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Home My WebLink AboutBLD07-010 41111 Property Site Area/Coverage Information Total area of the property in square feet: Total area covered by structures in square feet(existing&proposed; use fdn. bldg. line for dimension): Percentage of lot coverage: Impervious Surfaces. Please provide the square footage of the roof area of the proposed and existing structures, and the square footage of the total area covered by porches,walkways, patios and driveways, parking, etc. Proposed Building Roofprint Sq. Ft: Existing Building Roofprint Sq. Ft: Proposed Garage Roofprint Sq. Ft: Existing Garage Roofprint Sq. Ft: Proposed Porch/Walkway Sq. Ft: Existing Porch/Walkway Sq. Ft: Proposed Parking/Driveways Sq. Ft: Existing Parking/Driveways Sq. Ft Other(describe): Other(describe): Total Proposed Impervious Sq. Ft: Total Existing Impervious Sq. Ft: % New Please check the plans that you are submitting with this application: Site Plan Framing/Roof Framing Plan Parking Plan Building &Wall Sections Landscaping Plan Elevations Drainage/Erosion Control Plumbing Foundation Plan Mechanical Floor Plan NREC Compliance: Electric Non- electric Special Conditions-Please check YES or NO as applicable YES NO 1. Is the property within 200 feet of a fresh or salt water shoreline? 2. Is the property within the Port Townsend Historical District? X, 3. Is the property located within or adjacent to an environmentally sensitive area? 4. Will this proposal involve any sewer,water or other utility extensions that will or could serve vacant properties other than the project site? If yes, please identify the utility extensions and sites (attach list). X 5. Have any special conditions been placed on this property, or has the property been subject to any conditions on any prior action of the City(If yes, attach copies of appropriate documents): Subdivision/Short Plat/Boundary Line Adjustment? SEPA(environmental review)? Variance? Conditional Use Permit? Street Vacation? \\Citypdc\bcd\AII Forms\Commercial building application.doc QORT t0 Te • o of ,4, CITY OF PORT TOWNSEND _` �' _ COMMERCIAL BUILDING PERMIT APPLICATION • " 0 NEW CONSTRUCTION,REMODELS,ADDITIONS,&ALTERATIONS _ �`'� Property Owner's Name(s) —373/7/A) 1)2 Mailing Address / �j / S Phone 5 — v Permit No. • C5• - 4 Property Street Address bdAtQfre s [ f77 S(-Z? s, Parcel# cip7Gztay t Zoning District( .T Construction Type Occupancy Rating 8 Legal Description: Addition CT UK ccriAS 11-€: Block L/ ., Lot(s) J General Contractor's Name L L Mailing Address Phone State License Number Exp. Date: City Business License Number .. ...Exp. Date: Authorized Representative/Contact Person: Phone: Estimated Value of construction $ Ci Financed By ,) Date Work is to Begin Date Work is to be Completed Please check all that applies for the type of building permit you are requesting: New Commercial Addition/Expansion New Multi-family-#of units: Change of Use Repair/Remodel/Tenant Improvement Grading/Excavation L,--Other(please describe): City Sewer 3/4"Water Meter 1 1/2"Water Meter Septic 1"Water Meter 2"Water Meter Side Sewer Contractor: Floor Area The proposed structure is to be used for Conditioned Space Sq. Ft: Restrooms Sq. Ft: Basement Sq. Ft: Storage Sq. Ft: 4; Mezzanine Sq. Ft Entry/Lobby Sq. Ft: Other(please describe): Decks Sq. Ft: ? _ Muul \\Citypdc\bcd\All Forms\Commercial building application.doc For Office Use Only Permit No. Building Official Approval Date Issued Plan Review Fee$ Date Receipt No. Water/Sewer SDC $ Date Receipt No. Balance Due$ Date Receipt No. Owner/Representative Signature Date Received \\Cirypdc\bcdWll Forms\Commercial building application.doc 4111 • Planned Unit Development? Restrictive Covenant? Easement? 6. Are any properties within 800 feet of the site owned or controlled by the applicant, any relative or business associate, or any partnership,corporation,or other entity affiliated with the applicant? (If yes,attach list) 7. Have any of the properties listed in item#6 been developed within the last two years? (if yes, attach list) 8. Have you previously discussed this project with a City staff member? If yes,who and when? Applicant Certification The applicant hereby certifies to have knowledge of those sections of the Uniform Building Code and the Port Townsend Municipal Code pertinent to the above project and that the applicant is responsible for constructing in conformance with these codes;the applicant understands that the permit, if issued, expires in six months unless work is started;that the permit, after construction has started,will expire after one year if an inspection is not made to show significant progress on the structure;the applicant agrees to abide by the ordinances,codes, regulations, restrictive covenants, deed or plat restrictions, and water and sewer plans attached hereto; the applicant certifies that all information given above and on accompanying plans is complete and accurate to the best of his/her knowledge; and the applicant understands that this information will be relied upon in granting permits and that if such information is later found to be inaccurate any permits may be withdrawn. The undersigned hereby saves and holds the City of Port Townsend harmless from any and all causes of action, judgments, claims, or demands,or from any liability of any nature arising from any non-compliance with any restrictive covenants, plat restrictions,deed restrictions, or other restrictions which may have been established by parties other than the City of Port Townsend. Complete Application Port Townsend Municipal Code, Section 16.04.140,Vested Rights-Substantially Complete Building Permit Application: Application for all land use and development permits required under ordinances of the city shall be considered under the zoning and other land use control ordinances in effect on the date a fully complete building permit application, meeting the requirements identified in this section, is filed with the Building and Community Development Department. Until a complete building permit application is filed, all applications for land use and development permits shall be reviewed subject to any zoning or other land use control ordinances which become effective prior to the date of issuance of a final decision by the city on the application. An application for a building permit shall be considered complete when an application meeting all of the requirements of Section 106.3 of the Uniform Building Code, 1997 Edition, is submitted which is consistent with all then applicable ordinances and laws. In addition,to be considered complete,such an application must be accompanied by complete applications for any subsidiary land use or development permits needed,such as a complete shoreline management permit application and/or complete applications for other discretionary permits required under the ordinances of Port Townsend. An application for a partial permit under Section 106.4.1 of the Uniform Building Code, 1997 Edition, shall not be considered complete unless it meets all requirements stated above and contains plans for the complete structural frame of the building and the architectural plans for the structure. c1 i/vim' •nat.re of Property Owner or Authorized Representative Date \\Citypdc\bcd\All Forms\Commercial building application.doc