Loading...
HomeMy WebLinkAboutBLD2006-00223 S""` �'� DEPARTMENT OF COMMUNITY DEVELO TENT ��. 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment S!9SfI1 N DSO E-mail:dcd@co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD06-00223 APPLICANT: JIMENEZ FAMILY TRUST PHONE: 805-733-1114 2802 LEWIS DR LOMPOC CA 93436-2318 SITE ADDRESS: 284 S PALMER DR Issue Date: 06/13/2006 PORT TOWNSEND, 98368 Final Date: 11/2/2017 SUBDIVISION: 9381 - CAPE GEORGE COLONY DIV. Block: Lot: PARCEL NUMBER: 938100428 Section: 13 Township: 30 N Range: 2W PROJECT DESCRIPTION: NSFR W/ATT BASEMENT GARAGE, A/G 500 GAL PROP TANK & 35' LONG RETAINING WALL THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2003 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 11/2/2017 Acting Building Official, Patty Charnas \\tidemark\data\forms\F_BLD_Occupancy.rpt 11/2/2017 • BUILDING PERMIT a Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD06-00223 Received Date: 5/1/2006 SITE ADDRESS: 284 S PALMER DR Issue Date 6/13/2006 PORT TOWNSEND, 98368 Expiration Date 6/13/2007 OWNER: ANNE M WESTLAKE TRSTE PHONE: 805-733-1114 J R WESTLAKE FAMILY TRUST 2802 LEWIS DR LOMPOC CA 93436-2318 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: 4 Lot: 26 PARCEL NUMBER: 938100428 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NSFR W/ATT BASEMENT GARAGE, A/G 500 GAL PROP TANK & 35' LONG RETAINING WALL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,336 VALUATION 234,271.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: 528 HEAT TYPE: OCCUPANCY: R-3 OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: 5N OTHER: SHORELINE: CONST TYPE: GARAGE: 484 SETBACK: DECK: 478 BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,150.16 LYK 05/01/06 81136 Exist: 0 Exist: 0 Plan Check $1,137.34 LYK 05/01/06 81136 Prop: 2 Prop: 3 State Building Code $4.50 LYK 05/01/06 81136 Total: 2 Total: 3 Potable Water Application $55.00 LYK 05/01/06 81136 Permit $599.59 LYK 05/01/06 81137 Renewal $153.00 LYK 06/05/07 91210 Renewal $157.00 LYK 06/02/08 100301 Renewal $213.00 KAS 06/09/09 108581 Renewal $213.00 RAC 06/07/10 117815 Plan Check $142.00 LYK 08/09/10 119910 Total: $3,824.59 Directions to Site: PUILDING PERMIT APPLICATION ML ReviewTy 213 Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD06-00223 Received Date: 5/1/2006 SITE ADDRESS: 284 S PALMER DR PORT TOWNSEND, 98368 OWNER: ANNE M WESTLAKE TRSTE PHONE: 805-733-1114 J R WESTLAKE FAMILY TRUST 2802 LEWIS DR LOMPOC CA 934362318 CAPE GEORGE COLONY DIV 2 SUBDIVISION: Block: 4 Lot: 28 PARCEL NUMBER: 938100428 Section: 13 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: OLYMPIC DESIGN GROUP PHONE: 360-385-5614 SUSAN PAYNE 606 ROOSEVELT ST PROJECT DESCRIPTIOI NSFR W/ ATT BASEMENT GARAGE, A/G 500 GAL PROP TANK & 35' LONG RETAINING WALL TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,177 VALUATION 234,271.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: 528 HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 484 SHORELINE: CONST TYPE: DECK: 478 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CAPE GEO BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 2 Prop: 3 Total: 2 Total: 3 Routing ate: Type Amount Paid Bv: Date: Receipt: AP-nr0 t , Permit $1,150.16 LYK 05/01/06 81136 Plan Check $1,137.34 LYK 05/01/06 81136 JUN 13 2006 State Building Code $4.50 LYK 05/01/06 81136 Jefferson County Planning Potable Water Application $55.00 LYK 05/01/06 81136 &Building Department Permit $599.59 LYK 05/01/06 81137 MI_Q,\ 60- Total: $2,946.59 - mod • S _L-,- 0,31,3) c, N\ 1 _ tin cA r` V v r p - C, vn ' ---Q-- a . 1. '. 4 ! --,f 1 _± ..,.__...... 4qe. , „ s .,, ,`'C_ . _ Q I $.1.:51,,, . A 1. >rf. s 1 vS� a _ _- G h i �. r I i I 7- Jefferson County Building G1 ision Permit Null: BLD06-00223 Applicant: WESTLAKE TRSTE BUILDING PERMIT INSPECTION APPROVALS applicable 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 fru.d s M.,ys Re : s el- H 1- rue k7/1, I Erosion Control J Foundation Footing ;///�74( Footing Drains Foundation Stem Wall )�/ , �/c�/ a��lb� rv�r,J�' e�,,h,�c/s �'efr�� ,��� 4c�� �2 Underground Plumbing (y.� -� s 1L r /'"/ he'�/ �/�7 ALc Under Floor Framing ✓'J Straps(hold downs) 44/7 Ext. Shear Wall Nailing Rough-in Plumbing i _4-i.1 Framing , I 1.) Blocking Airseal /51)-7 Insulation:Walls 317 Insulation: Floors lc)/Z R.- to )et_ cii/4//6. p6 Insulation: Ceiling )o/7 7 Int. Shear Wall Nailing Wallboard Nailing T-1 I -514 Gas Line: Interior 10/Z , fr 7)fiS-I - Propane Tank yy qzs/r) Heat/Chimney Clearance io/Z5 0, SO) 1/2111l Lt4Li; Y�C L/ucKay ov evid/60,4e1 I,�,5,1• Drywell/Alt Drainage Address Posted 4:01 FINAL INSPECTION I n „05n, FINAL INSPECTION UST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR i • CONDITIONS for Building Permit# :BLD06-00223 1.) 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. 2.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT 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. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) MANDATORY MEASURES FOR COASTAL 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 qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 6.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 7.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater Site Plan has beell/bmitted and approved by the Departments 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 10.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable 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 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) Minimum setback from South Palmer Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 13.) 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. 14.) 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. 15.) The building height is not to exceed 35 feet. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. SPECIAL CONDITIONS FOR CA•t BLD06-00223 • 1.) 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. 2.) 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. 3.) VOLUNTARY MEASURES OF COASTAL &AT 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. 4.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 5.) MANDATORY MEASURES FOR COASTAL 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 qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 6.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 7.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 8.) A Stormwater Site Plan 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.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. • 10.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre 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 Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable 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 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 11.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 12.) Minimum setback from South Palmer Drive right-of-way shall be 20 feet. Minimum side and rear yard setbacks shall be 5 feet. 13.) 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. 14.) 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. 15.) The building height is not to exceed 35 feet. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/1999 • 44- r- IL (4,--;g0N ,g' or, JEFFERSON COUNTY MAY - 1 DEPARTMENT OF COMMUNITY DEVELOPMENT • 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax � $ p www.co.jefferson.wa.us/commdevelopment 7N r 2 Master Permit Application MLA: if-) 2' J Project Description(include separate sheets as necessary): f?e fcuh'4� wu>7 -35. Lonj+ ri.pJotai• p eki It e s;ct - c.e. G✓ belSea e)h f perve- e la cO: 62,ft_ ,e'/,,✓ n¢ 74,, lc Tax Parcel q Property Number. / �j ( 0 0 t-j 2 8 Size: i 3 78 55 S F (acres/square feet) Site Address and/or Directions to Property: 2 2L{ S• Pa I►►�G.. PR,vie cre36 e P rtY�- Property Owner(s)of Record: t r".'s r1n/,Je r e eI G 2 (Cape 50,,e Ge fo rx,7) Telephone: 8 0 5 133 Fax: email: • Mailing Address: 2Bo2 Le i c. • po , LA- `53 3 b Applicant/Agent(if different from owner): ©t-vM r'r. p GS 14 'J t roue S.__)S n/ r',gy/U e OP-AAlN,Roc(8 Telephone: 3i'O 38 5(0 /Lj Fax: 3e5 '25 Co email: ate et 1 /lep,Gdeii"ejeo•io•CC, Mailing Address: (1X-Q '&CiJ c L+ 5"C. t'ce^-r - 'A- 9$3(.9C' What kind of Permit?(Check each box that applies) 2(Building. 0 Variance(Minor, Major or Reasonable Economic Use) 0 Demolition Permit 0 Conditional Use[C(a),C(d),or C)" Single F 0 Discretionary"D"or Unnamed Use Classification A-Garage Attached Detached 0 Special Use(Essential Public Facilities)" 0 Manufactured ome 0 Boundary Line Adjustment Modular 0 Short Plat" 0 Commercial* 0 Binding Site Plan" 0 Change of Use 0 Long Plat** C Address 0 Road Approach ❑ Planned Rural Residential Development(PRRD)lAmendments I6 Propane 0 Plat Vacation/Alteration** C Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions- C. Stormwater Management 0 Shoreline Management Substantial Development 0 Site Plan Approval Advance Determination(SPAAD)• ❑Shoreline Management Variance C Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication' 0 Jefferson County Shoreline Master Program Amendment n Forest Practices Act/Release of Six-Year Moratorium 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: n DESIGNATION OF AGENT I hereby designate 7US4'4 Payne to act as my agent in matters relating to this application for permit(s). # - fl S&GNX OWNER SIGNATURJe're 7L��a.'� �r�e°v�Ct� L!4r:L(L�t��LT�7�ti�r iL/Jt//WDate: ��K 1 co By signing this application form,the o er/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 attomey's fees and expenses which may in any way amue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and Its employees,representatives or agents for the sole purpose of application review and any required later inspections.AcrnSS and right of entry to this property shalt be requested and shall occur only during regular business hours. 7- signature;�� �s i f 'f 1l1 elevtizz Date: /9/7IZ / 7j ZCOC The action or actions Applicant will undertake a result of the issuance of this permit may negatively impact upon one or more threatened or endangered speoes and could lead to a potential"take'of an endangered species as those terms are defined In the federal law known as the "Endangered Species Act"or"ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been Issued will riot 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 me Jefferson County development cede.The Applicant acknowledges that he,she or It holds individual and non-transferable respon Iblllty for adhering to and c mpiying with the ESA. The Applicant has read this disclaimer and signs and dates It below. Signature; f 4( zA C i jut4 hit.filb? Date: ,'1 f�/� / 2 APR 17 2006 16: 15 PAGE.02 F��,i I • r rnn ivu. • r•tpr. 1 r cUUo uu•tiuri i r..) OWNER BUILDER STATEMENT ._- _- - i The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors nd that they will be aSct iming the responsibility of the General Contractor for the proposed project MP - 1 2006 )2-11"1.--14-1 Signature:, ?� Date: / Piz, / 7� 1,.;0 6 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER PHONE: FAX: MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: y,G lw .rt • I s tl S PHONE ( 2t)(D ) g LI 2 FAX ( 2c )gi,2 {tZ69 MAILING ADDRESS: PO ( 10ct39 S I,�*JTl d,p 161 W A EMAIL — y0(o C'' leil Project Type: Frame Type: Bathrooms: • I Shoreline: Type of Sewage Disposal: ,K New cS Wood Existing: 0 Sewer O Addition 0 Steel Proposed: S Bank 0 Community System G Alteration/Remodel C Concrete Total: Height: =13 Individual System O Repair 0 Masonry SEP Permit#Se_f 03 1 S C) O Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heath - Proposed: 2 , 5 Public k,rop ,f u�X a I ra Total' Name of System: If this is a Commercial Proectyou 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 Installatioriperrrklt,marit all items below that apply: C Underground Tank 131.Above ground Tank Size of Propane Tank: SOo G RL X Heat Stove )k Cook Stove 0 Woodstove 0 Fireplace Insert 11(Hot Water Tank 0 Pellet Stove 0 Other 1 Is this appliance being instalieei In a Manufactured/Moplle Home? Yes I 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. I Square Footage •'For Offiail=th a Onl j > ' "x a Current ' Proposed a'I�} "Co � {i 1.rnoun1 c d t `,"` ,5 ,, .. as° Main Floor • ` v ,y .* ;�; ..,,,� 1J 110 -� �.7 �. f. 4,' '- tot.�\�i!�;;• -i.rl',t�,4t.;. 9 f4 `rK,. n• • 2 Floor P .As fae' `17 1y ; F ,t Addifonal Section: . ` r 3'4 Floor Mezzanine: Plan Chnck-fee. , Heated Basement • '''' <<c e:. 5� 4:2,ik.m..-!,:rss405. 0itig.oi.f##.;•:, S > + ,Q Yw�k`r"Y'4,,,�Msx r -, ,,,,, Unheated Basement ,...,,,,,,,,,,,,,,,,,,,,,,,.....,. , ,, it: `.r" •lot; l(ater R vli w~fec ,'▪ ,� `'., ' { G 1 y � � � � r'' p,,e'p'r � Other Unheated ._ zF � Garage/Carport �� (J� , TAL $ 2 `T l a`'1` �' �:,. ..:,,,,,:„,,:.„:„.,.„,,,,..„ , N Decks 171 IQ1Gc'�0 I Receipt Number- '' 1:I J 't ' `.r Other LW c t� Cc��l` ',L)Sv •&,5� dash/Check Number > r, r ESTIMATED COST(I SQUIRED) ck,ek �J000 Date: .Fair ma t valua of all labor and matenals foundation to finish t t5 D, flo g ? t - a34�1 1_•. initials: Q. r:•\o..—:.!•r....•.\=nohAoN non cro ,c\1 f_._....D—:. %__,•_._._. .n... APP 17 2006 16: 15 PAGE.03 ggON • t o JEFFERSON COUNTY — gin' 1 DEPARTMENT OF COMMUNITY DEVELOPMENT 410. 8. 621 Sheridan Street • Port Townsend • Washington 98368 IS2FriNet ° 360/379-4450 • 360/379-4451 Fax PERMIT # BID http://www.co.jefferson.wa.us/comm development/ STORMWATER SITE PLAN SUBMITTAL TEMPL, TE I MLA# Ck-�)B PROJECT/APPLICANT NAME: J i r,, E �ERSO� Ct1 NAY DCD � A Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. Se p- (5 SHIM -vS liAst-i~lied. ?r)rse +' cdo( (11w4---et IR" f p /� t ad house, I Slur i �� l+t-eLr) �fi C U sr, re/ma-at-3 1 a S C cr�2� v S o„he �a w�1 1 S 4)41 e Existing Conditions Summary I 2. Describe the existing topography. Indicate contours on the site map. 4e S t i-t lug S t-e s lopes Qpp' c c/0 -j-o 35`k easl 3. Describe the existing vegetation. Indicate native vepetation areas on the site map. / nit:At-( ccts5 cued he+-Hes v I c tu44p5 l nrh- ve trees C0. ► 14 a-j ro C Ina I -< I Z c(i c� yvk actnMacai s i h j l e cedes " 2-11 a(cQCr ) 4. Describe the existing soils. Indicate soil type on the site map. LOarv,, 41.4. I�0, 3 • 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 acre a of each. r S, W. CO rl e ,-- a.- 5/f..e ( S lit'✓? `4e.r- JOv t- e t S S tt"4-� V p Ct±?—✓' a c _ir }-c . A b t- (� t Peet. t IP. e r tD,r- C;.+ I r eY! alums vues?--- e.450 or. s; AlligaditantriMPINME - 6. Describe any excess levels of noise generated by the proposed use or activity: •jZ WA M '0 d"1c.re } ka.ti us:-Lc,_ sr Ic- I"uv�„ (- cogs VER P�qN 41. Mill nrpr rFEFFERSON 0 srf;NgTrI M1111''y D/VNTy RN stormwater site plan template-rev.1CY1/2003 r stormwater S 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. .N c < h c_.,.Q a ~esx_s. S'1 ope i s c -pec t a:1` 40-(fi ti B as h Col or-� S; f-e , $t,.�pe5 i cy<. ., 1- `'!- to '3 5`%a, - ,+ate wz f(Ge-vk d 5 a r-- S tree<mg . 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.). fJ S s',4ec ce.t;e-Co fed KesAt7,.:-r; lats P .1 viest- is c. re st c -Ud -.e<---Q lot i�t u se c 5 s}e-4 di I-1 - Nc> se vl sI fit s€ /c/Z, f-:c eJ 44�s, M Jet C `r� lC't-c '-4- ✓vo 5 FeepC J7'tct , `r 4,s one S'h�,-e. Line s- at k'2--:)r `70�' 142(2_1 ct ,,;c, -, c 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,.acilities. /'`v, \ r-c pTLe- t'tz'Lc'i-1 fiy4iS'I`s alo- cj ....te.ST- $,stts: °IL SI - C-0v\fre<ol 1De- _ act k\ ct 00-4 .44iNtcicj .--li‹ ( cv.,1S 1vt-(ct tk-, ct.t: A i1 Vn� e.r ecje c( c u c-� st+.tc__e • C' s e t ( ` -P (a f f cilL it , 'VJ< pp - ,-. -•se .9 L h- n+2 r7 fZ06 Ar-. eaSt), SoL,T1 Sri f \Jz fir')pose ctiw�S �t; to spt«Sh �1acf - ►c run0 eN 2 76 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for`large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. p)1•1\''y t � 5 12. Describe the flo control system. stormwater site plan template-rev.10/1/2003 6 r 1. 1mY r_ CAI' - 1 2006 13. Describe the water quality system. 14. Describe the convey'an gesystem analysis and design. 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. No 0u1-5I0e 1t,L. trxCEpj t/.1 .foe<.�Z I Q0. 121~S- S 7'r2. (T V/ -To CU 4,,.�' 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. �ES 17. Describe the proposed surfacing material. As ion 4LT AT Og_t t•Alr+L Asr'kt4L:7 614.4 ,47 r- e,//2 l iJOL . ( rz urz I,t1✓rn2S a ELot..s wo-eqes. CO 4-K_ e �T✓z�� wA L.� 18. Describe methods for restoration of the site. STr+,a E: 5e- ✓ 1,AtiCSC4-7 C% it / Nj GRz-,u i Ca+jercS . v C rf S W[(.-61 /i C$ IG L . 1r 7 � � /Ll=G:r�%1 � �la "70 ,2 3-7z,.2 L A t-C A-f Do C. Ls,° t7 ure l ti Cti C o io s-r2 , 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. 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. R -E.v t.3 01. .):c_p St;w_L/eys O JE 6`2 ,S • 0L SIG �I.' >_r2 t9 R c-i, r 7- E c.-y S ' S t TC- vnS i'►- 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. P/4 stormwater site plan template—rev.10/1/2003 7 • • CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 1 t G, C_ r, G e.l e.rzt CcrOrot ra. 12 Required Elements—Construction SWPPP O C`tla.iNe- _ I of e 1. Mark Clearing Limits. t, 6• C~- I o y r k yV► I ✓1 l✓�0. ( ' I vl 1 t S U ° iarro>c/ -40 e3 -reef`-�C,, wit.1c.Laa-r- a.cce_s.c rieea(ec() jJJrvot 7�'e,` /2/e- uc- 06 CdhSf r us ir>q in re -{` S-1zt rQ-S. 2. Establish Construction Access. d SfabtI,2c Cks.A.S7Yz . C(cca-ss(c-i proposed ( v co cAaa i ► -tJJ11( Ist- I ,4 - of- as 1 h A c�- P-. s s \ C CA a.r z .c 48 $ys 4t.4 c?24 cr? !,eci l Q,'-i," C I o c3 3. Control Flow Rates. ��',�` � U 1&4-% at�s r6e..�f' c-rer d s �>�eG�"" w,.OA 3 (opc of 3?'// re le-y t 1 c: c n vj, h -F ©r ey�,�c ► aye!', � 1 'r- -ia�ie l3fh P �i2--‘ r c 43-,41 dA.,44 -E-t` S 4. Install Sediment Controls. 5. Stabilize Soils. -}- i4.5 e S'7' e�-� ✓tilesz S u,es sc,., bed it dgrhP Cf40 Tr 6. Protect Slopes. `1f 7. Protect ain Inlets. N ; One o S t — stormwater site plan template—rev.10/1/2003 8 • • 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. 11 01" ,41 str'-cr b o>t is ti n j �h -�`C v� �° }� a_.a ry p 0 Q fh P c 2 ct 9. Control Pollutants. S t'a r`e Co,vslY 6tak;e('S `, S PC (o c t . Rcpt.!o v'' ©x c C A sA-e . lea viol- do 1/4)2ii.z (c weer . c2�ri cam, . USA ca,,c, e 161-,-1/44l 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). S ‘1- - cad r h vv� u re d r t c .40 � e., 1-t Se s 1-kr. i c a u 401 v,-. v�e.-v,e�.o �L.,".--( VOGI`(-e-r SP40 i n i htb Ixr�a�►e dc, d . Dish x, cc '*1fb nn 5 uc t. � 1 ).-\a--6 v e t-u-11 u, v I �= � �n n�r'�p� S�«les 11. Maintain Best Management Practices(BMPs). (r + , ."i) ror- a Th P G2. 0 e) C, y SQ - I * �+ w n e�-- Io..�1�� �E�•�, �,Pie �7 Q r�� c* p PIS 12. Manage the Project. Cf w n c-r ��:col 2.v I S jre S,n c s I c -f-o ►nx cep-+-. N 1- 2�rzc-ISC_ !3 r f"�Ct: c vl E c PIkcJvcs :; . �; Mrs if\ h '3 a d S of ev\-. 01 e t _ 1° 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). >, a Ali t a cz.� ll o'-�S&i cz c ru iE otz.3 / l onset l S (q 1,,c • Qfi-kr cc S c� y'2 trr� c� /�ar,C or— cenAc ' spri-i-S at fac4 . b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). I,, 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. ��F✓ stormwater site plan template—rev.10/1/2003 9 • • t; b. Description of special requirements for working in or near environmentally sensitive areas. N14 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). ►S UIQ_(t Vep_' `ftit a Q IS1'ir� - Mud Co ci be & o bic-tux. wf •-€,fie^ €jvc.( c "ln -- )gee irehlic-te acc .&c, o A ti �,f72 Yj i Z�C� G L�5 • �e-(i-ax-d1 ce 5. Construction Phasing. a. Con action sequence �/ `b Stu-mil' r^ -2 00(� / CON gyp lC 11 C-\ w(1. ' (.}(a ��< ✓�c pia; t ha s ikky. [7, e t b. Construction hasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). Provide a proposed construction schedule. (a <<- (r._ S A J t� se � f'tf'crv�1 --� �.')-P Si-o —TZ-1,J -� ( CG'w ic. te 1x-h -e C c-- I II. Wet Seasori'Construction Activities. a. Proposed wet season construction activities. g;hee11,,.�� — yt� t I k+e)' c'i&-S . aC fc -} ;,.��i I`S, J b. Proposed wet season construction activities for environmentally sensitive areas. N 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. , Ir C Z 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. 1J M- b. Diversions. c. Waterways. d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 • 11111 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 property. lc' r -c)K� (LANDOWNER OR AUTH 10R ZED REPRESENTATIVE SIGNATURE) (DATE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12 N �� c=��trw d�SJ a-1 I N l'dZICI )I1c 1 G H AS96 Lg ,O891 - ._ ,r I -/,____ 1,H'N1 NO1d36N2.1.N1 ,, GNliGIX • V cn a�v W - C •'' '".. .m. .. ..N., A 7 5.9 •c) , ›. Zs.ri c ,pi I a_ g It . . IF ,; -,--- .. , > • •i -; Nig- - '/ Nif , %01 ip, ik''.<46.'3 N.) t''' N roC O 0 00 1 1 .,6 , f...:),: , td. - 7:2 V N, : � Z I0 ... 4.---- ti,op,/,(A. c) r ' _ O - -� o rn 5'-0 MIN. V 9 �� / \ 1—i . .,, . .- 1- xe - -- • _..., ., • -- ,- -, , , , >, ......; .7, , ..... _..... .........„, -- , , .,...., , , ,, .....,-- ..... - . • • . .0 % e rk,ti, . .., ,,,,,,, - ip 0,_______,. 1 401:atevio. 4._z_.___..,.1.__.L.4i 1. .35t.e Rio \' r . w V 4 'ter 4 _ .... „.. , , a i',,, i--". .--..., . ,---- ‘,/e* . . ... -..........„ ... ,,..\. . . 4,,,•••,. v., , „.,.:,.. .„ 4 /T.,.., 4'' ‘ 0'244,1- \ \ °.'- 1 \ V Olt - % 4. I . • z ti � I \ b 1 : 4 - -'' .1..\461011 . - I .0 .,,,, ...„,.. IN., ....... ,1/411. , s• , 11 z� o '` • f O � , 40 i ' -4 �' o y . I � � ' j o -ice a / i d: - -- -- -I- crr� . P o ;i , �t • o, ,-- ..........f.2) \ 7 ,...., ' _- R n 0 �._. _ 95.8 . ' \gig• —_,____________ le_ ' II. ----Ihk— I .t-,9c . 000,3\3 /\o, _ _,AI G VJN1Vd. .•.S �. -> •0 Ho 7) IQ OrnX rn � 0 D Oc o > O z H D i N rn �Cl1 rn 2'-10" 8'-1i" / / C 0 33.-53 ":-‘ _ Ill /II .; , I CD ,.. ® iO rn O-). �y . z .. -� 0 U j, ,__2" ....,"7 8" CD (1 1 ® , N. 1 lik I c o 15R ® -1.2" 0 lip nl 4 . � � N3p N > rz cm- — IT 0 T1 O Ill . 0 . \"/ I l I I or a Cl 73 I I I 173 I I I * / 4D FX7CP CP \ N 1 "'4 — Z 1 �l - �\\\\\\\.`�.\ I \.`�\\\\\ rnp 0 j= p 71 ‘ t 0I # / Q m e .m r 3 -O -0Pgo � Zl o / 70 .7 D � prrnnrn 5O n -� � zx 13 i / 3II > zrTt 5T >Fil z N3 p -+ -► QU)�, � z /• z z r $ > -ii z > -2 �-" -(� � z 13 N / 1- pX (.0 -1 r rn - o /, 0rn 0rx ,- / � rn 4 r{ H iu�t > rn -K CA P mr I> > O / � pr- 13 k7c73 a I rnrn � -i 70 rnrn ►! / z o �--8 rat-- Z X I x -0 O b �pp m / C� z I .. r to 70 r- . / N -n b 'zi_: r, Mrt / Fri X7 I at r- _ / z = / / 0 / 02 .•,, 7 IA rn 0 A- L / p / z / Q i � ` _ _ -- z 4'_C" �D 1 . 0 2 rnN N0 � 1 0 ;3 2'-0" o D z / / I/ rm I *i:::xi —1 W6 1---- \ \ \\ \\ \\ \\\\.\\\ \ \\\ \ \ \ \-\ \\-\ \ —1 le - - - U7'C 1 O , [>\� r z 1 Kt — --1 I rn 4 F O Ud0 I 21 q t 1 L--�- O 1 r _ 4) 0J SHELF N. t—t777 \ C\ i z p , m r\ m , O 70 I O • oo 7 0 O � O� rz 0 0 I r a1 � � rn ,- r 00 N N \ — 2-2 \ 3'-2" r J / �/ @ a ,r > / - __,_ z ( cpc• L\ ©_4 --.%_ 2.. _ _ _ _ _I \ oN �� !o �xi -0 z1 )3 -1 \:. rzG0 0 � r T r— o Z /'� _._, - 0 .. Fr _ r O o/ .i D o 7 71 r { 1g / „� 01 � . p + 1,:lt c., c; _1(- g Q o I _ I Z - 1 > I 7\ . 7 0 -rl--1 i ) r N \ � � - - z 73 I UI 4193 ! ,J 1 i I i\\ \\\\\ \\ \\ \0\�,N\ i\\ \ \ a rn -- aW � O An 4 D / wD 0 '-O" 6'-0" 22'-1 4 / '1 /