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HomeMy WebLinkAboutBLD2000-00697 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 (800) 831-2678 PERMIT #: BLD00-00697 Received Date 10/19/2000 SITE ADDRESS: 8867 FLAGLER RD Issue Date 11/3/2000 NORDLAND, 98358 Expiration Date 11/3/2001 APPLICANT: JAMES WIEMAN PHONE: 514-942-4145 DORNA WIEMAN 78378 BIGELOW WAY COTTAGE GROVE OR 97424 SUBDIVISION: ORME SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 953700324 Section: 20 Township: 30 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License: WALTECC012BA Expires: 01/01/2001 LOAN LENDER/ FIRST FEDERAL S & L BOND HOLDER: 1321 SIMS WAY PORT TOWNSEND WA 98368 PROJECT DESCRIPTION SINGLE FAMILY RESIDENCE REQUIRED INSPECTIONS: ootings/Setbacks_ horeline Setback .177./rq/4//,Z"A/T L IFcT °At° /l s/?/ V�/ '/ � . [ ] Und round Plumbing/Underground Insula on: [ • <S' - ® 3 I o h [ Qrarrtin lumbin i1 K 3--?-v t 8 w ['wr propane Tank/Lines`y ,A/E-"s ep t- ' e c 774-Z) e)- .. r/Vil,c 1,0,r e/cv_ [47 Insulation: /�a/ [yj Sheetrock: 0IC 37/�0/ [ final/Occupancy Approva HEALTH DEPARTMENT 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. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. SPECIAL CONDITIONS MAY APPLY - SEE REVERSE HOT LINE AVAILABLE 24 HOURS A DAY No-re 5-?- o f V -iir ,var- Thro..�t, $e,1F Ski BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00697 Received Date: 10/19/2000 SITE ADDRESS: 8867 FLAGLER RD NORDLAND, 98358 APPLICANT: JAMES WIEMAN PHONE: 514-942-4145 DORNA WIEMAN 78378 BIGELOW WAY COTTAGE GROVE OR 97424 SUBDIVISION: ORME SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 953700324 Section: 20 Township: 30 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 01/01/2001 ARCH ITECT/ WALTENBAUGH ENGINEER : 355 LOFTUS RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,265 VALUATION 146,603.00 ADD'L: HEAT TYPE: PRO CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 703 SHORELINE: CONST TYPE: DECK: 1,420 SETBACK: 100 BANK HEIGHT: 75 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 3 Seismic Streams Total: 4 Total: 3 Flood Way Flood Plane F&W Landslide Routing Date: �20 (00 Shoreline Aquifer Forest: Commercial Rural —Proximity - Flat Conditions Type Amount Paid By: Date: Receipt: Approveate Permit $1,256.95 MAM 10/19/00 34678 APPROVED Plan Check $377.09 MAM 10/19/00 34678 State Building Code $4.50 MAM 10/19/00 34678 ,}„ Potable Water Application $30.00 MAM 10/19/00 34678 NOV Q LUTAI Total: $1,668.54 Jefferson County Planning &Building Department is\F BLD_App_Bld.rpt 10/29/99 , i tlofferson Colmty I : i artment of Community Development �i-ii, co 621 Sudan Street,Port Townsend WA 08368[360]378-4450 oprm � a opOc ? ©0 � Project Description: Bujding Type: Project Type: Fre Type: Single Family ew EC. Wood Garage Attached/Detached Addition = Steel Modular = Alteration/Remodel = Concrete Commercial = Repair 2 Masonry Multi-family/#of Units C Demolition = Other. Industrial Other. Bedrooms: Bathrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing. Existing. s —& Sexier =Community System 7.2 Electricity = Ojl/" Proposed: Proposed: 3 ndividual System Woodstove ropane Total: Total: 3 If not sewer,fill out the following: = Heat Pump Conventional Altecna v Other Permit # SEP '11"1, � i1 i Water Supply: Private well = Two Party W- = Public:Name of water system: Square Footage: For Office Use Only Main Floor , _ G 5 _ 3 b�,5 UBC OCCUPANCY GROUP 2ND Floor Base fee � � (a , 9 S 3 d Flcor Plan Check fee ._..__, _ °�7^7 0 0 9 Htd Basement State Surcharge fee 1 ,o� Unhtd Basement Subtotal , L 3 o1-1 Garage/Carport —1 63 St-Ft ' b 0 Pot Water Review fee 0 -C C) Decks I yW.12' �.05✓ 911/Rd Approach fee "et/ Commercial TOTAL 1 O (C G L Industrial Receipt # 5 L\ ,,.o S ! Other Cash/Check # k.' — _____+ T.)tal Valuation: \ N Initials — __. ._ W mi/ l_ _ Or Date \V — k d -9 Estimated Cost: 305/ 60Oo `� If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark I D 0 -(i- ft. Bank Height 7..._ 14f ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner 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 attomey'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 it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. Signature: Date: 'sc)i) L 10 — 18-0J Av-0-0 — oo u-ir (0 \ s . , BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD00-00697 Received Date: 10/19/2000 SITE ADDRESS: 8867 FLAGLER RD NORDLAND, 98358 APPLICANT: JAMES WIEMAN PHONE: 514-942-4145 DORNA WIEMAN 78378 BIGELOW WAY COTTAGE GROVE OR 97424 SUBDIVISION: ORME SHORT PLAT Block: Lot: 3 PARCEL NUMBER: 953700324 Section: 20 Township: 30 N Range: 01 E CONTRACTOR: WALTENBAUGH CONSTRUCTION CO PHONE: (360)385-6105 355 LOFTUS PORT TOWNSEND WA 98368 Contractor's License WALTECC012BA Expires 01/01/2001 ARCHITECT/ WALTENBAUGH ENGINEER : 355 LOFTUS RD PORT TOWNSEND WA 98368 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,265 VALUATION 146,603.00 ADD'L: HEAT TYPE: PRO CODE EDITION. 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 703 SHORELINE: CONST TYPE: DECK: 1,420 SETBACK: 100 BANK HEIGHT: 75 SEWAGE DISPOSAL: ALT WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 3 Seismic W Streams Total: 4 Total: 3 Flood Way Flood Plane F&W Landslide 1U- Routing Date: 10/20 /DO Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt:— i •'0 - ; a Permit $1,256.95 MAM 10/19/00 34678 �.�, Plan Check $377.09 MAM 10/19/00 34678 r x l t '1, -- State Building Code $4.50 MAM 10/19/00 34678 . Potable Water Application $30.00 MAM 10/19/00 34678 Sakiltioldtali' IMA Total: $1,668.54 firi ... RegAiRWI Ilk° i:\F_BLD_App_Bid.rpt 10/29/99 } + ' Oepariniont oiCortmunity Development October 20, 2000 Ste: ertTesn end.WA 98368 -MO)371M49.50 e s. FINDINGS AND CONDITIONS OF APPROVAL AS REQUIRED UNDER THE • • JEFFERSON COUNTY INTERIM CRITICAL AREAS ORDINANCE Applicant J WIEMAN ECEOWE.. � AWIEMAN� 78378 BIGELOW WAY COTTAGE GROVE OR 974241.4 (E OCT 3 0 2000 I Critical Area Review Case Number: CAR00-00461 Project Description: single family residence JEFFFhSON COUNTY Parcel Number. 953700324 S-T-R: 20-30N-01E OEPT. OF CC?.•nnt,N;7y DEVELOPMENT Site Address: 8867 FLAGLER RD NORDLAND WA, 98358 FINDINGS: In accordance with the authority provided under subsection 4.101 and the requirements contained in Subsection 5.402 of the Jefferson County Interim Critical Areas Ordinance, the following are findings of fact relating to the referenced application: 1.) The application was reviewed by Jefferson County Permit Center staff on 7/30/99 for the potential presence of critical areas regulated under the provisions of the Ordinance, and the following critical areas were confirmed as potentially present on the subject property: Landslide Hazard Area III (severe), Shoreline (Conservancy), and Susceptible Aquifer Recharge Area.. 2.) Acting upon the above information, Jefferson County staff conducted a site inspection of the subject property on 8/04/99 and confirmed the existence of the following critical areas and/or their associated buffers on the property: Shoreline (Conservancy), and Landslide Hazard Area III (Severe). 3.) A Geotechnical Report was submitted in conjunction with the application. Said report evaluated the stability of the bluff containing the Landslide Hazard Area. The report recommends a 100-foot setback from the top of the bluff to the proposed dwelling. 4.) Aquifer recharge areas in Jefferson County are characterized by porous geologic formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 5.) Susceptible aquifer recharge areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. This includes any portion of Jefferson County with a DRASTIC index of greater than or equal to 180 points as determined using the U.S. Environmental Protection Agency DRASTIC methodology: Drastic: A Standardized System for Evaluating Ground Water Pollution Using Hydrogeologic Settings (EPA 600/23-87-035). 6.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 7.) These bluffs are considered unstable and are subject to catatrophic slides. The potential for an earthquake of a high magnitude occuring in western Washington in the near future is considered a high probability by regional experts. 8.) The fish and wildlife habitat area is entirely associated with the shoreline. The minimum buffer for fish and wildlife habitat area along the shoreline is 30 feet as measured from the beginning of the vegetation line along the beach. In this instance, the required fish and wildlife habitat area buffer is entirely contained within the landslide hazard area and its associated buffer and needs no additional consideration. 9.) A site inspection by Permit Center Staff was performed on 8/04/99. A cobble beach with near verticle unvegetated bluff was observed. The height of the bluff measured roughly 75-feet. A naturally vegetated buffer approximately 50-feet wide spans along the bluff. This waiver also includes findings andconditions for evaluation of shoreline areas as regulated under the provision of The Jefferson County Shoreline Management Master Program, adopted March 7, 1988, as amended. ) The standard setback for residential structures, including common appurtenant structures such as garages and workshops, shall be 30 feet, or 1 foot for each foot of bank height, whichever is greater. This setback shall be measured from the bank's edge when the bank height exceeds 10 feet. 12.) The bluff height is 75-feet. The required setback from the top of the bluff is 75-feet. However, the __•) Geotechnical Report submitted in conjunction with this application recommends that the foundation of the home maintain a 100-foot setback. The report further states that the deck/patio may encroach upon the recommended buffer requiring a setback of 75-feet from the top of the bluff as stipulated through the Jefferson County Shoreline Management Master Program. This waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is granted subject to the following conditions. Any deviation from these conditions shall result in this waiver being revoked and the application becoming subject to further review. CONDITIONS OF APPROVAL: 1.) A vegetive buffer of 30 feet shall be permanently maintained from the top or edge of the landslide hazard area.All buffers shall be measured perpendicularly from the top of the landslide hazard area. 2.) Landslide hazard areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, replanting with native vegetation shall be required by the Critical Area Administrator. No alteration shall be made to the landslide hazard area or its associated buffer without prior authorization by the Critical Area Administrator. 3.) Among the native conifer species which may be used are: grand fir(Aibes grandis), sitka spruce (Picea sitchensis), shore pine (Pinus contorta), Douglas-fir(Pseudotsuga menziesii), western redcedar(Thuja plicate), western hemlock (Tsuga heterophylla). 4.) Among the native tree species which may be used are: vine maple (Acer circinatum) big-leaf maple (Acer macrophyllum), red alder(Alnus rubra), Pacific madrone (Arbutus menziesii), quaking aspen (populus tremula), black cottonwood (Populus trichocarpa), bitter cherry (Prunus emarginata), Oregon white oak (Quercus garryana), cascara (Rhamnus purshiana), Pacific willow(Salix lasiandra), Scouler's willow(Salix scouleriana). 5.) Among the native shrub species which may be used are: service-berry (Amalanchier alnifolia), red osier dogwood (Cornus stolonifera)salal (Gaultheria shallon), ocean spray (Holodiscus discolor), Indian plum (Oemlaria cerasiformis), Pacific ninebark (Physocarpus capitus), red flowering currant (Ribes sanguineum), wild rose (Rosa gymnocarpa), Nootka rose (Rosa nutkana), swamp rose (Rosa pisocarpa), willows (Salix ssp.), red elderberry (Sambucus racemosa), snowberry(Symphoricarpos albus), evergreen huckleberry (Vaccinium ovatum), red huckleberry(Vaccinium parvifolium). 6.) Surface drainage shall not be directed across the face of a marine bluff, landslide hazard or ravine. If drainage must be discharged from a bluff to adjacent waters, it shall be collected above the face of the bluff and discharged to the water by tight line drain and provided with an energy dissipating device at the shoreline. A shoreline permit is required to discharge water at the shoreline. 7.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer-Do not Remove or Alter Existing Native Vegetation." 8.) All construction activities, including the storage and preparation of materials, shall not encroach upon the designated geologically hazardous area, or its associated buffer. 9.) Damage to vegetation to be retained on site shall be minimized by directional felling of trees away from these areas. 10.) The applicant shall permanently separate the boundary of the landslide hazard area buffer from the remainder of the subject property through installing and maintaining one of the following; logs, trees, a hedge row, or other prominent physical marking. The separation method identified by the applicant shall be approved by the Critical Area Administrator prior to planting or installation. 11.) Vegetation retained on-site following completion of clearing for roadways, utilities and the like, may be cleared only if such clearing is absolutely necessary to complete the proposal (Note: This condition shall not be construed as allowing removal of native vegetation within a designated critical area or its associated buffer). 12.) Residential structures shall not exceed thirty-five (35)feet in height. 13.) The applicant shall apply for a shoreline permit exemption for the installation of a stormwater tight-line prior to construction of any structures. 14.) The proposed single family dwelling shall maintain a 100-foot setback from the top of the bluff to the foundation. / (A)C006.tei I )21CY) Warren Hart, AICP Date Critical Areas Administrator I understand that the granting of the above waiver from the provisions of the Jefferson County Interim Critical Areas Ordinance is made subject to my complying with the above listed conditions, and that any violation of said conditions shall result in revocation of the permit or approval and further review of the project under the Critical Areas Ordinance. Please sign and return to the Department of Community Development. 10 - 2S -uv A• • icant's Signature Date c: File I:\F_CAR_Waiver_W_Conds.rpt 12/13/99 S£+ t JEF'I4ERSON COUNTY STORiMWATER MANAGEMENT ORDINANCE SMALL PARCEL EROSION AND SEDIMENT CONTROL PLAN EROSION AND SEDIMENT CONTROL WORKSHEET Property Owned: �l r-,(\ ,t rn�i h _L(YY Telephone: Address: 7 ?; 3�7 1 C' q_ _P-Lt 1..LC 5L- C'-ktf`C C� (`C—M- r Me"CC. Z 21- J ) dl Assessor's Parcel Number: J�C C �3 1 L1 Building Permit or Septic Permit Application Number(if applicable):5._)/ C `1 1 - `_7( Brief Project Description: A C -1 r.,,, a-Q-- `� i, c . ` ,..4_— hc-w -c (c.,_(__,,„---- t A-,,s ----)--------1-1,+, --) Site Location: ) L.--1I CLL l ' ( r( C 1 I') i-Cit IICLI-(I i Lh17 C""1' . i, Person Responsible for BMP Installation and MaintenanceU,C r . a(-A, LTLCb ' i`)C C . Address: -- � I—Cl \4-1:-� k C.,CL. t PT .i�" CV -�Cc_�5 Telephone:'._-)_C- " _�� _ - �`� 1. Describe/check the Best Management Practices (BMPs) that you will implement during land disturbing activities or construction to control erosion and prevent sediment from entering water bodies (marine waters, streams, rivers, lakes, or wetlands) or impacting adjacent property or roads. Please check the measures you plan to implement and show their approximate location on the site plan. You may also propose measures other than those listed. Attach additional sheets, if more space is required. Stabilize construction access route. Limit construction vehicles to one route, if feasible. Provide a stabilized construction access by applying quarry spalls, ballast, or crushed rock to minimize tracking sediment onto roads. (See attached illustration from Stormwater Management Manual.) If sediment is transported onto roads, they will be cleaned thoroughly. Minimise the extent of land disturbing activity and preserve existing vegetation. Preserve buffers of well-established vegetation between disturbed areas and property boundaries, roads, water bodies, and designated critical areas (wetlands, fish and wildlife habitat areas, landslide or erosion hazard area, etc.). SPESC Instructions—Long Form Revised June 3, 1999 9 :_4 EROSION A-ND SEDIMENT CONTROL WORKSgEET �. ] �] disturbing Phase clearing so that only areas that are actively being worked are Startand complete land uncovered. September30. ng activities and stabilize the site between April 1 and Stabilization means that disturbed areas will have well-established plant cover or be landscaped to minimize erosion. [] Stabilize exposed soil Exposed and unworked soil will be covered within 2 October 1 and March 31 and within 7 days between April 1 and September [ ] Cover exposed soildays between approved for this with a imum of 2 inches of straw or hay y or other material [ ] Cover soil stockpiles with plastic sheeting and locate away from water and property lines. bodies, roads, [] Place ravel base on roads, driveways and parking areas after clearing and subgrade V- Protect adjacent properties and water bodies from j)Place straw or hay bales in ditches and drainage ways d sediment o defromposition: of land disturbing activity to filter runoff before it leaves the projecctt site areas wter bodies. (See attached illustrations from Stormwater Mana ement Manual. Install a filter fence do enters before it leaves the down slope from areas of land disturbing )project site or enters water bodies. achdttil tos filter runoff Stormwater Mana ement Manual.) (See attached illustration from Regularly inspect and maintain all B111Ps especially P y after storms events. [] Describe other erosion and sediment control Best Management as to design and specifications. g nt Practices. Be specific r r '_CL,1 c, " Lam. E i i 1 SPESC Instructions--Long Form Revised June 3, 1999 10 k' EROSION AND SEDIMENT CONTROL WORKSHEET 2. Describe how disturbed areas will be permanently stabilized(seeded, landscaped, apply gravel base to roadways,etc.) I �) t .r O CI (°i.t-C.0---5' Cic--'c-c. i- --'i\--k __r,r J-eJ— r; -C- 4-U \f .-z L 1 0 19 r A ii n ICJ LL i \c-. :S`S.- CUn C^i rt.: h A�. r-A ri.� W i i hGLL--L-3 C ...:. 7e ( (-- Lc.CI C CL.L l.i;t ( 1 _. r d L'6 i j ri 1-- Q-t..) n a kCi 3. Describe how runoff from impervious surfaces will be controlled (disperse to vegetated areas to infiltrate, dry well, infiltration trench,route runoff to existing drainage facilities,etc.). _,.k._ , 43)(---) C:i tv--__(,L _,,Q 4----r, ( (--1-,._1- _,.,,, i- cz cp. t-r)----z,--i- r-o-n-ca. SPESC Instructions—Long Form Revised June 3, 1999 11 L. 11111‘ EROSION AND SEDIMENT CONTROL WORKSHEET 4. Specify your construction sequence. Describe the timing of all land disturbing activities (clearing and grading, construction, installation of drainage facilities, landscaping, etc.) and Best Management Practices. Describe proposed maintenance of BMPs. / L_L k ePtr,V j / • The Best Management Practices proposed above will be implemented to control erosion, sediment, and stormwater runoff I will notify the Permit Center for inspections as required. Signature of Owner/Agent Date SPESC Instructions—Long Form Revised June 3, 1999 12 Jefferson County Department of Community Development 4• oN coG 621 Sheridan Street, Port Townsend WA 98368 (360) 379-4450 / 2. �� ti Q. '-$ Universal Plot Plan 'sk1NG Fill in the following blanks as completely as possible : Project Description:' ‘1- ,,4Lir n D r �x. L..0 COi / '11 ` -''tom ,'y\,C i j 9 Digit Parcel Identification Number (from your tax statement): I Site Address 911#: Lell Road Name: r I t°��� Zi Code: Legal Description B Subdivision Name: r-- T��-- PUJE io -3Ey ;i, Lot(s): 3 Section: ownslup: , age: 1 ,e a Parcel Size (acres or square footage): -t , ci Gi_ Property Owner -s`""_ r- I ,\ ry_so Phone:5 4 1 _ ot, r `t 14 Mailing Address: Applicant/Occupant: °_` ,' Phone: (if different from owner)J ill Fitt 34 _3 -_ Ld � Mailing Address: L61/ Authorized Rep:w a, ( kn ky"l:.k..tcyk Co/r4 Phone: Mailing Address: e� � '-� `.• l General Contractor Co4 �� . - Or Manufactured Home Installer: Phone: ""eir, _a 5----(0\0 -) Mailing Address: Contractor's State license Number:, ss\ ry 9.5ixp tion Date: Septic Designers 1 Phone . (�r` ->3"lof-CI(cl I Mailing Address: 1 i 1 f ,�1.�..�Rt,.- - , + i �, _\\ I � FcC ICiC t li Architect:/Engineer: LcLuenril ° Phone MailingAddress: 1 -z;•- Cam( p- - , C, 4\-- 9 3 L Loan Lender/General Phone: Contractor's Bond Holder: ; -- .3'_ 'i 114 ( (c., Mailing Address: \-3 _ y� FOR OFFICE USE ONL Y Fire District: Planning Area: School District: Zone: 1/00 H:\home\pincntr\forms\universal plot plan r t , o V o L, ' r ,rT /A .r ` (7 7 / NI � � g f roe' r Boa -):041 . 1:-- ;� � P' -‘-: \ 7,7 0 / G , ,, / h /lam '�►� \4 `I_ - / r a �a !, w• / .G }_p�ry `, Ve f / ../. / 1) t "{ a + b s. 14 ..VD .,.ti• I LI 1 / j 1 I j k1 'k/ ‘,.. - _ "`"' '',.„, IA 14i , ._ . .. ,, , I € lealle I .. f 1 i 11' � ( an .....»._ -^-1 v } -s.�.aRar. �..' , w.,i_. ._. 4 d ' A 4 9 r... 1 1