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Home My WebLink AboutDOC-2021-Contractor Application -G.8T r o0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 �+.q W� Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 Residential Building Permit App Submittal Packet New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex) Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls 1. PROPERTY INFORMATION Project Address (Street, Suite #): Assessor Parcel Number: 0 n5$�d Subdivision/Lot#: Zoning Designation: Lot area (size): 97A 14 sq. ft. Z. TYPE OF PROJECT X New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) ❑ New Duplex ❑ Attached to Primary Unit ri Detached from Primary Unit El interior remodel ❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall or duplex (new/repair) ❑ Other: Project Summary: Project Valuation: $ 3. PROPERTY OWNER INFORMATION Name: r Phone: Address (Street, City, State, Zip): Email Address: 4. CONTRACTOR INFORMATION Name:* �n/t,,,,, �v\lVft1, Contractor's Business Licenses "'A It Contractors & Subcontractors must have a valid city of Anacortes business license prior to doing work in the City. Address (Street, City, State, Zip): to�y-7 Q/qz'FN�- ul� UN Novi vq)�- 187�3 rG Phone: �taye License #: r r _ ,I City License #: Expiration Date: Email Address: h�q r7�vn�.l �� v hr�iEde�Cd OU Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 1 of 19 �'d y o� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.D. Box 547, Anacortes, WA 9822.1 t Office Location: 904 60h Street, Anacortes WA 98821 �.t V w� Phone: (360) 293-I90.1 ,.. S. CONTACT PERSON Select one person the city will contact for anything related to this project: Name: Address (Street, City, State, Zip): E (P'.U-7 F'Y Fftf Y LN 51 -L{ 01h VIA- ❑ Applicant ❑ PropertyOwner �& Contractor Phone:4r. Email Address: l�[em Aau l o Co nq 6. LENDER INFORMATION RCW 19.27.095 requires the city to obtain information with regard to lenders. If there are no lenders involved with your project, write "no lenders" on the Name Line Below. Name: IPhone: Address (Street, City, State, Zip): Email Address: 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: I understand that when a building permit application is taken in over the counter it does not mean the application has been deemed technically complete and sufficient for staff review. I understand that if l submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. 1 understand and acknowledge that I could be responsible far providing as -built drawings (on paper electronically) as part of the project's certificate of occupancy process. I understand and acknowledge that Special Inspections could be required as part of my project, i" if needed I will be required to pay for the cost of these inspections. I understand and acknowledge that financial securities could be required as part of the work I am �-} completing and I agree to provide the items needed for the City to calculate these securities and to r provide the securities themselves. I understand that if permits are reviewed concurrently such as design review, site plan, traffic concurrency, etc., any required revisions to one permit may affect the entire plan set and could add costs and time to the project. Res. Building Permit Application Submittal checklist Updated March 12, 2021 Page 2 of 29 �� Y o Ml PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 �+4 w� Office Location: 904 6th Street Anacortes WA 98821 Phone: (360) 293-1901 1 hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under Penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. Signature -6'ecca Printed Name Date 41'7zl2,02-i Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 3 of 19 Y u PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6rh Street, Anacortes WA 98821 Phone: (360) 293-1901 SUBMITTAL vi Gl Residents! Building Permit ; : f� �+ Submittal Requirement Checklist Ln _ o . ,° W pj See pages 2-3 of this handout for information about each in y a� G Q U submittal item listed below. Z 4 Q � c _ i 0 Residential Building Permit Application Form (FORM BP-1—attached) X X X X X Structure & Site Information Form {FORM BP-2 — attached} X X X X X Mechanical & Plumbing Fixtures Form (FORM BP-3—attached) X X X Architectural Plans (requirements listed on FORM BP-4 - attached) X X X X X Stormwater Management Minimum Requirements Determination X X X X (FORM BP-5, attached) Stormwater Site Plan X X X X Site Plan & Landscape Plans (requirements listed on Form BP-5) X X X X X Structural Plans & Calculations X X X X X Energy Code Plans & Forms X X Manufacturer's Specifications/Cut Sheets X -H Copy of recorded survey X X X X Technical Reports X X X X Other Required Permits X X X X X ADU Affidavit of Owner Occupancy (signed) X Submittal Information Fees Send applications in PDF format with a file and message Once we receive your application, we will size no greater than 30 MB. Please review our Electronic contact you about payment of the Submittal Guidelines for more information. An email required deposit, if any. with a link to a file share site (Dropbox, Google Drive, OneDrive, etc.) is acceptable. Permit fees are paid prior to building permit issuance. Email: buildin rmit cit ofanacortes.or Incomplete applications will not be processed. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 4 of 19 NT Y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT G M" Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6-th Street, Anocortes WA 98821 co Phone: (360) 293-1901 Additional details on certain submittal items is provided below to ensure Applicants are fully aware what City staff will be looking for when an application is submitted to the City. FORMS AND PLANS • FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information about your project, including type of permit you are applying for, and property owner, contractor, and contact information. ■ FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about the proposed structure, including height, floor areas, fire protection proposed, and asks questions about site characteristics that are used to determine whether your project requires any other information or additional permit applications to be submitted. ■ FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form BP-3 provides space for you to fill in fixture information for plumbing and mechanical appliances and equipment that are included as part of your project. • FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items required to be shown on Architectural Plans. • FORM BP-S: STORMWATER MANAGEMENT DETERMINATION FORM. Most development within the City of Anacortes that involves disruption of soils, or construction of buildings, streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading, vegetation removal), or the amount of hard surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.). Form BP-5 assists you in determining the level of stormwater review (applicable Minimum Requirements) required for your project. • STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all of the technical information and analysis necessary for regulatory agencies to evaluate your project for compliance with stormwater requirements. The level of stormwater review and contents of the Stormwater Site Plan will vary with the type and size of the project, and individual site characteristics. Use Form BP-5 to determine the level of stormwater review and then complete the applicable Stormwater Minimum Requirements Form on the Public Works - En ine in ear me For s webs1te and provide required submittal items/plans. • FORM BP-6: SITE PLANS & LANDSCAPE PLANS. Form BP-6 contains a list of all the items required to be shown on Site and Landscape Plans. • STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed professional structural engineer drawn at a scale approved by the Building Official clearly indicating the information required by the "Permits" section of the currently adopted International Building Code and Chapter 19.27 RCW (State Building Code Act, Statewide amendments), and City submittal forms including: structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts; cross-section details, as needed, to show typical foundation, floor, wall, ceiling and roof construction; insulation of walls, floors and roof/ceiling; and details of stairs, fireplaces and special construction, if any. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 5 of 19 Gil Y O PLANNING, COMMUNITY, 9, ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.Q. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 K�.q � Phone: (360) 293-1901 • STRUCTURAL CALCULATIONS: An analysis of loads, materials, etc., prepared and stamped by a State of Washington licensed professional structural engineer. • ENERGY CODE FORMS: The standard Washington State Energy Office form requesting the information required under Chapter 51-11 WAC detailing building components used to comply with the State Residential or Nonresidential Energy Code, as applicable. • MANUFACTURER'S SPEC]FICATIONS/CUT SHEETS: A document that summarized the performance and other technical characteristics of a product, machine, component, material, or subsystem (e.g., a power supply) in sufficient detail that allows the City to determine the product will be incompliance with applicable codes. • COPY OF RECORDED SURVEY. A survey of your property is needed so that conformance with minimum setback requirements and other development standards can been confirmed and verified on site by the inspectors. Property markers must be visible on your property. If they are not at the time an inspection is requested, you may need to have a new survey completed. OTHER SUBMITTALS DETERMINED ON A CASE -BY -CASE BASIS TECHNICAL REPORTS Following is a list of technical reports that will be required to be submitted to the City when certain circumstances exist on or near a site an Applicant is planning on making improvements to. The general triggers for each of the listed technical reports I provided below: A. CRITICAL AREAS REPORTS: In general, Critical Area reports are required when wetlands and/or streams are located on or near a site. Critical area mitigation plans may also be required, depending on the project proposal. See Anacortes Municipal Code Ch. 17.70 for additional information. B. GEOTECHNICAL REPORT: In general, Geotechnical Reports are required when work is proposed on or near slopes in excess of 15% and/or known landslide hazard areas. See Anacortes Municipal Code Ch. 17.70 for additional information. OTHER PERMITS DETERMINED ON A CASE -BY -CASE BASIS OTHER FORMS Fallowing is a list of other permits that could be required in certain circumstances. The general triggers for each of the listed permits is provided below. A. FILL AND GRADE PERMIT: Grading (importing, exporting, and/or moving material on a site) of more than 50 cubic yards and/or if grading modifies the existing flow of stormwater or groundwater. B. RIGHT-OF-WAY PERMIT: A right-of-way permit is required anytime the public right-of-way is disturbed or obstructed in any way by private development or the general public. Res. Building Permit Application submittal checklist Updated March 12, 2021 Page 6 of 19 Y 8 k ` PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.D. Box 547, Anacortes, WA 98221 Office Location: 904 6t� Street, Anacortes WA 98821 4� Phone: (360) 293-1901 Page left blank intentionally. Res. Building Permit Application 5ubrnittaI Checklist Updated March 12, 2021 Page 7 of 19 CNN Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.D. Box 547, Anacortes, WA 98221 Office Location: 904 61h Street, Anacortes WA 98821 Phone: (360) 293-1901 I. PROPERTY INHERE WORK IS OCCURRING IDD t j 'ARCEL EL P 13g7 C-'o� �Y ►� 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items Structure AREA SQUARE FOOTAGE I" Floor: 2" a Floor: ---- 3111 Floor: Basement: I — - are not armlicable OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD Garage: Total leek: Total porch: ..� Other. Other: l Other: 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES ErNO Is a monitored fire alarm being installed? ❑ YES ,2-NO Are retaining wall(s) being built? ❑ YES 2'NO Are structural plans required? 1:1YE5 2-NO4. PROJECT SITE INFORMATION A. Is work within the City's right-of-way proposed? If yes, you will be required ❑ YES 2-No to submit a right-of-way g y permit application. If you have already submitted a ROW permit, list the permit number here: B. is the property located in a flood zone? El YES �NO If yes, list the flood zone designation: C. Are there slopes in excess of 15% on or abutting the site? If yes, a YES ,--� ►a N0 geotechnical report will likely need to be submitted. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 8 of 19 Gil Y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6�h Street, Anocortes WA 98821 Phone: (360) 293-1901 D. Are there critical areas or buffers on or abutting (within 300-feet of) the ;"YES ❑ NO project site? If yes, a critical areas report will likely need to be submitted. i' df E. Is the lot less than 5,000 sq. ft. in area? ❑ YES 0-N❑ If yes, your site and building will need to comply with the standards in AMC 19.43.010.C. F. Is your project involving an accessory dwelling unit? ❑ YES 0 NO If yes, your site and building will need to comply with the standards in AMC 19.47. G. Will more than 2-acres be cleared and/or more than 5,000 board feet ❑ YES NO (about 1 log truck load) of timber be harvested? If so you may need to obtain a forest practices permit from DNR. H. Is this project subject to the SEPA process? If yes, you will be required to ❑ YES ETNO submit a SEPA checklist. If you have already completed the SEPA process, list the permit number here: 5. REQUIRED SIGNATURE I hereby declare that 1 am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. WM,6V �]M WW1 I -- ��i A Signature Date �3g uj� Printed Name Res, Building Permit Application Submittal Checklist Updated March 12, 2021 Page 9 of 19 iT Y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT .` Mailing Address: P.Q. Box 547, Anacortes, WA 98221 � 14 Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 Residential Building Permit Application Submittal Packet New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex) Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls I. PROPERTY INFORMATION Project Address (Street, Suite #); Assessor Parcel Number: Subclivision/Lot#: ZonIng Designation: Lot area (size): Irr�ryy �. ! V • sq. ft. 2. TYPE OF PROJECT QNew SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) ❑ New Duplex ❑ Attached to Primary Unit ❑ Interior remodel n Detached from Primary Unit ❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall or duplex (new/repair) ❑ Other: Project Summary: Project Valuation: $ 3. PROPERTY OWNER INFORMATION Name: r_ _ ry Phone: 3UO OJT] 70 S - ?-?7c7q Address (Street, City, State, dip)- Email Address: 4. CONTRACTOR INFORMATION Name:` Contractor's Business Licenses *All contractors & Subcontractors must have a valid City of Anacortes business license prior to doing work in the City, Address (Street, City, State, Zip): (0J-7 RW emu- 14,, �u-v(,±►�h�, urn q��'33 Phone: State nsfM#�' �� City License #: C4WVA Expira inlate: Expiration Date: Email Address: hla *h . K l [_ my h tki Ed-e vz�@ Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 1 of 19 G�'v Y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT *t' Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 5'rh Street, Anocortes WA 98821 `` ` Phone: (360) 293-1901 S. CONTACT PERSON Select one person the city will contact for anything related to this project: Name: 6m-. Rpry VQK" Address (Street, City, State, Zip): f u,�tr7 l ` - row Lo 11r7lfTY1 , WA- aa2r-,5� ❑ Applicant ❑ Property Owner NJ Contractor Phone: `1.�1 � 3387 Email Address: Y&CCCuJ9kv" nel!_ imvbw 6. LENDER INFORMATION RCw 19.27.095 requires the City to obtain information with regard to lenders. If there are no lenders involved with your project, write "no lenders" on the Name Line below. Name: Phone: Address (Street, City, State, Zip): Email Address: 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: I understand that when a building permit application is taken in over the counter it does not mean �J the application has been deemed technically complete and sufficient for staff review. I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. a�(rj I understand and acknowledge that I could be responsible for providing as -built drawings (on paper {� or electronically) as part of the project's certificate of occupancy process. 1 understand and acknowledge that Special Inspections could be required as part of my project, if needed I will be required to pay for the cost of these inspections. I understand and acknowledge that financial securities could be required as part of the work I am 40 completing and I agree to provide the items needed for the City to calculate these securities and to Provide the securities themselves. I understand that if permits are reviewed concurrently such as design review, site plan, traffic concurrency, etc., any required revisions to one permit may affect the entire plan set and could add costs and time to the project. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 2 of 19 ��'v Y o PLANNING, COMMUNITY, 8, ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Sax 547, Anocortes, WA 98221 Office Location: 904 6rh Street, Anacortes WA 98821 ' y Phone: (360) 293-1901 I hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief, _?0&"A0P Signature U&(Ahv I I Printed Name Res. Building Permit Application submittal Checklist Updated March 12, 2021 41qlvq,l Date Page 3 of 19 GAT PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.D. Sox 547, Anacortes, WA 98221 Office Locution: 904 6rh Street, Anacortes WA 98821 ��.q. - '� Phone: (360) 293-19o1 ..,., Ix - 1. PROPERTY WHERE WORK IS OCCURRING LDDRESS: N -� r�,C. c� Avtl 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that are not applicable " Structure height AREA I SQUARE FOOTAGE 1 OCCUPANCY GROUP I CONSTRUCTION TYPE I OCCUPANT LOAD I' Floor: 21111 Floor: 3rd Floor: NN Basement: MA Garage: Np,i Total deck: Total porch: Other: Other: PI Other: f q 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES NO Is a monitored fire alarm being installed? ❑YES NO Are retaining wall(s) being built? El YES ET'NQ Are structural plans required? ❑YES NO 4. PROJECT SITE INFORMATION A. Is work within the City's right-of-way proposed? If yes, you will be required °YES X No to submit a right-of-way g y permit application. If you have already submitted a ROW permit, list the permit number here: B. Is the property located in a flood zone? El YES NO if yes, list the flood zone designation: C. Are there slopes in excess of 15% on or abutting the site? If yes, a ❑ YES 2'NO geotechnical report will likely need to be submitted. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 8 of 19 �N1 Y PLANNING, COMMUNITY, 9, ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes WA 98221 Office Location: 904 6th Street Anacortes WA 98821 � 'vy Phone: (360) 293-1901 D. Are there critical areas or buffers on or abutting (within 300-feet of) the =Y1 S ❑ Noproject site? Ifyes, a critical areas report will likely need to be submitted. � � -` E. Is the lot less than 5,000 sq. ft. in area? ❑ YES -i ONO If yes, your site and building will need to comply with the standards in AMC 19.43.010.C. F. Is your project involving an accessory dwelling unit? ❑ YES Fr NO If yes, your site and building will need to comply with the standards in AMC 19.47. G. Will more than 2-acres be cleared and/or more than 5,000 board feet YES NO (about 1 log truck load) of timber be harvested? If so you may need to obtain a forest practices permit from DNR. H. Is this project subject to the SEPA process? If yes, you will be required to ❑ YES submit a SEPA checklist. If you have already completed the SEPA process, list the permit number here: 5. REQUIRED SIGNATURE I hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. 7N 42�124 Signature Date 4- Dybmw I Printed Name Res, Building Permit Application Submittal Checklist Updated March 12, 2021 Page 9 of 19 73B 3/4x87 0= � (0 s9 c mr S&Rm y --ICI u?�,� a ❑ x Chi x ,r' + 0 Co a. fl a Xo 0 s&q W N Optional N f € m See DetcN5 �'_ ro w Entertolnmen+ Wall € [baJCL i c Oa_ (]0 f5} rD E SHIES r CL K O x 0 �❑ Wes. I I � ■� O]❑ BCD j a o �Y�► �° 3 x ar� w �f (2)36x59 Craffeman 3SX59 w Croik I s _t w -. RAIL RAIL r RAIL f RAIL - r____. - -- _.._--...__.....___f- Q -- ----""—.I—_.— -- — — — — W 27'-0" an�.asp 1, IC i it irnirneinirn ni=n CL LL N O N ! y 'LS Y v l3a E ❑ Q. 7 Y G1 U0, lb a ®�oo a G� Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 i Office Location: 904 6" Street, Anacortes WA 98821 �4 w Phone: (360) 293-I9o1 1. PROPERTY WHERE WORK IS OCCURRING 71 14tA'ii%► L NUMBER(S) I rl�4,?A 2. GENERAL INFORMATION Most development within the City of Anacortes that involves disruption of soils, or construction of buildings, streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading, vegetation removal), or the amount of hard surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.) This form is largely targeted for small projects and single family residences. For larger projects and more information please refer to the Anacortes Municipal Code (Chapter 19.76 Stormwater Management) and the latest Washington State Department of Ecology Stormwater Management Manual for Western Washington (Ecology Manual). 3. HARD SURFACE AREA CALCULATION Please calculate your project's hard surface amount; guidance is provided on the next page of this document. Use your project's total hard surface calculation to follow the flow chart(s) in this packet and determine the level of stormwater management required for you project. When determining your permit level or if stormwater thresholds are met or exceeded the entire project must be considered. A project is that portion of a property, properties, or right of way subject to land disturbing activities, new hard surfaces and replaced hard surfaces. The hard surface on your property will determine the storm water utility fees and the stormwater general facility charge. All new or replaced hard surfaces should be accounted for. Below are excerpts from the Anacortes Municipal Code and Ecology Manual that may assist you in preparing this information. "Hard surface area" means an impervious surface, a permeable pavement or a vegetated roof. "Impervious surface" means a non -vegetated surface area which either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A non -vegetated surface area which causes water to run off the surface in greater quantities or at an increased rote of flow from the flow present under natural conditions prior to development, "Replaced impervious surface" means, for structures, the removal and replacement of impervious surfaces down to the foundation. For other impervious surfaces, the removal down to bore soil or base course and replacement. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 13 of 19 �'�'v Y o) PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Marling Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 61h Street Anocortes WA 98821 s�.q� Phone: (360) 293-1901 Land disturbance Description Total (SF) Total Area of Land disturbing activity 1777?, Total area converted from vegetation to lawn or landscaped areas Hard surface area calculation Existing Removed Proposed Proposed Description (SF) (SF) Replaced New (SF) (SF) Non Pollution Generating Hard Surface Area . 00 — I (Sidewalks, paths, patios, etc.) ! Pollution Generating Hard Surface Area �- - I-7005x (Driveways, parking areas, etc.) Total Hard Surface' .� 0 91 Site Size mo io, q r- - Existing impervious surface coverage % (sq. ft. hard surface / site sizel Use the information in the above table to navigate the flow chartW on the next page and determine the applicable stormwater management minimum requirements for your project. Then complete the applicable Stormwater Minimum Requirements Form on the Public Works - Engineering pe r en or e e and provide required submittal items/plans. Check applicable box El Building PerrWiaplication', ated March 1021 Minimum Requirements Determination Minimum Requirements #1-9. Minimum R uir ent 1- . a! Checklist Minimum Requirement #2. 29 1 13 Elements of SWPPP (Construction Stormwater Pollution Prevention Plan) Please check off boxes to show that each element has been read and understood. Provide details where applicable and if certain aspects are unnecessary or exempt, clearly justify, Details of the 13 Elements and the correlating BMPs are listed Above from the 2014 Stormwater Management Manual for Western Washington (SWMMWW). A link is provided on the City of Anacortes website, under Planning, Community, & Economic Development Department, as well as under Stormwater on the Engineering ❑ivision of Public Work's page. Owner Name: Site Address: Prepared By: The Stormwater checklist or building permit determined that: The 13 elements must be addressed for construction activity adding under 2,000 sq. ft. of hard surface area. These elements must be addressed for construction activity adding 2,000 sq. ft. or more of hard surface area. This means that an attached narrative and site plan are required with this document. Under each elementprovide the BMP's that will be applicable to your promect. Use the attached Tables provided. ELEMENT 9: Preserve Vegetation/Mark Clearing Limits Before beginning land disturbing activities, including clearing and grading, clearly mark all clearing limits, sensitive areas and their buffers, and trees that are to be preserved within the construction area. Retain the duff layer, native top soil, and natural vegetation in an undisturbed state to the maximum degree practical. ELEMENT 2: Establish Construction Access Limit construction vehicle access and exit to one route, if possible. Stabilize access points with a pad of quarry spalls, crushed rock, or other equivalent BMPs, to minimize tracking onto roads. Locate wheel wash ❑r tire baths on site, if the stabilized construction entrance is not effective in Preventing tracking sediment onto roads. I If sediment is tracked off site, clean the affected roadway thoroughly at the end of each day, or more frequently as necessary (ex: wet weather). Remove sediment from roads by shoveling, sweeping, or Pick up and transport the sediment to a controlled sediment disposal area. Conduct street washing only after sediment is removed in accordance with the above bullet. Control street wash wastewater by pumping back on site or otherwise preventing it from discharging into systems tributary to waters of the State. Version ❑ate: October 7, 2019 Previous Version ❑ate: February 20, 2019 ELEMENT 3: Control Flow Rates Protect properties and waterways downstream of development sites from erosion and the associated discharge of turbid waters due to increases in the velocity and peak volumetric flow rate of stormwater runoff from the project site. I Where necessary to comply with the bullet above, construct stormwater retention or detention facilities as one of the first steps in grading. Assure that detention facilities function properly before constructing site improvement (e.g. impervious surfaces). If permanent infiltration ponds are used for flow control during construction, protect these facilities from siltation during the construction phase. ELEMENT 4: Install Sediment Controls Design, install, and maintain effective erosion controls and sediment controls to minimize the discharge of pollutants. i Construct sediment control BMPs (sediment ponds, traps, filters, etc.) as one of the first steps in grading. These BMPs shall be functional before other land disturbing activities take place. Minimize sediment discharges from the site. The design, installation and maintenance of erosion and sediment controls must address factors such as the amount, frequency, intensity and duration of precipitation, the nature of resulting stormwater runoff, and soil characteristics, including the range of soil particle sizes expected to be present on the site. Direct stormwater runoff from disturbed areas through a sediment pond or other appropriate sediment removal BMP, before the runoff leaves a construction site or before discharge to an infiltration facility. Runoff from fully stabilized areas may be discharged without a sediment removal BMP, but must meet the flow control performance standard in Element #3, bullet #1. Locate BMPs intended to trap sediment on -site in a manner to avoid interference with the movement of juvenile salmonids attempting to enter off -channel areas or drainages. Provide and maintain natural buffers around surface waters, direct stormwater to vegetated areas to increase sediment removal, and maximize stormwater infiltration. Where feasible, design outlet structures that withdraw impounded stormwater from the surface to avoid discharging sediment that is still suspended lower in the water column. ELEMENT 5: Stabilize Soils Stabilize exposed and unworked soils by application of effective BMPs that prevent erosion. Applicable BMPs include, but are not limited to: temporary and permanent seeding, sodding, mulching, plastic covering, erosion control fabrics and matting, soil application of polyacrylamide (PAM), the early application of gravel base early on areas to be paved, and dust control. I Control stormwater volume and velocity within the site to minimize soil erosion. Control stormwater discharges, including both peak flow rates and total stormwater volume, to minimize erosion at outlets and to minimize downstream channel and stream bank erosion. Soils must not remain exposed and unworked for more than the time periods set forth below to prevent erosion. o During the dry season (May 1 — Sept 30): 7 days o During the wet season (Oct 1 — Apr 30): 2 days I Stabilize soils at the end of the shift before a holiday or weekend if needed based on the weather Version Date: October 7, 2019 Previous Version Date: February 20, 2019 forecast. Stabilize soil stockpiles from erosion, protect with sediment trapping measures, and where possible, be located away from storm drain inlets, waterways, and drainage channels. Minimize the amount of soil exposed during construction activity. 1-1 Minimize the disturbance of steep slopes. Z Minimize soil compaction and, unless infeasible, preserve topsoil. ELEMENT 6: Protect Slopes Design and construct cut -and -fill slopes in a manner to minimize erosion. Applicable practices include, but are not limited to, reducing continuous length of slope with terracing and diversions, reducing slope steepness, and roughening slope surfaces (Ex: track walking). I Divert off -site stormwater (run-on) or ground water away from slopes and disturbed areas with interceptor dikes, pipes, and/or swales. Off -site stormwater should be managed separately from stormwater generated on the site. At the tap of slopes, collect drainage in pipe slop drains or protected channels to prevent erosion. C, *Temporary pipe slope drains must handle the peak volumetric flow rate calculated using a 10- minute time step from a Type 1A, 10-year, 24-hour frequency storm for the developed condition, Alternatively, the 10-year, 1 -hour flow rate predicted/indicated by an approved continuous runoff model, increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing land cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the {project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. if using the Western Washington Hydrology Model (WWHM) to predict flows, bare soil areas should be modeled as "landscaped" area. o Where 15-minute time steps are available in an approved continuous runoff model, they may be used directly without a correction factor. Place excavated material on the uphill side of trenches, consistent with safety and space considerations. Place check dams at regular intervals within constructed channels that are cut down a slope. Consider soil types and its potential for erosion. Stabilize soils on slopes, as specified in Element 5. BMP combinations are the most effective method of protecting slopes with disturbed soils. Ex: Use both mulching and straw erosion control blankets. Version Date: October 7, 2019 Previous Version Date: February 20, 2019 ELEMENT 7: Protect Drain Inlets Protect all storm drain inlets made operable during construction so that stormwater runoff does not enter the conveyance system without first being filtered or treated to remove sediment. Clean or remove and replace inlet protection devices when sediment has filled one-third of the available storage (unless a different standard is specified by the product manufacturer). Where possible, protect all existing storm drain inlets so that stormwater runoff does not enter the conveyance system without first being filtered or treated to remove sediment. Keep all approach roads clean. Do not allow sediment and street wash water to enter storm drains without prior and adequate treatment unless treatment is provided before the storm drain discharges to waters of the State. Inlets should be inspected weekly at a minimum and daily during storm events. ELEMENT 8: Stabilize Channels and Outlets Design, construct, and stabilize all on -site conveyance channels to prevent erosion from the following expected peak flows: o '"Channels must handle same peak volumetric flow rate as temporary pipe slope drains listed in Element 6, above, i I Provide stabilization, including armoring material, adequate to prevent erosion of outlets, adjacent streambanks, slopes, and downstream reaches at the outlets of all conveyance systems. r] The best method for stabilizing channels is to completely line the channel with a blanket product first, then add check dams as necessary to function as an anchor and to slow the flow of water. ELEMENT 9: Control Pollutants Design, install, implement, and maintain effective pollution prevention measures to minimize the discharge of pollutants. Handle and dispose of all pollutants, including waste materials and demolition debris that occur on -site in a manner that does not cause contamination of stormwater. Provide cover, containment, and protection from vandalism for all chemicals, liquid products, petroleum products, and other materials that have the potential to pose a threat to human health or the environment. On -site fueling tanks must include secondary containment. Secondary containment means placing tanks or containers within an impervious structure capable of containing 110% of the volume contained in the largest tank within the containment structure. Double -walled tanks do not require additional secondary containment. /11 Conduct maintenance, fueling, and repair of heavy equipment and vehicles using spill prevention and control measures. Clean contaminated surfaces immediately following any spill incident. F1 Discharge wheel wash or tire bath wastewater to a separate on -site treatment system that prevents discharge to surface water, such as closed -loop recirculation or upland land application, or to the sanitary sewer, with local sewer district approval. Wheel wash or tire bath wastewater should not include wastewater from concrete washout areas. Apply fertilizers and pesticides in a manner and at application rates that will not result in loss of chemical to stormwater runoff. Fallow manufacturers' label requirements for application rates and procedures. Version Date: October 7, 2019 Previous Version Date: February 20, 2019 Use BMPs to prevent contamination of stormwater runoff by pH -modifying sources. The sources for this contamination include, but are not limited to: bulk cement, cement kiln dust, fly ash, new concrete washing and curing waters, waste streams generated from concrete grinding and sawing, exposed aggregate processes, dewatering concrete vaults, concrete pumping, and mixer washout waters. Adjust the pH of stormwater if necessary to prevent violations of the water quality standards. I Assure that washout of concrete trucks is performed off -site or in designated concrete washout areas only. Do not wash out concrete trucks onto the ground, or into storm drains, open ditches, streets, or streams. Do not dump excess concrete on site, except in designated concrete washout areas. Concrete spillage or concrete discharge to surface waters of the State is prohibited. ❑o not use upland land applications for discharging wastewater from concrete washout areas. I Obtain written approval from Ecology and provide to the City before using chemical treatment other than CO2 or dry ice to adjust pH. /r, Woody debris may be chopped and spread on site. Conduct oil changes, hydraulic system drain down, solvent and de -greasing cleaning operations, fuel tank drain down and removal, and other activities which may result in discharge or spillage of pollutants to the ground or into stormwater runoff using spill prevention measures, such as drip pans. Clean contaminated surfaces immediately following any discharge or spill incident. Emergency repairs may be performed on -site using temporary plastic placed beneath and, if raining, over the vehicle. ELEMENT 10: Control De -Watering Discharge foundation, vault, and trench dewatering water, which have characteristics similar to stormwater runoff at the site, into a controlled conveyance system before discharge to a sediment trap or sediment pond. Discharge clean, non -turbid de -watering water, such as well -point ground water, to systems tributary to, or directly into surface waters of the State, as specified in Element 8, provided the de -watering flow does not cause erosion or flooding of receiving waters or interfere with the operation of the system. Do not route clean dewatering water through stormwater sediment ponds. Note that "surface waters of the State" may exist on a construction site as well as off site; for example, a creek running through a site. U Handle highly turbid or contaminated dewatering water separately from stormwater. [:1 Other treatment or disposal options may include: 1. Infiltration 2. Transport off -site in a vehicle, such as a vacuum flush truck, for legal disposal in a manner that does not pollute state waters. 1 Ecology -approved on -site chemical treatment or other suitable treatment technologies. 4. Sanitary or combined sewer discharge with local sewer district approval, if there is no other option. 5. Use of a sedimentation bag with outfall to a ditch or swale for small volumes of localized dewatering. Construction equipment operation, clamshell digging, concrete tremie pour, or work inside a cofferdam can create highly turbid or contaminated dewatering water. L€ Discharging sediment -laden (muddy) water into waters of the State likely constitutes a violation of water quality standards for turbidity. The easiest way to avoid discharging muddy water is through infiltration and preserving vegetation. Version Date: October 7, 2019 Previous Version Date. February 20, 2019 ELEMENT 11: Maintain BMPs Maintain and repair all temporary and permanent erosion and sediment control BMPs as needed to assure continued performance of their intended function in accordance with BMP specifications. Remove all temporary erosion and sediment control BMPs within 30 days after achieving final site stabilization or after the temporary BMPs are no longer needed. Some temporary erosion and sediment control BMPs are bio-degradable and designed to remain in place following construction such as compost socks. Provide protection to all BMPs installed for the permanent control of stormwater from sediment and compaction. All BMPs that are to remain in place following completion of construction shall be examined and placed in full operating conditions. If sediment enters the BMPs during construction, it shall be removed and the facility shall be returned to the conditions specified in the construction documents. Remove or stabilize trapped sediment on site. Permanently stabilize disturbed soil resulting from removal of BMPs or vegetation. ELEMENT 12: Manage the Project— Projects subject to Minimum Requirements 1-9 must have a Certified Erosion and Sediment Control Lead (CESCL) for site inspections. Projects subject to Minimum Requirements 1-5 do not require the inspector to be certified. By the initiation of construction, the SWPPP must identify the CESCL or inspector, who shall be present on -site or on -call at all times. Phase development projects to the maximum degree practicable and take into account seasonal work limits to prevent soil erosion and prevent transporting sediment from the site during construction. Inspection and monitoring — Inspect, maintain, and repair all BMPs as needed to assure continued performance of their intended function. Maintain, update, and implement the SWPPP. Clearing and grading activities for developments shall be permitted only if conducted using an approved site development plan (e.g., subdivision approval). 1 From Oct 1 through Apr 30, clearing, grading, and other soil disturbing activities is permitted only if shown that the site operator will prevent silt -laden runoff from leaving the site through a combination of the following: 1. Site conditions including existing vegetative coverage, slope, soil type, and proximity to receiving waters. 2. Limit activities and the extent of disturbed areas. 3. Proposed erosion and sediment control measures. Weather conditions can influence the seasonal limitation on site disturbance. The City of Anacortes has the authority to take enforcement action per AMC 19.7E Stormwater. The following activities are exempt from the seasonal clearing and grading limitations: 1. Routine maintenance and necessary repair of erosion and sediment control BMPs; 2. Routine maintenance of public facilities or existing utility structures that do not expose the soil or result in the removal of the vegetative cover to soil 3. Activities where there is 100% infiltration of surface water runoff within the site in approved and installed erosion and sediment control facilities. Version Date: October 7, 2019 Previous Version Date: February 20, 2019 ELEMENT 13: Protect Low Impact Development BMPS If implementing any bioretention facilities or rain gardens, refer to the applicable BMP sections of the Manual for requirements. nt 31 Date Version Date: ❑ctober 7, 2019 Previous Version ❑ate: February 20, 2019 ANACQRTES PUBLIC WORKS DEPARTMENT Steven Lange, Project Manager P.O. BOX 547, ANAGORTES, WA 98221 PH(364) 293-1920 4. E-MAIL; stevelookyofanacartes,org FAX 36Q] 293-1938 lcowt Memo Date: March 13, 2020 To: Libby Grade, Planning Manager From: Steven Lange Subject Proposed New Residents (P58268) — Baltimore and Oakes Avenue cc: Eric 5hjarback, Don Measamer The Public Works Engineering Department completed a review of the submitted documents for the March 17, 2020 Development Review Meeting on the property referenced above. Below are the following comments and or recommendations. Attached is a 50-scale vicinity map by the City of Anacortes Engineering Department. Za�,nLm ■ This property is located within the R2A Zone SEIbdiyiSlon lyM ■ Boundary Line Adjustment for underlying platted parcels in Block 202 of the Northern Pacific Addition, Lots 4, 5, 6, 7 and 8. Critical Areas: Portion of a Critical Areas mapping provided in the reviewed documents. The information was put into the City Mapping for future reference and information. Contact the Planning Department regarding Critical Areas requirements. Permits: Right -of -Way Permit for work being performed Inside and Outside the Traveled Way. Contact Justin Symonds, Public Works Inspector, at 360,661.3647. Contact the City of Anacortes Planning Department for additional permitting requirements such as SEPA, Grade and Fill permits, Conditional Use, Building, etc. eiq Ya Water 4 Wastewater * Streets P Storm Drainage s Engineering b Solld waste 0 Transportation a Equipment 0 Capltai Projects # Development Services CitV of Anacortes lae►►el+a meat Standards. Jff The 2011 Development Standards can be found on-line at www.cit ofanacortes,o . If the Engineer of Record needs any COA Standard Details in AutoCAD format, they can email me at Stevei cit ofanacortes.or and request a CD. This CD will be mailed to a provided address. ■ It is requested that the Designated Representative for the project, schedule a meeting with the Public Works Engineering Department to go over the Required Submittal Checklist. See attached. This checklist will be modified for the project, Se-in►er: • For additional Sewer information and design criteria, see the 2011 EDS Standards, Chapter 5 — Sanitary Sewer. • There is sewer available for this project via a 12-inch Concrete Sanitary Sewer Conveyance System on the north side of Oakes Avenue. • Public records indicate that there are two private sanitary sewer side service to this parcel. • The size and location of the private side sewers have not been determined and need to be verified by the owner. " One residential unit, per existing 4-inch service. • Two residential units, per existing 5-inch service. • All new services are a minimum pipe s1ze of 0-inches within the Public Right - of --Way. Stamm: • For additional Storm information and design criteria, see the 2011 EDS Standards, Chapter 4 —Storm Drainage. • Public records indicate that there is no direct storm line stubbed to this property. If infiltration is deemed infeasible, the Swale along Oakes Avenue can be accessed for conveying water from the site to the Public Storm Facility. • See Anacortes Municipal Code 19.76 - Stormwater. • The applicant will need to use the Applicability Flow Chart to determine storm water requirements. • The proposed project will need to provide an Erosion Control Plan. (MR#2) • A storm culvert can be installed within the Swale to allow for access from Oakes Avenue if approved. The size will need to be analyzed for water conveyance for the storm basin that it drains. Traffic: • Pedestrian facilities: See Streets below. • Provide a Traffic Control Plan (Current MUTCD Manual ) prior taking place for approval by the City of Anacortes City Engineer. any construction • Street Lighting: None required under this proposal ■ Monumentation. None required under this proposal i�``�O � CT 3 x i 0 Water o Wastewater. a Streets t Storm Drainage -w Engineering 4 Solid Waste 0 Transportation o Equipment 6 Capital Projects @. Development Services Street. (AMC 19.60 to AMC 19.54 — CommunPt Design — Oakes Avenue ■ For additional Street information and design criteria, see the 2011 EDS Standards, Chapter 3 — Street. No curb, gutter and or sidewalk improvements required under this proposal. Further review of the frontage along Oakes would be to enhance the existing ditch into a water quality Swale. • AMC 19.53.030 -- Driveways and access easements, Item B: This project is adjacent to a Collector\Arterial Street with a Public Alley Way providing an alternate access to the property. Therefore access will need to be from the Public Alley Way via Oakes View Lane. Provide for a 20 foot wide pave alley and drainage to Baltimore Avenue. The critical area buffer may iim act the alley access. See the Planning De artment. if so then one 20-foot maximum drivewav width for the du lex or two residential can be allowed aloe Oakes Avenue, It is unrisrstood that the building on the adjacent Propertv to the east may be encroaching into the Public Alley Way. ■ Street Trees: Contact Jonn Lunsford @ 360.299.1963, Parks Department for a list of City approved Street Trees. See EDS Standards, Chapter 3 -- Streets, Section STR-18.2 regarding Street Trees and Root Barrier requirements. Garha w ■ Sanitation pickup will be curb side. • Any questions regarding Sanitation pickup, please contact City of Anacortes Sanitation Department Matt Kaegef at 360.293.1921. Water. • For additional Water information and design criteria, see the 2011 EDS Standards, Chapter 6 — Water. ■ This property can served by a 8-inch AC Water Line along Oakes Avenue.. The meter(s) will be installed by the City of Anacortes when an application is made and paid for. ■ The nearest Fire Hydrant to this property is located at Baltimore and Oakes Avenue, east of the property. Fire Covers e: ■ City records indicate Fire Hydrant #408 has 75 PSI. • Contact Jack Kennedy, Assistant Fire Chief, at 360.293.1925 regarding fire coverage requirements for this project. Ufflity Companies: • See Anacortes Municipal Code, Section 16.20.080 — Utilities for required Franchised Utilities as well as City of Anacortes Utilities, • See attached contact information for your convenience. �K o Water 0 Wastewater ■ Streets 0 Storm Drainage 16 Engineering a Solid Waste Transportation ra Equipment 0 Capital Projects * Development Services Fees: ■ See the Planning and Building Department for fees related to building permits. ■ Regarding the buret below. Since there is existing curb and gutter, the Public Works Engineering Department will work with the contactor to install the sidewalk and driveway improvements. Therefore, the applicant will not need to obtain the services of a Professional Engineer to develop plans within the Public Right -of - Way. ■ Per AMC 15.24.010 this project is subject to Engineering Fees for Plan Review and Construction Inspection. 0.5% =Plan Review. Based on the approved Estimated Construction amount. ■ 1.5% = Construction Inspection. Based on the approved Estimated Construction amount. Engineering Plan Review and Construction Inspection Fee form. See attached Other: For Landscaping and Landscape requirements, see Planning Department. ■ Mail Boxes (See Chapter 3 — Streets, Section STR-19): For Mailbox Locations, coordinate location, type and size with the Anacortes Post Master. The access and areas around the mailboxes need to meet ADA requirements. ■ Encroachments (See Chapter 3 — Streets, Section STR-18.3): Prior to any p#acement of any barricades, material, earth, gravel, rock, debris or any other material or thing over, under or upon the Public Right -of -Way or easement, an Encroachment Agreement shall be obtain from the City of Anacortes. See the Anacortes Municipal Code, Section 12.30 for additional information regarding the Encroachment Agreement and processes. Contact Steven Lange at 360.299.1983 or via email at stevel@cityofenacortes.org regarding questions or to obtain an agreement. ■ Improvements shall be designed by a Professional Engineer, licensed in the State of Washington. ■ Improvements are subject to a 2-year Maintenance Bond in the amount of 10% of the actual construction costs. ■ Contractor shall be licensed by the State of Washington and hold a City of Anacortes Business License. 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