HomeMy WebLinkAboutBLD07-018LJ
ponT
v
RESIDENTIAL CERTI
ADDRESS:
0
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
250 MADISON STREET - SUITE 3
PORT TOWNSEND, WA 98368
PHONE (360) 379-5082 FAX (360) 344-4619
TE OF FINAL INSPECTION
PARCEL NUMBER: 9 Z4 1j -3 C 2f Z—
BUILDING PERMIT NUMBER: l .L ( i ' S
PERMIT APPLICANT:``f� E J`t
This form, when signed and dated by a City of Port Townsend building inspector, certifies that
the work performed on the structure named , bove, under the specific permit listed, conforms
with the requirements ofthity o ortyvn nd Municipal Code. -
Inspector Signature:;;�\` ►� ka7
Date:
This form is a three-part form. The original of ch part is as follows - White (City File); 2 - Yellow (permit holder);
3 - Pink (lender copy). Accept no photo static Copies.
CONSTRUCTION PLANS ARE REQUIRED BY LAW TO BE KEPT ON FILE BY THE CITY FOR 90 DAYS AFTER
THE DATE OF FINAL INSPECTION. AFTER THE END OF THE REQUIRED 90 -DAY TERM, PLANS NOT PICKED
UP WITHIN 30 DAYS MAY BE DESTROYED.
�POAT,o�y� BUILDING PERMIT
�o City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD07-018
Permit Type Residential - Single Family - New Project Name
Site Address 1034 16TH ST Parcel # 948308202
Project Description
NEW HOME, REPLACING EXISTING OLDER STRUCTURE
Names Associated with this Project License
Type Name Contact Phone # Type License # Exp Date
Applicant Brady Darren E
OwnerNoaly
)r %I
r
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180
days. Work is verified by obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify
that the information provided as a part of the application for his permit is true and accurate to the best of my knowledge. I further certify
that I am the owner of the property or authorized agent of th owner.
��� 1/ - Date Issued: 04/10/2007
Print Name " `' �- %� /�
Issued Bv: PWESTERFIELD
RT BUILDING PERMIT
City of Port Townsend
`g + Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD07-018
Permit Type Residential - Single Family - New Project Name
Site Address 1034 16TH ST Parcel # 948308202
Project Description
NEW HOME, REPLACING EXISTING OLDER STRUCTURE
Fee Information
Project Valuation $167,365.88
Building Permit Fee
1,374.55
State Building Code Council Fee
4.50
Technology Fee for Building Permit
27.49
Record Retention Fee for Building
10.00
Permit
Site Address Fee
3.00
Plan Review Fee
893.46
Mechanical Permit Fee per Dwelling
150.00
Unit - New Residential
Energy Code Fee - New Single
100.00
Family Unit
Plumbing Permit Fee per Dwelling
150.00
Unit - New Residential
Total Fees $2,713.00
Project Details
Decks — Residential
Dwellings — Type V Wood Frame
32 SQFT
1,756 SQFT
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180
days. Work is verified by obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify
that I am the owner of the property or authorized agent of the owner.
Print blame Date Issued: 04110/2007
Issued By: PWESTERFIELD
SEND
�o
°C 3
LL
O
o LLIF
Lu
0 `od
WO
0 W
Q =
w z
Q O
LU
wm
Ir
U)
>
O Q
LLI
W m
a F"
N N
Z �
wa, Z
J
CY a
Ir w
Q �
J d
z Q
DLU
LU a
Z y
m y
�QLu
Oa
D,
W0
a. O
Ir
80
Z
W
Q >
W IL
IL
J Q
a �
z0
0
ao
J
0 m
U) LLIO
V Z
a Q
z_
U0
O
W =
LL j
Q Q
N
Q w
zQ_
O IL
IL
QW
U
U) d
2 Q
1- w
N �
0a m
rl-
0
C) W
N �
Q 2
o Q U
O �
J �
U)
U
Uj IL w
Q U �
OJ
z U
O Z
~
LL Q w
> C7
z
U
Q
w
d
W
H Ir
O z LL
`-4 O �E
O
O
cn Z Z d'
O w
LU U Z Z
Q O_ w
o a
w �
D U
( w
to C
U
Ia
co
O
0
D
J'
m
O
z
LU
a
N
O
N
C
O U)
Cl)
00 =
V
v
Cl)
0
O
Z uJ
LU
Q �
a a
0
ti
z
w
U
w
a
0
a
N
Z
Z
O
U
W
CL
U)
Z
z
w
O
U
LU
Q
0
IL
N
z
Z
O
U
LL,
a
U)
Z
O
00
J
N
•
a
^�,
E..�
r7
ri64 ci
O
z
�
�
O
z0
�I
C
w
C7
H
0
Q
Z
0
O
O
LL.
x
fA
Z
CC
J
W
s2
I z
m
Z
I LL
O
SEND
�o
°C 3
LL
O
o LLIF
Lu
0 `od
WO
0 W
Q =
w z
Q O
LU
wm
Ir
U)
>
O Q
LLI
W m
a F"
N N
Z �
wa, Z
J
CY a
Ir w
Q �
J d
z Q
DLU
LU a
Z y
m y
�QLu
Oa
D,
W0
a. O
Ir
80
Z
W
Q >
W IL
IL
J Q
a �
z0
0
ao
J
0 m
U) LLIO
V Z
a Q
z_
U0
O
W =
LL j
Q Q
N
Q w
zQ_
O IL
IL
QW
U
U) d
2 Q
1- w
N �
0a m
rl-
0
C) W
N �
Q 2
o Q U
O �
J �
U)
U
Uj IL w
Q U �
OJ
z U
O Z
~
LL Q w
> C7
z
U
Q
w
d
W
H Ir
O z LL
`-4 O �E
O
O
cn Z Z d'
O w
LU U Z Z
Q O_ w
o a
w �
D U
( w
to C
U
Ia
co
O
0
D
J'
m
O
z
LU
a
N
O
N
C
O U)
Cl)
00 =
V
v
Cl)
0
O
Z uJ
LU
Q �
a a
0
ti
z
w
U
w
a
0
a
N
Z
Z
O
U
W
CL
U)
Z
z
w
O
U
LU
Q
0
IL
N
z
Z
O
U
LL,
a
U)
Z
Z
O
H
W
0-
U)
z
a
FX
Z
N
In
M O U.
Ca
0
J ch
ao
U f'
Z
62
U4.
W
aW
co
z w
ZU
Q W
Ix
~ W
m
W M
0
W
D
w
Ix
z
O
w
a
N
Z
J
O
z
Q
z0
0
Z
Z
�_
w
C7
H
0
Q
Z
0
LL
O
0
O
LL.
x
fA
Z
3:
J
W
s2
I z
m
Z
I LL
Z
O
H
W
0-
U)
z
a
FX
Z
N
In
M O U.
Ca
0
J ch
ao
U f'
Z
62
U4.
W
aW
co
z w
ZU
Q W
Ix
~ W
m
W M
0
W
D
w
Ix
z
O
w
a
N
Z
BLD07-018
948308202
Plan Review Fee
BLD07-018
948308202
Technology Fee for Building Permit
BLD07-018
948308202
Energy Code Fee - New Single Famil
BLD07-018
948308202
State Building Code Council Fee
BLD07-018
948308202
Plumbing Permit Fee per Dwelling l
BLD07-018
948308202
Mechanical Permit Fee per Dwelling
BLD07-018
948308202
Building Permit Fee
BLD07-018
948308202
Record Retention Fee for Building P
BLD07-018
948308202
Site Address Fee
07-0070 02/09/2007 Plan Review Fee
CHECK 41371673 $ 2,563.00
Total $2,563.00
$893.46
$743.46
$27.49
$27.49
$100.00
$100.00
$4.50
$4.50
$150.00
$150.00
$150.00
$150.00
$1,374.55
$1,374.55
$10.00
$10.00
$3.00
$3.00
Total:
$2,563.00
$150.00 BLD07-018
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
genpmtrreceipts Page 1 of 1
PERMIT # j5 LYS D>7 - 61B
CITY OF PORT TOWNSEND
PERMITACTIVITYLOG
DATE RECEIVED: %
SCOPE OF WORK:"
f� kDust chin I i� on 10(,t)h we_ Ob Iltjes
DATE
ACTION
INITIALS
Entered into T&bw C!_ff ET -
ESA — to Planning -no evidence of ESA -
ESA
Vested Date
Checked for Completeness
Z
_ . b- _d S_ X100. UA_
'41w co
I` n,
C jevet2rt -1 ' (,o ID �►t o' o�
I
— DylS i e S C.e R 1/1
CL
ID
\\Bcd_permits\forms\BUILDING\Permit Activity Log.doc
liap.
O�P°NTrp� CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
�w For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTION: - 2. -(-)I PERMIT NUMBER: L. D 0 -7
SITE ADDRESS:
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION: n 1 I 1
M kJ /,l 9 f)OX OCAMZYZK'4 C1►�
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection pr
Inspector
Inspector Date 2
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
o�°°pt'Ow CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
4`w For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday. p
DATE OF INSPECTION: 7 _ Jc PERMIT NUMBER: RUD C � ' D 1U
SITE ADDRESS: (' -:;� 1 -rff
PROJECT NAME: 08y -(a A CONTRACTOR:
CONTACT PERSON: a rf(>,1 PHONE:
TYPE OF INSPECTION: I ns U fa�(Oyy
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Inspector Date 15-A
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
o�p°"T'O� CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
at :: INSPECTION REPORT
w For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday. d
DATE OF INSPECTION: -7-2-0-7 PERMIT NUMBER: ,B Lnn 7 - n Cl
SITE ADDRESS:
PROJECT NAME: -CONTRACTOR:
CONTACT PERSON: d Y7rf Pn PHONE: 3-79 q[, --2.
TYPE OF INSPECTION:
F, 4a,
❑ APPROVED
Inspector t
❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Date 2
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
��FpoArro�y� CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
awn For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
TE OF INSPECTION:
TE ADDRESS:
PERMIT NUMBER: 6Wo-7— n i g
PROJECT NAME: 0 LOCI I A ONTRACTOR:
CONTACT PERSON:,( l� PHONE:
TYPE OF INSPECTION:
checked at next inspection procee 'ng.
Inspector ' Date h)
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
❑ APPROVED
❑ APPROVED WITH
CORRECTIONS
❑ NOT APPROVED
Ok to proceed. Corrections will be
Call for re -inspection before
checked at next inspection procee 'ng.
Inspector ' Date h)
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
•
0
PoRrr°�y� CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
`wnFor inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday. ccJJ
DATE OF INSPECTION: b PERMIT// -NUMBER: o Loo%- Q i d
SITE ADDRESS: I C) 3-4 1 lD r�+
PROJECT NAME:
CONTRACTOR:
CONTACT PERSON: C)Q.CrP it PI HONE:
TYPE OF INSPECTION: � ('� j LA )a t�
1 1 /_ A4 /, 1'11L4 4
❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector ("! Date
❑ NOT APPROVED
Call for re -inspection before
proceeding.
Approved plan nd permit and must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not re dy for inspection.
��r�rrr�.Wrt
� O�QoMrOk
V q
r
r
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTION: PERMIT NUMBER:P)LD
SITE ADDRESS: j L I �Q_r -{
PROJECT NAME: �r-�-+ CONTRACTOR:
CONTACT PERSON: OCLrreAl) PHONE: X79 - q.321
TYPE 9F INS TION:
'APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
._ checked at next inspection procee ing.
�1'
Inspector Date ��7
Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.
BLD07-018
CHECK
948308202 Plan Review Fee
1617
$ 150.00
Total: $150.00
Receipt Number:
$150.00
00
genpmtrreceipts Page 1 of 1
TIP"
-1 44.
M (R ---T— O
col
lci
LIL4,6N _
m co
Lr
K6 Iii
- - w
rjr
-- rl
to
M
' T Cill k�-JCD
, , I m
Lj
FF
ITN f co
............. !!9 - ---------
cn
F
r
133�IS
col r- -r—
CD
cn
Ln
co
jN
T
col r- -r—
CD
cn
Ln
CITY OF PORT TOWNSEND
ELOPMENT SERVICES DEPARTMENO
City Hall, 250 Madison Street, Suite 3
Port Townsend, WA 98368
Phone: 360-379-5095 Fax 360-344-4619
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Property Owner's Name(s) ,r (st -- y A ,R NNo - K A NL
Mailing Address 75/ 1717- A
City, State, Zip �p� -1' 7 w oe") A 8 3 6
Phone 3 bQ - Tj' 7 9 ^ 9 3 [permit No. � 1`1�j - a
Property Street Address
V v `•
Zoning District Parcel # l 3 U S Z z) 2—
Legal
Legal Description: Addition i vo e 15 Block Z.. Lot(s) 5
General Contractor's Name
Garage sq. ft:
Addition
Mailing Address 15 1
CY t`A h PrNOrJ
/,�G.
Phone 360 - 3 79- 1321
lCell Phone N f3T# b D 1 90
F t
State License Number 6c 2 36s-
City Business License Number 00 3 0-L
Other (please describe):
Authorized Representative/Contact Person:
Phone:
Estimated Value of construction $ 5
Financed By
Date Work is to Begin — Date Work is to be Completed1--S-07
Scope of Work:
Please check all items that apply for the type of building permit you are requesting:
New House
Garage sq. ft:
Addition
New Garage or Carport
Unfinished Basement sq ft:
Repair/Remodel Garage
Repair/Remodel House
Decks sq. ft:
Accessory Dwelling Unit
Manufactured Home
Other (please describe):
Floor Area: the proposed structure is to be used for:
Finished Heated Space sq. ft: 1 `7 S
Garage sq. ft:
Unfinished Heated Space sq ft: —
Carport sq. ft:
Unfinished Basement sq ft:
Porches sq. ft:
Semi -Finished Basement sq ft:
Decks sq. ft:
Storage sq. ft:
Other (please describe):
F E u - 7 107
P:\DSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 1 of 2
0 •
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Property Site Area/Coverage Information:
1. The total area of the property in square feet: 5�h
2. The total area covered by existing and proposed structures in square feet:
(total ground coverage from the outside ofwalls or supporting members)
Percentage of lot coverage: (2=;V/6v1) � q � I
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. Do not include decks allowing drainage to earth below.
Proposed House Roofprint sq. ft:
I (p't'+
Existing House Roofprint sq. ft:
Interior & Exterior Wall Bracing (panel locations shown
on floor plan)
Proposed Garage Roofprint sq. ft:
Q
Existing Garage Roofprint sq. ft:
Typical Wall Framing Details (section from foundation
through roof)
Proposed Porch/Walkway sq. ft:
-3
Existing Porch/Walkway sq. ft:
Elevations
Proposed Driveways sq. ft:
3
Existing Driveways sq. ft:
2003 WSEC* Compliance: Prescriptive--l"Component _
Other (describe): Co"6 cj-
( 9
Other (describe):
WSEC Construction Checklist (Washington State Energy Code)
Total Proposed Impervious sq. ft:
1760
Total Existing Impervious sq. ft:
Other:
Total Proposed + Existing sq. ft:
Percentage Impervious: *
(Impervious surface - lots . ft
D
�• 02
*If total impervious surface is equal to or greater than 40% of the lot area, you must submit a written stormwater plan to address run
off.
Please check which plans you are submitting with this application (2 sets needed):
Site Plan
Interior & Exterior Wall Bracing (panel locations shown
on floor plan)
Drainage Plan (if 40% or more impervious)
/
(/
Typical Wall Framing Details (section from foundation
through roof)
(�
Foundation Plan
Elevations
Floor Plan
2003 WSEC* Compliance: Prescriptive--l"Component _
Floor Framing Plan
WSEC Construction Checklist (Washington State Energy Code)
Roof Framing Plan
Other:
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Special Conditions
Please check YES or NO as applicable
YES
NO
1. Is the property within 200 feet of a fresh or saltwater shoreline?
2. Is the property within the Port Townsend Historical District?
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 attach information identifying the utility extensions and
sites.
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" to any of the following, attach copies of appropriate
documents):
(�
Subdivision/Short Plat/Boundary Line Adjustment?
C/
SEPA (environmental review)?
Variance?
t✓
Conditional Use Permit?
Street Vacation?
(/
Planned Unit Development?
Restrictive Covenant?
L%
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 }es,
attach list.) Zr i i v t &- r I *'` st 6u i L Z006
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?
S N+zG UJ& Srrltj-Iy--O7 1—ab-p%
The applicant hereby certifies to have knowledge of those sections of the International Residential 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 sructure; 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 i complete and accurate to
the best of their 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.
P:MDSD1Forms\Building FormslApplication-Residential Building Permit.doc Page 3 of 3
LJ
0
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
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 noncompliance 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.
Port Townsend Municipal Code, Section 16.04.140, Vested Rights - Substantially Complete Building Permit Application:
applications 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 dentified
in this section, is filed with the Development Services 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 odinances 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 R105.3 of the International Residential Code, 2003 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 a
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 R105.3.1 of the International Residential Code, 2003 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.
Signature of Applicant or Author' Fesentative Date
For Official Use Only
Permit No.
Building Official Approval
Date Issued
Balance Due $
Date
Validation Stamp below:
Owner/Representative Signature
Date
P:\DSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 4 of 4
OF BORT TONY
> �w
F
v 2
0
Name > 0�Z' ZY VJ 1` IA- \ Y
Permit#
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3
Port Townsend, WA 98368
(360) 379-5095 Fax: (360) 344-4619
This checklist is for new dwellings, additions, remodels and garages. The purpose is to show what you intend
to build, where it will be located on your lot, and how it will be constructed.
In addition to this form please submit:
Residential Building Permit Application form
Sensitive Areas Questionnaire
. 2001 Washington State Energy Code forms. Use either prescriptive forms, or component performance
forms with calculations.
. Washington State Energy Code Construction Checklist
• Two sets of plans. 18- x 24- plan sheet size is preferred. Plans must be to scale. t/4"= 1 ft. is preferred.
• If an architect has signed your plans, one set must have an original signature and wet stamp on each page.
• For structures that require engineering (including pole structures, sunrooms, dormers of a certain size,
"irregularly shaped" structures) provide two copies of calculations from a Washington Licensed Architect
or engineer. One set must have an original signature and wet stamp.
For New Residential Dwelling Construction also submit:
Street/Utility Development Permit application, or Minor Improvement Permit application if water and
sewer are already stubbed to the property. For any utility extensions, provide engineered plans.
Two additional copies of the site plan for Public Works (three sets if a septic system is proposed). Please
also include one reduced 8-1/2' x 11" size site plan.
NOTE: Electrical Permits are required by the State of Washington Department of Labor & Industries (L&I).
Contact L&I at (360) 417-2 700for more information.
P-.\DSD\FonnslBuilding Forms\Application-Residential Building Permit Plans Cheeklist.rff
Rev. 8/7/06
Page 1 of 4
List the nage numher in the left column for each item that you have included on your plans.
PAGE # SITE / PLOT PLAN
I
Legal description, parcel number, name, address and telephone number of property owner/applicant,
includingcellular phone if available.
2
Property lines and dimensions, including all interior lot lines.
2
All building lines and exterior dimensions(including all dwelling and accessory structures).
Setbacks from property lines and buildings including structures on neighboring lots. (Indicate roof
Z
overhang. Overhang may extend into setback area a maximum of two feet.). The setbacks shall be
drawn in accordance with an accuratepinned boundaKy line survey (IBC 106.2 .
2
Driveways, walkways, patios, decks and porches.
On-site parking (Two 9'x 19' spaces required for new residential construction. These spaces may be
provided in a ara e.
Trees: Diameter, species name, location and canopy of existing significant trees in relation to
proposed and existing structures, utility lines, and construction limit line.
"Significant trees" are those with a minimum diameter of 12 inches measured at 4-1/2 feet above average grade.
'
Identify all significant trees to be removed by placing an "x" on them, and circle those trees that will remain.
Significant trees removed in relation to and necessary for the construction of buildings, parking and driveways in
connection with the issuance of a building permit are exempt. Exempt activity requires a written exemption issued by
the Development Services Director.
\
Street names, road easements and easements of record.
Existing and proposed utilities, service lines and pipe size.
Slope of land rade and direction).
Submit an impervious drainage plan, indicating sizes of drainage areas, method(s) of detention, depth
of detention areas, and what materials used. r
Waterfront property: indicate bank height, setback between building and top of bank or bluff, all
creeks, drainage corridors, etc. For new exterior construction, include all structures on either side
within 300 feet and their setbacks.
Existing and/or proposed septic system, if applicable. Please provide an extra set of plans for the
County Health Department.
PAGE# FOUNDATION PLAN
2
Footings, piers, and foundation walls (including interior footing or pier locations).
Post and beam sizes and spans; detail beam/post and post/pier (or footing) positive connection.
2
Beam pockets or method of securing beam ends.
2
Floor joist size, material grade, layout and spans.
Foundation venting and calculations (1 square foot of vent/150-square feet of crawl space).
Z
Crawl space access & dimensions.
Plumbing sizes and locations of foundation penetration.
2
Vapor retarder on crawlspace ground (6 mil black polyethylene).
If engineering, show holddown symbol and verbiage on the foundation plan itself NOW,
PADSD\Forms\Building Fonns\Application-Residential Building Pennit Plans ChecklisLrtf Page 2 of 4
Rev. 8/7/06
PAGE# FLOOR PLAN
.3
Room use, dimensions, size and square footage by floor level.
3
Braced wall panel locations.
3
Smoke detector locations.
Stairwa s: width rise run,handrailsguardrails, landings, etc.
3
Window, skylight and door locations and sizes, with egress and safety glazing, if applicable. (Include
brand/model and U factor on energy application.)
SRafter
and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters,
optional if trusses.
7�—
Attic access location and dimensions.
'-S
Plumbing fixtures.
3
Hot water tanks furnaces fireplaces, solid fuel appliances and combustion air ducts.
3
Location of whole house ventilation fan controls and timer.
Location and cfin of all other exhaust fans i.e. bathroom kitchen and laundry).
Type of exhaust duct material, duct path and exterior termination point of appliance vents and
environmental exhaust ducts.
Type and location of all WSEC outside fresh air inlets.
Fire blocking.
1 -hr. construction between dwelling & garage on garage side.
If engineering, show shear wall symbol and verbiage on the floor plan itself
PAGE# WALL SECTION
P:\DSD\Fotms\Building Fonns\Application-Residential Building Permit Plans Checklist.rtf Page 3 of 4
Rev. 8/7/06
Footing size, reinforcement include vertical rebar depth below natural and final grade,
`S
Foundation wall height, width and reinforcement rebar hold-downs if applicable.
rS
Anchor bolts washers 2 x 2 x 3/16 square, steel and pressure treated plates.
Thickness of floor slab.
Floor joist size andspacing, under floor clearance from crawls ace grade for joists and beams.
lr
Floor sheathing, type and size.
7�—
Wall stud size grade andspacing.
Framing to be used: standard intermediate or advanced.
3
Header, size rade spans and insulation if applicable).
Wall sheathing and siding and material.
Type & location of weather -resistive barrier.
TY e and location of vapor retarder (WSEC 502.1.6 .
Sheetrock: thickness type and location.
Insulation material and R -value in walls above and below grade, floor, ceiling and slab.
Rafters c iling joists trusses with blocking and positive connection of roofs stem to wall.
Ceiling height.
Roof sheathing, roofing material, roof pitch, attic ventilation(provide calculations).
P:\DSD\Fotms\Building Fonns\Application-Residential Building Permit Plans Checklist.rtf Page 3 of 4
Rev. 8/7/06
D A 0-411 " Ti YTTi 72TnlD VI .FV A TinNC
y 6-7
Exterior views on front rear and sides; show all windows and doors.
6-7
Decks steps, handrailsguardrails, landings.
- %
Height of building
6-7
Chimne s: show required height above roof.
7
Final grade.
6,-%
Retaining walls, if applicable.
P:\DSD\Forms\Building Forms\Application-Residential Building Permit Plans Checklist.rtf
Rev. 8/7/06
Page 4 of 4
•i • OF PORT TOS
City of Port Townsend y�
Development Services Department
W
CRITICAL AREAS QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of a Critical Area on the property, pursuant to Chapter 19.05 of the Port Townsend
Municipal Code. To help us make this determination, please supply the following information.
General Information:
Applicant Name: 'DoLcT-tu L5rA 1i ^ r Nosi a ,•+L Phone: 3 7q- 4-362
Mailing Address: 951 ' 7
Property Address (if different): %p
J
Description of Proposal (include site plan):
I� //
/GiLG t 1 S �; W i cIINGC 4( ro,� (er W' a W 0gje.
The proposed new construction creates !o square feet of impervious surface. What best
management practices are proposed? 0.S /TL kS
Critical Area Questions:
1. Is any portion of the property within or near a mapped Critical Area?
(Maps are available at the Development Services Department)
YES L, -'NO
2. Is there any standin or running water on the surface of the siteat any time during the year?
Yes Mo If YES, please describe:
3. Has any portion of the site been identified as a wetland? YES 'ANO
If YES, please describe:
4. Is the site characterized as:
Forest Meadow V Cleared Mixed
P:\DSD\Forms\Land Use FormO.,pplicationCritical Areas Questionnaire.doc
5. Is the slope of the property: v flat gentle slope steep slope
(0%-5%) (5%-15%) (15%-40%)
Critical Slope— 40% or greater
i�
>40%
40%
15%
0%
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of Port
Townsend based in whole or in part on this application may be reversed if it develops that any such statement
or other information contained herein is false.
The applicant understands that the determination of the Director may be appealed by the applicant or by any
other party by following the appeal procedure outlined in Chapter 1.14 of the Port Townsend Municipal Code.
Any appeal must be filed within seven calendar days from the Notice of a final decision.
/V L —/—I
Signature of App icant Date
FOR DEPARTMENT USE ONLY:
Reviewed by: Date:
Site visit Required? NO YES Site visit made on:
Exempt per PTMC 19.05.040 (C)? NO YES
Threshold Determination (presence/absence of Critical Area, type of Critical Area):
Shorelines Jurisdiction? NO YES
P:\DSD\Forms\Land Use Forms\Application-Critical Areas Questionnaire.doc
�poar rO� City of Port Townsend
Development Services Department
c 250 Madison Street, Suite 3
Port Townsend, WA 98368
4�w (360) 379-5095 Fax: (360) 344-4619
Washington State Energy Code (WSEQ
2001 Residential Construction Checklist
Complete this form in addition to WSEC forms. Please answer the following questions:
TYPE OF PROJECT:
New construction, or addition over 750 square feet
Must meet whole house and spot ventilation requirements, and show full WSEC compliance as
a stand-alone project. A detached, habitable structure such as an Accessory Dwelling Unit
regardless of size must also meet these requirements.
❑ House addition under 750 square feet
Possible trade-offs are allowed with the existing building for WSEC compliance, such as
increasing ceiling insulation. See WSEC component performance forms.
NOTE. A house addition less than 500 sq. ft. does not require whole house ventilation.
Spot ventilation is still required
TYPE OF HEATING — Please check all that apply:
Electric
❑ Wall Heater ❑ Baseboard IILForced Air Furnace ❑ Radiant Floor (Boiler) ❑ Other _
Non -Electric:
Propane: ❑ Radiant Floor/Baseboard (Boiler) ❑ LPG Stove ❑ LPG Furnace ❑ Other LPG.
❑ Heat Pump ❑ Oil Furnace ❑ Woodstove (can only be used as secondary heat source)
VAPOR RETARDERS:
Vapor retarders shall be installed toward the warm surface as represented below. Select one
option for floors, walls, and appropriate ceilings:
• Floors:
X-Piywood with exterior glue
❑ Poly plastic (greater than or equal to 4 millimeter thick)
❑ Backed batts
• Walls:
❑ Poly plastic (greater than or equal to 4 millimeter thick)
❑ Face -stapled, backed batts
ALow-perm paint
• Ceilings:
❑ Not required where ventilation space averages greater than or equal to 12 inches above
insulation
❑ Face -stapled, backed batts
❑ Poly plastic (greater than or equal to 4 millimeter thick)
Low -perm paint
SEE B CK
PADSMDeparfinent FortnABuilding FormsUpplicadon-Residential Energy Code Checklist.doc
Page 1 of I
•
0
WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY (2000 Code):
Type of ventilation used throughout the house.�HVAC Integrated Option ❑ Exhaust Option
Whole House Fan for "Exhaust Option": n 1
• In what room is your whole house fan located?]u ► *3
• What size is the whole house exhaust fan? ❑ 50-75 CFM (1-2 bedroom house)
)"Q-120 CFM (3 bedroom house)
❑ 100-150 CFM (4 bedroom house)
❑ 120-180 CFM (5 bedroom house)
Note: the whole house fan shall be readily accessible and controlled by a 24-hour clock timer
with the capability of continuous operation, manual and automatic control. At the time of final
inspection, the automatic control timer shall be set to operate the whole house fan for at least 8
hours a day, and have a sone rating at 1.5 or less measured at 0.10 inches water gauge.
Spot Ventilation:
Source specific exhaust ventilation is required in each kitchen, bathroom, water closet, laundry
room, indoor swimming pool, spa and other rooms where excess water vapor or cooking odor is
produced. Bathrooms, laundries or similar rooms require fans with a minimum 50 cfm rating at
0.25 inches water gauge; kitchens shall have a fan with a minimum 100 cfm rating at 0.25 inches
water gauge.
Outdoor Air Inlets:
Outdoor air shall be distributed to each habitable room by means such as individual inlets,
separate duct systems, or a forced -air system. Habitable rooms include all bedrooms, living and
dining rooms but not kitchens, bathrooms or utility rooms. Where outdoor air supplies are
separated from exhaust points by doors, undercutting doors a minimum of % inch above the
surface of the finish floor covering, distribution ducts, installation or grilles, transoms or similar
means where permitted by the Uniform Building Code. When the system provides ventilation
through a dedicated opening, such as a window or through -wall vent, these openings must:
• Have controlled and secure openings
• Be sleeved or otherwise designed so as not to compromise the thermal properties of the wall or
window in which they are placed.
• Provide not less than 4 square inches of net free area of opening for each habitable space.
What type of fresh air inlet will be installed? (See figure below)
❑ Window Ports
❑ Wall Ports
PADSMDepartment Forms\Building FormsUpplication-Residential Energy Code Checkli3.doc
Page 2 of 2
•
Prescriptive Approach — Simple Fo •
For the Washington State Energy Code (2001 Edition)
Climate Zone 1
Site Information
Lot: 5 31K sa Foe4 e; -) &AA .
Address: I Q 3 'y 16 ~ -5T
City: 0`+ -FD w"5e+J c1
Contact: lam? os Cc o 131' A �t V
Phone: 360 - 37q— 93��
Phone 2:
Fax: 3 bo - 3 7�-- R9 f J
Building Department Use Only
Permit *
Notes:
Table 6-1
PRESCRUrr" REQUIBEMErTIS ar FOR GROUP R OCCUPANCY
CL]N1ATE ZONE 1
(Unlimited Glazine Ootion Onlv)
Option
Glazing
Area10
GlazingU-Factor
Doo
U
Ceiling'
Vaulted
Wall
Above
Wall
Int°
Wall
H44
Floors
Slab
On
% of Floor
Vertical
Overhead''
factor
Ceiling
Grade
Below
Below
Grade
Grade
Gracie
III
Unlimited
Group R-3
0.40
0.58
0.24
R-38
R-30
R-21
R 21
R-10
R 30
R-10
Occupancy
Only
See the code text for footnote references
This project complies with the following:
✓ The project is a single family residence or duplex.
✓ The project is wood frame M all of the insulation is interior or exterior of the framing.
✓ All building components meet the requirements listed in Table 6-1, Option 111.
✓ The project will meet all other provisions of the WSEC and MAQ.
The project will take advantage of the following exceptions to the prescriptive option:
❑ 602.6 Exception 1. One door, that is 24 R.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception f ('o IJ + d DOf
❑ 602.6 Exception 2. Doors with a Wactor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception _ eae I/- - deo
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washiroon State University Cooperative Extension Energy Program
Prescriptive — Simple Foran — Climate Zone 1 SOW=
U
TABLES -1
PRESCRIPTIVE REQUIREMENTS°- FOR rIQROUP R OCCUPANCY
CLIMATE ZONE OJ
2001 EDITION
* Reference Case
0. Nominal R -values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor
area of 13%, it shall comply with all of the requirements of the 15% glazing option (or higher). Proposed designs which cannot
meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the interior to the same level as
walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its
intended use, and installed according to the manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacture's specifications. See Section 602.4.
7. Int. denotes standard framing 16 inches on center with headers insulated with a minimum of R-5 insulation.
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fire doors, shall be assigned default U -factors from Table 10-6C.
10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U -factor of U=0.40 or less is not included
in glazing area limitations.
11. Overhead glazing shall have U factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
12. Log and solid timber walls with a minimum average thickness of 3.5" are exempt from this insulation requirement.
Effective 7001/02 33
Glazin�
Glazing U -Factor
9
Wall
Wall*-
int
Wane
Slab
option
Door
Ceiling'
Vaulted
dee
axe
Floors
on
% of Floor
Vertical
Overhead"
U -Factor
Ceiling3
Below
Below
Grade
Grade
Grade
L
12%
0.35
0.58
0.20R
338
R-30
11R 15
R-15
R-10
R-30
R-'10
1L*
15%
0.40
0.58
0.20
1 R-38
R 30
IZ--ll
R-21
R-10
R 30
R-10
lIIL
Unlimited
0.40
0.58
0.20
R-38
R-30
R-21
R-21
R-10
R-30
R-10
Group R-3
Occupancy.
On
* Reference Case
0. Nominal R -values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor
area of 13%, it shall comply with all of the requirements of the 15% glazing option (or higher). Proposed designs which cannot
meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the interior to the same level as
walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its
intended use, and installed according to the manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacture's specifications. See Section 602.4.
7. Int. denotes standard framing 16 inches on center with headers insulated with a minimum of R-5 insulation.
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fire doors, shall be assigned default U -factors from Table 10-6C.
10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U -factor of U=0.40 or less is not included
in glazing area limitations.
11. Overhead glazing shall have U factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
12. Log and solid timber walls with a minimum average thickness of 3.5" are exempt from this insulation requirement.
Effective 7001/02 33