Loading...
HomeMy WebLinkAboutBLD2011-00313 •UILDING PERMIT APPLICAIN MLA11-00238 Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD11-00313 Received Date: 11/16/2011 SITE ADDRESS: 10 NOLTON RD NORDLAND, 98358 OWNER: RICHARD C DOREMUS PHONE: 206-870-9372 CAROL N DOREMUS 20938 2ND AVE S DES MOINES WA 98198-2910 NOLTON'S EAST PT SUBDIVISION: Block: 4 Lot: 6-9 PARCEL NUMBER: 975900403 Section: 29 Township: 30 N Range: 01 E CONTRACTOR: TOWN & COUNTRY POST& FRAME PHONE: 425-743-1555 16521 HWY 99 SUITE C LYNNWOOD WA 98037-3161 Contractor's License TOWNCPF099LT Expires 7/7/2012 REPRESENTATIVE: TOWN & COUNTRY POST FRAME PHONE: (425) 743-1555 BRYAN BORCHERS (425) 742-4378 16521 HWY 99 STE C PROJECT DESCRIPTIOr NEW DETACHED POLE BLD GARAGE W/ UNHTD STORAGE LOFT - UNHTD, NO PLMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 13 53,.53� ADD'L: HEAT TYPE: UH CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: 504 SHORELINE: CONST TYPE: GARAGE: 1,008 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 0 Exist: 0 Prop: 0 Prop: 0 Total: 0 Total: 0 Routing Date: — Type Amount Paid By: Date: Receipt: Approved/Date Permit $482.15 LYK 11/16/11 128335 Plan Check $313.40 LYK 11/16/11 128335 APPROVED State Building Code $4.50 LYK 11/16/11 128335 Total: $800.05 MAC L" 2012 Jefferson County Planning & Building Department I Jeftersor. County Building D` ision Permit Num r: BLD11-00313 Applicant: DOREMUS BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. 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 (C—-(Z l G"TO CkS- /p .5 P .147 Erosion Control Post Holes -1 S- _/- /r,�-y •FeetiClg_Diains--.- II���� Framing ' (d / .- (415 p '" s-I tyJ k_ 7 -( r-( 2- d Bleckitig- Drywell/Alt Drainage p Address Posted -6 ' ;;- FINAL INSPECTION ? •G /613 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR 1 • • CONDITIONS for Building Permit# :BLD11-00313 1.) A. THE LIMITS OF CLEARING LL BE CLEARLY MARKED ON THE PR•RTY. PLASTIC, METAL, OR STAKE W E FENCING SHALL BE INSTALLED AS SHOWN ON THE APPROVED SITE PLAN PRIOR TO BEGINNING ANY GROUND-DISTURBING ACTIVITIES, AND SHALL BE INSTALLED TO COMPLY WITH SPECIFICATIONS IN THE 2005 STORMWATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON (BMP 103 OR 104). HEAVY EQUIPMENT SHALL NOT DISTURB TOP SOIL OR VEGETATION BEYOND THE CLEARING LIMITS. B. SILT FENCING SHALL BE INSTALLED, AS SHOWN ON THE APPROVED SITE PLAN, PRIOR TO BEGINNING ANY GROUND-DISTURBING ACTIVITIES ON THE PROPERTY. SILT FENCING SHALL BE INSTALLED BASED ON SPECIFICATIONS IN THE 2005 ECOLOGY STORMWATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON (BMP C233). C. CONSTRUCTION ACCESS SHALL BE LIMITED TO THAT SHOWN ON THE APPROVED SITE PLAN AND SHALL BE STABILIZED PRIOR TO VEHICLES ENTERING THE SITE. QUARRY SPALLS OR CRUSHED ROCK SHALL BE USED TO STABILIZE CONTRUCTION ACCESS, AND SHALL MEET THE SPECIFICATIONS IN THE ECOLOCY STORMWATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON (BMP 105). D. IF SEDIMENTS ARE TRACKED OFFSITE DURING CONSTRUCTION, PUBLIC ROADS SHALL BE CLEANED THOROUGHLY AT THE END OF EACH DAY, OR MORE FREQUENTLY DURING WET WEATHER. E. ALL EXPOSED SURFACES SHALL BE PROTECTED FROM THE EROSIVE FORCES OF WIND AND WATER. MULCHING SHALL BE INSTALLED BASED ON SPECIFICATIONS IN THE 2005 ECOLOGY STORMWATER MANAGEMENT MANUAL FOR WESTERN WASHINGTON (BMP C121). F. FROM OCTOBER 1 THROUGH APRIL 30, NO SOILS SHALL REMAIN EXPOSED AND UNWORKED FOR MORE THAN 2 DAYS. FROM MAY 1 THROUGH SEPTEMBER 30, NO SOILS SHALL REMAIN EXPOSED AND UNWORKED FOR MORE THAN 7 DAYS. SOILS SHALL BE STABILIZED BEFORE THE WEEKEND IF NEEDED BASED ON WEATHER FORECASTS. G. ALL POLUTANTS, INCLUDING WASTE WATERIALS AND DEMOLITION DEBRIS, SHALL BE HANDLED AND DISPOSED OF IN A MANNER THAT DOES NOT CAUSE CONTAMINATION OF STORMWATER. WOODY DEBRIS MAY BE CHOPPED AND SPREAD ON THE SITE. H. MAINTENANCE AND REPAIR OF HEAVY EQUIPMENT AND VEHICLES INVOLVING OIL CHANGES, HYDRAULIC SYSTEM DRAIN DOWN, SOLVENT AND DE-GREASING CLEANING OPERATIONS, FUEL TANK DRAIN DOWN AND REMOVAL, AND OTHER ACTIVITIES THAT MAY RESULT IN DISCHARGE OR SPILLAGE OF POLLUTANTS TO GROUNDWATER OR STORMWATER MUST BE CONDUCTED USING SPILL PREVENTION MEASURES, SUCH AS DRIP PANS. CONTAMINATED SURFACES SHALL BE CLEANED IMMEDIATELY FOLLOWING ANY DISCHARGE OR SPILL INCIDENT. I. ALL TEMPORARY AND PERMANENT EROSION AND SEDIMENT CONTROL BMPS SHALL BE MAINTAINED AND REPAIRED AS NEEDED TO ASSURE CONTINUED PERFORMANCE OF INTENDED FUNCTION. ALL MAINTENANCE AND REPAIR SHALL BE CONDUCTED IN ACCORDANCE WITH BMP SPECIFICATIONS. J. ALL TEMPORARY EROSION AND SEDIMENT CONTROL BMPS SHALL BE REMOVED WITHIN 30 DAYS AFTER FINAL SITE STABILIZATION. TRAPPED SEDIMENTS SHALL BE REMOVED OR STABILIZED ON THE SITE. DISTURBED SOIL AREAS RESULTING FROM THE REMOVAL OF BMPS OR VEGETATION SHALL BE PERMANENTLY STABILIZED. K. NATURAL DRAINAGE PATTERNS SHALL BE MAINTAINED, AND DISCHARGES FROM THE PROJECT SITE SHALL OCCUR AT THE NATURAL LOCATION, TO THE EXTENT PRACTICABLE. RUNOFF SHALL NOT CAUSE SIGNIFICANT ADVERSE IMPACTS TO DOWNSTREAM RECEIVING WATERS AND DOWNGRADIENT PROPERTIES. ALL OUTFALLS REQUIRE ENERGY DISSIPATION. • • L. ALL CHEMICALS SHALL BE CONTAINED AND STORED IN LOCKED TRAILERS. M. CONCRETE SHALL BE POURED IN FINISHED BUILDING WITH EXTRA CONCRETE TO BE RETURNED TO THE PLANT FOR RECYCLING. 2.) 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. 3.) MANDATORY MEASURES OF HIGH 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 stormwater 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. 4.) 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. 5.) 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. 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. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) 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. 8.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 9.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 10.) The building height is not to exceed 35 feet. 11.) Exterior lighting for residential usahall not exceed twenty feet (20') in height. the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) 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. 13.) The building setback along the front and rear of the property is 20 feet from roads and the side setback from adjacent residential parcels is 5 feet. 44'y_ "0�� JEFFERSON OUNTY �‘ DEPARTMENT�COMMUNITY DEVELOPMENT `� 621 Sheridan Street • Port Townsend •Washington 98368 4111 360/379-4450 • 360/379-4451 Fax qc, N4. �AsO www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: ) l' Project Description(inude separate sheets as necessary): 1 j� Cov%S.\-ryc.�t. .a a. /, UOB SF R6 ... •c.tici A cce,, cfr,t,2 —unh+ct /no C i I�d Tax Parcel Number: 9,7 5-9 0-0L-to 3 CJ Property Size: C-Y 14 c. (acres/square feet) Site Address and/or Directions to Property: Fro.- ??rirr t t,.,i,lock l ilt,jo..I( r.74.4 tb lit./Fb,f•, 12.1 Follot,� a,-+ r,s+ /Ar,,,,,.i `1 /ncil�.h if`A,,j iJ1Vw) Wc.,PoM3 OtfD TOW4Ef Ff. F/il�'r. �dl n (S XXX 1\lo1-'C41u-S Ron.'p, t`3orfl 1...5.010 i eve CZ t-VS. Property Owner(s)of Record: gA c ti-e4e-o go a-c.r-vA 5 Telephone: Z O(o- no- 1 JZ Fax: email: Mailing Address: Z O°(3'$ Z Avt '. Qes 14/1 ou t , WA 1 RI 1$ � Applicant/Agent(if different from owner): �JRYaw1 {;jo,R.c�4ER5 vz/1own Kohn-h- ros4 T►nt /3I�1 s. Telephone: '-�ZS - -743 • /555 Fax: LiZ5- 7yZ- `i37 email: farm; (y�¢r►+v�;14.cea-, Mailing Address: Uv5Ll LA-r,,.� 9' �u•i-c C L „n --od , Lit, 9/057 ` What kind of Permit?(Check each box that applies 1 q- 11 ❑Building 0 Critical Areas Ste ifiila v c� �I ❑ Demolition Permit 0 Variance(Minor LN jar or Reasonable Econom U ) ❑ Single Family IX Garage Attached 'etached 0 Conditional Us C�C,C(�aj,C(d),or C]**. ❑ Manufactured Home 0 Modular 0 Discretionary"tY or nnamed Use Classificatio ❑ Commercial* 0 Special Use(ElSsertial Public Facilities)** ❑ Change of Use ❑Boundary Line djustjnent 1 ❑ Address 0 Road Approach 0 Short Plat** JEFFERSON COUNTY ❑Home Business 0 Cottage Industry 0 Binding Site PI o** DEPT.OF COMMUNITY DEVELOPMENT ❑Propane 0 Long Plat" t ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **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 0 to act as my agent in matters relating to this application for permit(s). i /e OWNER SIGNATURE j .."/ C rru Date: /r,//C/// 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 its 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 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 for the sole purpose of application review and any r ed later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the ap that he or s wa s pr pr notice. Signature:*� C i—z (("�yynti�7 Date: C-) // 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"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 action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfera`61 responsibility fof 4dhe ng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: f�/, �� '(t / --'(4,7zze-ems Date: /(/// ;/// ;\Pe,mitCentcr\###FORMS###\DRD FORMS\Master I'crmit Application 5-29-08.doc BUILDER STATEMENT The signer of this statement does hereby certify tPl3f they are the Owners of the parcel referenced herein,t 0.they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFAGT-UREO-HOME-INS-TALtER: PHONE: FAX: -1-711-.-Ia d"Co Col-AA-Ai"! Vast Vv..3.44 G �tA11.01 .7"v7 (42s)7'-13- (555- (4Z5)-7`(Z- Lt37$ MAILING ADDRESS: f kta SZ 1 1A-W y 19 C N-A-c r EMAIL: ro� ;;Q v� �i 4.vv,uk ' . Co nt CONTRACTOR'S LICENSE Ly hw,. , 1r4A ‘l$011 WAINS NUMBER: TUL5A) C P)- U et 1 LT NUMBER •A R6#fFECT/ENGINEER: 1-5 r 61,,.. EQ Ir.)G PHONE (4t5) 141-660 ( FAX:( ) MAILING ADDRESS: (Zei?0 mg: I?FStN . w oocltn,ri I't so-)Z EMAIL Project Type: Frame Type: Bathrooms: horeline: pe of Sewage Disposal: New ❑ Wood Existing: _ 0 ❑ er ❑ Addition D Steel Proposed: _ 0 B. k 0 Co►r q�unity System ❑ Alteration/Remodel ❑ Concrete Total: _ 0 Hei.ht: ❑ Individ6at,System 0 Repair 0 Masonry SEP Permit 0 Demolition K Other: P7,y\- Bedrooms: Water Supply: VtZ 6504,1 Existing: 0 Setba ' 1 Private well 0 wo Party Type of H at: Proposed: _ 0 0 Public },s (6, Total: _ Q Name of System: 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 havp___-Fooci If this is a Propane Tank and/or Appliance Installation permit,mark all items below that P e, i Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pe�l We I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No C. 1 b When applying for a permit to install a propane tank you must also submit a site plan s,tio4ning all of the buildings,a party lines,tank location and size,distances from the propane tank to all property lines,bu Iding .and-septa nests, , including the reserve area. JEFFERSON COUNTY DI PT..0E COMIMUNI-.DEVEtOPMENI; Square Footage Current Proposed For Office Use Only Amount ''Revision Main Floor Heated EH Bld App Review: 2n°Floor Heated r CSS Consistency Review: Other Heated Base fee: MezzanineLo T_ Sb 4 Additional Section: LAM d Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: 30 Other Unheated • Pot Water Review fee: ` �,rU n alb Garage/Carport t cos SUBTOTAL Decks , 11/Rd Approach fee' Other TOTAL: $1 „, O.05 Receipt Number: k {5-3--35 Cash/Check Number: I(o_aa ESTIMATED COST(REQUIRED) Date: // __ ( •Fair market value of all labor and materials foundation to finish I—I l(J-1 1 3. 3S 3 J Initials: ---- J —_, '' \PcrmitCcntcr\###FORMS###\ORD FORMS\Master Permit Application 5-29-08.doc G: - '' —' B 7 Sune o 18521 Highway 99•Lynnwood,WA 98037-3161 ,P�le, se Check After Doing Site Plan: Le Coptic and drainfiold size OST FRAME UILDINGS Everett:(425)258-4171 Puyallup:(253)840-9552 LX j,roperty dimensions -B-Sewer-4(Aes- nlvISION OF Administrative Headquarters: (425)743-1555 I. Draw North Arrow in Co.i nommohmtevation of property •'�'t "t FAX: (425)742.4378 Toll Free: 1.800-824-9552 Existing dbuildings ildinPin backs of proposed&existing buildings B dies of water e PERMABI LT Contractor's Lic.ft:TOWNCPF099LT posed building road with name �orplan Quality:Our Future Depends On It,m, bA'Easements •{� cess to proposed building / [ -Slopes&Contours(5'increments; Job Name: !/d gs,640 05 Job Site Address: / / A)/)L_7,A, Jeer) Tax Account#. L-7 5_`-/;Ui LI.U - Legal Description: NO L-14)IQ 5 G 'r aT A ,. ���q 1) iN K} y 1 1_ c.K �� -o '-\ LttS (941,Z #CN_ `-" Cj 0 sr FR.4' 'E Ol as.-r R crio 1,1 1V a7QC. r- Pt L !`��� C� a1 v�-iu� y ; 5T O r 7W -7 0 ' a 1` 4 aiiT Eg• — � - 1,..-__ • . (11340 (A Ovail(y barra r -rfo c i i'') (.i fi. O = 17awnvscNattiT To S I.ArSI� T. talrc3cIC Laci-rtcxl • (Va ri y)`) Uv(lae. pv ioY it) 12( -1/1 01(19 C,)C!Si') NC> 1 Pli.Pegv'I caks", a n 7 Tcabi o d- 6 i 5ii ), bin/ Ic C-h'w hey I. A•c t5s'. a 1 ---, _ j Jt c �xtS Li) 6 1p � ,s 1-1-2.•) • Ef4r'lk1G LI At GL. A1zt►,.aC� LLrwe19J11/4.,\Ap.v_ CL Lc: '''‘' .1 S L LT' F1`t c- - ,, -- '-----,j = Q C.12.E t1 a►..1 GE. 5"ac..-M W ts.VE:tz. FLok-I ,1 • \t. NI I NLpC aLor A r1Ac r l'T , -es/61 N CL tot . Cs-r©►ek nil*y '. • a :I'A avjAY D fN 04't2 I T" �reo L..+u75, CNaT THtS aTPticATlv,a> ; ✓, So,L� _ \\,, C ,� 1 � _ . ,-, , .. I f i ' . ' ) ' - ' . I ENs1TIuE: AceAs i7ER -3-;\A.F, 1-')C1N g'ls< SIPS., SI A, J huLC Ik tri Ca To laft. \'LACE C7 / Li 1 L xL LE"T T- L4. .10R KED. I NISI-ALL S1 Lr F Nc A-r r jc,.*Wt LL K 5pt of GLAalt. C Um, Ec,)`p x 3 CoraS'C1ZHc't-1ott AccfsS To E. ►3EvJ ( , N CtR/kVE L. IV DREWA ( 1�'/ t - PI'?VI 0 GI S V(7g'e tit 11 6'1/\ ) t '? revlmo✓ c; i a( ( ..____________. O av1 ("1er -1 ht APPROVED ' -• ), ,4: f . . , I✓ SITE PLAN tZ pi. i. r a l;- (-;;; FEB 2 g 20i? c== .cJJ ,C JEFFERSON COUNTY oo ` ) -'I DEPT.OF CO NIUNI Y DEVELOPMENT T r, SIGNATURE: ----- "> - _Til .ao o ., O w� ¢ cat�r,t�rx,r Pa F st ���•c� � IL O+.ra o&&5 ___ g j ____ __ ; RYAna Bortat}frFtS ,� e.) > err liwy 51 SK;4a C yzs-"7y,5- i5 � IOT SIGN INCOMPLETE SITE LAN! 1."l )mer has verified and ap ve the location fa build ng,orientation of the building to the North,and verifies that all White-Customer Copy White-Office Copy ;r) >s are shown on this w iin,t correc a '] r fOMER SIGNATURE ke,„ 7.0,r' `- /(JY'GY��`'"'" LEAD# / > �� 01995 Perma-Bilt Industries FR-34 6/07 1111111411111111 II