The URL can be used to link to this page

Home My WebLink AboutBLD2013-00111 - CANCEL • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00111 Received Date: 4/9/2013 SITE ADDRESS: 72 SALMONBERRY LN Issue Date 5/20/2015 QUILCENE, 98376 Expiration Date 7/3/2015_ OWNER: WILLIAM F WALMAR C PHONE: 360-621-031 MARY K WALMAR 4912 145TH AVE SE Qecu- BELLEVUE WA 980063546 Lam" SUBDIVISION: Block: Lo . � �2 PARCEL NUMBER: 601332013 Section: 33 Township: 26 N Range: 1\A CONTRACTOR: F DESIGN-BUILD, LLC PHONE: 360-437-8148 48 VILLA Y PMB 171 NA ) 1LD PORT LUDLO 98365 j 'QV a-- w Contractor's License NEWLEDL903BG Expires 4/18/2016 PROJECT DESCRIPTION: NSFR - LOG HOME revision received 5/11/15 moved footprint of building. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,408 VALUATION 240,000.00 ADD'L: 692 HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: pECRKAGE. 672 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1 PWELL Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $1,788.95 JLA 04/08/13 140208 Exist: Exist: State Building Code $4.50 JLA 04/08/13 140208 Prop: 3 Prop: 3 Plan Check $1,162.82 JLA 04/08/13 140208 Total: 3 Total: 3 Potable Water Application $66.00 JLA 04/08/13 140208 Permit $39.00 SRE 05/11/15 156055 Total: $3,061.27 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 BUILDING PERMIT APPLICATION Review00111 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00111 Received Date: 4/9/2013 SITE ADDRESS: 72 SALMONBERRY LN QUILCENE, 98376 OWNER: WILLIAM F WALMAR PHONE: MARY K WALMAR 4912 145TH AVE SE BELLEVUE WA 980063546 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601332013 Section: 33 Township: 26 N Range: 1V\ CONTRACTOR: NEWLEAF DESIGN-BUILD, LLC PHONE: 360-437-8148 48 VILLAGE WAY PMB 171 PORT LUDLOW WA 98365 Contractor's License NEWLEDL903BG Expires 4/18/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NSFR - LOG HOME revision received 5/11/15 moved footprint of building. TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,408 VALUATION 240,000.00 ADD'L: 692 HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: GARA CONST TYPE: DECKLE 672 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: OSS _ WATER SYSTEM: 1 PW ELL4 ( 1 BEDROOMS: BATHROOMS: .� LS l� V- df"ifi Exist: Exist: Prop: 3 Prop: 3 proud S/ G1/1 Total: 3 Total: 3 �`�'�'' Routing Date: Type Amount Paid Bv: Date: Receipt: Approved/Date Permit $1,788.95 JLA 04/08/13 140208 • State Building Code $4.50 JLA 04/08/13 140208 (1:1DV n�-" avp vooe Plan Check $1,162.82 JLA 04/08/13 140208 Potable Water Application $66.00 JLA 04/08/13 140208 -/ J/ ` `A Permit $39.00 SRE 05/11/15 156055 Total: $3,061.27 \\tidemark\data\forms\F_BLD_App_Bld.rpt 5/11/2015 BUILDING PERMIT APPLIAPTION BLD13-00111 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD13-00111 Received Date: 4/9/2013 SITE ADDRESS: 72 SALMONBERRY LN QUILCENE, 98376 OWNER: WILLIAM F WALMAR PHONE: MARY K WALMAR 4912 145TH AVE SE BELLEVUE WA 980063546 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601332013 Section: 33 Township: 26 N Range: 01 W CONTRACTOR: LOPEZ CONSTRUCTION PHONE: 212 SANFORD LANE SEQUIM WA 98382 Contractor's License LOPEZC1948C7 Expires 1/24/2015 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOr NSFR - LOG HOME TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,408 VALUATION 240,000.00 ADD'L: 692 HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: SETBACK: DECK: 672 BANK HEIGHT: SEWAGE DISPOSAL: OSS WATER SYSTEM: 1PWELL BEDROOMS: BATHROOMS: ODQ Atuno3 uosaajjar Exist: Exist: Prop: 3 Prop: 3 0 Total: 3 Total: 3 Routing Date: CI Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,788.95 JLA 04/08/13 140208 APPROVED State Building Code $4.50 JLA 04/08/13 140208 Plan Check $1,162.82 JLA 04/08/13 140208 JUL 0 3 2014 Potable Water Application $66.00 JLA 04/08/13 140208 Total: $3,022.27 Jefferson County DCD mirlcm-r4\d fn\fnrme\C RI n Ann Ri,a r.,r A/0/W1 z • • Jefferson CountyBuildingDivisionPermit Number: BLD13-00111 Applicant: WALMAR BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 5/8/2015 house relocated approx 250 ft from approved plan. Informed builder to tell owner she will need to submit new site plan. meb Setbacks Setbacks Erosion Control 5/8/2015 Foundation Footing 5/8/2015 footing laid according to plan,buiolding site not as reflected on approved site plan. meb Foundation Footing Foundation Footing already inspected,can be signed off when new site plan is approved. meb Footing Drains Foundation Stem Wall 5/20/2015 Underground Plumbing - Under Floor Framing 15 Straps(hold downs) 1113011 Ext.Shear Wall Nailing Rough-in Plumbing `vA rS 741 Framing ` Weed Rz4 4cu vex '-/j-/G rN, I'drlooe,rod 6LEtrkieAc St�N€v LI! ) i/13/6Ail Blocking th31 Airseal Insulation:Walls iii3lt4 r 1 Insulation: Floors , Jr13r t,� ,► Insulation:Ceiling Oa. Int. Shear Wall Nailing A4 Wallboard Nailing 1 o Gas Line: Interior ,i tic- Gas Line:Exterior > Propane Tank j Heat/Chimney Clearance Mechanical Systems Blower Airtight Test F-J ,4 (l 2011 T' Smoke&CO2 • • Drywell/Alt Drainage Address Posted Water Meter Inspection A final inspection will not be scheduled until the following are completed and signed off by the applicable Department: • Building Permit Conditions are met • Septic Permit Final/Complete for any building containing plumbing • Land Use Conditions met and signed off • Public Works Permit Final(where applicable) FINAL INSPECTION FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00111 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 April 9, 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 July 2, 2014 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 3.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 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_toandos sub-basin in a designated Coastal Management Area; as such, state regulations require the following: 1. 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.) This parcel is within a no shooting area per JCC 8.50. \\tidemark\data\forms\F_BLD_Permit_BIdg.rpt 5/20/2015 0 • , 0 t> i.d& '4g1' ; -/ 0. ✓G U� 3\ M `7 in 4P. 1 t ° q � (1 . ,? Irj g ' " APPROVED -- - - z.�= ;k ► N 6 SITE PL • N moo. ; - - \ N li JUL 2 2014 #.1-' h A M oa i N. ' / '4 / \ N,v0 / _e of ,(i/1 , o.�/ ctc 1I Q� O i I / Q ��c. 1 o _ , / I 0- cr <Cb` G� .€/`° ei 1 3- ) O JEFFER COUNTY 444,•S , -7-se4.,enigki DEPARTMENT OF COMMUNITY DEVELOPMENT 1 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax ��sBxN �p� www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: Project Description(include separate sheets as necessary): NEW SINGLE FAMILY RESIDENCE (LOG HOME) Tax Parcel Number: 601332013 Property Size: 5.06 (acres/square feet) Site Address and/or Directions to Property: 72 SALMONBERRY LANE Property Owner(s)of Record: WILLIAM F WALMAR & MARY K WALMAR Telephone: Fax: email: Mailing Address: 4912 145TH AVE. SE, BELLEVUE, WA 98006 Applicant/Agent(if different from owner):ZENOVIC &ASSOCIATES, INC. Telephone:360-417-0501 Fax: 360-417-0514 email: SCOTT@ZENOVIC.NET Mailing Address: 301 EAST 6TH STREET, SUITE 1, PORT ANGELES, WA 98362 What kind of Permit?(Check each box that applies 'Building 0 Critical Areas Stewardship Plan ❑ Demolition Permit 0 Variance(Minor,Major or Reasonable Economic Use) ■Single Family ❑Garage Attached/Detached 0 Conditional Use[C(a),C(d),or CJ** ❑ Manufactured Home 0 Modular 0 Discretionary'D"or Unnamed Use Classification ❑ Commercial* 0 Special Use(Essential Public Facilities)** ❑ Change of Use 0 Boundary Line Adjustment ❑ Address ❑Road Approach 0 Short Plat** ❑Home Business ❑Cottage Industry ❑Binding Site Plan** ❑Propane ❑Long Plat** ❑Sign 0 Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes'Use Consistency Analysis ❑Plat Vacation/Alteration'"' ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions'"` ❑Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** ❑Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment ❑Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference 0 Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate Scott Headrick to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE '7// �al-ri-L Date: q-3 —/3 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 lat r inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the applica• `t e or she wants prior notice. Signature. III j /� 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 for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: G.\PetmitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENTli 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 HOME INSTALLER: PHONE: FAX: LOPEZ CONSTRUCTION (360)460-7029 (360)477-4967 MAILING ADDRESS: 212 SANFORD LANE, SEQUIM, WA EMAIL: LOPEZCONSTRUCTIONINC@LIVE.COM CONTRACTOR'S LICENSE WAINS NUMBER: LOPEZC1948C7 NUMBER ARCHITECT/ENGINEER: ZENOVIC &ASSOCIATES, INC PHONE (360)417-0501 FAX:(360) 417-0514 MAILING ADDRESS: 301 E.6TH STREET,SUITE 1,PORT ANGELES,WA EMAIL SCOTT@ZENOVIC.NET Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ■ New ■ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: (2)1/2&(2)FULL Bank 0 Community System ❑ Alteration/Remodel ❑ Concrete Total: 3 Height: ■ Individual System ❑ Repair 0 Masonry SEP Permit# SEP85-00060 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: • Private well ❑ Two Party Type of Heat: Proposed: ❑ Public ELECTRIC RESISTNACE Total: 3 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 Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Of-se 1 Underground Tank 1 Above ground Tank Size of Propane Tank: t) I Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank 1 Pellet Stove 1 Other _ Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount °vision ' k Main Floor Heated 1,408 1,! pp EH Bid A Review: /� r 2na Floor Heated 692 t..Consistency Review: ri I2 vU Other Heated ""' r: � {" "t " Base fee: . . 11At 'c\ S Mezzanine _i y. Additional Section: _ tom% Heated Basement Plan Check fee: Unheated Basement • . ` State Surcharge fee: Other Unheated r ' Pot Water Review fee: .. . �k i . `� Garage/Carport :1-;* ;~ SUBTOTAL Decks ' ' n 911/Rd Approach fee: Other TOTAL $ 3 �A 11 COVERED PORCH 672 x i-, .44, . Receipt Number. I hS 240,000 �� Cash/Check Number. 214-7O ESTIMATED COST(REQUIRED) Date: �� _b�_� •Fair market value of all labor and materials foundation to finish Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc 411pp Front Parcel Review • Parcel 601332013 Printed: April 9, 2013 WILLIAM F WALMAR Site Address: MARY K WALMAR 72 SALMONBERRY LN 4912 145TH AVE SE BELLEVUE, WA 980063546 QUILCENE WA, 98376 Parcel Number: 601332013 S-T-R: 33-26N-01W Total Acreage 5 Legal Description S33 T26 R1W TAX 275 UNDIV INT IN TR Z Land Use: 1900 Flood District: Fire District: 2 Planning Area: Flood Map(FIRM) Panel No: School District 48 Zoning: /2 COMP PLAN N DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ 't'/ Plot plan states "property line" [/4] Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [j/f Legal Access to Property 4/510 NO [ c Parcel Tags or Scanned D. uments YES [ V ESA's: Special Reports Nearby YES NO [ Designated Ag YES 67 [ of Shoreline Designation: YES 0 [ ] Shoreline Slope Stability: YE NO Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landslide: YES NO Flood: YES NO Erosion: YES NO Aquifer Recharge Area:YES NO SIPZ: none At Risk High Risk Coastal CMZ: none High Risk Moderate RiskDisconnected CMZ Stormwater site plan submitted: YesNo [ Forest Lands:_ NO Adjoining Forest Lands: Commercial/ Rural/ Inholding [VT Mineral Lands: YES to [ f rAgricultural Lands: AV NO [ i/r. Archaeology: YES .010 n [ Stormwater: New Impervious Surface 3 . Land Disturbing Activity /L97 ESA's Stormwater Req's:Min Req#2 /� in 'eq#1 thru#5 Min Req#1 thru#10 Engineering Notice Provisions/Disclosure: A '••. YES NO MRL YES NO Forest Lands YES NO [ ri]� ndscaping Required: Yes ► [ rking Spaces Required NO PSther fGY uildina Heiaht: OAP UBC Standard [ 1 Impervious Surface coveraercentage: Resource Lands&Public: 10° Rural Residential. °, Rural Indus. Per UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial Lands only [ 4 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 [ yr Setbacks: Front: Left Side: Right Side: Rear: Shoreline Setback: LSHA Setback: [ I, Road Classification: Road Approach: EXISTING T REQ'D RAP [ VJ SEPA Required: YES XEMPT [ kt Flood Certificate: [v1 Existing Case(s) & Condition(s): Violations: Yes No [ [/]' Recorded Date of Subdivision: /,-/4' AFN Over 5yrs=UDC Plat Conditions: ll ��-- <5yrs=Plat Conditions on plat or Old Ordinance [ t/( Lots/Require Declaration of Restrictive Covenant YES I'CAubmitted: YES NO [ IX- UGA No Protest Agreement YES submitted: YES NO [ Site Visit conducted YES 0 [ (]' Require Final Zoning Approval ES (� [ tj ADMIN: Setbacks entered in Permit Plan case 4 /A YES New Parcel Tags entered in ermit Plan 6140 YES Special Reports Scanned A YES No parcel tags found for parcel Cases Associated with APN 601332013 Cases Name Review Type Status Planner BLD13-00111 WALMAR P Application Received: 4/9/2013 Permit Issued/Case closed: Case Finaled: NSFR - LOG HOME SEP85-00060 WALMAR F Application Received: 9/18/1985 Permit Issued/Case closed: 10/2/1985 Case Finaled: 11/15/2010 SOM85-00060 WALMAR RCR Application Received: Permit Issued/Case closed: 3/23/2011 Case Finaled: USR99-00047 WALMAR A Application Received: 6/16/1999 Permit Issued/Case closed: 12/20/1999 Case Finaled: \\tidemark\data\forms\R_Parcel_CRMLA.rpt 4/9/2013 Page 2 of 2 _ I • • n JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend •Washington 98368 • 360/379-4450 •360/379-4451 Fax http://www.cojefferson.wa.us/commdevelopment/ Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAM WALAI A 4 1s S r)%ON 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 '5,31.0 !acres An acre contains 43,580 square feet. Multiply the acreage by this figure. Size of parcel in square feet ?W V ra 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 deared for: , 3 0 0Does the project convert%acres or more of Construction site for structures sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. aq/ft Circle: Yes Well,utilities,eta sq/ft Does the project convert 2 1,4 acres or more of � native vegetation to pasture? Driveway,parking,roads,Mc. /i 1 if) 0 sq/Pt 3Z. ( Circle: Yes NODLawn,landscaping,etc. off aq/ft Other compacted surface,etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance No.1 sq/ft Cut G I U Fill 4- \ J (cu/yd) [over) stommw.4r cak worksheet—REV.2/20/200e 1 04/04/2013 10:23AM FAX 3604170514 ZENOVIC & ASSOCIATES INC el 0005/0005 I • _ - as 1. ..rn , _ ._ -r rff .r mot Il4 Y l i d ^� i �g C ' 1 ii + A i1J. liP 4 y 1I ___ ,I. _ y ,..... i I ..... I, �• N ——- `, . k. 1 III J.l ,`M+�� *4��•'\ +, ___ Vni [ .:4---__. ., \\ ,..,•4_-_;i_..i. --r il----_-_,-,-,--] :-- f ) •,.....,......,-, , § lik. )ir, 2. . 4 .. ,,, ( ! / / S'-'), - - • .4 , J . 4 • : [ ' n= ....y �, • . t. J r/.7* LliriL--: .,;r1 ?'' lirLj ) eit ' li q �a1O ' 4 tl H {pp y 7 ., ,, II A .elli V II_ i N.... -- --*-- IT 0 _ ----- ri 'II I y 4:::::› ....—,. - .... _R IMP J M.Ql...y + fr.& ef4 .... ...-----• 111 "lilgii141 4!11 li 1 ' i251 /i illgl ii 1 t 2;la 1 ili' 411! :i 1 11 il Piii g pi 11) ;i 1 ! elRlltiia! r , Tea QRl N+..1.06 CABIN homes Ltd. L ayy��vrwarMlyh1(1440•lnwCLWe on r U ''' CTOM DaiC,$D FIDNEt IaOR, i nanrwoc YRf110 NytNOMLPapl�7r _ Grgil 'n�.-ar Mary Waimar = ...P. *.,..I Y`ti11Z ' ' 1 ■ I122oi , 04/04/2013 10:22AM FAX 3604170514 ZENOVIC & ASSOCIATES INC 0 0004/0005 .w_ ., ♦ • • ♦ >124. r n. �ti ♦ - °° - tS... Q }l { • • I. t . ,Iti,,,,,„ 1 , 4 '4 I. wr Ir-r ` 7,_:.)-... gg a ; ;$ 3 ' ., !. ,---.-Ill 1 , I r 4 i ap ._..-..4._. I at, a.._. r: -1r - .,� �.A r �.r r �llrrrlrw�_1, I 4 I ogle�i_ 1_I I 1 I rr{.{ ' r ,..1._ . ,irt ! , ----4.. ,5„..,--.-----,4..., .. . 11 1 V �.. • __.-...---.1f--1 i iiti ------f!ii.-.4......... W I. Q I 01 I , ( (N. )) ....\ S.,„„ 9 6 7 \ qti - J V 1 i ilt. 4 _=_ T „,4 . to o a N (*--ID;') ''.-11 1 ... IIL"M"JIIIM` F---Liet • . -.L. 0. 1 'N\ ) r,..-...L., -01/4„; 7 IT Er....... 1..... ........L. )--- .„,-- ..._..,./z ,..,...._-- 7. 4, VI -' u I <> ; IC?' -_—_- __ ___ "i ,,,6,1 ----1 _ . ..el. ....- 7 ! O.. ai; f x Wii tq i i ,sql - 11 l is 2iii i ikSli °�� IE1 6r5 1 EI' 4 '0 r i1111.1: t e�1 THE ORl&INAL LO6 GNGIN HO 5 4w. `. PPROle wK1oarJlea/MxwrC1.411 r\Ar ',\CUSTOM OESi6NED HOME RORI apes aM.aa R� yI � �� ;' 2 LDOIKKwDNNP+w+NIDNGweYna '�Mary Walmar I'*"� :.1 F11 t, I1011 06M74mY4YMM 1N4411.yr.P.O+. 'V A 1