Payable to: Name: (Sally Ellis Jefferson County Community Development Title: Permit Technician 621 Sheridan Port Townsend,WA 98368 Date: 8/21/2014 JEFFERSON COUNTY PUBLIC HEALTH 4815 She rldari Street • Port Townsend • Was nnqtpn • 98368 viww.jeffersoncountypub 'che a •:grg • • -2 August 14, 2014 / ti� MILES SAND& GRAVEL COMPANY PO BOX 130 / AUBURN WA 98071-0130 C'2 �� RE: SITE ADDRESS: 1501 WAHL LAKE RD CASE#: BLD14-00262 Q� 1 Dear MILES SAND&GRAVEL COMPANY: (� 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: 1. The site plan submitted does not reflect the record drawing information in the septic file and locations of the water and septic system are not accurate. A revised and accurate site plan must be submitted. 2. Contact a licensed designer to evaluate the site and proposal to submit a modification septic permit application for the new transport line and the sewer/water line crossing proposal. 3. A monitoring inspection is due for this system, see notes below. 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.jeffersoncountypublichealth.orq. 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, y, /(-)./°/-1A 1{-4/ Jefferson County Public Health Environmental Health Specialist c: File lltidemarkldatalforms1F_BLD_S EPReview_032713.rpt Sally Ellis From: Sally Ellis Sent: Thursday, August 14, 2014 4:42 PM To: 'soundbuildingsystems @hotmail.com' Subject: BLD14-00262 Commerical shop Attachments: PotableWaterApp.pdf Dear Rick During the process of review of this new Building permit- It was brought to my attention because this is a commercial building,They do need to submit and prove Potable Water. I have attached the form please print this and follow the direction and have it filled out- There is a $107.00 dollar fee for this form. Once you have completed this form and paid the fee-we can continue with the review process of this new permit. If you have any questions and or need more information please feel free to contact me. Thank you Sally L Ellis Jefferson County Community Development Permit Technician 621 Sheridan St. Port Townsend,WA 98368 360-379-4452 sellis @co.iefferson.wa.us 1 4)f� • 8 ve �� 0 A'+t7 (w I d i.n ct 7/ 291/ ( LI t • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT REFUND REQUEST/POSTING MEMO DATE: 7/24/14 The amount of: $228 00 received from: for(case#): BLD14-262 is to be refunded to: Sound Buildin S stems Sound Buildin S stems as a result of: Customer paid for a P new address, but parcel already has an existing address Date& number of original receipt: 7/22/14 Receipt#151278 REVENUE FUND CODE NO.FUND REVENUE SOURCE NAME 369.90.00.0000 BAD CHECK FEE AMOUNT 127-000-010 346.23.11.5200 WATER AVAILABILITY FEES-EH H2O 127-000-010 346.23.11.5400 DCD BLDG REVIEW-SEPTIC 127-000-010 346.23.11.5800 SHORT/LONG PLAT FEES 143-000-010 322.10.00.0000 BUILDING BASE & INSPECTIONS 143-000-010 322.10.10.0000 BUILDING PERMIT RENEWAL FEE 143-000-010 322.40.80.0000 ADDRESSING FEES 143-000-010 341.60.00.0000 DUPLICATING SERVICES $228.00 143-000-010 341.75.00.0000 SALE OF MAPS& PUBLICATIONS 143-000-010 345.70.00.0000 DCD TECH ASSIST FEE 143-000-010 345.81.00.0000 SUBDIVISION APPLICATIONS 143-000-010 345.81.20.0000 SHORELINE SUBSTANTIAL DEV. PERM. 143-000-010 345.81.30.0000 CURRENT USE TAX ASSESSMENT APP 143-000-010 345.81.40.0000 ZONING APPROVAL APPLICATIONS 143-000-010 345.81.60.0000 CONVERSION OPTION HARVEST PLAN 143-000-010 345.83.00.0000 PLAN CHECK FEES 143-000-010 345.83.10.0000 FIRE MARSHALL PLAN REVIEW 143-000-010 345.89.00.0000 SEPA/ENVIRONMENTAL REVIEW 143-000-010 345.89.00.0143 PERMIT SCANNING FEE 143-000-010 346.22.30.0040 DCD WATER REVIEW 143-000-010 389.40.00.0000 CASP- NON-REVENUE CUST DEPOSITS 180-000-010 322.40.40.0000 MISC APPLICATIONS 180-000-010 322.40.50.0000 RIGHT-OF-WAY APPLICATIONS 180-000-010 TIO 34 S 3.20 .10. 650-511-000 0000 DEVELOPMENT REVIEW FEES 386.00.00.0000 STATE BUILDING CODE FEES TOTAL REFUND 4 228.00 Authorized person signature: Treasurer's check# Treasurer's signature: Date: i SON COUNTY • 0 NO. DATE CEIVED FROM MOMMEERIIMMOI CURRENCY 2 c° N 2969 CHECKS _- TCASH Paid 1427 .50 IECEIVED BY . 1477 .00 TOTAL p 456 . 00 0 0 6 .00 45 143 - 000 - ulu u„,-___ 143-000 - 010 ADDRESSING FEES 248 .00 143- 000 - 010 ZONING APPROVAL APPLICATIONS 345 83 0 0 618 .00 143 -000 -010 PLAN CHECK FEES 345 89 0 143 57 .00 143-000 -010 PERMIT SCANNING FEE 9 . 00 650- 511-000 STATE BUILDING CODE FEES 386 0 0 0 5097 . 60 Total Tender: Check 4039 . 10 Cash 1058 . 50 1820 JEFFERSON ST • PO BOX 571 F> I -I - PORT TOWNSEND, WA 98368 (360) 385 -9150 received From: **ORIGINAL** Receipt Number 3020 COMMUNITY DEVELOPMENT Receipt Date 7/25/2014 Clerk TCASH REFUND CK - SOUND BLDG SYSTEMS iRcpt Fund/Dept Description Revenue Paid 2676 143 - 000- 010 ADDRESSING FEES 322 40 80 0 228 . 00- Total 228 . 00 - Tender: Refund 228 . 00 - Bank of America 23189 ACH R/T 123308825 98.0882/1233 DR 2090 TREASURER OF JEFFERSON COUNTY PORT TOWNSEND,WA 98368 7/25/2014 PAY TO THE SOUND BUILDING SYSTEMS I $ **228.00 ORDER OF Two Hundred Twenty-Eight Only****** DOLLARS NOIN 'AI 01 41 MEMO aytkx10., Refund DCD fee ..n P a Ln quI I! 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Moratorium 03/11/2013 Non-Forest Permits expires 3/6/19.JCC18.20.160(5)(b) "Mandatory six year development moratorium. For six years after the date of the application the county shall deny any and all applications for permits and approvals, including building permits and subdivision approvals, relating to or for non forestry uses of land subject to the application. Parcel tags found for parcel 801361001 2.) WSRC Coaching - 2013-10-15, CZ 10/28/2013 Other Cases Associated with APN 801361001 Review Cases Name Type Status Planner ADR12-00050 MILES SAND & GRAVEL COMP? F Application Received: 7/16/2012 Permit Issued/Case closed: Case Finaled: 911 -WAHL RD BLD13-00337 POPE RESOURCES F David Wayne Johnson Application Received: 10/24/2013 Permit Issued/Case closed: 11/14/2013 Case Finaled: 2/5/2014 Construction of 26x72x12' cover over existing office building, no walls FPA2603857 POPE RESOURCES F Application Received: 4/18/2001 Permit Issued/Case closed: 4/25/2001 Case Finaled: 6/4/2001 FPA2603214 F R KLINE Application Received: 3/6/2000 Permit Issued/Case closed: Case Finaled: 7/24/2002 Forest Practice Application. FPA2602047 POPE RESOURCES F Application Received: 12/21/2000 Permit Issued/Case closed: 11/27/2000 Case Finaled: 11/27/2000 Renewal for road construction portion of original permit FPA2603443 POPE RESOURCES F Josh Peters Application Received: 7/19/2000 Permit Issued/Case closed: 8/1/2000 Case Finaled: 8/14/2000 Forest practice application. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 8/11/2014 Page 2 of 5 PRJ00-00297 1110 POPE RESOURCES • F Application Received: 12/21/2000 Permit Issued/Case closed: Case Finaled: Forest practice applica ion FPA2604058 POPE RESOURCES F Application Received: 6/19/2001 Permit Issued/Case closed: 7/19/2001 Case Finaled: 7/30/2001 Road Construction for access to tuture conveyor belt and future gravel mining FPA2603989 POPE RESOURCES F Application Received: 5/8/2001 Permit Issued/Case closed: 5/22/2001 Case Finaled: 6/4/2001 Even age harvest FPA2604135 POPE RESOURCES F Application Received: 8/15/2001 Permit Issued/Case closed: 8/14/2001 Case Finaled: 9/5/2001 Chemical application FPA2604293 POPE RESOURCES F Application Received: 12/5/2001 Permit Issued/Case closed: 11/14/2001 Case Finaled: 12/5/2001 Chemical application FPA2604834 POPE RESOURCES F Application Received: 8/20/2002 Permit Issued/Case closed: 8/19/2002 Case Finaled: 8/26/2002 Aerial Chemical Application FPA2604910 POPE RESOURCES F Application Received: 9/26/2002 Permit Issued/Case closed: 9/12/2002 Case Finaled: 9/26/2002 Aerial Chemical Application FPA2605105 POPE RESOURCES F Application Received: 4/16/2003 Permit Issued/Case closed: 2/6/2003 Case Finaled: 4/16/2003 Salvage Harvest FPA2605256 POPE RESOURCES F Application Received: 4/21/2003 Permit Issued/Case closed: 3/27/2003 Case Finaled: 4/21/2003 Aerial Chemical Applica io�f n FPA2605386 POPE RESOURCES F Application Received: 5/29/2003 Permit Issued/Case closed: 6/2/2003 Case Finaled: 6/6/2003 Aerial Chemical Application FPA2605611 POPE RESOURCES F Application Received: 8/18/2003 Permit Issued/Case closed: 9/17/2003 Case Finaled: 9/19/2003 Aerial Chemical Application FPA2605703 POPE RESOURCES F Application Received: 10/15/2003 Permit Issued/Case closed: 10/15/2003 Case Finaled: 10/24/2003 Aerial Chemical Application FPA2606391 POPE RESOURCES F Application Received: 10/15/2004 Permit Issued/Case closed: Case Finaled: 10/29/2004 Harvest of 503 acres. FPA2607628 POPE RESOURCES F Application Received: 4/11/2006 Permit Issued/Case closed: 4/14/2006 Case Finaled: 4/18/2006 113 acre timber harvest, 2400 tt road construction FPA2607937 POPE RESOURCES F Application Received: 8/21/2006 Permit Issued/Case closed: 8/28/2006 Case Finaled: 8/29/2006 853.5 acre spray FPA2608876 POPE RESOURCES F Application Received: 9/17/2007 Permit Issued/Case closed: 9/30/2007 Case Finaled: 10/12/2007 1900 feet of road construction FPA2610302 POPE RESOURCES F Application Received: 12/30/2009 Permit Issued/Case closed: 1/14/2010 Case Finaled: 1/14/2010 26-acre timber harvest and 950 teet of road construction FPA2610872 POPE RESOURCES F Application Received: 12/15/2010 Permit Issued/Case closed: Case Finaled: 1/5/2011 69-acre timber harvest and /00 feet of road construction FPA2611125 POPE RESOURCES F Application Received: 5/10/2011 Permit Issued/Case closed: 5/19/2011 Case Finaled: 5/24/2011 43-acre timber harvest FPA2611173 POPE RESOURCES F Application Received: 5/24/2011 Permit Issued/Case closed: 6/3/2011 Case Finaled: 6/6/2011 17-acre timber harvest and 980 feet of road construction (See MLA11-54/13LD11-63 for stormwater permit w/SEPA) 11tidemark ldatalforms\R_Parcel_CRMLA.rpt 8/11/2014 Page 3 of 5 FPA2611268 • POPE RESOURCES • Application Received: 7/5/2011 Permit Issued/Case closed: 7/13/2011 Case Finaled: 7/15/2011 470-acre spray. FPA2611500 POPE RESOURCES F Application Received: 11/8/2011 Permit Issued/Case closed: 12/3/2011 Case Finaled: 12/5/2011 48-acre timber harvest and 1800 teet of road construction. FPA2611580 POPE RESOURCES F Application Received: 1/25/2012 Permit Issued/Case closed: 2/6/2012 Case Finaled: 2/7/2012 2012 fertilization: 435-acres. FPA2611866 POPE RESOURCES F Application Received: 6/28/2012 Permit Issued/Case closed: 7/25/2012 Case Finaled: 7/26/2012 93-acre even aged timber harvest& 1050 feet of road construction. FPA2611900 POPE RESOURCES F Application Received: 7/17/2012 Permit Issued/Case closed: 7/25/2012 Case Finaled: 7/26/2012 AMENDMENT: add additional chemical (Drift Control Agent). 403-acre spray. (3 year approval). FPA2612202 POPE RESOURCES F Application Received: 2/25/2013 Permit Issued/Case closed: 3/6/2013 Case Finaled: 3/11/2013 129-acre spray. MLA02-00235 ZONO2-00049 MLA02-00235 FRED HILL MATERIALS INC V DAP Josh Peters Application Received: 4/30/2002 Permit Issued/Case closed: Case Finaled: 12/9/2002 Comprehensive Plan Land Use Map designation of approximately 6,240 acres as Mineral Resource Overlay District. MLA10-00073 ZON10-00026 MLA10-00073 POPE RESOURCES V F Michelle Farfan Application Received: 3/1/2010 Permit Issued/Case closed: Case Finaled: 10/12/2012 COMP PLAN AMENDMEN f M LA11-00054 BLD11-00063 MLA11-00054 MILES SAND & GRAVEL COMPS I A Michelle Farfan Application Received: 3/21/2011 Permit Issued/Case closed: 5/11/2011 Case Finaled: Stormwater Permit with SEPA: The proposal is to grade and construct improvements in the 18-acres lying adjacent to and north of the 156-acre Wahl Extraction Area. These 18-acres recently obtained a Mineral Resource Lands Overlay (MRLO) designation through the Jefferson County Comprehensive Plan Amendment process and is also the location for Miles' new Shine Facility. Prior to grading, the 18-acres will be logged by Pope Resources (land owner) as part of their commercial forestry business. The new portion of T-1000 is located in an area that has been recently logged by Pope Resources. The new Shine facility is proposed to access SR 104 from private Forestry Road T-1000. The intersection of T-1000 with SR 104 is proposed to be relocated to MP 8.52 (approximately 1800 feet west of its current location). This application also includes grading and constructing the new intersection at SR 104 and approximately 1,000 feet of new road from the WSDOT right-of-way to the exiting T-1000 road. Approximately 9,000 feet of the exiting T-1000 road to the new Shine Facility will follow the existing route and grades. The northernmost portion will be improved with an asphalt surface for approximately 7200 feet. Proposed grading within the new Shine Facility includes 365,600 cubic yards of cut and 5,000 cubic yards of fill (360,600 net cut). Significant grading is not anticipated on the T-1000 except for the northernmost 1,000 feet of the new access road located at the new intersection with SR 104. Grading quantities for this 1,000 foot section of T-1000 are estimated at 2,300 cubic yards of cut and 20,600 cubic yards of fill (18,300 cubic yards net fill). Water quantity management of stormwater associated with the new intersection with SR 104 and 1000 feet of new road will be through the use of an infiltration pond designed according to the 2005 Department of Ecology Stormwater Management Manual for Western Washington. The remaining improvements to T-1000 will not result in any new impervious surfaces; and therefore, do not require any new stormwater management. Existing ditches and culverts will be cleaned and maintained as necessary to ensure continuous drainage of the roadway. The north portion of the new Shine Facility will be graded and will continue to drain to the east through the existing drainage pattern. New buildings proposed for this area will require stormwater management and could include roof downspout infiltration. The southern portion of the new Shine Facility will be graded to drain to an infiltration pond located in the NE corner of the Wahl Extraction Area. MLA12-00210 BLD12-00293 MLA12-00210 MILES SAND & GRAVEL COMP? I F Michelle Farfan Application Received: 9/25/2012 Permit Issued/Case closed: 3/5/2013 Case Finaled: 9/9/2013 COMMERCIAL MODULAR OFFICE \\tidemark\data\forms\R_Parcel_CRMLA.rpt 8/11/2014 Page 4 of 5 MLA13-00029 • ZON13-00006 MLA13-00029 MILES SAND & GRAVEL COMP/ II A David Wayne Johnson Application Received: 2/6/2013 Permit Issued/Case closed: 10/21/2013 Case Finaled: CONDITIONAL USE PERMI I WI I H SEPA to install a concrete batch plant and an asphalt batch plant located off the Wahl Lake Road (T-1000) that connects to SR 104 at milepost 8.52. SR 104 has turn lanes which were designed for all traffic that will utilize the Shine Facility. The proposed facility is in conjunction with a permitted surface mine (DNR reclamation permit 70-013024). The concrete and asphalt batch plants will be on the west side of the Wahl Lake Road located within an existing 18-acre Mineral Resource Land Overlay(MRLO). The proposed asphalt batch plant will replace the existing batch plant that is currently located at the Shine HUB. The 18-acre MRLO lies at the northeast corner of an existing156-acre MRLO known as the Wahl Lake Extraction Area where mining takes place. Silo heights will be between 65 feet to 80 feet. Noise and lighting will be suppressed by the existing commercial forest. The batch plants will have air pollution control systems in compliance with ORCAA regulations. Proposed primary hours of operation are 6am to 5pm Monday through Saturday Scales, office, security office, parking, septic tank and drainfields, and stormwater drainage detention will be located on the east side of Wahl Lake Road outside of the MRLOs. M LA13-00082 BLD13-00171 MLA13-00082 POPE RESOURCES I F David Wayne Johnson Application Received: 6/4/2013 Permit Issued/Case closed: 4/10/2014 Case Finaled: 6/17/2014 Manufactured home for security personnel. M LA14-00058 BLD14-00262 MLA14-00058 MILES SAND & GRAVEL COMP/ I P David Wayne Johnson Application Received: 7/24/2014 Permit Issued/Case closed: Case Finaled: COMMERICAL SHOP 1 48x60 pole building -2 12x60 lean too- 1 6x24' lean too with 12x60 2nd floor only PRE11-00016 POPE RESOURCES F Michelle Farfan Application Received: 6/29/2011 Permit Issued/Case closed: 7/17/2011 Case Finaled: PRE APPLICATION TO1NS IALL ASPHALT& CONCRETE BATCH PLAN FS PRJ14-00018 POPE RESOURCES F Application Received: 2/11/2014 Permit Issued/Case closed: Case Finaled: SEP12-00104 POPE RESOURCES F Application Received: 9/6/2012 Permit Issued/Case closed: 11/2/2012 Case Finaled: 8/19/2013 SOM12-00104 POPE RESOURCES FIN Application Received: 2/11/2014 Permit Issued/Case closed: Case Finaled: WAT-AD080 SHINE FACILITY P Application Received: 4/7/2014 Permit Issued/Case closed: Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 8/11/2014 Page 5 of 5 • 4icy.4io N JEFFERSON COUNTY I - DEPARTMENT OF COMMUNITY DEVELOPMFNfi 0 V E 621 Sheridan Street • Port Townsend •Washington, V6:68 0 360/379 4450 • 360/379 4451 Fax i III JUL 2 2 2014 IN http://www.co.jefferson.wa.us/commdevelopment/ I JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: 114 t(2 5- -Sake/ 4" 6-r4✓v/ COonny 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 Stomiwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) / Size of parcel (4 7 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet;7,/g/7`,U 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 3/4 acres or more of Construction site for structures "7 7 sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Ye No Well, utilities,etc. sq/ft Does the project convert 277/z acres or more of native vegetation to pasture? Driveway,parking,etc. sq/ft - Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sq/ft Cut Fill (cu/yd) [over] stormwater calc worksheet—REV.10/1/2003 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. STORM WATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING c_, n Structures (all roof area) �. 7 / �— sq/ft Structures(all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway 6 75 U sq/ft Driveway sq/ft • Other sq/ft Other sq/ft Total New sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* //7 sot '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 ,oOO2 2 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 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. een • DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)• •5�_' __......_ tu`C—t0I1;'f�..—.r......-....y�'l .s• 'I.._...Y.t..�_.r_/ �.v� 41�kr�w u.:�.....��5 3._Y' zi,a._..—t1� r∎--• • stormwater calc rorksheet—REV.10/1/2003 2 bQ0 � Review T BUILDING PERMIT APPLICATION MLA Type:4pe: ./ Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00262 Received Date: 7/24/2014 SITE ADDRESS: 1501 WAHL LAKE RD PORT LUDLOW, 98365 OWNER: POPE RESOURCES PHONE: 360-697-6626 C/O OLYMPIC RESOURCE MGMT 19950 7TH AVE NE#200 POULSBO WA 98370 SUBDIVISION: Block: Lot: PARCEL NUMBER: 801361001 Section: 36 Township: 28 N Range: 1\ CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP COMMERICAL SHOP 1 48x60 pole building - 2 12x60 lean too- 1 6x24' lean too with 12x60 2nd floor only TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 4,572 TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 109,161.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: ALT NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: 1 Total: 0 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,097.00 SRE 07/22/14 151278 Plan Check $713.05 SRE 07/22/14 151278 State Building Code $4.50 SRE 07/22/14 151278 Total: $1,814.55 \\tidemark\data\forms\F_BLD_App_Bld.rpt 7/24/2014 �4 ee„, JEFFERSO OUNTY I ^ —'fn ) W \® ;4 DEPARTMENT OF COMMUNITY DEVELOPMENT - ) ' 621 Sheridan Street • Port Townsend •Washinbton 98368 ( ` 360/379-4450 • 360/379-4451 Fax R q $ www.co.jefferson.wa.uslcommdevelopment 1 H u i - f3IN Master Permit Application o_nr.OF ,!*, v,r1 . "'t,rP;T Project Description (include separate sheets as necessary): Co.+strue tic a f Y8'X ,o' eele 6o.,ld,% W t .2'»'X6 4." /et ' , pne. 4'x v' Je"I.t T'va /o1r/8'' ft r and tr?'Xi,o' d n1-Floor c. ly ( t bth0-44-- i rr.� SkOp Tax Parcel Number: ga I 34, I oo I Property Size: (acres/square feet) Site Address and/or Directions to Property: Is o o WW.c,I Lakes kaua ,err L-Adle Property Owner(s)of Record: Pope Rg5e,,ree, /®[ yr rl i 'svncrti Telephone: a0O-, t - C) 'R O Fax: t1 email: Mailing Address: ISU CD Lake 2c�. P L, WR - I ciG5 0 }t Oct./4:_, E 230 PC,4I S W41/4 Applicant/Agent(if different from owner): Mt les Sand 4'Grave,( (?e,„7,n„y q )3 C) Telephone: 3LO_G33 3 a-41S1 (...-ar) Fax: email: Mailing Address: t' al[t _ N E Pty [j a.r W ci e3 -Z_ What kind of Permit?(Check each box that applies Building ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑Discretionary"D”or Unnamed Use Classification IR Commercial*-571 p tote 6,6\d;r'e1, - ❑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 _. ! to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE • i 1� Date: 7 -v22- / —1 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staff's access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or she r notice. y Signature: - Date: / " �T The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable res••nsibility for adhe i • and = ply g with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: " — L \ Date: 7-,2,2-/ G:\Per itCenter\###FORMS###\DRD FORMS\Master Prr.n;r n.,.,Grim.,c_9911A Ant • • 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: Sound Q,,,,Id,n9 Sts tems Inc_ (30) 113 7- /.219 (3ko) H37-/2/1l MAILING ADDRESS: 3s-ye. 7h rnd ke Road EMAIL: Sound bu•tdlo 51151e0r5&/1ofit"4'l'ecv✓I CONTRACTORS LICENSE Per f L,kdlo'.- , y1,/4 9L73mS WAINS 9 I NUMBER: SOU NO AS 02-1 A1M NUMBER ARCHITECT/ENGINEER: Re.rke_Y Ens,neer,h'y PHONE (5d7) 73 .- 75,2 FAX:(sp9) 73,,- 75 MAILING ADDRESS Jae A/6,14,06Jc Leifer gud. 5t.of' 1,4,12./4.,ci w4 8935.2 EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Et New 3 Wood Existing: • ❑ Sewer O Addition ❑ Steel Proposed: I Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: N Individual System ,', 1` O Repair 0 Masonry SEP Permit# ( 2-1 cM O Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: O ❑ Public Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert I Hot Water Tank 1 Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size, distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: I c?I.0 0 22 Floor Heated Consistency Review: as5e •cj° Other Heated Base fee: d�7 - Mezzanine j �.tt5 -7 Do Additional Section: PI,()(3()(3 tS Heated Basement Plan Check fee: 116- °5 Unheated Basement State Surcharge fee: U 5 Other Unheated Pot Water Review fee: —et--C4 �25�A,•) Garage/Carport 0' 157" SUBTOTAL �I�l' cs- o riy� � .t-{I�$(.52)_ 911/Rd Approach fee: ^ ' - 00 RopFaNly TOTAL: $ t1 y�•CS- Other I 1 Receipt Number: 15)91-12) Cash/Check Number: X I j ESTIMATED COST(REQUIRED) Date: 1 7/aD) •F 'r market value of all labor and materials foundation to finish / I /o9,/6/, UD j Initials: ZS Z� G:\PemntCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-OS.doc -n 0 c z p -I 0 z z (;. %110- red } 0) vs , R .27 Extern,- 1`I(s 5040 -, 3030 r �_ S> 1�J/ /fI p 4 IN 1 // P� � cX �� i o �p x fG A.,/, -, �'A W W _9 ■ o3 o i/J Q _ 01 N N . --: 3068 _ii' RZ 3068 W- ' 19 iNteri/rWpl ,_ .-,, A ►4 c) cn h i C - x *.1._ t I-1 I x o x ! x O • -- I — _ Cr) rn Ft 1 1+ XI E r--0 O O)co r„,-1 , - IV 14 m o °i n SCSJ Co p -iwaF N C) Iv I 1 a p O r-OmvOi O D. AS m-{ O r O p X m T N x 01 m . O) O m 0 02 2 = IX) 1+ p p + O I 0 0 SCSJ I CO V , N rn x L_. N t � g x rno N • f1 7 N -. 2 y SCSJ CX1 S OI"' N, O S CO _ O O XI ra a)Tex Cn Cr, Cr) I co l Rix max ' x_ NJ F co + Iv I– p x 3068 ^'"\ 1 N Cr N 1V 1 L x x x x kJ 1J ®J l J — c ) - — x x co N N N N N - ---'� `s -y O O ____ ____ - R • T JUL T � � =. } � inf 22 2014 �� ' • W rcoA A..,.-.. '` C �, I�`// m o f tiZ 11; JEFFERSON COUNTY 14655) �', ` DEPT.OF COMMUNITY DEVEI.P_!4"ENT 00 X3'7\ II — m 4� o y b 2600 N.COLUMBIA CENTER MILES SAND & GRAVEL .A r z .'-.1 M m m p BLVD.SUITE#208 72'x60x22'&x18' POLE BUILDING C/ Z a —� m to BERKF Y RICHLAND,WA 99352 FOUNDATION PLAN C 0 :< 1501 WAHL LAKE ROAD C) O a n j PHONE:(509)736-7552 PORT LUDLOW, WA 98365 li < o m c Engineering FAX: (509)736-7557 JEFFERSON couNTv 00r ply-, 1 1N3Wd013A341.iINilPd6'VO A1Nf10J NOSa1�j3f aioz z z inr 49' 0 3 N! 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A` DC �+ g w TAX PARCEL 1[80 —361-001 So✓NGQ v I� iNG1 SyS�e�S N o m n, i »' 1 o1l %horn/�y Kam . PUMP TO CONVENTIONAL SYSTEM FOR D _ P MILES SAND AND GRAVEL I 1 r� Lih ° �� WA ' 9gA.l OW /TRA) SA i_(.iM FAY /7R/II RAT—SR57 Prescriptive Energy Code Comp for All Climate Zones in Washington Project Information Contact Information , 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 checked as chosen by the permit applicant. Authorized Representative `%'i =f id��9 L� Date 7 "/j/ All Climate Zones R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 Skylight U-Factor n/a 0.50 D 4 C IH, 0 v Glazed Fenestration SHGCh'd n/a n/a V Ceiling 49' 0.026 Wood Frame Wall93k' 21 int 0.056 JUL 2 2 2014 Mass Wall R-Value' 21/21h 0.056 L Floor 309 0.029 JEFFERSON COUNTY Below Grade Wall`k 10/15/21 int+TB 0.042 DEPT.OF COMMUNITY DEVELOPMENT 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: ❑1. 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. 1112. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. 03. 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 la 0.5 ❑ 1b Efficient Building Envelope lb 1.0 ,Ef 1c Efficient Building Envelope lc 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 *1200 kwh 0.0 Total Credits 0.00 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%a20Energy.pdf Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .= c uous insulation, int.= intermediate fram 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. d 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. Cl2 L, nl JUL 22 2014 ! JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT 1820 JEFFERSON ST 0 PO BOX 571 (?).11) (y -D-1-VA PORT TOWNSEND, WA 98368 (360) 385 -9150 eceived From: **ORIGINAL** Receipt Number 3020 COMMUNITY DEVELOPMENT Receipt Date 7/25/2014 Clerk TCASH REFUND CK - SOUND BLDG SYSTEMS Rcpt Fund/Dept Description Revenue Paid 2676 143 - 000- 010 ADDRESSING FEES 322 40 80 0 228 . 00 - Total 228 . 00 - Tender: Refund 228 . 00 - .eftuNcl m ;kto„c) -7/v2cv ILI straurmarr , pia. i, _. , -mt-7ftizinvAwAit-eitocurvemsrvtvcwormssonie4 Bank of America 23189 ACH R/T 123308825 98-08821233 08 2000 TREASURER OF JEFFERSON COUNTY PORT TOWNSEND,WA 98368 7/25/2014 'AY TO THE SOUND BUILDING SYSTEMS $ *'228.00 )RDER OF Two Hundred Twenty-Eight Only****** r DOLLARS 0 sfti eAk-- 1 e I I 4EM0 i Refund DOD fee I -!nom._ Ar Ilan p 11:1 qu• i! 1 21 gnAA 25I: Lngnnnnn ? 71 ;us • • JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT REFUND REQUEST/POSTING MEMO DATE: 7/24/14 The amount of: $228 00 received from: for(case#): Sound Buildin S stems B____ 62 is to be refunded to: Sound Buildin S stems as a result of: Customer paid for a new address, but parcel already has an existing address. Date& number of original receipt: 7/22/14 Receipt#151278 REVENUE FUND CODE NO. FUND REVENUE SOURCE NAME 369.90.00.0000 BAD CHECK FEE AMOUNT 127-000-010 346.23.11.5200 WATER AVAILABILITY FEES -EH H2O 127-000-010 346.23.11.5400 DCD BLDG REVIEW-SEPTIC 127-000-010 346.23.11.5800 SHORT/LONG PLAT FEES 143-000-010 322.10.00.0000 BUILDING BASE & INSPECTIONS 143-000-010 322.10.10.0000 BUILDING PERMIT RENEWAL FEE 143-000-010 322.40.80.0000 ADDRESSING FEES 143-000-010 341.60.00.0000 DUPLICATING SERVICES $228,00 143-000-010 341.75.00.0000 SALE OF MAPS& PUBLICATIONS 143-000-010 345.70.00.0000 DCD TECH ASSIST FEE 143-000-010 345.81.00.0000 SUBDIVISION APPLICATIONS 143-000-010 345.81.20.0000 SHORELINE SUBSTANTIAL DEV. PERM. 143-000-010 345.81.30.0000 CURRENT USE TAX ASSESSMENT APP 143-000-010 345.81.40.0000 ZONING APPROVAL APPLICATIONS 143-000-010 345.81.60.0000 CONVERSION OPTION HARVEST PLAN 143-000-010 345.83.00.0000 PLAN CHECK FEES 143-000-010 345.83.10.0000 FIRE MARSHALL PLAN REVIEW 143-000-010 345.89.00.0000 SEPA/ENVIRONMENTAL REVIEW 143-000-010 345.89.00.0143 PERMIT SCANNING FEE 143-000-010 346.22.30.0040 DCD WATER REVIEW 143-000-010 389.40.00.0000 CASP- NON-REVENUE CUST DEPOSITS 180-000-010 322.40.40.0000 MISC APPLICATIONS & PERMITS 180-000-010 322.40.50.0000 RIGHT-OF-WAY APPLICATIONS 180-000-010 343.20.10.0000 DEVELOPMENT REVIEW FEES 650-511-000 386.00.00.0000 STATE BUILDING CODE FEES TOTAL REFUND '228.00 Authorized person signature: Treasurer's check# Treasurer's signature: Date: I . 1SON COUNTY NO. DATE RECEIVED FROM DESCRIPT,ON EARS* AMOUNT 2969 .. . 7 /23/2014 K CHECKS TCASH f%:,' Paid .i ) 1427 .50 00 IECEIVED BY TOTAL 1477 . 4 7 .00 143 - 000 - Ulu U,,--- - 0 0 456 .00 143-000 - 010 ADDRESSING FEES 0 248 .00 143-000 -010 ZONING APPROVAL APPLICATIONS 345 83 0 0 815 . 10 143-000 - 010 PLAN CHECK FEES 83 0 143 15 .10 143-000 -010 PERMIT SCANNING FEE 345 45 0 0 0 9 .00 650-511-000 STATE BUILDING CODE FEES 5097 .60 Total 4039 . 10 Check Tender: Cash 1058 .50 • ADDRESS REQUEST JEFFERSON COUNTY PERMIT CENTER 621 Sheridan, Port Townsend, WA 98368 (360) 379-4450 APPLICANT: Please fill out items 1 through 9 1. New Address ❑ Correction ❑ Change LiReview DUPLICATE 911 ADDRESS PLATE ❑ Destroyed ❑ Faded 2. Applicant Name: t` c_ (.scarce J ,1-0 Other 3. Mailing Address: ICICI5D 1t Ak.v 42_..0C1 TECH NOTES Town/ State/Zip Qa1\ ;0 LJJ C10,3 Q ADDRESS ENTERED IN : 4. Telephone: Work 540-1-13-4-+ 12_6 Home: Vic frnrn Srnu,c( emA 5. Location: Attach a Detailed Drawing or Map. i Additional Fees May Be Required if More Than One Site Visit Is Necessary *******PLEAS E FLAG YOUR DRIVEWAY.******* Date Flagged: / / Flagging Color Nine Digit Tax Parcel Number al 36) -tO I DIFF LEFT M.P. I RIGHT DIFF 6. Road Name: U)01\1. L(A-k. QC) Is this a PRIVATE or COUNTY road? CIRCLE ONE Nearest Cross Road: 7. Neighbors' Address if Known: ��"" � Name/Address: \ i`y k ��xry L PC) ' Name/Address: Fi c-- 0-Cr PC3 su� 8. Do You Need To Construct a Driveway? YES or NO 9. County or State Access Approval# ROAD APPROACH OR STATE HWY ACCESS PERMITS ARE REQUIRED IF YOUR DRIVEWAY IS OFF A COUNTY OR STATE ROAD IN ORDER TO PROCESS ADDRESS FIELD NOTES REQUEST. n SHADED AREAS OFFICE USE ONLY I + ' I I� v New Address: j i JUL 2 2 2014 Postal District: "1 1�4 JEFFERSON COUNTY i_._.. OF0T OF CC'fi:^!NUY DEVELOPMENT Real Milepost: Road #: Left or Right Fire District Building Permit # Plate Sent / / • • E°N ooh JEFFERSON COUNTY __ kiry DEPARTMENT OF COMMUNITY DEVELOPMENT ,_ I U��I -N. 621 Sheridan Street • Port Townsend • Washington 98368 ill lI 0�� 360/379-4450 • 360/379-4451 Fax - 4 il http://www.co.jefferson.wa.us/commdevelopment/ ; b I IL; Stormwater Calculation Worksheet __ MLA# PROJECT/APPLICANT NAME: P11 ie y -Se;nel 4 G"Y4 ve..I l.twa r,y 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) n Size of parcel �,/`4j acres An acre contains 43,550 square feet. Multiply the acreage by this figure. Size of parcel in square feet23,/kf7 y40 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. Construction site for structures `7 — j sq/ft the project convert 9/4 acres or more of q/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. sq/ft Circle: <4 No Well, utilities, etc. sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking, etc. sq/ft — — Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sq/it Cut Fill (CUtyd) [over] stormwater talc worksheet—REV.10/1/2003 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) 7'2 % A— sq/ft Structures (all roof area) sq/ft Sidewalks so/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway 750 sq/ft Driveway sq/ft Other sq/ft Other sq/ft Total New sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* //7 3r�� 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 Uo D v 2 f-7 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 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. DOD 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. 4714—/X:1---e=i / 2/ DOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) -,^ rY -• n r : y 1� }�fy} y -f x't trryy y..�,�,r C t F may___ �:.tr� fj}i ^_: 'f ,s_� r ..' 3�'t�1�5��14�y6{'.r �., �`7.r r1lyYtt,. 'tji`t�? ,.: _:w 'Pk - :t stern-water catc worksheet-REV.10/12003 2 0 C z 0 -I 0 Z Z / (gg l (Pi\__ w ■ - a r- R 27 E. teri', . .//s 5040 3030 �- rn X \ � R. 74 w w 1, A l /Z' o o �- Lam- I- / 1 • ��-" r / �i1 O L - Z a. t 4 Is�1 -� 3068 3J - Fri � 3068 x � — co is 4, ' x a) TL-- x 0). X I CI I V' c O 1± O Z Z Iv ITI V) 9) •• go t„ m • 'mornn SCSJ x J °--14t'p ca o POmo cI _ �_m� os ❑' Cl x m __N RI 72 O) f A °� C7) rei = I S s. I f ? 2 0 0 SCSJ o C9 V N_ x x co m o n N 11-1 w ? K `^ SCSJ V) co In o 21 x co v o o a rn r o U 01 T Ka F- N (X i N N N. ' N c) I GC) N N VI N 0) I 0) 0) I L X oa L x x X Ni cn co co N N N - -- - N --- m —_ 0) 0 - - m I� CC� IE V -- , 11 x � � err o� I �.'+ � !I ti I ; , JUL 2 2 20'4 �!i !I r- r '0\ .� c 0, ; L �j I`J r, c �A a ' JEFFERSON COUNTY C.) ' 4t7(b DFPi.OF COMMUNITY DEVEh°MFNT 1 I-.. NoY9 why `•� _ a ✓ .4. r II _ J /jam o y o b' 2600 N.COLUMBIA CENTER MILES SAND & GRAVEL l : ill •rrn " 0 D �j BLVD.SUITE#208 z BERKF, i 72'x60x22'&x18' POLE BUILDING -� m m RICHLAND,WA 99352 FOUNDATION PLAN • 'Z a b :'< 1501 WAHL LAKE ROAD o m PHONE:(509)736-7552 m ° F Engineering FAX: (509)736-7557 PORT LUDLOW, WA 98365 O A 07 C ` JEFFERSON COUNTY f Vieor Pty lir* JEFFERSON NTY �n OMMUNITY DEVELOPMEN E C� a V 1 �� 621 Sheridan Street • Port Townsend •Washing, £8368 360/379-4450 . 360/379-4451 Fax JUL 2 2014 � p www.co.jefferson.wa.us/commdevelopment J iokn-NG FFW Master Permit Application DEPT OF CP o PE Project Description(include separate sheets as necessary): Construction a f' 'xbo' pole 6.,Id7.3 leautoosfryne- 6'z.t1' /ean�vo ,60:rrb '/e4"toc and id'x6o' at"4/oor o A y ( �balro-Gr i r r.l Shop ) Tax Parcel Number: 80 I 3b I 0 a I Property Size: (acres/square feet) Site Address and/or Directions to Property: /So 0 (Nail I take- iQaad Port L.ud to of Property Owner(s)of Record: f o p e, k25oure es/01 tr,pi'c. (r'c 1 o s.m cat'c Telephone: �J('Da 0s•710 Fax: email: Mailing Address: ISO 0 Bahl Locke 124]• P. L- W - 1 clQ5 O 4-th Ocve N E It 130 Poiti Sbr4 W`� Applicant/Agent(if different from owner): •1 5a n 4 &rave ,r an 9ti3�� Telephone: 3( o-535 - I 0.-at S Fax: - email: Mailing Address: EA al It Goe NE_ Pu Wtk What kind of Permit?(Check each box that applies Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial*SA op 'Pete ltieu:tilt'r‘c.-, ❑ 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 _. , to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE AMP Date: 7 'A),/4 By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable attorneys fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applicati• th he or she `nt; • '•r notice. Signature: - Date: 7• - J' The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable res nsibility for adhe and ply g with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: &— 1- Date: / - 22-/`f G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc III 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: JSa(An d 814,ld1 n9System.. Inc- (30) H31- /219 (340)1137-/2/8 MAILING ADDRESS: ,3511, 7ft..arndy kG Road EMAIL: sOU„dbu,l,6n9 s JS/ems @lfofina,/,ev,.r CONTRACTOR'S LICENSE Port l-.r.d/e w, 1.14 9,93125- WAINS NUMBER: SOU ND 135177-1 /U/„1 NUMBER ARCHITECT/ENGINEER: 0 k PHONE (jp7) 734,- 7.5 FAX:(5 7) 73,-"7SS7 De. ey EnSmeer,nS MAILING ADDRESS 400 A/6,/„�6,canergu J.SY.2OJ/, xi,4/and t'4 g13sz EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: R New E Wood Existing: ' ❑ Sewer ❑ Addition 0 Steel Proposed: I Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: If Individual System ,^, ` O Repair ❑ Masonry SEP Permit# I 2.--I C O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed:Total: 0 ❑ Public Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants, employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: i Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove I Woodstove 1 Fireplace Insert I Hot Water Tank i Pellet Stove I Other Is this appliance being installed in a Manufactured 1 Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all properly lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: I o o �n Floor Heated Consistency Review: a5G .�,0 Other Heated _ Base fee: C�.J�d}�-�� Mezzanine -MO Additional Section: OCR. T �� l�-n° Heated Basement Plan Check fee: 1 ` Unheated Basement State Surcharge fee: Other Unheated \� u� Pot Water Review fee: -e-- Garage/C�arport 8 + IsJ� � SUBTOTAL d \1 .Ss )7o F r 1 911/Rd Approach fee: 00 Other I TOTAL: $ rl L..�C.��•CC Receipt Number: I5J 3-16 Cash/Check Number: I ESTIMATED COST(REQUIRED) Date: - j .fir It -I 'r market value of all labor and materials foundation to finish @i -I /D p /&/ - D Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • • f #_- Jefferson County WASHINGTO - Weather Station ` ' Database Tools 121 daps OA Webcam Nome County Info Departments Search I Parcel Number: 801361001 SEARCH Parcel Number: 801361001 Printer Friendly Owner Mailing Address: POPE RESOURCES C/O OLYMPIC RESOURCE MGMT ATTN: LAND RECORDS 19950 7TH AVE NE #200 POULSBO WA98370 Site Address: 1500 WAHL LAKE RD D E C V f2 LS PORT LUDLOW 98365 Section: 36 School District: Chimacum (49) JR 2 7 Qtr Section: NE1/4 Fire Dist: None Township: 28N Tax Status: Taxable L Range: 1W Tax Code: 0203 . Planning area: South Toandos Peninsula,Coyle Area (9) Sub Division: Assessor's Land Use Code: 8800 - Designated Forest Land / Property Description: 1 l S36 T28 R1W ALL OF SECTION Tax, AN, Sales, Photos, and Permit Data Bldg Data Map Parcel lats &Survey Septic Monitoring Info ' Jefferson County r ;}r_ HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac i ■rn—onio,inm 7i1')i'1n1 n Cases Associated with a Parcel Page 1 of 8 • • Jefferson County N.for Home County Info Departments Search Cases Associated with Parcel No: 801361001 This may not be a complete listing of information that exists for this parcel. There may be other information pertinent to the property on file. Please contact the Department of Community Development for additional information. -- -_ *Parcel Taos I!N E C `c-' pil i 7 Case Number WAT-AD080 �jSl_ 2 Description f 2014 Last Name SHINE FACILITY /7-1 EFEER50NCOUNTY Received Date 4/7/2014 11:21:51 AM OEEi.OFCMMUNIYDE„ o No Images FLD,MENi Case Number SOM12-00104 Description Last Name POPE RESOURCES Received Date 2/11/2014 3:49:13 PM No Images Case Number BLD13-00337 Description Construction of 26x72x12' cover over existing office building, no walls Last Name POPE RESOURCES Received Date 10/24/2013 11:19:14 AM No Images Case Number BLD13-00171 Description Manufactured home for security personnel. Last Name POPE RESOURCES Received Date 6/4/2013 3:37:40 PM No Images Case Number FPA2612202 Description 129-acre spray. Last Name POPE RESOURCES Received Date 2/25/2013 2:14:19 PM No Images http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=801361001 7/22/2014 Cases Associated with a Parcel Page 2 of 8 • • Case Number ZON13-00006 Description CONDITIONAL USE PERMIT WITH SEPA to install a concrete batch plant and an asphalt batch plant located off the Wahl Lake Road (T-1000) that connects to SR 104 at milepost 8.52. SR 104 has turn lanes which were designed for all traffic that will utilize the Shine Facility. The proposed facility is in conjunction with a permitted surface mine (DNR reclamation permit 70-013024). The concrete and asphalt batch plants will be on the west side of the Wahl Lake Road located within an existing 18-acre Mineral Resource Land Overlay (MRLO). The proposed asphalt batch plant will replace the existing batch plant that is currently located at the Shine HUB. The 18-acre MRLO lies at the northeast corner of an existing156-acre MRLO known as the Wahl Lake Extraction Area where mining takes place. Silo heights will be between 65 feet to 80 feet. Noise and lighting will be suppressed by the existing commercial forest. The batch plants will have air pollution control systems in compliance with ORCAA regulations. Proposed primary hours of operation are 6am to 5pm Monday through Saturday Scales, office, security office, parking, septic tank and drainfields, and stormwater drainage detention will be located on the east side of Wahl Lake Road outside of the MRLOs. Last Name MILES SAND & GRAVEL COMPANY Received Date 2/6/2013 3:32:50 PM No Images Case Number BLD12-00293 Description COMMERCIAL MODULAR OFFICE Last Name MILES SAND & GRAVEL COMPANY Received Date 9/25/2012 2:48:17 PM No Images Case Number SEP12-00104 Description Last Name POPE RESOURCES Received Date 9/6/2012 1:35:15 PM No Images Case Number FPA2611900 Description AMENDMENT: add additional chemical (Drift Control Agent). 403-acre spray. (3 year approval). Last Name POPE RESOURCES Received Date 7/17/2012 10:51:20 AM No Images Case Number ADR12-00050 Description 911 - WAHL RD Last Name MILES SAND & GRAVEL COMPANY Received Date 7/16/2012 6:29:27 AM http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=8013 61001 7/22/2014 Cases Associated with a Parcel Page 3 of 8 • • No Images Case Number FPA2611866 Description 93-acre even aged timber harvest & 1050 feet of road construction. Last Name POPE RESOURCES Received Date 6/28/2012 9:51:24 AM No Images Case Number FPA2611580 Description 2012 fertilization: 435-acres. Last Name POPE RESOURCES Received Date 1/25/2012 No Images Case Number FPA2611500 Description 48-acre timber harvest and 1800 feet of road construction. Last Name POPE RESOURCES Received Date 11/8/2011 No Images Case Number FPA2611268 Description 470-acre spray. Last Name POPE RESOURCES Received Date 7/5/2011 No Images Case Number PRE11-00016 Description PRE APPLICATION TO INSTALL ASPHALT & CONCRETE BATCH PLANTS Last Name POPE RESOURCES Received Date 6/29/2011 No Images Case Number FPA2611173 Description 17-acre timber harvest and 980 feet of road construction (See MLA11-54/BLD11-63 for stormwater permit w/SEPA) Last Name POPE RESOURCES Received Date 5/24/2011 No Images Case Number FPA2611125 Description 43-acre timber harvest Last Name POPE RESOURCES Received Date 5/10/2011 No Images http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=801361001 7/22/2014 Cases Associated with a Parcel Page 4 of 8 • • Case Number BLD11-00063 Description Stormwater Permit with SEPA: The proposal is to grade and construct improvements in the 18-acres lying adjacent to and north of the 156-acre Wahl Extraction Area. These 18-acres recently obtained a Mineral Resource Lands Overlay (MRLO) designation through the Jefferson County Comprehensive Plan Amendment process and is also the location for Miles' new Shine Facility. Prior to grading, the 18-acres will be logged by Pope Resources (land owner) as part of their commercial forestry business. The new portion of T-1000 is located in an area that has been recently logged by Pope Resources. The new Shine facility is proposed to access SR 104 from private Forestry Road T-1000. The intersection of T-1000 with SR 104 is proposed to be relocated to MP 8.52 (approximately 1800 feet west of its current location). This application also includes grading and constructing the new intersection at SR 104 and approximately 1,000 feet of new road from the WSDOT right- of-way to the exiting T-1000 road. Approximately 9,000 feet of the exiting T-1000 road to the new Shine Facility will follow the existing route and grades. The northernmost portion will be improved with an asphalt surface for approximately 7200 feet. Proposed grading within the new Shine Facility includes 365,600 cubic yards of cut and 5,000 cubic yards of fill (360,600 net cut). Significant grading is not anticipated on the T-1000 except for the northernmost 1,000 feet of the new access road located at the new intersection with SR 104. Grading quantities for this 1,000 foot section of T-1000 are estimated at 2,300 cubic yards of cut and 20,600 cubic yards of fill (18,300 cubic yards net fill). Water quantity management of stormwater associated with the new intersection with SR 104 and 1000 feet of new road will be through the use of an infiltration pond designed according to the 2005 Department of Ecology Stormwater Management Manual for Western Washington. The remaining improvements to T-1000 will not result in any new impervious surfaces; and therefore, do not require any new stormwater management. Existing ditches and culverts will be cleaned and maintained as necessary to ensure continuous drainage of the roadway. The north portion of the new Shine Facility will be graded and will continue to drain to the east through the existing drainage pattern. New buildings proposed for this area will require stormwater management and could include roof downspout infiltration. The southern portion of the new Shine Facility will be graded to drain to an infiltration pond located in the NE corner of the Wahl Extraction Area. Last Name MILES SAND & GRAVEL COMPANY Received Date 3/21/2011 Images Case Number FPA2610872 Description 69-acre timber harvest and 700 feet of road construction Last Name POPE RESOURCES Received Date 12/15/2010 http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=801361001 7/22/2014 r Cases Associated with a Parcel Page 5 of 8 • • No Images Case Number ZON10-00026 Description COMP PLAN AMENDMENT Last Name POPE RESOURCES Received Date 3/1/2010 No Images Case Number FPA2610302 Description 26-acre timber harvest and 950 feet of road construction Last Name POPE RESOURCES Received Date 12/30/2009 No Images Case Number FPA2608876 Description 1900 feet of road construction Last Name POPE RESOURCES Received Date 9/17/2007 No Images Case Number FPA2607937 Description 853.5 acre spray Last Name POPE RESOURCES Received Date 8/21/2006 No Images Case Number FPA2607628 Description 113 acre timber harvest, 2400 ft road construction Last Name POPE RESOURCES Received Date 4/11/2006 No Images Case Number FPA2606391 Description Harvest of 503 acres. Last Name POPE RESOURCES Received Date 10/15/2004 No Images Case Number FPA2605703 Description Aerial Chemical Application Last Name POPE RESOURCES Received Date 10/15/2003 No Images Case Number FPA2605611 http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=801361001 7/22/2014 Cases Associated with a Parcel Page 6 of 8 • • Description Aerial Chemical Application Last Name POPE RESOURCES Received Date 8/18/2003 No Images Case Number FPA2605386 Description Aerial Chemical Application Last Name POPE RESOURCES Received Date 5/29/2003 No Images Case Number FPA2605256 Description Aerial Chemical Application Last Name POPE RESOURCES Received Date 4/21/2003 No Images Case Number FPA2605105 Description Salvage Harvest Last Name POPE RESOURCES Received Date 4/16/2003 No Images Case Number FPA2604910 Description Aerial Chemical Application Last Name POPE RESOURCES Received Date 9/26/2002 No Images Case Number FPA2604834 Description Aerial Chemical Application Last Name POPE RESOURCES Received Date 8/20/2002 No Images Case Number ZONO2-00049 Description Comprehensive Plan Land Use Map designation of approximately 6,240 acres as Mineral Resource Overlay District. Last Name FRED HILL MATERIALS INC Received Date 4/30/2002 No Images Case Number FPA2604293 Description Chemical application Last Name POPE RESOURCES http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=8013 61001 7/22/2014 Cases Associated with a Parcel Page 7 of 8 • • Received Date 12/5/2001 No Images Case Number FPA2604135 Description Chemical application Last Name POPE RESOURCES Received Date 8/15/2001 No Images Case Number FPA2604058 Description Road Construction for access to future conveyor belt and future gravel mining Last Name POPE RESOURCES Received Date 6/19/2001 No Images Case Number FPA2603989 Description Even age harvest Last Name POPE RESOURCES Received Date 5/8/2001 No Images Case Number FPA2603857 Description Last Name POPE RESOURCES Received Date 4/18/2001 No Images Case Number FPA2602047 Description Renewal for road construction portion of original permit Last Name POPE RESOURCES Received Date 12/21/2000 No Images Case Number FPA2603443 Description Forest practice application. Last Name POPE RESOURCES Received Date 7/19/2000 No Images Case Number FPA2603214 Description Forest Practice Application. Last Name Received Date 3/6/2000 No Images http://www.co.jefferson.wa.us/commdevelopment/ppquery/cm.asp?value=801361001 7/22/2014 Cases Associated with a Parcel Page 8 of 8 • . Jefferson County ,, HOME I COUNTY INFO ( DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows- Mac http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=8013 61001 7/22/2014 SOUND BUILDING SYSTEMS INC Page 1 of 2 • • 0 Washington State Deparhnent of Labor & industries SOUND BUILDING SYSTEMS INC Owner or tradesperson 3546 THORNDYKE RD WELTER, RICHARD A JR PORT LUDLOW, WA 98365 360-437-1219 Principals JEFFERSON County WELTER, RICHARD A JR, PRESIDENT WELTER, RACHELLE MARIE, VICE PRESIDENT (End: 07/27/2012) CARY, CANDACE, TREASURER (End: 07/27/2012) Doing business as SOUND BUILDING SYSTEMS INC WA UBI No. Business type 601 856 896 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. SOUNDBS027NM Effective—expiration 08/14/1998—08/19/2016 Bond Lexon Ins Co $12,000.00 Bond account no. 9815628 Received by L&l Effective date 11/21/2012 12/01/2012 Expiration date Until Canceled Bond history Insurance DEVELOPERS SURETY& INDEM CO $1,000,000.00 Policy no. BIS00001729 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601856896&LIC=SOUNDBS027NM&SAW= 7/24/2014 SOUND BUILDING SYSTEMS INC Page 2 of 2 Received by L&I I Effective date 11/19/2013 12/01/2009 Expiration date 12/01/2014 Insurance history Savings No 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. 895,894-01 Doing business as SOUND BUILDING SYSTEMS INC Estimated workers reported Quarter 1 of Year 2014"4 to 6 Workers" L&I account representative TS/PAM DERRICK(360)902-5618 -Email: DERR235 @lni.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. 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CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2016 PROJECT DESCRIPTION: COMMERICAL SHOP with bathroom (no MLA filed) 1 48x60 pole building - 2 12x60 lean too- 1 6x24' lean too with 12x60 2nd floor only TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: 4,572 TYPE OF IMP NEW MAIN: INDUSTRIAL: VALUATION 109,161.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: AD080 Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $1,097.00 SRE 07/22/14 151278 Exist: Plan Check $713.05 SRE 07/22/14 151278 Prop: 1 State Building Code $4.50 SRE 07/22/14 151278 Total: 0 Potable Water Application $67.00 JLA 08/26/14 151391 NUMBER OF EMPLOYEES: Total: $1,881.55 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 • • Jefferson County Building Division Permit Number: BLD14-00262 Applicant: MILES SAND &GRAVEL COMPA' BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 42-2l 9- E• rosion Control 4/2.41 is git Foundation Footing fer,,.�fvk F• ooting Drains F• oundation Stem Wall Underground Plumbing 621 t1B S• traps(hold downs) E• xt.Shear Wall Nailing R• ough-in Plumbing C/Zi/ts F• raming //5 81z 2[aDbj 4 FiA.-ru rzem LAY. L/z4/15. Airseal Insulation:Walls .7/j//S Insulation: Floors l I Insulation:Ceiling 7/7//‘ 7/ Mechanical Systems 7/Vic 1tA Fire Protection , Landscaping tyA P• arking S• ign Exterior Lighting Address Posted 7/12�t. Septic System Finaled sep 12-104 lanning Approval 1 1114 A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION q1/1[;y FINAL INSPECTION IYIUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD14-00262 1.) ANY FUTURE APPROVAL FROM THE JEFFERSON COUNTY HEALTH DEPARTMENT WILL REQUIRE WASTE WATER USE RECORDS. RECOMMEND MONTHLY DOSE COUNTER READINGS FROM THE SEPTIC SYSTEM CONTROL PANEL 6 MONTHS PRIOR TO ANY BUILDING APPLICATION. 2.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 3.) The site plan as submitted with the Building permit application on July 22, 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 August 11, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) The storage and handling of inflammable liquids, liquified petroleum, gases and explosives shall comply with rules and regulations falling under the jurisdiction of the fire marshal, the laws of the state and other local ordinances. Bulk storage of inflammable liquids below ground shall be located no closer to the property line than the greatest dimension (diameter, length, or height)of the tank. 5.) Provisions shall be made for necessary shielding or other preventive measures against interferences occasioned by mechanical, electrical and nuclear equipment, uses or processes with electrical apparatus in nearby buildings or land uses. 6.) The intensity of sound emitted by any commercial or industrial activity shall not exceed levels estabished by the Washington State Department of Ecology under WAC 173-60, and by Jefferson County under Resolution No. 67-85, "Establishment of Environmental Designations for Noise Abatement Areas for Jefferson County." 7.) All noise emitting machinery that cannot in any other way operate below the maximum permitted noise level shall be housed in a sound-attenuating structure. 8.) 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. 9.) Exterior lighting for commercial and industrial uses shall not exceed thirty feet(30') in height from the finished grade. 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. 10.) The building height is not to exceed 35 feet. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 4/20/2015 7 • • Jefferson County DCD Building Division Correction Notice PERMIT NUMBER I L/- 60 2-b 2 OWNER Ai L.�S »4 )L' ' 4/Z/I/VS71.. r4� JOB LOCATION /50/ /V/ffiL LK f'�d Inspection of this structure has found the following violations: i_ .",. .R?c5i-eV P6r - - - K-',gl4i//7,p 1 15 R.."pk /(ivvi1 y, 1/4.)S F,1;717 61(.) Aff=Z17 I-24E 14'Nt'WOXIL 61-= z-i- Z.ivEj/la., idh9,1 IIbelie 1rA-Ills ibecF AfP F0 1c 0 L i e-1- fiW Y .1�D '- 1-1 NAld- You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call f r inspection. / // Date 7/ K" Inspect. I ,may - _ / BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE