HomeMy WebLinkAboutBLD2013-00170 CERTIFICATE OF OCCUPANCY
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
Carl Smith, Director/Building Official
PERMIT#: BLD13-00170
SITE ADDRESS: 160 CEDARVIEW DR Issue Date: 06/18/2013
PORT TOWNSEND, 98368 Final Date: 10/29/2013
APPLICANT: WILLIAM T KAUNE PHONE: 360-379-3908
GAYLE R KAUNE
160 CEDARVIEW DR
PORT TOWNSEND WA 98368-9527
SUBDIVISION: KALA POINT#9 Block: Lot: 181
PARCEL NUMBER: 965000321 Section: 27 Township: 30 N Range: 01 W
PROJECT DESCRIPTION: NON-HEATED SUNROOM ADDITION EXISTING HOME
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2009
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM yes no
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/29/2013
\\tidemark\data\forms\F_BLD_Occupancy.rpt 11/18/2013
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD13-00170 Received Date: 6/3/2013
SITE ADDRESS: 160 CEDARVIEW DR Issue Date 6/18/2013
PORT TOWNSEND, 98368 Expiration Date 6/18/2014
OWNER: WILLIAM T KAUNE PHONE: 360-379-3908
GAYLE R KAUNE
160 CEDARVIEW DR
PORT TOWNSEND WA 98368-9527 KALA POINT#9
SUBDIVISION: Block: Lot: 181
PARCEL NUMBER: 965000321 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
PROJECT DESCRIPTION: NON-HEATED SUNROOM ADDITION EXISTING HOME
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 25,000.00 ADD'L: HEAT TYPE
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY:
CONST TYPE: OTHER: : 106 SHORELINE:
GARAGE
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: Permit $421.55 JLA 06/03/13 142149
Exist: Exist: Plan Check $274.01 JLA 06/03/13 142149
Prop: Prop: State Building Code $4.50 JLA 06/03/13 142149
Total. Total: Total: $700.06
Directions to Site:
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.
Request must be received by 3pm the day before the inspection is needed.
Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY-SEE ATTATCHED
Jefferson County Building ion Permit Nu r: BLD13-00170
Applicant: KAUNE
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next 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
Foundation Footing gbh
3
Framing 0$3
Insulation:Walls Yi5/3
Insulation: Ceiling 0.03r �/�Wallboard Nailing / 5 3
•
FINAL INSPECTION lott,12 -i
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD13-00170
1.) This parcel is within a no shooting area per JCC 8.50.
2.) 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.
3.) The site plan as submitted with the Building Permit application on June 3, 2013 has been
reviewed for consistency under the UDC, and has been approved by Jefferson County
Department of Community Development. Any modifications, changes, and/or additions to
the stamped, approved site plan dated June 4, 2013 shall be resubmitted for review and
approval by Jefferson County Department of Community Development.
4.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
\\tidemark\riata\fnrmc\F RI fl Permit Rlrin rnt F/1A/7011
•
BUILDING PERMIT APPLICATIONBLD13-00170Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD13-00170 Received Date: 6/3/2013
SITE ADDRESS: 160 CEDARVIEW DR
PORT TOWNSEND, 98368
OWNER: WILLIAM T KAUNE PHONE: 360-379-3908
GAYLE R KAUNE
160 CEDARVIEW DR
PORT TOWNSEND WA 98368-9527 KALA POINT#9
SUBDIVISION: Block: Lot: 181
PARCEL NUMBER: 965000321 Section: 27 Township: 30 N Range: 01 W
CONTRACTOR: OWNER/BUILDER PHONE:
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION NON-HEATED SUNROOM ADDITION EXISTING HOME
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP ADD MAIN:
VALUATION 25,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2009 HEAT BASE: HEAT TYPE:
OCCUPANCY:
OCCUPANCY: UNHEATED: #OF STORIES:
CONST TYPE: OGARAGE: 106 SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $421.55 JLA 06/03/13 142149 APPROVED
Plan Check $274.01 JLA 06/03/13 142149 JUN 18 2013
State Building Code $4.50 JLA 06/03/13 142149
Total: $700.06 Jefferson County DCD
MirlomorL\rInfo\fnrmc\F P1 n Ann Qid rnf anions
flpp Front Parcel Review .
Parcel 965000321
Printed: June 4, 2013
WILLIAM T KAUNE Site Address:
GAYLE R KAUNE 160 CEDARVIEW DR
160 CEDARVIEW DR
PORT TOWNSEND, WA 983E PORT TOWNSEND WA, 98368
Parcel Number: 965000321 S-T-R: 27-30N-01W Total Acreage 0
Legal Description KALA POINT#9 LOT 181 Land Use: 11100
Flood District: Fire District: 1 Planning Area: 4
Flood Map (FIRM) Panel No: School District 50 Zoning:
COMP PLAN
DESIGNATION:
COMMUNITY PLAN: UGA: UGA Trans
[ (4— Plot plan states "property line"
[ v]' Assessor's Map (Property lines o ubmitted plot plan must match the property lines as identified on the Assessor's 1/4 map)
[ Legal Access to Property NO
[ ( }"Parcel Tags or Scanned Documents YES
[ Y ESA's: Special Reports Nearby YES
[ Vr Designated Ag YES clp
[ Shoreline Designation: YES 0
[CA-- Shoreline Slope Stability: YES
Stream Type:YES NO
Fish & Wildlife:YEs NO
Wetlands: YES NO
Rare Plants:YEs NO
Seismic: YES NO
Landslide: YES NO
Flood: YES NO
Erosion: YES NO
Aquifer Recharge ArleDNO
SIPZ: none At Ris High is l Coastal
CMZ: none High Risk Moderate RiskDisconnected CMZ
Stormwater site plan submitted: YesNo
[ (4- Forest Lands: YES _�O
Adjoining Forest Lands: Commercial/ Rural/ Inholding
[v] Mineral Lands: YES SiZ)
[ Agricultural Lands: YES •10
[ Archaeology: YES aCP
[ Stormwater: New I 1•- '. Surface 29 Land Disturbing Activity ( C ESA's
Stormwater Req'•.Min Req#2 Min Req#1 thru#5 Min Req #1 thru#10 Engineering
[ Notice Provisions/Disc osure:Airport YES NO MRL YES NO Forest Lands YES NO
[ 'V Landscaping Required: Yes No
[ t/]' Parking Spaces Required 2 Other
f 07. Building Height: UBC Standard
Nj SI1/4-0 Rd(-)
�'
[ [ Impervious Surface covera ercentage:
Resource Lands&Public: 10 Rural Residential: 25% Rural Ind.: Per UDC Sec 6.7
Rural Commercial: 60% Area of Building Coverage:60%in Rural Ind 'al Lands only
[ j Total Building (s) Size:
RVC: 20,000 SF CC: 5,000 SF NC:7,500 SF GC: 10 SF All others:subje&ILseptic&water constraints/None s ecified
[ /A"— Setbacks: Front: 2 so Left Side: Right Side: Rear:��
Shoreline Setback:
LSHA Setback:
[t4—Road Classification:
Road Approach: ¢� ir�NOT REQ'D RAP
[ "( SEPA Required: YES XEMPT
[ , ' Flood Certificate:
[ LY Existing Case(s) &Condition(s):
Violations: Yes No
[trjr- Recorded Date of Subdivision: AFN Over 5yrs=UDC
Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance
[ Lots/Require Declaration of Restrictive Covenant YES gPubmitted: YES NO
[ CV" UGA No Protest Agreement YES 4REP submitted: YES NO
[ r Site Visit conducted YES •
[ fjj' Require Final Zoning Approval ES
[ ti]'ADMIN: Setbacks entered in Permit Plan casAggIO YES
New Parcel Tags entered in Permit Plan /A YES
Special Reports Scanne.4 YES
No parcel tags found for parcel
Cases Associated with APN 965000321
Cases Name Review Type Status Planner
BLD09-00082 KAUNE F
Application Received: 3/17/2009 Permit Issued/Case closed: 3/17/2009 Case Finaled: 4/13/2009
INSTALA/G 120 GAL PROPANE IANK AND GAS PIPING
BLD13-00170 KAUNE P
Application Received: 6/3/2013 Permit Issued/Case closed: Case Finaled:
NON-HEATED SUNROOM ADU1 PION EXISTING HOME
SEP85-00102 SHIELDS F
Application Received: 10/15/1985 Permit Issued/Case closed: 11/7/1985 Case Finaled: 1/23/1986
SOM85-00102 KAUNE TRSTEE RCR
Application Received: 1/23/1986 Permit Issued/Case closed: 5/28/2013 Case Finaled:
\\tidemark\data\forms\R_Parcel_CRMLA.rpt 6/4/2013 Page 2 of 2
��'goJv cOj, JEFFERSCOUNTY •
W4 , �� r�
DEPARTMENT OF COMMUNITY DEVELOPMENT
'' 4 ` �' 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
„co www.co.jefferson.wa.us/commdevelopment
1 IN�
Master Permit Application MLA:
Project Description (include se arat.e{,sh ets as necessary):
1 d L dI¢lnirr d -(4✓i f6)(:)i11 X Sr, Jodie-
Tax Parcel Number: 6j 5000 3 _ I Property Size: C.y tof AS (acres/square feet)
Site Address and/or Directions to Property:ro �/ /�
/60 Cg O Q✓V;ek) U J For I /ad vj / Ziy W3 ' * ‹e4
Property Owner(s) of Record: 2.. Ga.y(C k'U Lt>-1 e. +.
Telephone: 360-- 31(q - S C ' Fax: email:WI"kQuvre ',j nhcz). coo/
Mailing Address: l fg9 Ce J cie V i(no Dr 11-)f r 10w•1S.Q.t el iF36.Y.
Applicant/Agent(if different from owner):
Telephone: Fax: email: _
Mailing Address:
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
36uilding 0 Critical Areas Stewardship PI a, W`f (r^
❑ Demolition Permit 0 Variance(Minor, Major or Rea
Single Family ❑ Garage Attached/Detached 0 Conditional Use[C(a), C(d),or
❑ Manufactured Home .0 Mcdular ❑ Discretionary"D"or Unnamed Classification
❑ Commercial* 0 Special Use(Essential Publ;c i ities) fl 3 2013
Change of Use 0 Boundary Line Adjustment ``II j
❑ Address _ 0 Road Approach_ 0 Short Plat** J
❑ Home Business 0 Cottage Industry 0 Binding Site Plan**
0 Propane ❑Long Plat** JEFFERSON COUNTY
❑ .ign 0 Planned Rural Residential dcvclo T F_coode 1 11,1p�DEVELM
��ie �anarrTerOPMEtts
❑Allowed"Yes" Use Consistency Analysis 0 Plat Vacation/Alteration**
❑Stormwater Management 0 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* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑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 to act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date:
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 attorney'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 re uired later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the appli tion th or sh ant pr' r notice. /`
Signature: (p Date: / /.J
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 iss 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 i compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-trap fera le res nsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below.
Signature: 1Girj 7 readkt, Date: cOe.y/3
• •
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 a s in the responsibility f t e General Contractor for the proposed project.
Signature: 441 �J , tit e/ Date: _ 5/30//3
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PtICNE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL.:
CONTRACTORS LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) FAX:( )
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
New 'yit Wood Existing: C Sewer
Addition Steel Proposed: Bank ❑ Community System
Alteration/Remodel I Concrete Total: 0 Height: I Individual System_
SEPPermit# 8-5—/O`'
Repair I Masonry —
C Demolition Other: Bedrooms: Water Supply:
Existing: Setback: I Private well I Two Party
Type of Heat: Proposed: X Public 1
Total: 0 Name of System:J
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:
1 Underground Tank 1 Above ground Tank Size of Propane Tank:
1 Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 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 property lines, buildings and septic system components,
including the reserve area.
Square Footage 1urrent Proposed , For Office Use Only Amount Revision
Main Floor Heated EH Bld App Review:
l �1�� /75° 1 L.40-
2`d Floor Heated o Consistency Review: 22-$
Other Heated o o Base fee: 2\ ,�
Mezzanine O Additional Section:
Heated Basement Q 0 Plan Check fee: 21 Li
Q t
Unheated Basement 0 O State Surcharge fee: SO
Other Unheated O ---! C /' c j Pot Water Review fee: — �___.
Garage/Carport C ;'5 c g SUBTOTAL
Decks 3'/ AZ J3 911/Rd Approach fee: __� —
Other / TOTAL: $ 1,004, Oko
Receipt Number: \4211
-4q`
Cash/Check Number: catD5
ESTIMATED COST(REQUIRED) Date: � ,
.Fair market value of all labor and materials foundation to finish
fa 00d Initials:
40
•
°liON6JEFFERSON COUNTY"W1 DEPARTMENT OF COMMUNITY DEVELOPMENT
t�, ` 621 Sheridan Street• Port Townsend•Washington 98368
Is, 360/379-4450 •360/379-4451 Fax
http://www.cojefferson.wa.us/commdevelopment/
Stormwater Calculation Worksheet
•
MLA# PROJECT/APPLICANT NAME: WI' , I Cf. ,\ i • Kau i/.(✓
DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first
to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction
with a stand-alone stormwater management permit application,, building permit application, or other land use approval application that
involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required.
PARCEL SIZE(I.E.,SITE):
Size of parcel 0.17 acres t� An acre contains 43,560 square feet. Multiply the acreage by this figure.
Size of parcel in square feet '� �1 h 0 Kit
Land•disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and
non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling,
excavation,and compaction associated with stabilization of structures and road construction,
Native vegetation is vegetation comprised on plant species,other than noxious weeds,that are indigenous to the coastal region of the
Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as
Douglas fir,western hemlock,western red cedar,alder,big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry,
and salal;herbaceous plants such as sword fern,foam flower,and fireweed.
LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL
Calculate the total area to be cleared,graded,filled, Answer the following two questions related to
excavated,and/or compacted for proposed development conversion of native vegetation:
project. Include in this calculation the area to be cleared for:
Does the project convert%acres or more of
Construction site for structures / / 0 sq/ft native vegetation to lawn or landscaped areas?
Drainfield,septic tank,etc. sq/ft Circle: Yes N"b
Well,utilities,etc. O sq/ft Does the project convert 2%acres or more of
Driveway,parking,roads,etc. sq/ft native vegetation to pasture?
�` Circle: Yes No
Lawn,landscaping,etc. v stint
Other compacted surface,etc, sq/ft Indicate Total Volumes of Proposed:
Total Land Disturbance // 0 sq/ft Cut U Fill ,-26 (cutyd)
N
[over]
stormwatet cake worksheet—REV 2/20/2008 1
• •
impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions1
prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow
from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof
tops, walkways, patios, driveways, parking lots or storage areas,concrete or asphalt paving, gravel roads, packed earthen materials,
and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.
STORMWATER CALULATIONS—IMPERVIOUS SURFACE
NEW EXISTING
Structures(all roof area) + I 1 0 sq/ft Structures(all roof area) 3 sq/ft
1-6
Sidewalks " .6 sq/ft Sidewalks < 3 0 sg/ft
Patios sq/ft Patios �7 sq/ft
Solid Decks 0 set/ft Solid Decks 0 sq/ft
(without infiltration below) (without infiltration below)
Driveway,parking,roads,etc d sq/ft Driveway,parking, roads,etc I 03 C0 sglft
Other sq/ft Other 0 sq/ft
Total New f' ;g_Cf sglft Total Existing /�v U sq/ft
TOTAL NEW+TOTAL EXISTING* 6 117 sq/ft 'This amount will be used to check total lot coverage.
The following questions will help determine whether the proposed project is considered development or redevelopment.
DEVELOPMENT v.REDEVELOPMENT
Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: 3 0 e/0
Does the site have 35%or more of existing impervious surface? Circle: Yes No
r
FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be
used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the
attached Figure 1 should be used. At this juncture, the applicant should refer to the applicable Flow Chart to determine the Minimum
Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements.
For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution
Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and
prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction
Stormwater Pollution Prevention(SWPP) Best Management Practices(BMPs) Packet. Proponents of"medium" projects—those
that must meet only Minimum Requirements #1 through #5—and for large" projects—those that must meet all 10 Minimum
Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan,
principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or
prepare a Stormwater Site Plan using the step-by-step guidance in the Stormwater Management Manual.
APPLICANT SIGNATURE
By signing the Stormwater Calculation 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.
(A)4a44 i, tc — t 7:2/l 3
(LANDOWNER OR AUTHORI ED REPRESENTATIVE SIGNATURE) (DATE)
:
� Q ,'.. � �41�yk i . ¢ �- -: 'z` '?�, , r gal M '�, A- . �
S4 ,' . )CMr1 " . 14YE! .. 'x ,.. �i� YA ,*' ..
stormwater talc woo(sheel.—REV 2120I2009 2
I•
� f --
b'61 14 A k 6 1 A ,,,L., Mi —.'_I - 1/3 I
yCO4 + I-IO lIn1� -1i-9 _-o II'_�u 4f�i �� I�
Y�I I .
, i
i -.•.em •: s,-,±. ;j t
i , I I
'
: - x ' 1 : ; l'' .
_ — F — 1_
, r
� I cl
1 t,.:
PI
_ : r
lay :Il - 3: I aEl
1 -
.. I i� I .. XIS ' .,7...r,_ Y-.c.�:,� --,,, / ,2',s,- I �7`
, •
s I
-�W.:u .c .. .A Ste, '.'
1 — -
... �_ - _
s ! 0���,Ao�' 1 r ,4
• A
_ a _.�1.%_ �4*-%, 1,dit, T4,.. •_ �../,/�'n a ': Ill,
_ ' .� , _.s. w -�9. . �'+i...�rsw1e�vn r"' � � j
w _
J
_. . ._.rI.
.—
_ I _ I. �a:�� se ... . z + fiGl�.iM i Q
i - � 11 J: I o j a pa ; _
_
--1.7.:,i ....
I
1.
1.-
_ .. `
.-.:;" ,<4a.,�.- '~ 4` ->- _' `.._ .ice-:::,'•:_> -t,.: .o-,..._ .:
— _j ' !I 4
.. a
liliti
_ _ . .
I 4 6' i I
\ p I
I
q I
b
I III ,•
/J :illiii
_ _ _- Vie.. .. LW1T
I
; I. ; ! I
•
•v � u
3p I Tz 61:"I V.
h
1 q'�nA 91 00. ._4 ali. II a!di 2��i 3'on 4'�' 4iduIII 1=�" o` .
_L. �(�� / • 141-& ID'-0A 2i�11 5 Qq �' _ 'I
II 11 �" _ -OAI 1.
--S Il ll
c `
Z
m
oz o < -- -
- �
C—NP
'` -William a. DATE'1122486 .. S, R — 1
630 EAST EIGHTH ST. ar AtIYG�' f ��1
PORT ANGELES.WA.98362 - ,. i I� /��/�
l ndbe & as:�oc, REVISED � d O. r �,
• (2061 152�116 _ _.STAT€RF YAgxasC70:: - — J.,.. _.
. ...
...
architects • planners • a.i.a. COMM NO: ,
. •
. •
o '
- - •
• a _ .
\ \
•
'., ,
' 1
\ \
\''... '
\\
: 7
\ \ N.
r
.
is• \ \ If ., "- ;• ', ' \-\\ 1
cls ,
us c- , . \ ''s.. , \ • \
s . .
1. \ , .'.. '.s. Ifr . :_.,_____ • ..,
\ \ 0 '' I 44"4'.."'-'-"'''' INEMIA
i,--. r f, - -- ---1 —
i -
— .. ,,, li II r" . •--4 T.
____
't
-iil-' { ss ri,..; — IL -- .-Z.. — — I ; %
I C4.'21 4
6` . I 1 l.M
q .II
II V71 II /' r,
j-..11 - -,-- c);.-O 1. - '-.4: ..._Ss t {-,, Is -,?, 1
li‘ ;11 1;74 •. v4. ' 1 d ki\ r il \ , -
c.), . , . ?,3_,
t v.4-
i ,.
-IN.
t I ,r.
/.' ,?, \ Ili ,, ,,, 4
'. < ',1 ,. .-N I
; . 4, --ks 1; / !.: .., A. - ,:. ;•!,
; I ,s
i 11 .0 i
s 3 -^",.71 I /A,. II' T x s,,
x F \ ' t 1 I
, - - , 7,,,,,-, ii rg ‘,,., v,t: EL
II / . -,1 c, , ,• o ii '
..1 V •,. .--, ; Z - '
___--- , t.11 .
-1- -, /:•
.-S• I. '';'1••
1-.7.
(s) • ;t .-,, `-' q• .• ... , ,
• /...r• .2-0" 2.:o- z=0'. 2'.-0" 2 ,=)" '/Z.,'' ,I T 77.P.i.
• -/-- --/-- ". ----,- / / / 4'8, -7' . -
‘ . .
o , ,
. • . -
. .
•
, .
' Z%\
\ • o X , , • ,
. \
-'\A . 1 ,i:1' •, .. ), 1.• \,,
\ /
2' z- •
.„. t i•-;-z- N
I .
- i, , 4
7. ''S - W,S• ... 'V-.
I II' •ic -3
? • ,.,....,.4, ,._,
. . I,- i
I.I 1°. I
..I ''il i. "''''', -6 " .Ck'' 2 I •
I • It
,50'' -, 1 I
!ri ,-
I ; I
SI 41
/)
. /
____ _ _
t...)c.
IA - .......,
\ N-- --
I 1 1
I ,
'
.\•• __
r •
? - . •
. .. .. 1
-.1,- ...- , . .
-.-\ ,-. \.,
.
•-.. N.
•.
(at -,-)'.• ,,'.1,--• • . •,•k,- \
. .
o- Y1 III ". • '.- - ', .,; '0' `,,J,. . .
w 5-
)1- -
63 I\fik-•=-:---=-----'-_----11 1=2 '7,',•.71
\ L
-1
--.-111 \
.-.=---. ---- Il \)1
--:.-..4. I , 1.'"da....' 5
4
Z.
1
I
. . -,
0. .-
I TT. , t .,
• .
, ....
_,.. -,.. ..‘ „,...
-I ‘.
\\ \, \\\\ \\
M\ ,
-•\
' 1
• ' '<. I,
\ 1
— 1
Z. o
I.
a i
r 1 -
-0 •N 1. 1 C • -1
\I- ' ' , l-
<„, I
\
•
, ••.I\ 1 c. i ......H.
I M rrl _
4\ 1 g ,,,, Iffil I 1 -
;
7; 1 1\ 11
-n e-
0 IIN V
,
...-
3,- C3 m C
-1 c/ c) "^ ."
ci o ;PI
,.
":.‘
„__ i
\ Ili
1 •
-----"—
\\
1 1
-
g , s\
\
"
-------- -...I
.•-*
•i
( .
1 f .
. . 1
1
•
/
. .
.,.
- ____
______
/ —
/
7le-012.0617 119prn
• 1 1
- - :17- — — — \---
/ r.//•::I/:.', , ,, ,
/ 3%:•/,:1411 10-.0 :' l'a fizoi70502
,
/7 /
\ /
, N
\--- ,,,/
/ ,
, •......... 10 /Mi14401 •PV-45, -ro otlfz.-€P-r•i&
/ . / ;
/ X6-r.it-4 g ‘(*Pf\JGV/ .
. . / •
,z / r1-7( 10 oV6g.i-Ossts1,0
,
,
,
,1-0
4'
/
../- - - ' ,
:' ,
1 ,-- -- kj:-• ,
.
,
pg.
,
,
,
• .
. .
_ . .
. .
. ,
. ,
. .
•
• -.4---- i--..) ‘,. \ r----- -
VVL
if 1
......._ _
" ,....- i
. I (/) ' ''12 \•\11
sii.,.2,mw`11 -71446%11 r7 301\: _.6 6 AA i\:[2121 C I 0 'N---1 _
\ .
P:, .0 \
, : . „ ......-
.4.' *do ' R_. t22.- 11,-t, `s' 6i-A\ ..1 ? <IUNLSJ CIEOVIEB-7--Ni
1
1 --)
,
ILI' Ld JUN 3 2013
-.....j.1
; I
, 1
1 . JEFFERSON COUNTY
• DEPT.OF COMMUNITY DEVELOPMENT
,....,_