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BLD2013-00215
1 kUILDING PERMIT APPLICATION BLD13-00215 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00215 Received Date: 7/11/2013 SITE ADDRESS: 299802 HWY 101 BRINNON, 98320 OWNER: DANIEL E FERLAND PHONE: 702-449-5105 ALICE B FERLAND PO BOX 184 QUILCENE WA 98376 SUBDIVISION: Block: Lot: TX 2 PARCEL NUMBER: 602034001 Section: 3 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII NEW GARAGE; no water, no plumbing. Walls consist of cargo containters TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 25,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: # OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 4,600 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $322.00 MEB 07/11/13 142260 APPROVED Plan Check $209.30 MEB 07/11/13 142260 State Building Code $4.50 MEB 07/11/13 142260 OCT 0 2 2013 Total: $535.80 Jefferson County DCD 11firlomarflrlafalfnrmc\F RI 11 Ann Qiri mh 7/110(11 ".sON C"o DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.3 7 9.4451 Web:www.co.jefferson.wa.us/communitydevelopment 4.. -gsf E-mail:dcd(cico.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT #: BLD13-00215 APPLICANT: DANIEL E FERLAND PHONE: 206-979-1076 ALICE B FERLAND PO BOX 184 QUILCENE WA 98376 SITE ADDRESS: 299802 HWY 101 Issue Date: 10/2/2013 BRINNON, 98320 Final Date: 10/1/2015 SUBDIVISION: Block: Lot: PARCEL NUMBER: 602034001 Section: 3 Township: 26 N Range: 2W PROJECT DESCRIPTION: NEW GARAGE; no water, no plumbing. Walls consist of cargo containers THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: U-1 TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/1/2015 Building Official, \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/2/2015 SON 4kgoo`''rz DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 I Fax:360.379.4451 4 Web:ww�w.co.iefferson.wa.us/commmnitvdevelopment 9Sy1 NCO' E-mail:dcd@co.jefferson.wa.us DANIEL E FERLAND ALICE B FERLAND PO BOX 184 QUILCENE WA 98376 RE: PERMIT RENEWAL SITE ADDRESS: 299802 HWY 101 PERMIT#: BLD13-00215 PARCEL: 602034001 DATE EXPIRES: 10/2/2015 PROJECT DESCRIPTION: NEW GARAGE; no water, no plumbing. Walls consist of cargo containers According to our records, your building permit will expire on 10/2/2015 and has not passed final inspection. Please either schedule a final inspection prior to expiration or submit a renewal payment in the amount of$234 to 621 Sheridan St., Port Townsend, WA 98368 prior to expiration. You are welcome to make a payment online at: http://www.co.jefferson.wa.us/commdevelopment/Credit%20Card.htm To schedule an inspection, please contact our inspection hotline at 360-379-4455 and have your approved permit and plans available on-site. If you have any questions about your permit, you can contact our office at 379-4450 between 9:00 a.m. and 4:30 p.m. Monday through Thursday. Thank you, Elizabeth Williams Administrative Clerk SITE ADDRESS: 299802 HWY 101 PERMIT#: BLD13-00215 PARCEL: 602034001 DATE EXPIRES: 10/2/2015 PROJECT DESCRIPTION: NEW GARAGE; no water, no plumbing. Walls consist of cargo containers PAYMENT ENCLOSED: $234 1\tidemark\data\forms\F_BLD_Perm it_Exp_Ntc.rpt August 1, 2013 DANIEL E FERLAND ALICE B FERLAND PO BOX 184 QUILCENE WA 98376 RE: SITE ADDRESS: 299802 HWY 101 CASE#: BLD13-00215 Dear DANIEL E FERLAND: We have started the plan review process on the subject permit. Unfortunately, we are unable to finish the necessary plan review. We are in need of additional information and/or items as listed below: Please provide plan view and elevations with dimensions for container project. 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) 379-4450. Sincerely, Plans Examiner c: File OWNER/BUILDER \\tidemark\data lformslF_BLD_Addlnfo_PInChk.rpt 11/3/1999 \ci L /( .__,------------ . 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BI j Ji ):c I -- ..._ I t 1 0' t Z 1 Q�8 0 -,k,7,' �, = I - ' •i N I• I . , .,.. . . ,. �. { I 1 . . . 1 1 ..I_._....l..l_I_ - 11 r.._I_I � ' 1111 I I , I I , ,tl 1 Hi ! - I. . ._._1-1_.._I .-r -I ;_I_I....__I.-I .:I ,....1...1_.I- ,.. . ..- _. .r-•. , I ' H :I 1 . 1 I , . o 1..1 . L. ,.. i - i I ■ „I i I ii y .._ M 1 mt o T 5C s- [�_ :._I_. .. 1 , f — i ' D n- 1 r'I— rZ -1. �h F _ {. gi It ` � f 1 I SSE' •!_ � 1 I - ! . . .. { ['!�- �' • =1 - :: :_ mom _ ' i D3 ! r I 1 o n:r;ii; -r- �:: : 1 I ,• 1 , ! I _ , tTE:HlE:1 6. • — ---- �- I i ;•_•:_ _i — — -- — -- 4 CD t -1-4- rl `I r 1 , J_ — i4 pp i , I i-- ---- t-- ----`_''_._. fin{ ! h (� F o 1. I ! 1 1 =1 J I:11 i 2111-1-It __I_I_� - -� :_- i ; i MI- : - 1 • I•• : I I: :_: I a":1 Iii__ .,..L..i:11.-�._!I-1'1--. .I.: !-I -1 4-11-:1--_i I_ • , 5ON �o G� JEFFERSON COUNTY 0- DEPARTMENT OF COMMUNITY DEVELOPMENT g*-4shI NCV Date: il2,-, Time Received: /SD am/ rr' Mon. Tue. Wed. Thur. 40 Date: BLD: 13 ,-2,15- Contact Name: Owner: Contact Number: 360 Address: Act 9 W Z y 10 1 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks )d Under-ground Framing Under ground Furance Footing X Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling F,50h CO �iflr�� - - - - - 40-5°' °o, JEFFERSON COUNTY '� `�_" DEPARTMENT OF COMMUNITY DEVELOPMENT HltiGt 5 7 a Date: '7)if Time Received: 5 `Z am 41110 ..■ Tue. Wed. Thur. Fri. / Date: 7..7c1 BLD: 1 c7 a,\c Contact Name: Owner: l Contact Number: 360 Address: ot,gq� 144,1 (0 I 6 "wok 979 / 07b I/ n,w 206 Notes: W 4 t44 Foundation Plumbing Framing Propane Tank Mechanical Setbacks X 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 Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling FF,45o�o JEFFERSON COUNTY -; DEPARTMENT OF COMMUNITY DEVELOPMENT fSH1 sC; Date: 7� /// Time Received: %.: ZU n pm Mon. Tue. Wed. Fri. '�7"` Date: %0////� BLD: AD /3 - 7-/j Contact Name: Owner: 0,6( 'F' rklid Contact Number: 360 30/ /7& I Address: 299'x? l/j di y l) / 206 9-n /0-76, Notes: ,., 1 Oe.741 f� Y-1�t �L-ir ar t! 1 115 p �� �`017V Foundation Plumbing Framing . Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Kirk Boike ARCHITECTS LI_C 0 4601 Mason St 0 Port Townsend WA 98368 0 360.385.6140 5xarchitect @gmaiL corn THE DRAWINGS AND PLANS SET FORTH ON THII ET AS INSTRUMENTS OF SERVICE ARE,AND SHAT AIN,THE PROPERTY OF KIRK BOIKE, ARCHITECT. WRITTEN DIMENSIONS ON THIS DRAWING SHALL HAVE PRECEDENCE OVER SCALED DIMENSI NS. CONTRACTOR SHALL VERIFY ALL DIMENSIONS,CONDITIONS, ETC,PERTAINING TO THE WORK BEFORE PROCEEDING. THE ARCHITECT MUST BE NOTIFIED OF ANY VARIATIONS FROM THE DIMENSIONS AND/OR CONDITIONS SHGWN ON THESE DRAWINGS. ANY SUCH VARIATION SHALL BE RESOLVED BY THIS OFFICE PRIOR TO PROCEEDING WITH THE WORK OR THE CONTRACTOR SHALL ACCEPT FULL RESPONSIBILITY FOR COST TO RECTIFY SAME. THE INFORMATION CONTAINED HEARIN SHALL ONLY BE USED FOR ONE JOB AND ONE JOB ADDRESS ONLY. SEPERATE JOBS REQUIRE THEIR OWN SET OF DOCUMENTATION. CALCULATIONS AND DRAWINGS VOID IF NOT STAMPED AND SIGNED IN INK. PHOTOCOPYS NOT ALLOWED. hU0ST1.- IT{o!-1 Or 3k-011 k 3I- „ x "l" ac'- ICI ■5) '` "'6 M,\441, `O" ?3, r. 606-1=',6.5 ?^--( ` I 0:70 )13e7S rlTUTi0}•i = z.. - o"`K 1!: „x .,r7'l Trl--4t., •/ N A- Ex z. Q? !p,' 0,�. el",yd, aSal: REGISTERED -- '__.__ sU ARCI#IT ; • � _ ti IRK . BOW `4 + j 1 STATE OF WASHINGTON ,q I . —. I _ __ 1 I _; _ I._ a PL it Yr ,! n n a • ■ c v • n 1 UI-?PISTUIZ. tL. 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L .> ',,-(2" 3> _.; �'i,,, ,r,?.J 283.12" SOt•32' 0'W N ANn w m \g o m n'TIrLE: WASTEWATER SYSTEM SITE PLAN JOHN SCOTT PEENING ENGINEERING, INC. / 0 CO Z m `uw� TAX PARCEL # 602-034-001 JSF o °N° o 0 CLIENT: DANIEL E. FERLAND 1240 WEST SIMS WAY #45 * o 8015 AZTEC BASIN AVE. PORT TOWNSEND, WA 98368-3058 cn G> LAS VEGAS, NV 89131 (360) 452-8500, jsfEng®olypen.com 1 \--- �O 37 ' A/0 '52',7 "E 4- r fir \ ".$ n N cv } f o ��9 is u r, 1 • y o� w 9 fah,n � x . - � ?ti' - f ,.. „>� n� t s �o> j . . f _ , . ,,,, . : , 7 �i f , 1 . � � , .. ! , zi .. . ' ois, 4-- to c ■ • x ��oo v,_g I IA LA f Z. o tIs 1 ,b \ n \ u f1 • y ‘c --, 4. 1111111111111 n .. 14 o .0 "Ps A to 9...) Q P t? o 0 I1,� -�vC . o Q r Oo I. o u� S i 1 WIL__ li—.. i, -i---- k ua Q 1 0 N GS • 0 Or O Os I1 _ 40 0 S ! zA A r4 M to i ► w 0 Ill:ii C O 012 N�`m r Y ' • —J 0.O T C ^ tj O m r ill C z N iv Q w ��_�� )83.12, so, '32'oo -•W IMF, Front Parcel Review • Parcel 602034001 Printed: July 19, 2013 DANIEL E FERLAND Site Address: ALICE B FERLAND 299802 HWY 101 6955 N DURANGO DR LAS VEGAS, NV 891494411 BRINNON WA, 98320 Parcel Number: 602034001 S-T-R: 3-26N-02W Total Acreage 11 Legal Description S3 T26 R2W TAX NO. 2 SUBJ TO EASEMENT Land Use: 9800 Flood District: Fire District: 4 Planning Area: 11 Flood Map(FIRM)Panel No: School District 46 Zoning:'7421,1W. COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans NA.. Plot plan states "property line" [X] Assessor's Map (Property lines on submitted plot plan must match the pnperty lines as identified on theAssessor's 1/4 map) [) Legal Access to Property NO • ■•-tcsupgakcerzivtr.,c7 (y(cpc S cis tfujux lot 9er5 ta?C [jam Parcel Tags or Scanned ocuments YES ® (Jill 1 c,�p5e3r�c OW tot -dv ESA's: Special Reports Nearby YES 4• ACC-2.4.5 [V1] Designated Ag YES [?Q Shoreline Designation: YES 0 [)4]. Shoreline Slope Stability: YES - t Stream Typ- NO ' `' -% SkCQ> \ • t ! , mil- _s.. , Fish& Wild`'e•allt NO p c.+ASi()ut. er U"&j) • Wetlands: YES e Rare Plants:YES 0 Seismic: YES Zit Landslide: YES Flood: YES Erosion: YES UP Aquifer Recharge Area Area.0 NO `JIBS'! SIPZ: on- At Risk High Risk Coastal CMZ: A t - High Risk Mo.-rate RiskDisconnected CMZ Stormwater site plan submitted: e o rjt Vcilrc '"towrlcDout> [/f Forest Lands: YES Adjoining Forest Lands: Commercial/ Rural/ Inholding V Mineral Lands: YES LA Agricultural Lands: YE ero [W] Archaeology: YES ci"0 J [ y' Stormwater: New Impervious Surface 1 i(Qpp Land Disturbing Activity Z\ ) ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 lin Req#1 thru Engineering [ Notice Provisions/Disclosure:Airport Y E Cis Y ro MRL Y s o Forest Lands YEs [✓] Landscaping Required: Yes / o [/] Parking Spaces Requir d Nb'�� Other f ✓� Building Height. 35' UBC Standard [f.d.— Impervious Surface covera ercentage: •oc,to Resource Lands&Public: 10 c... esrdential:-25%- Rural Ind,: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building c tag 60%in Rural Industrial Lands only [/1 Total Building(s) Size: 9 RVC:20,000 SFI,,�C: 5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified ' [ Setbacks: firok"`dtt:5o Left Side: S Right Side:, Rear: 5 Shoreline Setback: f , l k LSHA Setback: 11 [err Road Classification: (AS 1.O 1. 9c-,n.c:,e9, � C' � T2r a Road Approach: dio.s.giuM NOT RAP [ X SEPA Required: YES _ ' MP 5r„y Flood Certificate: N [ /I Existing Case(s) & Condition(s): Fioo .-Przj ou ) Violations: Yes o Pi Recorded Date of Su vision: AFN Over 5yrs=UDC Plat Conditions: <5yrs°Plat Conditions on plat or Old Ordinance t pt Lots/Require Declaration of Restrictive Covenant YE submitted: YES NO iv UGA No Protest Agreement YES NO, submitted: YES NO [ ite Visit conducted YES [' j Require Final Zoning Approval YES NO /0(.-ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in rmit Plan at. YES Special Reports Scanne N/A YES Title Notes Updated Parcel tags found for parcel 602034001 1.) WSRC Coaching - 07/03/2013 CAO Parcel tags found for parcel 602034001 2.) WSRC Coaching - 07/03/2013 Other Parcel tags found for parcel 602034001 3.) WSRC Coaching - 5/23/12 SG 07/03/2013 CAO Cases Associated with APN 602034001 Cases Name Review Type Status Planner ADR12-00011 FERLAND F Application Received: 3/1/2012 Permit Issued/Case closed: Case Finaled: 911 ONLY BLD13-00215 FERLAND P Application Received: 7/11/2013 Permit Issued/Case closed: Case Finaled: NEW GARAGE; no water, no plumbing. Walls consist of cargo containers FPA2606311 POPE RESOURCES F Application Received: 8/27/2004 Permit Issued/Case closed: Case Finaled: 9/28/2004 Chemical application and harvest of 37 acres, 600 ft of temp road. FPA2607641 POPE RESOURCES F Application Received: 4/6/2006 Permit Issued/Case closed: 4/20/2006 Case Finaled: 5/5/2006 835 acre anal chemical SEP13-00003 FERLAND A Application Received: 1/4/2013 Permit Issued/Case closed: 3/21/2013 Case Finaled: Siphon \\tidemark\data\forms\R_Parcel_CRMLA.rpt 7/19/2013 Page 2 of 2 JEFFERSON COUNTY � 2 DEPARTMENT OF COMMUNITY DEVELOPMENT D I-`-` C L� O v E, r 621 Sheridan Street • Port Townsend • Washington 98368 JUL 1 1 2013 qs ,k0 360/379-4450 • 360/379-4451 Fax L I I J http://www.cojefferson.wa.us/commdevelopment/ JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet II MLA# PROJECT/APPLICANT NAME: .D4 101 Fe` na DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large.' The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) Size of parcel I o• Cs acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet N 6 I 7 3 6 sq/ft Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover (both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation, and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds, that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar, alder, big-leaf maple,and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded,filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert'/.acres or more of Construction site for structures 4-1 6 00 sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. '— sq/ft Circle: Yes No Well, utilities,etc. — sq/ft Does the project convert 2'/z acres or more of native vegetation to pasture? Driveway, parking, roads, etc. — sq/ft Circle: Yes Lawn, landscaping, etc. "— sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance f GO 0 sq/ft Cut aCO yas Fill (cu/yd) R�. [over] storm water catc worksheet—REV 2/20/2008 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) Li 600 sq/ft Structures(all roof area) ! 92 sq/ft Sidewalks —' sq/ft Sidewalks sq/ft Patios — sq/ft Patios `– sq/ft Solid Decks sq/ft Solid Decks – sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc "-' sq/ft Driveway, parking, roads, etc — sq/ft Other sq/ft Other sq/ft Total New y r 600 sq/ft Total Existing 1 92 sq/ft TOTAL NEW+TOTAL EXISTING* q) 7 2 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 Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: .0.006% Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirements #1 through #5—and for "large' projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 7- I0 - 1? (LANDO NER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) 'r,al'r ". A� e'r- *'s-+ y ° 4F t x. , k"""8r..'+s wu x'u, .� kh�f'Y1 s rt a N • //�`h A3 v r �. Y"'" nA ,. $N _ w,,. "^^ u� F'�+' `+'k- k' tatr �, GAS" n x ? k e _ Cr �yy�� + r '�,,'rs' 'e nb ; i 2 t h- �. 1 1' r �: t}'sya �'�tt. �Fr1�....� o..F stormwater ralc worksheet—REV.2120,200a 2 • • 00 1 � 4SON e). JEFFERSON COUNTY J �� JUL 11 2013 DEPARTMENT OF COMMUNITY DEVELOPMENT L l `U 621 Sheridan Street • Port Townsend • Washington 98368 JEFFERSON COUNTY .yS, O 360/379-4450 • 360/379-4451 Fax DEPT.OF COMMUNITY DEVELOPMENT RING http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# PROJECT/APPLICANT NAME: 'Dan l.CI q' R lic a Te r IQ hd Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. ye e 5;fe en a p Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. �" 3�1e Safe. has a o�evi4le 5lope - row South (h , k') fo Nor ()ow) o-c about 5% 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. The_ land has under 6r1.4 sl7 veo�ta+v i sorme youvtq alder trees a+ 'la} e,d) al joroler4 • This Iakc) Wns 1-;.6erec) n.bou. ~7 years 444. 4. Describe the existing soils. Indicate soil type on the site map. Nct+iJ pe. 9- 5. Describe the existing site hydrology (i.e., drainage; behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable, and indicate acreage of each. Ra}n wake.' To dots +j,e noc hral slo fe i' a /Uorf her vt A+ +ht A)er44% o f-e. Qroc«+u halo yu;14iAa rim is underLLruak atna sornt wa+iJe- veg:tu+;on. A+ +k . nor+til boon,)r ;s a I;na of 'F1 r +tees • Above +1+at" is a aranaae_ a;i-J runnine� para `kej •f l�wv tOl • 6. Describe any excess levels of noise generated by the proposed use or activity: O(t it stormwater site plan template-rev.10/2112008 5 • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the site. Indicate location on the site map. These. is (ton -. ;sk bcar;n s'i-reawt c-e) -rtie ,roe r.±. located �o%t+11 - East o4 the_ bu;t)ing S;4-c- wkiG11 is of a h 5ter elev ior1, The- Lou iId;n1 e is loea+ec) outside of +ke '7 buffer 2ovtd _crtd +lta t S' sat 60.�k , 8. Describe the general vicinity of the site, including adjacent land uses and structures, utilities, roads, and sensitive/critical areas (streams,wetlands, lakes,steep slopes,etc.). T1%;5 1co ?arce-t horde(-g hwy 101 to -t4 /Vpr+41) /Vatiova.( Forest to ±lle E s+ caw) Sea-4-k avtc?1 Ra; nbou> Camptr9uytt) 1-0 t14.e. West, Pease- sec # 7 -For infor,ytafion, Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and-installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. a Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. /144.-l& ra;r worl-et" -Flows -growl Sou•-h to /Vor4 \ coltew;wcs -/-11 e_ ✓ta-Furai Slope_ o-F i-ke- 1 lDewn5pbutt will 6e utec to aispersc rzt; water- -FrovrA t{+e bu;Ir); sift and io`c_c_e i✓r� +� env'”romeyt +, Dry we-115 G.an be uesea (y� i4 Jee>++ec3 ✓reces5ar3 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large" projects or projects that involve the potential for dispersion of contaminants.] /v/4 11. Describe the performance goals and standards applicable to the project. The gx► ;5 to cause aS I',ifle ioleact 1 +!t@ s+ as Poss;b le 12. Describe the flow control system. 15 spoor}e5 w111 be. us wa+er -Frawr the `` 6 t1:,1 d i v3 s i fe_ an r� k0.c]c in-� } cq{-,tt0.1 Sat Stem a reco>M.•+ended sfct'r{r. stormwater site plan template—rev.10/2112006 6 • • 13. Describe the water quality system. A Me+aj rOo- tuiR be it ea rn con5+ruc iay, +/,-e re rui11 d1✓ r4ln;wt-a a-Ffact t w44-er- (peal;++.� 14. Describe the conveyance system analysis and design. / ]-araard c3w+ffer and )(NJ,let ss�e1� w;l used 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. 41/4 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. AV/r1 17. Describe the proposed surfacing material. AVA 18. Describe methods for restoration of the site. S:•1ca on � +ke actual louitd q t w+I\ be affectea)+11ere 511ouI be m;.4 'rwipact to tkc Site . 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included, list the Manuals here. /U/4 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. AI/4 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. N/4 sto rmwater site plan template—rev.10/21/2008 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the-ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. aL/ AAke S c- \ooVt u.a spoor Ate con5+ruc4 bn rat`ea . 2. Establish Construction Access. Access t4111 toe u�a j (w tot usivt.3 +ke ex;54; ck r)c-t■Je old a • 3. Control Flow Rates. tux to the smdl� C-bvt54-r area owl() cors+'ruc-1;or. fer■o � 4ur■.Aa aCv v+k ova JAA -��OW rctt'e5 ., be- GDvt+role) OY! Si -� f v15\�g pti�zic)al lnaarrt<l"S ��uC�+ 0.5 S+RtW•ba4 c✓t SijG . as nee Je. , 4. Install Sediment Controls. \ 'Due to 1-1te SW't4ll cons )f 4c+'tov�1 are OW, cos+r•uc+iol,t rIod wtavt4k5 J s'ed i»".evi.'}' C_avrirots w'1( 1oe tort+rojed o i - j4e (151 plr∎ Sf ca, ho.rtierS (suc1■ as 5+raw bajeS j rte;tEivto ) covtcrets blocks avid s-fortes} art Site_ as ✓leede() 5. Stabilize Soils. 6. Protect Slopes. N/1/ 7. Protect Drain Inlets. /VA (no aroiA 'trje+5 eXi. -f) stormwater site plan template-rev.10/21/2008 8 • 12 Required Elements— Construction SWPPP(continued) 8. Stabilize Channels and Outlets. AyA +kefC at re ✓Lo eif or aiA+�e�S 9. Control Pollutants. 1 Tha r w i/ be n v �o111.4+zt 145 feA BS) "•r 7 i i s fro iea.+, 10. Control De-Watering (the act of pumping groundwater or stormwater away from an active construction site). \\N/4 -;�; (Prace∎- swill v+e1- he rleet.)eol pr I.{Sfcl 11. Maintain Best Management Practices(BMPs). 12. Manage the Project. �1 k1;s pt•jec+ w'IC% be rhaviage +ke properl- owner. 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). / r 1 /U no are f Q 5 :: %?au1 i A c)iSj-LA b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). 4' cd rutn a4f v0t- a�SOrO e) I) -P low t 2. 0014-ura slope .r kora-k t vi-ki re tke dra;,n,tsQ dl+ k ar-allal -t--b 10; 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. 'lease re4e.:c t0 sev✓t 0-4' tke " S+arwlwatet- Pln-n Subm-ch-4A ►ewk ubrnife, as Par" a axis 0111))rcaL°VI stormwater site plan template-rev.10/212000 9 • b. Description of special requirements for working in or near environmentally sensitive areas. /1/h1 M cens-+ruc+iovl will -t-a . place_ ou4-side o-F +1he rejuifcc) ? S ' bu-'fef- zone a��Ii4 v1 fio +he 5' se-1 bacl<, 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture, soil structure). 1 40 et0`�iatn prabiewl rect 9 rio"fec) 5. Construction Phasing. a. Construction sequence b. Construction phasing(if proposed) 41/4 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. Au5 1 — Sept 30 II. Wet Season Construction Activities. a. Proposed wet season construction activities. /I 0 tit€_ b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. Davtiel q Mica Fectail b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. Ay 4 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following, if applicable. a. Sediment Ponds/Traps. AtJ/4 b. Diversions. AJ/4 c. Waterways. Ar4 d. Runoff/Stormwater Detention Calculations /V/4 stormwater site plan template-rev.10/21/2008 10 A ie.jb ( , _ wis—, JEFFERSON OUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT _ D ' 621 Sheridan Street • Port Townsend • Washington 98368 f Ili $ 360/379-4450 • 360/379-4451 Fax ! �j U L I I 2013 Is �p• www.co.jefferson.wa.us/commdevelopment i LJ Master Permit Application MLA: JEFFERSON COUNTY DTP Qr CON16sUNITY rorLo"MINT Project Description (include separate sheets as necessary): New Gctraee Cce r5o Corda,'rlers) Tax Parcel Number: 6c*, 0311 001 Property Size: 10, 6 geceS (acres/square feet) Site Address and/or Directions to Property: ,29980 a, us 101 , er;.Znon , w14 983x0 Property Owner(s) of Record: Dante.I cl- i4licP F r la' Telephone: 702 - '1y9. 5/05 Fax: email: beget't vi, &5 Mailing Address: Po 6o,< /8`/ QuAcerc , WA 98376, Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address:_ What kind of Permit? (Check each box that applies ❑ Lot or Road Segregation Building ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 511,71 ❑Variance(Minor, Major or Reasonable Economic Use) C7 Single Family XGarage A ached ' Detached ❑ Conditional Use[C(a), C(d),or Ci** ❑ Manufactured Home .❑ Mcdula ❑ Discretionary"D"or Unnamed Use Classification • ❑ Commercial* ❑ Special Use(Essential Public Facilities)** Change of Use ❑ Boundary Line Adjustment ❑ Address ❑ Road Approach_ ❑ Short Plat** ❑ Home Business ❑ Cottage Industry ❑ Binding Site Plan** ❑ Propane ❑ Long Plat** ❑ 3iyn • - ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes" Use Consistency Analysis ❑ Plat Vacation/Alteration** ❑ Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination (SPAAD)* ❑ Shoreline Management Substantial Development** ❑Temporary Use ❑ Shoreline Management Variance ❑Wireless Telecommunication* ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium ❑ Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his, her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs, reasonable 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 acce and right of entry will be assumed unless the applicant informs the County in writing at the time of the application th, L,he or e w nts prior no' Signature: J 7 Date: 7- / - 13 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 Jefferso County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibi.y for adhering to omplying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 7- 7- 13 G:\PermitCcnter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 1 • • 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 e Ge Contractor for the proposed project. Signature: „12 �..bZ%'��`�l Date: 7— 7 " 13 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: X New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# _ D Demolition ❑ Other: Bedrooms: Water Supply: cart' cotrtainet Existing: Setback: C Private well ❑ Two Party osed: Type of Heat: Pro p ❑ Public Total: Ilk , 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: 1 Underground Tank I Above ground Tank Size of Propane Tank: 1 Heat Stove I Cook Stove 1 Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured f 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: 2n°Floor Heated Consistency Review: 2 2 tdj Other Heated — Base fee: Z L[,2 r�r c Mezzanine Additional Section: Heated Basement Plan Check fee: 209136 Unheated Basement State Surcharge fee: O ST ther Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks i Zq6 2 911/Rd Approach fee: �fl Other 4,600 TOTAL: $ rg Cl i. g l Receipt Number: � . Cash/Check Number: l'Li 3 .1.- ESTIMATED COST(REQUIRED) Date: -Fair market value of all labor and materials foundation to finish 45 CIAO ixcludeS I � Initials: r_ G:\PemvtCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc Jefferson County Building ision Permit Niter: BLD13-00215 Applicant: FERLAND 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 Z �y 9j Foundation Footing Framing Mechanical Systems �T V Miscellaneous welding Phi i FINAL INSPECTION io/'1/i5 G OR pet- ��►�a� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i • CONDITIONS for Building Permit# :BLD13-00215 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) The site plan as submitted with the storage/garage application on 7-11-13 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 7-24-13 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) Planner- CJZ 11firlamarklriafa\fnrmc\F RI fl Parmit Rldn mf 10/7!9013 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD13-00215 Received Date: 7/11/2013 SITE ADDRESS: 299802 HWY 101 Issue Date 10/2/2013 BRINNON, 98320 Expiration Date 10/2/2014 OWNER: DANIEL E FERLAND PHONE: 206-979-1076 ALICE B FERLAND PO BOX 184 QUILCENE WA 98376 SUBDIVISION: Block: Lot: TX 2 PARCEL NUMBER: 602034001 Section: 3 Township: 26 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW GARAGE; no water, no plumbing. Walls consist of cargo containers TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 25,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 4,600 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $322.00 MEB 07/11/13 142260 Exist: Exist: Plan Check $209.30 MEB 07/11/13 142260 Prop: Prop: State Building Code $4.50 MEB 07/11/13 142260 Total: Total: Total: $535.80 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 M \ u \-:_ ) \ X V.a....M.- r--.(2-"G‘--- Ai *R-Ltiv" -- ‘ V aAit C_ e-1- 6:_l___M- 5 1)(- 'nom IE, CEGVE0 i I JUL 1 1 2013 JEFFERSON COUNTY DEPT OF COMMUNITY DEVELOPMENT •