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Home My WebLink AboutBLD2022-00086 - CANCELLEDPermit Application Page 1 of 2 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: dcd@co.jefferson.wa.us 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 #s: MLA # Site Information Assessor Tax Parcel Number: Site Address and/or Directions to Property: Access (name of street(s)) from which access will be gained: Present use of property: Description of Work (include proposed uses): 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: RECEIVED BY DCD 2/16/2022 RECEIVED DCD 02/16/22 Supplemental SFR 1 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: dcd@co.jefferson.wa.us SUPPLEMENTAL APPLICATION RESIDENTIAL OR COMMERCIAL BLDG PERMIT For Department Use Only Receipt #: Date: Related Application #s:Payment #: Site Information Owner Name: Assessor Tax Parcel #: 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 # new bedrooms existing total bed # new bathrooms existing total bath Heat Source Select all that apply: Electric 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 Residential / Commercial Second Floor Additional Floors - heated / unheated Basement - unfinished Basement - finished space or habitable Detached Garage - heated / unheated Attached Garage - heated / unheated Garage 2nd fl - unfinished storage Garage 2nd fl - finished space or habitable Carport - 2 walls or less Deck - uncovered Covered porch Other (shed, barn, pole bldg,etc.) Estimated Cost of Project (Required): $ $ Supplemental SFR 2 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 not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Print Name: Date: _____________ By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and correct to the best of his 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. Signature: Print Name: Date: For Department Use Only $.00 $1 .00 $1 00 $2 $6.50 Building Permit Fees Building Base Plan Check Review Land Use Review Septic Review Potable Water Technology/Scan State Fee Other Fees Shoreline Exemption Zoning Zoning Other New Address Technology Fee 5% Total Fees Receipt # Date: Cash/Check/CC: - - - - stormwater calc worksheet QR code REV. 5/31/2019 page 1 of 2 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: dcd@co.jefferson.wa.us STORMWATER CALCULATION WORKSHEET PARCEL # PROJECT/APPLICANT NAME: DETERMINING STORMWATER MANAGEMENT REQUIREMENTS: This stormwater calculation worksheet should be completed first to quired 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. 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 of plant species, other than noxious weeds, which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir, western hemlock, western red cedar, alder, big-leaf maple, and vine maple; shrubs such as willow, elderberry, salmonberry, and salal; herbaceous plants such as sword fern, foam flower, and fireweed. LAND DISTURBING ACTIVITY, CONVERSION OF NATIVE VEGETATION, AND VOLUME OF CUT/FILL Calculate the total area to be cleared, graded, filled, Answer the following two questions related to excavated, and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for: Does the project convert ¾ acres or more of Construction site for structures _________________ sq/ft native vegetation to lawn or landscaped areas? Drainfield, septic tank, etc. ____________________ sq/ft Circle:Yes No Well, utilities, etc. ___________________________ sq/ft Does the project convert 2 ½ acres or more of native vegetation to pasture? Driveway, parking, roads, etc. ___________________sq/ft Circle:Yes No Lawn, landscaping, etc. ______________________ sq/ft Other compacted surface, etc. _________________ sq/ft Indicate Total Volumes of Proposed: (Includes BMP T5.13 Fill Volume) Temporary construction area ______________ sq/ft Total Land Disturbance ____________________ sq/ft Cut __________ Fill __________ (cu/yd) PARCEL SIZE (I.E., SITE) Size of parcel _________ acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet _________________ sq/ft Scan the QR code to access the digital form stormwater calc worksheet QR code REV. 5/31/2019 page 2 of 2 ~ Applicants for small Construction Stormwater Pollution Prevention. Please submit the Small Project Certification (Worksheet s). 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 (SWPPP) Best Management Practices (BMPs) Fact Sheet . ~ Applicants for medium those that must meet only Minimum Requirements #1 through #5 must submit Worksheet A1 and B1, a stormwater site plan and a construction stormwater pollution prevention site plan (See Reference A1A and B1A for guidance).). ~ Large those that must meet all 9 Minimum Requirements must submit Worksheet A1 and B1, a stormwater site plan and a construction stormwater pollution prevention site plan (See Reference A1A and B1A for guidance). Large projects also may require engineering. See Worksheet L to determine additional large project requirements. 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. ________________________________________ ________________________ (LANDOWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) STORMWATER CALCULATIONS IMPERVIOUS SURFACE Impervious surface is a hard surface that either prevents or slows the entry of water into the soil 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. NEW EXISTING Structures (all roof area) _________________sq/ft Structures (all roof area) _________________sq/ft Sidewalks _________________sq/ft Sidewalks _________________sq/ft Patios _________________sq/ft Patios _________________sq/ft Solid Decks _________________sq/ft Solid Decks _________________sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc _______________sq/ft Driveway, parking, roads, etc _______________sq/ft Other _________________sq/ft Other _________________sq/ft Total New _________________sq/ft Total Existing _________________sq/ft TOTAL NEW + TOTAL EXISTING* _________________sq/ft *This amount will be used to check total lot coverage. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage. ____________% Does the site have > 35% or more existing impervious surface? The proposal is considered new development. Answer questions in Figure 2.4.1 Flow Chart for New Development to determine project size (next page). The proposal is considered redevelopment Answer questions in Figure 2.4.2. Flow Chart for Redevelopment to determine project size (next page). yes no construction Pollution Prevention Page 1 of 3 5/31/2019 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: dcd@co.jefferson.wa.us CONSTRUCTION STORMWATER POLLUTION PREVENTION Best Management Practices (BMPs) Fact Sheet Stormwater Calculation Worksheet ), submit Worksheet S Small Project Certification. Additionally, the applicant shall consider the twelve Construction Stormwater Pollution Prevention elements and implement applicable BMPs. A set of useful BMPs for typical rural residential construction is attached. There is no additional submittal required as part of the permit application. applicants must submit a Construction Stormwater Pollution Prevention Plan (SWPPP) and a Stormwater Site Plan (applicants may use Worksheet B1 or equivalent). The following twelve elements must be considered for Construction Stormwater Pollution Prevention before and during the construction phase of the project: 1. Mark Clearing Limits 7. Protect Drain Inlets 2. Establish Construction Access 8. Stabilize Channels and Outlets 3. Control Flow Rates 9. Control Pollutants 4. Install Sediment Controls 10. Control De-Watering 5. Stabilize Soils 11. Maintain Best Management Practices 6. Protect Slopes 12. Manage The Project Each of the twelve elements is described in more detail below: 1.Mark Clearing Limits By minimizing the limits of clearing on the site, a builder can minimize stormwater runoff and provide effective control of pollution. 2.Establish Construction Access Much of the sediment that leaves a construction site does so on the wheels of delivery and construction vehicles that drive off a project site. Construction access must be limited to a single location and a properly constructed Stabilized Construction Entrance (BMP C105) should be included on the site. 3.Control Flow Rates Stormwater that leaves a project site unimpeded may exceed the capacity of the existing stormwater control facilities downstream and may contain sediment that may be deposited as the velocity of the runoff decreases. Stormwater protection on a construction site should include measures to control the flow rate of runoff from the site. This can be done by installing a Sediment Trap (BMP C240) or other measure that will impede the flow of water off a construction site. 4.Install Sediment Controls In addition to limiting the rate of stormwater flow off a construction site, measures should be put in place to treat the runoff and remove sediment. Limiting of the cleared area (Element 1) will assist in this effort, but there will be exposed soils that may move with the runoff. Suggested BMPs for controlling sediment include Straw Wattles (BMPC235), Brush Barrier (BMP C231), Gravel Filter Berm (BMP C232), and Silt Fence (BMP C233). Installation of a Sediment Trap (Element 3) is an additional sediment control feature. construction Pollution Prevention Page 2 of 3 5/31/2019 5.Stabilize Soils An additional measure that can minimize sediment transport in runoff is to stabilize soils on the site with mulch or some other covering. This will limit the amount of soil that is exposed to rainfall, thus limiting the sediment that could potentially leave the site. BMPs that could be used for this include Mulching (BMP C121), Nets and Blankets (BMP C122), and Plastic Covering (BMP C123). During periods of dry weather dust can become a problem and sediment could be transported from the site in high winds. BMP C140 Dust Control should be followed to limit loss of soils in windy conditions. 6. Protect Slopes If the cleared area includes slopes of 3:1 (Horizontal: Vertical) or steeper, the slopes should be protected to limit runoff. If the slopes are not protected, rills and gullies may form, transporting sediment to the lower elevations and potentially off the construction site. The slopes should be graded to minimize erosion and runoff at the downstream end of the slopes, and runoff should be collected and treated. The following BMPs could be used Surface Roughening (BMP C130), Interceptor Dike and Swale (BMP C200), and Pipe Slope Drains (BMP C204). 7.Protect Drain Inlets Runoff from urban construction sites often discharges into existing stormwater collection systems. Water enters the collection system through drain inlets. If there are drain inlets downstream of a construction site, they should be protected using BMP C220 Storm Drain Inlet Protection. 8.Stabilize Channels and Outlets Any temporary on-site channels or ditches that are used to control runoff should be stabilized to prevent erosion in the channel. BMP C202 Channel Lining and BMP C209 Outlet Protection should be used. 9.Control Pollutants The best way to control pollution is to limit the source of pollution. Construction debris should be maintained in a safe location. Vehicle maintenance on the construction site should be minimized and any spill should be promptly cleaned up. Concrete spillage should be kept to a minimum and cleaning of the concrete trucks after they have unloaded should be done in an area that will not drain off site (see BMP C151 Concrete Handling). 10.Control Dewatering In some cases, excavation for the foundation or below ground structures will encounter ground water. This water must be removed (dewatered) from the excavation. Discharge of this ground water must be treated in a manner that will not cause damage downstream due to flow rates or added pollution. There are no specific BMP identified for this activity, but the water should be handled with care to assure that soils or other pollutants are not added to this flow. 11.Maintain BMPs Installation of the appropriate BMPs is not adequate to completely control stormwater runoff. The BMPs that have been installed on the project must be inspected and maintained during the duration of the construction project. In addition, the temporary controls that were installed for construction should be removed within 30 days of completion of the work. Typically, once construction has been completed, the ail and discharge water or sediment that had been previously trapped or contained. 12.Manage the Project Management of a project has four aspects: 1. Phasing construction to prevent transportation of runoff and sediment, 2. Limiting the work during seasons where large amounts of rainfall could be anticipated, 3. Coordination with Utilities and other Contractors, and 4. Inspection and Monitoring. All of these for aspects are important and must be followed to ensure a project that will have minimal impact on the environment. Volume II of the Manual contains additional BMPs that could be used on-site. The applicant is encouraged to review the Manual to see if other BMPs may be applicable to, or more useful on, a particular site. construction Pollution Prevention Page 3 of 3 5/31/2019 Best Management Practices from 2014 Ecology Stormwater Management Manual The following BMPs for Construction Stormwater Pollution Prevention are sediment and erosion control measures for the construction phase of typical rural residential development. Some projects may not require implementation of all of these BMPs; others may require additional measures not listed here. II-4.1 Source Control BMPs BMP C101: Preserving Natural Vegetation BMP C102: Buffer Zones BMP C103: High Visibility Fence BMP C105: Stabilized Construction Entrance / Exit BMP C106: Wheel Wash BMP C107: Construction Road/Parking Area Stabilization BMP C120: Temporary and Permanent Seeding BMP C121: Mulching BMP C122: Nets and Blankets BMP C123: Plastic Covering BMP C124: Sodding BMP C125: Topsoiling / Composting BMP C126: Polyacrylamide (PAM) for Soil Erosion Protection BMP C130: Surface Roughening BMP C131: Gradient Terraces BMP C140: Dust Control BMP C150: Materials on Hand BMP C151: Concrete Handling BMP C152: Sawcutting and Surfacing Pollution Prevention BMP C153: Material Delivery, Storage and Containment BMP C154: Concrete Washout Area BMP C160: Certified Erosion and Sediment Control Lead BMP C162: Scheduling II-4.2 Runoff Conveyance and Treatment BMPs BMP C200: Interceptor Dike and Swale BMP C201: Grass-Lined Channels BMP C202: Channel Lining BMP C203: Water Bars BMP C204: Pipe Slope Drains BMP C205: Subsurface Drains BMP C206: Level Spreader BMP C207: Check Dams BMP C208: Triangular Silt Dike (TSD) (Geotextile-Encased Check Dam) BMP C209: Outlet Protection BMP C220: Storm Drain Inlet Protection BMP C231: Brush Barrier BMP C232: Gravel Filter Berm BMP C233: Silt Fence BMP C234: Vegetated Strip BMP C235: Wattles BMP C236: Vegetative Filtration BMP C240: Sediment Trap BMP C241: Temporary Sediment Pond BMP C251: Construction Stormwater Filtration - 2 A2 4 A3 3 A2 2 ' - 3 " 1 6 ' - 3 " 2 ' - 6 " 21' - 0" 5' - 0"3' - 0"5' - 0"3' - 0"5' - 0" N e w G a r a g e A d d i t i o n 2 1 ' - 0 " 413 SF New Garage 403 SF Existing Garage 1638 SF Existing Residence Replace Existing Window with Door New 16'-0" x 8'-0" Garage Door CS -PF CS-WSP CS -W S P 3 1 / 2 x 1 2 G L B Verify plywood or OSB on this wall.-If no plywood exists remove siding and sheath entire wall Manufactured Trusses @ 24" o.c. First Floor 0' -0" Second Floor 9' -8" Roof 22' -2" Foundation -0' -11 1/2" Plate Ht. 18' -8" 3 A2 403 SF Existing Garage First Floor 0' -0" Second Floor 9' -8" Roof 22' -2" Foundation -0' -11 1/2" Plate Ht. 18' -8" 2 A2 4 A3 413 SF New Garage 403 SF Existing Garage REGISTERED ARCHITECT STATE OF WASHINGTON JAMES MACK PEARL 5526 Scal e Date Drawn by Checked by PR I N T E D J. M A C K P E A R L - AR C H I T E C T 64 7 9 N E B R I G H A M R O A D BA I N B R I D G E I S L A N D , W A 9 8 1 1 0 (2 0 6 ) 8 4 2 -85 0 5 S e a b o l d 2 @ m s n . c o m 1/4" = 1'-0" 2/ 8 / 2 0 2 2 2 : 3 5 : 3 6 P M A2 First Floor Plan Ne w G a r a g e 01/04/2021 Author Checker 55 O a k S h o r e D r Po r t T o w n s e n d , W A 9 8 3 6 8 - 9 5 3 4 1/4" = 1'-0"1 First Floor No. Description Date 1/4" = 1'-0"2 Existing Garage Cross Section 1/4" = 1'-0"3 Long Section New & Old Garage RECEIVED DCD 2/16/22 RECEIVED DCD 2/16/22 RECEIVED DCD 2/16/22 4'- 0 " M A X . 5" 8" 1'-4" 6"5" 12 " 1'- 6 " M I N . (1) #4 CONT., TOP (2) #4 CONT. BOTTOM #4 L @ 16" O.C. VERT. ALT. DIR. OF HK. (1) #4 CONT. TOP #4 @ 12" O.C. HORIZ. BEND SLAB REINFORCING DOWN 5" 1'-4" 4'- 0 " M A X . 1' - 6 " M I N 8" 5" 6" 8" M I N . ANCHOR BOLTS AT 48" O.C., U.N.O ON PLANS W/ 2X6 PLATE WITH 5/8" DIA. BP5/8-3 PLATE WASHERS GRADE DOWNSPOUT TIGHTLINE 4" SMOOTH WALL PVC ALT. DIR. OF HOOK (2) #4 CONT. BOTTOM (SEE SITE PLAN FOR REFER TO ARCHITECT'S DWGS. #4 L @ 16" O.C. VERT. #4 @ 12" O.C. HORIZ. (1) #4 CONT. TOP OUTLET LOCATION) GRANULAR FILL (3/4") WASHED PLASTIC FOOTING DRAINPIPE 4" PERFORATED, CORRUGATED 15' - 0" 34 ' - 0 " F r o n t Y a r d S e t b a c k 2 5 ' - 0 " Side Yard 10' - 0" Side Yard 10' - 0" R e a r Y a r d 1 0 ' - 0 " Oak Shore Drive 3 0 ' - 0 " Center Line Septic Tank Re s e r v e A r e a Drainfield New Garage Cedar Tree Ex i s t i n g G r a v e l D r i v e w a y Existing Residence Existing Garage A p p r o x i m a t e L o c a t i o n o f W a t e r L i n e 21' - 0" 2 1 ' - 0 " 2 ' - 6 " 1 6 ' - 3 " 2 ' - 3 " New Garage Existing Garage 4 A1 5 A1 REGISTERED ARCHITECT STATE OF WASHINGTON JAMES MACK PEARL 5526 Scal e Date Drawn by Checked by PR I N T E D J. M A C K P E A R L - AR C H I T E C T 64 7 9 N E B R I G H A M R O A D BA I N B R I D G E I S L A N D , W A 9 8 1 1 0 (2 0 6 ) 8 4 2 -85 0 5 S e a b o l d 2 @ m s n . c o m As indicated 3/ 7 / 2 0 2 2 1 : 0 7 : 4 4 P M A1 Site Plan Ne w G a r a g e 01/04/2021 Author Checker 55 O a k S h o r e D r Po r t T o w n s e n d , W A 9 8 3 6 8 - 9 5 3 4 No. Description Date 1" = 20'-0"1 Site Plan 2 NE Above 1/4" = 1'-0"3 Foundation Slope 4" Slab on Grade 3/4" = 1'-0"4 Slab Turned Down Edge 3/4" = 1'-0"5 Typical Foundation Wall RECEIVED BY DCD 3/8/2022 1 5 ' - 0 " 34' - 0" Front Yard Setback 25' - 0" 1 0 ' - 0 " 1 0 ' - 0 " 10' - 0" O a k S h o r e D r i v e 30' - 0" C e n t e r L i ne S e p t i c T a n k Reserve Area D r a i n f i e l d New Garage Cedar Tree Existing Gravel Driveway Exist. Garage E x i s t . H o u s e Approximate Location of Water Line REGISTERED ARCHITECT STATE OF WASHINGTON JAMES MACK PEARL 5526 Scale Date Drawn by Checked by PR I N T E D J. M A C K P E A R L - AR C H I T E C T 64 7 9 N E B r i g h a m R D BA I N B R I D G E I S L A N D , W A 9 8 1 1 0 (2 0 6 ) 9 0 9 -97 4 5 S e a b o l d 2 @ m s n . c o m 1" = 20'-0" 3/ 7 / 2 0 2 2 1 : 0 5 : 5 5 P M S1 11x17 Site Plan Ne w G a r a g e 01/04/2021 Author Checker 55 O a k S h o r e D r Po r t T o w n s e n d , W A 9 8 3 6 8 - 9 5 3 4 1" = 20'-0"1 Site Plan 11x17 North RECEIVED BY DCD 3/8/2022