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HomeMy WebLinkAboutBLD99-1065 Efficiency Dwelling Unit and Garage - BLD Permit / Conditions - 12/27/1999 IQ MASON COUNTY Mason County Bldg, III 426 W. Cedar .� P.O. Box 186 Shelton, Washington 98584 t S tJ I L D I EV G P E R M I T FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND Sam 427-7262 BLD99-1065 PARCEL :420/221902.10 PLAT : DIV : BLK : LOT : JOB ADDRESS : 1223 E SHELTON SPRINGS RD SHELTON OWNER : CAROL FULCHER 426-0607 CONTRACTOR : CUNT WEAVER JR . 426--5836 LEGAL : TR 21 OF NE If TR 4 OF SP 11413 --'�3eY�".-3' 'CC.'T:.iCSC�':.:TJ�"".uY:'�ti'.C-�.'tt•::!'.Y'dl3C: CLASS OF WORK . . :NEW BEDR : 1 .BATH : 1 TYPE AMv1101 RY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . cSF STORIES . . . . . . . c i � ��> _ - �:-� :� _• OCCUP . GROUP . . . :R3U1 BLDG . HEIGHT . . : 0 .Oft PLC .. S 291,69 KW 12182199 52225 AIIJ S 11.10 NJ? 12127199 52396 TYPE OF CONST . , :5N FIREPLACES . . . . : 1 EHCP 1 56.00 NJP {2121199 52396 S 16.88 NJP 12127199 52396 OCCUP . LOAD . . . . % 0 WOODSTOVES . . . . : 0 PRNT S 466,75 NJP 12/27/99 52396 INCH MGHt 1 22.00 NJP 12127199 52396 DWELL .UNITS . . . . % 1 PARKING SPACES : 0 PLO $ 47.00 NJP 12/27199 52396 Addltlooal fees not skowa here. ... . . INSPECTION AREA : 2 SHORELINE? . . . . :N IPLNI $ 20.08 NJ? 12121199 52396 TOTAL c 971.64 VALULA1101; 311081 �...-....�.e.air:.•svn�..�'Yl3.S:L'.::Z'f:)T'.x-S:.ai6'..tSCL'R%"�. .._-�GJ.Y.S.ZC.:..^.91F�C2�.tG:�.GR>'-r..:T"Z SETBACKS---------- --- TOILETS . . . . . . . . . . : 1 FUEL TYPES—— - --- - BOILERS/COMP----- MOBILE HOME._.- FRONT . . .S 150 .0ft BATH BASINS . . . . . . : 1 c /ELE ! / ! 0­3 HP . : 0 REAR . . . .N 35 .Oft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL : SIDE ( 1 ) .E 180 .Oft SHOWERS . . . . . . . . . . : 0 FURN 100K BTU : 0 15-30 HP . : 0 ....MAKE.---.--. .._. ; SIDE (2 ) .W 17 .Oft WATER HEATERS . . . . : 1 FURN >=100K BTU : 0 30-50 HP . : 0 SHRLINE .N 0 .Oft CLOTHES WASHERS . . . 1 FURN — FLOOR . . . c 0 50+ HP . : 0 - YEAR— -- AREA --------------------- KITCHEN SINKS . , . . : 1 HEAT PUMP . . . . . . : 0 LOT SIZE . . - FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . r 0 EVAP COOLERSc 0 LENGTH % 0 BUILDING . . . ; 528st DRINKING FOUNT . . . : 0 VENT FANS . . . . , . : 2 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . % Osf LAUNDRY TRAYS . . . . 0 DOMES . iNCIN :0 --SERIAL#------- DECKS . . . . . . : 03f Di S14WASHERS . . . . . . : 0 AIR HANDLING ONITS -- COMML . INCiNtO GAR/CARP :G 336st GARD DISPOSALS — : 0 <- 10000 cfm . : 0 RELOC/REPAIR % 0 AT/DT . :A URINALS . . . . . . . . . . : 0 > 10000 cfm . c 0 OTHER UNITS . : 0 MISC' PLM FIXTURES : 2 GAS OUTLETS . : 0 .'".SC'3�^ACeSG:J.R94:�.v..e.��,..��..—...........+5'GY^�SFJ!/SY�.:�It:ID's-.._�,.KSi':..:JCL^ '-^..'�.�.t.�....�.�...�......_.....•y�.�.��._.:S'�xC?i"�.,:_:.:.F'M1�:A11'. +.e.-x-�•^aC."LV.`:?is1:L�:T'I:.ETSS"�fY'.v"L'�R:��Ti�i.`q:79L9[J. PROJECT 0E1CPIP1101tEFFICIENCY DRILLING UNIT I GARAGE PROJECT LOCATION%BEHIND SHELTON DANCE CENTER THIS PER T BECOU S NULL AND VOID IT WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPFNDED FOR A PERIOD OF !10 OA A-T ANY TINE AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORk IS A P1061ESS INSPECTION WITHIN THE t31 DAY PERIOD. FINAL INSPECTION MUST OF APPROVED B ORE BUILDING, CAN BE OCCUPIED. R A G E N T c !�— - — '- . -....................I... DATE% BLO'PRMT, rev, 03131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback Cif f'L Sjs�kEs �" date - 6M by Ribbons date 1a-S 7-9 i by ,�1�C211rts? Gas Piping date b Foundation Walls date s= S — by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. dat - - ZOC)o by date 7-06290 by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING 1%—� date _ by date — Z -�� by Water ine FINAL INSPECTION date ?J, 2 7 "00Dv by date by �,491' date by IZ ' 7'9c 'ooTi�v g / 4-5S�,� 54F ,g2 .tTom. f•1 �qA,7 L C'Av, T Fiat iv o ! 3, F�� S 1. n�u/� c�c �fS�•s�G o.� ��� ��ii-�.e,•...r. T, �/nr� `i �u s5 �p� i2 S� .�J G�� �.9Ci ' ,�,�'�v �.►�,t E,c�iv 3 a 7-24k� 3-2 7 Z000 .Z/�Su/,a I MASON COUNTY • Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF-Z FRM 1 T C: © ND I -T i c3IV :-; Case No . : 131.D99--1065 Fort CAROL. FULCHER Page . 1 1 ) Ownerlbuilder assumes all responsibility if drainfieldlreseirve area is encumbered . ~x X �s 2 ) This application is subject to Huffer and t.andscaping requirements as established under Mason County Ordinance 1 .03 .036 . X 3 ) The use, handling and storage of hazardous materials or flammable and combustible liquids In excess of 10 gallons is not allowed without the approval of the Mason County r Fire Mor_shal . X_ 4 ) Proposed structure or, any portion thereof greater than 30" In height from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from all Co��ty and State Road right of ways . X 5 ) Provisions for surface/ subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels . Under the requirements of Mason County Stormwater Ordinance , either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose . For further information regarding this ordinance and theREQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450 . For any construction which is proposed to be located within 25 ' of a Mason County road right of way, it is suggested to contact that office to review future planned work which mayaffect { ct your project . 6) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection ( slit fencing or straw ';ONCRETE MECHANICAL MOBILE HOME Footings-Setback date r Y b Ribbons date by Gas Piping date b Foundatior.Walls date by Set Up date • by INSULATION date by BG/SLAB Insulation Floors Final date by date b date by FRAMING y Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by l MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 matt I n6l X__ 7 ) Approved per dimensions and setbacks on submitted ;site plan . X F ` This site is located within a Type 11 Highty susceptible Aquifer Recharge Area . Title Notlfic.ation must be filed and a copy provided to the Department of Community Deve I opiyent . X �- 9 ) All approved plans are required to be on-site for inspection purposes . If Inspection Is called for and plans are not on site, Approval WILL NOT be granted . In addition , a Re- Inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . 10) PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL 6F ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPECTJONS . X t� _ 11 ) The correction list , along with the Energy Compliance Worksheet (when applicable ) Is part of the plans and must remain at thereto . It is the responsibility of the gplicant to make corrections Indicated on the,plans from the correction lists . Once e plans are marked APPROVED, they may not be hanged or altered without authorization from the Building Official . The permit holder is reponsible to retain the complete approved set. of plans on site for the duration of the project . Failure to comply will result in failure of required building Inspections . Every permit shall expire by limitation and become null and void if the building or work authorized by such permits Is not commenced within 180 days from the date of ;Issuanoe, or, If the building or work authorized by such permits is suspended or abandmn� at any time after the work is commenced for a period of 180 days . X�_ 12 ) All_ CONSTRUCTION MUST MEE'r OR EXCEED Al_L L.00AL CODES AND UBC REQUIREMENTS AND OCCUPANCY CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i MASON COUNTY Mason County Bldg. III 426 W, Cedar P.O, Box 186 Shelton, Washington 98584 IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION . ANY CHANGE: OF USE OR OCCUPANCY WOULD :\ RESULT IN PERMIT REVOCATION , CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE . 13 ) Proposed structure or portions hereof with an projection over 30" in height from grade line , must maintain a 5 ' sepa on distance between adjacent structures and that furthest projection . X�_ - - 14 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quaiil Code, the Uniform Building Code and/or Mason County Rec�' ! ns must. be approved by Mason County prior, to construct i onX 15 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED_."' REQUIRF..D PER MASON COUNTY BUILDING DE PAR THE NT AND UNIFORM BUILDING CODE ,x Case No . a BL.D99-- 1065 t ;ONCRETE MECHANICAL MOBILE HOME , ootings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by -AD(o.5 FU G LI-IE4 ce Date: 1/06/00 BeamChek 2.2 Choice 6x 8 DF-L#1 BASE Fb=1200 AN Fb= 1200 Conditions '91 NDS Min Bearing Area R1=2.0 in2 R2=2.0 in2 DL Defl 0.22 in Data Beam Span 14.0 ft Reaction 1 1246# Reaction 1 LL 700# Beam Wt per ft 10.02# Reaction 2 1246# Reaction 2 LL 700# Beam Weight 140# Maximum V 1246# Max Moment 4362'# Max V(Reduced) 1135# TL Max Deft L/ 180 TL Actual Deb L/338 LL Max Defl L/240 LL Actual Defl L/602 Attributes Section(in3) Shear(in 2) TL Defl(in) LL Defl Actual 51.56 41.25 0.50 0.28 Critical 43.62 20.03 0.93 0.70 Status OK OK OK OK Ratio 85% 49% 53% 40% Fb(psi) Fv(psi) E(psi x mil) Fc±(psi) Values Base Values 1200 85 1.6 625 Base Adjusted 1200 85 1.6 625 Adiustments CF Size Factor 1.000 Cd Duration 1.00 1.00 Cr Repetitive Ch Shear Stress Cm Wet Use BeamChek has automatically added the beam self-weight into the calculations. Loads Uniform TL: 168 =A Uniform LL 100 Uniform Load A R1 = 1246 R2= 1246 SPAN= 14 FT Uniform and partial uniform loads are lbs per lineal ft MASON COUNTY BUILDING PERMIT Permit No.ab 00 Date 99 iz- 1 46 Address • Owner toAL, ha-a- — Contractor &�In- Reg. # Job Description 6 Foun ation Footing Foundation Wall Below Grade/Slab Insulation Plumbing Inspection Mechanical Inspection Frame Inspection Insulation Inspection Wall Board Inspection Fire Marshal Final (commercial only) Final Inspection Applicant Must Call -- Issued y 427-7262for Required Inspection POST THIS CARD IN A CONSPICUOUS PLACE AT THE FRONT OF PREMISES. This Building NOT To Be Occupied Until Finaled • PERMIT NO. BLD MASON COUNTY ^ � BUILDING PERMIT APPLICATION No 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICA INFORMATION CONTRACTOR INF.9 ATION Owner LA R 0 L FL/LC-14 2. Contractor Name Bade Mailing Address/ .21 E- SHtz7yN .5;Rn1 ytrS RO Mailing Add ess e City .5dc,Z7 oA! State & Zip Code ?SSTq City k State Zip Code g C Phone(360 )V24 *bbrf Other Ph.(3b0 )AV 26 5"5 O I Ph. 426-5]�34 Other Ph.( Lien/Title Holder Contractor Reg. #e1AJC4 4 *0 l,3,k1 Address Expiration_0_-5- /C7 Awl 16o SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System Well ( Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. !V,2.0 /.Z/ _/ U.Z.. O Fire District Legal Description OF A) C, A1.1-J U7- Iq 5W LA 0. 0 Site Address(Please include street name, street number and city)/22/ NFZTUM SRn1al6-9 Rq, .S KLIV Directions to site BrN/AID �SNe'Z7V D/`AXff_ g7t"rlT��2 Will timber be cut and sold in parcel preparation? (Yes/No)_1%JO Is your property within 200' of the following: Body of Water (Name) &)Q Saltwater NO Lake r-jo Rive r/Creek_p)0 Pond No Wetland �JQ_Seasonal Runoff NO Stream N)O Slopes or Bluffs n)O TYPE OF JOB New Add Alt Repair Other Use of Buildin Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 6;2 o �_ meter 3rd Floor ALoft Basemeryt Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in confo mance there 'h. o changes shall be made without approval. first obtain gap I Date X Date,/0.2 FOR OFFI IACL�SE BEYOND THIS P {VTZPy - .... Accepted b &- Date�� / Submittal Amount DueIV. Receipt No."°Zz4b DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grou ,q3 v! T e Constr. S AA o?D 49 Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FIwES . _. _. . _ . Building Permit Fee .0&. 75 Site Inspection yt Plan Review Fef 7 0 �03,3 UFC Plan Review Fee PI bi f Baase Fee oD Public Works Review Fee r Mechanical & Bn Fee oo Other Z/5-0Ga Woo /PelletttoStove ee qa oo Other �/ Violation Fee Pre-Paid at Submittal O FEES + .. .+er ..r,.-v�c.�,rraaprewr:�'•rs�a':...: r ii�'E"`. •r;'x"¢I� ;ai rs.,�r��}!w,r.s.,-..-n, .eY t!u5 ~ PERMIT NO. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner (1,HKOL Contractor NameL�i�t. Mailing Address 122.) E SH eMO Mailing Address P , !9S City .5HtZ.TO N State l,0 4 Zip Code gF53N City ay, State 47 Zip Code S Phone(36o )!/2b -7bF 1 Other Ph.(3(o0 )q7-(, :"b i Ph.(3 0 ) - Other Ph.0 Lien/Title Holder Contractor Reg. # W!2e/S/.L *013ki Address ExpirationQz_/ 0,9 / .20o0 SEPTIC INFORMATION-Connect to New Septic�Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. IV 2 0 / 2 / 21 / 9OZ 10 Fire District /1 Legal Description —MAOT 0E- NtE, W 0 kur y 5 F-lolc-T PuR'r do l.1 03 Site Address(Please include street name, street number and city),42.2 I L .5HfZT0A) ,SI'R INr-S Q . s� fk-00f,- Directions to site &H I t-N D S N✓ -20" DANICE CIC EI-K + I Is your property within 200' of the following: Body of Water(Name) MID Saltwater K)O Lake NO River/Creek Pond NO Wetland NO Seasonal Runoff_ Streamer O Slopes or III I B7. luffstZ — YPE ✓1 OF JOB New . Add Alt Repair Other Use of Buildingcation of Fixtures/Units 1st Floor �,, 2nd Floor. Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas ; Heatpump Toilets _� Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers / Vent Fans L S� Water Heater � t�Y'= Propane Tank Laundry Wsher Gas Outlets Sinks J_ yaoO Wood/Gas/Pellet Stove Dishwasher Direct Vent?� Other_ HA 0d Other /ra,o0 Other Other Base Fee �� Base Fee o0 TOTAL PLUMBING °O TOTAL MECHANICA o0 A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining a Ohl. X Date /0 X Date FOR OFFICIAL USE BEYOND THIS POINT Accopted by Date Submittal Amount Due Receipt No. I DEPARTNf NTALIiE1fiEVff'>. Rf' �tC7VEG1: EtUIE#3 CONDITI0MADODeS ' Building Department Occ Group Type Constr. _ Planning Department Other Other FEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name CAROL. VQ1_C,N�"IL PARCEL NUMBER 'Y�Z©fZ .2.1 961.1O Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences 5 Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property lin I D HEN FIE�J7 a-7I, <-adjacent property line 7 I J I 17 I I I I WE L- ' M ,�- - - — 7 %-, I 50 L.TON AA NCF �I r N R. b Al VEW III ax►sriii II 0 I ,, [�I sTi NG I I I � op, Ali VF WaY I AO ' N spR�N�s �.p adjacent property line-> I <-adjacent property line SAMPLE SITE PLAN adja�nt property lined 3io� _ _ E-adjacent property line D 30, rR�'SCRvE ,�30�1 SEASo w1 AL_ I J I ti CReEK � I � non.,r i GaseN I j PIMOPest13 sapt:c �I I 1 , I R I VAGn,T I 7 CA rt�a� 0' I �I pM1oPoseO / �k �\ T A"=LLLTWlAL So I K-4p'---� \ yp• I I , I I i I \ \ \ ' /00" I ' I � � t_...cLL I I I I ]i /00. I I L.�.GLL I adjacent property line-) 'Il�. c I \, Fad'acent ro erty line 4 TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d13+once. +v r_U_-t-t.tie_ d i.s't�a r%GL tc FLAT Slapa �o¢ d;i+ancm +e G ht ignature Da e