Resolution No. 2025-06 Amending the Administrative Manual (Approved 052725)4908-0817-4870, V. 2
{DTP4908-0817-4870;2/13023.130005/}
4908-0817-4870, V. 2
{DTP4908-0817-4870;2/13023.130005/}
ADMINISTRATIVE MANUAL
PLANNING PERMIT SUBMITTAL REQUIREMENTS
Table of Contents
Introduction ............................................................................................................................................... 4
Links to Referenced Documents ............................................................................................................... 4
Plan Sheet Requirements ....................................................................................................................... 5-9
Basic Site Plan ........................................................................................................................................ 5
Utilities Plan ........................................................................................................................................... 8
Landscape Plan ...................................................................................................................................... 9
Vegetation Management Plan ............................................................................................................. 10
Buffer Enhancement Plan .................................................................................................................... 11
Adjustment to an Approved Land Use Permit (Minor & Major) ......................................................... 11
Administrative Code lnterpretation ..................................................................................................... 11
Agricultural Retail Pl an ......................................................................................................................... 12
Boundary Line Adjustment .................................................................................................................. 12
Comprehensive Plan Amendment ....................................................................................................... 13
Conceptual Proposal Review Meeting ................................................................................................. 13
Conditional Use Permits (Minor & Major) ........................................................................................... 12
Consultation Meeting .......................................................................................................................... 14
Critical Area Permit (Minor & Major) .................................................................................................. 14
Farm Management Pl an ...................................................................................................................... 15
Housing Design Demonstration Project ............................................................................................... 16
Legisl at ive Review of Development Regulation/Rezoning Application ............................................... 17
Preapp lication Conference .................................................................................................................. 17
Reasonable Use Exception ................................................................................................................... 18
Revision to a Land Use Permit ............................................................................................................. 19
Rezoning Application (Site-specific & Area-wide) ............................................................................... 17
Shoreline -Cl earing Permit ................................................................................................................. 20
Shoreline -Conditional Use. Substantial Development Permit/ Exemption. Variance ...................... 20
Sign Perm it ........................................................................................................................................... 22
Site Plan and Design Review (Minor & Major) ..................................................................................... 22
Subdivision -Preliminary (Short. Long. Large Lot) .............................................................................. 23
Subdivision -Alteration ........................................................................................................................ 25
Subdivision -Plat Utilities Approval (Short. Long. Large Lot). ............................................................. 25
Subdivision -Final (Short, Long, Large Lot) ......................................................................................... 27
2
Tree Removal/Vegetation Maintenance Permit .................................................................................. 29
Variance -Zoning (Minor & Major) ...................................................................................................... 29
Communication Facility Permit (WCF) ................................................................................................. 29
Wireless -Eligible Facilities Request Permit (EFR) .............................................................................. 31
Wireless -Small Facility Permit (SWF) ................................................................................................. 33
Zoning Verification Letter .................................................................................................................... 35
Introduction
This Administrative Manual is designed to supplement the permit processes described in the
land use, zoning, and environmental sections of the City of Bainbridge Island Municipal Code
(BIMC). This manual identifies documents that applicants must submit in order to have a
complete application for development review and decision. Consistent submissions to the City
of Bainbridge Island help the efficiency of the review process as well as clarifying requirements
for applicants. The procedures required for review and approval of most applications are
detailed in BIMC Title 2: Administration, Personnel and Land Use Procedures of the BIMC.
The Land Use Appli ca tion is required to be submitted with each of the land use permits discussed
herein. Please see the application for the number of copies for specific permits. A land use
permit shall not be considered complete until the required application, fee, and all supporting
materials are submitted to the Department. The applicant shall submit an electronic copy of all
required documents at the time of application submittal. The Director may waive specific
submittal requirements determined to be unnecessary for review of an application. Most
applications also require a separate fee to the Kitsap Public Health District.
The City's Fee Schedule can be viewed on the City's website.
Additional links referenced in this doaJment:
Link
C it:i! of Bainbridge
and
Construction
Standards Manual
Design for
Bainbridge Design
Review Manual
QesigR feF
iaiR9Fi�§9
el:lecl�list
,,•.ierksl:leets
Island-wide
Transeortation
Pl an {IWTP)
Landscape
Material s Matrix
Shoreline -Joint
Aguatic Resources
Permit Application
{JARPA)
Website address
http://www.ci.bainbridge-isl.wa.us/169
https :LLwww.bainbridgewa.gov lDocumentCenter lView l16958l2022 0802-
Design-for-Bainbridge rev2022-PDF
Att!i!s:.f-.f-w11.,1..'eaiA'erielge1i1,a.ge1w1t9eeuffl@AtGeAt@rtlJie1,1a fl,eee9t9esigA ier
QaiAbridge Gemmereial MF WerksAeet
Att!i!s:Hwww.'eaiA'erielgewa.geYt9eeumeAtGeAterNiewOee7Qt9@sigA ier
BaiA'erielge !;u'eeli1w1isieA lA'erl�sAeet
https://www.bainbridgewa.gov/708
https://ww w. bai n bridgewa.gov /Docu mentCenter /View /12 756
h ttps ://www .epe rm itting. wa .gov
4
Shoreline Site
Specific Analysis http://www.ba i nbridgewa /DocumentCenter /View /7306
Reguirements
Shoreline Single-
family Residence http://www.bainbridgewa.gov/Docume ntCenter /View /5663
Mitigation
Manual
Permit http://www.bainbridgewa.gov/DocumentCenter /View /7 408 Worksheet
Site Assessment htt12:LLwww.ci.bainbridge-i s1.wa.usL882 Review (SAR}
Basic Site Plan
The site plan must be legible and easily understood by professionals as well as the public.
Clearly differentiate between existing and proposed development. The information to help
prepare a site plan is readily available to the public through these links:
Ci ty Resources County Resources
D Plan sheet 18" * 24" or 24" * 36" in size
D Engineer's scale, for example: 1 inch= 20 feet
Public Health District
D Title block: Project name; owner name; site address, tax parcel number; subdivision name
D North arrow
D Vicinity map
D Quarter section, township, and range
D Depict the entire property and the area within a 150-foot radius of the property
D Zoning/ Comprehensive Plan designation
D Property boundaries (bold line)
D Lot size and lot area (BIMC 18.12.050)
D Easements: Include access, utility, other (e.g. use easements, conservation easements)
D Zoning setbacks or subdivision setbacks / buffers (as applicable)
D Contour lines at five foot intervals (existing and proposed)
D Survey Trees (size, species) in project area and within 50' of proposed disturbance area (including
trees on adjacent parcels).
D For trees that are required to be retained: identify and show the extent of the critical root zone
(CRZ) of the trees as determined by a Certified Arborist, or by using 1' of radius per 1" of tree diameter
at standard height. Critica l rootzones for large stands of trees may be delineated to the dripline of the
stand.
D Shoreline jurisdiction: Include OHWM, shoreline structure and side yard setback, shoreline
buffer Zones 1 & 2, areas of native vegetation, location and size of significant trees
D Critical areas and their buffers / setbacks: Dimension required buffers/ setbacks and any proposed
modifications. Label top/toe of slopes greater than 15 percent and top/toe of slopes 40 percent or
greater, floodplain, wetlands, streams
Aquifer Recharge Protection Area (ARPA): Delineate the and show the area calculations. Document
the ARPA development standards in BIMC 16.20.100.D.
Depict vegetation protection areas (e.g. "no-build zones", perimeter and roadside landscape buffers,
designated wildlife corridors)
Depict and dimension the exterior of all existing and proposed structures: Clearly differentiate
between existing and proposed. Label each structure by its use (e.g. garage, landscape / retaining wall,
eave, fence, mechanical equipment)
Impervious surface areas (existing and proposed): Label and dimension each area (e.g. building,
driveway, parking area, patio)
Area of disturbance: Separately delineate and dimension earth disturbance areas
Stormwater facility: Location / management method (e.g. dispersion, infiltration, detention)
Sewer I septic system facility: Include lines, primary and reserve drain fields and setbacks
Water/ well facility: Include lines, water meters, well house, well protection area
Other facilities: Include power lines, generators, propane tanks, heat pumps, solar panels
Historically significant structures on or adjacent to the property (i.e. constructed over 50 years ago or
li sted on the local or national historic register)
6
Sample Site Plan
M--10'-0"
13' Well Hoose Waterltne
Scale
1•: 10'
itt---t----df'---33'-6' --1-----..
Tax Parcel Number:
0087480021
Property owners;
S1u and Sue Leroy
Lot Area:
8000 square feet
7
Utilities Plan
Minor (abbreviated) drainage plan for proposals that do not require engineered plans
OR
Engineered preliminary drainage plans
Engineered preliminary drainage report
AND
Plan sheet 18" 24" or 24" 36" in size
Engineer's scale, for example: 1 inch = 20 feet
Location of stormwater facilities
Management method (e.g. dispersion, infil tration, detention)
Existing and proposed structures and improvements on the subject property including:
Driveways
Parking areas
Parking space (dimensioned)
Solid waste facility (dimensioned)
Landscape/ retaining walls
Fences
Mechanical equipment
Existing and proposed utilities on the subject property including:
Wells/ well head protection areas
Water/ Sewer lines
Drainfields (primary and reserve)
Septic system setbacks (Health District)
Power lines, utility poles, telecommunication facilities
Existing and proposed structures / utilities within 150 feet of the property including:
Wells/ well head protection areas
Water/ Sewer lines
Fire hydrants
Adjacent streets
Adjacent right-of-way with road classification
Existing and proposed right-of-way width
Existing driving surface width and type (e.g. gravel, asphalt, pervious concrete)
Roadside facilities (e.g. shoulder, ditch)
Non-motorized facilities width and type (e.g. sidewalks, trails)
Landscape Plan
A Landscape Plan shall be prepared by a landscape architect licensed in the State of Washington,
a Washington certified nursery professional or a Washington certified landscaper and a certified
arborist (when required) and include the following information, at a minimum. A helpful
Landscape Materials Matr ix is available on the City website.
Plan sheet 18" * 24" or 24" * 36" in size
Engineer's scale, for example: 1 inch= 20 feet
North arrow
Title block: Project name; site address, tax parcel number;
Property boundaries (bold line)
A. Tree and Vegetation Retention Plan. The applicant shall submit a tree and vegetation
retention plan concurrent with applicable permit application in to demonstrate compliance
with BIMC Section 18.15.010. If multiple permits are required, the applicant must submit
the tree retention plan with the first and all subsequent applications. The tree retention
plan may be combined with the planting plan (see section 3 below) and shall consist of
1. A tree survey or aerial photograph that represents current site conditions and identifies
the location of all significant trees, tree stands and their associated canopies. The survey
needs to include enough information about existing trees on a property to demonstrate
compliance with section BIMC Section 18.15.010.G Total Site Tree Unit Requirements (if
applicable). New planting may be required to meet these requirements (see section 3
below).
2. For detailed site plans and grading applications, the tree survey may be conducted by a
method that locates individual trees and tree stands, their size(s) and species. These
trees shall be marked in the field at the time of permit or approval application and
maintained through the construction period; and
3. A development site plan identifying size and species of the trees and tree stands, as
defined in BIMC 18.15.010.C, heritage trees, or other existing vegetation that are
proposed to be retained
4. The International Society of Arboriculture (ISA) valuation for trees:
a. Required to be retained for development projects in the R-2.9, R-3.5, R-4.3, R-8, R-14,
Mixed Use Town Center (MUTC), High School Road, and Neighborhood Service
Center Districts; and
b. In all zones where the critical root zone of a tree required to be retained may be
impacted by clearing, grading construction, development, or maintenance; and
5. An analysis prepared by a certified arborist about long-term health and/or viability for
trees that will be on the edge of the developed area and "post development" tree health
for trees requested for removal in roadside or perimeter buffers. This analysis should
also address protection during construction (see below).
6. Protection during construction strategies for trees and vegetation to be retained.
B. Description of how the tree retention plan and planting plan meet the Total Site Tree Unit
Requirements, pursuant to BIMC 18.15.010.Gi, if applicable.
C. Planting Plan. All plans must be prepared or approved, by a landscape architect licensed by
the state of Washington, a Washington certified nursery professional or a Washington
certified landscaper. The proposed landscape planting plan shall be clearly legible and show
the following:
1. A title that includes the project name, owner's name, designer's name, date and scale of
no less than no less than one-inch equals 30 feet. All items shall be labeled, and north
shall be oriented towards the top or left of the plan
2. Property boundaries, easements, and ownership as set forth in the legal description;
3. Existing and proposed grades of at least five-foot intervals
4. Rights-of-way, setbacks, streets and utilities within the subject property
5. All proposed construction and planting and any future construction and planting that is
not included in the application
6. Location of all existing and proposed buildings, structures, utilities and improvements
within the property
7. A plant list for all proposed new planting delineating quantities, scientific and common
names and sizes. Names of plants are to follow current edition of the Hortus Third, A
Concise Dictionary of Plants Cultivated in the U.S. and Canada; and sizes of plants are to
follow the current edition of the American Standard for Nursery Stock, American
Association of Nurseryman (AAN).
8. Vegetation clearing strategies
9. Topsoil protection and reuse strategies, including limiting compaction during construction
10. Native soil amendment strategies
11. Planting times and physical limits of construction
12. Areas that require temporary or permanent irrigation
Vegetation Management Plan
Basic Site Plan
Shows boundary of conforming defensible space around the structure based on
fire hazard severity level of the parcel per WUIC 603.2
Depicts trees and woody vegetation currently existing in the defensible space
boundary
Indicate vegetation areas to be removed or managed through pruning
Project Narrative
Indicate methods and timetables for controlling, changing, or modifying areas on the property
(removal of slash/gr ound fuels, pruning away from buildings, raising canopies, thinning trees,
managing trees near electrical lines, etc.)
Explain how these proposed fuel-reduction measures will be maintained over time
Describe tree protection measures for trees to remain
Buffer Enhancement Plan
A. Basic Site Plan
B. Terms, conditions, covenants, and agreements under which the subject property is bound
C. Buffer Enhancement Plan. A buffer enhancement plan prepared in accordance with applicable state
and federal agency standards and the requi rements in BIMC 16.20.180
D. Critical area reports by qualified professionals in the area of concern as provided in BIMC 16.20.190 -
Definitions;
E. Any other relevant information and reports that are necessary, in the opinion of the Director, to
process and prepare the deci sion on the application, such as permit applications to other agencies
and special studies;
F. State Environmental Policy Act (SEPA) checklist (if applicable)
Adjustment to an Approved Land Use Permit {Minor & Major)
NOTE: This section does not apply to subdivisions-see Subdivision Alterations below)
A minor adjustment entails small changes in dimensions or siting of structures or the location of
public amenities and does not change the intensity or the character of the use. A major
adjustment includes modification to the basic design, intensity, density and / or use.
A. Basic Site Plan
B. Utilities Plan (as applicable)
C. Landscape Plan (as applicable) with proposed landscaping as required by BIMC 18.15.010, including
any required retention.
D. Copy of the approved plan
E. Written description of the proposed change, including a detailed analysis of how the change complies
with decision criteria of the application used in the first instance.
F. Authorization of all owners of all lots involved in the change
Administrative Code Interpretation Request
The Director has the authority to provide interpretations of provisions, uses, or definitions in
BIMC Titles 16, 17 and 18 and related provisions in BIMC Title 2, and will make these
interpretations available to the public. Any person may apply to the director for an
interpretation of any provision in these titles. The Director shall provide the interpretation
taking into account consistency with the Comprehensive Plan, the nature of the definition or
use, and its relationship to the code and its potential impacts, such as:
A. Whether it involves dwelling units; sales; processing; type of product, storage and
amount
B. Enclosed or open storage;
C. Anticipated employment;
D. Transportation requirements;
E. Excessive noise, odor, fumes, dust, toxic material, light, glare, and vibration likely to be
generated; and
11
F. The general requirements for public utilities such as water and sanitary sewer. The
authority to provide an interpretation does not include the authority to add a new
permitted ("P") or conditional ("C") use to the use table in BIMC 18.09.020. The Director's
interpretation is subject to appeal pursuant to BIMC 2.16.020.P.1.
Agricult ural Retail Plan
A. Basic Site Plan including a delineation of specific use areas (pasture, heavy use area, etc.).
B. Farm Management Plan, if required pursuant to BIMC 18.09.030.A.1.
C. Any other materials the department or the reviewing body determines are required to
adequately describe the proposal.
Boundary Line Adjustment
A. Basic Site Plan
B. Survey drawing
1. Conventional scale and prepared by a surveyor licensed in the State of
Washington
2. Separate sheets depicting existing conditions and resultant conditions
3. Zoning and Comprehensive Plan designation
4. Shoreline upland and water environment designations
5. Proposed method to meet fire flow requirements
6. Names and locations of adjacent subdivisions
7. Gross lot size (in square feet) of each existing and resultant lot
8. Lot area of each existing and resultant lot/tract (As calculated in BIMC
18.12.050.J)
9. Zoning or subdivision setbacks, as applicable
10. Ordinary High Water Mark
11. Required critical areas, their buffers and setbacks
12. Required vegetation buffers
C. Existing and proposed terms, conditions, covenants, and agreements on the subject property
D. Perimeter lot closures for each existing and resultant lot
E. Title report dated not more than six months prior to application
F. Property legal description
G. Draft agreements (e.g. use easement, road maintenance agreement)
H. Water and sewer availability letters (public water/s ewer) for each resultant lot
I. Other technical reports (as applicable): Wetland delineation and report or wetland
determination; Geotechnical report/a ssessment
Comprehensive Plan Amendment
A comprehensive plan amendment application and fee as established by city council resolution
must include the following:
A. A complete and detailed written statement including the nature of and reason for the amendment
request, any specific suggested changes to the plan or appendices;
B. A description of how the amendment request is consistent with all of the decision criteria specified in
BIMC 2.16.190.H;
C. A completed SEPA checklist including supplemental sheet for non project actions; and
D. Any other reports or studies identified during the preapplication conference (Ord. 2006-13 § 4, 2006).
Ceneeph1al Rettiew Meeting
/\. See_Design for BainlariElge, /\ppenElix A, Documents RequireEI for Design Review, Meeting# 1:
Conditional Use Permit (Minor & Major)
A. Basic Site Plan (Minor). i;;or �.4aior GonElitional lJse Perfflits, susmit final site plan revieweEI B'f
the Design Review QoarEI along with any aEIElition al items 13elo w not alr eaEl•t incluEleEI .
(Reference: Design for Qain13riElge, AppenEli e A, Docufflents ReeiuireEI for Design Revie•,•,·)
B. Utilities Plan
C. Site Assessment Review (SAR) or SAR Exemption
D. Landscape Plan
E. State Environmental Policy Act (SEPA) checklist (if applicable)
F. A complete and detailed written statement of the intended use of the land and the sequence and
timing of the proposed development
G. The terms, conditions, covenants, and agreements under which the subject property is bound, if any
H. Affidavit of ownership or agreement to work on the owner's behalf
I. Land dedicated for park and recreational facilities, if applicable
J. For installation of outdoor lighting fixtures, evidence of compliance with the requirements of chapter
18.15.040, Outdoor Lighting
K. Written statement describing how the application meets all applicable decision criteria
L. Institutional development in residential zones shall submit the fo llowing items:
1. A traffic report, showing the effects 011 level of service (LOS) on affected roads
2. A fencing plan or alternative methods to protect the public health, safety and welfare
3. Vehicular, pedestrian, and bicycle access and site circulation
M. Design for BainlariElge checklist/ worksheet For projects subject to Design Review, the following
additional submittals are required, meeting the requirements of Appendix A of Design for Bainbridge
(inc luding naming convention):
1. Written Project Overview
2. Context Analysis Drawing
3. Site Plan (see specific requirements of Appe ndix A of Des ign for Bainbridge)
4. Landscape Plan (see specific requ irements of Appendix A of Design for Bainbridge)
5. Written Architectural Narrative
6. Site Section Drawings (two minimum)
7. Building Elevation Drawings
8. Rendering Drawings (two minimum)
9. Exterior Lighting Plan
10. Materials Palette
Consultation
A. Property location -14-digit parcel number or site address.
B. Basic project information.
C. List of specific questions.
D. Conceptual site plan (optional).
Critical Area Permit (Minor and Major)
A. Basic Site Plan
B. Terms, conditions, covenants, and agreements under which the subject property is bound
C. A written narrative describing how the proposal meets the critical area permit review criteria as
defined in BIMC 16.20.070.B;
D. Additional submittal requirements vary depending on the type of critical area. Specific submittal
requirements are described in each of the following sections of BIMC 16.20:
D Trees and vegetation -BIMC 16.20.090.G (minor)
D Critical aquifer recharge areas -BIMC 16.20.090.B.3 (minor)
D Fish and wildlife habitat conservation areas -BIMC 16.20.110.D and F (minor or major)
D Geologically hazardous areas -BIMC 16.20.130.C (minor)
D Wetlands -BIMC 16.20.140.F (minor or major)
D Winslow Ravine -BIMC 16.20.150.C (major)
E. Any other relevant information and reports that are necessary, in the opinion of the director, to
process and prepare the decision on the application, such as permit applications to other agencies
and special studies;
F. State Environmental Policy Act (SEPA) checklist (if applicable)
G. Other plans and drawings deemed necessary !by the Director for evaluation of the merits of the
proposal.
A. DesigR G�id aRee MeetiRg: See DesigR fer Bainl:iridge. AppeRdi < A. Dee�FReRts Reg�ired fer
DesigR Re1w1i ew. MeetiRg # 2 DesigR G�idaRee Re1,ri ew
B. FiRal DesigR Review aRd ReeemFReRdatioR MeetiRg: See DesigR for BaiRl:i ridge, AppeRdix A,
14
QeC1,:1R1eAt;s ReauiFeel for QesieA Revie1,1,. ll.4eet;iAe # e QesieA RetJi ew aAel ReeeR1R1@AelatieA
Farm Management Plan
In order to exceed maximum animal density allowances provided for in BIMC 18.09.030, a farm
management plan approved by the City, its designee, or a qualified third party must be
implemented and maintained. The farm management plan shall contain the following:
A. Basic site plan, with the following additional i nformation
1. Adjacent residences
2. location and area of all pasture area(s), shelter structure(s), compost and manure storage,
B. Description of the type of equipment necessary or intended for use in each season and the frequency
and duration of anticipated use;
C. Disclosure of any intent to spray or otherwise apply agricultural chemicals or pesticides,
frequency and duration of application, and the plants, diseases, pests or other purposes they are
intended for;
D. Emergency response plan and emergency response contacts
E. Description of the potential impacts of animal agriculture and use of applicable National
Resource Conservation Service (NRCS) conservation practice standards or equivalent measures
to mitigate impacts, including:
1. Water Quality and Soils. Impacts of irrigation run-off on adjacent properties, water
bodies and environmentally critical areas, and proposed sediment and erosion control
measures.
2. Noise and Odor. Impacts related to the location on the lot of the animal pasture
and shelter, any trash or compost storage areas, any farm stand or additional
accessory structure, and any other noise-gene rating or odor-generating equipment
and practices.
3. Agricultur al Chemicals. Impacts related to the use of chemicals, including any
manure, fertilizer and pesticide.
4. Mechanical Equipment. Impacts related to the operation of equipment, including
noise, odors, and vibration.
5. Traffic and Parking. Impacts related to the number of staff onsite during work hours,
and the number of potential visitors regularly associated with the site.
6. Visual Impacts and Screening. Visual impacts relating to the proposed nature,
location, design, and size of proposed features, structures and activities, including the
location of pasture, composting acti vities and manure storage, and any existing
or proposed screening.
15
Housing Design Demonstration Project
In addition to any submittal requirements from the underlying land use permitting process, the
following additional information is required for a Housing Design Demonstration Project:
A. Survey prepared by a li censed surveyor, including information showing existing conditions
and site information including, but not limited to, topography (contour interval not to exceed
5 feet), an elevation benchmark (located on or within 100 feet of the proposed site),
adjacent development, vegetation, utilities, critical areas, property lines, and easements.
Whenever possible, survey information should be submitted on City of Bainbridge Island
vertical and horizontal datums. All plans must be submitted at an easily reproducible
engineering or architectural scale. The survey data should be integrated into all site plans
and elevation drawings related to the project and the source of the survey information shall
be noted.
B. Plans descriptive of drawings of the proposed innovative housing types including building footprints
and building elevations, floor plans, and roof plans.
C. A description of the proposed unit type, including proposed square footage, unit mix, and number of
bedrooms per unit.
D. A description of the required development standards, compared with the standards that relief is being
requested. This includes, but is not limited to, setbacks, density, or parking requirements. The
applicant should explain how relief from specific development standards is needed to achieve the
desired innovative design and the goals of this chapter.
E. Photographs of the subject and adjacent properties key to the basic site plan.
F. Landscape Plan.
G. A detailed description of any project phasing.
H. A description of how the proposed development is consistent with the surrounding neighborhood
character.
I. A description of how the proposed developm ent complies with the goals of BIMC 2.16.020.Q, project
evaluation criteria as described in BIMC 2.16.020.Q, and all relevant decision criteria.
A completed green building checklist from Evergreen Sustainable Development, Living
Building Challenge standard of the International Living Building Institute, LEED or BuiltGreen
programs that require third party verification review with the requisite four and five star
levels.
Legislative Review of Development Regulations and Rezoning
Legislative Review of Development Regulations
An application and fee as established by city council resolution shall be made on forms
prescri bed by the department. The application shall contain the following:
A. A complete and detailed written statement explaining the existing regulations and proposed
changes (including specific language, if possible)
B. A detailed description of how the proposal meets the goals and policies set forth in the
Comprehensive Plan; and
C. A completed SEPA checklist including supplemental sheet for non project actions (if applicable); and
D. Any other materials the department or the reviewing body determines are required to
adequately describe the proposal.
Rezoning (Site-specific and Area-wi de)
A rezone application and fee as established by city council resolution shall be made on forms
prescri bed by the department. The application shall contain the following:
A. A complete and detailed written statement explaining how the subject property is suitable for the
proposed rezone and why the rezone would not be detrimental to surrounding land uses.
B. A map that shows address topography, streets, adjacent land uses, utilities and other pertinent factors
that would justify the proposed rezone;
C. A detailed description of the proposed use for which the rezone is sought and how such action meets
the decision criteria in BIMC 2.16.140;
D. A legal description of the property(ies) and tax lot number(s);
E. The names and addresses of all property owners; and
F. Any other materials the department or the reviewing body determines are required to adequatel y
describe the proposal.
G. A completed SEPA checklist including supplemental sheet for nonproject actions.
Preapplication Conference
A. All projects must include the items listed below. J;sr 13rsj eets that reei1,1i re reYi e·,11 l:ly the DesigR
ReYi e·,, Bea rel (FRajsr site 13laR aRel elesigR reYiew 13erFRits, shsrt s1,11:leli ,isi0Rs sf FRsre thaR tws lets,
13reliFRiR ary lsRg SYBel iYiSiSRS, aRel FRajsr ESRelitisRal YSe 13erFRitsl, see DesigR fer BaiRsr ielge,
A1313eReli>< A, DseYFReRts Reeiwireel fer DesigR Re·,«i ew, Prea1313lie ati0R GsRfereRce fer aelelitisRal
Sl,IBFRit tal reetY ireFReRtS.
B. Basic Site Plan
C. Conceptual Landscape Plan (as applicable). Proposed landscaping as required by BIMC
18.15.010, including any required retention.
D. Conceptual Ut ilities Plan
E. Site Assessment Review (SAR) or SAR Exemption
�-Oesign for QaineriGlge checklist/ worksheet
17
G. Additional requirements for preapplication review of Subdivisions
1. Lot area of each existing and r esultant lot (BIMC 18.12.050.J)
2. Proposed covenants or restrictions
3. Site plan -additional requirements
a. Separate sheets depicting existing and resultant conditions.
b. Zoning and Comprehensive Plan designation for subject and adjacent properties
c. Shoreline upland / water environment for subject and adjacent properties
d. Proposed method to meet fire flow requirements
e. Names and locations of adjacent subdivisions;
f. Delineate primary and secondary Natural Areas, provide area calculations for each and
proposed form of ownership. Identity the functional characteristics of each Natural Area
type in BIMC 17.12.050.A.2.a. i-iii and b. i. -vii.
g. Show location of Natural Area fencirng and/or signage
h. Delineate Community Space, provide area calculation and proposed form of Ownership
i. Delineate and document Homesite Standards in BIMC 17.12.060 and Table 17.12.060
j. Delineate and document Subdivisio n Standards in BIMC 17.12.070 and Table 17.12.070-1
4. Document the four-step design process identified in BIMC 17.12.030
5. Document requested departures from subdivision standards contained in BIMC
17.12.060 and 17.12.070, including BIMC Tables 17.12.060-1 and 17.12.070-1:
Address consistency with general purpose of intent of the subdivision chapter, the
intent of the four-step design process, and the specific standard from which the
departure is requested.
6. Identify I sland-Wide Transportation Plan and City of Bainbridge Island Design and
Construction Standards. Document requested deviations.
7. Depict views of proposed houses from exterior roads and abutting properties vis-a-vis
natural topography and existing vegetation
Reasonable Use Exception
A. Basic Site Plan
B. The terms, conditions, covenants, and agreements under which the subject property is bound, if any;
C. Critical Area Report. A critical areas-report including mitigation plan, if necessary, prepared in
accordance with applicable state and federal agency standards. Such studies shall be prepared in
accordance with the requirements in BIMC 16.20.180 -Critical area reports by qualified professionals
in the area of concern as provided in BIMC 16.20.190 -Definitions;
D. Any other relevant information and reports that are necessary, in the opinion of the
director, to process and prepare the recommendation on the application, such as permit
applications to other agencies and special studies;
E. State Environmental Policy Act (SEPA) checklist (if applicable)
F. Other plans and drawings deemed necessary by the director for evaluation of the merits of the
proposal; and
G. A complete and detailed written statement of the reason(s) for requesting the reasonable use
exception including a detailed description of how th� proposal will meet the reasonable use exception
criteria as defined in BIMC 16.20.080:
1. The application of Chapter 16.20 would deny all reasonable use of the property;
2. There is no reasonable alternative to the proposal with less impact to the critical area or its
required buffer;
3 . The proposal minimizes the impact on critical areas in accordance with mitigation sequencing
(BIMC 16.20.030);
4. The proposed impact to the critical area is the minimum necessary to allow reasonable use of
the property;
5 . The inability of the applicant to derive reasonable use of the property is not the result of
actions by the applicant, or of the applicant's predecessor, that occurred after February 20, 1992;
6. The proposed total lot coverage does not exceed 1,200 square feet for residential
development;
7. The proposal does not pose an unreasonable threat to the public health, safety, or welfare on
or off the property;
8. Any alterations permitted to the critical area are mitigated in accordance with mitigation
requirements applicable to the critical area altered;
9. The proposal protects the critical area functions and values consistent with the best available
science and results in no net loss of critical area functions and values;
10. The proposal addresses cumulative impacts of the action; and
11. The proposal is consistent with other applicable regulations and standards.
H. A copy of the pre-application conference summary letter.
Revision to a Land Use Permit
A revision is required when there are proposed changes to a project after the application has
been submitted but has not been approved. This may arise due to differences between the
original proposal and application submittals to actual field conditions, or the customer has
changed their mind about an aspect of the project. In all cases, a revision to the existing
permit must be submitted, reviewed and approved. Please check with your planner prior to
submitting revisions: An intake appointment may be required. All submittal requirements
applicable to the original application, including number of copies, are required for revisions.
Revisions may be subject to additional fees.
A. Basic Site Plan
B. Utilities Plan (as applicable)
C. Landscape Plan (as applicable) with proposed landscaping as required by BIMC 18.15.010, including
any required retention.
D. Revision documents that clearly identify the proposed change, including a description of the proposed
change
E. Written description of the proposed change, including a detailed analysis of how the change complies
with decision criteria of the application used in the first instance
F. Authorization of all owners of all lots involved in the change
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Shoreline -Clearing Permit
A. Basic Site Plan, including :
1 . Species and location of trees or other vegetation proposed to be removed
2. Size (dbh) of trees to be removed
3 . Area (square feet) of canopy coverage to be removed. Canopy coverage includes trees and
shrubs.
4. Erosion control methods, drainage information or plan, pursuant to BIMC 15.20
B. Supplemental materials, as applicable:
1. Arborist report, for removal of hazard trees, or any vegetation removal within geologically
hazardous areas or buffers/setbacks
2. Geotechnical report, for any vegetation removal within geologically hazardous areas or
buffers/setbacks
C. Replanting plan, including:
1. Species, size, quantity, and location of trees or other vegetation proposed to be
planted
Shoreline -Substantial Development Perm it/Exemption, Variance, Conditional Use
A. Basic Site Plan, with the following additional information:
1. Location of Ordinary High Water Mark (OHWM);
2. Location of Shoreline Buffer;
3 . Location of Shoreline Structure View Setback;
4. Shoreline dimensional setbacks;
5 . Location of native vegetation and significant trees;
6. I f structures have any attachments (e.g. deck, balcony, etc.), include elevation drawings
and calculations of grade
7. For overwater structures or development: littoral boundaries and elevation drawings
with tidal elevations development
8 . For mooring buoys the following additional information:
a . Location of proposed buoy with latitude and longitude coordinates and swing circle;
b. Location of surrounding buoys, floats, or docks;
c. Distance measurement of proposed buoy to surrounding buoys, floats, or docks.
B. No Net Loss Documentation
All shoreline development, use and activities, regardless of whether a permit is required,
must result in no net loss of ecological functions and processes necessary to sustain
shoreline resources. To demonstrate that the no net loss standard is met, and applicant
must either submit with application:
1. The Single-Family Residence Mitigation Manual checklist and supporting
documents or
2. A Site-specific Analysis that is completed by a quali fied professional.
20
C. Narrative explaining how the project meets the decision criteria in BIMC 2.16.165
D. Additional Documents
Depending on existing site conditions and proposed development activities, your application may
require additional reports and/or studies to identify and assess potential project impacts. These
include:
I. Wetland delineation and categorization (See BIMC 16.12.060.L)
2. Geotechnical Report (See BIMC 16.12 .060.K)
3. Bluff Management Plan (See BIMC 16.12.060.K)
4. Utilities Plan
5. Site Assessment Review (SAR) or SAR Exemption
6. State Environmental Policy Act (SEPA) Checklist
7. Shoreline Stabilization Projects have additional submittal requirements listed in the City's
Shoreline Master Program Section 6.2.10
8. For Mooring Buoys, the following additional information:
a. Cross-Sectional View Worksheet
b. Proof of submittal of site plain with latitude and longitude coordinates, vicinity map,
and cross-sectional view worksheet to the Suquamish Tribe. A copy of notification e
mail sent to Alison O'Sullivan, Biologist, Suquamish Tribe is acceptable
(aosullivan @suquamish.nsn.us).
c. Name and contact information of the diver/biologist qualified to install an
embedment style anchor
1. An aquatic vegetation dive survey is required if a surface style anchor is
proposed (Concrete block, Danforth, etc.)
d. Signed copy of Attachment E: Aquatic Use Authorization on Department of
Natural Resources (DNR)-managed aquatic lands. This form must be
submitted to and signed by DNR prior to making application to the City.
Please note that Attachment E is not required for buoys that are proposed
to be installed on privately held tidelands.
e. Attachment E must include DNR signature at time of submittal to the City
to verify that DNR has been notified of the proposed buoy location.
Attachment E is submitted to DNR along with a Joint Aquatic Resources
Permit Application (JARPA).
Sign Permit
A. Basic Site Plan
Attachment E and the JAR PA form can be found here:
https://www.epe rmi tting.wa.gov/site/al ias resourcecente r/9978/d efault.aspx
Depending on the location of the buoy, your application may require
additional submittal documents, including State Environmental Policy Act
(SEPA) Checklist (required only if placement location is not on DNR leased
land)
1. Position of buildings
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2. Landscaped areas
3. Sign configuration
4. Sign size
5. Sign elevation
B. Sign Permit Worksheet
C. Drawing or photo of proposed sign(s) including dimensions and height above ground.
D. Engineering specifications (if applicable).
Site Plan and Design Review (Major & Minor)
A. Basic Site Plan. J;er Majer §;ite PlaR aRel DesigR �e11iew �err:Rits, 51:1BFRit fiRal site �laR
revi eweel BY the DesigR �ei;iew Qearel aleRg with aR't iter:Rs Belew Ret alreaely iRel1:1el eel.
(ReferenGe: ()esign for Qainerielge, Appenelix A, ()QGuments Requi reel for ()esign Re1,ie1.i.•)
B. Utilities Plan
C. Site Assessment Review {SAR) or SAR Exemption
D. Landscape Plan
E. Preapplication conference summary (if applicable)
F. Public participation meeting summary (if applicable)
G. State Environmental Policy Act (SEPA) checklist (if applicable)
H. Terms, conditions, covenants, and agreements under which the subject property is bound
I. Traffic analysis (if applicable)
J. ()esign for Qainerielge GheGklist / wgrksh eet For projects subject to Design Review, the following
additional submittals are required, meeting the requirements of Appendix A of Design for Bainbridge
(including naming convention):
1. Written Project Overview
2. Context Analysis Drawing
3. Site Plan (see specific requirements of App endix A of Design for Bainbridge)
4. Landscape Plan (see spe cific requirements of App endix A of Design for Bainbridge)
5. Written Architectural Narrative
6. Site Section Drawings (two minimum)
7. Building Elevation Drawings
8. Rendering Drawings (two minimum)
9. Exterior Lighting Plan
10. Materials Palette
K. Narrative: A complete and detailed written statement describing the proposal, including:
1. I ntended use of the land
2. Phasing, including the phasing of on-and off-site improvements
3. Sequence and timing of the proposed development
4. Proposed land ownership
5. Commercial and residential components of the project
22
6. Addressing the decision criteria per BIMC 2.16.040 E
L. Documentation of Kitsap Public Health District Concurrent Review, if not on public sewer and water;
M. Non-binding Water and Sewer availability letters (availability and phasing of system extensions)
N. The terms, conditions, covenants, and agreements under which the subject property is bound, if any;
0. Architectural drawings, including floor plans, uses, building elevations, building sections, and roof
plans;
P. Description of proposed stormwater management system and maintenance and operation. See also
Utilities Plan.
Q. Description of any facilities planned for public dedication, e.g. sewage disposal system, roads, non
motorized facilities, utility lines and facilities, parks.
R. For installation of outdoor lighting fixtures, evidence of compliance with the requirements of chapter
18.15.040, Outdoor Lighting, on the architectural elevations or on a form provided by the department
of planning and community development.
S. A survey may be required depending on project complexity
Subdivision -Preliminary (Short/ Long /Large Lot)
A. Basic Site Plan (two-lot short subdivisions only). i;er all etl:ler 13reli1T1 inary s1,113eli>w«i siens, s1,1emit
final site 13l an revieweel ey tl:le Oesign Revie Qearel aleng i.vith any ael61itienal items belew net
alreaely inel1,1eleel (Referenee: Oesign fer Qainerielge, A1313eneli1c A, Qee1,11T1ents Re�1,1ireel for Qesign
Re"ie111)
B. Utilities Plan
C. Site Assessment Review (SAR) or SAR Exemption
D. Landscape Plan (as applicable). Proposed !l andscaping as required by BIMC 18.15.010,
including any required retention.
E. Preliminary Plat
1. Conventional scale and prepared by a surveyor licensed in the State of Washington
2. Separate sheets depicting existing conditions and resultant conditions
3. Zoning and Comprehensive Plan designation
4. Shoreline upland and water environment designations
5. Proposed method to meet fire flow requirements
6. Names and locations of adjacent subdivisions
7. Gross lot size (in square feet) of each existing and resultant lot
8. Lot area of each existing and resultant lot / tract (BIMC 18.12.050.J)
9. Delineate required critical areas, their buffers and setbacks along with any proposed
modifications
10. Aquifer Recharge Protection Area: Clearly show the extent of native vegetation areas.
Delineate the ARPA, 12,500 square foot development areas, and show the area calculations.
Document the ARPA development standards in BIMC 16.20.100.D.
I 1. Delineate primary and secondary Natural Areas, provide area calculations for each and
proposed form of ownership. Identity the functional characteristics of each Natural Area type
23
in BIMC 17.12.050.A.2.a. i-iii and b. i. -vii.
12. Show location of Natural Area fencing and/or signage
13. Delineate Community Space, provide area calculation and proposed form of ownership
14. Delineate and document Homesite Standards in BIMC 17.12.060 and Table 17.12.060-1
15. Delineate and document Subdivision Standards in BIMC 17.12.070 and Table 17.12.070-1
F. Design for Bainbridge checklis t/worksheet
G. Document the four-step design process identified in BIMC 17.12.030
H. Document requested departures from subdivision standards contained in BIMC 17.12.060 and
17.12.070, including BIMC Tables 17.12.060-1 and 17.12.070-1: Address consistency with general
purpose of intent of the subdivision chapter, the intent of the four-step design process, and the
specific standard from which the departure is requested.
I. Identify Island-Wide Transportation Pl an and City of Ba inbridge Island Design and Construction
Standards. Document requested deviations.
J. Depict views of proposed houses from exterior roads and abutting properties vis-a-vis natural
topography and existing vegetation
K. State Environmental Policy Act (SEPA) checklist (if applicable)
L. Preapplication conference summary letter
M. Perimeter lot closures for each existing and resultant lot
N. Title report dated not more than six months prior to application
0. Property legal description
P. Draft Natural Area and/or Community Space Management Plan, including maintenance plan and allowed
uses for each area type
Q. Existing and proposed terms, conditions, covenants, and agreements on the subject property (e.g. road
maintenance agreement)
R. Non-binding water and sewer availability letters (for public water/ sewer) for each lot S.
Traffic impact analysis/a pplication for traffic concurrency or concurrency statement
S. Other technical reports (as applicable):
1. Wetland delineation and report or wetland determination
2. Geotechnical report/a ssessment
3. Shoreline Site Specific Analysis
4. DNR Forestry permit
5. Habitat Management Plan
T. Other special submittal requirements identified in the pre-application conference summary
24
Subdivision -Alteration (Short/ Long /Large Lot)
A. Proposed plat alteration
B. Narrative including a description of the proposed change and a detailed analysis of how the change
complies with decision criteria of the application used in the first instance
C. A copy of the existing final plat
D. A copy of the natural area / community space / open space management plan, as applicable
Subdivision -Plat Utility Approval (Short/ Long /Large Lot)
Plat utility standards for civil improvements are found in the City of Ba inbridge Island Design and
Construction Standards Manual. Please review the specific requirements with the assigned City project
engineer for large/complex projects.
A. Construction Plans
Plans must be full-scale drawings on 24-inch by 36-inch paper with margins which are set to
provide half-scale drawings on 11-inch x 17-inch paper. Two copies of the construction plan
set are required. A digital set in PDF or TIFF format must also be submitted with application.
On-site plans for private property improvements must have a vertical scale of one inch equals
five feet and a horizontal scale of one inch equals 50 feet. Profiles may be drawn on plan
sheets.
Offsite plans for public improvements (i.e. water, sewer, storm drainage, and streets) shall
have a vertical scale of one inch equals five feet and a horizontal scale of one inch equals 40
feet. All off-site plans shall have the cor responding plan/profiles on the same sheet.
See also land use standards for plan requirements (e.g. Aquifer Recharge Protection Areas).
General Plan Requirements:
North must be up or to the left on plans, and north must not be shown in a different
orientation on the same or connecting sheets.
Vicinity map of approximately one square mile with the project site centered scaled one inch =
1000 feet. A scale at least one inch long must be on the map. A north arrow must be on the map and
the site address must be below the map.
City datum with City-established benchmark (BM) number and elevation. BM information is
available from the city 's right-of-way specialist.
A detailed description of the site, including lot number, quarter section, township and range, unless
otherwise noted by the City Engineer.
Current zoning of site and of adjacent properties
Lot size(s) with perimeter distances and bearings of the site shown on the plan
Project name in the title block
Owner/developer name, address, and phone number in the title block
Design enginee r 's name, address, and phone number in the title block
Boundary and topographic survey of existing conditions with a contour interval of no less than five
feet (no less than 10 feet for Large Lot Subdivisions)
Clearly identify and dimension existing and proposed rights-of-way and easements. Show Kitsap
25
County recording numbers for all existing easements.
All pertinent existing and finish elevations
Existing natural drainage ways (e.g. swales, ditches) and flow path with arrows and elevations
Lakes, rivers, streams, flood plains, wetlands, sensitive slopes, and other sensitive areas
Limits and elevations of 100-Year floodplain with floodway and flood fringe delineated
General plan notes consistent with the Standards shall be shown on the plan
Individual Plan Sheet Requirements:
Plans may be incorporated on the same sheet where clarity is not affected.
Preliminary conditions of approval
Grading, Drainage, and Erosion and Sediment Control (GDESC) Plan
Street plan or plat road plan
Parking plan
Utility plan (water, sewer, and dry/franchise utility location and coordination)
Significant tree/tree retention plan
Open space management plan, where applicable
Landscaping plan
B. Reports and Supporting Documentation/Calculations
Stormwater management report consistent with BIMC 15.20 and the current adopted
Stormwater and Low Impact Development manuals.
Drainage design calculations.
Soil logs and infiltration rate determination, where applicable.
Geotechnical report, where applicable.
Domestic (multi-family), commercial and fire flow calculations.
Sewer conveyance calculations.
C. Facilities (Water, Sewer, Storm Water and Streets) Extension Agreement Application
The extension agreement application shall be completed by the owner and submitted with
the applicable processing fee consistent with BIMC 13.32.
Application shall indicate whether a latecomer reimbursement will be requested.
Drawings shall be submitted showing generally the proposed location, type, and size of
the utility or street improvements.
Subdivision -Final (Short/ Long /Large Lot)
A. Plat Utilities Plan (engineered drainage plan / report or minor plan as applicable)
B. Landscape Plan (as applicable). Proposed landscaping as required by BIMC 18.15.010, including any
required retention.
C. Final terms, conditions, covenants, and agreements (e.g. Natural / Community Space Management
Plan, road maintenance agreement)
D. Statement of compliance listing the plat conditions and how each condition is met
E. Perimeter lot closures for each existing and resultant lot
26
D. Title report dated not more than six months prior to application
E. Binding water and sewer availability letters (for public water/sewer) for each lot
F. Final Plat, as modified by conditions of approval
1. Applicable plat conditions of approval
2. Ties to permanent monuments
3. Controlling reference points or monuments
4. Bearing and length of lines
5. Origin of meridian or basis of bearings
6 . Surveyor's certificate signed by the surveyor who prepared the final plat:
"/, ___ registered as a profe ssional land surveyor by the State of Washington, certify
that this Subdivision is based on an actual survey of the land described herein, conduc ted
by me or under my supervis ion, during the period of __ , 20_, through_, 20_
that the distances, courses, and angles shown hereon correctly; and the lot corners have
been staked on the ground as depicted hereon.,,
7. Disclaimer regarding road maintenance: "Re sponsibility and expense for maintenance of
streets serving lots within this short plat/subdivision shall rest with the lot owners unless
such roads have been accepted by the City.,,
8. I f plat improvements are assured, a prominent note on the face of the final plat: "The lots
created by this plat are subject to conditions of an assurance device held by the City for
the comple tion of certain necessary fa cilities. Building permits may not be issued and/or
occupancy may not be allowed until such necessary fa cilities are completed and approved
by the City. All purchasers shall sat isfy themselves as to the status of completion of the
necessary fa cili ties.,,
9. Signature and date lines for the City Planning Director
10. Signature and date lines for the Health District (N/ A for short plats)
11. County Treasurer and Auditor signature blocks
12. Declaration regarding further subdivision: "Land in a short subdivision may not be fur ther divided
through a short plat within a period of five years recording the final short without meeting the
standards of and being reviewed as a long subdivision.,,
13. Estimate approved by the City for financial assurance of plat improvements (if applicable)
Tree Removal/Vegetation Maintenance Permit
A. Basic Site Plan
B. Trees and vegetation proposed to be removed (also show on Basic Site Plan)
C. Size (diameter breast height [dbh]) of trees to be removed (Required only for commercial,
institutional, multifamily, and mixed-use development and any properties in Mixed Use Town Center,
High School Road, R-2.9, R-3.5 and R-4.3 zones. Also show on Basic Site Plan)
D. Site Assessment Review (SAR) or Exemption (if applicable)
E. Erosion control methods, drainage information or plan, pursuant to BIMC 15.20 (if applicable).
F. Planting plan (see Landscape Plan section above) if tree removal brings a property below
27
applicable tree unit requirements (see BIMC Section 18.15.010.G) or is proposed within required
vegetation areas (e.g. landscape buffers, no-c1Ut buffers), or any other trees required to be retained
through an approved land use permit. Planting plan should ensure that property continues to meet
any applicable tree requirements.
Variance -Zoning (Major & Minor)
A. Basic Site Plan
B. State Environmental Policy Act (SEPA) checklist (if applicable)
C. Terms, conditions, covenants, and agreements under which the subject property is bound
D. Narrative -A complete and detailed written statement describing the proposal, including:
1. Reason for the variance request
2. Detailed description of how the proposal will meet the decision criteria
3. Visual impacts of proposed structures, including proposed screening
Wireless Communication Facility Permit (WCF)
Permit procedures for wireless communication facility permits are detailed in BIMC 18.10.
A. Basic Site Plan
1. Additional requirements
a. Location, elevation and dimensions of existing facility components
b. Location, elevation and dimensions of proposed facility components
c. Existing and proposed site grade
d. Area of ground disturbance for construction activities
e. Primary viewshed of the proposed WCF
f. Proposed height
g. Coverage area at proposed height (may be inset map or on separate sheet)
h. Inventory of WCF sites in or within a one mile radius of the City that are operated by the
applicant
B. Landscape Plan
1. Additional landscape plan information required:
a. Type and location of vegetation screen of WCF components in viewshed
context
b. Height of vegetation screen at maturity (e.g. monopole/tower 2/3 height
screening)
c. Type and location of topographic or structural screening (e.g. wall, fencing)
d. WCF paint/camouflage co lor scheme in viewshed context
e. Security fencing height, vegetation screening and paint/camouflage screening
C. Detail Drawing
1. Antenna
28
2. Support structure and any protrusion from the support structure
3. Transmission device
4. Equipment shelter
D. Photo/visual simulations of the proposal from affected properties and public rights-of-way at
varying distances
E. Narrative
An explanation of the need for the proposed WCF
2. Location priority analysis (e.g. co-location vs. commercial building)
3. Height and design of WCF sites in or within one mile of the City
4. Impact of proposal on existing restrictions or requirements (e.g. Conditional Use
Permit, Site Plan and Design Review Permit)
5. Feasibility of underground location for equipment facilities
6. Equipment noise evaluation (e.g. dB at nearest property line)
F. Documentation verifying that the proposed WCF complies with Federal Communications Commission
and Federal Aviation Administration regulations
G. Copy of documentation regarding existing restrictions or requirements (e.g. Conditional Use Permit,
Site Plan and Design Review Permit)
H. Additional information required for:
1. Tower modification
a. Structural engineering report demonstrating the modification complies with applicable
construction/electrical/safety codes including:
number and types of antennas the tower can support
11. basis for capacity calculation
statement that the proposal complies with applicable FCC guidelines and standards
2. Base station modification
a. Structural engineering report demonstrating the modification complies with
applicable construction/electrical/safety codes
3. Applications for facilities other than Facility I or II
a. Documentation of efforts to co-locate on existing facilities
I. If all or a portion of the WCF will be located upon a city-owned structure, or upon non-right-of-way
property which is either city-owned or city-leased, the applicant shall be required to enter into a
lease agreement with the city for the use of the city property.
J. A Master Permit, consistent with Chapter 19.02 and 19.04 BIMC, if all or a portion of the WCF will be
located in the right-of-way.
Wireless Eligible Facilities Request Permit (EFR)
Permit procedures for wireless eligible facilities request permits are detailed in BIMC 18.11.
1 . An assertion that the proposed facilities modification is subject to review under Section
6409 of the Spectrum Act.
2. An evaluation of the substantial change criteria as found in BIMC 18.11.010.K.
29
3. Copies of any environmental documents required by any federal agency. These shall include the
environmental assessment required by 47 C.F.R. Part 1 (Part 1-Practice and Procedure), Section
1.1307, as amended, or, in the event that an FCC environmental assessment is not required, a
statement that describes the specific factors that obviate the requirement for an environmental
assessment.
4. If the applicant is not the owner or person in control of the eligible support structure and/or site: An
attestation that the owner or person in control of the eligible support structure and/or site has
consented to the proposed facilities modificati on. If the eligible support structure is located in a public
right-of-way, the applicant must also attest that applicant has authorization to install, maintain and
operate transmission equipment in, under, and above the public right-of-way.
5. A request involving co-location of transmission equipment or the replacement of transmission
equipment: Complete copies of the underlying land use approvals for siting of the tower or base
station proposed to be modified, establishing that, at the time of submittal of the application,
such tower or base station constituted an eligi ble support structure.
6. A request that will result in an increase in height of the eligible support structure: Record drawings, as
built plans, or the equivalent, showing the height of the eligible support structure (a) as originally
constructed and granted approval by the city or other applicable local zoning or similar regulatory
authority; or (b) as of the most recent modification received by the city, or other local zoning or
regulatory approval, prior to the passage of the Spectrum Act, whichever height is greater.
7. A request to an eligible support structure, which structure, or proposed modification of the same, is
subject to preexisting restrictions or requirements imposed by a reviewing official or decision-making
body pursuant to authority granted under the city code, or an ordinance or a municipal code of another
local government authority: A copy of the document (e.g., CUP or SUP) setting forth such preexisting
restrictions or requirements together with a certification that the proposed facilities modification
conforms to such restrictions or requirements; provided, that such certification shall have no
application to the extent the proposed facilities modification relates solely to an increase in height,
increase in width, addition of cabinets, or new excavation, that does not result in a substantial change
in the physical dimensions of the eligible support structure.
8. A request to an eligible support structure, which structure, or proposed modification of the
same, is subject to preexisting concealment restrictions or requirements, or was constructed
with concealment elements: Applicant shall set forth the facts and circumstances
demonstrating that the proposed modification would not defeat the existing concealment
elements of the eligible support structure. If the proposed modification will alter the exterior
dimensions or appearance of the eligible support structure, applicant shall include a detailed
visual simulation depicting how the eligible support structure will appear after the proposed
modification is complete. The visual simulation shall depict to scale the eligible support
structure in relation to the trees, landscaping and other structures adjacent to, or in the
immediate vicinity of, the eligible support structure.
9. A request that will protrude from the edge of a nontower eligible support structure: Record drawings,
as-built plans, or the equivalent, showing at a minimum the edge of the eligible support structure at the
location of the proposed modification.
10. A request to an eligible support structure that will (a) include any excavation; (b) would result in
a protrusion from the edge of a tower that exceeds an existing protrusion of any transmission
equipment attached to a tower; or (c) would protrude from the edge of a nontower eligible
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support structure: A description of the boundaries of the site together with a scale drawing
based on an accurate traverse, with angular and lineal dimensions, depicting the boundaries of
the site in relation to the tower or base station proposed to be modified and depicting the
proposed location, elevation and dimensions of the new or replacement transmission
equipment. The city may require a survey by a land surveyor licensed in the state of Washington
when, in the judgment of the approval authority, a survey is reasonably necessary to verify the
boundaries of the site to determine if the proposed facilities modification would result in a
substantial change in the physical dimensions of the eligible support structure.
11. A request to the eligible support structure that includes hardening through structural enhancement: A
technical report by a qualified engineer accredited by the state of Washington, demonstrating that the
structural enhancement is performed in connection with and is necessary to support the proposed co
location, removal, or replacement of transmission equipment and conforms to applicable code
requirements. The city may retain the services of an independent technical expert to review, evaluate,
and provide an opinion regarding the applicant's demonstration of necessity.
12. A request that proposes a modification to a tower: A stamped report by a Washington State
registered professional engineer demonstrating that the tower with the proposed modifications
will comply with applicable structural, electrical, and safety codes, including by way of example,
and not limitation, EIA/T IA-222-Revision G, published by the American National Standards
Institute (as amended), allowable wind speed for the applicable zone in which the tower is
located, and describing the general structural capacity of the tower with the proposed
modifications, including:
1. The number and type of antennas that can be accommodated;
2. The basis for the calculation of capacity; and
3. A written statement that the proposal complies with all federal guidelines regarding interference
and ANSI standards as adopted by the FCC, including but not limited to nonionizing
electromagnetic radiation (NIER) standards. The city may retain the services of an independent
technical expert to review, evaluate, and provide an opinion regarding the applicant's
demonstration of compliance.
13. A request to a base station: A stamped report by a Washington State-registered professional
engineer demonstrating that the base station, with the proposed modifications, will comply
with applicable structural, electrical, and safety codes.
14. A request requiring alteration to the eligible support structure, excavation, installation of
new equipment cabinets, or any other activities impacting or altering the land, existing
structures, fencing, or landscaping on the site: A detailed site plan and drawings, showing
the true north point, a graphic scale and, drawn to an appropriate decimal scale, indicating
and depicting:
a. The location, elevation and dimensions of the existing eligible support structure;
b. The location, elevation and dimensions of the existing transmission equipment;
c. The location, elevation and dimensions of the transmission equipment, i f any, proposed to be co
located or that will replace existing transmission equipment;
d. The location, elevation and dimensions of any proposed new equipment cabinets and
the intended use of each;
e. Any proposed modification to the eligible support structure;
f. The location of existing structures on the site, including fencing, screening, trees, and other
significant site features; and
g. The location of any areas where excavation is proposed showing the elevations, depths, and width
of the proposed excavation and materials and dimensions of the equipment to be placed in the
area excavated.
Small Wireless Facility Penrit (SWF)
Permit procedures for small wireless facility permits are detailed in BIMC 19.10.
1. A Master Permit, consistent with Chapter 19.02 and 19.04 BIMC, if the proposed facilities are located
in the right-of-way.
2. Associated Permit(s). Applications or check !l ists required under the Critical Areas, Shoreline, or SEPA
ordinances. Applications for deployment of small wireless facilities in Design Zones or for new poles
shall comply with the requirements in BIMC 18.l0A.060.
3. Specific locational information including GIS coordinates of all proposed small wireless
facilities and specify where the small wireless facilities will utilize existing, replacement, or
new poles or towers, existing buildings, or other structures. Ground mounted equipment (if
authorized pursuant to Chapter 18.lOA BIMC), conduit, junction boxes, and fiber and
electrical connections necessary for and intended for use in the deployment shall also be
specified regardless of whether the additional facilities are to be constructed by the
applicant or leased from a third party. Detailed schematics and visual renderings of the
small wireless facilities, including engineering and design standards, shall be provided by the
applicant. The application shall have sufficient detail to identify:
a. The location of overhead and underground public utility, telecommu nication, cable,
water, adjacent lighting sewer drainage a11d other lines and equipment within 50 feet of
the proposed project area (which the project area shall include the location of the fiber
source and power source). Further, the applicant shall include all existing and proposed
improvements related to the proposed location, including but not limited to poles,
driveways, ADA ramps, equipment cabinets, street trees and structures within 50 feet
from the proposed project area.
b. The specific trees, structures, improvements, facilities, lines and equipment, and
obstructions, if any, that applicant proposes to temporarily or permanently remove or
relocate and a landscape plan for protecting, trimming, removing, replacing, and restoring
any trees or areas to be disturbed during construction.
c. The construction drawings shall also include the applicant 's plan for electric and fiber
utilities, all conduits, cables, wires, handholes, junctions, meters, disconnect switches and
any other ancillary equipment or construction necessary to construct the small wireless
facility, to the extent to which the applicant is responsible for installing such electric and
fiber utilities, conduits, cables, and related improvements. Where another party is
responsible for installing such electric and fiber utilities, conduits, cables, and related
improvements, applicant's construction drawings will include such utilities to the extent
known at the time of application, but at a minimum applicant must indicate how it
expects to obtain fiber and electric service to the small wireless facility.
d. Compliance with the aesthetic requirements of BIMC 18.lOA.050.
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4. Written approval from the owner of any pole or structure for the installation of its small
wireless facilities on such pole or structure. To extent that the pole or structure is not
owned by the applicant, the applicant shall demonstrate in writing that they have authority
from the pole owner to install the small wireless facility on the pole or structure. Such written
approval shall include approval of the specific pole, engineering and design standards, as well
as assurances that the specific pole can withstand wind and seismic loads, from the pole
owner, unless the pole owner is the City. Submission of the lease agreement between the
pole owner and the applicant is not required. If the proposed small wireless facility is not
within the rights-of-way, the applicant must provide written approval from the property
owner. For city-owned poles or structures, the applicant must obtain a lease from the City
prior to or concurrent with the small wireless permit application and must submit as part of
the application the information required in the lease for the City to evaluate the usage of a
specific pole.
5. Sworn affidavit signed by an RF Engineer with knowledge of the proposed project affirming
that the small wireless facilities will be compliant with all FCC and other governmental
regulations in connection with human exposure to radio frequency emissions for every
frequency at which the small wireless facility will operate. If facilities which generate RF
radiation necessary to the small wireless facility are to be provided by a third party, then the
small wireless permit shall be conditioned on an RF Certification showing the cumulative
impact of the RF emissions on the entire inst allation. The applicant may provide one
emissions report for the entire small wireless deployment if the applicant is using the same
small wireless facility configuration for all installations within that batch or may submit one
emissions report for each subgroup installation identified in the batch.
6. Proof of FCC and other regulatory approvals required to provide the service(s) or utilize the
technologies sought to be installed.
7. A professional engineer licensed by the State of Washington shall certify in writing, over his or her seal,
that the construction plans of the small wireless facilities and the antenna support structure or pole
and foundation are designed to reasonably withstand typical loading requirements as well as wind
and seismic loads.
8. Proof of a valid Bainbridge Island business license.
9. Such other information as the Director, in his/her discretion, shall deem appropriate to effectively
evaluate the application based on technical, engineering, and aesthetic considerations.
Zoning Verification Letter
A. Property location -14-digit parcel number or site address
B. Any known previously approved land use applications or permits.
C. List of specific questions.