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Home My WebLink AboutBLD2013-00328 111 UILDING PERMIT APPLICA N BLDI3-00328 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00328 Received Date: 10/21/2013 SITE ADDRESS: 66 N PALMER DR PORT TOWNSEND, 98368 OWNER: THOMAS C BARNETT PHONE: JEAN AAKIN 40 VANCOUVER DR PORT TOWNSEND WA 983688915 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 938400911 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr ADDITION TO EXISTING GARAGE, NO HEAT, NO PLUMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 20,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 432 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $173.55 MEB 10/21/13 145457 State Building Code $4.50 MEB 10/21/13 145457 APPROVED Permit $267.00 MEB 10/21/13 145457 NOV Z�� Total: $445.05 Jefferson County DCD \\4irlamod do47\fnrmc\R RI Il Ann P1,1 rn4 1(1/91/9(114 • 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#: BLD13-00328 APPLICANT: THOMAS C BARNETT PHONE: JEAN A AKIN 40 VANCOUVER DR PORT TOWNSEND WA 983688915 SITE ADDRESS: 66 N PALMER DR Issue Date: 11/18/2013 PORT TOWNSEND, 98368 Final Date: 7/30/2014 SUBDIVISION: 9384 Block: Lot: PARCEL NUMBER: 938400911 Section: 12 Township: 30 N Range: 2W PROJECT DESCRIPTION:ADDITION TO EXISTING GARAGE, NO HEAT, NO PLUMB THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 7/30/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 7/30/2014 OUP Front Parcel Reviews Parcel 938400911 Printed: October 25, 2013 THOMAS C BARNETT Site Address: JEAN AAKIN 66 N PALMER DR 40 VANCOUVER DR PORT TOWNSEND, WA 983E PORT TOWNSEND WA, 98368 Parcel Number: 938400911 S-T-R: 12-30N-02W Total Acreage 1 Legal Description CAPE GEORGE COLONY DIV 3 BLK 9 LOTS 11 & 12 Land Use: 1100 RESTRICTIVE COVENANT AF#495807 Flood District: Fire District: 1 Planning Area: 2 Flood Map(FIRM)Panel No: School District 50 Zoning: 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 V � ' _ [ ] Shoreline Designation: YES NO [ ] Shoreline Slope Stability: YES NO _ Stream Type:YES NO _ FWHCA: YES NO lr( f ' / Wetlands: YES NO CO(J.X " ) (( Rare Plants:YES NO r ,L4, Seismic: YES NO fc Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ ] Forest Lands: YES NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES NO [ ] Agricultural Lands: YES NO [ ] Archaeology: YES NO [ ] No Shooting Zone: YES NO [ ] Stormwater: New Impervious Surface Land Disturbing Activity ESA's Stormwater Req's:Min Req#2 Min Req#1 thru#5 Min Req#1 thru#10 Engineering [ ] Notice Provisions/Disclosure:Airport YES NO MRL YES NO Forest Lands YES NO [ ] Landscaping Required: Yes No [ ] Parking Spaces Required NO 2 Other I- 1 Building Height: 35' UBC Standard [ ] Impervious Surface cover percentage: Resource Lands&Public: 1 Rural Residential: 25% Rural Ind l: Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial 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: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: Road Approach: EXISTING NOT REQ'D RAP [ ] SEPA Required: YES EXEMPT [ ] 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 Permit 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 938400911 Cases Name Review Type Status Planner ADR13-00052 BARNETT F Application Received: 10/16/2013 Permit Issued/Case closed: Case Finaled: 10/18/2013 REQUEST FOR ADDRESS CHANGE from 40 Vancouver Dr to 66 N Palmer Dr. ADR13-00052 BARNETT F Application Received: 10/16/2013 Permit Issued/Case closed: Case Finaled: 10/18/2013 REQUEST FOR ADDRESS CHANGE from 40 Vancouver Dr to 66 N Palmer Dr. BLD13-00328 BARNETT P Application Received: 10/21/2013 Permit Issued/Case closed: Case Finaled: ADDITION TO EXISTING-GARAGE, NO HEAT, NO PLUMB BLD13-00328 BARNETT P Application Received: 10/21/2013 Permit Issued/Case closed: Case Finaled: ADDITION TO EXISTING EXISTING.GARAGE, NO HEAT, NO PLUMB M LA05-00148 BLD05-00147 MLA05-00148 MILLENIUM ONE HOMES INC 1 F S HOSKINS Application Received: 3/14/2005 Permit Issued/Case closed: 4/21/2005 Case Finaled: 3/2/2006 NEW SFR W/ATTACHED GARAGE, DECK& A/G 120 GALLON PROPANE TANK BLD05-00147 MLA05-00148 MILLENIUM ONE HOMES INC I F S HOSKINS Application Received: 3/14/2005 Permit Issued/Case closed: 4/21/2005 Case Finaled: 3/2/2006 NEW SFR W/ATTACHED GARAGE, DECK& A/G 120 GALLON PROPANE TANK SEP05-00367 ESKELIN F Application Received: 10/26/2005 Permit Issued/Case closed: 11/14/2005 Case Finaled: 11/29/2005 RE-LOCATE EXISTING TANK ON SEP89-45 now filed here SEP05-00367 ESKELIN F Application Received: 10/26/2005 Permit Issued/Case closed: 11/14/2005 Case Finaled: 11/29/2005 RE-LOCATE EXISTING TANK ON SEP89-45 now filed here \\tidemark\data\forms\R_Parcel CRMLA.rpt 10/25/2013 Page 2 of 3 SOM05-00367 ak ESKELIN RCR Application Received: 11/29/2005 Mina Issued/Case closed: 7/24/2013 Case Finaled: SOM05-00367 ESKELIN RCR Application Received: 11/29/2005 Permit Issued/Case closed: 7/24/2013 Case Finaled: SEP89-00045 KNOWLES F Application Received: 1/24/1989 Permit Issued/Case closed: 3/30/2000 Case Finaled: 12/28/2000 now filed with sep05-367 SEP89-00045 KNOWLES F Application Received: 1/24/1989 Permit Issued/Case closed: 3/30/2000 Case Finaled: 12/28/2000 now filed with sep05-36 \\tidemark\data\forms\R_Parcel_CRMLA.rpt 10/25/2013 Page 3 of 3 • vV 7 I � • __ I \''N • . . . . --t): ). .../0,-e.- - • „ . 6 0 o. -. , •vi • .. ,..., ... �1� • r C- C . eel 7J �,• • • • . \ \IZ . • \ \\ li \ \ \ .• •G ' \ - • op ... . . -P \\\\\ . : o \ .. \ \ \ s • . ; ■ d� ..t, \s'J iv —o G Nil C') no mn C"") R\ ,...., c= . . G .•‘" gz4,-,,, ,y6 ,,.c.,\,, 2.'1 ' • J — • N . • o PI• X35' 79 P g . • L4 t . er,„1 ci, IV dr. or . 0 z_ likit--1"::: t.-,, Pz) vo • 1!:‘.. .;, (", r* o c 1 ... _ 1 litt w . ,..... . • _ od .. * tv . . . t.: . ..,. .. r • • vv • • 7 • 0 • • • \J j • a C;)- • • • t ° NA • � \ \Li . • \ , \ . \\\.\\\:\ \ CO • • • ; . • d. \\.4\s\, \\ ,... . ....\ < c\s, c:::, c:.: . c) . _,.., m 0 i E am' V1 -�( � \* \• w t A rn - • D N o b • 735^ 79 , • cn • 2 c 0 • Z • NI ....4:•.:, 1 4.14 NJ CD I. 1,.,...k, g . . ..._..... , . . ..„._,‘, . .. 0 . u . . . i v. . . . ...... . ,. . . . . . . • • . • • Standard Conditions for Residential Development in Jefferson County 1. LIGHTING: Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 2. BUILDING HEIGHT: The building height is not to exceed 35 feet. 3. OUTDOOR STORAGE: Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 4. UNLICENSED VEHICLES: Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requirements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 5. PARKING: A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 6. This permit has been reviewed consistent with JCC 18.40.130 & 140. Notice: this permit does not excuse the applicant from complying with other local, state and federal ordinances, regulations or statues, applicable to the proposed development, but consistent with RCW 90.58. Future development beyond that specified in this permit shall require further review. 7. BMPs: 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. 8. NOTICE: This permit does not excuse the proponent from complying with other local, state, and federal ordinances, regulations, or statutes applicable to the proposed development, but consistent with RCW 90.58. Development pursuant to this permit shall be undertaken subject to the applicable policies and performance standards of the Jefferson County Shoreline Management Master Program and the Jefferson County Unified Development Code. If during excavation or development of the site an area of potential archaeological significance is uncovered, all activity in the immediate area shall be halted, and the Administrator shall be notified at once. The Federal Endangered Species Act rules to protect threatened Chinook and Summer-run Chum salmon became effective on January 8, 2001. Bull trout have been listed as threatened since early 2000. Under the ESA, any person may bring lawsuit against any individual or agency that "takes" listed species (defined as causing harm, harassing, or damaging habitat for the listed species). In addition, the National Marine 2013-03-07_SFR_StdConditions 3/7/2013 1 • Fisheries Service can levy penalties. Portions of Jefferson County, including marine waters, are included as "critical habitat"for a listed species. Development of property along any marine shoreline, freshwater shoreline, or floodplains could harm habitat if protective measures are not taken. To minimize the potential to damage habitat, all property owners developing adjacent to marine shoreline, freshwater shoreline, or floodplains are advised to do the following: All development activities should avoid unstable slopes, wetlands, and forested areas near surface waters Remove minimal vegetation for site development, especially large trees Allow trees that have fallen into surface waters to remain there Infiltrate stormwater from buildings and driveways onsite through drywells rather than discharging directly into surface waters or roadside ditches The Federal Bald and Golden Eagle Protection Act requires landowners within 660 feet (1/8th of a mile) of an eagle nest to consult with the US Fish and Wildlife Service. This Eagle Act prohibits anyone from "taking" bald eagles. This federal law defines the term "take" and describes the possible legal consequences when a "take" occurs. Among other actions, "take" includes a disturbance of bald eagles or their habitat. Under federal law a permit may still be required for activities that impact bald eagles or their habitat. Contact the US Fish and Wildlife Service (http://www.fws.gov/pacific/eagle/) to learn more about how this law affects your project. Any individual, group, or agency can bring suit for a listed species "taking", even if you are in compliance with Jefferson County development codes. The risk of a lawsuit against you can be reduced by consulting with a professional fisheries habitat biologist, and following the recommendations for site development provided by the biologist. For more information, contact the National Marine Fisheries Service in Seattle, or the U.S. Fish and Wildlife Service. 2013-09-06 5FR StdConditions 9/6/2013 2 • CJEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMEN OCT 1 5 2013 4, 621 Sheridan Street• Port Townsend•Washington 9836 J 1c- fli 360/379-4450 •360/379-4451 Fax JEFFERSON COUNTY httpaJwww.ca.jefferson.wa.us/commdevelopment/ DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: / 7 D M A S A 4i 7) 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• b acres ( An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet 3 (0 1 3 b 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 structures q 32- sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. aq/ft Circle: Yes No Welt,utilities,etc. — sq/ft Does the project convert 2'r4 acres or more of native vegetation to pasture? Driveway,parking,roads,etc. I ?0 sq/ft Circle: Yes C Lawn,landscaping,etc. sq/ft Other compacted surface,etc. 5' // ff sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance b 6 b sq/ft Cut Fill (au/yd) [over) stormwater calk worksheet—REV.212W2008 1 • S 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 Structures(all roof area) 1 3 Z sq/ft Structures(all roof area) 3 -7// sq/ft Sidewalks S f sq/ft Sidewalks 2 Z/ v sq/ft Patios — sgfft Patios sq/ft Solid Decks Wit Solid Decks --- sq/ft (without infiltration below) (without infiltration below) (� Driveway,parking,roads,etc 14; sq/ft Driveway,parking,roads,etc b 1/ C) sq/it Other '" sgift Other — sq/ft Total New 6$ 6 sq/ft Total Existing y 3 Z q sq/ft TOTAL NEW+TOTAL EXISTING" 5 o b 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 ,l [. 0 3 Divide the total existing impervious surface above by the size of the parcel and convert to a percentage:)U-v % Does the site have 35%or more of existinq impervious surface? Circle: Yes 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. iaa:.. .►: Io_/s' 13 (LAND f .ER OR AUTHORIZED REPRESENTATIVE SIGNATURE) (DATE) stwrnweter oak worksheet—REV.2/20/2008 2 • • BLD13-00328 BUILDING PERMIT APPLICATION Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00328 Received Date: 10/21/2013 SITE ADDRESS: 66 N PALMER DR PORT TOWNSEND, 98368 OWNER: THOMAS C BARNETT PHONE: JEAN AAKIN 40 VANCOUVER DR PORT TOWNSEND WA 983688915 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 938400911 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOII ADDITION TO EXISTING GARAGE, NO HEAT, NO PLUMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 20,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: CONST TYPE: GARAGE: 432 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Plan Check $173.55 MEB 10/21/13 145457 State Building Code $4.50 MEB 10/21/13 145457 Permit $267.00 MEB 10/21/13 145457 Total: $445.05 \\+irinm.rWrloM\forme\G RI Il Ann PIA rn+ 1 nmi/9M Z • JEFFERSONtOUNTY bits r 4; okete"06, DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450 • 360/379-4451 Fax www.co.jefferson.wa.uslcommdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): ADDl1It ,i) 1c £X 1cc/M4 (A/44 rr I Tax Parcel Number. 93S" 11)O 7 // Property Size:').b)3 b (a quare feet) Site Address and/or Directions to Property: (le' . — / C/g/fz, 6.44g Co v I Property Owner(s)of Record: A: . AEI ♦ a: A. Telephone: s-03 -7 01 39'4/7 Fax: A/a NO email:to Im b ar 1<L r e/11600,, a/v1 Mailing Address: '16 VAil)c.0u v"h PIZ / of i lorti JO ND &4 9g3 L 5 Applicant/Agent(if different from owner): jV 4 Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies (� —' Building ❑Critical Areas Stewardship P Lek C F [ ❑ Demolition Permit ❑Variance(Minor,Major or Re=�:*?.• _ O Single Family ,I Garage Attached/Detached ❑Conditional Use[C(a),C(d), • t+ g O Manufactured Home 0 Modular ❑Discretionary"D"or Unnam=• I 4 lassification * )"O CT 1 5 2013 L) ❑ Commercial ❑Special Use(Essential Public -.� i= ❑ Change of Use ❑Boundary Line Adjustment I ❑ Address ❑Road Approach ❑Short Plat** D Home Business ❑Cottage Industry ❑Binding Site Plan D Propane ❑Long Plat** JEFFERSON COUNTY ❑Sign 0 Planned Rural Residential De NI1Y D Et0 SMENT ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** O Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Management Substantial Development*" O 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 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 required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica• that he or shswants p' r notice. Signature: C-0 Date: The action or actions Applicant will undertake as a result of the Issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable responsibility f dheri to and complying with the ESA. The Applicant has read this disclarner and signs and dates it below. Signature: tAyw.b-e.--- Date: /6-15=f.3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc III O 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 assumi he responsibility of tta\General Contractor for the proposed project. Signature: (-41g-Ali Dom: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: ESL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: T O New Existing;wood Existing; N woe Sewage Disposal: Ilk Addition ❑ Steel Proposed: Bank 0 Community System ❑ Alteration/Remodel 0 Concrete Total: Het ht: 0 Individual System ❑ Repair 0 Masonry IV/ SEP Permit# Nla O Demolition ❑ Other; Bedrooms: Water Supply: Existing: Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: NA If this is a Commercial Protect 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 bed that apply: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert 1 Hot Water Tank 1 Pellet Stove I Other Is this appliance beta Ina Manufactured!Mobile Home? Yes / No When applying fora 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. 4 , S•uare Foote,a Current P .. , Main Floor Heated fW EH Bid App Review: 2'' Floor Heated Consistency Review =211 Other Heated Base fee: Mezzanine . ,; Additional Section: L-',..,'•:',. Y `-`1 .] Heated Basement :4 K Plan Check fee: Unheated Basement 04:117.7.1r:':,-4:':.4 State Surcharge fee: Other Unheated - Pot Water Review fee: ilLagiiiii Garages SUBTOTAL Decks M 911/Rd Approach fee: Other Z°U TOTA, `1Zt ,y ''''':''''MV Receipt Number: ,_[ 11 7.1� � � . Cash/Check Number: v yA', 34 x ar ��— ESTIMATED COST(REQUIRED) Date: / *Fair et value of all labor and materials foundation to finish /1)1 /5—6 Initials: 1 v Y •db, DoOe'v Mqicji A -fn C11 GAP emritCenoar\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc —)CL-1C4 Q ,9 )/// ,\ -alo (1. .,1.,cf---et. ...,---. 9A u.d.i-6,7,19-e.,,\,) ,L 911 v p." -)-Y j tt; i...)."../ „--- 1' ,.......... • • • 1 9 „ h VI / - 0 00 -,G ) 21 ____. ......_ -7... a. 01 -A0V w ,, .--$ C -...6 v, - ; 7J00a. .9'9V-r.1, 9 — -'--\O------"---- -/t ,P --8o90: ;--vio , „ 3,,,,,, 0 c17 1 , ....„. .—:—.„.„ ,.....,----..—........,,..--- ..w.f.:=7.-r!':.-1,-.),..,1,-1, ..--- ,---- ------ • - — •-- .------r,-;-,:-. 7.,7,-7-.„:77-,,, ,.......:,.>-.....?;-/„.. , • '' '' •. t / ,"11 \ •z4 419 TA NQ/ N 0 1..LV101 ,L-41•zi, A , ,. 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U "O X CO U7 Cl O7 •- •- CO a) F— F— X q- I— CA O7 cF X X F— Q ,sONC� • d JEFFERSON COUNTY !4 I 3 %i AR MET O COMMUNITY DEVELOPMENT 621 DEP SheridanTN Str F eet• PortMUNI Townsend DE E.L WashiPMENngton 98368 360/379-4450 • 360/379-4451 Fax $ ISIZMIC6° www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): AoD/ i/DA) --re E'X/Cr//1 G 61'.4A14 k- ,Parcel Number. 93S yG D 7 // Property Size:0.b[3( (a oars feet) Site Address and/or Directions to Property: ((e P,--k•v-e-'. ttic i = > r ► . i , / . C4111 601,44E C0i- li i Property Owner(s)of Record: --i A j. . El < I h, Telephone: S-03 7 01 31147 Fax: 4/o NO email:' c.d�b a,s-k L r 1;h as•z.1, Mailing Address: 1/0 j//,tA1�,au Yo/L I�Z �oR r 'foct;n)5gx4) sQ,4 9S13 4'? M Applicant/Agent(if different from owner): /04 Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies Building ❑Critical Areas Stewardship u� C F M ❑ Demolition Permit ❑Variance(Minor,Major or Re:a:'' • . . ."731- ❑Single Family Garage rage Attached/Detached ❑Conditional Use[C(a),C(d), • to ❑ Manufactured Home ❑ Modular ❑Discretionary"D"or Unnam:' 1 4'r Iassification ❑ Commercial* ❑Special Use(Essential Public ❑ Change of Use , .'-')'"OCT 1 5-2013 ❑ Address ❑Boundary Line Adjustment O Road Approach ❑Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** JEFFERSON COUNTY ❑Sign ❑Allowed"Yes"Use Consistency Analysis ❑Planned Rural Residential De = •.;.,'_.E?•--.••_.i►, N{TY D -n s - T ❑Allowed tYr "Use y ❑Plat Vacation/Alteration*` Bement ❑Shoreline Master Program Exemption/Permit Revisions** ❑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 9 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 required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica• that he or she„wanl notice. Signature: C—0 Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the 'Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferabl responsibility f dheri to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: isvyM,rr _- Date: 1 0 /5'*--/3 G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc BUILDER STATEMENT The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assumin responsibility of the�neral Contractor for the proposed project. Signature: 3Yho✓(L� Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: ' EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: O New V Wood Existing: A ❑ Sewer Addition ❑ Steel Proposed: Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair 0 Masonry lv I SEP Permit# �� 0 Demolition ❑ Other Bedrooms: Water Supply: Existing: J Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: 0 Public Total: Name of System: AM if this is a Commercial Protect 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 parmi.mark all items below that apply: 1 Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove 1 Cook Stove 1 Woodstove I Fireplace Insert I Hot Water Tank 1 Pellet Stove 1 Other la this appliance beinsr installed in a Manufactured/Mobile Home? Yes / No Mien 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. • • ••• • 4.11::1 -1;::;14':t `gat i.F %1'' 1 t i - S•uare Foote!e Current P1.� _ x s Main Floor Heated - EH Bid App Review: 11111MI 2 Floor Heated C• onsistency Review: ■ • Other Heated '''--r - 1- Base fee: 2(9 rL Mezzanine A• dditional Section: /" Heated Basement Plan Check fee: EMU Unheated Basement k A' State Surcharge fee: IIIIIIIral Other Unheated Pot Water Review fee: GarageiGaipert 4 32 s SUBTOTAL Decks i 911/Rd Approach fee: E Other g TOTA� ' 22-10 : * Receipt Number. ,,[`�`iI. m` ! ' Cash/Check Number: r v ESTIMATED COST(REQUIRED) Date: .Fair myget value of all labor and materials foundation to finish 10//r 75 o Initials: ' ! •+l off,bib U MAXJMt 1 D G.k'1 GAP emvtCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc s ?� • • OUNTY DEPARTME4OF COMMUNITY DEVELOP ii ENT °7 // Time Received:Date: / � t002-7 679/pm Mo Tue. Wed. Thur. Fri. l( Date: 17Z/ BLD: / 3- ,92-6 Contact Name: Br-�/ Owner: l Contact Number: 360 (,c f3 /2,5-8 Address: Lib i Apfe.,iJ✓e./ 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 i • ///// .SON CO / Q,� 02 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 4- '1r Date: _=�� __ Time Received: 9/99 am/6 Mon. ue Wed. Thur. Fri. --fitt Date: 5/Z7 BLD: /3 - 32B Contact Name: Owner: Contact Number: 360 / 5,1 7‘.., Address: (o% /i At/,a,.- 206 Notes: C9—U—.) S. 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 misnimir- K`` °? JEFFERSON COU DEPARTMENWOF COMMUNITY DEVELOPNT A..-vIA 1St"I N G-CG� Date: L-f//Z Time Received: :90?- am/67 Mo Tue. Wed. Thur. Fri. Date: BLD: 13-32,P Contact Name: Owner: Contact Number: 360 6:,(13 12_5-6 Address: V 1/A7JtelJVcr 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks K 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 0 . go SO� .. JEFFERSON COUNTY �� G-1 DEPARTMENT OF COMMUNITY DEVELOPMENT S"r\°V°2 Date: q'c'?Time• Received: ctj."y &pm Mon. C...e Wed. Thur. Fri. Date: BLD: /3 —3 Contact Name: Owner: Contact Number: 360 , 93 / 2y' Address: Lfe, t/, e.o�d - 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 w • 4SOx a �� bci. JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 9gyIN'i° Date: 5`6 Time Received: :r2L am/ Mon. . Wed. Thur. Fri. / Date: SA BED: 13- c378 Contact Name: EtAbist T Owner: er..aM,r.t Contact Number: 360 6i/3 /2..5,5 Address: 4- 7) 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 • 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. eON C b°? JEFFERSON COU 2 -'t 4 DEPARTEl E OF COMMUNITY DEVELOP NT /` Date: 44 Time Received: 3L a d Mon. Tue. /�� ') Thur. Fri. Date: BLD: /9— 3'ZR Contact Name: ,66, Owner: Contact Number: 360 3O/3ecf 7 Address: (P67 N Az,h4•-k.,-- 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 Jefferson County Building Pvision Permit Nu�Tt`ier: tY 9 Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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 Fm1(410 1-E ‘111j1 51 r u. 1$1r1 Sh.e SIP/Pt 1-1 6„A sfz, FINAL INSPECTION 112-11 )1f FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00328 1.) 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. 2.) The site plan as submitted with the Building Permit application on October 15, 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 October 25, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) DWJ 4.) No plumbing has been reviewed or approved for this project by Jefferson County Public Health. Additional requirements may apply if plumbing is proposed. \\tirlpmark\riata\fnrmc\F RI 11 Permit RIM rnt 11/1R/9f111 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00328 Received Date: 10/21/2013 SITE ADDRESS: 66 N PALMER DR Issue Date 11/18/2013 PORT TOWNSEND, 98368 Expiration Date 11/18/2014 OWNER: THOMAS C BARNETT PHONE: JEAN AAKIN 40 VANCOUVER DR PORT TOWNSEND WA 983688915 CAPE GEORGE COLONY DIV 3 SUBDIVISION: Block: Lot: PARCEL NUMBER: 938400911 Section: 12 Township: 30 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: ADDITION TO EXISTING GARAGE, NO HEAT, NO PLUMB TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD MAIN: VALUATION 20,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: 432 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Plan Check $173.55 MEB 10/21/13 145457 Exist: Exist: State Building Code $4.50 MEB 10/21/13 145457 Prop: Prop: Permit $267.00 MEB 10/21/13 145457 Total: Total: Total: $445.05 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 (-D 1 �4, 0 \1 V- t?- r 7— P- AA � p\ � a 'D 41 HE fx(o ,6 u -r(, 6-T R i ?- A 6- pw N R tart G K T T4- t4 a-?- MA 1 60 'r-ir,41S(A As FZ62i 60 cl Y 0 ik.1)60?— 0 (6-'0" A t,4 W sc Y6 it Alfj, A'P A-r- oF- WI 8, or 15L--Dc,— Door- 71 k I t4 . ... ....... AG v t Z J-2 4110 wv-IN\ pf�IT,)-f-j vjkLV �C. V-ea'r. \tj V-0 tA MA-rW rD _Lt ef.Z- (A e A -r+ ( � Cr o ^geva tJ 6 a A 0 A- to �F w et-tDt-1 wpL-I/ -1A, 0 e, . . IZ vi >t- �,j F-T-ra- \tj 4S �,i- I? x IZ � -r6 j E F F,- RS 0 ITY Oct) BUIDING PLAN REEVIEW 11 APPROVED AS SUF3,,4ITTr--0 APPROVEDASNO-lk-0 REJECTED [ate dVi�r�rer L-ff 2� REVIEWED FOR CODE COMPLIANCE �V • tz-00e7 IT) 11-4 ?�CAA.0\J6 �af-A T-91-A wk-- r \14 LIK Ir k+A CM G a r 1-i &• OCR i 5 2J,013 RSON OUNTY 1 ) Ue, AV PC -To SCALE (4 0 APPROVED BY: DRAWN BY DATF-a 0 — REVISED DRAWING NUMBER