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BLD2013-00242
z. o BUILDING PERMIT APPLICATION B Review Type: Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00242 Received Date: 8/7/2013 SITE ADDRESS: 253 MONTE CRISTO LN OWNER: JACK T HELGENS PHONE: PO BOX 491 QUILCENE WA 983760491 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702143001 Section: 14 Township: 27 N Range: 02 W CONTRACTOR: HILINE HOMES PHONE: 253-770-2277 ext 129 PO BOX 799 ELMA WA 98541 Contractor's License HILINH*981BT Expires 2/10/2010 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NSFR w/attached garage TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,793 VALUATION 207,926.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 591 SHORELINE: CONST TYPE: DECK: 54 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 2PARTYWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 2 Prop: 2 Total: 2 Total: 2 Routing Date: 54 °L jri, Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,598.55 MEB 08/06/13 142348 Plan Check $1,039.06 MEB 08/06/13 142348 APPROVED State Building Code $4.50 MEB 08/06/13 142348 SEP 1 0 2013 Potable Water Application $66.00 MEB 08/06/13 142348 Total: $2,708.11 Jefferson County DCD \\4irlcmor4\r7ofoWnrmc\F RI n Ann RIr!rn+ R/7/9l11A 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#: BLD13-00242 APPLICANT: JACK T HELGENS PHONE: 360-765-3161 PO BOX 491 QUILCENE WA 98376-0491 SITE ADDRESS: 253 MONTE CRISTO LN Issue Date: 09/10/2013 QUILCENE, 98376 Final Date: 5/27/2014 SUBDIVISION: Block: Lot: PARCEL NUMBER: 702143001 Section: 14 Township: 27 N Range: 02 W PROJECT DESCRIPTION: NSFR w/attached garage THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: R-3 TYPE OF CONSTRUCTION: 5N SPRINKLER SYSTEM yes THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 5/27/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 5/28/2014 , t • b ! 3 -24 # c JEFFERSON COUNTY E C [ �I iffir v *d DEPARTMENT OF COMMUNITY DEVELOPMENT pi 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax AUG 6 2013 �''f� www.co.jefferson.wa.us/commdevelopment i'J '"�N JEFFERSON CCtiN1Y Master Permit Application M : DEPT.OF Chi+rl° I"'iTY�?( i 0PM T Project Description(include separate sheets as necessary): N(42 S 4.-A.ci,LP - ...,.li An crtA- --. Tax Parcel Number: 7 CC 2 ( `;13 G c i Property Size: /G a e(c) (acres/square feet) Site Address and/or Directions to Property: 2 S13 M awl C r 34 o On.,P `,m�P C.P.AA.e 4 o aj f o S 'ha al r �-H, ']'.�,n.rwa, y E,. e, Property Owners)of Record: J ,a c_1c 14.e/ 4,,,..s Telephone: 1 G o— ? 6 S 3' / 6 / Fax: email: Mailing Address: P.O% 60 y C/9) Q . i 1 C . q s'? ) 6 ApplicantAgent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Ouilding ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor,Major or Reasonable Economic Use) 111 Single Family Garage Attached 1 Detached ❑Conditional Use[C(a),C(d),or C]*" ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** ❑ Change of Use ❑Boundary Line Adjustment ❑ Address ❑Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign ❑Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed*Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Rev ions** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development** ❑Temporary Use ❑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 ❑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 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 . _• :ter inspections. Staffs access a • •.• -of entry will be assumed unless the applicant informs the County in writing at the time of th= •plication th he or she p • . . / Sign:'re: ,� r� Date: 1 7 /!-3 The action or -'ons Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endange 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 y• - ,, n -• pliance ;■, the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans =cable res•,nsibility.- •hen t• and corn ■.• , •the ESA. The Applicant has read this discs' era signs and dates it below. Signatu -. • - ' 1,14." Date: 6 5- /.. G:\PennitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.d t . • • BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced hereui,that 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 MANUFACTURED HOME INSTALLER: PHONE: FAX: MAILING ADDRESS: EMAG.: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New , Wood Existing: ❑ Sewer Addition 0 Steel Proposed: 3.- Bank ❑ Community System ❑ Afteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# 07-c S 74 ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: Setback: At Private well ❑ Two Party Type of Heat: Proposed: -A.— ❑ Public 4.20 M 0 i-IN ote, Total: Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of @Qa Parking Spaces: Number of occupants(indudes 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: I Underground Tank 1 Above ground Tank Size of Propane Tank: 1 Heat Stove•`.1 Cook Stove 1 Woodstove I Fireplace Insert t14iiot Water Tank I Pellet Stove I Other '.1,42(.--44.:C____ je this appliance being installed In a Manufactured 1 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. : s , S ✓'' NS-., , app sa {a ��1^?Ame-4443 S•uare Foote•e Current P Deed ,_'„ ,, 3 x '' , Main Floor Heated •�/1 EH Bid App Review: ,00 2"0 Floor Heated c Consistency Review Other Heated , , '' Base fee: Mezzanine } Additional Section: Heated Basement "' t Plan Check fee: Unheated Basement ,, 4 State Surcharge fee: &E - Other Unheated _. Pot Water Review fee: i o & co Garage/Carport � P �" SUBTOTAL l oc L 1 Decks i ,. �, 911/Rd Approach fee: ` Other $ S 1 0 SY I t :s 4 %^tea • TOTAL: - $ / „° Receipt Number. 1( 2-3144 3-, ' ; < Cash/Check Number. s` ESTIMATED COST(REQUIRED) Date: / /3 .Fair market value of all labor and materials foundation to finish 12'7 /,Ci( r D v Initials: GAP emritCenter\###FORMS###\DRD FORMS\Master Pewit Application 5-29-08.doc August 16th, 2013 In regards to: JACK HELGENS PO BOX 491 QUILCENE,WA 98376-0491 Re:SITE ADDRESS: 253 MONTE CRISTO LN MLA#BLD13-00242 To whom it may concern; Currently we have substantially completed Mr. Helgen's building permit and we are waiting on Environmental Health to approve his septic plan and proof of potable water. The building department is finished with its portion of the permit but due to understaffing and budget cuts, it can sometimes take Environmental Health as long as six weeks to complete a review. Unfortunately,our department cannot issue a standard building permit unless all facets are completed, including EH. Please feel free to contact me if you have additional questions or need more information regarding this issue. Sincerely, 4‘.4411111,11 Mary Blain Permit Technician Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4452 b(je mblain @co.jefferson.wa.us dC i .tie\p ��V ehq AV' y_ 1242_ )vr\ -erl-f cc/PP) .... Mgt- t oSaN co JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.iefferson.wa.us/communitvdevelopment . , o.J Tel:360.379.4450 I Fax:360.379.4451 I Email:dcdeco.iefferson.wa.us '9sHINGS Building Permits&Inspections I Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center August 12, 2013 JACK T HELGENS PO BOX 491 QUILCENE WA 98376 0491 RE: SITE ADDRESS: 253 MONTE CRISTO LN MLA#: BLD13 00242 Dear Mr. Helgens: Jefferson County Department of Community Development staff has reviewed the application materials for the above project proposal and has determined that the application is substantially complete. Additional information needed for project review may be requested in writing by the Director or Project Planner. Please call the Department of Community Development if you have any questions. Sincerely, Ann L p, AICP ssociate tanner, DRD Lead } Precriptivb Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information Jack Helgens project°HLH.#1793R HiLine Homes 253 Monte Cristo Lane Quilcene, WA 98376 253-840-1849 Parcel#702143001 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edu/code Glazing 1112 Wll int o Wall. ext4 Slab 10 Glazing 6 ing U-Factor Door 9 2 Vaulted Wa a s Option Area : Ceiling 3 Above Below Below Floor on % 11 U-Factor Ceiling /o of Floor Vertical Overhead Grade Grade Grade Grade R-49 or R-21 R-21 R-10 Q I 13% 0.34 0.50 0.20 R-38 R-38 Int.� B R-10 R-30 2, Adv. R-49 or R-21 R-21 R-10 Q II 25% 0.32 0.50 0.20 R-38 R-38 It.7 R-10 R-30 n TB 2, Adv. R-49 or R-21 R-21 R-10 C III Unlimited 0.30 0.50 0.20 R-38 R-38 Int.1 TB R-10 R-30 2' Adv. See WSEC table 6-1 for footnotes Glazing Schedule Attached to Document E Does not apply. (SEE INSTRUCTIONS)Using Prescriptive Option III.All glazing and doors meet maximum U-factor.Alternate heating size method submitted. El Option I or II,Glazing to floor area limit(WSEC 602.7.2) El Area weighted window,skylight or door U-factor(WSEC 602.7.2) ❑ As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: ❑ R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required ;-\,3 Opt. Opt. Description la High Efficiency HVAC Equipment 1 ` 0 '1013 LIN 1 b High Efficiency HVAC Equipment 2 ,\ P ■; 1c High Efficiency HVAC Equipment 3 \\ •, 2 High Efficiency HVAC Distribution System Ff R50'�Cfl,+tVrl 3a .Efficient Building Envelope 1 pt Of C;:d"�'i�� - °.9i E13f 0 n + 3b Efficient Building Envelope 2 ---;,------ ■ 3c Super-Efficient Building Envelope 3 • 4a Air Leakage Control and Efficient Ventilation ■ 4b Additional Air Leakage Control and Efficient Ventilation ■ 5a Efficient Water Heating 0.5 ID 5b High Effieciency Water Heating • 6 Small Dwelling Unit ■ 7 Large Dwelling Unit ■ 8 Renewable Electric Energy *1200 kwh ■ Total Credits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPIO-010 Copyright 2010 TABLE 9-1 ENERGY CREDITS(DEBITS) OPTION DESCRIPTION CREI?IT(S)' la HIGH EFFICIENCY HVAC EQUIPMENT 1: Gas,propane or oil-fired furnace or boiler with minimum AFUE of 92%, or Air-source heat pump with minimum HSPF of 8.5.. lb HIGH EFFICIENCY HVAC EQUIPMENT 2: Closed-loop ground source heat pump; 2 with a minimum COP of 3.3. l c HIGH EFFICIENCY HVAC EQUIPMENT 3: DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL: In home where the primary space heating system is zonal 1' electric heating,a ductless heat pump system shall be installed and provide heating to at least one zone of the housing unit. HIGH EFFICIENCY HVAC DISTRIBUTION All heating and cooling system components installed inside the conditioned space. All combustion equipment shall be direct vent or sealed combustion. Locating system components in conditioned crawl spaces is 1' not permitted under this option. Electric resistance heat is not permitted under this option. Direct combustion heating equipment with AFUE less than 80%is not permitted under this option. 3a EFFICIENT BUILDING ENVELOPE 1: Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window U.= .28 fl oor R- 38,slab on grade R-l0 full,below grade slab R-l0 full. 0.5 or Component performance compliance:Reduce the Target UA from Table 5-1 by 5%,as determined using EQUATION 1. 3b EFFICIENT BUILDING ENVELOPE 2:, Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window U.=.25 and wall R-21 plus R-4 and R-38 floor,slab on grade R-10 full,below grade slab R-10 full,and R-21 plus R-5 below grade basement walls. or Component performance compliance:Reduce the Target UA from Table 5.1 by 15%,as determined using EQUATION 1. 3c SUPER-EFFICIENT BUILDING ENVELOPE 3: WSEC Prescriptive Worksheet(2010 Edition) WSUEP10-010 Copyright 2010 Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window .22 and wall ' R-21 plus R-12 and R-38 floor,slab on grade R-10 full, below grade slab R-10 full andR-21 plus R-12 below grade 2 basement walls and R-49 advanced ceiling and vault. or Component performance compliance:Reduce the Target UA from Table 5.1 by 30%,as determined using EQUATION 1. 4a AIR LEAKAGE CONTROL AND EFFICIENT Envelope leakage reduced to SLA of 0.00020 building and 0 5 All whole house ventilation requirements as determined by Section M1508 of the Washington State Residential Code shall be met with a heat recovery ventilation system in accordance with Section M1508.7 of that Code. 4b ADDITIONAL AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION., Envelope leakage reduced to SLA of 0.00015 building and All whole house ventilation requirements as determined by 5a EFFICIENT WATER HEATING:' Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.62. or Electric Water Heater with a minimum EF of.93. 0.5 and for both cases All showerhead and kitchen sink faucets installed in the house shall meet be rated at 1.75 GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or lel ss. 5b HIGH EFFICIENCY WATER HEATING: Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.82. or Solar water heating supplementing a minimumstandardwater 1 5 heater. Solar water heating will provide a rate d=urn um t savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation(SR/CC)Annual Performance of 0G-300 Certified Solar Water Heating Systems. or . • water heater with a minimum EF of 2. . Electric heat pump wa 0 6 SMALL DWELLING UNIT 1:' Dwelling units less than 1500 square feet in floor area with _ less than 300 square feet of window.+door area. Additions 1 to existing building that are less than 750 square feet of heated floor area. 7 IN LARGE DWELLING UNIT 1:' Dwelling units exceeding 5000 square feet of floor area shall be assessed a deduction for purposes o f comp ying with Section 901 of this Code. WSEC Prescriptive Worksheet(2010 Edition) WSUEP10-010 Copyright 2010 8 RENEWABLE ELECTRIC ENERGY: For each 1200 kWh of electrical generation provided annually by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits.Generation shall be calculated as follows: For solar electri c systems,the design shall be demonstrated to meet this requirement using the National Renewable l nergy Laboratory calculator PV WATTS. Documentation ().5 noting solar access shall be included on the plans. For wind generation projects designs shall document annual power generation based on the following factors The wind turbine power curve;average annual wind speed at the ite;frequency distribution of the wind speed at the site and height of the tower. Footnotes: 1. Interior Duct Placement: Ducts included as Option 2 of Table 9-1 shall be placed wholly within the heated envelope of the housing unit. The placement shall be inspected and certified to receive the credits associated'with this option. EXCEPTION: Ducts complying'with this section may have up to 5%of the total linear feet of ducts located in the exterior cavities or buffer spaces of the dwelling. If this exception is used the ducts will be tested to the following standards: Post-construction'test: Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 'inches w.g. (25 Pa) across the entire system, including the manufacturer's air handler enclosure. All register boots shall be taped or otherwise sealed during the test. 2. Plumbing Fixtures Flow Ratings. 'Low flow plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads)shall comply with the following requirements: (a) Residential bathroom lavatory sink faucets: Maximum flow rate 3.8 L/min(1.0 gal/min)when tested in accordance with ASME A112.18.1/CSA B 125.1. (b) Residential kitchen faucets: Maximum flow rate 6.6 L/min(1.75 gallmin) when tested in accordance with ASME A112.18.1/CSA 8125.1. (c)Residential show�erheads: Maximum flow rat e - 6.6 L/min(1.75 gal/min)when tested in accordance with ASME Al 12.18.1/CSA B 125.1 WSEC Prescriptive Worksheet(2010 Edition) WSUEP10-010 Copyright 2010 Glazing Schcdute Project Information Contact Information Jack Helgens project HLH#1793R Nathan Glass-Designer HiLine Homes 253-840-1849 x129 Conditioned Floor Area 1716 Sum of UA for Heating System Sizing 61.5 Sum of All Glazing Areas From Below 206 Glazing to Floor Area Ratio 11.98% 602.7.2 Exception Ratio(not to exceed 1%) Exterior Doors Plan Component Door Percent Width Height Glazing Door Door ID Description Ref. U-factor Glazed Qt. Feet Inch Feet inch Area Area UA Front Entry Door 0.200 1 3 6 8 20.0 4.0 One Exempt Swinging Door<24 Square Feet Sum of Glazing Area, Door Area, and UA (do not include exempt door) I 1 20.0 4.0 Area Weighted U=UA/Area 0.20 Sum of Area and UA for Heating system size only(include exempt door) I I 20.0 4.0 Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet inch Feet Inch Area UA Office 0.280 4 • 20.0 5.60 Foyer 0.280 5.0 1.40 Kitchen 0.280 MI 4 alalla 14.0 3.92 Utility Room 0.280 Gil 4 MEIER 14.0 3.92 Master Bathroom 0.280 9.0 2.52 Master Suite 0.280 6 •4 24.0 6.72 Dining Room SGD 0.280 EIE 6 •6 1° 41.0 11.48 Living Room 0.280 25.0 7.00 Living Room 0.280 6 1111131111111 30.0 8.40 Bedroom 2 0.280 4 4 IIII 16.0 4.48 Guest Bathroom 0.280 noismanoll 7.5 2.10 MEMEME MMEME Sum of Area and UA I 205.5 57.54 Area Weighted U= UA/Area 0.28 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Simple Heating System Size:Climate Zone 1 Project Information Contact Information Jack Helgens project HLH#1793R HiLine Homes 253-840-1849 Indoor Design Temperature 70 Outdoor Design Temperature 23 Design Temperature Difference(AT) AT=Indoor-Outdoor Design Temp 47 Conditioned Floor Area 1716 Conditioned Volume 14344 Glazing Copy Sum of UA from Glazing Schedule 62 Attic U-Factor X Area - UA R-49 0.027 1793 48.4 R-38 Advanced 0.026 Single Rafter or Joist Vaulted Ceilings U-Factor X Area = UA R-38 Vented 0.027 Above Grade Walls U-Factor X Area = UA R-21 0.056 1476' 82.7 Floors U-Factor X Area = UA R-30 0.029 R-38 0.025 1793 44.8 Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 3.5' Depth Walls 0.041 7' Depth Walls 0.037 Slab Below Grade F-Factor X Length = UA 2'Depth 0.59 3.5' Depth 0.64 7' Depth 0.57 Slab on Grade F-Factor X Length s = UA R-10 2' perimeter 0.54 R-10 Full -Heated 0.55 Sum of UA 237 Envelope Heat Load 11159 Btu/ Hour Sum ofUAXAT Air Leakage Heat Load 7281 Btu/ Hour ((Volume)( 0.6)X AT)X.018)) Building Design Heat Load 18440 Btu/ Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 1.15 21206 Btu I Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 if ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 31810 Btu/Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 I Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information Jack Helgens project HLH#1793R HiLine Homes 253 Monte Cristo Lane Quilcene, WA 98376' 253-840-1849 Parcel#702143001 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edu/code Glazing 12 • 4 4 6 10 Glazing Glazing U-Factor Door 9 Z Vaulted Wall Wall' int Wall' ext s Slab Option Area : Ceiling 3 Above Below Below Floor on % 11 U-Factor Ceiling /o of Floor Vertical Overhead Grade Grade Grade Grade R-49 or R-21 R-21 R-10 Q I 13%0 0.34 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 2, Adv. O R-49 or R-21 R-21 R-10 II 25% 0.32 0.50 0.20 R-38 R-38 R-10 R-30 Int.z TB 2, Adv. R-49 or R-21 R-21 R-10 QQ III Unlimited 0.30 0.50 0.20 R-38 R-38 R-10 R-30 Int' TB 2' Adv. See WSEC table 6-1 for footnotes Glazing Schedule Attached to Document Does not apply. (SEE INSTRUCTIONS)Using Prescriptive Option III.All glazing and doors meet maximum U-factor.Alternate heating size method submitted. El Option I or II,Glazing to floor area limit(WSEC 602.7.2) ❑ Area weighted window,skylight or door U-factor(WSEC 602.7.2) As part of the heating system sizing calculation(IRC M1401.3&WSEC 503.2.2) Radiant slab: R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt- Opt. Description E 0 E. t V tE 1 a High Efficiency HVAC Equipment 1 IN 1 b High Efficiency HVAC Equipment 2 t llt 1 c High Efficiency HVAC Equipment 3 2013 I III. 2 High Efficiency HVAC Distribution System AU it III 3a Efficient Building Envelope 1 1171I 3b Efficient Building Envelope 2 JEFFERSON COUNTY 11 3c Super-Efficient Building Envelope 3_ DEPT.OF COMMUNITYDEV1-1°'F"cfdT 1 4a Air Leakage Control and Efficient Ventilation II 4b Additional Air Leakage Control and Efficient Ventilation ■ 5a Efficient Water Heating 0.5 El 5b High Effieciency Water Heating ■ 6 Small Dwelling Unit ■ 7 Large Dwelling Unit ■ 8 Renewable Electric Energy *1200 kwh ■ Total Credits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010 I TABLE 9-1 ENERGY CREDITS(DEBITS) OPTION DESCRIPTION CREDIT(S) l a HIGH EFFICIENCY HVAC EQUIPMENT`1: Gas,propane or oil-fared furnace'or boiler with minimum AFUE of 92%, } or Air-source heat Pump with minimum HSPF of 85. l b HIGH EFFICIENCY HVAC EQUIPMENT 2: Closed-loop ground source heat pump; 2 with a minimum COP of 3.3. c HIGH EFFICIENCY HVAC EQUIPMENT 3: DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL: In home where the primary space heating system is zonal 1' electric heating,a ductless heat pump system shall be installed and provide heating to at least one zone of the housing unit. 2 HIGH EFFICIENCY HVAC DISTRIBUTION All heating and cooling system components installed inside the conditioned space. All combustion equipment shall be direct vent or sealed combustion. Locating system components in conditioned crawl spaces is 1 not permitted under this option. Electric resistance heat is not permitted under this option. Direct combustion heating equipment with AFUE less than 80%is not permitted under this option. 3a EFFICIENT BUILDING ENVELOPE 1: Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window U.—`.28 floor R 38,slab on grade R-10 full,below grade slab R-10 full. 0.5 or Component performance compliance:Reduce the Target UA from Table 5-1 by 5%,as determined using EQUATION 1. 3b EFFICIENT BUILDING ENVELOPE 2: Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window U.— .25 and wall R-21 plus R-4 and R-38 floor,slab on grade R-10 full,below grade slab R-10 full,and R-21 plus R-5 below grade 1 basement'walls. or Component performance compliance:Reduce the Target UA from Table 5.1 by 15%,as determined using EQUATION 1. 3c SUPER-EFFICIENT BUILDING ENVELOPE 3: WSEC Prescriptive Worksheet(2010 Edition) WSUEP10-010 Copyright 2010 Prescriptive compliance is based on Table 6-1,Option III with the following modifications: Window U .22 and wall R-21 plus R-12 and R-38 floor,slab on grade R-10 full, below grade slab R-10 full and R-21 plus R-12 below grade basement walls and R-49 advanced ceiling and vault. 2 or Component performance compliance:Reduce the Target LTA from Table 5.1 by 30%,as determined using EQUATION 1. 4a AIR LEAKAGE CONTROL AND EFFICIENT Envelope leakage reduced to SLA of 0.00020 building and All whole house ventilation requirements as determined by 0.5 Section M1508 of the Washington State Residential Code shall be met with a heat recovery ventilation system in accordance with Section M1508.7 of that Code. 4b ADDITIONAL AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: Envelope leakage reduced to SLA of 0.00015 building 1 and All whole house ventilation requirements as determined by 5a EFFICIENT WATER HEATING:1 Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.62. or Electric Water Heater with a minimum EF of.93. 0.5 and for both cases All showerhead and kitchen sink faucets installed in the house shall meet be rated at 1.75 GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or less. 5b HIGH EFFICIENCY WATER HEATING:1 Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.82. or Solar water heating supplementing a minimum standard water heater. Solar water heating will provide a rated minimum 1.5 savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation(SRCC)Annual Performance of OG-300 Certified Solar Water Heating Systems. or Electric heat pump water heater with a minimum EF of 2.0. 6 SMALL DWELLING UNIT 1:' Dwelling units less than 1500 square feet in floor area with less than 300 square feet of window.+door area. Additions 1 to existing building that are less than 750 square feet of heated floor area. 7 LARGE DWELLING UNIT 1:1 Dwelling units exceeding 5000 square feet of floor area shall _1 be assessed a deduction for purposes of complying with Section 901 of this Code. WSEC Prescriptive Worksheet(2010 Edition) WSUEPIO-010 Copyright 2010 • buffer spaces of the dwelling. If this exception is used the ducts will be tested to the following standards: Post-construction test: Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (25 Pa) across the entire system, including the manufaoturer,s air handler enclosure. All register boots shall be taped or otherwise sealed during the test. 2. Plumbing Fixtures Flow Ratings. Low flow plumbing fixtures (water closets and urinals) and fittings (faucets and showerheads)shall comply with the following requirements: (a) Residential bathroom lavatory sink faucets: Maximum flow rate - 3.8 L/rnin(1.0 gal/min)when tested in accordance with ASME A112.18.1/CSA B125.1. (b) Residential kitchen faucets: Maximum flow rate - 6.6 (1.75 al/min) when tested in accordance with ASME A112.18.1/CSA B125.1. (c)Residential showerheads: Maximum flow rate - 6.6 L/initi(1.75 gal/min)when tested in accordance'with ASME A112.18.1/CSA B125.1 WSEC Prescriptive Worksheet(2010 Edition) yySUEp1O_010 Copyright 2O1O 8 RENEWABLE ELECTRIC ENERGY: For each 1200 kWh of electrical generation provided annually by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits.Generation shall be calculated as follows: For solar electric systems,the design shall be demonstrated to meet this requirement using the National Renewable Energy Laboratory calculator noting solar access shall be included on the plans. For wind generation projects designs shall document annual power generation based on the following factors: The wind turbine power curve;average annual wm. d speed at the site. frequency distribution of the wind speed at the site and height of the tower. Footnotes: 1. Interior Duct Placement: Ducts included as Option 2 of Table 9-1 shall be placed wholly within the heated envelope of the housing unit. The placement shall be inspected and certified to receive the credits associated p . EXCEPTION: Ducts complying with this section may have up to 5% of the total linear feet of ducts located in the exterior cavities or Glazing Schedule Project Information Contact Information Jack Helgens project HLH#1793R Nathan Glass- Designer HiLine Homes 253-840-1849 x129 Conditioned Floor Area 1716 Sum of UA for Heating System Sizing 61.5 Sum of All Glazing Areas From Below 206 Glazing to Floor Area Ratio 11.98% 602.7.2 Exception Ratio(not to exceed 1%) Exterior Doors Plan Component Door Percent Width Height Glazing Door Door ID Description Ref. U-factor Glazed Qt. Feet inch Feet Inch Area Area UA Front Entry Door 0.200 1 3 6 8 20.0 4.0 One Exempt Swinging Door<24 Square Feet Sum of Glazing Area, Door Area, and UA (do not include exempt door) I I 20.0 4.0 Area Weighted U= UA/Area 0.20 Sum of Area and UA for Heating system size only(include exempt door) I I 20.0 4,0 Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA Office " 0.280 4 • 20.0 5.60 Foyer 0.280 5.0 1.40 Kitchen 0.280 IM 4 IIIMa 14.0 3.92 Utility Room 0.280 EM 4 14.0 3.92- Master Bathroom 0.280 9.0 2.52 Master Suite 0.280 6 24.0 6.72 Dining Room SGD 0:280 EM 6 III 6 10 41.0 11.48 Living Room 0.280 25.0 7.00 Living Room , 0.280 6 30.0 8.40 Bedroom 2 0.280 4 •4 • 16.0 4.48 Guest Bathroom 0.280 7.5 2.10 Sum of Area and UA 1 205.5 57.54. Area Weighted U=UA/Area 0.28 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 Simple Heating System Size:Climate Zone 1 Project Information Contact Information Jack Helgens project HLH#1793R HiLine Homes 253-840-1849 Indoor Design Temperature 70 Outdoor Design Temperature 23 Design Temperature Difference(AT) QT=Indoor-Outdoor Design Temp 47 Conditioned Floor Area 1716 Conditioned Volume 14344 Glazing Copy Sum of UA from Glazing Schedule 62 Attic U-Factor X: Area = UA R-49 0.027 1793 48.4 R-38 Advanced 0.026 Single Rafter or Joist Vaulted Ceilings U-Factor X Area = UA R-38 Vented 0.027 Above Grade Walls U-Factor X Area = UA R-21 0.056 1476 82.7 Floors U-Factor X Area UA R-30 0.029 R-38 I 0.025 1793 44.8 Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 3.5'Depth Walls 0.041 7' Depth Walls 0.037 Slab Below Grade F-Factor X Length = UA 2' Depth 0.59 3.5' Depth 0.64 7' Depth 0.57 Slab on Grade F-Factor X Length = UA R-10 2' perimeter 0.54 R-10 Full -Heated 0.55 Sum of UA 237 Envelope Heat Load 11159 Btu/Hour Sum of UA X AT Air Leakage Heat Load 7281 Btu/Hour ((Volume X 0.6)X AT)X.018)) Building Design Heat Load 18440 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 1.15 21206 Btu/Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 31810 Btu/ Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010 • 4 • y 1 V_ L .. 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'r' 6 6. ,44' 0 I X41,11 - ( Contractors or Tradespeople Per Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEI to perform construction work within the Scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name HI-LINE HOMES UBI No. 601584067 Phone 2538401849 Status Active Address 11306 62Nd Ave E License No. HILINH*983BD Suite/Apt. License Type Construction Contractor City Puyallup Effective Date 1/4/2002 State WA Expiration Date 11/8/2013 Zip 98373 Suspend Date County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company CREATIVE DESIGN BUILDERS INC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Expiration Status Date Date CREATIVE Construction CREATDB066QG DESIGN Contractor General Unused 11/7/1994 11/7/2003 Archived BUILDERS INC CREATIVE Construction Cabinet CREATDB101QMDESIGN Contractor Carpentry/Framing And 11/14/1990 11/7/1994 Archived BUILDERS Millwork HILINH*981BT HI-LINE Construction General Unused 1/30/2002 2/10/2012 Inactive HOMES Contractor Business Owner Information Name Role Effective Date Expiration Date BEHR, JARED R President 04/19/2012 BEHR,AMBER D Secretary 04/19/2012 SUNDBY,WILLIAM GENE President 01/04/2002 04/19/2012 SUNDBY, CHERYL ELAINE Secretary 01/04/2002 04/19/2012 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 Navigators Ins Co 46bc024277 03/06/2012 Until Cancelled $12,000.0004/19/2012 13 10hio Cas Ins Co 3720885 11/07/2001 03/06/2012 $12,000.0011/05/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date Granite State 02LX027563271- 15 Insurance 1 08/12/2012 08/12/2013 $1,000,000.0008/13/2012 Compan Granite State 14 Insurance 02LX027563273008/12/2011 08/12/2012 $1,000,000.0008/11/2011 Compan 13 COMPANION VGL1010976 08/12/2010 08/12/2011 SPECIALTY INS $1,000,000.0008/27/2011 12 VENTURE BANK 1004460053 09/11/2008 08/12/2010 $250,000.0009/19/2008 VENTURE 11 BANK/SOUTH 343003125 05/23/2006 09/11/2008 $50,000.0005/24/2006 HILL CENTER 110 I 343003091 05/23/2006 09/11/2008 $200,000.0005/24/2006 1 https://fortress.wa.gov/lni/bbip/Print.aspx 8/7/2013 Contractors or Tradespeople Per Friendly Page Page 2 of 2 VENTURE BANK/SOUTH HILL CENTER Summons/Complaint Information Cause County Complaint Judgment Status Payment Paid By 08-2-00072-8 Date:06/05/2009 SHAWN a Date:07/02/2010 Date:09/13/2010 BRENDA JEFFERSON Amount:$0.00 Closed/Satisfied Contractor BEGGIO Amount:$220,774.02 Amount: $220,774.02 Bond(s): 3720885 InterPlead: No 07-2-02214-4 Date: 11/26/2007 Date: Date: J RENI STORM THURSTON Amount: $0.00 Dismissed Amount:$0.00 Amount: InterPlead: No Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 8/7/2013 1110 • } CC NI- H o = D 0' L- CV _0 Z LL I-1 o H O co J 0 Cu J .. .. . w cf- a) — LO 14 0 -0 — Cu co O O L C1 'O g cc 'C3 +J co X c C-) 0 = H W O 0 -I-0 - H 0) 0) LU .. 7 L L L F- f--- CC = C.) 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CO •- .- CO a) F- I- X q- F- co co 4- 3E )E I- Q %Front Parcel Review • Parcel 702143001 Printed: August 8, 2013 JACK T HELGENS Site Address: PO BOX 491 253 MONTE CRISTO LN QUILCENE WA 983760491 QUILCENE, WA 983760491 QUILCENE WA, 98376 Parcel Number: 702143001 S-T-R: 14-27N-02W Total Acreage 9 Legal Description S14 T27 R2W S1/2 Sl/2 NW SW Land Use: 9800 Flood District: Fire District: 2 Planning Area: 10 Flood Map(FIRM)Panel No: School District 48 Zoning: RR1:5 COMP PLAN _ DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ ] Plot plan states "property line" [ ] Assessor's Map(Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ ] Legal Access to Property YES NO [ ] Parcel Tags or Scanned Documents YES NO [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag YES NO [ ] Shoreline Designation: YES NO [ ] Shoreline Sloe Stability: YES NO Stream Typ-b NO N �;ei_ Gv'— — o c4 PAP l - n ✓s Fish&Wildlife:YES C G / Wetlands: YES kt e Rare Plants:YES Seismic: YES CO Landslide: NO "AS Ad-- Flood: YES Erosion: YES 64O> Aquifer Rechar:e Are SIP NO SUS G SIPZ: non- At Ris High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site . . submitted: YesNo [ ] Forest Lands. NO Adjoining For-st Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES CO [ ] Agricultural Lands: YES U [ ] Archaeology: YES NO v/\((L [ ] Stormwater: New Impervious Surface 51 /0 Land Disturbing Activity (57V ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Ai ort YEs MRL YEs Forest Land-et, NO [ ] Landscaping Required: Yes [ ] Parking Spaces R-. -' -d NO () Other f 1 Building Height- UBC Standard [ ] Impervious Surface coverage perc Resource Lands&Public: 100/ Rural Residential: 2 ° Rural Indus Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Indus Lands only [ ] Total Building(s) Size: RVC:20,000 SF CC:5,000 SF NC:7,500 SF GC: 10,000 SF All others:subject to septic&water constraints/None specified [ ] Setbacks: Front: 2-v Left Side: S Right Side: .S Rear: 2) de CF Shoreline Setback: LSHA Setback: [ ] Road Classification: p4' 3 Road Approach: EXISTING .ST ' S RAP [ ] SEPA Required: YES [ ] Flood Certificate: [ ] Existing Case(s)&Condition(s): Violations: Yes No [ ] 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 NO, submitted: YES NO [ ] UGA No Protest Agreement YES NO, submitted: YES NO [ ] Site Visit conducted YES NO [ ] Require Final Zoning Approval YES NO [ ] ADMIN: Setbacks entered in P-unit Plan case N/A YES New Parcel Tags entered in Permit Plan N/A YES Special Reports Scanned N/A YES No parcel tags found for parcel Cases Associated with APN 702143001 Cases Name Review Type Status Planner BLD13-00242 HELGENS P Application Received: 8/7/2013 Permit Issued/Case closed: Case Finaled: NSFR w/attached garage SEP07-00074 HELGENS Application Received: 3/7/2007 Permit Issued/Case closed: 5/8/2007 Case Finaled: sep94-169 filed here OTH95-00043 JOHNSTON A Application Received: 3/7/1995 Permit Issued/Case closed: 4/11/1995 Case Finaled: well site inspection SEP94-00169 JOHNSTON C Application Received: 5/2/1994 Permit Issued/Case closed: Case Finaled: To Archives 5/1/2004 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 8/8/2013 Page 2 of 2 Map Output • Page 1 of 1 ArcIMS HTML Viewer Map , ao . ° ' ' ^may4 '- 1 1. -' _ r ti . • i • 7 t .� l 1 +' ' 1 0 r I_ Legend y + i '� Y + _ Selected Features �' r"{ 1 .� 1h� C_ 102!43 i ` I r JC_Raads �"' 'v 1 ''2-7\- -.'' i N. ..:-1 S - ; '.. ?,...z'1..y.. 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Parcels-H 702143061 702143010 1 Soils-H . * 1 702143013 702143003 `. 702143614 70214300ti 702143020 { fr 702143010 702143005----.--" 702154002 I S- ` H i ,, 702143025 .;702143023 702143015 702143021 702143024 702143022 ( r' i _l rr _ I a.�c.I ! `' _ I'', 702221002 702232015 702232020['02232014' 702232013 702232016 i' I i oeE`''. i I ( •.1.Ers.xacdodvy.:eNm.xm Corte Casa Scrsass GtS - 0 T s2gar FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Thu Aug 08 10:59:58 2013 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.0&Form=True... 8/8/2013 ■ • • 43. cob, JEFFERSON COUNTY [ Q M jW � DEPARTMENT OF COMMUNITY DEVELOPMENT D 1, AUG 6 2013 621 Sheridan Street • Port Townsend • Washington 98368 !, 1./S' O(S9 360/379-4450 . 360/379-4451 Fax http://www.cojefferson.waus/commdevelopment/ JEFFERSON FERSO`v COUNTY port (PT.OF C�""nfl rn o ! NT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: J �1< 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. ci0?2 PARCEL SIZE(I.E.,SITE) Size of parcel _ Qares An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet L/,2,3-/o3 sq/ft 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 structt 3 700 „ sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. / g Asp sq/ft Circle: Yes No t Well, utilities,etc. co sq/ft Does the project convert 2' acres or more of native vegetation to pasture? Driveway, parking,roads, etc. 32 d 0' sq/ft Circle: Yes No Lawn, landscaping, etc. sq/ft Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance l5FG!O sq/ft Cut AO tr),:reAS Fill (cu/yd) [over] stormwater calc worksheet Rev 9-9-2010—REV 9/9/2010 1 • Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions 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 �1 Structures(all roof area) , ''7lP sq/ft Structures(all roof area) 'Tole sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway, parking, roads, etc 3a.vb sq/ft Driveway, parking, roads, etc �`4f O sq/ft Other sq/ft Other sq/ft Total New - _9 I Q sq/ft Total Existing /AO sq/ft TOTAL NEW+TOTAL EXISTING*/5,.i..36 6 - sq/ft *This amount will be used BY STAPP 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: ,15% Does the site have 35%or more of existing impervious surface? Circle: Yes No 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 lie ' y knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of-the affe - • property. VV 67/ 3 rt ►•WNER OR AUTH IZ — RESENTATIVE SIGNATURE) (DAT r77-"71r77-7777,77,77:',,,,4;-:*,e-?4*.�C(] �t`:agi�v k ar f j yy�$,'n Tt v,. d�. kro„�_,. ` f 6- f,.,p i i T�4.."j"..a�Jt� j �� ir k 5,�, t t&yt i } , 4 fi (gr Gari� k r C e, r .� �r i aV , . � { , . iyaoo.ita 3A� d - , stormwater talc worksheet Rev 9-9-2010-REV 9/9/2010 2 < � � CO o ...004/ a 0 0 N p0 cS ( t- Z o Q ° --- o m°CV WI O sd 0 --- -- ,b z'6S Z ----..°----- j [\ N- m N __ __ � a ° ° . O � Ob I I lb VE i4� � 4 ! • C1Q a o CC \� y°w 4 Q 1 o rn 4� _ y _ Z Wy a � 0 co I II \Az. 4. . \ . / .- '11 fraIN . L. ._ - , \ NM,e 00 - ,„, o °z \-� �Nw ► �' 3 �: ° Z � a I o , f )f".14.1.. �� i .N. 0 I ■ v 'T) i M t NI- Yom. I / I ` C, ,_:= zozo, .� o, x-04 2 N 2kJ U4U 4 r �' V"m�• ° W I �I L m,w3p„ rnl - o2-ozi, ' 41 °' V 4(30�i � J L . ' Z ze, I Q In a�°we�o I c*� J U �(xi2ca¢V� N z !� 0. 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Q��a 1,::; ; NI cp ` W '��'iJ�s ` \ ''w,0 \ Z m N o '''�I/'1` • N o W O Z i- c c H a w " I '- oU W Ce oO C p 0 road Page 1 of 1 ROAD LOG INFORMATION FOR1PONTE CRISTO LN ROAD NUMBER:P463 ROAD NAME:MONTE CRISTO LN CROSSROAD NUMBER C337509 CROSSROAD:SHADY LN CROSSROAD MILE POST:0.2 CROSSROAD LEFT OR RIGHT RT ROAD LENGTH:0.37 GRID ROAD STARTS:J-10-F MODIFY DELETE ADDRESS SEARCH ROAD SEARCH CREATION DATE SEARCH http://isserver/Address/RoadDetail.asp?ROAD NUMBER=P463 8/8/2013 CAS. FINDING, CONDITIONS, PERMI "SIONS FOR Parcel 702143001 Printed: August 8, 2013 Cases Name Review Type Status Planner BLD13-00242 HELGENS P Application Received: 8/7/2013 Permit Issued/Case closed: Case Finaled: NSFR w/attached garage 1.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred(500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. SEP07-00074 HELGENS I Application Received: 3/7/2007 Permit Issued/Case closed: 5/8/2007 Case Finaled: sep94-169 filed here 1.) Distribution boxes shall be fitted with a riser to grade, constructed of durable materials and a secured lid, adequately sized to allow visible inspection of the liquid level in the box. 2.) As per Jefferson County Code 8.15 all onsite sewage systems require monitoring. Monitoring shall be provided by an approved entity. THIS SYSTEM IS REQUIRED TO BE INSPECTED EVERY 6 YEARS. 3.) Designer must be contacted prior to start of construction and for inspections during installation. 4.) H -An asbuilt drawing and certification of completion by the Designer is required prior to final approval. 5.) 10' separation required between a Water line and all portions of the onsite sewage system; effluent transport line, tanks, treatment and disposal components. 6.) All components of the septic system are to be completely protected from vehicular traffic or mechanical disturbance. 7.) Contact designer prior to installation for staking of drainfield area. 8.) Divert all sources of drainage, including roof drains away from septic tank and drainfield area. 9.) Approval of this sewage disposal permit does not preclude the permit holder from complying with the Unified Development Code for other/future development on the site. 10.) This system as designed and approved is sized for only one single family residence. It is not sized for an Accessory Dwelling Unit(ADU). The minimum daily design flow per residence is 240 GPD. 11.) Approval/issuance of a sewage disposal permit does not guarantee the approval of other development or a building permit on this site. Compliance with other Jefferson County and Washington State Codes is required. 12.) 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. OTH95-00043 JOHNSTON A Application Received: 3/7/1995 Permit Issued/Case closed: 4/11/1995 Case Finaled: well site inspection No findings, conditions, or permissions found. SEP94-00169 JOHNSTON C Application Received: 5/2/1994 Permit Issued/Case closed: Case Finaled: To Archives 5/1/2004 No findings, conditions, or permissions found. \\tidemark\data\forms\R_MLT_Parcel_Cond.rpt 8/8/2013 Page 1 of 1 '‘ 4 r=i - < n F.;. !J1 � ° N O 1. ti _. Z ` o O y m n G, :11N C.i Z n{' 3 O � / ` i`O��LI r--- �Il/.y Ba a y 4 ,�� o p o rr, N. 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R O \ C y O \ O Z i \ .� � � I • • 3.1.1 Downspout Full Infiltration Systems (BMP T5.10A) Downspout full infiltration systems are trench or drywell designs intended only for use in infiltrating runoff from roof downspout drains. They are not designed to directly infiltrate runoff from pollutant-generating impervious surfaces. Application Projects subject to Minimum Requirement#5 (Section 2.5.5, Volume I) must provide for individual downspout full infiltration systems or full dispersion if feasible. Evaluate the feasibility, or applicability, of downspout full infiltration unless full dispersion is proposed. Use the evaluation procedure below to determine the feasibility of downspout full infiltration. Flow Credit for If roof runoff is infiltrated according to the requirements of this section, Roof Downspout the roof area may be discounted from the project area used for sizing Full Infiltration stormwater facilities. Procedure for 1. Have one of the following prepare a soils report to determine if soils Evaluating suitable for infiltration are present on the site: Feasibility • A professional soil scientist certified by the Soil Science Society of America(or an equivalent national program) • A locally licensed on-site sewage designer • A suitably trained person working under the supervision of a professional engineer, geologist, hydrogeologist, or engineering geologist registered in the State of Washington. The report shall reference a sufficient number of soils logs to establish the type and limits of soils on the project site. The report should at a minimum identify the limits of any outwash type soils(i.e., those meeting USDA soil texture classes ranging from coarse sand and cobbles to medium sand)versus other soil types and include an inventory of topsoil depth. 2. If the lots or site does not have outwash or loam soils, and full dispersion is not feasible, then consider a rain garden or bioretention BMPs (the next lower priority on-site stormwater management system). 3. Complete additional site-specific testing on lots or sites containing outwash(coarse sand and cobbles to medium sand)and loam type soils. Individual lot or site tests must consist of at least one soils log at the location of the infiltration system, a minimum of 4 feet in depth from the proposed grade and at least 1 foot below the expected bottom elevation of the infiltration trench or dry well. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-4 • • Identify the NRCS series of the soil and the USDA textural class of the soil horizon through the depth of the log, and note any evidence of high ground water level, such as mottling. 4. Downspout infiltration is considered feasible on lots or sites that meet all of the following: • 3 feet or more of permeable soil from the proposed final grade to the seasonal high ground water table. • At least 1-foot of clearance from the expected bottom elevation of the infiltration trench or dry well. • The downspout full infiltration system can be designed to meet the minimum design criteria specified below. Design Criteria Figure 3.1.2 shows a typical downspout infiltration trench system, and for Infiltration Figure 3.1.3 presents an alternative infiltration trench system for sites with Trenches coarse sand and cobble soils. These systems are designed as specified below. General 1. The following minimum lengths (linear feet)per 1,000 square feet of roof area based on soil type may be used for sizing downspout infiltration trenches. Coarse sands and cobbles 20 LF Medium sand 30 LF Fine sand, loamy sand 75 LF Sandy loam 125 LF Loam 190 LF 2. Maximum length of trench shall not exceed 100 feet from the inlet sump. 3. Minimum spacing between trench centerlines shall be 6 feet. 4. Filter fabric shall be placed over the drain rock as shown on Figure 3.1.2 prior to backfilling. 5. Infiltration trenches may be placed in fill material if the fill is placed and compacted under the direct supervision of a geotechnical engineer or professional civil engineer with geotechnical expertise, and if the measured infiltration rate is at least 8 inches per hour. Trench length in fill must be 60 linear feet per 1,000 square feet of roof area. Infiltration rates can be tested using the methods described in Section 3.3. 6. Infiltration trenches should not be built on slopes steeper than 25% (4:1). A geotechnical analysis and report may be required on slopes over 15 percent or if located within 200 feet of the top of slope steeper than 40%, or in a landslide hazard area. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-5 • • 7. Trenches may be located under pavement if a small yard drain or catch basin with grate cover is placed at the end of the trench pipe such that overflow would occur out of the catch basin at an elevation at least one foot below that of the pavement, and in a location which can accommodate the overflow without creating a significant adverse impact to downhill properties or drainage systems. This is intended to prevent saturation of the pavement in the event of system failure. Design Criteria Figure 3.1.4 shows a typical downspout infiltration drywell system. for Infiltration These systems are designed as specified below. Drywells General 1. Drywell bottoms must be a minimum of 1 foot above seasonal high ground water level or impermeable soil layers. 2. When located in course sands and cobbles, drywells must contain a volume of gravel equal to or greater than 60 cubic feet per 1000 square feet of impervious surface served. When located in medium sands, drywells must contain at least 90 cubic feet of gravel per 1,000 square feet of impervious surface served. 3. Drywells must be at least 48 inches in diameter(minimum) and deep enough to contain the gravel amounts specified above for the soil type and impervious surface served. 4. Filter fabric (geotextile) must be placed on top of the drain rock and on trench or drywell sides prior to backfilling. 5. Spacing between drywells must be a minimum of 10 feet. 6. Downspout infiltration drywells must not be built on slopes greater than 25% (4:1). Drywells may not be placed on or above a landslide hazard area or on slopes greater than 15%without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and with jurisdiction approval. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-6 • roof drain PLAN VIEW 4'rigid or 6'flexible NTS perforated pipe 1IIIIIIIIIIIIIIII•111••IIII4, infiltration trench sump w/solid lid PLAN VIEW roof drain NTS ii overflow 4"rigid or 6"flexible splash block ,, perforated pipe ._r� ll ■ fi= • :$ D °d —krveF-- _ •Dpp° L1 washed rock q°q D° ° q°q; i'n^in 5.0'min 12' :°Cl=' 1l,7-V4" r;•To� oDO� f i'min ° a--- .&_°-°__0'' J 111 fine mesh scree \--CB sump w/slid lid I10'min-•---- varies 1110-A filter fabric i _ compacted backfill -- 1 6' ,,..4. �• _ iV . 4"rigid or 6"flexible 4 9 09° ,`ov o perforated pipe 24' - - - nIIa a .'.�D D° ro Cl 12' '�• qp:5-� p a 4+°• washed rock I`,440 cdaaDO 1 1/2*-3/4' ° n• —24" x-1 SECTION A NTS Figure 3.1.2 -Typical Downspout Infiltration Trench Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-7 • from roof Ko grass 6'min overflow 1112'-3/4' 0.° 4q°°qc washed rock o qo NOTE: e length dimensions °a o, 18'min 'po o,v4 and site limitations as typical system 2'min 15'Mill ■ • X-SECTION NTS • Figure 3.1.3 -Alternative Downspout Infiltration Trench System for Coarse Sand and Gravel Source: King County Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-8 11 III . / / , R oaf DownsroU House . v/' / / -Catch Basin (Yard Drain) Il ,i .. \ --DP fbw --, Rod Dwenspout 0 I DRY WELL I 48 Inch Dia rreter Hole Filled wit PLAN VIEW iii2-3"Washei Drain Rock Nrs d R oof DownspoLt g Mark Center of Hole with 1."Capped PVC HO us VA Overflow C or Other means g k_ Splash Block Topsoil Flushwith Surface Iii - in •......— ::•° :: Mil '1'.. .t1-- • -:::El..H. pp.1111111111111 . 41—.5P•- 7r!eir 11,yrgZik_ii;?1,:;;tr: fbw 1SiliV47..;....,X.-grt..!•,-rt7,' Fine Mesh Screen LI --Min' zr ci a Catch Basin (Yard Drain) 19 min. PVC Pipe Sides of Hole Lined with Filter Fabric .57...A.tz . ,,r..ra ei•AS81?" .6■01::,7+7, 1,.'.1! rx,A11.; ' .41A. .4 51 4, . 48 Inch Diameter , Ilnin' !7' Hole Filled with c ki 11/2.3"lrYashecl -I Drain Rock • lAgvne if Mn. 1'above Seac93rta I DRY WELL High Grourdwater Table SECTION !I 14TS Figure 3.1.4-Typical Downspout Infiltration Drywell Source: King County Volume III-Hydrologic Analysis and Flow Control BMPs-August 2012 3-9 . • I Setbacks Local governments may require specific setbacks in sites with slopes over 40%, land slide areas, open water features, springs,wells, and septic tank drain fields. Adequate room for maintenance access and equipment should also be considered. Examples of setbacks commonly used include the following: 1. All infiltration systems should be at least 10 feet from any structure, property line, or sensitive area(except slopes over 40%). 2. All infiltration systems must be at least 50 feet from the top of any slope over 40%. This setback may be reduced to 15 feet based on a geotechnical evaluation,but in no instances may it be less than the buffer width. 3. For sites with septic systems, infiltration systems must be downgradient of the drainfield unless the site topography clearly prohibits subsurface flows from intersecting the drainfield. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-10 Contractors or Tradespeople Prr Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LBJ to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name HI-LINE HOMES UBI No. 601584067 Phone 2538401849 Status Active Address 11306 62Nd Ave E License No. HILINH"983BD Suite/Apt. License Type Construction Contractor City Puyallup Effective Data 1/4/7 02 State WA xpiration Date 11/8/2013 Zip 98373 us end Mre County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company CREATIVE DESIGN BUILDERS INC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Expiration Status Date Date CREATIVE Construction CREATDB066QG DESIGN Contractor General Unused 11/7/1994 11/7/2003 Archived BUILDERS INC CREATIVE Cabinet Construction CREATDB101 QM DESIGN Contractor Carpentry/Framing And 11/14/1990 11/7/1994 Archived BUILDERS Millwork HILINH*981BT HI LINE Construction General Unused 1/30/2002 2/10/2012 Inactive HOMES Contractor Business Owner Information Name Role Effective Date Expiration Date BEHR, JARED R President 04/19/2012 BEHR,AMBER D Secretary 04/19/2012 SUNDBY,WILLIAM GENE President 01/04/2002 04/19/2012 SUNDBY, CHERYL ELAINE Secretary 01/04/2002 04/19/2012 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 Navigators Ins Co 46bc024277 03/06/2012 Until Cancelled $12,000.00 04/19/2012 13 10hio Caslns Co 3720885 11/07/2001 03/06/2012 $12,000.00 11/05/2001 Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 3 343003091 5/23/2006 8/14/2013 Insurance $50,000.005/26/2006 2 1004460053 5/23/2006 8/14/2013 Insurance $200,000.00 5/26/2006 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date Granite State 02LX027563271- 16 Insurance 2 08/12/2013 08/12/2014 $1,000,000.0008/09/2013 Compan Granite State 02LX027563271- 15 Insurance 1 08/12/2012 08/12/2013 $1,000,000.0008/13/2012 Compan Granite State 14 Insurance 02LX0275632730 08/12/2011 08/12/2012 $1,000,000.00 08/11/2011 Compan 1 https://fortress.wa.gov/lni/bbip/Print.aspx 9/10/2013 Contractors or Tradespeople liter Friendly Page Page 2 of 2 13 COMPANION VGL1010976 08/12/2010 08/12/2011 $1,000,000.0008/27/2011 1SPECIALTY INS Summons/Complaint Information Cause County Complaint Judgment Status Payment Paid By 08-2-00072-8 Date:06/05/2009 SHAWN & Date: 07/02/2010 Date:09/13/2010 BRENDA JEFFERSON Amount: $0.00 Closed/Satisfied Contractor BEGGIO Amount:$220,774.02 Amount: $220,774.02 Bond(s): 3720885 InterPlead: No 07-2-02214-4 Date: 11/26/2007 Date: Date: J RENI STORM THURSTON Amount: $0.00 Dismissed Amount: $0.00 Amount: InterPlead: No Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 9/10/2013 , i ,. r , I/ �� C0 W •1 6) CT A W N .' !ail Q) Cn A W N O 111 cnD (n000 Dv_C) 0(0 1DD OcnD m 1- KCn(nr1(n (n pm 1c KroG)� ADO � Ororo 'n 00) 0) m($)1 Oz O < 2M �DK (n Z mz Occ{nmo 0 >w mm Dzpr 0cr0 0 cmm _°z DDO> Wm (;,CZI (,,) 1� 0> <Zn " „mm 00 mp 0mnpmvmW n1 �� Zm �� � Z2 p;w ZD1W TvooOQ� H>> (nmr rr2z meth -.1 z v2> mm -1 mw Zx � `2w G)2 � T,Oc1r,0 Zx O � Zm �cm Om � �m �D�rnzd m== � m� wmZOZ x°' wzZZ vr��2 cmi)D�O .2>� tm,, x0� mZ DZmmG)mG)� C7 I.> < ,-Tic > > PZ - w� 120 CmzK °—< roG)G)mm0 20z(n n) v , mm > *cm� 0p7 or - mw9 Dm n >OZmror > z m0 zHmK { -iC Dm .Nrn XDro0(0 o-z >�-< Hcom pcn c rr- m-t �m mc� mmN � xC pD mnmA � yrc) Cl) mzi nD zmfny TW Om 2D Llr -D{ ZNzp va� Znp DmN� �Cm �m �<n ,� z (n DDc) 1 -1m co ',m OCZZZOOD � C ?W �, Zm 0 ,x pm 7,i -1- H >00Dp 02 >rI 0 Z0Z H�0 m ' m 0(ri) 2 -nm F--1 v0 c0'�o°vvz >w 4 mo nmCJ �J nm mm -91 �r-100u -"=Mmr=1 -ammo 10TD ro Zo oom0 m, r 2 �z 2w C '< O� iozx �� mnZO me �D ?O cOmZZC 0g1- 0i(gz Atnz - O �o?D -IX 00KT) Omen m =z 0� mm2ZwOwv O O COmc pTl nC D p�lr0 Z 1 z Oorn X -le O -m mD m > m, SK -1 Z z mz CO C m D(n * < (nIOmv. • i {NC• yx yr > ODG Dmm- > Zv 0cm Ccnm x0 DPOD rroD Z O v 0 1 Z m <- r 1 1 m S O r D 0 p N ro - Z Z D r w w ro D D m D Z ro 0 m (n C O r �p 0 �DZ 732 XD DZ CD(nO W Z noDPO y > mx m romr -I- Dm Krr nor D oZrn 'i0 o mw0200 fm/1 mm Amv �i0 1z Mm -12x . 1-(/) mar • O 0D 1 ui �01r 021v zmr mr r r �� pmvD V G 0 Z� wz �cril DO mp m (J)< I roWI mamaFory J m0 Z m-0 W� oA -nJ2z mr Z W� �ro nOcn-< D =mX rn 0K ACZm � A O� � (n y" 2 -p*m Do) >w rD(On0 0 mr� -ro8 morn vn mr D 1 (znDroADO � -< 0rm 27J 0D Z� 0m07� 1 Omr(nm -< m)m mOZ -x -ID PI- m m mr Z H -1 Mr-CM XK mm DHz m0 - 0 Ho vDzomaz N�OC1 H1 �m cn mcnm DZ �T nZ nZ m� mpZD� Zivmo mom H0 * 0G) m2 00 0O DE DZD pC1C)" �2zX C pr worn 00 z 11 cn- -1 mzp0 roar MC D �1� Op vz)D m � �cnK Dr= OvOVmiZ CCCn1 �WK 0rc(� 0 z r0 z 2 00 rT� M2mr w� {O iro 2 D � °)�oK�E w � r Hmoc W rn c NmD � D Z� G� (n01m�1 � mm 2m0 mm O 2� pm0— r rD -O-D O men H 0 1m W � 001 z m m= 1 Z002Hm n2 0 0 to Z- O 2 r O� � �j r � r ZOO- 2 D C)2 x z m Z 2 1 0 m m > D D Z O cn 0pc 1x0 O0 3 mD (�orm(n p vZ �°ate cnzzz m 0 : > m� 0� D? 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D am / pm Mon. Tue . Thur. --Fri. .-- BLD: -4 _ • Date: i 2 - • OWNER: • 0 ...1 S . - - Contact Name:. -2 3 leln CVat C/1 CO L--k&_ ADDRESS: Contact Number.360 9_,G-3 60,6-- 577-- . A Notes: . . . • • - . . - . Foundation Plumbing - Framing . Propane Tank- echanicat Setbacks Under-ground Framing & Under ground Furnace Footing Rough in _X., Air seal Above ground - Gas Stemwall _ Hydronic Exterior shear Exterior lines Oil Straps interior shear Interior lines • Ducts Post Hole - Ventilation Appliance Underfloor Gas/wood stove . Man-Honies . . . Setbacks Insulation . Final Inspection Foundation- . . •-•.. Block&Tie floor _wall ceiling Address Posted . i �4,,.,-SON `be, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT &�SHr NG�� Date: /I "2-1 Time Received: 8`-s'1j CI Pm Mon. Tue. Wed. Thur. Fri. Date: BLD: /3 21/ 2- Contact Name: Owner: �i 6-GEC )-tc ly k/y9 Contact Number: 360 �j 3 /405 ' Address: e 5-3 mov. C,r■s r�o 206 Notes: < av v-r4-1 ( 1 5 ff Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling �°°=1i 2l -time received Z``- ad. pm Mon. , Ned: Thur. -Fri. )ate �� - • BLD: /3 (502.47- Date: /O/ Contact Na OWNER: g /4 - me.J G•ADDRESS: O` / /.Its ez�?� N Contact Number 360 ��� �G �--�+ 20.6 a Notes:_ - •Foundation 'Plurnbin • -'Framinq' - . Propane Tank- - Mechanical • Setbacks Under-ground•_. Framing Underground — Furnace — • Footing Rough in Alr seal Above ground — Gas ____ Stemwali Hydronic Exterior shear Exterior lines _ Oil A— Straps Interior shear Interior lines Ducts Ventilation Appliance Post Hole • Underfloor Gas/wood stove _ Man4ionies • Setbacks Insulation. - - Final Inspec.-on '; Foundation--- floor wall ceiling.. Address Posted • tic' Tie - Date H-5 time received / --, Gm al 8E D. L'f 2 Tues. `vied; T 1Ur. 4 Date: I�L� OWNER: Contactt Name: ADDRESS: - •S 3_ in___E_ CycJ cv p Contact ;umber:360 b q,3 WA Notes 21.5 137 Foundation Plumbino F rarntr.o Propane Tank - - h`;echanical Setbadcs Under-ground Fooiin Framing Under ground F4mac 0 Stzm„ali Rough in Air seal Above ground Gas Hy ror,;c Extericrsheer Staps Interiorshear Eeriorltnes Oil —_ Past Holz lnteriorlines Ducts Ventilat on _ Ma Underfloor Appliance _ :an•Honies Gas;lvood stove_ Setbadis _ Insulation. - Foundation-_ Finallns Bio•&Tie pzc.tion floor _wall ceiling . �' Address Posted • Date time received / 00 €.73 pm Mon. Tues. .Wed: Pd. SW: •l 3 - 2 L Lt' Date: - . . Contact Namec OWNER: f - - � 2?� y1 TL GO 5TC-1 Contact Number 3602) J ` J ADDRESS: �3 � �.p �! 20•6 •1j Notes: • - Framing Propane Tank Mechanical Foundation Plumbing q Setbacks Under-ground Framing Underground Furnace — Footing Rough in Air Above ground — Gas Stemwall Hydronic Exterior shear Exterior lines Oil • Interior shear Interior lines Ducts _. Straps Ventilation Appliance Post Hole Underfloor _ Gas/wood stove Man Hon es Insulation. Final inspection ::y Setbacks : `,• Foundation Address Posfed Block Vie floor wall ceiling. . r A 4),A/ id I 0 / � Date C____ — time receve pm tel Tues. ,Wed= Thur. -Fri. Date: BED: I –T • Contact Name: _ OWNER: O�iS 3 Contact Number 360 7 ADDRESS: 206 — L. ... .c Notes: Framin g .Foundation Plumbin k Mechanical Under round — Furnace Sooting s Under ground_ Framing l Above ground _ Gas — Footing Rough in Exterior lines Oil Stemwall Hydronic Exterior shear Duds Straps Interior shear Interior lines Appliance Ventilation App Post Hole Underfloor Gas/wood stove___ Man-Homes :_• lnsulatlon. Final Inspection s Setbacks -A Foundation P.ddress Posted God(&ne floor wall ceiling. . i w,4sON `% JEFFERSON COUNTY "4 DEPARTMENT OF COMMUNITY DEVELOPMENT 4So 9 Date: Time Time Received: 1 Z'_ ---c, am/.) Mon. dr) Wed. Thur. Fri. Date: I 551 2- ) BLD: '-,-- 2--14 Z Contact Name: d O"-C -- \-\A"\ Owner: c_'-"X co 4---.? Contact Number: 360 z ,A IS,-1 Address: 2.-5'2, f•J''•--- ` S Yz' 296 '1 5- — S1 w Notes: ` Co _ _ c..) .ti \ ' \, ■ F Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time,we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m.,we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. ��,SOn �,o, 2'i 4-cri q q �W1` �Ol ti� ?. JEFFERSON COUNTY Cemerpty 4 5i L. DEPARTMENT OF COMMUNITY DEVELOPMENT 0,t--- Sff �,�V S�AoY L�N� �. Date: /y* Time Received: / 11/ am6) Mon. Tue. Wed. T ur Fri. Date: .5715" BLD: /-5 --a`712--- Contact Name: Owner: Contact Number: 360 Address: o�• 5-3 r).1c>il e- ( r-,...:st. ) 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block &Tile Ceiling ��S`S°N coca JEFFERSON COUNTY q DEPARTMENT OF COMMUNITY DEVELOPMENT / 94'117 NG,CO Date: >/5 Time Received: o746' ar Mon. ("rue Wed. Thur. Fri. Date: _576 BLD: 13 - 4507 12- Contact Name: Owner: i Contact Number: 360 4/, z 733 Address: 25 ,:mac, 6.444 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection X. Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling • Inspections are required to be called in by 3:00 pm to receive an inspection the next day. Do to staffing issues, at this time, we cannot guarantee that you will receive an inspection the next day. day. Unless you receive a call from us, assume we will arrive on your requested inspection day. • You may leave an inspection request 24 hours a day, and Inspections are available from Monday through Friday. • We cannot determine the time we will arrive in advance. However, if you call our office the morning of your inspection, around 9:00 a.m., we can give an estimate of when the inspector will arrive. Our general office phone number is 360 379-4450. • An approved set of plans are to be on site with building permit for all inspections. If permit and plans are not on site at time of inspection, a re-inspection fee must be paid prior to re-scheduling another inspection. • If no access, no inspections will be performed, and a re-inspection fee must be paid prior to re-scheduling another inspection. • Inspectors will not access a home that has personal affects inside when the owner is not present. • Commercial projects require 24 hour notice for inspection. 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Tue. Wed. Thur. Fri. Date: 171 1 BLD: Contact Name: Owner: Contact Number: 360 -, -, Address: '' 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Oil Straps Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling C ON c�0?� JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ING% Date: —30 Time Received: ,2 8 am '� / ► Mon.) Tue. Wed. Thur. Fri. Date: .) _3 BLD: /7-,2 �1 Contact Name: Owner: Contact Number: 360 412_6 '730/ Address: ,23-3 ,:,074-e_ s/ v 206 Notes: C"--7 .� Foundation Plumbing Framing Propane Tank P Mechanical Setbacks Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall Hydronic Exterior shear Exterior lines Straps Oil p Hot Water Htr Interior shear Interior lines Ducts Post Hole Ventilation Appliance Underfloor Gas/Wood stove Man-Homes Insulation Setbacks Final Inspection Floor Foundation Wall Block&Tile Address Posted — Ceiling KeSON Cbe, JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 9SNINc, Date: 1 Li Time Received: 9 ( 2. 41iin/pm Mon. Tuel Wed. Fri. Date: Ic Contact Name: Owner: t� 2` Contact Number: 360 I r 21 l S Owner: 206 Address: 23 V `re' C l y fi t n 65 I w 13 Ge%5 Notes: Foundation Plumbing Framing Propane Tank Mechanical Under round Furance Setbacks Under-ground Framing g Footing In Rough Gas Rou h Air Seal Above ground Stemwall Hydronic Exterior shear Exterior lines Oil Interior shear Interior lines Ducts Straps Hot Water Htr Appliance Post Hole Ventilation Underfloor Gas/Wood stove Man-Homes Insulation Final Inspection Setbacks Floor Foundation Wall ss Address Posted Block&Tile Ceiling