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HomeMy WebLinkAboutBLD2005-00268 • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-00268 Received Date 04/28/2005 SITE ADDRESS: 830 OLYMPUS BLVD Issue Date 07/12/2005 PORT LUDLOW, 98365 APPLICANT: CLARENCE E MILLER TRUSTEE PHONE: 360-437-0388 NANETTE S MILLER TRUSTEE 830 OLYMPUS BLVD PORT LUDLOW WA 98365-9416 SUBDIVISION: BASALT BEACH Block: 1 Lot: 5 PARCEL NUMBER: 931500104 Section: 4 Township: 28 N Range: 01 E CONTRACTOR: PRESTIGE PROPERTIES PHONE: (360)681-3094 261533 HWY 101 SEQUIM WA 98382 360-681-3980 Contractor's License: PRESTP1066CM Expires: 1/18/2007 PROJECT DESCRIPTION: NEW MODULAR HM & DECK w/existing cabin CALL IN FOR THE REQUIRED INS ECTi NS THAT APPLY TO YOUR PROJECT. SETBACKS: Qk B`3 DS UFFER: Ok s"' • Footing: // 8345 < ' z.7o.5 Foundation: OAS* 151/ Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: Q/X SE6 LerrE,Q seem &veg. ff/161 f Plumbing: (V 470'4,41 Propane Tank/ Lines: Insulation: , -i j 4 L.) O 4 /d!, lit Sept. 414 /7-07 Sheetrock: Ok Q `6I Septic Sytem Final Ap ro al (I not on sewer): Road Approach Final Approval: Zoning Final Approval: '/ Final/Occupancy Approval: A!C cor cuia'I 4/2a/O# HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE 4IP MLA05-00257 Review Type: MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00268 Received Date: 4/28/2005 SITE ADDRESS: 830 OLYMPUS BLVD PORT LUDLOW, 98365 APPLICANT: CLARENCE E MILLER TRUSTEE PHONE: NANETTE S MILLER TRUSTEE 830 OLYMPUS BLVD PORT LUDLOW WA 98365-9416 SUBDIVISION: BASALT BEACH Block: 1 Lot: 5 PARCEL NUMBER: 931500104 Section: 4 Township: 28 N Range: 01 E CONTRACTOR/ JAIME KOZELISKI PHONE: (360)681-3094 DEALER: 1112 JACOB MILLER RD PORT TOWNSED WA 98368 gg 33 Contractor's License PRESTP1066CM Expires 1/ 980 336g18/2007 Contractor's License WAINS0626 Expires INSTALLER: JAIME KOZELISKI WAINS0626 (360)385-3215 • 1112 JACOB MILLER RD PORT TOWNSED WA 98368 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MODULAR HM & DECK TYPE OF WORK MOD MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SETBACK: 45 VALUATION 165,000.00 YEAR: LABOR & INDUSTRIES APPROVAL? SIZE: BANK HEIGHT: 15 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 1 Exist: 1 Prop: 2 Prop: 3 Total: 3 Total: 4 Routing Date: -/.5/ Type Amount Paid By: Date: Receipt: (�A roved/Date Permit $1,357.75 BAC 04/28/05 72933 A l PROVED Plan Check $882.54 BAC 04/28/05 72933 JUL 1 2 2005 State Building Code $4.50 BAC 04/28/05 72933 Potable Water Application $53.00 BAC 04/28/05 72933 Jefferson County Planning Total: S2,297.79 & Building Department SO° r r 1 roR O. _ JEWOgatiN COU[YTY 4 .- _=_ _ N �' _ DEP-ARTMENT�OF COMMUNITY DEVELOPMENT i 11 62i Sheridan Street-Port Townsend •Washington 983 1 APR 2 8 1 L i 3601378_-445.0. 3.601379-4451.Fax _ www.co.jofferson.wa.us/comrndevelopment [ellik �� N _.-. . _. !FFrei�. COUNTY _PT. oF car, N!iY vgENY M Master Permit Application M-- _� Project Description(include separate sheets as necessary): INSTALL NEW NI)DULAR CAPE (Y)T) HCW,, FCT TNt ATTON ANi:1 11.00K UP EXISTING UTILITIES Tax Parcel 931500104 - Property Numboc 2.06 IC (acres/square feet) Site Address and/or Directions to Property. 830 OLYMPUS BLVD, PORT LUDLOW - Property Owners)of Record: - C ARENC E:E E. MILLER & NANEETTE S. MIT J ER Telephone: 437-0388 Fax: email: . Mailing Address: same AppiicantlAgont(if different from owner): LLI4ELL G. P IATTHEW, PRESTIGE PROPERTIES,INC. Telephone360-681-3094 Fax:360-681-3980 email: Mailing Address: 261533 HWY 101, SEQUIN, WA. 98382 What and of Permit?(Check each box that applies) XT Building O Variance(Minor,Major or Reasonable Economic Use) 8 Denlafrtion Permit 0 Conditional Use[C(a).C(d),or C)— -O Single Family 0 Discretionary'O'or Unnamed Use Classification 0 Garage Attached/Detached 0 Special Use(Essential Public Facilities)" 0 Manufactured Home 0 Boundary line Adjustment Xi Modular 0 Short Plat" 0 Commercial• 0 Binding Site Plan" 0 Change of Use 0 Long Plat" ❑Address 0 Road Approach O Planned Rural Residential Development(PRRDyAmendments" 0 Propane 0 Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions" 0 Stomhwater Management 0 Shoreline Management Substantial Development" ❑Site Plan Approval Advance Determination(SPAAD)• 0 Shoreline Management Variance 0 Temporary Use 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication' 0 Jefferson County Shoreline Master Program Amendment 0 Forest Practices Act/Release of Six-Year Moratorium May require a Pre-Appllcatlon Conference _ "Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal,if known: DESIGNATION OF AGENT I hereby. G. MA1THEW to act as my agent in matters relating to thjs application for permit(s). OWNER SIGNATURE . .`� tr',-4.,"2=->t 4-c ( -ti 4'' "4..--1-- Date: f a ) By signing this application form.the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or It's knowledge. My material falsehood or any omission of a material fad made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against ail liabilities,judgments,court costs,reasonable attorneys fees and expenses which may In any way accrue against Jefferson County as a result of or In consequence of the granting of this permit I further agree to provide access and right of entry to Jefferson County and its employees,representatives or agents(or the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: / 1 t— L i e (' ' ; -=t..�:- .. Date: , -� ii r) 12 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively Impact upon one or more threatened or endangered species and could lead to a potential lake of an endangered species as those terms are defined In the federal law known as the 'Endangered Species Act"or'ESA?Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA My Individual,group or agency can file a lawsuit on behalf of an endangered species regarding Your actions)even if you are In compliance with the Jefferson County development code.The Applicant acknowledges that he,she or It holds Individual and non-transferable responsibility for adhering to and complying/with the ESA. The Applicant has read this disclaimer and signs and dates It below. Signature: r /..jji `� .•_ �, �- 'I Date: r , 1 ill." e.-----.-----7' OWNER BUILDER STATEMENT_ . l';;;; .y- +a_'•�3--ii ;i r ,. 4,.. •' The signer of this statement does hereby certify that they are the Owners of tine parcel reed herein,tf�they are not�oerssed ' they wilt be assuming the responsibaity of the General Contrract&for tthe proposed project. -- : OOn s and that Signature: Date: • - tr.;: 1?i',!..r%: ''l l•-i7 • .`' - .. GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: e j '.S PRESTIGE PROPE IE&-INC. ' _ (3fiQ t$1-"3 n& -(16D )1■R1-3980 MAKING ADDREss: 261533 HWY 101, SEQUIN, WA. 98382 BAA L: -':..;•_:;'-4 :- :, • . . . . CONTRACTOR'S LICENSE 1 �� , m e- WAINS NumBER: _• • ----PRESTT(�'1�R0PE�°� 5't-1,:,,I1�TC Ntt - .. >: 1• - . ARCHTTECT/ENctNEER: ,- . PHONE ( ) FAX: .. MAIUNG ADDRESS: EMAIL Project Type: Frame Type:. - Bathrooms: Shoreline: - Ye T of 6 New X❑ Wood Exdsting: 1 0 Sewer Disposal: Sewer ❑ Addition 0 Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel O Concrete Total: 3; Height: , : a.Individual System - ---- 15 _ ❑ RDA� ❑ OtherBedroomsPSe ply, Existing: 1 Setback: -1 ❑ Private well , 0 Two Party Type of Heat: Proposed: - 2 O Publiic ET FSTRIC Total: 45 ft N of System: i r! I, S .J if this Is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: • Number of A Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) ,Current propg d IBC Occupancy: - IBC Type of construction: �- Will yam,have Food- Service? Yes / No If this Is a Propane Tank and/or Appliance installation permit,mark all Items below that apply: O Underground Tank 0 Above ground Tank Size of Propane Tank: O Heat Stove 0 Cook Stove 0 Woodstove 0 Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being Installed In a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all properly lines,buildings and septic system components, Including the reserve area. $ uare Footage `I� ce1}s OnY -" � r ` i- tt - f y� v.- Current Proposed t a � • '� 0ah�� , 4A d x.� ,3:.z Main Floor ,e • r4 t.,, �?1[(�i _1�,, £_ �, ADU 552 1422 r ,A'- : • • P't z k. : ,.,z„ .0-1 2�'"Floor �r-:.",. x. 1 s =-.t at " .i rr i.1i 4-A'4rr LOFT 320 800 �. `1 ' _ *=..` `; 1 ,.r, a73az,_^ii .. #_ 3re Floor natSedi zs -e, .. Mezzanine: t ''+Pith i dk � i +�. u ` c €- ',k"54&e- t.•. Heated Basement S 3 ~"? 1''? s '--v w* ` r-.I.,44-A Unheated Basement( ' ▪ JF�wh t tw > .-�, C,��'-.�^�tf ••�� •r>�ra .�Y, � �����3 '*tom . "'� "+. Other Unheated -_ ,�'a� C" ,.., !-�.x, •-•,,:t yw'r�x, �Rn�F y� `•� }' !9.1;�t��+���Jeo ;'max �k14�, 'a- ,,•• 4 • 4 •'4H tt.. ,-4} .t .mot . Garage/Carport ,e• ;�(, eJt+�.. -�t ,t.aw , yea <, Decks 1 r � \ }aa ..r' 13•• fi� �r 366 . •& ,=Re ptNumbr ,� ; „1 4 . � :e.:,>;- Other • 1-,,,,�},N Um " < " ESTIMATED COST(REQUIRED) Ditte' - t▪ - '3 k '^ y ':a .TA' -.; •Fair market v .c ell)abor and materials foundation to finish Y ati _ xY ,r t "' s 1- 41 :- Q._:...65's:0007„/ 41Wl'atS;' '.4.:7• :.'"1.''''.;::;:i;','.'A-4'i•-•-•,,,,i,:"* .'vf---:-.f1.11,1:4 ..L.a.,?-2-viwi.,,z,..4,14 --,:.! } G:\PecmitCcntcr\FORMS\DRD FORMS\Master Permit Application 7-8-04-doc 1 ry N., - JEFFERSON COUNTY 44_,A DEPARTMENT OF COMMUNITY DEVELOPMENT ,•. � 621 Sheridan Street • Port Townsend•Washington 98368 APR 2.8 2005 • • 360/379-4450 •360/379-4451 Fax ` httpl/www.co.Jefferson.waus/commdevelopment( -- [Dr_rT. CF CC `ti�it ! !?Ev I OcfY.: STORMWATER SITE PLAN SUBMITTAL:TEMPLATE MLA I PROJECT/APPLICANT NAME CL ARENC E MILLER PROTECT Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements Into the general plot plan for the Master Land Use Application or to submit a separate stommrater site plan map. Project Overview - 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. excavate house site for foundation footings and utilities Existing Conditions Summary APPROVED STORMWATER PLAN 2. Descnnbco the existing topography. Indicate contours on the site map. sari rnpn map arrarhecl _ JUN 2 7 2005 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. some trees and shrubs see topo map 1EFF o v • CFPT OF C OP .NT SlGNATUR : 4. Describe the existing soils. Indicate soil type on the site map. loamy and some rocky 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site--above,below,and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and Indicate acreage of each. • normal water run off follows topo. natural drainage to water east 6. Describe any excess levels of noise generated by the proposed use or activity: very little after first day of delivery, set up, excavation and final grade work Stormwat r -,�_, Require . 5 13. Describe the water quality system. IN PLACE FOR EXISTING HOUSE 14. Describe the conveyance system analysis and design. I` Iy,L ,r . . ;v, APR 7 8 .2005 t L.> � 1 i t.:� 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. ALL EXCAVATED MATERIALS WILL BE USED FOR FINAL GRADE BACK FILL ID FOUNDATION. NO EXU SS FXYFCTh 1) 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code �_i . ALL LOOSE MATERIALS TO BE COMPACTED WITH EXCATATION EQUIPMENT 17. Descnbe the proposed surfacing material. NATURAL SOIL ON SI 18. Describe methods for restoration of the site. WE EXCAVATED MATERIAL. TO BACK FILL FOUNDATION -- FINAL GRADE TO BE TAPERED AWAY FROM FOUNDATION AT LEAST 77o GRADE • 19. An Operation and Maintenance Manual is required for each.ffow control and treatment facility. [This is normally required for large'projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here. . . N/A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. N/A 21. List other necessary permits and approvals as required by other regulatory agencies. tf those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. N/A atormmrater site plan e—rev-1012003 7 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. /A 9. Control Pollutants. N/A 10. Control De-Watering(the act of pumping groundwater or stonnwater away from an active construction site). A 11. Maintain Best Management Practices(BMPs). TO CONTROL_AIL ACTIVITY RELATING TO THE PRf1]EC T BY BNP INCLUDING MINIMUM DTSTURRANCE OF AREA SOILS 12. Manage the Project. ON A DAILY BASIS TO CONTROL ACTIVITY ..' CCIUN 1� } y i _.. ,1 'P CP,LELOPMEWT 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). NONE EEFFIC1ED BY PROJECT b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yam). N/A NATURAL DRAINAGE 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. NONE stommater site plan template—rev.10f12003 9 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include aft proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities,or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shag submit a final corrected plan("as-builts')when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 4NoCiwNER �OR AUTHORIZED ESH4TATNE SIGNATURE) (DATE) ` THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: 1 1 APR 2 R 2005 0.:_eid. i ly{7 .S P Civs� x 1P -.+ - _ '.evr tr° .. ��.� s' S'-.. r r _d �.4 ', ',."?. s ' 'E._ '{r3 rr�. s r . l :`/Y:^.iRCM'�KMvr`!Y'Xt r.tnt R'-— .- a,.<t ._y.arae^+1�:'ac' 24!tsa'.. ... a... -s...� .�d.b♦ au.cs—.^-- `i.r _ -. NOV-0J-2004 lb,lb W 1 NI-!LLD -tit 5 l;I tl' GJe:1 r bb 1077 I-.el.)i eye hJ n a • _ (I" g 2005APa2 1 ,y. 1! z A * 1 I 8_____* Y1>•9SN* 1 ra A — f m a a is. gL t m e n. r �4 i i Ito _n �� y 2 `r n � d Y a eaS N S ~ i 1 - I I .4_ F� 1 O ma' ar I �i ma t 17 . �« 1041 nV. size • - ,.. .._(•=r;_\ _1. M t.4 -f..11„:4 El 4 IMeglii ,1 L ! a $ Q • .--4 wig 5 I 1 ttg• IUII II a II II _ a 9 ,Et „8—,Ei LI CV) . 0 " Q imillimmal li ia9 APR 2 8 2005 y. I DE '61g -rV 1 C,CY _ x lowni L) d. v' c 09Z1SA* w I 1 1 z C . i-- -- -- a a 0 1 a a co w r ►mime I 0d F, 1w ili3o ...4 d 1 wH 0 co )iiioie ....1 Z z w W a a f 0 > o 1 F .0Q H li i 0 11 tk 2 Pa.. ai ,� E Q 1 1 g x , A3 ( fix E a —1 °1 m 1 ' t_t -'-`1 f --- --- 1 09Z15A* z z4 • 1— _ a • SPECIAL CONDITIONS FOR CAI A BLD05-00268 1.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 2.) VOLUNTARY MEASURES OF COASTAL&AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 3.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 4.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 5.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 6.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 7.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 8.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 9.) Not more than two (2) unlicense or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 10.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 11.) The building height is not to exceed 35 feet. 12.) Minimum setback from Olympus Boulevard right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from top of shoreline bank shall be 45 feet. 13.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 14.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 15.) Residential developers and individual builders shall be required to preserve shoreline vegetation and reduce the associated risk of erosion during construction and any future activity which may impact the stability of the shoreline. 16.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. I:\F_BLD_Permit_Buildng.rpt 10/29/19 Z. Applicant:Fill out completely Delivery " FB (Manufacturer Mfg No. 1 anent of labor and Inctustrirs �A� 'l �y Q p R.ssembledStructures �'t CC CFI I rY iNtFIELD �E s Sr cS M —388 9111110:IvAtal ox 44430 .4�" CC CST Plans to be return to: Address pid WA 98504-4430 WA Only 9 1 K) BAILEY ROAD WA Rev/OR Courtesy City/State/ZIP our For Non-Postal Delivery(e.g., Fed,, UPS) ` KELovuNii (3,c. C(�I.IAOA v 4v_ 155 Department of Labor and Industries OR Rev/WA Courtesy t I a 0 Factory Assembled Structures • Other state FOR DEPARTMENT USE ONLY FigSOSQQ©,17 7273 Linderson Way S W suit") reciprocity /rFco I ed Sju p- Cit �l4 7'umwater WA 98501 P �, r S >sAaaoptu APpltegllo�tlR \ RECEIVEC! 1 ' " 1 M 9 't; Awww.we.gov/InUFAS/ (case sensitive) t)EPT OF t_& I i.ApNo, Y t approvo¢ Exptratiga 4ats;; PLAN APPROVAL REQUEST r ' r ,t. orilFACTORY BUILT STRUCTURES&COMMERCIAL COACT ES Contact person's printed Hama: ;e t; Date Fee enclosed (�08 H ili FC-B(WRft( 2 5 $ 160.90 Signature Phone No FAX No 1111ttska, R (250) 766-0588 (250) -766-os9q New plan (Master desiga7, (1 Yr design) J See appropriate Initial MFG filing No fee required Renewal AP No. WAC Resubmittal Appl ID Addendum AP No. for fees Plans reviewed by L&I listed professional Note:Identify addendum items on plan! . 'Code cycles(month/year): IRC-,i13 cf itliCUPS 7 / [)4 VIAO; 1 c'<)4 NEC: 5 /03 WSEC: 1 /0 4 iwc: 1 /04 Size of building: ll r No of Occupancy Width; 27 -4 Length; 52 -Qtr Area IS Ft): 2$k2 modules: 2- group: R3 Tvoe oonstruction: Use: Sub yr SEC yr Seismic Zone: B RFSIDEN7-VIL SIN6LE FAAIIL-? 'NJ&up& Z000 240 - 1 $s = 125% & Roof live load PSF: Wind load MPH-EXP: (PSF for CC) Floor load PSF: 25 85 PH T/C q-0 _ Plot plan submitted? ❑ Ye m No-SoJl)If"No",provide distance from farthest projection to nearest building/property Liao: Right El Front: j t��t r Rear: I r' N 1 etjptde: �Q r' t r side: 10 t-0 rs Type heat:11111 t:n►c�I Fan wafer . �orced air �liydronics � Baseboard �roorr�leater � Other Type of fuel: Electric ❑Natural gas ❑Propane ❑Oil3 ❑Other: lnsulalion Floor Walls Roof(flat) Roof(Vault) values: 12.5 g 2 2. IZq 0 30 Heating zone: Zone 1 ❑ Zone 2 WSEC compliance chapter: Energy calculations: I Electrical service: Ell C:I In Attached On file-AP# Amps 2-00 Component Systems Prescriptive N/A Heat Pump Yes No Performance Analysis Air conditioning Yes No Phase 1 La 3 N/A Attached Attachexl/Deslgn On L&1 Review Professional Review file e% Structural ca ions or test proposals D III AP# Truss or ra wing(s) Ca AP# 3 Truss plan i 3 different trusses I:3 [] API/(li,dra truss o�idge beam drawing [� [] AP# HVAC drn I1 I� Di La APl} Cross section a evation ED El La Ca AP# x Foundation CD I� AI'# El lrical loa do nd calculation CaMI ca P box schee%lr/Electric load eel'stO D AP# awin (CC units only) (a (3 La AP# 1,,, PI •y r • (a 0 AP# a Operating pressure to es No of fixtures I3 Total developed length �0 t—o rnRx I NI ��---yy UL FED- RETURN PLANS t:.1 Regular mail �Overnight�customer's expense ►,].� Carrier t E D- ex VIA: ❑ Other Acct# I765 t496 — 5 . / F623-006-000(PDF)plan approval request 11-00 Po • • r pp" , if , .'• I , II,' ! , 1 op o, • „` ,,,,........ . ..„....,..., : .:,:f,r...,,,ii.:.11 '. i'l .41:.:'1';:'".1i.• , P ....- • i:!..,.11',.I ., '' i i I !I� I'1 I V' 1:9:4 [ g -ri r.... rri rT o =� • y, 7a y n fl ?n1 Os o N �; nJ 1 Ct7 r" � ii, Er 4¢ rn J WI). . , , ,,s.... 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