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BLD2015-00101 - 01 PERMIT APPLICATION
• BUILDING PERMIT APP ION BLD15-00101 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD15-00101 Received Date: 3/31/2015 SITE ADDRESS: ANCHOR LN. OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: 70 BREAKER LN PORT LUDLOW WA 98365-9766 9689 SUBDIVISION: Block: Lot: PARCEL NUMBER: 968900016 Section: 17 Township: 28 N Range: 1E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2016 REPRESENTATIVE: CLIFF O'BRIEN PHONE: 360-301-3179 70 BREAKER LANE PORT LUDLOW WA 98365 PROJECT DESCRIPTIOP NSFR W/Attached Garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,283 VALUATION 283,800.00 ADD'L: 609 HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: �ECRKAGE. 135 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $0.00 SRE 03/31/15 APPROVED Check $0.00 SRE 03/31/15 State Building Code $0.00 SRE 03/31/15 APR 2 1 2015 Potable Water Application $0.00 SRE 03/31/15 Total: $0.00 Jefferson County DUD \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/31/2015 • BUILDING PERMIT APPLICtION B Review e101 Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD15-00101 Received Date: 3/31/2015 SITE ADDRESS: ANCHOR LN. OWNER: PORT LUDLOW ASSOCIATES LLC PHONE: 70 BREAKER LN PORT LUDLOW WA 98365-9766 9689 SUBDIVISION: Block: Lot: PARCEL NUMBER: 968900016 Section: 17 Township: 28 N Range: 1E CONTRACTOR: PORT LUDLOW ASSOCIATES LLC PHONE: 360-437-2101 70 BREAKER LN PORT LUDLOW WA 98365 Contractor's License PORTLAL994L8 Expires 5/2/2016 REPRESENTATIVE: CLIFF O'BRIEN PHONE: 360-301-3179 70 BREAKER LANE PORT LUDLOW WA 98365 PROJECT DESCRIPTIOP NSFR W/Attached Garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,283 VALUATION 283,800.00 ADD'L: 609 HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: 2 OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: DERAGE: 435 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: 68700 BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 3 Total: 3 Total: 3 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $0.00 SRE 03/31/15 Plan Check $0.00 SRE 03/31/15 State Building Code $0.00 SRE 03/31/15 Potable Water Application $0.00 SRE 03/31/15 Total: $0.00 \\tidemark\data\forms\F_BLD_App_Bld.rpt 3/31/2015 • • �4�Soly coG DEPARTMENT OF COMMUNITY DEVELOPMENT 7a 621 Sheridan Street,Port'1'ownsend,WA 98368 Tel:360.379.4450 Fax:360.3794451 Web:www.co.jefferson.wa.us/communitpdevelopment E-ma l:dcd(i4co.iefferson.wa.us I NC310 PERMIT APPLICATION Steps in the Permit Process: -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application;it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application Its: MLA# Site Information Assessor Tax Parcel Number: 968900016 Site Address and/or Directions to Property: Property is located in the Ludlow Cove Subdivision on Lot 16. Access (name of street(s)) from which access will be gained: Paradise Bay Road,Anchor Lane Present use of property: 9100-Vacant Land Description of Work(include proposed uses): Construction of a single family home with attached garage Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES _ NO — — If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: Septic Septic Permit#: Community Septic Name of System: Case#: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete _ Partial Has a reserve drainfield been designated? Yes _ No _ Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title, which may impact the property: The authorized agent/representative Oe primary contact for all project-related quest and correspondence. The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to "junk mail"). Applicant/Property Owner Information Property Owner: Name: Port Ludlow Associates Address: 70 Breaker Lane, Port Ludlow,WA 98365 Phone#: (360)437-2101 E-mail Address: �/ Please cont Authorized A nt/Rep esentt�ative with project info. (select only one). _ Property Owner Signature: 41,4a. f ``,(� Date: J�5 f Note: For projects with multiple owners,attach a separate sheet wit ach owners)information and signatures. Applicant: Authorized Agent/Representative(If other than owner) Name: Cliff OBrien Address: 70 Breaker Lane, Port Ludlow,WA 98365 Phone#: (360) 301-3179 E-mail Address: cobrien@westharborhomes.com Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect Surveyor Contractor / Consultant Name: Port Ludlow Associates License# PORTLAL994L8 Address: 70 Breaker Lane, Port Ludlow,WA 98365 Phone#: (360) 301-3179 E-mail Address: cobrien@westharborhomes.com Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer ✓ Architect Surveyor Contractor Consultant Name: Michael Anderson License# Address: 330 Cleveland Street, Port Townsend,WA 98368 Phone#: (360) 531-1011 E-mail Address: santiago2@cablespeed.com Professional: Is this an Authorized Agent/Representative for this project? NO YES Engineer Architect _/ Surveyor Contractor Consultant Name: Union Studio License# Address: 140 Union Street, Providence, RI 02903 Phone#: (401) 272-4724 E-mail Address: 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 or her 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal, state and county laws and regulations and I 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. Applicant may request notice of t County's inten o ente pont a property for visits related to this application and subsequent permit issuance. Signature: iiiaf/lt,.f_- Print Name: Diana Smeland Date: 3,90-41 Pc rni? \pplication Pagt.2 of 2 • ��oN c.06 DEPARTMENT OF CMMUNITY DEVELOPMENT 621 Sheridan Street'Port TownsendO ,W.1 98368 W TeL 360.379.4450 I Fax:360.379.4451 -n ^C Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcd@co.iefferson.wa.us 9SH1 N oho$ SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt#: Date: Related Application#s: Payment#: Site Information Owner Name: Port Ludlow Associates Assessor Tax Parcel#: 968900016 Type of Building New Replacement Relocated Addition Repair Demolition * *A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors 2 #new bedrooms 3 existing 0 total bed 3 # new bathrooms 2.5 existing 0 total bath 2.5 Heat Source Select all that apply: / Electric Heating Oil Wood Propane j Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation (Office Use) Residential/Commercial Main Floor 0 1283 Residential/Commercial Second Floor 0 609 Additional Floors- heated/unheated 0 0 Basement-unfinished 0 0 Basement-finished space or habitable 0 0 Detached Garage-heated/unheated 0 0 Attached Garage-heated/unheated 0 482 Garage 2nd fl - unfinished storage 0 0 Garage 2nd fl-finished space or habitable 0 0 Carport-2 walls or less 0 0 Deck-uncovered 0 0 Covered porch 0 135 Other(shed, barn, pole bldg,etc.) 0 0 Estimated Cost of Project (Required): $283,800.00 $ tiipi-1.n.;u 131.8 I t • • List existing buildings on property (i.e. house,garage, accessory dwelling unit, shed, barn, mobile home,other): All Existing Buildings on Property Use Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are IsvPlicensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: 4atea Q�L 4 U Print Name: Diana Smeland Date: 3 3Oy-S-- 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 or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application p cket ma resultltin making any issued permit null and void. Signature: 7C�/�t� � a'�<�f Print Name: Diana Smeland Date: 30��J For Department Use Only Building Permit Fees Building Base Plan Check Review Land Use Review $234.00 Septic Review $80.00 Potable Water $109.00 Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption Zoning Zoning Other New Address Road Approach Total Fees Receipt # Date: Cash/Check/CC: • • c'o DEPARTMENT OF COMMUNITY DEVELOPMENT ��� 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment E-mail:dcdCco.iefferson.wa.us N STORMWATER CALCULATION WORKSHEET Muss 07-00593 PROJECT/APPLICANT NAME: Lot 16 Ludlow Cove/Port Ludlow Associates DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE (I.E.,SITE) Size of parcel '17 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 7699 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: 1900 Does the project convert 3/4 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 Nd Well, utilities, etc. sq/ft Does the project convert 2 1 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. 400 sq/ft 5399Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface,etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 7699 sq/ft Cut Fill 0 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwater talc worksheet—REV.10/20/2014 1 • S STORMWATER CALULATIONS–IMPERVIOUS SURFACE NEW EXISTING Structures(all roof area) 1900 sq/ft Structures(all roof area) 0 sq/ft Sidewalks 0 sq/ft Sidewalks 0 sq/ft Patios 0 sq/ft Patios 0 sq/ft Solid Decks 0 sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 400 sq/ft Driveway, parking, roads, etc 0 sq/ft Other 0 sq/ft Other 0 sq/ft Total New 2300 sq/ft Total Existing sq/ft TOTAL NEW+ TOTAL EXISTING" 2300 sglft *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: 30 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 Storm water Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 3/30/15 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet—REV.10/20/2014 • • FIGURE 1 : NEW DEVELOPMENT Start Here Does the site have Yes See Redevelopment 35%or more of Minimum existing impervious Requirements and coverage? Flow Chart (Figure 2) Does the project convert% acres or more of native • vegetation to lawn or ! n I Does the project add landscaped areas, or 5,000 square feet or convert 2.5 acres or more I more of new of native vegetation to APR 2 0 2015 impervious surfaces? pasture? j J JEFFERSON COUNT'�I Yes Yes No GFPT.OF COMMUNITY DFVFLOPMENT _ Does the project have 2,000 square feet or "LARGE" PROJECT more of new, replaced, All Minimum Requirements or new plus replaced apply to the new impervious impervious surfaces? surfaces and converted pervious surfaces. Yes No "MEDIUM" PROJECT Does the project have Minimum Requirements#1 land-disturbing through #5 apply to the newYes activities of 7,000 and replaced impervious square feet or more? surfaces and the land disturbed. No • "SMALL" PROJECT See Minimum Requirement#2, Construction Stormwater Pollution Prevention Based on Fig.2.2 from 2001 Ecology Stormwater Management Manual for Western Washington • • .,;.`-• �R14-)N row DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Shcndtn Street,Parc Townsend,TA 98368 �„ Tel:31St 3"9 4450 Fax 360,379.4451 1\Cb A'.S'wxchie.t„crson ws usicammunlr development DECIFIVEU 's,,. N „.S©� APR 2 0 2015 y�I N LJ STORMWATER CALCULATION WORKSHEE ' JErrERson�couni>Y [FPT Or t'fMi,iNITv DR/El ripw NT MLA# 07-00593 PROJECT/APPLICANT NAME: Lot 16 Ludlow Cove/Port Ludlow Associates DETERMINING STORM WATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE(I.E.,SITE) �r�►g Size of parcel acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 7699 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: 1900 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. 0 sq/ft Circle: Yes Nd Well,utilities,etc. 0 sq/ft Does the project convert 2 Yx acres or more of native vegetation to pasture? Driveway,parking, roads,etc. 400 sglft 5399 Circle: Yes Lawn,landscaping,etc. sgfft Other compacted surface,etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 7699 sq/ft Cut 0 Fill 0 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways,patios,driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. stormwaier clic worksheet—REV 10/2012014 1 . 40 • STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING area) �_.� — 1900 0 f a S -' / Structures(all roof area) sq/ft Structures(all roof I ,s,q/ft Sidewalks 0 sq/ft Sidewalks 0 I I sq/ft 0 0 2015 Patios sq/ft Patios sq/ft Solid Decks 0 sgift Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) I t'lT.MENT Driveway,parking,roads,etc 400 sq/ft Driveway, parking,roads,etc 0 sgift Other 0 sq/ft Other 0 sq/ft Total New 2300 sgift Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* 2300 sq/ft 'This amount wit be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment.f DEVELOPMENT v.REDEVELOPMENT C)f r7b —2 ve , Divide the total existing impervious surface above by the size of the parcel and convert to a percentage;/ " L.,% f Does the site have 35%or more of existing impervious surface? Circle: Yes No y r FURTHER INSTRUCTIONS: If the answer is yes,the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs} Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for"large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. -- 3/30/15 (LANDOWNER OR AUTHORIZED REPRESENTATIVF SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL MEDIUM _ LARGE_, ._, REDEVELOPMENT Stormwater Site Plan: Yes 9l0<<PFaIBr talc wv'ik6ECEf—HEV 1 p,ZU12014 • ,SON e DEPARTMENT OF COMMUNITY DEVELOPMENT0 - 4,Z•, � 621 Sheridan Street,Port Townsend,WA 98368 W Tel:360.379.4450 Fax:360.379.4451 Web:www.co.iefferson.wa.us/communimdevelopment E-mail:dcd@co.iefferson.wa.us 9st/IN��� PERMIT FEES WORKSHEET Name PLA Parcel # 968900016 Estimated Cost of Project $228,523.00 Permit# Building Base Fees Building Base $2,315.00 Plan Check Review $1,504.75 Land Use Review $234.00 Septic Review Potable Water $109.00 Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption $546.00 Zoning Zoning New Address $234.00 Public Works Total Fees $4,966.75 Office Use Only Receipt Number: ( 5-1 "7D Cash/Check/CC: KiJ fC s Date: I` 1/ 6 � • 0 - ��SON co, DEPARTMENT OF COMMUNITY DEVELOPMENT ,. 2 621 Shcndan Street,Port Townsend,WA 98368 LQ Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.Jefferson.wa.us/communitydevelopment D E *,, E-mail:dcdnco.iefferson.wa.us -,.. - , 95H1 NG�0LIAR 3 1 2015 9 PERMIT APPLICATION I try II JEFFERSON COUNTY Steps in the Permit Process: r,5 r OF CO°1MUOUVELOPNIENi -Review application checklist to ensure all information is completed prior to submitting application. -Make sure septic has been applied for and water availability has been proven. -Make an appointment to meet with the Permit Technician by calling 360-379-4450. -This is not a standalone application; it must be accompanied by a project specific supplemental application. -Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued. For Department Use Only Building Permit# Related Application#s: MLA# Site Information Assessor Tax Parcel Number: 968900016 Site Address and/or Directions to Property: Property is located in the Ludlow Cove Subdivision on Lot 16. Access(name of street(s)) from which access will be gained: Paradise Bay Road,Anchor Lane Present use of property: 9100-Vacant Land Description of Work (include proposed uses): Construction of a single family home with attached garage Wastewater-Sewage Disposal This property is served by Port Townsend or Port Ludlow sewer system? YES ✓ _ NO — — If not served by sewer identified above, identify type of septic system below: Type of Sewage System Serving Property: _ Septic Septic Permit#: _ Community Septic Name of System: Case #: Are other residences connected to the septic system? Additions or repairs to sewage system: Is it a complete or partial system installation: Complete _ Partial — Has a reserve drainfield been designated? Yes _ No Date of Last Operations& Maintenance check: Attach last report to application Describe or attach any drainfield easements, covenants or notices on title,which may impact the property: i The authorized agent/representative is primary contact for all project-related quest/land correspondence. The County will mail /e-mail requests and information about the application to the authorized agent/representative and will copy(cc)the owner noted below. The authorized agent/representative is responsible for communicating the information to all parties involved with the application. It is the responsibility of the authorized agent/representative and owner to ensure their mailbox accepts County email(i.e., County email is not blocked or sent to"junk mail"). Applicant/Property Owner Information Property Owner: Name: Port Ludlow Associates Address: 70 Breaker Lane, Port Ludlow, WA 98365 Phone#: (360)437-2101 E-mail Address: ✓_ Please contact Authorized Age /-Rept senta ive with project info. (select only one). Property Owner Signature: 44.10..- t Date: 5-30-(r Note: For projects with multiple owners,attach a separate sheet with a ch owner(s)information and signatures. Applicant: Authorized Agent/Representative(If other than owner) Name: Cliff OBrien Address: 70 Breaker Lane, Port Ludlow,WA 98365 Phone#: (360) 301-3179 E-mail Address: cobrien@westharborhomes.com Professional: Is this an Authorized Agent/Representative for this project? NO YES ,/ Engineer Architect Surveyor Contractor 1 Consultant _ Name: Port Ludlow Associates License# PORTLAL994L8 Address: 70 Breaker Lane, Port Ludlow,WA 98365 Phone#: (360) 301-3179 E-mail Address: cobrien@westharborhomes.corn Professional: Is this an Authorized Agent/Representative for this project? NO YES 1 Engineer ✓ Architect Surveyor Contractor Consultant Name: Michael Anderson License# Address: 330 Cleveland Street, Port Townsend,WA 98368 Phone#: (360) 531-1011 E-mail Address: santiago2@cablespeed.com Professional: Is this an Authorized Agent/Representative for this project? NO YES ✓ Engineer Architect ✓ Surveyor Contractor Consultant Name: Union Studio License# Address: 140 Union Street, Providence, RI 02903 Phone#: (401) 272-4724 E-mail Address: 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 or her 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in compliance with all applicable federal,state and county laws and regulations and I 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. Applicant may request notice dhe County's,�',ntent enter pon the property for visits related to this application and subsequent permit issuance. Signature: H [3bLl 6i�/Gt Cit iz Print Name: Diana Smeland Date: 330-71 Permit Application Page 2 of 2 ��goN eo DEPARTMENT OF COMMUNITY DEVEII I' M 17r, , 621 Sheridan Street,Port Townsend,WA 98368 ''; I 44- . --/-_, Tel:360.379.4450 I Fax:360.379.4451 Web:www.co.jefferson.wa.us/cotmnunitydevelopment 21 5 JE-mail:dcd@coiefferson.wa.ut I LRMMAIRT ; ff sN1 No SUPPLEMENTAL APPLICATION JEFFERSON COUNTY 'T.Or COMMUNITY DEVELOPMENT RESIDENTIAL OR COMMERCIAL BLDG For Department Use Only Receipt#: Date: Related Application#5: Payment#: Site Information Owner Name: Port Ludlow Associates Assessor Tax Parcel#: 968900016 Type of Building New I Replacement Relocated Addition Repair Demolition * "A separate permit is required Select One: Single Family Residence Modular Other list Proposed Building/Project Number of floors 2 # new bedrooms 3 existing 0 total bed 3 # new bathrooms 2.5 existing 0 total bath 2.5 Heat Source Select all that apply: >(I �/Ilectric Heating Oil Wood Propane Enter the square footage(sq/ft)that applies in each field: Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuation (Office Use) Residential/Commercial Main Floor 0 1283 ( y 2_231-t-{ - Residential/Commercial Second Floor 0 609 UTSiS . Additional Floors-heated/unheated 0 0 Basement-unfinished 0 0 Basement-finished space or habitable 0 0 Detached Garage- heated/unheated 0 0 Attached Garage- heated/unheated 0 482 1 . 9 ZR - f) U Garage 2nd fl- unfinished storage 0 0 Garage 2nd fl-finished space or habitable 0 0 Carport-2 walls or less 0 0 Deck-uncovered 0 0 Covered porch 0 _— 135 IO ' S-0 Other(shed, barn, pole bldg,etc.) 0 Estimated Cost of Project (Required): $283,800.00 $ 12-M23 - • c--) --- �uPnk,,,,,„ 1* R i • . List existing buildings on property(i.e. house,garage, accessory dwelling unit, shed, barn, mobile home, other): All Existing Buildings on Property Use Builders Statement The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are a .licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Print Name: Diana Smeland Date: 3_a lr N 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 or her knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect toh./(4ite this application p ket m result in making any issued permit null and void. Signature: v y ea Print Name: Diana Smeland Date: ?_-3('--711- For Department Use Only Building Permit Fees 2133 v(30 .e u Building Base 21 1 S -a° Plan Check Review I i CJ©iI - 1� Land Use Review $234.00 Septic Review .$1104(1 Potable Water $109.00 Technology/Scan $19.50 State Fee $4.50 Other Fees Shoreline Exemption 5L4(o -UC) Zoning Zoning Other New Address Road Approach Total Fees Receipt # Date: Cash/Check/CC: 1110 • PMEr [1 M CE oiv DEPARTMENT OF COMMUNITY DEVEL� •kw OG 621 Sheridan Street,Port Townsend,WA 98368 '1 Tel:360.379.4450 l Fax:360.379.4451 _ ' i -C Web:www.co.ieEferson.wa.us/communi develo ment I' ' 2015 �s P MAR 3 1 E-mail:dcdCa�co jefferson.wa.us J �^i5 I J N , C)1 SUPPLEMENTAL APPLICATION i Nscv COUNTYor COMMUNITY DEVELOPMENT DETERMINATION OF ADEQUATE POTABLE WATER Owner Name: Port Ludlow Associates Parcel No. 968900016 co oo Site Address: Lot 16, Ludlow Cove B rt Water Source Existing Proposed Attach Copies of: 1) Well Logs Private well (if no log report on file,a 1 hr stabilization test may be substituted.) 2) Lab analysis tested within 3 years of application. -Total Coliform, Nitrate-N, Chloride 2-Party Well Items above AND recorded Operations& Maintenance agreement and recorded Easement. Alternative Provide justification and design per Jefferson County System: Environmental Health policy 97-01 www.jeffe rsonco u ntypu bl ichealt h.org/pdf/Policy_97-01_Ra i n water_Coll esti on.pdf Valid Water Right Generally applies to springs,attach copy. Permit: Public Water: v Name of Water Provider: Olympic Water&Sewer Inc -Submit Water Availability Notification form completed by your water purveyor. NOTE: If any of the above utilities need to be installed and disturbance will occur in a public maintained or unmaintained County road and/or Right-of-Way easement,then a Right-of-Way application will be needed. Resolution#99-90 requires building permit applications to provide evidence of an adequate potable water supply per the conditions of RCW 19.27.097 and the Guidelines for Determining Water Availability for New Buildings. 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 making any issued permit null and void. I further agree to that all activities I intend to undertake or complete associated with this application will be performed in compliance with all applicable federal,state and county laws and regulations and I 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. Applicant may request notice of the County's intent to enter upon the property for visits related to this application and subsequent permit issuance. Signature: Print Name: Cliff OBrien Date: J - I FOR OFFICE USE ONLY 1) Water Right Permit It 3)Individual Well 2)Public Water Supply WS ID# Meets Water Quality Standards? Yes No In Compliance Yes No WRIA 17 Subbasin SIPZ -Coastal/Moderate/High Yes No Based upon information provided by the applicant,it appears that the potable water supply: Meets Conditionally Meets Does not Meet • • JEFFERSON COUNTY PERMIT CENTER 621 SHERIDAN ST. PORT TOWNSEND WA 98368 (360) 379-4450 WATER AVAILABILITY NOTIFICATION PUBLIC WATER SYSTEM TO: Jefferson County Environmental Health Department FROM: Water System Name OLYMPIC WATER & SEWER, INC. System Operator OLYMPIC WATER & SEWER, INC. State ID Number 68700L Total Connections for which system is approved 2,169 Number of service connections existing 1 ,541 Number of service connections committed 1 ,541 Date and results of most recent water bacteriological analysis March 2015 = SATISFACTORY The OLYMPIC WATER AND SEWER, INC; water system currently servers potable water at the following location: Assessors Parcel ID# 968900016 Legal Description Lot 16, Ludlow Cove 2 Site Address not yet assigned Operator Signature Date March 23, 2015 1111 11 Jefferson County Permit Center 621 Sheridan Avenue Port Townsend, WA 98368 SEWER AVAILABILITY NOTIFICATION RE: Lot 16 Ludlow Cove 2 TPN 968900016 To Whom It May Concern: Olympic Water and Sewer, Inc. will supply domestic sewer service to one single family residence at the above referenced lot. CJ '17 ! /3020/C Larry Smith Dat / / President Olympic Water and Sewer, Inc. 70 Breaker Lane Port Ludlow, WA 98365 • I was°N Co, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street,Port Townsend,WA 98368 424 Tel:360.379.4450 I Fax:360.379.4451 E C7 I_ n/j Web:www.co.jefferson.wa.us/communitydevelopment v_ E-mail:dcd@co.jefferson.wa.us �sbJ0 ! MAR 31 2015 STORMWATER CALCULATION WORKSHEET IJN MLA# 07-00593 PROJECT/APPLICANT NAME: Lot 16 Ludlow Cove/Port Ludlow Associates DETERMINING STORM WATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as "small," "medium," or "large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan, if required. PARCEL SIZE (I.E.,SITE) Size of parcel .17 acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 7699 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: 1900 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. 0 sq/ft Circle: Yes N' Well, utilities,etc. O sq/ft Does the project convert 21/2 acres or more of native vegetation to pasture? Driveway, parking, roads, etc. 400 sq/ft 5399 Circle: Yes N� Lawn, landscaping,etc. sq/ft Other compacted surface, etc. 0 sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance 7699 sq/ft Cut 0 Fill 0 (cu/yd) Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at a n increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops,walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving,gravel roads, packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. storrnwaler talc worksheet—REV.10/2012014 1 • • STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) 1900 sq/ft Structures (all roof area) 0 sq/ft Sidewalks 0 sq/ft Sidewalks 0 sq/ft Patios 0 sq/ft Patios 0 sq/ft Solid Decks 0 sq/ft Solid Decks 0 sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 400 sq/ft Driveway, parking, roads, etc 0 sq/ft Other 0 sq/ft Other 0 sq/ft Total New 2300 sq/ft Total Existing 0 sq/ft TOTAL NEW+TOTAL EXISTING* 2300 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: 30 % Does the site have 35% or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium" projects—those that must meet only Minimum Requirements#1 through#5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual. APPLICANT SIGNATURE By signing the Stormwater Calculation Worksheet,I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 3/30/15 (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) FOR OFFICE USE ONLY SMALL_ MEDIUM LARGE REDEVELOPMENT Stormwater Site Plan: Yes No stormwater calc worksheet—REV.10/2012014 7 2012 Washington State Enertiode: UA Alternative Worksheet, Type Occupancies Zero_Energy Plans Version Lot 16 - Chimicum (H1) Garage Left Woodland Ludlow Cove Phase 2 Port Ludlow Associates LLC p�7 70 Breaker Lane l, n rC' L! V E p Port Ludlow, WA 98365 J F 360-437-8242L I MAR 3 1 2015 Contact: Cliff Obrien st1 ij L 31 JEFFERSON COUNTY ^.EPT.OF COMMUNITY DEVELOPMENT Conditioned Floor Area 1,892 Conditioned Building Volume 19647 Weather Station Pon Townsend V Component Performance, R-3 occupancies Code Target Values Area UA Area UA Doors U = 0.300 60 18 60 10 Overhead Glazing U = 0.500 0 0 0 0 Vertical Glazing U = 0.300 284 85 377 98 FlatNaulted Ceilings U = 0.026 801 21 801 22 Wall (above grade) U = 0.056 2,677 150 2,583 147 Floors U = 0.029 1,283 37 1,283 32 Slab on Grade F = 0.540 0 0 0 0 Below Grade Wall U = 0.042 0 0 0 0 Below Grade Slab F = 0.570 0 0 0 0 Target UA Total 311 Proposed UA Total 309 Target Credits from Table 406.2 1.5 Proposed Credits from 1.5 Table 406.2 Qualifies If the Proposed UA<_the Target UA, and the Proposed Credits From Table 406.2 are >_ those required in Section R406.2 than the home meets the 2012 WSEC. Exterior Doors Plan Component Door Width Height ID Description Ref. U Qt. Feet inch Feet Inch Area UA Therma Tru Classic Craft V Custom 0.23 1 3 ° 6 8 20 5 Therma Tru Smooth Star v Custom 0.14 2 3 ° 6 8 40 6 Custom 0.00 0 0 Custom 0.00 0 0 v Custom 0.00 _ 0 0 N. 0 0.00 0 0 0 0.00 0 0 Copyright 2013,WSUEEPIO-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions) 3/30/2015 1 of 6 • • 2012 Washington State Enereode: UA Alternative Worksheet, Type *Occupancies Sum of Area and UA 60 10 Overhead Glazing: Plan Component Glazing Width Height ID Description Ref. _ U Qt. Feet Inch Feet inch Area UA v 0 0.00 0 0 0 0.000 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 Sum of Area and UA 0 0 Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions) 3/30/2015 2 of 6 • II/ 2012 Washington State Enerode: UA Alternative Worksheet, Type Occupancies Vertical Glazing Plan Component Glazing Width Height ID Description Ref. U Qt. Feet Inch Feet Inch Area UA PlyGem 200 Series Single Hung HP2+ V 0 0.26 14 2 8 5 6 205 53 PlyGem 200 Series Single Hung HP2+ V 0 0.26 6 2 8 5 2 83 21 PlyGem 200 Series Single Hung HP2+ V 0 0.26 6 2 8 4 ° 69 18 PlyGem 200 Series Single Hung HP2+ V 0 0.26 3 2 ° 3 " 20 5 V 0 0.00 0 0 Vl 0 0.00 0 0 • 0 0.00 0 0 V , 0 0.00 _ 0 0 • ,. 0 0.00 0 0 • 0 0.00 0 0 VI 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V ' 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 _ 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V '... 0 0.00 0 0 V '' 0 _ 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 • V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 _ 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 V 0 0.00 0 0 • 0 0.00 0 0 V 0 0.00 0 0 Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions) 3/30/2015 3 of 6 2012 Washington State EnerOode: UA Alternative Worksheet, Type 'Occupancies v 0 0.00 0 0 v 0 0.00 0 0 0 0.00 0 0 w 0 0.00 0 0 w 0 0.00 0 0 V 0 0.00 0 0 w 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 V 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 0 0.00 0 0 Sum of Area and UA 377 98 Glazing Area Weighted U 0.260 Flat/Vaulted Ceilings Plan Component Attic ID Description Ref. U Area UA R49 blown Attic STD baffled IP 10-7 0.027 801 22 V Custom 0.000 0 V Custom 0.000 0 VCustom 0.000 0 Sum of Area and UA 801 22 Walls (Above Grade) Plan Component Wall ID Description Ref. U Net Area UA R21 cavity+RO foam STD 2X6W Lap v 10-5 0.057 2,583, 147 V Custom 0.000 0 0 V Custom 0.000 0 0 V Custom 0.000 0 0 Sum of Area and UA 2,583 147 Floor(over crawl or exterior) Plan Component Floor ID Description Ref. U Area UA R38 vented Joist 16oc v 10-3 0.025 1,283 32 V 0 0.000 0 V 0 0.000 0 Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions) 3/30/2015 4 of 6 2012 Washington State Enerode: UA Alternative Worksheet, Type Occupancies v 0 0.000 0 Sum of Area and UA 1,283 32 Slab on Grade (less than 2 feet below grade) Plan Component Slab Slab ID Description Ref. F Length UA _7 Custom 0.000 0 V 0 0.000 0 V 0 0.000 0 v : 0 0.000 0 Sum of Area and UA 0 0 Below Grade Walls and Slabs Plan Component Wall Wall Wall Slab Slab Slab ID Description Ref. U Area UA F Length UA 0 0.000 0.0 0.000 0 0 0.000 0.0 0.000 0 V ' 0 0.000 0.0 0.000 0 V 0 0.000 0.0 0.000 0 Sum of Area, Length and UA 0 0.0 0 0 Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions) 3/30/2015 5 of 6 2012 Washington State Enerode: UA Alternative Worksheet, Type*Occupancies Table R406.2 Summary Opt. Description Credit(s) la Efficient Building Envelope la 0.5 ❑ 1b Efficient Building Envelope 1b 1.0 ❑ 1c Efficient Building Envelope 1c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1 5 _ CI 3a High Efficiency HVAC 3a 0.5 ❑ 3b High Efficiency HVAC 3b 1.0 Li 1.0 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 0.5 CI 0.5 5b Efficient Water Heating 1.5 LI 6 Renewable Electric Energy 0.5 3448 kWh ❑ Total Credits 1.5 *Please refer to Table R406.2 for complete option descriptions Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions) 3/30/2015 6 of 6 0 Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2012 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of 0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. • • Project Information Contact Information Lot 16-Chimicum(H2)Garage Left Woodland Port Ludlow Associates LLC Ludlow Cove Phase 2 Cliff Obrien 360-437-8242 Heating System Type: 0 All Other Systems 0 Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Desitin Temperature Instructions ___ Design Temperature Difference(AT) 45 Port Townsend AT.Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) 1.892 Average Ceiling Height Conditioned Volume Instructions Average Ceiling Height(ft) 9.0 17,028 Glazing and Doors U-Factor X Area = UA -actions 0.30 377 113.10 Skylights U-Factor X Area = UA Instructions 0.50 0 --- Insulation Attic U-Factor X Area = UA :nstructions R-45 0.026 801 20.83 Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA Instructions I R-38 Vented . + 0.027 0 _ Above Grade Walls(see Figure U-Factor X Area UA —._ ----- Instructions r _I Intermediate 0.056 2,583 144.65 Floors U-Factor X Area UA Instructions 0.025 1,283 32.08 r-3S Below Grade Walls(see Figure 1) U-Factor X Area UA Instructions - -- No Below Grade Walls in this project. . --- 0 --- Slab Below Grade(see Figure 1) F-Factor X Len.th UA Instruction+. 0 No Slab Below Grade in this project -.. 0 Slab on Grade(see Figure a F-Factor X Len r th UA Instructions _ - 0 NoL. Sat on zde in this project . --- Location of Ducts Instructions _ Duct Leakage Coefficient No Ducts . 1.00 Sum of UA 310.65 Envelope Heat Load 13,979 Btu/Hour Figure 1. Sum of UA X AT Air LeakageHeat Load 8,276 Btu/Hour 0.6 VolumeX 0.6X ATX.018 Building Design Heat Load 22,255 Btu/Hour Air Leakage*Envelope Heat Loss Building and Duct Heat Load 22,255 Btu/Hour Ducts in unconditioned space:Sum of Building Heat Loss X 1.10 Ducts in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 27,819 Btu/Hour Building and Oust Heat Loss X 1.40 for Forced Air Furnace Building and Duct Heat Loss X 1.25 for Heat Pump (07/01/13)