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Home My WebLink AboutBLD2014-00354 UILDING PERMIT APPLICATI BRLD94-003354 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00354 Received Date: 10/2/2014 SITE ADDRESS: 1598 SHINE RD PORT LUDLOW, 98365 OWNER: BRUCE T JENSEN PHONE: 360-620-0842 TERILJENSEN PO BOX 134 PORT GAMBLE WA 98364-0134 SUBDIVISION: Block: Lot: D PARCEL NUMBER: 721031022 Section: 3 Township: 27 N Range: 1E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW RV STORAGE/CARPORT SEP77-87 NO PLUMBING - NO HEAT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 11,652.00 ADDI: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 600 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: (Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $179.00 SRE 10/02/14 151608 State Building Code $4.50 SRE 10/02/14 151608 AP��®v l�D PROPlan Check $116.35 SRE 10/02/14 151608 V Total: $299.85 N0V 2 6 2014 Jefferson County DCL- 1ltidemark\data\forms\F_BLD_App_Bld.rpt 10/2/2014 • SON �, • • 4�w� co JEFFERSON COUNTY r— '' DEPARTMENT OFC J. rr.. ` ENT y'14 N 00 621 Sheridan Street I Port Townsend,WA 98368 I ab:wvrw.co.ieffer$on.wa.us... •• 'ti o.ment Tel:360.379.4450 I Fax:360.379.4451 I Email:dcf dbo.edersoU.m.us_ 14 "1 Building Permits&Inspections I Development Consistency Review I Long Range Pla min' j Wat rrsh:• Stewardship " e Center Master Permit Application I II SONCOUNTr . Project Description(include separate sheets as necessary): e" -fir!1 O"WMMI NITYDr1ELOPM T RV STORAGE CARPORT Tax Parcel Number: 721 031 022 Property Size: 1.25 (acres/square feet) Site Address and/or Directions to Property:1598 SHINE RD PORT LUDLOW,WA 98365 Property Owners)of Record: BRUCE AND TERI JENSEN , Telephone:360 620 0842 Fax: 3602977772 email: brute@jensenmedical.org Mailing Address: PO BOx 134 PORT GAMBLE,WA 98364 Applicant/Agent(if different from owner): Telephone: Fax: email. Mailing Address: What kind of Permit?(Check each box that applies Cl Lot or Road Segregation EIBuilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family IR Garage Attached/Detached ❑Conditional Use[C(a),C(d),oil C]** ❑ Manufactured Home ❑ Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑ Road Approach ❑Short Plat'" ❑Home Business ❑Cottage Industry ❑ Binding Site Plan** ❑Propane ❑Long Plat"" ❑Sign ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration*"' ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions'" ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑Shoreline Management Variance ❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 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: 5 SEPTEMBER 2014 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 ag nts for the sole purpose of application review and any required la •r insp- ions. Staff's access and right of entry will be assumed unless the applica informs the County in writing at the time of the application th.1t ors.-wants prior notice. 5 EPTEMBER 2014 Signature: 1111.'•••d• A, • - Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact u on one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined i 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 vi. . - - 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 corn. lance wit the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsi.g,for a. ering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: / /vA2�--•� Date: 5 SEPTEMBER 2014 07/24/2013 S ._� BUILDER STATEMENT ( I L-' The signer of this stateme does h:reby certify that they are the Owners of the parcel referenced herein,that they a � e C d-seetraWars and that they will be assuming thto ponsi.lity of the General Contractor for the proposed project. Signature: irEI _ A • .. Date: 5 SEPTEMBER 2014 ,`.t,II _ 2 2014 FAX: Y GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: (360 610 0642 ._ _ _ . 3688g7 7772 i . hi c-;u.i COUNTY MAILING ADDRESS: PO BOX 134 PORT GAMBLE,WA 98364 EMAIL: bruce@jenserYrrtz;c(tpal; wFlMIF, CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360600842 FAX:(360 29)7 7772 MAILING ADDRESS: PO BOX 134 PORT GAMBLE,WA 98364 EMAIL bruce@jensenmedical.org Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: GL--New .. Wood Existing: o H Sewer Additio131 Steel Proposed: 0 Bank i Community System -) Alteration/Remodel H Concrete Total: 0 Height: Individual System Repair' H Masonry - SEP Permit# - Demolition i7 Other: Bedrooms: Water Supply: Existing: 0 Setback: , Private well Two Party Type of Heat: Proposed: 0 _ Public N/A Total: 0 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: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace.nsert rehtO i evotS telleP i knaT retaWtoH i 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: 2 °Floor Heated Consistency Review: w Other Heated Base fee: 1 l 9' .c0 Mezzanine Additional Section: 19 , 60 Heated Basement Plan Check fee: i ' 03 Unheated Basement State Surcharge fee: I y •SU Other Unheated Perot Water Review fee: Garage/Carport 11,1„52: °_,cj\, SUBTOTAL /F c�� 3) � Decks 911/Rd Approach fee: .-5_ • Other • TOTAL: $ Receipt Number: 151 60?) Cash/Check Number: cc., ESTIMATED COST(REQUIRED) Date: i v/�/i 4 •Fair market value of all labor and materials foundation to finish I 2420 Initials: S e?-- i 07/24/2013 s •. � EOE V1! , JEFFERSON COUNTY , 1 I ocr2 2014 (4(-416, DEPARTMENT OF COMMUNITY DEVELOPMENT LLi.- i � I 621 Sheridan Street • Port Townsend •Washington 98368! JEFFERSON COUNTY N.q, 4 360/379-4450 • 360/379-4451 Fax ...DEPT.OF COMMUNITY DEVELOPMENT ._ http://www.co.jefferson.wa.usicommdevelopment/ Stormwater Calculation Worksheet \ MLA# PROJECT/APPLICANT NAME: 3V.....\) 1\-) E`-1 DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stomiwater 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 `.25 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 54 45(3 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 sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank,etc. sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway, parking, roads,etc. sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance sq/ft Cut • Fill (cu/yd) [over] • stormwater calx worksheet-REV.11/1/2013 • 1 lin.ECEOVIE1 Impervious surface is a hard surface that either prevents or retards the entry of watersoil antle as under natu •nditions prior to development. A hard surface area which causes water to run off the surface inuarti ora nease• e of flow from the flow present under natural conditions pqqrior to development. Common impervi u url aces include, ut are not I` d to roof tops, walkways, patios, driveways, parking lots storage areas, concrete or asphalt n , travel roads, packed earth:& • aterials, and oiled, macadam or other surfaces which si darty impede the natural infiltration of stt rmwa er. JEFFERSON COUNT/ "'-^T nr rn inial IAllry nrlrrr nournrr- STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 0 sq/ft Structures(all roof area) 24\O sq/ft 600 ( Sidewalks sq/ft Sidewalks sq/ft 't is 180161a0n Patios sq/ft Patios sq/ft �p O Solid Decks sq/ft Solid Decks sq/ft ;7tt5Ttrail, (without infiltration below) (without infiltration below) COUGR Driveway,parking, roads, etc sq/ft Driveway,parking, roads, etc 4C2P sq/ft ,D(4e -}C) our ease. Other sq/ft Other sq/ft ►nnperrittF3� S Total New sg/ft Total Existing 2690 sq/ft �uY ia� b V-0 TOTAL NEW+TOTAL EXISTING* _ sgift "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 su -ce above by the size of the parcel and convert to a percentage: .056% Does the site have 35%or more of xi. in• impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is es, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Re• irements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this jun•ure, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DUD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who mu-t comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not requi -d. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from le- ing the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) B =t Management Practices (BMPs) Packet. Proponents of"medium" projects—those that must meet only Minimum Requirement #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Sto water Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Compl>e the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-.y-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 affect-. .roperty. (LAN OW E R AUTHO-. E.REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL_ MEDIUM_ LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormweter celc worksheet—REV.11/1/2013 - e45O" `'o� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT g9 � rN ? Date: // `- Time Received: / `(7 am/41, Mon. Tue. Wed. 46181P Fri. 7 Date: 1 / ~,S BLD: /y— 35-ii. . 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O SA TI Q 2 1 A ' �� l' N3 r F a a IN zo IQ °z .. A._ o Id J Cn ,:?„ ' ' q 5`s ^� I^� 7 N N Q 3 3 "c ...- r' GO o.$ s o ]W t [10 gRE O �O Z , 1 aZ _ r.t RSgR ...a Co wm V ETO Suito C•18521 Highway 99•Lynnwood,WA 980:"7-3161 ,i Check After Doing Site Plan: ©'Se tic and drainlield CT-Lot size .1 _ Everett:(425)258-4171 Puyallup:(253)840.9552 ®:roperty dimensions -[7-Se er lines-- D,,EElevation of prop. Administrative Headquarters: (425)743-1555 ®Existing buildings rOe backs of proposed&existing buildings lia Bodies of water // � FAX: (4251742-4378 Tot Free: 1-800-824-9552 �G-C.•J �1��2E'eYaroposed building M in road with name f..l•Floorplan Contractor's LIE.N:TOWNCPF099LTD/ r)/Ac Qua ity:Our Flaw Depends On IC" Easements -7- n rAets�s to proposed building 0-Slopes&Contours(5'111.1- Quality: 5'Ing. • Job Name: J e SEN t RJ —CP _ r1�.1 Job Site •••"dress: s • • f 0 ��4 0 3 1 a r!. 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All i . i I ^ham �µ i 3�` 1, -- 7 �-. 4 I . t W T6. SitiAlE ` N� _-moo-,9 r;-, TO Nkv lo�lZ'� r ToC1ErN ? u.) 1 t 1 s r I n�C7 -NI IC�rc�mc� tJ E .r- I • i I, I I,t I: DO NOT SIGN INCOMPLETE SITE PLAN! 'iiii- Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all White-Customer C,rpy White-Office Copy utilities are shown on this drawing in the correct locn.... "7 r�� / CUSTOMER SIGNATURE ' '- C>Y"�.-lh` !/a"^"- -- -:' LEAD# I IIIIII II'II II ',-.4i:' \ ©1995 Perma-Bill Industries FR.34 6/07 -1 0 • I r 1`' eS UO !) j lif' fi 0 C P a 1 - i_ -1 -ii NI D4 Ji HHh re o ti ...l 0 ;-;---2 L _, -(-. , ..__y.) ,, . . 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TN J k� W 0Q 7q r \ _ j < _K w 1 OUl— 00� / IUm .1 I, N_i ,z V NOISN31410 NOISN3WI0 / 'fif NOISN3W1a / s dA IW1� rca \ \` U z • To a�Y gz ZI f� .y \\\\w{{11JJN 4 z Ns} LLQ O Z _ \`r tO J I J Q � KI y L- z ~ W �NQ I _L p! 00 W QJ Q N / z' ,J\ 111E w 7 d O§o D. _ « %-f) a� D0, _DN w 1LLu a~ W / W IU IL_ N f] w �,b z� K W o ls UU X Izzw _ N o Nc-- O % f--1 f_O H V .-ks I Z soa d� TiN—WQ LL VW �O 1� I`U, ��o Si/ N "E m ' iO - I W `sl , O of 9 T � o se� LL� Z LL g ONzp�_i�' 0 E-. ` �1tn "§')µ1 0 b �J 7 J / tn�t��c�y- �4 >W z� I—1-i �zd OZL Ir-~� ZZF I Q\tn LWE.LL�J 1 LµVI 0I * c Y z d¢� I F—QffiU ‘.)ti )/ j j \ OK OW ' O ��JL 0;3u11 0 B 4 i , z KQ 1.5))_1111) yyyF..._N9 IJ1Y QK Q � S pX m JJL 3 Z * Is.9 I LLQ tio F~ mmZN : kg 1I�, 3 , 3 3 , <O >x LLUa�a1�Q \\ i ) T , / Oa iL W� N�R B:O g / o I trl \ / I o ` a � i / N all Z O o 1 �y 1Eos Q@ 10 N 2 kif Q LTi J dS ` I 7 o p 7 iJfM p1'1 OpOz L O '! 1 0 s a Standard Conditions for Resideal Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightne s of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in heig t from the finished grade, excepting when such lighting is an irtegral part of a building or structure. Gr and level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screen ng shall meet all applicable performance and development standards specific to the district in which the s orage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk(or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for,the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice this permit does not excuse the applicant from complying with of ier local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: The project shall adhere to t e Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. MPs shall address permanent measures to stabilize soil exposed during construction, and in the desi and operation of stormwater and drainage control systems. 8. NOTICE: This permit does not exc e the proponent from complying with of er local, state, and federal ordinances, regulations, or statutes pplicable to the proposed development, ut consistent with RCW 90.58. Development pursuant to this permi shall be undertaken subject to the applicable policies and performance standards of the Jeffer on County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeolo ical significance is uncovered, all activity in the immedi:te area shall be halted, and the Administ ator shall be notified at once. The Federal Endangered Species A t rules to protect threatened Chinook an Summer-run Chum salmon became effective on January 8, 200 . Bull trout have been listed as threaten d since early 2000. Under the ESA, any person may bring law-uit against any individual or agency that"takes" listed species (defined as causing harm, harassing, or dam:ging habitat for the listed species). In addition, the National Marine 2013.03-07_SFR_StdConditions 3/7/2013 1 Fisheries Service can levy pities. Portions of Jefferson County, inc ng marine waters, are included as "critical habitat' for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle!) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06 SFR StdConditions 9/6/2013 2 V • Design Criteria for Splashblocks A typical downspout splashblock is shown in Figure 3.1.7. In general, if the ground is sloped away from the foundation and there is adequate vegetation a-id area for effective dispersion, splashblocks will adequately disperse storm runoff. If the ground is fairly level, if the structure includes a basement, or if foundation drains are proposed, splashblocks with downspout extensions may be a better choice because the discharge point is moved..away from the foundation.Downspout extensions can include piping to a splashblock/discharge point a considerable distance from the downspout, as long as the runoff can travel through a well-vegetated area as described below. The following apply to the use of splashblocks: • 1. Maintain a vegetated flowpath of at least 50 feet between the discharge point and any property line, structure,slope steeper than 15%, stream, wetland, lake,or other impervious surface. Sensitive area buffers may count toward flowpath lengths. 2. A maximum of 700 square feet of roof area may drain to each splashblock. 3. For purposes of maintaining adequate separation of flows discharged from adjacent dispersion devices;the vegetated flowpath segment for the splashblock must not overlap with other flowpath segments, except those associated with sheet flow from a non-native pervious surface_ 4. Place a splashblock or a pad of crushed rock(2 feet wide by 3 feet long by 6 inches deep) at each downspout discharge point. 5. No erosion or flooding of downstream properties may result. 6. Have a geotechnical engineer or a licensed geologist,hydrogeologist, or engineering geologist evaluate runoff discharged towards landslide hazard aA eas. Do not place Splashblocks on or above slopes greater than 15% or above erosion hazard areas without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and approval by the Local Plan Approval Authority. 7. For sites with septic systems, the discharge point must be downslope of the primary and reserve drainfield areas. This requirement may be waived i.`site topography clearly prohibits flows from intersecting the drainfield or where site conditions (soil peuneability, distance between systems;etc) indicate that this is unnecessary. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-15 I • hou• Roof downspout • 1111111% serves up to 700 sf. Of roof ....;,,111, 11 ...1,1111 I 111111 ip - 50' min. 11 Vegetated flow path 4 ......,111111....... li ii I c Splash € € y block I11'11 - -t _ -- Downspout extension NTS {'- Splash block Figure 3.1.7-Typical Downspout Splashblock Dispersion Vc :one III-Hydrologic Analysis and Flow Control BMPs-August 2012 3-16 • • 7131103 DEPARTMENT OF COMMUNITY DEVELOPMENT ADMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion 1. Roof and other interceptee precipitation shall be routed to on-site detention ponds andfor other approved me:ns and allowed to be released to the soil slowly. 2. Water collected from stor water and roof catchments may be used for watering lawns and gardens. Unle•s catchments water has been treated to meet drinking water standards, there sh.Il be no cross connections allowed between the potable supply and impounded w-. er. 3. Ground water withdrawn f om each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fi ures such as low flow toilets, faucets and shower restrictors and other wate saving plumbing fixtures. 5. Landscaping should inclu.e xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soake hose systems and root irrigation. 7. Use water basin techniqu-s to water plants, shrubs and trees. 8. Routinely water deeply a d less frequently. 9. Weed control is an impo ant part of water conservation. 10. For your landscaping sel:ct drought tolerant plants, shrubs and trees stay away from heavy water consumers. 11. Limit the amount of irriga ed lawn. 12. Mulch your garden as well as isolated plants, trees and shrubs. 13.Use shade and windbrea s to assist in water conservation. 14. Use low flow water close s, showerheads and water conserving dish and clothes washers. 15. Use rainwater catchmen i systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving ,Ievices such as low-volume toilets and plumbing fixtures. 17.Only 400 gallons per da or less should be pumped from all exempt wells in Seawater Intrusion Protection Zones (SIPZ). 18.Water softeners that co ribute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spig opts)for outdoor water use should not be uded in SIPZ. [end] PLEASE NOTE:THIS LI`T ISA WORK IN PROGRESSAND MAY HAVE ADDITIONS 1 DELETION- MADE AT ANY TIME. USE CURRENT LIST. Parcel Details Page 1 of 2 • t f Jefferson County �� Weather Staff+ '-- Database Tools Ma _... Webcam Home County Info Departments Search Parcel Number: (721031022 SEARCH Parcel Number: 721031022 Printer Friendly Owner Mailing Address: EOE V E BRUCE T JENSEN TERI L JENSEN PO BOX 134 !! OCT _ 2 2O1, PORT GAMBLE WA98364-0134 JEFFERSON COON Site Address: DEPI.OFCOMMUNITY DEVE OPMENT 1598 SHINE RD PORT LUDLOW 98365 Section: 3 School District: Chimacum (49) Qtr Section: NE1/4 Fre Dist: Port Ludlow (3) Township: 27N Tax Status: Taxable Range: 1E Tax Code: 0231 Planning area: Paradise Bay (8) Sub Division: Assessor's Land Use Code: 1100 - Residential - Single Unit Property Description: SUNSET HAVEN SHORT PLAT LOT D LESS R/W Tax, AIV, Saes, Photos, and Permit Data Dlpq Data Map Parcel i•lats &Surve s Septic Monitoring Info Jefferson County HOME I COUNTY INFO I DEPARTMENTS I SEARCH 10/ Best viewed wish Microsoft Internet Explorer 6.0 or later Windows- Mac http:i/www.co,j efferson.wa.us/assessors/parcel/parceldetail.asp?Parcel N0=721031022 10/2/2014 Cases Associated with a Parcel Page 1 of 2 • • Jefferson County Nis._ etVlagcaila Home County Info Departments Search Cases Associated with Parcel o: 721031022 This may not be a complete listin• of information that exists for this parcel. There may be other information pertinent to he property on file. Please contact the Department of Community Development for a•ditional information. *Parcel Tags Case Number BLD11-00.49 z. Description NEW DETA HED GARAGE - UNHTD, NO PLMB Last Name JENSEN (' Received Date 9/12/2011 1.191 2_ Sr + No Images Case Number ADR10-00009 t 1 3Qj �q Description 911 t, Last Name JENSEN `I Sq_�-r Received Date 2/10/2010 �7 No Images Case Number BLD98-00207 • Description propane tank and fireplace Last Name ROGERS Received Date 4/9/1998 No Images Case Number USR97-00081 Description Last Name ROGERS Received Date 9/16/1997 Images Case Number OTH94-00313 Description Sunset Haven, lot 4 Last Name WOODSIDE CONSTRUCTION INC Received Date 11/3/1994 No Images Case Number SEP77-00087 http://www.co.j efferson.wa.us/commdevelopment/ppquery/cm.asp?value=721031022 10/2/2014 Cases Associated with a Parcel Page 2 of 2 • • Description EES 06/27/08 Last Name ROGERS Received Date 7/13/1977 Images Case Number SEP77-00087 Description EES 06/27/08 Last Name ROGERS Received Date 7/13/1977 Images Case Number SOM77-00087 Description Last Name ROGERS Received Date No Images @ arsonCounty HOME I COUNTY INFO ( DEPARTMENTS i SEARCH d' Best viewed wi.h Microsoft Internet Explorer 6.0 or later 40 Windows- Mac http://www.co.jefferson.wa.us/co development/ppquery/cm.asp?value=7.1031022 10/2/2014 Sally Ellis Subject: Bruce Jensen Start: Thu 10/2/2014 10:00 AM End: Thu 10/2/2014 11:30 AM Recurrence: Weekly Recurrence Pattern: every Thursday from 10:00 AM to 11:30 AM Organizer: Sally Ellis Name of Appt person: Bruce Jensen Phone Number: 360-320-0842 Name of Property Owner: Parcel Number: Address, if applicable: 1598 Shine rd Application for Rv/Carport. Project: (NSFR, SPAAD etc?) Is there a pre-app? Case Number of Pre-app? SPAAD? Zoning case number of SPAAD? 1 lei Front Parcel Review • B1-hj.-OG 3IV S Parcel 721031022 Printed: October 8, 2014 BRUCE T JENSEN Site Address(es): TEM L JENSEN 1598 SHINE RD PORT LUDLOW,WA 98365 PO BOX 134 1670 SHINE RD PORT LUDLOW, WA 98365 PORT GAMBLE,WA 98364-0134 I 1662 SHINE RD PORT LUDLOW,WA 98365 Parcel Number: 721031022 S-T-R: 3-27N-1E Total Acreage I Legal Description SUNSET HAVEN SH• T PLAT LOT D LESS R/W Land Use: 1100 Flood District: Fire District: 3 Planning Area: 8 Flood Map(FIRM)Panel No: School District 49 Zoning: RV, �J COMP PLAN DESIGNATION: V,(� 1`+ COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property ( NO [ ] Parcel Tags or Scanned Documents YES CA[ ] ESA's: Special Reports (�) NO eren fern [ ] Designated Ag YES [ ] Shoreline Designation: YES [ ] Shoreline Slope Stability: ieb NO 5.-1. gb/,L Stream Type:YES Ti) FWHCA: YES Wetlands: YES e Rare Plants:YES Seismic: YES ti'/ Landslide: YES triN ,r .i c f Flood: YES NS Erosion: YES 0 ',i Aquifer Recharge Area NO S C- SIPZ: none At Ris oasta r, MC - I i / CMZ: High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: CSNo [ ] Forest Lands: YES NO [' Adjoining Forest Lands: NO Commercial/ Rural/ Inholding [ ] Mineral Lands: YES [ ] Agricultural Lands: Y S N [ ] Archaeology: YES 4115 [ ] No Shooting Zone: YES [ ] Stormwater: New Impervious Surface (9O6SO-and Disturbing Activity Q ESA's Stormwater Req's:Min Reg#2 Mi-t Req#1 t6ru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES 0 MRL YES NO Forest Lands YES NO1 [ ] Landscaping Required: Yes lNo [ ] Parking Spaces Re. -'red) 2 Other I- 1 Building Height: l� UBC Standard [ ] Impervious Surface coverage percentage: Resource Lands&Public: 10% Rural Residential: 25% Rural IndustriallUDC Sec 6.7 Rural Commercial: 60% a of Building Coverage:60%in Rural Industri ds only [_ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to se tic&water constraints/None specified [ ] Setbacks: Front: 5 / Left Side: S' Ri t Side: , Rear: j Shoreline Setback: 1 J(4 _0E ')Cee# 20(K dark. -'t_f- LSHA Setback: $J [ ] Road Classification: C r\u' Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES _ [ ] Flood Certificate: 1J/A [ ] Existing Case(s)&Condition(s): ��-tJ� J I-�_ } 6 (A( Violations: Yes To [ ] Recorded Date of Subdivision: Dec_moo, )?35AFN 3$ J 12-'5 Over 5yrs=UDC Plat Conditions: kl , <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrict' e Covenant YES submitted: YES NO [ ] UGA No Protest Agreement YES 10, submitted: YE NO [ ] Site Visit conducted YES tl [ ] Require Final Zoning Approval • SCD- [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES Title Notes Updated Parcel tags found for parcel 721031022 1.) WSRC Coaching- 2011-07-27,CZ 08/23/2013 Other Cases Associated with APN 721031022 Review Cases Name Type Status Planner ADR10-00009 JENSEN F Application Received: 2/10/2010 Permit Issued/Case closed: Case Finaled: 911 BLD14-00354 JENSEN P Anna Bausher Application Received: 10/2/2014 Permit Issued/Case closed: Case Finaled: NEW RV STORAGE/CARPOKI SEP77-87 NO PLUMBING -NO HEAT MLA11-00200 BLD11-00249 MLA11-00200 JENSEN I F David Wayne Johnson Application Received: 9/12/2011 Permit Issued/Case closed: 11/9/2011 Case Finaled: 2/16/2012 NEW DETACHED GARAGE-QRRTD, NO PLMB OTH94-00313 WOODSIDE CONSTRUCTION IN P Application Received: 11/3/1994 Permit Issud/Case closed: Case Finaled: Sunset Haven, lot 4 BLD98-00207 ROGERS F Application Received: 4/9/1998 Permit Issu d/Case closed: 4/9/1998 Case Finaled: 4/22/1998 propane tank and firep ace SEP77-00087 ROGERS F Application Received: 7/13/1977 Permit Issu d/Case closed: 7/13/1977 Case Finaled: 8/4/2008 EES 06/27/08 SOM77-00087 ROGERS RCR Application Received: Permit Issu d/Case closed: 10/11/2011 Case Finaled: USR97-00081 ROGERS D Application Received: 9/16/1997 Permit Issu d/Case closed: 9/25/1997 Case Finaled: l\tidemark\data\forms\R_Parcel_CRMLA.rpt 10/8/2 14 Page 2 of 2 IND BLD14-00354 IUILDING PERMIT APPLICAAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD14-00354 Received Date: 10/2/2014 SITE ADDRESS: 1598 SHINE RD PORT LUDLOW, 98365 OWNER: BRUCE T JENSEN PHONE: 360-620-0842 TERILJENSEN PO BOX 134 PORT GAMBLE WA 98364-0134 SUBDIVISION: Block: Lot: D PARCEL NUMBER: 721031022 Section: 3 Township: 27 N Range: 1E CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW RV STORAGE/CARPORT SEP77-87 NO PLUMBING - NO HEAT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 11,652.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: 600 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $179.00 SRE 10/02/14 151608 State Building Code $4.50 SRE 10/02/14 151608 Plan Check $116.35 SRE 10/02/14 151608 Total: $299.85 \\tidemark\data\forms\F_BLD_App_Bld.rpt 10/2/2014 •• wso` `O., JEFFERSON COUNTY DEPARTMENT OF COMMOra; j =t/r` ` ENT 9r �or 621 Sheriden Street I Port Townsend,WA 98368 j Web iw .co.jefferson.wa.usw. . . =opment y1 °O Tel:360.379.4450 I Fax:360379.4451 I Email:dcdaco.jeffersolt.wa.us Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship - r e Center Master Permit Application I MIE,PatS0riiCOUNTY Project Description(include separate sheets as necessary): n'��'"' i1M110 '�t0°MEN( RV STORAGE CARPORT Tax Parcel Number: 721 031 022 Property Size: 1.25 (acres/square feet) Site Address and/or Directions to Property:1598 SHINE RD PORT LUDLOW,WA 98365 Property Owners)of Record: BRUCE AND TERI JENSEN Telephone:3606200&42 Fax: 360 297 7772 • email: bruce@jensenmedical.org Mailing Address: PO BOX 134 PORT GAMBLE,WA 98364 Applicant/Agent(If different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation BBuilding ❑ Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑Single Family B Garage Attached/Detached ❑Conditional Use[C(a), C(d),or C]*` ❑ Manufactured Home El Modular 0 Discretionary"D"or Unnamed Use Classification O Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use ❑ Boundary Line Adjustment El Address ❑ Road Approach ❑Short Plat** ❑ Home Business El 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 El Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** El Temporary Use 0 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: 5 SEPTEMBER 2014 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 o Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required la r 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 th ors wants prior nctice. 5 SEPTEMBER 2014 Signature: Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential'i ake"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 vi. - - he 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 corn.lance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsi. r for at ering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 5 SEPTEMBER 2014 07/24/2013 . 4110 • BUILDER STATEMENT /J�C__, The signer of this stateme does h' reby certify that they are the Owners of the parcel referenced herein,that theyae•noH�sedeeak ov rs and that they will be assuming t sponsi lity of the General Contractor for the proposed project. Signature: Date: 5 SEPTEMBER 2014 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: • _ _ FAX: (360 62/0 0842 - - — (360 297 7772 MAILING ADDRESS: PO BOX 134 PORT GAMBLE,WA 98364 EMAIL bruce@jensenmedical:org j'- r.,; „Fi nof,�r CONTRACTORS LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE (360 00 0842 FAX:(360 247 7772 MAILING ADDRESS: PO BOX 134 PORT GAMBLE,WA 98364 EMAIL bruce©jensenmedical.org Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: Q.-New • = Wood Existing: o = Sewer Addition 4 Steel Proposed: c Bank 7 Community System 2 Alteration/Remodel = Concrete Total: 0 Height: = Individual System Repair' '2 Masonry - SEP Permit# - = Demolition = Other- Bedrooms: Water Supply: Existing: 0 Setback: 2 Private well = Two Party Type of Heat: Proposed: o Public Total: 0 N/AName of System: If this is a Commercial Prosect 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: Underground Tank Above ground tank Size of Propane Tank: Heat Stove Cook Stove Woodstove Fireplace .nsert rehtO i evotS telleP I knaT retaWtoH I Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bid App Review: 2n°Floor Heated Consistency Review: ") • Other Heated Base fee: 11 .CSC) Mezzanine Additional Section: I . 60 • Heated Basement Plan Check fee: I t (0,-31- ,31- Unheated Basement State Surcharge fee: 4 .SU Other Unheated Pot Water Review fee: Garage/Carport I` SUBTOTAL t a5. , (�/C1 j(452-72./ �P c� Decks 11/Rd Approach fee: .-1:5— Other TOTAL: $ Receipt Number: 16160b Cash/Check Number: cc, • ESTIMATED COST(REQUIRED) Date: i nl2_/I 4 -Fair market value of all labor and materials foundation to finish 2420 Initials: SC— 07/24/2013 III • . • I7=1 Cl ' OVIEi II 1111 ��go 0�� JEFFERSON COUNTY !i �, f GCi — 2 ?171; rz DEPARTMENT OF COMMUNITY DEVELOPMENT j j u! L 621 Sheridan Stre t• Port Townsend •Washington 98368 JEFFERSON COUNTY �.1/�, 4.O 360/379-4450 • 36 1379-4451 Fax DEPT.OFFCR".P:"UNITYDEVELOPMENT _ ktN0` http://www.co.jeffe son.wa.us/commdevelopment/ Stormwater Calculation Worksheet 1 �./v` \ M_A i# PROJECT/APPLICANT NAME: 39,...\)C v, S C-'v 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 informa ion will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE] Size of parcel .25 acres 1 An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 54 45 O 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 lant species, other than noxious weeds,that are indigenous to the coastal reg ion of the Pacific Northwest and which reasonably caul&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 fe ,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 conve-t a acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes No Well, utilities,etc. sq/ft Does the project convert 2%acres or more of native vegetation to pasture? Driveway,parking, roads,etc. sq/ft Circle: Yes No Lawn, landscaping,etc. sq/ft I Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance A6 sq/ft Cut Fill (cu/yd) Per 51+e- ?lA 1\ that CAuurc''k,. [over] A f s ex ts411 stormwater talc worksheet—REV_11/12013 1 I CCE. OWE � Impervious surface is a hard surface that either prevents or retards the entry of water into-the soil mantle as under nature nditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or-a9an increase ra a of flow from the flow present under natural conditions prior to development. Common impervious surfaces include,but are not II it d to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving;gravel roads, packed earths materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW //��QV�1 EXISTING • Structures(alt roof area) KLsq/ft Structures(all roof area) L�1© sq/ft boo Sidewalks sq/ft Sidewalks sq/ft is (eotn80 Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft 1 Nt-1 (without infiltration below) (without infiltration below) Co.. C_R Driveway,parking, roads,etc sq/ft Driveway,parking, roads,etc 442P sq/ft •D(At -to ottE4, Other sq/ft Other sq/ft itr♦PQW1� Total New sq/ft Total Existing 28 )D sq/ft e;%-•Y4ac� .)11010b \2b TOTAL NEW+TOTAL EXISTING* 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:percentage: •OSI.0% 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 affe -. .roperty. U,., t►,/u�G � �? ` � 20\4 (LAN OW ER RAUTHOE. 'EPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwator Site Plan: Yes_ No stormwater wlc work.rleet—REV.11/12013 .. , • • . L C C) P r. -- f 0 0� C. 73 c, i /'I _ � J m C' O Iu"unU' VN T ` I O T T V V ( , V zo n Ntn z. z fffir r N � � - r n r, c �' r � r--) 7H.3, N, n r� C(,, lJ V .--- Oce- V Ei\\._ �_�1 • Suite C•16521 Highway 99•Lynnwood,WA 98337-3161 P�__le��4e Check After Doing Site Plan: ['S ptic and drainfield Lot size # Everett:(425)258.4171 Puyallup:(253)840-9552 Bt11 t'operty dimensions -a-,ewer-lines---" [ Elevation of property - - Administrative Headquarters: (425)743-1555 ® xisting buildings IT' etbacks of proposed&existing buildings O Bodies of water FAX: (425)742-4378 Tall Free: 1-800-824-9562 �ty o��2 [i�',r6posed building © ain road with name l�-Ploorplan Contractor's Lie.k:TOWNCPF099LT O`Easements PD'"Access to proposed building aSlopes&ContoursQ(5'infra Quality:Our Furore Depends On It.TM TT jEN( Rv-(,/&RT Job Site dress_: -://676 541 JE g0 Job Name: �] /� /�, Legal Description: .1 (f i' Lu DLo L.I ( W Y S-'xis.. Tax Account#: —Ili V NJ tT Ft_ pc- _ ) 7fZA W thlat 0.e, rpseEt, 'Fdl. 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I ` 5- 1 I I . s +-. - 216 • S$1 /Alt y 55 - y to41—.t'- s %+ (01Zip I . k 1 t � - ,Q ' STbRM WA- ce. , - E.- —T--% T ; ip 'P1r0 o.ck r ' 0o "i/ Iirvei. c-t 7-06161-- moi W 0,44 )ST I N C if • / '.,-.. I 1• 11 %. 1 I.( DO NOT SIGN INCOMPLETE SITE PLAN! Customer has verified and approved the location of-the-building,orientation of the buil.ng to the North,and verifies that all White-Custom r Copy White-Office Copy utilities are shown on this drawing in the correct loo-. '.n. .. /_7-7-.-;-::31 1 • CUSTOMER SIGNATURE � /-. + . \.. ..- LEAD# I IIIIII VIII III ''// l ©1995 Perma-Bilt Industries FR-34 6/07 y 1 0 . Map Output Page 1 of 1 ArcIMS HTML Viewer Map 2,11_1 .3; Shme Rd 167." Legend 1c 2 _4 Selected Features JC_Roads Parcels-H 110111 It 2 n101 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. 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Airport CPF di NPR-VMge Carter II AP 1:20 - c -- -- - _ - R oral Mirage Cooter ■ Resource Dame me Lent Induelru•• MPR Raorta ion _` _ _ Waste None CPI _ C __ .•_c IJP Cmasoaes-GG . _ ji CreesroaesiCC . in Crosaeaes-NC ■ AL 1:20 UGAiUrbarl Downier-4 UGA-LI Mao Lent 000 rep MSE.rV..hxl a:.C'cavr Cure Ccna Scr<cs C.lS 0 2Y?h LI GA NOR OGA-IIOR ii UGA•PoPec U GA-LDR U GA.Neaor Onenteo Commerca. MPR- RN Brannon C F-MIR LO Comrrteul Foran N moral Resource Overtay FOR INFORMAl1ONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this nap is limited by the method and accuracy of its collection. Fri Oct 17 14:07:17 2014 http://gisserver/servlet/com.asri.esrin ap.Esrimap?ServiceName=ovmap&C1i9ntVersion=... 10/17/2014 Map Output Page 1 of 1 I ArcIMS HTML Viewer Ma 1 11o•n Fr •,- 11111111111 344045 w 6213440'•' 'N p�.n;a 621344055 "" E2•i1-0071 . I ,. Shine Rd ` 11.1 iral Cl1 r 1 i r-- . v r Legend 721031020 1103102$ Selected Features 4 .7rX **.r JC_Roads ��_ � 721031** Parcels+i T_`___-Jrir, SIPZ J e'.031022. ARSPL . Hyh Arz[StP2 72103102• n /21031018 I 72.100100. 9/11*tildS.) oeoon.mrssonaa 91P2 711031019 n Coastal SW/ 721031*. 111 72103101 i triztoli, A Al.=,'aa.dal s.-Ntr:m Cosri Come Se-nom GIS FOR INFORMATIONAL PURPOSES ONLY efferson County does not attest to the accu acy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in thi- map is limited by the method and accuracy of its collection. Fri Oct 17 14:07:07 +014 http://gisserver/servlet/com.esri.esri ap.Esrimap?ServiceName=ovmap&C1icntVersion=... 10/17/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map re 82'3440'8 e 3L•I§l<lo-l6 m 92'11'10!yl ,MN 81 L i44USS I Y.L'1l•1.'L[ 3 2 Shine Rd '( ` Y, r2•rn.•.�1 Legend Selected Features JC Roads Shoreline Slope Stability b'+ I I Imarola LJLneminRorenl Landsiar stable Old Landsiec ❑ uaddmd 72'03'CC I �ros'r:i IL 12'03 071 :ra:ded>r_krecri Carr,Cara Se cc. GIS FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:06:48 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&C1ientV ersion=... 10/17/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map Pr 824344017 N I Sp 704 c , , 821344018 g . a2a34404 Iw , 1 821344019 821344080 ia 921344012 f_ I 8213440S4 ' • •' ) : \ 1 821344056 1 82134402'4 i -- ---- — / '`,. 1 --'7.—Mina Rd L __....________ ,,. i) ,--- ... ._, ,,, ,___ _ __ 1 , , ___ \ \ _ , 71031027 , Legend 2: 721031020 , 721031028 I Selected Features ---lk, L I 0' JC Roads--- 721031009 _ . 721031029 Parcels-H ! 721031004 • -., . Critical Aquifer Recharge 1 7 — 72031 Areas 1 1022 1 1 I 1!.. Su V s•CmUNS 721031021 I 1 I 1 (721031018 I 721031001 i 721031010 0 SARPA•susc 721031019 ______ 1 7 su. 1 1 • 11 CD SARPA .... 1 \I 7 SARPA.UNA 1.. , 721031014 1 721031046 - I I --- .• 721031032 11 ,/ -----,_ 1 721031013 -.,. , •,. I I A .... ---- 172103101,1 ill 144,..xclecled,,,...eatrul Curti Ce-r..3 Suve,-,GIS 0 2301t 1 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:06:29 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 10/17/2014 1 Map Output • Page 1 of 1 ArcIMS HTML Viewer Map 821344017 R c ; 8213440,8 I 1:',,'4t}• 32''244045 t'. l 821344019 N 82/344050 J 821344012 i L_ - 8344054 1 62'34403 1 f �j $211440222 __ 3hM Rd -_ 4 721031027 T 1 Legend Li721031020 7 1031028 tiSelected Features ~ JC_Roads — 721031009 , 721031029 721031004 Parcels al -77----7--- III ri Erosion Hazard ��! 721031022 � le.,yn3 721031001 i721031010 +2'Ci31018 — L 72I' 1014 1721031016 721031002 t_--- I . I A 721001013 (72103.0.•• 0 II I FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:06:23 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=... 10/17/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 821344017 9c r - {821344018 E J+ -` t �' J , 821344019 yy 82`344050 / 1 821344012 1 / 13 '34405413 '3440541344l ,� i 821344022 / 82+3440% 721031027 c — Legend 72l03102s Selected Features t'.L- 721031009 o JC_Roads J 721031029 .tal ., Parcels-H ?�� -y �- Landslide Hazard - 721031022 I _.. � sines 721031027 Omit 721031018' I 721031001 721031010 Moderate 721031019 __ i Sipnt , j -,.,I , 7211'131014 f 721031e'- I N .1031011 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:06:10 2014 http://gisserver/servlet/com.esri.esrirr.ap.Esrimap?ServiceName=ovmap&ClientVersion=... 10/17/2014 Map Output . • Page 1 of 1 ArcIMS HTML Viewer Map 821344017 II N sRrc, I c 71 821744018 IY• J 631314045 021344019 4! 821344050 it 821344012 L i82U44054 821344056 821344022 ;' said Rd — ---- _. -- 1071027 _ Legend 721031020 103102$ i a Selected Features co I — --I n1071o09. a ..7 .JC_Roads Parcels-H 031029 '720310141 �`�+`'"-i. a Seismic Hazard 1 � 1031022 I I !21031021 I � 721031016 I 721031001 1721031010 721031010 .--- 721i,.1014 / 721031016 ! F .111 -_ 73,03,002 i ' 721031017 121031011 11sr.,J:bxl::_e-c.,i Co.rry Ce-r..1 n,:ce-,GO 0 _ 271.'441 FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:05:57 1 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=... 10/17/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map _ 82134401 7 ya }R 70i.w ti 821344018 Z ;- 021344045821344019 a 821344050 ' 134401 i L li 821344054 821314056 62134402 1 / f–II -71--Z Shine Rd l 1031027 1 F--- ! j � ! Legend 721031020 ( 103102116 Selected features H 8 1eR. JC Roads n,o3,aoy ', 1031429 Parcels-H 8,031004 I ■ Wetlands 11 031022 74'.1'_.6• 121031018 721031001 $721031010 1 721031019 -- _ f 1 I i I 721 1014 rno3,4,6 721031002 jjj - 1 721031013 721031011 is .cam GAS o 230th FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accutacy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:05:47 2014 http://gisserver/servlet/com.esri.esr' ap.Esrimap?ServiceName=ovmap&ClientVersion=... 10/17/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map 821344017 41 a S 7 040 �.821344018 1 i Q. � !121344043 _ t , .!821344019 ''-�_a 821344050 i! 821344012 ' 821344054 , J --�-� �', 821344088 621344022 i C4C ,/ \ 771031021 c `��-- ---` \ 'a Legend 721031060 J,� 7'1031028 � �1 .-------_ CI Selected Features �~ ! i-, SvB 721051609 ' ,ti/ JC Roads 1 1tIXi1 Parcels-H Sal 721061004 T—T-- i Soils-H 7 1031022 /r ■y • T"" \ 44 1 J +1,0310184`---_ j 721031001 f'- / 721031010 ,2/031019_ f Ii 1 72133101 �...-�- �•. 1721031016 -'�' _.�` -��M1o31000 1!il `_� .� 721a610111y 4 `- ------. 2-.3011--.Z!..., FOR FOR INFORMATIONAL PURPOSES ONLY Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:05:24 2014 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&C1ientV ersion=... 10/17/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map _821344017_.. 1 ¢ sp 704 c • 821344018 1 i' CI 821344045 I 621344019 821341050 j 821344012 L _1 621344054 .11 021344022 l , _ I/ l 7 1031027 r CC. 4 Legend I 721031020 721031028 1 ` ^ Selected Features — 721031009 �,✓I JC_Roads 72103/029 Parcels-H 721031004 DNR Water Bodies ( 721031022 • F ! i 1 1 I 1-1- ! N 721031021 7210310W 721031001 1721031010 6 1 721031019 _ _ ,j,.,.,.: No DCf9^m_ I — I , 721031014 1721061016 721031002 721031013 1721031011 I I IIIIIrIII FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:05:14 fl 2014 9 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=... 10/17/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map 8213/4017 N cc 821344018 E e2•i1•ialb m 1' -. win 821344019 y 82134405._ .. _ -. Shine RJ I 21::-.14: y G 1031027 ___ Legend y,�" ''' '1031Qffi. i L A Selected Features 721031009 g JC_Roads a 031013 —113 Parcels-H Parcel TaOs+i cz 031022 n Na Spacul Rapan El Soccoi Ropon I 721031021 .dr.... 721031018 . 721031001 - m•:,- 721031018 &' 1 f (X3I7C' I 1721031016 'N - 721031002 r jjj '� i 7210310131 Jt 721031011 11x.rao:doa,:-c+ir:rri Cwri Cc ra::c':ccs GS 0 -_._._ FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. 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' / / 1' l 1 ' 621344064 1 f i t + 821344022 j1 '', �"�- �, t i I 821 3444:e6- _ 1 1 } r i 1 l 4 tI 71--4 _: _Salina R4 L �� r.'ti �. it, `4 '� it , ,_/` ----- - \ ., -. c Legend � 'rz106f02D , tl ~ E Selected Features ra Sl ` - ' % S \ 1 S .- T21031009O JC Roads s _ 721031020Y ` , rz1931aoa•-_. 1 Pa cels M _ __��1 f \ Contours rrio316? t .� 10 Foot Contour 50 f oot Contour +2.1031021---� ! r21 t /_ �- 031001 1 1 \ �., 721031010 �—rn03f018� �. `721031019 -+--.... \ % ` \ ,.` IN I \ \ 1 t !'F ~1 !Z4Q31014 ,J i 16 '� ! __ 721x31002 l , 111 ( ) , i ( , 7210310..3 Vsr.rc,.&%1 v.-a?cui Car,Coca Sr.an GAS 0 _ FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:04:47 2014 http://gisserver/servlet/com.e sri.e srimap.Esrimap?ServiceName=ovmap&C lientV ersion=... 10/17/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Map ' 821344017 ,` 'j I 704„ B21344018 1 i' 41 8213045 , 621344si•s� a 8221344050 821344012 821 --II 821 3441:154 1 821344055 321344072 1 , I , J Shine Rd ---L'- t .._ y ti 721031027 ----- a; Legend 721031020 721031019 -- - € L Selected Features 1- q. JC_Roads rno3tao9 3 ✓ 1 721031029 Parceis+i 12,03,004 -" - j----- --�—, iNNlls-Chloride IIi �nto3toY2 1 dao er ass * between 1ocand 2oa n,o3,ao1 72i031010a000r"�" rz=o3tola' j 721031019 — .;— _- I 721031014 --_ -- 721031019 721031002 --____ *721031013 I Mae>uxlei c.. .u::Leas Sev:., FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri Oct 17 14:06:37 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=... 10/17/2014 • • S • • sf n3. gaa• gas PN :_g K TIS^'n - € ^ m gig • nor'e . I - mF n 2g0ifno ',1Acc maaolz _ pq sia R > $igE 4,,yo �§ RW "_ •, - 10 0- I. — a viz1.5, 2 Xo 4g.§. $<og n6E n F 24 F u N— o " 888 — � K r (NW 1/4 3- 27N - IE) A •721031025 i LOT 3 078 a IA Q Z C .. 0 e pO0 -1 z .O2 0 N y C Q �� e? co „ y N 'Ss'. g , —I $.,� 4F Ti- O ° R h C g, X90 ss �` LV a eA;1 rm 2 _ R -1 ,i Nl I D ! *,us I IIm \ \ rs` »wawT wne \ `� �Om -V P :O V 4rcei��1 1 Wo R l - I B 04Y J A 'er°«aee 18 e30A [nm tan ele 8359 .1.. - 1 .. o 121.78 Lii, y a iSSUNSET RAVEN 1 >"0• P 8 113.00 _-- V T - P. FIN CD 4 Oti o • moo mni oo �6e a. m O e N 0 o 0 a0 (f) • SHORT PLAT z r zoo 1. 0 n `V Ym== o 0M a n= i. Z N y 512.00 M1e 1 b LONGMIRE 2111.88 36498 a •+. o »moue mo_ w - mope "°. y; T 0.0 L0w6e/ L 9ai1ce3eOTa0 SHORT ; '` r. 7 PLAT rn O 141.86 2)4)0 n (NW 1/4 2- 27N - 1E) 0, m s_ NJ '`l, X --1 ( ) Z p G) P1 m = v m A s� 04 71 ij 0 0 o g v u w e N y . N $ g a om fl z e • • e • SPUoL3rcly/ o '" C- )a _ It A2 0 $ m = ux7es w'a 1qw Etl 9 G < / #`\ YF 4 J x II r ' 1" y 0 r t.� O N H _ D '2•:'1..04E ` x<: ,road Page 1 of 1 • ! w► ADDRESS INFORMATION FOR 1598 SHINE RD ROAD NUMBER:C505409 ROAD NAME:SHINE RD ADDRESS:1598 APT: REAL MILE POST: 1.59 R APPLICANT:BRUCE JENSEN ADDRESS CREATION DATE:02/24/10 PARCEL:721031022 LEGAL:SUNSET HAVEN SHORT PLAT LOT D LES R/W GRID:I-5-L FIRE DIST:3 ZIP:98365 POSTAL DISTRICT:PORT LUDLOW PLANNING AREA: VOTING DIST: CEMETERY DIST: HOSPITAL DIST: SCHOOL DIST: WATER DIST: SITE LONGITUDE:122.65421 SITE LATITUDE:87.86654 SITE COORDINATE TYPE:PARCEL CENTER-MAN AL ACCESS LONGITUDE:0 ACCESS LATITUDE:0 MODIFY DELETE ADDRESS NAME SEARCH REPORTS http://isserver/Address/RoadAddress Ietail.asp?ROAD NUMBER=C505409iADDRES... 10/17/2014 • Standard Conditions for Resider. Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be cesigned 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 completon shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is P 9 g 9 9 encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitay hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk(or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-.ite parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consi.tent with JCC 18.40.130& 140. Notice: this permit does not excuse the applicant from complying with of er local, state and federal ordinances, regulations or statues, applicable to the proposed developm-nt, but consistent with RCW 90.58. Future development beyond that specified in this permit shall r-quire further review. • 7. BMPs: The project shall adhere to th• Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. B Ps shall address permanent measures to stabilize soil exposed during construction, and in the desig and operation of stormwater and drainage control systems. 8. NOTICE: This permit does not excu .e the proponent from complying with other local, state, and federal ordinances, regulations, or statutes .pplicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jeffer-on County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development .f the site an area of potential archaeological significance is uncovered, all activity in the immedi.te area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species A.t rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 200 . Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring laws it against any individual or agency that"takes" listed species (defined as causing harm, harassing, or dam.ging habitat for the listed species). In addition, the National Marine 2013-03-07 SFR StdConditions 3/7/2013 1 Fisheries Service can levy poIties. Portions of Jefferson County, idling marine waters, are included as "critical habitat" for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet(1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take"and describes the possible legal consequences when a "take"occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06_SFR_StdConditions 9/6/2013 2 !, • . Design Criteria for Splashblocks A typical downspout splashblock is shown in Figure 31L7. In general, if the ground is sloped away from the foundation and there is adequate vegetation and area for effective dispersion, splashbloeks will adequately disperse storm runoff. If the ground is fairly level, if tl e structure includes a basement, or if foundation drains are proposed, splas blocks with downspout extensions may be a better choice because the discharge point is moved_.away from the foundation. Downspout extensions can include piping to a splashblock/discharge point a considerable istance from the downspout, as long as the runoff can travel through a ell-vegetated area as described below. The following apply to the use of splashblocks: 1. Maintain a vegetated flowpath of at least 50 feet b een the discharge point an. any property line, structure, slope steepe than 15%, stream, wetland, ake, or other impervious surface. Sensiti e area buffers may count to and flowpath lengths. 2. A maxi.. of 700 square feet of roof area may drain to each splashbl.ck. 3. For purp.ses of maintaining adequate separation of flows discharged from adj.cent dispersion devices, the vegetated flowpath segment for the splas"block must not overlap with other flowpath segments, except those ass.ciated with sheet flow from a non-native pervious surface. 4. Place a s plashblock or a pad of crushed rock(2 feet wide by 3 feet long by i inches deep) at each downspout discharge point. 5. No erosi o n or flooding of downstream properties may result. 6. Have a g,otechnical engineer or a licensed geologist,hydrogeologist, or engin ring geologist evaluate runoff discharged towards landslide hazard ar as. Do not place Splashblocks on or abov slopes greater than 15'Y or above erosion hazard areas without ev uation by a professio al engineer with geotechnical expertise o a licensed geologist hydrogeologist,or engineering geologist, and approval by the Local Plan Approval Authority. 7. For sites with septic systems,the discharge point mist be downslope of the primary and reserve drainfield areas. This requirement may be waived if site topography clearly prohibits flows from intersecting the drainfield or where site conditions (soil permeability, distance between systems;etc) indicate that this is unnecessary. Volume III—Hydrolog.c Analysis and Flow Control BMPs—August 2012 3-15 • hoif" Roof I I I :::::: I ............. downspout t h serves up to E... 700 sf. Of roof ..,.„� .,.........,. III nnnn II 50' mm. v:::::.....::::::: Vegetated t ............. flow path I .... ,,�„�....,.. Splash € € gli \ block t..-.... -_ ty -- Downspout extension NTS ,+ Splash / block Figure 3.1.7-Typical Downspout Splashblock Dispersion ------- . :ame III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-16 • 7131103 DEPARTMENT F COMMUNITY DEVELOPMENT DMINISTRATIVE WATER CONSERVATION MEASURES LIST To Promote Aquifer Recharge and Prevent Seawater Intrusion 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from stor water and roof catchments may be used for watering lawns and gardens. Unle-- catchments water has been treated to meet drinking water standards, there sh.11 be no cross connections allowed between the potable supply and impounded wa er. 3. Ground water withdrawn f •m each property should not exceed a rate of three (3) gallons per minute. 4. Install water-conserving fi ures such as low flow toilets, faucets and shower restrictors and other wate saving plumbing fixtures. 5. Landscaping should inclu.a xeriscaping and native vegetation with minimal amounts of irrigation. 6. Use drip irrigation, soaker hose systems and root irrigation. 7. Use water basin techniqu:s to water plants, shrubs and trees. 8. Routinely water deeply a • less frequently. 9. Weed control is an important part of water conservation. 10. For your landscaping set:- t drought tolerant plants, shrubs and trees stay away from heavy water consumers. 11. Limit the amount of irrigat-d lawn. 12. Mulch your garden as wet as isolated plants, trees and shrubs. 13. Use shade and windbrea s to assist in water conservation. 14. Use low flow water closet., showerheads and water conserving dish and clothes washers. 15. Use rainwater catchment systems that corral rainwater from manmade surfaces and into storage. 16. Install water-conserving evices such as low-volume toilets and plumbing fixtures. 17. Only 400 gallons per day or less should be pumped from all exempt wells in Seawater Intrusion Prote tion Zones(SIPZ). 18.Water softeners that con ibute salt to groundwater through infiltration should not be used in SIPZ. 19. Hose bibs (outdoor spig• s) for outdoor water use should not be used in SIPZ. [end] PLEASE NOTE:THIS LIS IS A WORK IN PROGRESSAND MAY HAVE ADDITIONS DELETION' MADE AT ANY TIME. USE CURRENT LIST. • Jefferson County Building Division Permit Number: BLD14-00354 Applicant: JENSEN 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 days 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 ///5/6 9/ MH Foundation A)/jA // Framing N/5AS PER lti,c6 SPECS- Septic System Finaled 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 1//5/15 W FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • , CONDITIONS for Building Permit# :BLD14-00354 1.) The project shall adhere to the Best Management Practices (BMPs)to control stormwater, erosion and sediment during constructibn. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 2.) This approval is for a building permit for a new RV storage/carport only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 3.) The site plan as submitted with the building permit application on October 2, 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 October 20, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 4.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 5.) MANDATORY MEASURES OF HIGH RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 6.) MANDATORY MEASURES FOR HIGH RISK SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a quali ying alternative system may be used as pro f of potable water or an individual well may e used as proof of potable water subject to he following requirements: a. Variance from Chapter 173 WAC s ndards granted by Ecology per WAC 173-1 0- 106 for a new groundwater well within 1 0 feet of a sea-salt water intrusion area per WAC 173-160-171 (i.e., within 100 feet of a g oundwater source showing chloride concentrations above 200mg/L or within 100 feet of the marine shoreline); or for an existing or proposed groundwater well not subject to an Ecology variance, applicant must provide evidence through a hydrogeologic assessment(relevant components of an Aquifer Recharge Area Report per UDC 3.6.10.e)of a reasonable probability that the subject aquifer will not be degraded by the proposed use of well. b. Installation of a flow meter. c. On-going well monitoring for chloride concentration. d. Submittal of flow and chloride data to the County per monitoring program. 3. If public water is unavailable, a qualifying alternative system may be used as prof of potable water. 7.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices(BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 8.) AWB 9.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health.Additional requirements may apply if plumbing is proposed. \\tidemark\data\forms\F_BLD_Permit_Bldg.rpt 11/26/2014 _ I • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD14-00354 Received Date: 10/2/2014 SITE ADDRESS: 1598 SHINE RD Issue Date 11/26/2014 PORT LUDLOW, 98365 Expiration Date 11/26/2015 OWNER: BRUCE T JENSEN PHONE: 360-620-0842 TERILJENSEN PO BOX 134 PORT GAMBLE WA 98364-0134 SUBDIVISION: Block: Lot: D PARCEL NUMBER: 721031022 Section: 3 Township: 27 N Range: 1E CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW RV STORAGE/CARPORT SEP77-87 NO PLUMBING - NO HEAT TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 11,652.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: U-1 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: 600 CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: CON WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $179.00 SRE 10/02/14 151608 Exist: Exist: State Building Code $4.50 SRE 10/02/14 151608 Prop: Prop: Plan Check $116.35 SRE 10/02/14 151608 Total: Total: Total: $299.85 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