Loading...
HomeMy WebLinkAboutBLD2010-00163 S CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 Al Scalf, Building Official PERMIT #: BLD10-00163 SITE ADDRESS: 780 BECKETT POINT RD Issue Date: 08/19/2010 PORT TOWNSEND, 98368 Final Date: 12/20/2010 APPLICANT: DAVID ROSS PHONE: 503-698-3833 12998 SE MOUNTAINGATE RD HAPPY VALLEY OR 97086 SUBDIVISION: BECKETT POINT FISHERMAN'S CLUB Block: Lot: 11-12 PARCEL NUMBER: 932200511 Section: 23 Township: 30 N Range: 02 W PROJECT DESCRIPTION: ADDITION & REMODEL TO 1ST FLOOR & NEW 2ND FLOOR ADDITION in conjunction with a shoreline permit exemption (SDP10-00068) THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2006 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes C THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 12/20/2010 I:\F_BLD_Occu pancy.rpt 10/29/19 MLA10-00189 •UILDING PERMIT APPLICAN Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD10-00163 Received Date: 5/18/2010 SITE ADDRESS: 780 BECKETT POINT RD PORT TOWNSEND, 98368 OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE: % GOODING O'HARA& MACKEY 9201 SE 91ST AVE STE 220 PORT TOWNSEND WA 983685717 BECKETT POINT FISHERMAN'S CLUB SUBDIVISION: Block: Lot: 11-12 PARCEL NUMBER: 932200511 Section: 23 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: RICHARD BERG ARCHITECTS PHONE: 503-698-3833 719 TAYLOR ST (360) 379-8324 PORT TOWNSEND WA 98368 PROJECT DESCRIPTION ADDITION & REMODEL TO 1ST FLOOR & NEW 2ND FLOOR ADDITION TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: 116 VALUATION 55,000.00 ADD'L: 300 HEAT TYPE: PRO CODE EDITION: 2006 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: PUD BEDROOMS: BATHROOMS: Exist: 2 Exist: 1 Prop: -1 Prop: 1 Total: 1 T 2 Routing Date: 3- lQ-c Type Amount Paid By: Date: Receipt: APPROVED Permit $678.75 LYK 05/18/10 117709 Plan Check $441.19 LYK 05/18/10 117709 AUG `q MO State Building Code $4.50 LYK 05/18/10 117709 Jefferson County Planning Potable Water Application $98.00 LYK 05/18/10 117709 &Building Department Total: $1,222.44 CONDITIONS for Building Permit# :BLD10-00163 1.) A PROFESSIONAL ARCHAEOLOGIST SHALL BE PRESENT TO MONITOR THE POURING OF THE FOUNDATION AND ANY EXCAVATION ACITIVITES. THE MONITORING REPORT SHALL BE SUBMITTED TO JEFFERSON COUNTY, DAHP AND THE SKOKOMISH TRIBE AS SOON AS POSSIBLE AFTER THE PUORING OF THE FOUNDATION AND ANY EXCAVATION ACTIVITIES. 2.) PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL PROVIDE TH DEPARTMENT WITH AN ORIGINAL "FINISHED" CONSTRUCTION" FLOOD E ELEVATION CERTIFICATE THAT HAS BEEN VERIFIED BY A LAND SURVEYOR, ENGINEER, OR ARCHITECT AUTHORIZED BY LAW TO CERTIFY ELEVATION INFORMATION IN THE STATE OF WASHINGTON. 3.) DESIGN CRITERIA FOR SPLASHBLOCKS: A VEGETATED FLOWPATH OF AT LEAST 50 FEET SHOULD BE MAINTAINED BETWEEN THE DISCHARGE POINT AND ANY PROPERTY LINE, STRUCTURE, STEEP SLOPE, STREAM, WETLAND, LAKE, OR OTHER IMPERVIOUS SURFACE. SENSITIVE AREA BUFFERS MAY COUNT TOWARD FLOWPATH LENGTHS. A MAXIMUM OF 700 SQUARE FEET OF ROOF AREA MAY DRAIN TO EACH SPLASHBLOCK. A SPLASHBLOCK OR A PAD OF CRUSHED ROCK (2 FEET WIDE BY 3 FEET LONG BY 6 INCHES DEEP) SHOULD BE PLACED AT EACH DOWNSPOUT DISCHARGE NO EROSION OR FLOODING OF DOWNSTREAM PROPERTIES MAY RESULT. FOR SITES WITH SEPTIC SYSTEMS, THE DISCHARGE POINT MUST BE DOWNSLOPE OF THE PRIMARY AND RESERVE DRAINFILED AREAS. 4.) A SILT FENCE SHALL BE INSTALLED A MINIMUM OF 25 FEET LANDWARD ORDINARY HIGH WATER MARK (OHWM) PRIOR TO ANY LAND DISTURBIN OF G ACTIVITY. APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO MAKE SURE THE THAT SILT DOES NOT ENTER THE STREAM. THE MINIMUM HEIGHT OF THE TOP OF SILT FENCE SHALL BE 2 FEET AND MAXIMUM HEIGHT SHALL BE 2 1/2 FEET ABOVE THE ORIGINAL GROUND SURFACE. THE THE SILT FENCE SHALL BE BURIED IN A TRENCH TO A MINIMUM DEPTH OF 5 INCHES BELOW THE GROUND SURFACE. THE TRENCH SHALL BE BACKFILLED AND THE SOIL TAMPED IN PLACE OVER THE BURIED PORTION OF THE SILT FENCE, SUCH THAT NO FLOW CAN PASS BENEATH THE FENCE AND SCOURING CAN NOT OCCUR. ANY DAMAGE TO THE SILT FENCE SHALL BE REPAIRED IMMEDIATELY. SEDIMENT DEPOSITS SHALL EITHER BE REMOVED WHEN THE DEPOSIT REACHES APPROXIMATELY ONE-THIRD THE HEIGHT OF THE SILT FENCE, OR A SECOND SILT FENCE SHALL BE INSTALLED. 5.) CONSTRUCTION ENTRANC•HALL BE STABILIZED WHEREVER TRAFFIC WILL BE LEAVING A CONSTRUCTION SITE AND TRAVELING ON PAVED ROADS OR OTHER PAVED AREAS WITHIN 1,000 FEET OF THE SITE. THE ENTRANCE SHALL BE CONSTRUCTED ON A FIRM COMPACTED SUBGRADE. QUARRY SPALLS (OR HOG FUEL) SHALL BE ADDED IF THE PAD IS NO LONGER IN ACCORDANCE WITH THE SPECIFICATIONS. (BMP C105, 2005 DOE STORMWATER MANUAL). ANY SEDIMENT THAT IS TRACKED ONTO PAVEMENT SHALL BE REMOVED BY SHOVELING OR STREET SWEEPING. THE SEDIMENT COLLECTED BY SWEEPING SHALL BE REMOVED OR STABILIZED ON STIE. ANY QUARRY SPALLS THAT ARE LOOSENED FROM THE PAD, WHICH END UP ON THE ROADWAY SHALL BE REMOVED IMMEDIATELY. UPON PROJECT COMPLETION AND SITE STABILIZATION, ALL CONSTRUCTION ACCESSES INTENDED AS PERMANENT ACCESS FOR MAINTENANCE SHALL BE PERMANENTLY STABILIZED. 6.) 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. 7.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 8.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 9.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP) Elements#1 through#12 of the Department of Ecology's Stormwater Management Manual for Western Washington 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. 10.) 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. 11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 12.) Not more than 2 unlicensed vehicles shall be stored on any lot 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 Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor 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 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. a 0 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Minimum setback from Beckett Point Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. The building code requires 6 feet between structures. Rear setback (shoreline) is a minimum of 22 feet from the property line (consistent with the historical building setback line per the recorded plat) and a minimum of 30 feet from Ordinary High Water Mark(OHWM), whichever is greater. 17.) 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. 18.) 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. 19.) 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. 20.) Fully enclosed areas below the lowest floor that are subject to flooding are prohibited unless designed to automatically equalize hydrostatic flood forces on exterior walls by allowing for the entry and exit of floodwater. Designs for meeting this requirement must either be certified by a registered professional engineer or architect or must meet or exceed the following criteria: a. A minimum of two openings having a total net area of not less than one square inch for every square foot of enclosed area subject to flooding shall be provided. b. The bottom of all openings shall be no higher than one foot above grade. c. Openings may be equipt with screens, louvers, or other coverings or devices provided that they permit the automatic entry and exit of floodwater. 21.) Utilities shall be designed as specified in 15.15.080(c) of Jefferson County Flood Damage Prevention Ordinance 07-0515-06 (Jefferson County Code Chapter 15.15)which states: (i)All new and replacement water supply systems shall be designed to minimize or eliminate infiltration of flood waters into the systems; (ii) Water wells shall be located on high ground that is not in the floodway; (iii) New and replacement sanitary sewage systems shall be designed to minimize or eliminate infiltration of flood waters into the systems and discharges from the systems into flood waters; (iv) Onsite waste disposal systems shall be located to avoid impairment to them or contamination from them during flooding. 22.) Under no circumstances shall any development be allowed on the public right-of-way or interfere with maintenance of transportation facilities, drainage facilities, or utilities. i'ct,IUSIS receives atter 7:00 AM will not be scheduled for that days inspectionsc �NC�uuri. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks Minimum setback from Beckett Point Road right-of-way shall be 20 equires 6 feet between structures. Rear setback(shoreline) is a inimum of 22 feet from the property line(consistent with the istorical building setback line per the recorded plat)and a minimum of 0 feet from Ordinary High Water Mark(OHWM), whichever is Erosion Control greater. SEE CONDITIONS 4& 5 Foundation Footing n Footing Drains Foundation Stem Wall ■ Underground Plumbing Under Floor Framing - Straps(hold downs) C Z,10 Ext. Shear Wall Nailing '� i Rough-in Plumbing Rear, Framing _ •z Blocking MEM Airseal 1c_� (� Insulation:Walls Insulation: Floors Insulation:Ceiling _ t •'�• " 1. o�• Ctc ‘tCti t Lfii Int. Shear Wall Nailing 1111111111111 Wallboard Nailing Gas Line: Interior Gas Line: Exterior 4 Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage SEE CONDITION 3 FOR SPLASHBLOCKS Address Posted Miscellaneous PROFESSIONAL ARCHAEOLOGIST SHALL BE PRESENT TO EXCAVATION ACITIVITES. HE MONITORING REPORT SHALL BE SUBMITTED TO EFFERSON COUNTY, DAHP AND THE SKOKOMISH TRIBE AS SOON AS POSSIBLE AFTER THE PUORING OF THE FOUNDATION AND ANY EXCAVATION ACTIVITIES. FINAL INSPECTION I G� 5 le t� vx • j c-o-d 1/AI h 1.Q A / j"^1 L' FINAL INSPECTION MUST BE PPROVED PRIOR TO BUILDING BEING OCCUPIE THIS PERMIT IR VA In cno n.1 D ��� ! J . • - U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name David Ross Policy Number A2. Building Street Address(including Apt..Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 780 Beckett Point Rd. City Port Townsend State WA ZIP Code 98368-5717 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lots 11 &12 West Beach Block,Beckett Pt.Fisherman's Club Assessor's Plat,S23,T3ON,R2W,W.M.,TP#'s 932200511 &932200512 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.48 04 37.4 Long.122 53 27.7 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 82.County Name B3.State Jefferson Co.530069 Unincorporated area WA B4.Map/Panel Number B5.Suffix B6.FIRM Index 87.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 530069 0135 B Date Effective/Revised Date Zone(s) AO,use base flood depth) 7/19/1982 Al 9.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item 89: j8 NGVD 1929 ❑ NAVD 1988 El Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized GP16101-2 Vertical Datum NAVD29 Conversion/Comments NAVD 1988-3.51'=NGVD 1929 Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)7.8 ®feet 0 meters(Puerto Rico only) b) Top of the next higher floor 16.8 ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) A) : ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) to ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building r A ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.2 ®feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 7.6 ®feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.0 A feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation /p1"`u""v""� 1 information. /certify that the information on this Certificate represents my best efforts to interpret the data available. b. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code,Section 1001. pesos w %' ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a / i -y licensed land surveyor? ® Yes 0 No r/ r ��/� M Certifier's Name Thomas D.Roorda License Number 36825 • ti Title Principal Surveyor Company Name Northwestern Territories Inc.(NTI) 4436szs Address 717 South Peab City Port Angeles State WA ZIP Code 98362 �114l9� . N Signature Date 10/25/2010 Telephone (360)452-8491 (414-t kattS) FEMA Form 81,3 , Mar 09 See reverse side for continuation. Replaces all previous editions 41. IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 780 Beckett Point Road City Port Townsend State WA ZIP Code 98368-5717 Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments This building is a"slab on grade"type with no crawl space or flood openings.There is no garage,either attached or detached. Signature Date 10/28/2010 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet 0 meters 0 above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet 0 meters ❑above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet 0 meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet 0 meters ❑above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters ❑above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here If attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3' The following Information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of compliance/Occupancy Issued M za—t Number/ IIo3 Avg.. 9, -201O t o.a a.o fQo r 0 G7. This permit has been issued for: 0 New Construction )SubstantiLaa(Improvement G8. Elevation of as-built lowest floor(including basement)of the building: 7 r Ofeet 0 meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at'the building site: � r() feet ❑meters(PR)Datum G10,Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name (�� �Ci i v Title ci fe-_t „ Community Name ry Telephone (fix /� Signature Y tr Date ' �1 0.,0 Comments �C. 0 Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions igSON CO • JEFFERS°I COUNTY 4 ' j DEPARTMENT OF COMMUNITY DEVELOPMENT ' ` '4 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 360/379-4451 Fax 4,, p� www.co.jefferson.wa.us/commdevelopment �`YI ING'. nn Master Permit Application ZC ]` � MLA: 0- ($`f Project Description(include separate sheets as necessary): tV 9E-G0/J1:" FLOOR TO EX/ST/AJ& 01,16 S1C"ey / )USE ThvQ /,UTm1oR R.014t OPEL . Tax Parcel �3 2 2 0 0 511 . c t c l 3 22 L A -.- k,-- Property Number: Size: • D q 5/ +I147 (acres/square feet) Site Address and/or Directions to Property: rBo L C L 1t Nt 1 I.2• Property Owner(s)of Record: PAV►D RO 1' Telephone: 5 6 3 • 0 8. 3` 33 Fax: email: v d r( r06-•i rI S •bon') Mailing Address: t'2161$ E MOO 4TAlt4l9ATO RD• l+APPY VM-L- Y 10R. 971606 Applicant/Agent(if different from owner): FAC n 1e.1.V -"jz,RkkfIN -VT u(URE �,� Telephone: 3(a0 - 371- $09 O Fax: 360.S79-R 3 21- email: r ILh O.rd C4 -I et r(fi r1 Mailing Address: 7! 1 T)VL o12 sr. I ro -'c -rowsksmv( tN A 9 836Q, &.r'ch.C.Ohl What kind of Permit?(Check each box that applies ) ]Building ❑Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑Conditional Use[C(a),C(d),or C]' El Single Family ❑Garage Attached/Detached ❑Discretionary"D°or Unnamed Use Classification ❑ Manufactured Home ❑ Modular 0 Special Use(Essential Public Facilities)" O Commercial* 0 Boundary Line Adjustment O Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan"* ❑Home Business ❑Cottagelndustry ❑Long Plat** X Propane ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑Plat Vacation/Alteration'"` ❑Allowed"Yes'Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions** 0 Stormwater Management ❑Shoreline Management Substantial Development""' ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Variance ❑Temporary Use ❑Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Tree Vegetaion Request *May require a Pre-Application 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 designate CA V KR19 to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE /s.'LSri A 0-, Date: ff./i F5/Q0i 0 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. Any material falsehood or any omission of a material fact 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 all liabilities,judgments,court costs,reasonable attomey's 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 for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the a i tion that he or s ant otice. rr pp Signature: �- Date: V J J Q QO I Tho 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'take"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. Any 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-tr sfe able responsibility a ng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: A V - Date: , J] EJ aD,L7 C:\Documents and Settings\carat\Loral Settings\Temporary Internet Files\OLKt16\Master Permit Application I2-19-2006.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ming the respon bill Ge�neral Contractor for the proposed project. ''\\ Signature: /U/y 7 t lQ �°" — Date: �`l 8l 0)V GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: U New `,,l Wood Existing: ( L 1 Sewer ❑ Addition ❑ Steel Proposed: 1/1. Bank )(Community System X Alteration/Remodel Li Concrete Total: I 72. Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# LI Demolition LI Other. Bedrooms: Water Supply: Existing: 2 Setback: it Private well i I Two Party Type of Heat: Proposed: -I t ,, x Public 'YDAS .CARP P Total: 1 a) '3 Name of System: ?Up Ftzo 'A:l`t STOVE If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑Underground Tank Above ground Tank Size of Propane Tank: 1`2 D &. ❑Heat Stove ❑Cook Stove 0 Woodstove El Fireplace Insert 0 Hot Water Tank 0 Pellet Stove 0 Other Is this appliance being installed in a Manufactured I Mobile Home? Yes / Na 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 property lines,buildings and septic system components, including the reserve area. Square Footage _ Current Proposed For Office Use Only Amount Revision Main Floor Heated 8D O, 1119 1 b E.J� EH Bid App Review: ( /� 2"O Floor Heated 7/ �bo 21(0 Consistency Review. C if 3 Other Heated t Base fee: //L 10 I frS r7 j l Mezzanine A .- n: -- Tht , � 1 Heated Basement Plan Check fee: j�� `TI I . 1Q Unheated Basement State Surcharge fee: ) Other Unheated Pot Water Review fee: I - e Garage/Carport SUBTOTAL vTh C?043 Lill Decks 513 911/Rd Approach fee: . , '�X-1 Other TOTAL: $ 43.41 Receipt Number I 1.1109 Cash/Check Number: w , ESTIMATED COST(REQUIRED) ---�-- Date:-----) 1 q .Fair market value of all labor andmatenals foundation to finish —KS 4 '55- 000 Initials: C s''D C:\llocumcnts and Settings\cacal\Inca!Settings\'Temporary Internet Files\01.KS6\Master Permit Application 12-14 (,:i"--..,,SzONco, . JEFFERSON COUNTY _ ` o DEPARTMENT OF COMMUNITY DEVELOPMENT l• , , 621 Sheridan Street • Port Townsend • Washington 98368 s,-1:1INGtO 360/379-4450 . 360/379-4451 Fax http://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEM PLATE MLA# (0- 139 PROJECT/APPLICANT NAME: Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit the separate stormwater site plan map. ,6.:.a!i•f*:w.xRlrga!+.. ..rvnseew+q. ' .. .. .CHSP4?lxkT�x^ixwm...rxxnn .•.m..F. �_� Project Overview 1. Describe the •roposed developed conditions of the site. Indicate position and relative size of proposed improvements on site ma..: e.. tt ;. i5 c� . /L° f i th p1�.' Sd�1t � ca... � au migranympitimmi r / i • �� j ► !Ali IJ W .Q 01 It.4 Le I .S chh+tea. Existing Conditions Summary 2. Describe the existin• to.o.ra.h . Indicate contours on the site ma.. 3. Describe the existin. ve•etation.,Indicate native ve•etation areas on the site ma.. /n ip' ,. 1 re , _ EA.' ��� /��1_� 4S � • - •:.�' e.• �.. � y� AIM 4. Describe the existin• soils. Indicate soil a on the site ma o t u^ • ' "' ''' 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 a..licable,and indicate acrea•e of each. /A,' . t%f d f r -,L eft (771 i —... 6. Describe an excess levels of noise •enerated b the .rof osed use or activi STORMWATER PL • k L)J t ,t xca_ ixdpn fi't.l no rote /eve/,r11.11.1.1111111 miniiiiiii •IIIIIIIIIIIIIIIIIIIME11.111.11............_ millillialallin mmuremm Stormwa er Required 11111 .�� •�' � JEFFERS• ► i a UNT N stormwater sfte plan template-rev.10/21/2008 t)E� OF C• " 1 • SIGNATURE. �llaAil►k j� M T I� • I 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. T.i s )5 0. n o- book wetter fr-yi t- Site. "Thee -sandy a. a-ot:"actin i -ti-ite St �' 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities,roads,and sensitive/critical areas (streams,wetlands, lakes,steep slopes,etc.). e Si k !S Ioca.fed `t/a4 re /Iarra6.,1 p of r0�d, �,,�,b5rf rood i s --FAD b-P-a- . �� cr sr�er 4/tea -/ate bearit ate far sntalt eotf®inc r A-cr055 t*e ra44) 1/141,e itYtefitne of e c1i-f n^a,tf a? i'ns havc 4,70ra.4e try- oaf4vi/d1. , Permanent Stormwater Control Plan t t This portionrofthe Stormwater-Site°Plan-consists-ofthe°selection and installation of the appropriate stormwater-control BMPs and facilities to remain in place after construction of the project is completed. "Medium"size..projects are required to have the totals calculated of all impervious surfaces,pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology,as proposed. Indicate whether stormwater will be fully dispersed (i.e.,per BMP T5.30 in the Manual) or,if not,what-types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. As ito o5+ d' "fit c 5/1e A drr/ocq w"`I{ .of Male 41c I1 �'x1sf1 � st-a-te. The Site of 71E yea-`�mil 'il grotty S f f rf', Gmal -1 /&o t..,i Gt be rto o1hev C m 7'c -f0 -12,e r r r' 'o us et#ea, c i'c 1 a�.t A 610 1t c end s'oa loin'to -f"h z 4 idy el)/1. 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for"large"projects or projects that involve the potential for dispersion of contaminants.] N 11. Describe the performance goals and standards applicable to the project. ,a � � � vfe` ,� t M e e e-epar s is rim i t --/z)12. Describe the flow control system. Al/ 6 stonnwater site plan template—rev.10121/2006 • • 13. Describe the water quality system. 14. Describe the conveyance system analysis and design. N / 15. Describe the source of fill material, physical characteristics of fill material, and deposition of excess material. /" ,.. _. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. AV/1 17. Describe the proposed surfacing material. /N 18. Describe methods for restoration of the site./e ��++, w � ' ,<' t o r// 4+ah f d isfu r be "f. P -+ -,t-! �� A.,1:;T' y t to t� �R �- -- i '•, x-- Ad d I'{;ou s f a fit-0 collet (AA( 1^, �lh,gg {?.e ra»sfrc- e cd >, new s( 's ' ovred erect! ail tkc exist/et 9 ndd,�l ,. IUa c..r:tl be ctc . 19. An Operation and Maintenance Manual is required for each flow 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. /vy/ /A 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. / /gt�ffW t. # .41, 1P 5r2%re//P C &,--Aevrtig, �e2 'vart1't P..t 3IF- t,e- rely roe/ once (wipe 'c-c" 2-19-/v stormwater site plan template—rev.10/21/2008 7 • S CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN (SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at Volume II Section 3.2.3 of the Manual (beginning on page 3-7). 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. s arc. l lI w l~c %tf be_ �o extrYttg a/► 4—he $t 2. Establish Construction Access. /71rrhelle1 c37r, frek �'c%e s i'/f cast, ex t 5 eta d/*vtts. e2C.ee9•t"a' -fhe S eat" . cute, t'x/st7/j p/lrJcIn? ' .fit&c,e.S. 3. Control Flow Rates. / • `s/7e !S , 4. Install Sediment Controls. A1. 1,,4 ei-e acre e sc'ert I/eti/r no /# id-64 i 'far6%41 ac*i-/l1r Wit.et fad netr i /evert 5 Stabilize Soils. g/A See di 4 6. Protect Slopes. 7. Protect Drain Inlets. , 'V/A me, are_ /to dra .r# th /eSr rrt {14- 5►7' , stormwater site plan template—rev.10/21/2008 8 • . 12 Required Elements—Construction SWPPP(continued) 8. Stabilize Channels and Outlets. //4 N® c''ha/1',elf o-r ci/.id,e.e /40)folitiosel. 9. Control Pollutants. / 1 ) J /G3(I/61 F��E7i Ad/F CITY� ����'� 7 4r//- „o Llrce, /1C) ni4,/Lree1lt v1 ce Lw// c/d7i.a 077 , , e'r,e744 -frock ele4 7/:- W i (l r'�'►> AM 7�v ,8/i'l C /5/ / 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). l�r-kV 7Lec/ ` , i' /deed red i kill/ be (0 urn ACof ov2.11u -tie M.2ariy ra$Vy area d n —s /1Ld d l i, �'1 1`e IA fa 1-he ;o1f7dy Soli, 11. Maintain Best Management Practices(BMPs). 13A.5/c4.11). Ire will be. /lro BMP eleivvemts /?eeC/ e.3f"' 12. Manage the Pr Sect: Sf.0 i✓7 ,h'MA-17 a ✓/''C e6( , ' gems. Yu r-bt Se/tedu/ ifr 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential,I i areas, roads). /to // t/, fir `c G�. et K'R.�r¢4 as�►d e e A/O $//e 1.* .y we AA/Li Gf a fret'. b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 yards). .54eel `sw A ,,t. 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. jt.).Pf tk.t storrnwater site plan template—rev.10/21/2008 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. A-l1 ,,",on.rt`,.oe.Jlaw a.ct i'tit'5 M/ wit-if r run o t i ir-eta t as fate' i---e dui b,Ce,Cti 2x S (7-n cr i .46m, 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability, permeability,depth,texture,soil structure). /V/4 c'Ye i 5" lt*W-/ 5. Construction Phasing. a Constriction se lience`" to Neu ,P(a67 ar Xurface. 0 i `A.d°lOs''A ie1 eelet/ i1II V b. Construction phasing(if proposed) 01/4, Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). 60, I. Provide a proposed construction schedule. stabs, _ /rin Fr411 l'Atb 5 1C eia✓ WIYA. June. 2.o/ca — r-eplr tee Ze)/) . h 1£li, Lt.),'rA- s Gip`. Z.0/o - .reda7 e Zoil II. Wet Season Construction Activities. a. Proposed wet season construction activities. n ieve't Gt.)rr ie. 4411),,, b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. ,,a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. DAonI R-otxA barre4 Ro.s ', -i'Ie learr b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. 8. Engineering Calculations. Provide Design/ C lculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. A A b. Diversions. /V/4 c. Waterways. ///// d. Runoff/Stormwater Detention Calculations /v/,/1 10 storrnwater site plan template—rev.10/212008 SECTION II—EROSION AND SEDIMENT CONTROL PLAN Sediment and erosion control measures may be depicted on the master land use application plot plan,a stormwater site plan,and/or a separate Construction SWPPP site plan. This is a checklist to ensure that the following are depicted on a site plan: 1. General. a. Vicinity Map b. Jefferson County Approval Block c. Erosion and Sediment Control Notes 2. Site Plan. a. Legal description of subject property. b. North arrow. c. Indicate boundaries of existing vegetation(e.g.,tree lines,pasture areas, etc.). d. Identify and label areas of potential erosion problems. e. Identify FEMA base flood boundaries and Shoreline Management boundaries (if applicable). f. Show existing and proposed contours. g. Indicate drainage basins and direction of flow for individual drainage areas. h._ ..Label.final grade contours and identify developed condition drainage basins. i. Delineate areas that are to be cleared and graded. j. Show all cut and fill slopes indicating top and bottom of slope catch lines. 3. Conveyance Systems. a. Designate locations for swales, interceptor trenches,or ditches. a. b. Show all temporary and permanent drainage pipes,ditches, or cut-off trenches required for erosion&sediment control. c. Provide minimum slope and cover for all temporary pipes or calf out pipe inverts. d. Shows grades, dimensions, and direction of flow in all ditches,swales,culverts and pipes. e. Provide details for bypassing off-site runoff around disturbed areas. f. Indicate locations and outlets of any dewatering systems. 4. Location of Detention Best Management Practices (BMPs). Identify location of detention BMPs. 5. Erosion and Sediment Control Facilities. a. Show the locations of sediment trap(s), pond(s),pipes and structures. b. Dimension pond berm widths and inside and outside pond slopes. c. Indicate the trap/pond storage required and the depth, length,and width dimensions. d. Provide typical section views through pond and outlet structure. e. Provide typical details of gravel cone and standpipe,and/or other filtering devices. f. Detail stabilization techniques for outlet/inlet. g. Detail control/restrictor device location and details. h. Specify mulch and/or recommended cover of berms and slopes. i. Provide rock specifications and detail for rock check dam(s), if applicable. j. Specify spacing for rock check dams as required. k. Provide front and side sections of typical rock check dams. I. Indicate the locations and provide details and specifications for silt fabric. m. Locate the construction entrance and provide a detail. 6. Detailed Drawings. Any structural practices used that are not referenced in the Ecology Manual should be explained and illustrated with detailed drawings. 7. Other Pollutant BMPs. Indicate on the site plan the locations of BMPs to be used for the control of pollutants other than sediment(e.g.,concrete wash water). 8. Monitoring Locations. Indicate on the site plan the water quality sampling locations to be used for monitoring water quality on the construction site. Sampling stations should be located upstream and downstream of the project site. stormwater site plan template—rev.10/21/2008 11 • S Stormwater Site Plan Changes submittedIf the edigoer CDhpf oto r taconstrunctties ion.orThel submittalons to, he shal9includeinally pproved substi ute pages Site Plan, n hide all proposed changes,shall be iised rawng to p drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal (notIf the project included stormwater management BMPs),the applicant shall lsubm ities,flow final tcorrected plan ("as-builts")when thetprojectPs completed.standardThese on-site ht 9 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 beingt that madehe the informationil provided ded and in is true consent a correct to the best of my knowledge. I also certify that this applicationfknowledge _. owners of`fhe affected property: (DATE) (LANDOWNER OR REP ESaSENTA VE SIGNATURE) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES,IF NEEDED: 12 stormwater site plan template—rev.10/21/2008 v�y v� ed9Ceb VM '�IN3GNMO1 J Od Cl O it 'MIS 2101.1Nt n Er 695 Q() 020 0\i`Od 1N IOd 113�039 0(31- 3InlD]IIHJ2JV AGO . �i _ M.IdV N.II NV1d ,OO1�.. ige I-L '80J 3N3QIs3:1 O fV_ U1�NlHS'9N1 JO 31M15 z i ~ z O :..1Ad N GZ1VHD II) z b w 6. ---- --7 i../ i/ kri ±.3aittiOW 61— ' ,L zI o1- zwo , 0 1C-1) CIBUMLSID311 57 0 Zy 0 (NI tn cc) -11 i i i.) - 3 S99S oaR � a o wz ID Vne. W �1 -' z --1 - " O Z w kna O y z. Iz � � Q p < ry II1 13 ,". I\ 2 V Rw0R � W u- z O > RUlRR I Q :1 wI- w --Iww � O 41 w0 z0 �I Uv � / ry 4 _ �Nd4 6R uti�1Q ai kr) Q -41_, oe t- � Lo V to / \ o ; Ili ll.l OX O w O — �Os ayQ I = �`-- Q C�O O�Oz �l�J ~ Q 01 it I� ryQ CYQ �O Ur- -�m ryOx ,- I 1 1 �1 — 1 /� it tii V 0 t_5Ch 0.r p Q " : tL C1 , '.klICI-- 6: I 11-"'—W- 1)< )I <1:11\;-) --)/,• I 1%.2. // 05 ��♦I-L_ - .� Tb'M 21V-HG 432J3NI9d2N3 01 O , r-] . ` 1 3NI- T1VM Q30V 19� ; Q� �a < cii\ Q \ r --es 1 \ x 1 Ii Ow O 0x O L — UIke � Q xaz 1 I Z ryR m Q adll — - ._.__ _�O 0 ` 1 oZ9 = % TIVM Q39V219 \ Oi; — a 0 1 ii0-.SI °TI`VM (.:09V I9 y.J,,.J o \I\ �\� \\-\\\-\-\��s\ — + — �i �O-,}7Z 'H19N31 11\fMQ \ - — - NI-1 11`dM Q3ob212 a d \_ 50`10 1 _Fy - - - �_ - - — - - r— / G-,9 OI wu_ w �u w S/ � �� , Xr\ wd za \ Q ; O ; �6 z o I o' 6 Q \ wm. O O \ I o 0 l \ ou I k \ U ----.0\ r- 2 I II =fin Op x \ 4 v 10 -O \ O ? n CY O ►- \ z. Oo Din \ > wQ �wz ITI II X C1 cV \ z rz�C wz p \ t 4 4 Q I \ x iL2 II L` a\ w z ww p \ OE Rli o � LZ> Ka n I 2 l ' 11VM NV2I-IG Q32133NION3 • • \\\\\\�11 l 11 I+- I IL \\\\\\ 34I1 11`�M 43od219O 009M5 o ot — Q o o-5:7t7Il oo9Ms }__'n<> < "'z , / ___ # 0 + „I 0-,K o g9(2gb VM 'cNSNM01 1. lod o ti IMIS 80;AVI6iZ. - a as Q a�a a'�Qi 1NIOd 113:''J-2 Ogg . '`'321(113311HD 1V MIdVN.NA L , !'�� �C)� � �� 5 god ��N3aIG N 0 p NO.I.ONIHSYM dO a1YL$ N .�a..A 'N 'D CAVHJIa kri 0 , i-- 10311M 0 ,Q 0 * aBUILLS19311 U I" Qm S995 wlZy p Ti z :t- .- o LI 1 O 111 � .i w.- w w w 0 0 a-13 a Pi 0 � �1v o © Ll _illl3 � II f4 m � mm `J.O uI •KwwJ — — — - z aul \ /_ (Q1U� %SZ)OO 0 ILA � / I %S!- = % 11bM Q39a2S t „9-, 1` eUra ` '� 1\„o-,> a �` d' ,r 9-�� it „o-,el1-VM a39d29 O-bZ HON3f 71dM\ \ ,,\\\\\\\\ �� iN\\\\\ \ \\\\\1 1..\\\\\\\\\\ eh 3NI7 11VM Q39VNG wir o_ I o `- \ 0 0 X O'b• u 0t7 �. z iiN K Q � in I MOBS o LL 0 3NI11I11VM a37V 2 o z TK -acv (n -1 0 1 m ' s? 11 j (61o3 % Z) `1 ..- „9-,L 1! /ei, = % 17`dM 439b'N9 .fk-- =,")_:. =!(__3 - kk 09-i I1 '11VM Q39 dNe _, ti) \ -7-1- „O-,�i '� p .. 4 \ - „O-,GZ 'H19N33 11VM 9 ok I111i Ti_ .n °= \ 0 3NI-f TI'dM Ci39'd2S r' Fes- I:-,- 9 \l T Q ry z z — Q J 0 v i m §d m .4- III cc - 1 -N. rJ - N. • / „o-,-17 I, 0 o w La w 0 �� \ \ p \ (0,01 °6SZ) o4 � , O o %bl = % 11VM C139t��19 „" \ .O-,bl 37NM Q39Y 9 0 \ \\\\\\\\\\\\\\\\\ IN\\\\\\\\\\\\\\\\\\\. .—;�- O 11111 O � ,1 0 3NI3 3�dM a3 'dN9 / -- L X f .9-.b 9-b �- — — -- ..1-t7Z / + — 1 0 Q%'3b VM 'QN3SNM01 J Od o �.�� .... ...._�... .,�� Qd0?! JNIOd 113NO3fl OQL IMIS 21ouv1 GIL in 'd321(11�31IH�21d NO�1'�W�4� NI 1� �® � GG®� o 7 NIdY211131 (INV NV1d 03 ILI5 =1 3�N3a1S3? - al �O W 0 z 1VLZ.LJF1�H$VM ?iViS �u lf� F- O E-I A W A� z W W 0 , it ao —H- _ _ " " 0 z � z W W !izwa Si,7:38 �d w ei / 0 „ zz 0 = *4 S995• Qwpp w p z z � Qoo GY Z z W z VVOC ozF � �z § -iw "' zz a �� dV 4 a � zzp0 W fJ" �' Zg � UIQp- -3w � zzz ° � � Q w Z Qe �, 0 0 Q ` a 1N31^!3AVdd0 b p' - QoogSoog � 0 '� � �+ w m0. Q; — :5 :au_ W , 1uL � -" F- f— �Www E. W U i-Clk- ;--_ � � OOzw9z � w zLiti ~ ne "' t/1 A O o _ I ww < OE () 0 0uJQ zOZZWF � Oary� tL vVwOC U fl _ _-LaTel15d0 3NI7 N31N30 o - o ry m - ry my p 1 1 19 1-1-1 2 ‘F .7,t.Y T T T T cA 4 e /-1Avd JO 39a3 O wW A z Ii Ww14 , 1- moWW 1-1 c �� ' .t rho __ _ � � � oUax0 oZ U: yrf>0 / . z,.4 -,r. z � - , 1 w z/% � ?!O7 wzo -' F IL WF lATI 9N7 ZZZ 23N?07 NOlI4fM d _iiDipf z O Q - - NOccd „ ,� p ELE,, d F \ _ o- er p A Z F � _ p L v� dU I _n / 9476" v cppo0Hxx I z5I Iv ; in , andv z o s I r 'r LL Qv4I - I 4vaz M o ZH r__ __k,,,..___ 0 i P 0 ''"E. W I N w i I -- .l L°' ? O o Q p I O 2 I 2Q0 0 � . IQ --fi-- 0modWG - �� , az L _ - 1 Iryv- wp t I z Y ' aAwwz — 1 I - oo I o o �oz o o 0oZ I _ o � oa ILIm I O Q � OvI 00 ° oOo ry � 8 i i z 410 av z- I -' I1 J I =— - z \ o I LUw z w ►L 4 2 N oTV'', 'v o " I I �� kr) HH ~ z�1E . <r �_ � I-- — — — N i jt z0Tpo _ Ii. it w ; z z-w, Q I >IOb'9 L3G Hag — �- -- — _ij .,-) 0 p- --41*(,.. .-e I .1-,t,r. ht-,i A) � o a_v .1=- V z - 1--- V t]zZ w � - py O [fl � w ztno 0 p -• � A • a NI- dp� 11- wz„ o y .> z0 e, o < 0 ' ccpy� � u�i OI - IL Ni2 pp0 � Co l�, Q � p VI pQ m � s3 `n 0 m w m t] o O � O v cj m p -► Q1- -w . O t- ry V $� X a > cocas. ng _ o -- - - M �g Lt�pSL 5 9t�'LE - c. tfl -' '(6). 1____,A.1%ilit---iyi a N k_CI > o 2\-A L Q4 a © � I 3N1�?�31 tn �dM H91H�?1dNIQ7lO x.00 U- Z 0 — ------ —N----_ — --- -f -<T 0 O z v O v Q O gIV _____-_-- o el Q � � -t d m � � Q �J � pv cat �p 8ZQpO z0 pp 2 V �p z w dm a � rz "' 5 )6 gm is • ai -Wi zoIX 0 cOy w W EN c pz 'di n 0oo� z � � � z =' c� w F p z ww « w u0Z = Z ro QO h re m o `i' f- ins 0 z � � E_ zz z �c ,_ v � P O d 6 -<- 6 Y 02, I- - k) P ..‹ 8 (I) 8 1- W . 4tn " zi ppli > Wz �t► 0 0.F- o 0 Q 0 o 'SaLLIALLDV MOI.LVAVDX3 ANV ( NV MOLLVQMf1O3 HILL 3O OAIRIOf. T o - xFEz- f o o 3 0 i m ; HH.L 2I3.L3V 3'IflISSOd SV MOOS SV 1flL L HSINON0?IS ant UMV dHVU z o `"� o `" '�' `- QQ ZJ OmjOCq4El ?_. d �oorr c) o `AINf103 NOS2Ia33af Oi CUL,LILAIgf1S al TIVHS IIIOda2I 9NRIOIINORI MU - Q OD�Z9 m i� Q 0 r 0- 'Sa1IALLIDV NOLLVAVDX3 ANV (INV MOI.LVaNf103 MIL 30 OAIRIf1Od 3H.1,1IO1IN0Ik1 01, IN SDDId WNVHS ,LSI9O1OavHM2Iv'IVNOISSUO2Id V