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HomeMy WebLinkAboutBLD2014-00060 111LUILDING PERMIT APPLIC NC N BLDI4-00060 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD14-00060 Received Date: 2/19/2014 SITE ADDRESS: 1765 WEST VALLEY RD OWNER: DOUG ANGLIN PHONE: 360-732-4932 ELLEN ANGLIN 1380 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: LOT 1 PARCEL NUMBER: 901221009 Section: 22 Township: 29 Range: 1 W CONTRACTOR: NORTHWEST GREEN CONSTRUCTION PHONE: 360-740-0345 261 HAMILTON RD N CHEHALIS WA 98532 REPRESENTATIVE: PPHONE: 61 2 2 S v PROJECT DESCRIPTIOF Manufactured home on concrete found 'on. erial#tbd TYPE OF WORK MOB SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,572 VALUATION 135,000.00 ADD'L: HEAT TYPE: EEE CODE EDITION: 2012 HEAT BASE: HEAT TYPE: HTP OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: 72 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $532.00 MEB 02/19/14 145778 State Building Code $4.50 MEB 02/19/14 145778 Potable Water Application $67.00 MEB 02/19/14 145778 Total: $603.50 \Mir1cmnr4\rta+n\fnrmc\G RI n Ann Rirl r.,+ 7/1OP)l11A MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD14-00060 Received Date: 2/19/2014 SITE ADDRESS: 1765 WEST VALLEY RD Issue Date: 5/2/2014 APPLICANT: DOUG ANGLIN ELLEN ANGLIN 1380 W VALLEY RD CHIMACUM WA 98325 SUBDIVISION: Block: Lot: LOT 1 PARCEL* 901221009 Section: 22 Township: 29 N Range: 01 W CONTRACTOR/ NORTHWEST GREEN CONSTRUCTION PHONE: 360-740-0345 DEALER 261 HAMILTON RD N CHEHALIS WA 98532 PROJECT DESCRIPTION: Manufactured home on concrete foundation. 61'2x 26'8 serial#tbd MAKE: PINEHURST YEAR: 2014 SIZE: 61'2)(26'8 Directions To Site: To schedule inspections, call (360)379-4455 no later than 3:00 PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. Office Hours 9:00-4:30 MONDAY-THURSDAY 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 Water Meter Inspection 5/341/g/ A final inspection will not be scheduled until all of the rOcrryA3 5/ evi following are completed and signed off by the applicable Department: S 6 s 5/36/y • Building Permit Conditions are met o it-5/3011 30 J/� ; • Septic Permit Final/C omplete om lete f or any building containing plumbing (�Droa 3/P, i • Land Use Conditions met and signed off SA A/4 4i 6111/f 1 y ' • Public Works Permit Final(where applicable) FINAL INSPECTION 06/1,1 �� eM ek FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR SPECIAL CONDITIONS APPLY-SEE REVERSE ICI • SPECIAL CONDITIONS CASE # BLD14-00060 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 application on April 24, 2014 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 May 1, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) This approval is for a new manufactured home only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 4.) The project is located within WRIA 17 and thus is subject to compliance with the WA State Department of Ecology In Stream Flow Rule for that region. The parcel is located within the Chimacum sub-basin; as such, state regulations require the following: 1. Water use shall be limited to domestic use only, and such use shall not include outdoor irrigation. "Domestic use means use of water associated with human health and welfare requirements, including water used for drinking, bathing, sanitary requirements, cooking, laundering and other incidental household uses, including potable domestic water requirements associated with commercial and industrial purposes. (WAC 173-517-150(8)) 2. INSTALLATION OF A WATER METER,`MEETING DEPARTMENT OF ECOLOGY SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE WATERSHED. (WAC 173-517-180) BROCHURES WITH SPECIFICATIONS ARE ENCLOSED WITH THE PERMIT. Refer to enclosed documents for more information, see Ecology web site at http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology at 360-407-6300. 5.) dlf • • \\tidemark\data\forms\F_BLD_Permit_Mobile.rpt 5/2/2014 Aja Standard Conditions for Residevelopment in Jefferson Count 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 elks. Portions of Jefferson County, it 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_SFR—StdConditions 9/6/2013 2 • O r, DEPARTMENT OF COMMUNITY DEYEL PMENT `4 621 Sheridan Street,Port Townsend,WA 98368 Tel:360.379.4450 Fax:360.379.4451 Web:www.co.jefferson.wa.us/communitydevelopment Sff!� L E-mail:dcd @co.jefferson.wa.us CERTIFICATE OF OCCUPANCY PERMIT#: BLD14-00060 APPLICANT: DOUG ANGLIN PHONE: 360-732-4932 ELLEN ANGLIN 1380 W VALLEY RD CHIMACUM WA 98325 SITE ADDRESS: 1765 WEST VALLEY RD Issue Date: 05/2/2014 Final Date: 9/15/2014 SUBDIVISION: Block: Lot: LOT 1 PARCEL NUMBER: 901221009 Section: 22 Township: 29 N Range: 1w PROJECT DESCRIPTION: Manufactured home on concrete foundation. 61'2x 26'8 serial#tbd 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 9/15/2014 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/19/2014 TITLE ELIMINATION SERVICES 14725 NE 20th St. Ste. D61 BELLEVUE, WA 98007 (877)643-2060/(425) 643-2060 TitleElimination @gmail.com July 15, 2014 Jefferson County Planning and Development Attn: Sally/Permit Teohuieian 621 Sheridan St. Port Townsend, WA 98368 RE: Mobile Home Title Elimination/Anglin Permit#BLD14-00060 Parcel No. 901221009 Site: 1380 W. Valley Rd., Chimicum, WA Dear Sally: Enclosed please find the Manufactured Home Application for Boyd and Ellen Anglin along with the processing fee in the amount of$76.00. Please fill out and sign Box No. 5 and return the application to me in the enclosed self-addressed stamped envelope. Should you have any questions or require additional documentation, please email or call me at the number above. Thank you. Sincerely, -/ Heda Acevedou Owner Encls. E 1 VIAGvTi 0(1 nocuitcd 7124 /iq Mary Blain From: Ellen Anglin [dougandellen @live.com] Sent: Saturday, April 26, 2014 6:10 AM To: Mary Blain Subject: RE: Anglin building permit Good morning, Mary. I'm sorry for all the confusion. I finally received the floor plan specs from the factory today. These figures are final and exact, so any previous ones can be deleted. Here goes,The lengt w/o C� eaves is 61'4",the width w/o eaves is 26'8", it has 14" eaves so those figures are _ " is 29'. 'fe final sq. footage is 1636. I promise,these measurements will not change. We do not intend to N. change anything else that would affect the size in any way! I can make a copy and bring it in Monday. I did not have this available to me until yesterday, because we cannot order the home until the permits are issued. Thank you, Ellen Anglin From: mblain@co.iefferson.wa.us To: dougandellen @live.com Subject: RE: Anglin building permit Date: Fri, 25 Apr 2014 20:10:26+0000 Ellen, I did receive the revised site plan. Before I can route it, however, I'm wondering if you might be able to clarify the exact sq footage. I need exact proposed sq footage of the house, after the adjustment,with and without eaves. There was some discrepancy between the numbers I updated in our system initially and was is present o n the s it e p lan. If we could get those, I can make sure it all adds up and route the site plan. Thanks! Mary Blain Permit Technician Dept of Community Development 621 Sheridan St Port Townsend,WA 98368 ph: 360-379-4452 fax: 360-379-4451 mblain @co.iefferson.wa.us All email to or from this email address may be subject to the Public Records Act contained in RCW 42.56. 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OpR■ £ ■■■1 UM r■.■ a. ..;s' i er a■ j g MINI = V �{' on pB.. {{1 Q) o IT:,—...q • e1 : n.' 1 N Q} t �n� MIL B■: tJ' In i 11 --,'? ',I-4a . ' --la sins EUROUPling.■ as a ■■ra.a1 8 rLwlu • 7 0 I-" 1 n 7 rrl n tti $ co 1 _ 0 .._- ,- A N zt 1 g i II I o m 1 P i I CD a O O -1:=.-1:=. m r1 k_-__ JJ csi iSOly c �, JEFFERSOUNTY 1P rA DEPARTMENT OF COMMUNITY DEVELOPMENT _ "' '4 621 Sheridan Street • Port Townsend •Washington 98368 (00 360/379-4450 • 360/379-4451 Fax l Ls 1(j2-jd/b.qs, �p www.co.jefferson.wa.us/commdevelopment BINS Master Permit Application _ MLA: Project Description SInclude separate sheets as necessary): 114 "&.4 Ltl red Ittt a ii _-f?&e'/ t1 cd, oia-i/ 1-,•c-,i 6" CC-1°.ee-k gt11 Tax Parcel Number �{•.1 , :..40, Property Size: ` .c 4.5 '(acres/square feet) II ?j Site Address and/or Directions to Property: 7 t) 0 V G —iL � cy 1"c Property Owner(s)of Record: E/'LtY wf Ai y f s'VI Telephone: ?; '� �{'9 '2_- Fax: email: duck Q I7GlC'(IN/?��f/Lr�,,arm Mailing Address: /' U (,(Iaa .f Z0a J1 p k e` C='Gt i r14aC.�t i�� / u.) 3�L5 Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation ❑ Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major drlr asps la c '•�tce' ❑ Single Family ❑Garage Attached/Detached ❑Conditional Use[C(a), C(c1 ;,or 1114 _ li j,�" Manufactured Home .❑ Modular . - ❑ Discretionary"D"or Unnamed Use"Classification ❑ Commercial* ❑Special Use(Essential Public Facilities)** , ❑ Change of Use ❑ Boundary Line Adjussnient FEB 1 9 2014 ❑ Address ❑Road Approach ❑Short Plat** ❑ Home Business ❑Cottage Industry ❑ Binding Site Plan** i 1 ❑ Propane ❑ Long Plat** } r-, ^- ll!=�.N COUNTY O Siyri ❑ Plannea Rural Resid ntial Dev I �? (bl tirflm-1 , ** ❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration.'"' �" T.� i ❑ Stormwater Management ❑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 �9���� to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE j1� 2t'V) d �����"""`"" Date: ,-,Q/`///'Y' 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 appli,-tion that he or sh-w- s prior notice. Signature: _.-. ,I u.: .v_1 Date: �/T//4 The action or actions Applicant will undertak'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-transfe bl responsibility f erng to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature J� .Z44 �(�( Date: °7/9/./ II G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc 0 BUILDER STATEMENT 0 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 assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED tE INSTALLER: PHONE: FAX: DMAILING �,c .�eY/ ' A ( ) ( ) HDDRESS EMAIL.: CONTRACTORS LICENSE /'W c s R +' c f Ra c3 5 WAINS NUMBER: NUMBER s E VII ay OOHP ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: G'L1 Ptia//h 9 D5 5� EMAIL Project Type: Frame Type: / Q Bathrooms: Shoreline: Type of Sewage Disposal: New % Wood Existing: __V___ ❑ Sewer C Addition ❑ Steel Proposed: 2.. Bank ❑ Community System C Alteration/Remodel ❑ Concrete Total: a _ Heigh!: lie Individual System ❑ Repair ❑ Masonry !"i1tt SEP Permit# _ C Demolition. ❑ Other: Bedrooms: Water Supply: Existing: ,® Setback: X Private well ❑ Two Party Type of Heat: / Proposed: — ❑ Public �' elect , c//7e Hear Pu n9(P Total: Name of System: • If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have FoodService? Yes / No . If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank i Above ground Tank Size of Propane Tank: I Heat Stove i Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove i Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. • Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated 157 EH Bld App Review: 2n"Floor Heated Consistency Review: e—y/ � Pr Other Heated 0 Base fee: , 2. c, Mezzanine ,y Additional Section: i Heated Basement �,.2,/r Plan Check fee: l Unheated Basement — 2.. -- — State Surcharge fee: /A c, — -- Other Unheated Pot Water Review fee: "t Garage/Carport Pi SUBTOTAL el&q` �.V y�d Decks 719Z 7 911/Rd Approach fee: Other �f TOTAL $ g6ct- su. Receipt Number: )(IS 1— Cash/Check Number: . Cam' C ESTIMATED COST(REQUIRED) Date: f r .Fair market value of all labor an materials foundation to finish S ' QQ Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc JACK WESTERMAN III Jefferson Connoartl►ouse ASSESSOR PO Box 1220. Port Townsend, WA 98368 (360)385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME/MAILING ADDRESS: NAME: £7/e, 4) :0o0_9 A ng II'pc) ADDRESS: i_�8O /V Valle' Jed J (717;rn aEta ill PHONE NO. 34: `93a '/4_2. The purpose of this questionnaire is to obtain information regardi t • ... --� current location of a mobile home or the previous own ` i bile home. This will help our office determine whether the 0 ) -isf ea I I the tax rolls in Jefferson County or if it has been moved to f ii i bounty from anot . , rea. {`' 'i'''; F E: 1 9 11)14 1)MOBILE HOME DATA: 1 L, I ..._--► 1Et t LriJUiv GO':1NPi 4 I DEPT OE OMMUNITY DE�IELOPN"ENT (A) MAKE !T Or ACV/(B) MODEL / ,�G (C)YEAR o/4/ / -- S3A_______ (D) LENGTH t '"i -_ ((/ (E) WIDTH (F) SERIAL#, (G)YOUR PURCHASE PRICE(Do not include sales tax) //g, DAT>C 2) PREVIOUS OWNER/LOCATION OF MOBILE HOME: (IF NEW OVE TO QUESTION 3) (A) FROM WHOM DID YOU PURCHASE MOBILE 4//4 ADDRESS (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR?Yes No If Yes, Previous address of mobile. If No, What County was Mobile assessed in last year. 3)WHERE MOBILE HOME IS TO BE LOCATED: (A)WILL THE MOBILE HOME BE IN MOBILE HOME P RK? Yes (NO) (B)IF LOCATED IN MOBILE HOME PARK: /// NAME de ADDRESS OF PARK 7 Lot/Spare # (C) IF NOT LOCATED IN MOBILE HOM ' PARK: NAME OF LAND OWNER: Also y - L A t,I_/ / LOCATION ADDRESS .. i, ` ��! REAL PROPERTY PARCEL #/DESCRIPTI N 9O �D/ c5Ll A / C141 5107) 5e)/ 2,2 ©0 I f).e.€44 oancIPAL Signature of applicant THANK YOU FOR YOUR HELP! Lauralee Kiesel, Property Technician NW Green Construction Inc 411 Page 1 of 2 Washington State Department of Labor & Industries NW Green Construction Inc Owner or tradesperson 261 Hamilton RD N DAHL, MARY BETH CHEHALIS,WA 98532 360-740-0345 Principals LEWIS County DAHL, MARY BETH Doing business as NW Green Construction Inc WA UBI No. Business type 602 877 546 Corporation Governing persons DALE CLYDE ROTTER License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. NWGREGC922Q5 Effective—expiration 11/25/2008—11/25/2014 Bond Lexon Ins Co $12,000.00 Fir Bond account no. ^_jam 9810613 __- 1L�t L..u COUNTY Received by L&I Effective date DEP T.OE COMMUNITY DEVELOPMENT 11/04/2011 11/25/2011 Insurance AMERICAN FOREST CAS CO RRG $1,000,000.00 Policy no. AFC093183 Received by L&I Effective date 08/14/2013 08/14/2010 Expiration date 08/14/2014 Savings No savings accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602877546&LIC=NWGREGC922Q5&SAW= 2/19/2014 NW Green Construction Inc • Page 2 of 2 Lawsuits against the bond or saving, No lawsuits against the bond or savings during the previous 6 year period. Tax debts No tax debts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Call L&1 account representative for 173,272-00 account status. Doing business as NW GREEN CONSTRUCTION INC Estimated workers reported Incomplete premium report received. L&I account representative T8/DALE MCMASTER(360)902-5617-Email: MCMS235 @Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection date 03/03/2011 Violations Inspection no. 314763509 Location 61 S.E. Ryan Road Shelton,WA 98584 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. access 411111,Washirgton* 404131.tila4e I#.Wenntent'M4b$Ile https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602877546&LIC=NWGREGC922Q5&SAW= 2/19/2014 • • CC H Q LL _O Z LL. O H O O - - I` q- N — N O "O - 1- O O L J -0 X CC "O -I-1 O • C U 0 0 0= W O 0 0 +a "0 H O O CD I- O L .0 t Q J I` Q _o U U U CO O Z O O U C) J 0- 0- H = � �. C: U I- I-- O C7 O Q CO Q CID CD 3 CO 77 �. = 0 CC U LO CC "0 0 NI- LU G7 C O 3 O ti 3 I- J O CO � O 0 Q 01 O CO r-, J U 0 0: Q I -O CC CV 0: Z Q C7 LO C 7E O CV Q H Q 0: N -- � X 3 CO W CO 3 � CV ati LU 0= I— CO I— CO 0 CID LU CO 0 O -0 CC O CO J W U7 I— W CC C LU • CC J w CO 3 LU d N X 3 CO CC LU }- Q O N I- 4 O 3 LLJ W 3 -- CC � 3 ^ X � CI Z J CO CL O r CO 0 CC ¢ O I-1 J 0) CC J CC I- J ¢ 0 J N ■ Q W CC W 7 X � CL 0] W Q 1- Q 0 0 U W "0 CV Z CD X W 3 Q 3 U CC C I I- CC I-- CO _I LLJ X CC CV LLI O CL O X O N `-. I- CO 0 = J }- N H CI) N r- CA 7 d O Q Q LI7 S C7 07 W W +H � U 3 X ,- U 3 CO - -1-+ O "-- O CO 7 O O O 07 CV CU CV I- � 07 O W 0) 3 O O O � O O O -0 L CO U CD CV CV a #k C O I— CD •• L. a L co Y C — N O -1--. N LLJ N m O O -- O 3 .0 N U CO CD -0 > CO U L. C. O_ - O CO IZ L V CO X -I--I U "0 X CO CO 0- 0 -- -- CO N I— I— X 4- I— co O ci— X X I— Q r CC H Ci U_ L1_ O H O • m - O — O O X C= W O 7 � CC LU 3 3 O 0 cn O -o Q c H '- 3 CO -0 [r CID C W W W CL CC O O -- CY O (D CZ Q J W F- U W LU Cr C1 C) 0 • Cu Cu O] O O # N L Y C - N N N O L N U �U U U 10 X O CO d t0 N Op Front Parcel Review • Parcel 901221009 Printed: February 27, 2014 DOUG ANGLIN Site Address: ELLEN ANGLIN 1765 WEST VALLEY RD 1380 W VALLEY RD CHIMACUM, WA 98325 WA, 98325 Parcel Number: 901221009 S-T-R: 22-29-1W Total Acreage 9 Legal Description TX 28 Land Use: Flood District: Fire District: Planning Area: Flood Map(FIRM)Panel No: School District 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 pDperty lines as identified on theAssessor's 1/4 map) [ ] Legal Access to Property Yi— NO [ ] Parcel Tags or Scanned Documents YES NO _ [ ] ESA's: Special Reports Nearby YES NO [ ] Designated Ag Y-NO [ ] Shoreline Designation: YES N9' ( f ' [ ] Shoreline Slope Stabil=`--- "�'� --- ill ,, Stream Type:YES N ° 5 FWHCA: YES 1∎Jc' " 7 p -'- Wetlands:Wetlands: YES N(y I/ Rare Plants:YES N�Y t I cc ' 3 J tk-. Seismic: YES N7, j Landslide: YES ND_ f \2/t. 0 0/16/ Flood: YES Erosion: YES N- Aquifer Recharge Area:YES N.9/. SIPZ: no At Risk High Risk Coastal _ CMZ: High Risk Moderate RiskDisconnected C] _ Stormwater ite elan submitted: YesNo [ ] Forest Lands: PP NQ.– Adjoining Forest Lands: Commercial/ Rural/ Inholding [ ] Mineral Lands: YES N./CY"? [ ] Agricultural Lands: (> NO [ ] Archaeology: YES NC [ ] 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 NjeY MRL YES Forest Lands YES N [ ] Landscaping Required: Yes Nom' [ ] Parking Spaces Re ired NO c9 Other 1 1 Building Heigh . 35' UBC Standard [ ] Impervious Surface coverag�rcentage: Resource Lands&Public: 10% Rural Residential: 5 o Rural Indust . Per UDC Sec 6.7 Rural Commercial: 60% Area of Building overage: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: ;3-0 Left Side: 9 Right Side: Sr Rear: Shoreline Setback: LSHA Setback: [ ] Road Classification: f. :■ I i I •,' 1 O Road Approach: EXISTING +i1 OT REQ'D RAP [ ] SEPA Required: YES EXEN1,p�T� [ ] Flood Certificate: �(( , [ ] Existing Case(s) &Condition(s): Violations: Yes C�"% ' U [ ] Recorded Date of Subdivision: , v AFN Over 5yrs=UDC v� Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ ] Lots/Require Declaration of Restrictive Covenant YES N. submitted: YES NO [ ] UGA No Protest Agreement YES N9;-'submitted: YES NO [ ] Site Visit conducted YES N9/ [ ] Require Final Zoning Approval YES N9/ [ ] 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 901221009 Cases Name Review Type Status Planner ADR13-00059 ANGLIN F Application Received: 12/19/2013 Permit Issued/Case closed: Case Finaled: 1/21/2014 NEW ADDRESS REU1JES I OH- WEST VALLEY RD BLD14-00060 ANGLIN P Application Received: 2/19/2014 Permit Issued/Case closed: Case Finaled: Manufactured home on concrete foundation. 58'6 x 26'8 serial#tbd SEP14-00021 ANGLIN P Application Received: 2/18/2014 Permit Issued/Case closed: Case Finaled: USR13-00043 ANGLIN A Application Received: 12/16/2013 Permit Issued/Case closed: Case Finaled: first driveway n of 1833 west valley rd. \\tidemark\data\forms\R_Parcel_CRMLA.rpt 2/27/2014 Page 2 of 2 i--„,,,,/ „." rra,,- /-?, ,---7 / fri 9 / 1---/z. / 2. /- / . ._. _ .. /.....6./.. . .... — , --" 7 . i \ ! . , . : ,......_.,, )-) 1 D .......„ ---...._ \\,\., -\\. ,..:7 • „„.\ ----k-- u, ..., /,, ! , ....„... / ( , /// ... _ . „., t , . 4.\ 1-----, .13- z / C77 / 1\„, I ''''..„.,,,-.)• \> : 1 litp%, . ; f 1 : Z ! , --------77'•7, -7 L,./.0/ _ 1 /-2----- o -.J......1 N...,\ ,.... k ,,.._. -J- c:--------'-'------::----) I ■ l '/ \ :A :;:sai r- --------i!Ti (........ 1 -In ', M r.-3 '-rrri,; C., -,i illIP- m ! '''--. 1";:i i '..!' ” ■r--14. , CA ..-2.^. ,c.7.4.; , ifirt \\/1 '''N\ ih,■• r4% t". '411114 -I- 7..'..:I C—. I ‘6 i I 1 •' Ili Pg 8 llo CA u-:i 4,007 ..1 r— -7 .. .ga (FEI tt 4, 1 *.` i 1 1 , I Map Output • • Page 1 of 1 ArcIMS HTML Viewer Ma 90132,cvs 9012'11002 1----1._. 90122100 CIEED ,,, 901221006 _ __ I 901221004 901'141 ' e'i MOD Mal 901221003 `1 I 901721. ( _ ' I egend — n Selected Features N. 905224002 901221.110 _- - r o`u JC_Roads 116 1> 1 Parwl:+l ;1 .2'1 Wetlands 901221009 is — — 904224002 I _ _ f 901224054 901224010 901224006 � I ,123301 —7 '901233001 `r' 901224011 1 904224008 -------t— f i ' i I f 90122400 901224013 / ` — d 1 (901224012: 901224005 .L1,5 I '91.I✓.-99 x.xa • .;-.c-I Cutrt Ccce.'4 w_-:lS FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Feb 27 16:00:12 2014 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 2/27/2014 Map Output Page 1 of 1 ArcIMS HTML Viewer Ma• r VWZ--Niti Legend Selected Features r. .. ...e,P,..0 JC Roads � 1'''r>'f,L•-r:x �_- 1 Parcels-H (7.71770 I County Zoning 901221002 901221013: MPR-SF Tracts _'221001, Rural Rasgent r.4 1:5 91i` 1 g Rural Rdsonful 1:10 e..) RuralRes tentut1:20 901221004 901221012' al MAR Single Fanny $ l�! 907232015 1111 MPR-Mundamlry MPR-Rosen Camperrt Av., Parks and Reveal van I T.I'7 . MPR Oven Space ,.,,.�.��..,.. 1111 Rural Forest '2240C, tt• ■ Commercul Forest 901221010 in host tag Forest d 9012320'' I lea.'y industrial 901232001 9012"11009 ' Aaeon LPF - b-.. "•'� MPR I/MarkCenter 90122•002 A P 1:20 f y�, ._-. Rural Vliiaao Canter ",1224014 '1 Resource' Rourco Based Intl. 2330C�Ei w Ught Ineustral MPR-Rocraat,n ' 0.1MID Waste M grre LPF ? ,12330: LIMA ilS LPC f m El CssroaazGC = , l 12330(: ..1.1001:. Crossroads CC . - _.i.. ..... ■ CrossroadsNC a, 0.L 1:20 - ._. ...... " Nri 4"�" UGA lroan Commercui aT 93122btf UGAdlrean Lrgnt ineusiral `.fans prvnsrtl by.term Catty QOM&moss GAS O. rSe.S41 UGA-MDR UGA-HDR UGA-Po etc UGA.LDR ElUGA-Vrsnor Oriented Coat.,.,cot P - e /L/V7L4, _ " CF SCUMRLO Commerear Forest ( Mineral RCM.roc Overlay FOR INFORMATIONAL PURPOSES ONLY- efferson 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 Feb 27 16:03:53 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 2/27/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Ma• 901221006 — _ �•. ql 1 9122,002 X01221001 901721011 -- < , 901221006 . 4--907221004 901221,1,' 90122101 k.. Legend r C Selected Features 901224002 X fv JC_Roads 901221010 qL Parcels-H •'123201% al Seismic Hazard 901221009 901224002 901224014 901224002 901 AYI 901224010 901224006 I ```,_ 1' .,,2:x.300 is 901224011 j 901224008 / ' 90122400 901224013 ;` '907224012 901224005 ,, 90U240 1 7 Mx,...,,,,j,_c`kuca,COI r,Cc r.-<i Sc.,C GIS FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Feb 27 16:01:42 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/27/2014 Map Output • III Page 1 of 1 ArcIMS HTML Viewer Ma• 901221005 .---.,- r , 1 GEES .11111116 1 1 901221002 1 90i221001 1 ' J 901221006 , 1------1-- GEM i id. . H 1 1 -- 901221004 901221012 ':.,::,22'1:i.:■2 ...,...'i22,2,5 I VIIII L''''Sri —"' I 1 MEM I 901221011 Legend - - -----1 : 0 Selected Features 901224062 I i 901221010 j-- JC_Roads 1 II; Parcela44 r * i s 901221009 •,:lEIII2,1 EMA FIRMS _ - A 901224002 1 III ANI I ----I— —H I all xele 1111 Gam 901224002 9e.r2.13006 901224010 901224006 1, /I ,_,___ ----i GUM ---, , ,----- --", g(j'2331,:•1 1 901224011 901224006 1 i 90122400' S / 901224013 I • , '--- 111 9012:4012.:../ ,// 901224005 1 / eargra 901224017' 41.x.r..andect ay-eScrun Cam CnTia 5,,,oc_n GIS C=IIINIIM FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Feb 27 16:02:14 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/27/2014 Map Output 11111 II Page 1 of 1 ArcIMS HTML Viewer Map a j 1\1)jj i ,, \ 1) [ ) ) [ kl ' 1 9 012 3200 ! )4/• : 00122103 5 --„, -, Sw.:,'22'C•::€ i ,) . ,j '\ i ;----- „ . 9012320:4 1 A \\ 1.232015 s W 1 UM L' Nif IS c,c .j ::.--.„ ■ " .- 1 L.:71 i, i I c L.-, F-1, ,.,. 901221011 ,,c 1 L 0123201t it --) r 1_ il, 1 .' '' ?2.1 1 1' ,-,-/ • . 1 . 1 --'-- Legend il _....,, ( 1 .. .,_ ?22,4002 1.;::::. ---1 E : , 0,!\%, 4',, -----,....._ 0 Selected Features 1221010 ) ---------0* .-- ."." -.-, "1 JC Roads - ,... , ,' ./..' ( '' 's 1---. ____ .,-- c=. 5 . El Parcels-H -;-„,J, ',, „) ,i) 901232017 901232001 1 Contours I ' c j . , . , ,g ;) j „J.?, 941,22,009 .'11 1 i 1' i , 10 FOO4 Contour 1, ( f) . -) ?'[ c 111 I .1 ( r'i r/( •• '''---th-1.---177-=,- ' t, ).) / 901224014 17 , 901224002(-3 .--Y 1 '1'' ) ,..':' f I / 1 901233006 i 224C,0 02-10121096,) \-- ••) ) ',, 1, 901233011 , /Th.r-) , 'T ' ) '' 1 :901233007 ( I a,..: )/.v.,.' ! ,11 s i I (." na).:224X8 i ' ' ) ?' ) 250 1-1'... /1553 .1-1 , r' ( I ' ) 1 1 1 9012330Q '---350 1 ,,../ . '1. ? .11 90122403' 9:122 I.:1-2, :- ' /2'; ■,: L 1 J 9:01224012/ 1, i*, I . 1 1 ' 1 90 1233002 '----11-1-11-1-171-----? .st 031224017 ' 1 ' .,,r %it,:.■u..not:r..-nticstun Core;Co-r-a S+,-,,,1:6 C'4144.19M■wm 58911 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 Feb 27 15:55:51 2014 -- - - - — http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientVersion=4.... 2/27/2014 Map Output • • Page 1 of 1 ArcIMS HTML Viewer Map Ii 901221014 11 _-•232_-_ 901221006 ,:.:r-- � 9012320ti?'_ 1 901211002 ,' 901221001 '+•1221013 yam'. 901221006 ----- ' Legend i 901221001 901221012 Selected Features 901221003 9012320 4 1003 901232015 ;: JC_Roads ��j Parcels-H 901232016 1�� DNR FP Stream ''..ft......\....s„.s.„_ 907221011 Classification r 7-- =:. •I F,Fish Hahne ' 901224002 tY /��J 901221070 — /T N•Nonfiish Hama a, "of Np•Non•trsn Haanat Parannui n 901232001 901232017 / Ns•Mon f oh Ratite Seasonal ---- -- ..y i 901221009 /.•f S i Inventoried Shoreline r.n.r,.,wr..901224002 I --- - 1 DNR Streams � ��.._ ___. Type 3 j 901234014 ,J✓ Type 5 90123300E T yea 4 I �f I l� Type 3 901224010 901224006 '`-__ I 1 901233011 .—_�. Type 7 901233007 Typal 1224008 ' 90 /vie Other 901224011 '! ;. DNR Water Bodies —`T'/ 901233008 901224013 / / 901224001 F 901224012:`,`/ . N JJ1 {r. 90122100.5 MO 901233002 n No Deng nation 901224017'7' q /...1 LFA•Fish ',. Naps weeded ay.xllorsm Caw Caere&rocas GtS 0 58911 ■ 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 Feb 27 15:57:10 2014 http://gisserver/servlet/com.e sri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 2/27/2014 Map Output • Page 1 of 1 ArcIMS HTML Viewer Ma• MI0 7i i _ r 941232008 901221005 -I 901232014 ry ff ---. ___ 901232005 90122'. 2, • 90/22100 122101$ �l ci it 4�12210Cb - - ., , - "" �12320 - Legend s '' Selected Features 901221004 {'!' }C Roads elis_ 901232015 '_ , t Parcels-H L :',12320' DNR FP Stream Classification 901221011 1 __ ieve F_Fah Nabsal °,,,, 901224002 ;„. 14 // N-Non fah Ilannat f '" a No-Non-fah llabnal Porannal 'A+ , +', rt. 'it / 'oll,. ',1232_•' ,ti' Ns-Non-f,sh Ilannal•Saasenal ` .. 77s ' ;. 4.714UH .-y 901232001 S am:Monad Shorohna r s r " DNR Streams ..._ 901224002 r�)r' f 4. — - 't.. I- Typos 4:}`224002 - : Typo x. s w• f Typo 3 '224010 901224005 4 , .. /I Typal • DNR Water Bodies 901224001 SYr.2Z4u3 901224012 < . s J904224005 I I No Omaha . 901233002 LFA-Fish •:122401 ` Maas;samba ay,rdbeoi Cary CAWS SerrccsUts > ': .._x.. 2011 Aerial Photos FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its orrectness or validity. Data contained in this map is limited by the method and accuracy of its collection.Thu Feb 27 15:58:30 2014 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=ovmap&ClientV ersion=4.... 2/27/2014 / i e 2< i// 9 7 ; ) q / f N -__ \-----„, \ \A ÷ . . . ------\ `,.....,,,) ' c) 1 '•.,) "--. ,•'•V, i ' ---, • , . \ , . i • ......_ ; .. , . (...... ; / . ,.. / . , . , ______ ..., °----1\ --7,-,v/6-37.7/ /q----;// // , _ -......,, -„--,---t, , i . 1 .--..,- „......- 1 o r. ,)., -1-,-,.. .„..- \ , . , , . . . Dr-4m , 1 0 \ c, I , , , , , \ (, r-- .-i C--...=),,,Ji ,.,_, c-::::_-_-.1—f--..,.....--- ,..z.,, 0 ! -----A-.1---.):1*- • ;,N. 1 -r1 ci M !:;-,a :.„--,- 1 -,.-1 1 I c rn 1 -ii • :-Z- r--1 1 ., ;'" - rn ,G !< •.:'--' •••• (110 ra I c,Cr ••••••■ ^i n•-7 i N -c--u i.- 1 \ , 1`~-1 . ------- i 1 'I•,,, 1 1 . m i 1! " F��Sp4 cO L °2� JEFFERSON GOU 9Syt4G�G? DEPARTM OF COMMUNITY DEVELOIENT Date: q y Time Received: 16) ame Mon. Tue. Wed. Thur.• Date: '5?--5- BLD: Contact Name: Owner: Contact Number: 360 •732, 9� Z Address: I76%c i■,) Jf 1,14 / 206 30/ 565' 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 • 0 ��e�`SON coo JEFFERSON COUNTY .< DEPARTMENT OF COMMUNITY DEVELOPMENT ,q`rHI N G��2 Date: Jiv Time Received: /0_ �� tit ipm Mon. Tue. Wed. Thur. Fri. - Date: 1/1A BLD: 114 000 lePO Contact Name: Owner: Contact Number: 360 73a,- .03 L Address: J7%5 h./ VAL-4-5..c RD 206 Notes: A/ssW Wome 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 IX Setbacks Floor Foundation Wall Address Posted Block&Tile Ceiling 4gON C • II, �4�. °m JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT / Date: Time Received: am/pm Mon. Tue. Wed. 41r. Fri. Date: —2-Co BLD: if-- 62® Contact Name: Owner: Contact Number: 360 1127 666 7 Address: 1765 to ht-u- 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 W4ci • c%- JEFFERSON COUNTY ,4. *.rtslo.z DEPARTMEN•F COMMUNITY DEVELOP.T i',5:9-INd Date: (a' tLTime Received: 125-2- am/pm Mon. Tue. Wed. Thur. Fri. Date: BLD: 'Lt— Q6V Contact Name: Owner: Contact Number: 360 Address: 1:7 L W Jtktl.5^-1) - 732_Ltg3Z Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks X Under-ground Framing Under ground Furance Footing A 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 • A (col 5°N cb°ti JEFFERSON COUNTY { DEPARTMENT OF COMMUNITY DEVELOPMENT 9,rlt!NG."O Date: _i___ Time Received: /9./ �/pm Mon. Tue. Wed. Thur. ri. �� Date: 5"30 BLD: /q... f017 Contact Name: Owner: Contact Number: 360 770 9`7/R' Address: /7br-. t J 114-1-U? /CO 206 Notes: Foundation Plumbing Framing Propane Tank Mechanical Setbacks X Under-ground Framing Under ground Furance Footing Rough In Air Seal Above ground Gas Stemwall X 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 O Jefferson County DCD Building Division Correction Notice PERMIT NUMBER 14 0040()0 OWNER Akf6G`k.1 JOB LOCATION 1 76 5 llJer67 VAL L& RD Inspection of this structure has found the following violations: Rtsrn 35,-6 5.'410477'r 51.1.1a.) t? -Tvg R, 105-'61?11.4 ,6 —17) SA' 1), 1 I-r A( g- 1326,- op- l7iz t v'LA Y -pe RPB D) L.4.IZ --1✓'a o to et- - -r A f u 3E I J't• Sir 6/4)4444. 1,445I k4S. 137 (4-\ 1J tO N0--r -r i,x)ep ©Nf . 9 o>J E o F cAnge ^Tccr..-i 1 I) ►� ROOM 16 To t3c5 A ',MD ke/C • / Crd z� ,Q)Z- �rUS� �1-IOx� i-v1bc' - ) /4 LC.,, I 1A4 A£6 ea PLL 16 You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection.Date 4/5/jL Inspec �� %Cl/ BUILDING DIVISION(360)379-4450 INSPECTION HOTLINE(360)379-4455 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE I y hl 7 /C./ 29/ . ___________LY" /if f, AV C\\\‘ z,-\, . 0 X:'\,'A'.' )% kiNk ' ''''t;;..\ 1 /1,, ; k,,,,,Z r:.. .sz\i I*4* NC:\/\) '''' ''''' ''''--.2:°-°'- ...).. i illk .49.‘. 924r°,1csr- 7 "--C-9 c '‘'7 .- 077, ////3/ , a., ,,<c , $ 'b I l 1 •A r . J7n reWl . t--• / ` 1 \. :g:: ... 5 , h. ..: .. . ,,,,i .).T.-J .„,„ GTO ff.,:, _, r ,? , .4 j..._ , v ..., ., 5 5ft. 4.. =1 I .[[,, 't - -_ mil . C A S house Roof downspout serves up to ilifililhllilil 700 sf. Of roof IllIlliM 50' min. I Vegetated flow path 1,-- Splash II block ......... _L--- Downspout extension NTS r Splash ,-, block Figure 3.1.7-Typical Downspout Splashblock Dispersion Vc tine —Hydrologic Analysis and Flow Control BMPs—August 2012 3-16 • Desigxz Criteria for Splashblocks A typical downspout splashblock is shown in Figure 3.1.7. In general, if the ground is sloped away from the foundation and there is adequate vegetation and area for effective dispersion, splashblocks will adequately disperse storm runoff.If the ground is fairly level,if the structure includes a basement, or if foundation drains are proposed, splashblocks with downspout extensions may be a better choice because the discharge point is moved.away from the foundation. Downspout extensions can include piping to a splashblock/discharge point a considerable distance from the downspout, as long as the runoff can travel through a well-vegetated area as described below. The following apply to the use of splashblocks: 1. Maintain a vegetated flowpath of at least 50 feet between the discharge point and any property line, structure, slope steeper than 15%, stream, wetland,lake, or other impervious surface. Sensitive area buffers may count toward flowpath lengths. 2. A maximum of 700 square feet of roof area may drain to each splashblock. 3. For purposes of maintaining adequate separation of flows discharged from adjacent dispersion devices,the vegetated flowpath segment for the splashblock must not overlap with other flowpath segments, except those associated with sheet flow from a non-native pervious surface. 4. Place a splashblock or a pad of crushed rock(2 feet wide by 3 feet long by 6 inches deep) at each downspout discharge point. 5. No erosion or flooding of downstream properties may result. 6. Have a geotechnical engineer or a licensed geologist,hydrogeologist, or engineering geologist evaluate runoff discharged towards landslide hazard areas. Do not place Splashblocks on or above slopes greater than 15% or above erosion hazard areas without evaluation by a professional engineer with geotechnical expertise or a licensed geologist, hydrogeologist, or engineering geologist, and approval by the Local Plan Approval Authority. 7. For sites with septic systems, the discharge point must be downslope of the primary and reserve drainfield areas. This requirement may be waived if site topography clearly prohibits flows from intersecting the drainfield or where site conditions (soil permeability, distance between systems;etc) indicate that this is unnecessary. Volume III—Hydrologic Analysis and Flow Control BMPs—August 2012 3-15