HomeMy WebLinkAboutBLD2007-00133 BUILDING PERMIT APPLICA N M Review T0156
Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00133 Received Date: 3/28/2007
SITE ADDRESS: ( 5 CAPE GEORGE RD
PORT TOWNSEND, 98368
OWNER: S JHON PALMIERI PHONE: 360-385-7432
12 MEDITERRANEAN ST
PORT TOWNSEND WA 98368
IRVING PARK ADDITION
SUBDIVISION: Block: 35 Lot: 1+
PARCEL NUMBER: 963303501 Section: 17 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: RICHARD BERG ARCHITECTS PHONE: (360) 379-8090
719 TAYLOR ST
PORT TOWNSEND WA 98368
PROJECT DESCRIPTIOI NEW ADU W/A/G 250 GAL PROP TANK (REPLACING EXISTING 120
GAL TK)
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADU MAIN: 1,237
VALUATION 90,000.00 ADD'L: HEAT TYPE: PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: 5N GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CITY
BEDROOMS: BATHROOMS:
Exist: 0 Exist: 0
Prop: 1 Prop: 1
Total: 1 Total: 1
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
Permit $923.75 LYK 03/28/07 89662 APPROVED
Plan Check $600.44 LYK 03/28/07 89662
State Building Code $4.50 LYK 03/28/07 89662 MAY Zs 2007
Potable Water Application $58.00 LYK 03/28/07 89662 Jefferson County Planning
Total: $1,586.69 &Building Department
• •
CONDITIONS for Building Permit# :BLD07-00133
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on May 8, 2007 for the potential presence of Environmentally Sensitive
Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an
initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Susceptible Aquifer Recharge Areas and Special Aquifer Recharge Protection Areas.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special
Aquifer Recharge Protection Areas and the following land uses located within Susceptible
Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural
Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All
Rural Residential Land Uses with nonconforming uses that would otherwise require a
Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential
Developments (6) Unsewered residential development with gross densities greater than
one unit per acre. All of the above listed uses shall be subject to the applicable
requirements and standards of the Jefferson County Unified Development Code.
5.) 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.
6.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington 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.
7.) The applicant is proposing to create or add 4966 square feet of impervious surface and
8050 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the
project applicant submit a stormwater plan meeting Minimum Requirements #1 through #5
of the Department of Ecology Stormwater Management Manual for Western Washington.
The stormwater plan shall address measures to control stormwater, erosion and sediment
during construction and shall address permanent measures to stabilize soil exposed
during construction, and in the design and operation of stormwater and drainage control
systems.
8.) A Stormwater Site Plan for a medium project has been submitted and approved by the
Department of Community Development. Once the subject permit has been issued the
applicant shall fully implement the provisions of the submitted plan and contact the
Jefferson County Department of Community Development to arrange a schedule to
inspect the property for plan compliance. A Certificate of Occupancy will not be issued
until the Department verifies plan compliance. No clearing for roadways or utilities shall
occur on the project site until clearing necessary for the installation of temporary
sedimentation and erosion control measures have been completed.
9.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i).
10.) The site plan as submitted with the building permit application on March 28, 2007 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 May 8, 2007 shall be resubmitted for
review and approval by Jefferson County Department of Community Development.
11.) This approval is for an accessory dwelling unit, a detached garage and a shop 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.
12.) Outdoor residential storage shall b aintained in an orderly manner and shall lite no
fire, safety, health or sanitary hazard.
13.) 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 autormobile 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 requriements 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.
14.) Minimum setbacks from the edga of Cape George Rd right-of-way, Mediterranean St
right-of-way and any ingress/egress easements shall be 20 ft. Minimum side and rear
setbacks are 5 ft.
15.) Lighting fixtures shall be designed and hooded to prevent the light source from being
directly visible from outside the boundaries of the property. The intensity or brightness of
all lighting, during construction and after project completion shall not adversely affect the
use of surrounding properties or adjoining rights-of-way.
16.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the
finished grade, excepting when such lighting is an integral part of a building or structure.
Ground level lighting is encouraged.
17.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
18.) The building height is not to exceed 35 feet.
19.) A minimum of four (4) parking spaces are required for the single family residence and
accessory dwelling unit (ADU).
20.) This parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Plan Land Use Map effective August 28, 1998.
21.) A septic permit (SEP93-00186) was finaled on June 6, 1996 for a 3 bedroom system. A
septic permit (SEP06-00302) was approved on Novemner 1, 2006 for a 2 bedroom
system.
22.) Cape George Rd (C622808) is a minor collector. The road approach is existing and an
address of 65 Cape George Rd has been assigned to the parcel.
23.) A building permit (BLD96-00205) was finaled on June 12, 1996 for a new family
residence,
24.) This parcel was created through the Irvin Park Addition under AFN 337104, filed of
recorded December 26, 1990 in Volume 6 of Plats at Page 144 with Jefferson County
Auditor's office.
25.) The proposal is to develop across separate parcels. Setback requirements will not allow
for the development to span over lot lines. For the purpose of meeting bulk and
dimensional requirements and minimum land area, a Declaration of Restrictive Covenant
has been recorded under AFN 517127.
26.) A MINIMUM OF 10' MUST BE MAINTAINED BETWEEN DRY WELL AND EDGE OF
DISPOSAL COMPONENT.
27.) PRIOR TO OCCUPANCY OR BUILDIGN FINAL, FINAL APPROVAL OF SEPTIC
SEP06-302 IS REQUIRED.
28.) 10' SEPARATION REQUIRED BETWEEN A WATER LINE AND ALL PORTIONS OF
THE ONSITE SEWAGE SYSTEM; EFFLUENT TRANSPORT LINE, TANKS,
TREATMENT AND DISPOSAL COMPONENTS.
29.) No plumbing has been reviewed or approved for the detached garge (BLD07-00134) or
the shop (BLD07-00135) by Jefferson County Public Health. Additional requirements may
apply if plumbing is proposed.
30.) MUST MAINTAIN BUILDING SETBACK TO RESERVE AREA.
Jefferson County Building Division Permit Numb. BLD07-00133
Applicant: PALMIERI
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that 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 3/fl1b8 8N FH
Erosion Control
Foundation Footing
3//i/q s
Footing Drains t Z _. i.D�
Foundation Stem Wall .Z Doop-s a. /
Underground Plumbing /o/al �M
Under Floor Framing �7
Straps(hold downs)
Ext. Shear Wall Nailing '/
Rough-in Plumbing ///
Framing
Blocking
Airseal
Insulation:Walls
Insulation: Floors
Insulation: Ceiling
Int. Shear Wall Nailing
Wallboard Nailing
Gas Line: Interior
Gas Line: Exterior
Propane Tank
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted
FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
4I1trl 6
M,g6 774-/344'
•
• BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD07-00133 Received Date: 3/28/2007
SITE ADDRESS: 65 CAPE GEORGE RD Issue Date 5/31/2007
PORT TOWNSEND, 98368 Expiration Date 5/31/2008
OWNER: S JHON PALMIERI PHONE: 360-385-7432
12 MEDITERRANEAN ST
PORT TOWNSEND WA 98368
IRVING PARK ADDITION
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 963303501 Section: 17 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NEW ADU W/ A/G 250 GAL PROP TANK (REPLACING EXISTING 120 GAL
TK)
TYPE OF WORK RES SQUARE FOOTAGE
TYPE OF IMP ADU MAIN: 1,237
VALUATION 90,000.00 ADD'L: HEAT TYPE PRO
CODE EDITION: 2003 HEAT BASE: HEAT TYPE: RAD
OCCUPANCY: R-3 UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: 5N OTHER: SHORELINE:
CONST TYPE: GARAGE: SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL: ALT
WATER SYSTEM: CITY Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $923.75 LYK 03/28/07 89662
Exist: 0 Exist: 0 Plan Check $600.44 LYK 03/28/07 89662
Prop: 1 Prop: 1 State Building Code $4.50 LYK 03/28/07 89662
Total: 1 Total: 1 Potable Water Application $58.00 LYK 03/28/07 89662
Total: $1,586.69
Directions to Site:
SEE DIRECTIONS & MAP IN FILE
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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE ATTATCHED
A-gON c° W JEFFERSON UNTY •
,( ,...1 DEPARTMENT OF COMMUNITY DEVELOPMENT
`'C 621 Sheridan Street • Port Top W, tQ t g
360/379-4450 • 360/379-4451'Fax P.,," ''t -' ,r 11
.1,, N0�0 www.co.jefferson.wa.us/commdevelopment
Master Permit Application MAR 2 8 2067 MLA: 0'7 - 156
Project Description (include separate sheets as necessary):
New &DU (.4 VI' IIINIV II['
Tax Parcel Number: 7� 33 0 1 Pros ze:rty `�7 l i S
/ (acres/square feet)
Site Address and/or Directions to Property:
_ GASP& t-e b , Pv�2r TowNsr J63 r iv 98268•
Property Owner(s)of Record: 5 • 34•+o N PALl1(ER-1
Telephone: 38S _7gf32 Fax: email:
Mailing Address: 12 HET,1TE R.i - tJ E stkl AU poR T h W NS S£1.31), w^ IS 3 6 E
Applicant/Agent(if different from owner): j C'.i CL4.4f'd D r1
Telephone: 3/49( - SO 10 Fax: 1 email: hi Glk4rd(n('eckariel(oer
oi
IVlailing Address: 11 q `(`a tf I o t-- S (-• `�v e-F 'row S'<K dOw W 4. q �3 6 lit r'ei�i e GMT_
What kind of Permit? (Check each box that applies
Building 0 Variance(Minor, Major or Reasonable Economic Use)
❑ Demolition Per it ❑ Conditional Use[C(a),C(d),or C]**
Single Family (P PO ) 0 Garage Attached/Detached 0 Discretionary"D"or Unnamed Use Classification
❑ Manufactured Home 0 Modular ❑ Special Use(Essential Public Facilities)**
❑ Commercial* 0 Boundary Line Adjustment
❑ Change of Use 0 Short Plat**
❑ Address 0 Road Approach 0 Binding Site Plan**
Home Business 0 Cottagelndustry 0 Long Plat**
Propane 0 Planned Rural Residential Development(PRRD)/Amendments**
❑ Sign ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions**
0 Stormwater Management 0 Shoreline Management Substantial Development**
❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment
0 Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment
0 Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request
*May require a Pre-Application Conference **Requires a Pre-Application Conference
Please identify any other local, state or federal permits required for this proposal, if known:
Te.- rI 1 -Rer DESIGNATION OF AGENT
I hereby designate 1u 7�-Ce.t'c` �( to act as my agent in matters relating to/this application for permit(s).
OWNER SIGNATURE 5. } / ���
Date: ( o3-
By signing this application f ,the owner/agent attests that the information provided herein,and in any attachments, is true and correct to the best of
his, her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet
may result in this permit being null and void.
I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and any required later inspe o . Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the ap icati nat he or sh s prior notice.
Signature: - LOIADate: 3 12-57 tq___
The action or act ns pplicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered speci d could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this
permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfeSle r p bility for ad en g o and complying with the ESA. The Applicant has read this` c imer and signs and dates it below.
Signature: _ Date: } /6
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• 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*awning ?esponsibilitY.p1t e GeQteral Contractorl for the proposed project. 2
Signature: 1p Date: 3 (2� /b
GENERAL CON OR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: ,ci l../i-g 3QI J,(4.c PHONE (%i ) 7�'Jtj edFOFAX: ( )
MAILING ADDRESS: 1(9 Ta (or Sr fp (.um 5e MAIL
Project Type: France Type: Bathrooms: Shoreline: Type of Sewage Disposal:
XNew )(Wood Existing: 0 ❑ Sewer
❑ Addition ❑ Steel Proposed: I Bank ❑ Community System
❑ Alteration/Remodel X Concrete Pt 9 Total: ( Height: ❑ Individual System ��
❑ Repair ❑ Masonry SEP Permit# No^ .3 02-
0 Demolition ❑ Other: Bedrooms: Water Supply:
Existing: a Setback: LI Private well L.I Two Party
Type of Heat: / Proposed: Public ,•,,(
propwNe/rtcdraKr Total: ( Name of System: C/ ' a
five-r Yr•T•
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants (includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Tank X Above ground Tank Size of Propane Tank: 1160 ey-k• 2
i Heat Stove )<Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove )d Other �1
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 properly
lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only Amount Revision
Main Floor Heated (231 'cri5 4 EH Bld App Review: s 00
2nd Floor Heated Consistency Review: ` tS1)
Other Heated Base fee: q Gyn5
Mezzanine Additional Section: ms--
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
Other Unheated Pot Water Review fee: i c 2 '
Garage/Carport SUBTOTAL `�
Decks /111/ d Approach fee: I
Other ` TOTAL: $ (qq (pq
Receipt Number: Sq lr7tia
Cash/Check Number:
?rDet
ESTI TE-D-GOST-(REQUIRED) a 7 I-10 Date:
jFair 2a t value all labor nd materials foundation to finish 2 �_
`SWt;(,/O vll Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 12-19-2006.doc
• W VI ,II
if , . c .t., JEFFERSON COUNTY MAR 2 8 2007
ti �y M DEPARTMENT OF COMMUNITY DEVELOPMENT j�{(�
621 Sheridan Street.3 Port Townsend •Washington 98368 J FFEI SIIk 1:OtiN 1 I U ��
http:37/www.co.jefferrs/onmmdevelopment/
STORMWATER SITE PLAN SUBMITTAL TEMPLATE
MLA# 07—I Sp PROJECT/APPLICANT NAME: D 1N FCL I p 1'e r I
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 ifffffs0N COUNTYorp
1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the
site ma • ()co- act s t f-c O.re- an tl.r1 re 5ide.tcc.
w%'44, oJ+o cke.d w e pf v-a- 1 4 eav-e.( olrt'v Le c- a 41
J�4�►- r t d i C pp �e na h �o t�- ftiarr. , e sd of ••tiAG p rO ezr
Propo5.eat (AA protKrrk-colt-s (‘nc.L t' aiA. A •P•U.• ! srttiaU sin.opl arLa o.rol
o.#- "I"(^t h o r t-Iti.-r Ilk 4K d w i{t. o. "AAA) of r)`u-e wo..� coas'.
Existing Conditions Summary - r oo.c9,
2. Describe the existing topography. Indicate contours on the site map.
7Zce si k 1(op¢ r dot,.,n 'fru Med9t'krrawvea-ti Aoe o..+ ko soc.ri-kAALA erJ.
T 1A-6r f oc tt,e 5(1-c is rcto�fit.;.ty fta+1 drop )er cf4' o. coup!,
-ta as cor,'s 1'1''1 9 s wa-/e a_'F f .a we s f-e,n edit' o, 1 A
3. Describe the existing vegetation. Indicate native vegetation a reason the site ma . /
The W fA-o I e ? O r i-tke.rui Lr-t- i 5 a.vis G JlRG o f ► .eLle v*-t.
ve c,+a+ie h I IA/i-6,k o. v►1i X %1 f►r1 kentiIocic/ cw.4 a(d-cr trees Q.�.
V�A i"i Vet U A cl 4".lo Y'ti S o Wt �C t S 1�n a l,.o e r /�t o.w-f-l.� r`�rM A
4. Describe the existing soils. Indicate soil type on the site map. 1
joi t Ioc( S irtd;co. Driet&ori ( .j Loatrt..y sa4&c3 ci - Si fly Loch
� Lt P 4 -1"Z" ov-.r (,�a.K/ e rs O L J f,o4.r& /s a.t&oQ aIv.a9 c-t' ! Scksettl.
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.
I�a+t r s a a k S e S o i l . se i f nn.:q ro.fe S a t at,It i f-
wou fd &toVe +oward +Cu -5 mu a��' (i-e jest-err1 tdq e o
pro per 'Cy .
6. Describe any excess levels of noise generated by the proposed use or activity:
i k tt. ( lac $oMS Y\oiSe A J LAl1'T1A. L,Jflacl Wtr.rkt J
°`S in "tie-e v w 5 I•No p_. APPROVED
STORM WATER PLAN
stonnwater site plan template.Uoc—rev.10/122003 MAY - 8
007 5
JEFFERSON COUNTY
Ei•T.OF sf�U�N�t.TY�p�V rAl
SIG:ATURE` 1' r _ Ymni--
• . v'
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.
•
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.).
-11,.t /J i i (s t't.to.c -t't-t Six c-f-t'o►1 ocr Cape Geo rc PRa
t iccortcry R-oa..0 tzkic.L. bofh support nvtin.or- of e(-4-1, " trallec,
(<oa� S. T1-t\ Surrovrd tnq prti1e-r't+A j S LI f`t k. 114-0Lit. o.r Ito
C ot t& ari 1.cc.A AAA. to. ,
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.
g. 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.
T,e 4.,g o d fort S fir v c-f'i a 71 t - i(1 14-o f 5.9 r1.14,'c au1.tt e k am e.
s c'f"t.. rAff o (o 11 o t ikt" 't Q.a-� 'f-fit a�d ct f'i d� I M.peri/(o uS
SurFwC.e . Pnoc wrtI be .vlly disper,ed fGt•ro e dry w,t!/s a�dL
swi-(•c LAS1 c�, wr6t a(,nct dotkwa. r'v&oc.E `M t'� ek"ct�s�`l
Ko- /rea Stf .
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.]
ti/A .
11. Describe the performance goals and standards applicable to the project / ,
To -Pal(y d i S pc/'S-e/l ew roar aitd d n'vte�,a..� rtd4 7'1C trv,- 4.4 /c .
12. Describe the flow control system.• city wt(15.
-r9 ine5 from roar co//edic-„,o-n (9otlS f71
• 5 a..Uow SGva-k e. c(.oc.wA h.,%/ rcalye o glrr've wa .
stormwater site plan template.doc-rev.10/122003 6
• •
;_R E ,E �U 1. )1
13. Describe the water quality system.
AR 2
/J (A
A R C 's 11 t ;
14. Describe the conveyance system analysis and design.
N/4
15. Describe the source of fill material,physical characteristics of fill mafieerial,and deposition of excess material.
Very Hitt F1/( tti e -c.SS Ma -2 cv-i if /it✓oft . A-Gf
-bpi ld%h4S evit slab -on -9.'lad 0 err, ,-t.(ahUe ty litre( $t•
/.
F/'/I rated erd c.ri It b'c San al or Pea_ 7,-ntuAel 6,1►ry c l0c41 cup
arLe5S "a kw:a.Q c.,;tI be Sto?le ad 49->A. Ait`t.
16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the
Uniform Building Code.
�i l l s k k u he esr> - a_efei lib qv% d('fit•ox,'n.ti d e.4 s.-- ,
as ate- cr;13-eA jA If47 011c 33i 3. J..
17. Describe the proposed surfacing material.
< L'Shco" r`O64- %
18. Describe methods for restoration of the site.
TA" fv a.ic fa:., 4.xi s A-y •
_es a -cif 6,4c1-tA brvs4 a.s 1i&oc4
as os S:d sC f ct 5/'de -A b ..s-o/ e' redo sfytVou f e O frce (Ie;sfzr�bcol
di-i e A r�s dur q 6'.1 1 st 9 ra.4.r.,9 . P-e o(4-4 :'- e :f A rt 4 f/LAC ro P.o,I cvrn��
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. /
/v lA-
20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan.
Sty Sepftc Desi7.t ac s-
oil G.rS.
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. //
PaS e, O Sc �Yr/h. k�/lien? Pero* r 7 (J afSer% Co)
- Pre'r Pe. rni,'f iLreFfiv3^, -,,
skkmmater stte plan template.doe—rev.10/12/2003
7
•
R-EC
HIVIke1 f
CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) tin 2007
The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the .•• *canLity!•+i
template that follows must be installed on the ground during all construction phases of the project. The proporB ,t •' i �}t`
preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Cons •rmwa
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 section 2.5.2 of the Manual(beginning on page
2-15).
12 Required Elements—Construction SWPPP
1. Mark Clearing Limits.
Glea Li4A 1s t,J1•G/ b.e ram.a.r`eacl t v 124 SA GS
and S✓r yor5 ' -hipe
2. Establish Construction Access.
COYlSf5-vc/iv Acce SS G✓ // h-t Via per4't44eS.1
drivcwa- .
3. Control Flow Rates.
lNi cto n-o1 ped is 7 u4 &iiL/ /i-e C14.41 bur 4.c..e-
F-j.9c. ' Ch it Corl. s(BYO cft.ares. •
4. Install Sediment Controls. e �[
GJt. /o S ae a 5''/f �ence p✓' S�i►�i ('a✓ Sed i4.teit, Cast TYa/
r•�r 142 o d a 7` fke /t et e rt d o F -f1(-; t role)&Pei/ see/lc
ict'e ke-e, Se c/:M a t i 'Ya,44 -fret of/ r r' q Fv 1'tir t A o w�.
�4t PXi'ff:i•3 ra��ll „St.ua.Q.c �J
5. Stabilize Soils.
TA-VW et, c n o Urs s f a U(e so, /S tryt *Cs p
6. Protect Slopes. is
7-hUt¢. aim Yt-o slopes sY erbeC !D, Cost h-ac4b.
litre a. 7ZTh des f vr/oe ce a r'ea s o r fie rite _are. "-e(a I-i v1`l y
lre/.
7. Protect Drain Inlets.
5c - r4 •/ Lea.. le/a,/ Steel /-A
strmiwater site plan temptate.doc—rev.10/12/2003 8
MAR a 4 4'
12 Required Elements-Construction SWPPP(continued)
8. Stabilize Channels and Outlets. ., , t:,
111111
£-/tK(Ai a.y 724>it0Ai': SA,a!/ct.,) 5'c�a6. GAJP PXpeci' inra-fer 1�
/ittd>'/fvafc c-rlcf -t ere IS tic, oatt'ef 742.14eI
cif r e tae or 7Gc. Swamp,
9. -Coontrol Pollutants. // /� /� t
ter-! kJ /-v h O T T' SwA& (rri(( - 4 , l'1 �r CfriteC Lai ay
10. Control De-Wateri
nng(the act of pumping groundwater or stormwater away from an active construction site).
-J i/tce �DU/iGl4L-1. c etev Slab -0/7- eadP "To de-6,,R,fer.'
6/ b a'
: e re -. .-ed . e Sihail a .eu medic'f o f wed-et- Iv
!1-c re-rr+o vire(t ' i f kill( toe- d er e c eon 7 ex es f i'& n ot ivela swat I
11. Maintain Best Management Practices(BMPs). up&,/( o('
be, All 5 c.sc/'s /-/o .
12. Manage the Project.
5 nn 'Lod e�6 e "fetec f�rde d 4-ri//9 rse:poic
j-hero.-e C c-c
2. Adjacent Areas.
a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential
areas,roads).
77u boiirnit Or 44 , atura e $wale- IS' out 7144Sub ec*
fro ferf y l s,s> adJ�ce-Y forc der/ e.�' t v I`ll 1 7L be 4. 4 1. •cfe
b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400
yards). / L
T Aa7 'ro-( 5wc,-je Ato.sc? Tie vrtc-feu^ ea(e e a �L
pr'ofeift f(oc.ps very y e41/y doc.sA k. (I i o / c' s(.A) coruter-
A.td Tls;-t,t Gsn (ICS Lct' c. very 7en'tfe Slope iesfer/y
ho r a((e/ -F4 Al rd t'fe/rec.-leo-A Aoe a-'..of Come o eorl e t€e:cl.
3. Environmentally Sensitive Areas.
a. Description of environmentally sensitive areas that are on or adjacent to the site.
/L/6 wC .
storm rater site plan ternplate.doc—rev.10V12/2003
9
• •
•
b. Description of special requirements for working in or near environmentally sensitive areas.
Alb i'i e , ' ,? ?) U ARV
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).
/VO ilLe-
5. Construction Phasing.
a. Construction sequence
a) G4.""GyQ G ADU strop.
b. Construction phasing(if proposed)
6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual).
I. Provide a proposed construction schedule.
GAs fr&e ; HA y—,TO L Y 2 oa-7
APV SAP ect-r-t/3cl-2 2067.
II. Wet Season Construction Activities.
a. Proposed wet season construction activities.
13v1t,D/A1GS SHDCLP ?Be GC-oscO (Al T') 1.4-‘67" .cdASdGJ
�iNs1[ GfzA1E f?A y a ccut2 Aup/4t/G w,<T SC.45ox) ! T3 .r Gown , Lb.
b. Proposed wet season construction activities for environmentally sensitive areas. !I? 9,`7 J Zak
7. Financial/Ownership Responsibilities.
a. Identify the property owner responsible for the initiation of bonds and/or other financial securities.
Ttion Pall'-tick /
b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation
impacts.
8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable.
a. Sediment Ponds/Traps.
b. Diversions. �/j /A
c. Waterways.
d. Runoff/Stormwater Detention Calculations
stomwrater site pan tempate.doc—rev.10/12/2003 10
• •
Stormwater Site Plan Changes
If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be
submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised
drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change.
Final Corrected Plan Submittal
If the project included construction of conveyance systems, treatment facilities,flow control facilities,or structural source control BMPs
(not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is
completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as
constructed.
APPLICANT SIGNATURE
By signing the Construction SWPPP 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 pr rty.
3' 3-
( DO E OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE)
THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED:
) ,I_.1 77)
1') ��,� i�1±,ill �� l ?
stormwater site plan template doe—rev.10/12/2003 12
20'-0"
A -
n n A
'0 6 7LA z
\ /2 3.
"/
/
3'-6"3'-10 4'-3"aD / MA. rn2 /
Ayy6 z N D N
W A� °
` O llO
\ '�r�
rno
n r
L _ -- -a T
DZZ O p _ A 3 1
X ril I -- S ilk- I O A
T IIA7' O" �� Zs / \
4-
UJ O 9 Zs,4(3
0 \ _ -----) P
= O O — — I — -- — —
0�
Fro 0 rgiXO - \ v
La. D
co• rn - w 8
C Us
�1
-1, M
w_
rn ffi �O \ ,
to b in o D a,
VO = Da _ A R
\
= m lens ? _ o.
D n�
� -
rn
Trnr vT01104
z x % rnx rn \
> q,-0„ 2,-1 , A
r�lzb `rnrn� -, - O`
ci rn
A nil 'T :it.A A
ox rny, Ornz .. Wrnk CS
i--6 x x G ----)--, \
O J
TL J
rn O 5'-2" / 5'-2" / 5'-2" f O.
AN O
rn pp 71 rn 0
, \
rtprn OF® 0
Z� A
LP // [ M
m3 rrz p 1
' '''A\61 , ,
W AAz Tian 1-
vv �p r
4.
yrnyr oI- Ar rn x \
A� 6>A-t3-Am i� I r0 a`
v T -.T'Arn¢or0 111 O
w z_� zt�c u+z xO
T T. gA-o2 ti
v A $(nvo2�� --
i X T \
RI !I
_ N ,my v o a Q [ 1,.
O_
o i v ^a-a, rn a N
E D o VP
rn U 0`
g0
Irn
O
O
LP U3 b� u+DT� le UN-rri - a` \
-11 rnX X ) > wN a D
m :Ao bz
• O
\
O AO _
z% 11 \ I""'""l
—ITDf I I �I i U of m �N �r (7) xO .,..-,-_,-
x
v °—I _ r_
w r
I-
773 ° �G'
C rn x�xq00 O N D. -PIP-PIPrri 7 x a• x
mA , 0 —
vv = 3 _ —1 nrn i
-61
rn J lA
3 = 4_
rn
0
/ -v_oi.. , \\4.-q0 - \ I . i
in
11Ult ® a a D
f
)� O \ 173
r�ii I rrt
0 Zp^ZN ti nt
C�— O`..> eDzDOrrn �ii 3c rg ° y� nvD xi
proN rn n w R` n z n rn-r
3 `, o �zc oTr c Z. Mpz r T g,AD R'
C/ ° mom DR ��r r$rni � rnrtrn CN
= ' . rn-� r v T 4=D-t N
7END i 20'-0" o N-a A a
= No
/: -,6r NAr' N
O �, -rn 5 I p
ADDITIONAL DWELLING UNIT FOR: RIGHARD BERG ARCHITECTS, P.G. D p
r- Ill
--ll 1 i lla TAYLOR STREET
�� J O N PORT TOWNSEND,WA 18568 W w
12 MEDITERRANEAN AVE. PHONE: (36o)3-ia-aoao
FAX: (36o)31a 8324 .. O
PORT TOWNSEND, HA 18368 richard®rtchardberc)architects.com p -`
•
,L02 :13 `----- _
--------- _
coe :13
3
.lVM3n1aQ / I 3' 3 -
` _ 'l--/- N3v813S 3 3
/1' 1NCaJ .Od -�-3
3 (� a3H 0lSNVal� ,
1 )L�i (� g NII SIX3 �.
'` _ � _x .
/NOadV 09\ (� f' 1/2 '/1
rn
Z i Q Q Q
33N3QIS3a I 9NIlln9 (MCA
m 9NI1SIX3 I � 7 116f2
$ Mle .HQ1Ha83a 'Nv11n
/9
I_
Q A0H321 38 01 IZN
K1
NV1 3NVd021d CO m - 9NI1SIX3 m
E 101 7
211033.91 V C - I 1
_ I N3V913S v02 /' I.. a13.Yf 3 S13S '1.
3QIS .S G
d CO
m c
dill,
U>I NNVl 3Nbd0ad V(,�1
lV9 OS2 /13N., .. afl.21 �,. LY
"' eoz
afd.o2 /�
�
dId: w3H.YrT 33N33 111
/ald.Yt atd.efInIe.91yp02� p` b y �� ,1I)17o,H3 I fli:32
33a1‘�n13w3a I O •
ti
a z0z- V Mir f % ,►
qp2 dl aVQ33.Y1 / I �ji��fj���t aU.02 b 0 39Q3
tit
I
1 Lk »ofH3H.o1 ZNII d3M3S-- at�.er i I , N� o
Ill .Y! I p2 �., 33N
��� 2/ p' ar3Yr ! fl Q' y M3N g6 A
CO D
p2 l6'Y� ? - 1n L •1 d 1S37 10l .I afi.81. � ",` �p `,41 '104
.F/ / O... oZ-0� 7 - Q1313a3Ha0dVal�' m ` / ,�` '3I1d3S y\\/,. a MOld
3Da9 fu � � (df' 39V� ld - • •10 ,, 113.Yr alss %/y��
�. 39Q3 all.or ,
ar3.21 '113M.Ada 7 I ; .oz / „O-,b�' .fllm ' rt��_`
Vie J� 113M Ada
�l�` ar3.zr at4.zt /
N 1H911 �' V' — .— � _ on - 1/
/ I - 3NI11HOI1�� v//
ar..or / ,3 s� do �C I ° 1333. +3n2ns sro
%� .;, Wa1l.a I I 3NI1 HSna /33a1 <QNnO! sly,
// ' �'44'.of ,lld 1S31 V
,4,./
� / all.Y2 I ' I11d 14 I
I . 0
s 3ea Snow - 'f+� ti,
31ur 2f rz (NMO1
a313HV1Q ?mat
0011
M3�1�4 l3/�d?J`J M3N O �.�► I�r 1 0 ,g11,a14.9r i0-,g a313Hvla mg
a �d OVN /�� 4 A (lVAd31
w �':� I a�13� 3�d3S O�i c1bn231N1 100.
N ... -i�,f � I I
N .Id:1S31 d. r 3�a3sa I ,.
cnoa�
4, (Q381
.Of f or14 1 - 4 I I : p
,.BI I
oe +- o N3V913S / a131. I/ :./al I ,�f3;?r I II
::°
N110I1—IfiLz• OVNSr n0��� .Yf aqaaV. r C . I At t, m
1 y� n
a11.9 1 1 6� :f+� / C I n (Q31V:
Pi As
02 .:13 �a31 w-a31- _ � �
9N11SIX3 --2 lO01 ;yg�ryr�7--3 OR 7 .B '� 13AVa0
202 l3rF71�17 ® :: . 902 0 3903
l3n Vag - r---^- e02. .... .•. .. ... .. :„warp",
` wr m
!0 3903 YOz S02 Vl
•.. . - '. ,z• =7! dHO .21 1N3H3nVd
SO2 1a3A1fl d0.3903
4N3H3AVd
40 39Q� I A 1N3H3n0d
i. J0 3513
53
r.
3fN3AV 3ON3b'O 5 ca
'
- CI
' cadoa 3Dao3� 3dV3)o
J-rY
•
es N = CA b 0 3 =M ,zo,aa.ata N =. ...a
po -< 0--i "V = g
It i §) > mD F
c.„
Z "V - .. {ram
42JVH0121
NOI1d1219534 31VO A 2J