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SON co DEPARTMENT OF COMMUNITY DEVELOPMENT
�� G2 621 Sheridan Street, Port Townsend, WA 98368
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.� Tel: 360.379.4450 1 Fax: 360.379.4451
Web: w-\4w.co.Jefferson.wa.us/communindei,elopment
LG I -mail: dcdg.co.jefferson.wa.us
j j 1 N G,�O
SITE PLAN CHECKLIST
Site plan must be legible.
Site Plan Checklist
Only a complete site plans can be accepted at time of appointment. The permit technician is unable to complete
the site plan for you. If you have questions please call before submittal.
You must ensure that every item below is included in the site plan. Check each item below when completed in
site plan. The permit technician will review at time of submittal, incomplete site plans will be returned.
DCD YOU
✓� Title Block
Indicate applicants name, site address, Assessor's Tax Account # (Parcel #).
0 Scale - prefer engineer scale to architect scale
Indicate map scale. Use appropriate scale and note it on your site plan. (example - Scale 1" - 40')
0 North Arrow
Show an arrow indicating the NORTH direction.
0✓ Property Boundaries / Easements - full site plan is needed, attach detailed plan if needed
Show property lines and all easements (utility, drainage, dike, access, railroad, etc). Indicate site
dimensions. Include building footprint square footage and names of adjacent roads.
0 Driveway
Show entire length and width of driveway in feet. indicate grade of driveway in percent (%) slope.
✓� Building Footprint - do not add future proposed projects
Show location and dimensions of all existing and proposed buildings or structures. If this
project includes an addition, clearly show the addition different from the existing building.
Identify each building by its use (residence, garage). Indicate any decks, porches, or retaining walls.
7✓ Impervious Surface
Indicate the amount of new impervious area. Label new and old impervious areas. Include the
sq/ft of building, roof area, parking area, patios and any new driveway (including non -paved driveways).
0✓ Setbacks
Indicate the building setbacks from all property lines with a dashed line. Include distances between
structures, and distances from structures to critical areas, including shoreline setbacks when applicable.
F 7V Power Lines from property boundary to structure
F7V On -Site Septic System Location or Sewer Lines
Indicate method of sewage disposal. See back side for septic site plan requirements.
ER Well Location or Water Lines - must show 100 foot radius around well.
Indicate the drinking water supply (existing and/or proposed, public or individual). Show all
private well(s), public water mains and water supply pipes to all buildings.
EF1� Propane /ufA
Show the location of the propane tank (if any).
Propane is prohibited in locations such as basements or pits or anywhere gas can unsafely collect.
Propane tanks > 125 gallons - minimum setback of 10 ft. from property line and buildings.
Checklist- Site Plan Checklist.xlsx Page 1
Environmental Health Requirements
Note - this building permit application may require you to bring your septic system up to current codes.
DCD YOU
EZ On -site septic system location or sewer lines (existing and/or proposed).
Show measurements from the foundation to septic tank, drainfield and reserve area.
✓ Sewage transport line
IICurrent 0&M inspection. Vi*r'rL- i
f Reserve area
Is the stormwater diverted from drainfield / tank area? Show measurement from stormwater facility
facility to septic tank and drainfield.
Are all septic system components completely installed (tanks, transport lines, drainfield)?
Is the septic system finaled, please contact EH to see what requirements they may have. #is*— f
Water
Well location(s) with a 100 foot radius around well. NIA ,v5: C4.S4'. c6dr 44it_
Water Lines and water meters, from water source to all buildings. b w..t; ,,,� �Kd�.�or;✓.+ �.�
11-and Use Requirements
DCD YOU
LLShorelines
For shoreline properties, show the ordinary high water mark (OHWM), the shoreline buffer,
the shoreline setback, and the distances from OHWM to all structures, including structures within
300 feet from both sides of property. Nb-- c
F Slope
Indicate slope (elevation change) of building site. Use contour lines or arrows to show direction
and percent (%) slope(s). Identify slopes greater than 15%.
Percentage % of slope = Rise (height) divided by Run (distance) multiplied by 100.
FV7Critical Areas
Show all critical areas such as geologically hazardous areas, wetlands, rivers, streams, ponds, etc.
J_1 stormwater
Method and location of stormwater disposal facilitates such as rain gardens, splash blocks, dry wells
based on the current Stormwater Management Manual for Western Washington.
Commercial Building Requirements - in addition to items above.
A site plan prepared by a licensed civil engineer, architect, or landscape architect containing the following
information in addition to the general information required above.
DCD YOU
Existing structures and significant features on the subject property and on adjacent properties.
Property lines, adjoining street and immediately adjoining properties and their ownership.
The layout of an internal vehicular and pedestrian circulation system, including location and dimensions
of existing and proposed improvements on public right-of-way such as roads, sidewalks, and curbs.
Corner grades and exisiting contours of topography at five-foot intervals.
Existing and proposed grades and volume and disposition of excavated material, if applicable
Natural drainage direction and storm drainage facilities and improvements.
Locations of all existing and proposed utility connections.
Parking spaces and driveways.
Identify all uses in existing and proposed structures.
Proposed landscaping.
Checklist- Site Plan Checklist.xlsx Page 2