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HomeMy WebLinkAboutBLD07-021CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT # 13L n D 7 - (`Z2.. �_ DATE RECEIVED SCOPE OF WORK: t�- c DATE ACTION INITIALS O ENTERED INTO CHET CA - to Planning - No evidence CHECKED FOR COMPLETENESS 2Of A J di o 3)--'C/L) Gt DU ( p / (LOdlt r corYrc L a dit 9viG /rr a h q S A? c i �(' C �l S Z i ✓1 C r� 1 10 %' S D ¢ Cl Cas . J f- IJ Px ✓1 ✓t i,I -fila vr- Ck✓ f Ci/ l 2 a O ve f {1/I. Q�Q P Y a Svrt vrL2+��S. D cL i 2 t2 87 4z I e -ax e./ tlt ` lor— L1 f Q16 ct /i't c t iv,- a ck . fq IC4 d -e ck 61,4 vuo S S - .9_;J_, 0 pFQpRTTp�y BUILDING PERMIT City of Port Townsend Development Services Department �w 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD07-021 Permit Type Residential - Addition/Remodel Project Name Site Address 1738 CLAY ST Parcel # 957312808 Project Description Small addition to existing SFR Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Brock Willim G Owner Brock Willim G Fee Information Project Details Decks — Residential (Covered) 44 SQFT Project Valuation $6,163.40 Dwellings — Type V Wood Frame 60 SQFT Building Permit Fee 139.25 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Record Retention Fee for Building 7.00 Permit Plan Review Fee 150.00 Total Fees Paid $305.75 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 or authorized ag t of the owner. h Print Name ^��_____ ,.� Date Issued: Issued By: LL LL O p ui w f - O O o w Qom' UJ Z 00 2w w CO ag U3> OLUa U co wCOF a y Z � W N a' Q j J oa of W a a J a zQ Zo =w w a U O Q z w r =U ~a wa > _ O U LU w UO �Ix 00 z U- 00 0 W of a, a J a CL coa Z O oz U Oto ui m D � o U Z EL a V) z_ U � WLL = a U) a a w zQ_ o K jx CL aW U N a =a F- W 0m • 0 O O N O O C 00 Q O O J H W a p U Z O O Ir xa LL W O 0 N' N I. O Cl) O CD 0 co N M to 0)I O Z w U Q a .Q w m O F- c Z Um f0 co O w U Z o O J F CL U W 0 U LU a w Q 0 IL V) Z z O U w IL U) z N Z LU v W Q D CL U) Z Z O U W IL U) ao A00 A 3 o FSI PLO E.y 17 ri O � � ONO O irl �I o E.y ce N A � LLwM Q 3 D O m V 1 Q a 0 o g0 CO) Z mo (�? O Z � o a �_J � z a 2m LL O LL LL O p ui w f - O O o w Qom' UJ Z 00 2w w CO ag U3> OLUa U co wCOF a y Z � W N a' Q j J oa of W a a J a zQ Zo =w w a U O Q z w r =U ~a wa > _ O U LU w UO �Ix 00 z U- 00 0 W of a, a J a CL coa Z O oz U Oto ui m D � o U Z EL a V) z_ U � WLL = a U) a a w zQ_ o K jx CL aW U N a =a F- W 0m • 0 O O N O O C 00 Q O O J H W a p U Z O O Ir xa LL W O 0 N' N I. O Cl) O CD 0 co N M to 0)I O Z w U Q a .Q w m O F- c Z Um f0 co O w U Z o O J F CL U W 0 U LU a w Q 0 IL V) Z z O U w IL U) z N Z LU v W Q D CL U) Z Z O U W IL U) Q Z N Ir co O M to a o J M ao U f' Z OIxp: Ix U W aW LUZ Z W aw LU U) N m LLI CY co LU n w OU) W Ix Z O U W M N Z J " viZ HO LLwM Q 3 D O m z LL o LL Q a 0 o g0 CO) Z mo (�? O Z � o a �_J � z a 2m LL Q Z N Ir co O M to a o J M ao U f' Z OIxp: Ix U W aW LUZ Z W aw LU U) N m LLI CY co LU n w OU) W Ix Z O U W M N Z IN -- $5.00 $4.50 $4.50 $139.25 BLD07-021 957312808 Technology Fee for Building Permit BLD07-021 957312808 State Building Code Council Fee BLD07-021 957312808 Building Permit Fee BLD07-021 957312808 Record Retention Fee for Building P Total $155.75 $5.00 $5.00 $4.50 $4.50 $139.25 $139.25 $7.00 $7.00 Total: $155.75 $150.00 BLD07-021 $0.00 $0.00 $0.00 $0.00 genprrtrreceipts Page 1 of 1 OF 90 TOS • ya o Receipt Number: genpmtrreceipts Page 1 of 1 BLD07-021 957312808 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD07-021 957312808 State Building Code Council Fee $4.50 $4.50 $0.00 BLD07-021 957312808 Building Permit Fee $139.25 $139.25 $0.00 BLD07-021 957312808 Record Retention Fee for Building P $7.00 $7.00 $0.00 Total: $155.75 07-0057 02/07/2007 Plan Review Fee $150.00 BLD07-021 CHECK 1836 $ 155.75 Total $155.75 genpmtrreceipts Page 1 of 1 0 • Receipt Number: genpmtrreceipts Page 1 of 1 �/. •�;�.{ iii:i•W:..:::::.:.::.:.::.!,.:}.-1:::::::::::::-%.,R,Q77..F.ii:Y'%ri�i:F: w:::G;t!ffii i;;.i .}vY+::: :•:::: ::v::::::: p:Yi}ii.}:: r:::: :v:. �:::.:.�.:... .....................n:::::::::........................:::::::::. �::.......................:. ��{{��yyss]]�.� �yy,,��}}��]];;;��:;::���}::;>;i::;:>'::;>:_::z:::>::>:f:>::»��:;::::._.;_;:;:tYi$s'si;;�::;?�zg»a:?#;?;:::;::<:;::>-::;:,:?;:ii::wp:;re:;::_:::f>?f%�:�:�#is�9a:'::>::>::::::>:::z:>::::::::Esz>::>iiE:::>:::r«:::>:z:::>:�> :iS:i:i:::i {jamA 6 ...:................................�..:.. . �......... . ���4 �:; :�}:: :. .i :• i.. ..:::: _: iiiiiiii:{-iT: i:�iiiii 6iiiiii i:4:::::?v':•:Ciii•iii: :vv::::::: x.:.......................:.::w.�:::.� :��./�(f............'(��.-.... ts:GA:: �r7�i��1�•.� ::.. �::::::::::.: _.:�:::-............................... nx:�::::::............................n;:;i�..�::::::: x:i�.M.............:..: n....:.::v::::::::::::::::......................................::::::::n Win_ .................. �:�:v:::i::i::i::ii ii ii::::::::: }:::.•.vii:::::i:i -iii ii::p::i::ii::ii:::•::i::;:i::i::!iliii::::::i::::i::isisi::i:::i:::%:i:;::i:::is ::�M:i:#ti' (:j(.::;:i}}::::i::::::::i:::}i ........... n:.�::•:::::........................ ryi::itti::S:::::i:::::::::<:::::::::: �?:::::':i :::::::::•:::•?::iii:•.::•:•:::ii:'.:i:•is•:::::i�:::::•:•:•:::::i:::::::is•:::ii::i::-:5::::::::{::i�i ii:::::i::::`:::x:::::i:::•:i:i:::•:::�:< vi:::•:::•:;::i::ii:::::: i::iii-i::'::•:•?::::::i �:':i:?i::::i:::i:::: ... � v-.: :::i:::i:ii?:::•i::i:::::i: ...�:yx. •: :.:v.:: • ::: v:. �::.:;:}i::::•.:::;::{� is:::i+::•,:::i'::i:::::i:i::}=:::::::::<:::•.:::i::i::i?:::i::i:i::i :v::::::::::........................;iF��s;�iV�A........:.......:.�::::: :i:::i :}i:i:::ii:�iii}}iiiii%4iii' �p pp i':..ij}•::;:'''i i:• �::i':•::•:::titiiii:::'::::i::::i:•::::i::i:::::'•:•:':i::::i::i::::::::L:i:::isii::i':?::•,:is ii::�'':i�i::'3'::ti:::•::::iii:i::i:::iv:i::ii w::::: :v.: iiiiiiiiiii'•: ................ :.::: :•:::: ........... .....................................::::::::: :::w:::::.�:::. �::::.�.: �::::.::::::::::.:::::::::._.�::::::::::::::::.^::ii:!.}:::::::::w:;; ::•: x::::: iii::: �::::::.vv. .�'��::.: �.�:::::::::::::: :.:::: 1�� •::::::::::. BLD07-021 957312808 Plan Review Fee $441.19 $150.00 $291.19 Total: $150.00 i:::::i::i::»»::>iii>:::;<:: `:2:;::ia:t?:i:�:;F -- ;�; :;:: IY1�3t��>::i::>::::<::z:::;.i:.iii:.>:.;::;:.i:!E`3�£�C�F:::»::i:;:::>•:i';:.;i:.::.;:.::.i::<:::i::ii::>:<:>:>:::::i>::>s::l�' 0.1#t CHECK 1831 $ 150.00 Total $150.00 genpmtrreceipts Page 1 of 1 �poorro�y CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT A; INSPECTION REPORT a`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: -("7- PERMIT NUMBER: SITE ADDRESS: 1-73 U (11) PROJECT NAME: {,fir �C CONTRACTOR: cr Y1Si nn CONTACT PERSON: 1 l L jCt"HONE: 9� 1p q TYPE OF INSPECTION: 111 to I ❑ APPROVED ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection Inspector �� Date ❑ NOT APPROVED Call for re -inspection before proceeding. 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. VORT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT I 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: P 0 — 47� SITE ADDRESS: I -1AV PROJECT NAME: CONTACT PERSON: TYPE OF INSPECTION: NUMBER: r�51'5') -) _- 6.?_1 CONTRA6-OR: PHONE: 2)61 .;2396 Q— El APPROVED 0 APPROVED WITH 0 NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before 'u "'u V 'r — c '�e I �e c ; ua �t rn e x t 'i n spe'�c'iio n procee ing. Inspecto Date ct Approvedplans andpermit card must be on-site and available at time — 1p n. A re- inspection fee may be assessed if work is not readyfor inspection. of in ectio vO�pORTTp�y��X CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT °s 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: 3 �> PERMIT NUMBER: ALN G v% r SITE ADDRESS: C l.- j � t ' PROJECT NAME: ) C_ CONTRACTOR: CONTACT PERSON: k' i a_ PHONE: TYPE OF INSPECTION: ❑ AAPPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Inspector l C_!� Date Z j 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. VORT TO 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: 6 (01 PERMIT NUMBER: ©% -OZ SITE ADDRESS: y� l C PROJECT NAME: lQ CONTRACT R: (::MrN,-24 m CONTACT PERSON: PHONE: 30) 2 3 4O TYPE OF INSPECTION: (1 SU �ah nru ZTYICS ef�h G1 ❑ APPROVED \ ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceed' g. r Inspector / Date f f Approvedplans andpermit 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. QopTT°� CITY OF PORT TOWNSEND o 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: ' Z3 -Z)7 PERMIT NUMBER: —&L,D M — 0-2-1 SITE ADDRESS: S PROJECT NAME: l�r�o (_ CONTRACTbR: ('_ M_ 12LCAZM TYPE OF INSPECTION: tz a � � -- I" t ❑ APPROVED ❑ APPROVED WITH CORRECTIONS Ok to proceed. Correc 'Cl at next inspection Inspector ❑ NOT APPROVED vill be Call for re -inspection before proceeding. Date/2,3 Q 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. 4� CITY OF PORT TOWNSEND OVELOPMENT SERVICES DEPARTMENT oFQORT ropy City Hall, 250 Madison Street, Suite 3 y Port Townsend, WA 98368 Phone: 360-379-5095 Fax 360-344-4619 0 �o RESIDENTIAL BUILDING PERMIT APPLICATION �w NEW CONSTRUCTION, REMODELS, & ADDITIONS Property Owner's Name(s)isomLp ro4 Mailing Address 3 City, State, Zip (j rToxy A6 Phone 3 � J Permit No. Property Street Address Zoning District —11 CSF Parcel # 3,/.2 'Fog Legal Description: Addition A6fBlock 1-2 Lot(s) l General Contractor'sName 0 ror all items that apply for the type of building permit you are requesting: Mailing Address New House Phone " 3 ® sq. ft: Cell Phone State License Number City Business License Number Authorized Representative/Contact Person: -RLjaPhone: 3 S —15(01 Estimated Value of construction $ 0 C7 Manufactured Home Financed By r Date Work is to Begin A .S t4 Date Work is to be Completed (" M n N +'f Scope of Work: Please check all items that apply for the type of building permit you are requesting: Unfinished Heated Space sq ft: New House Addition sq. ft: New Garage or Carport Repair/Remodel Garage Storage sq. ft: Repair/Remodel House Accessory Dwelling Unit Manufactured Home Other (please describe): Floor Area: the proposed structure is to be used for: Finished Heated Space sq. ft: 60 Garage sq. ft: VA Unfinished Heated Space sq ft: Carport sq. ft: Unfinished Basement sq ft: jryPorches sq. ft: Semi -Finished Basement sq ft: Decks sq. ft: Storage sq. ft: Other (please describe): P:\DSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 1 of 2 0 0 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTRUCTION, REMODELS, & ADDITIONS Site Area/Coverage Information: 1. The total area of the property in square feet: I.C)S Q 2. The total area covered by existing and proposed structures in square feet:' (total ground coverage from the outside of walls or supporting members) Percentage of lot coverage: (2=1) 35 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: Site Plan Existing House Roofprint sq. ft: 2k 15 Proposed Garage Roofprint sq. ft: Existing Garage Roofprint sq. ft: Proposed Porch/Walkway sq. ft: a) %S Existing Porch/Walkway sq. ft: Proposed Driveways sq. ft: 30 a Existing Driveways sq. ft: Other (describe): II O (A s Other (describe): Total Proposed Impervious sq. ft: 2891 Total Existing Impervious sq. ft: Total Proposed + Existing sq. ft: WSEC Construction Checklist (Washington State Energy Code) Percentage Impervious: (Impervious surface _ lots . ft *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): Installing Manufactured Home Yes No I Year: Make: Was the manufactured home originally constructed within three (3) years of proposed placement? Yes No 2) Manufactured home must be placed on a permanent foundation with the space from the bottom of the home to the ground enclosed by either load bearing concrete or decorative concrete or masonry blocks so that no more than one foot of the perimeter foundation is visible above grade; and 3) Roof must be composed of composition, wood shake or shingle, coated metal, or a similar roof material; and 4) Title to the manufactured home must be eliminated as a condition of building permit approval. PADSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 2 of 2 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�Component _ Floor Framing Plan WSEC Construction Checklist (Washington State Energy Code) Roof Framing Plan Other: Installing Manufactured Home Yes No I Year: Make: Was the manufactured home originally constructed within three (3) years of proposed placement? Yes No 2) Manufactured home must be placed on a permanent foundation with the space from the bottom of the home to the ground enclosed by either load bearing concrete or decorative concrete or masonry blocks so that no more than one foot of the perimeter foundation is visible above grade; and 3) Roof must be composed of composition, wood shake or shingle, coated metal, or a similar roof material; and 4) Title to the manufactured home must be eliminated as a condition of building permit approval. PADSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 2 of 2 0 • 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? SEPA (environmental review)? Variance? Conditional Use Permit? Street Vacation? 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 3es, 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? 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 tructure; 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 s 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:\DSD\Forms\Building Formsudpplication-Residential Building Permit.doc Page 3 of 3 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 alentified 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. r -� 00 Signature of Applicant or Authorized Representative 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 0 City of Port Townsend Development Services Department 250 Madison Street, Suite 3 Port Townsend, WA 98368 (360) 379-5095 Fax: (360) 3444619 Washington State Energy Code (WSEC) 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 ❑ Forced Air Furnace ❑ Radiant Floor (Bailer) ❑ Other Non -Electric: Propane: Xj 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: ❑ Plywood 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 ❑ Low -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 BACK PADSDOepartment Forms\Building FormsUpplication-Residential Energy Code Checklist.doc Page 1 of 1 • n U 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": • In what room is your whole house fan located? • What size is the whole house exhaust fan? ❑ 50-75 CFM (1-2 bedroom house) ❑ 80-120 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 1/2 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 FormMuilding Forms\Application-Residential Energy Code Checkli3.doc Page 2 of 2 4trescriptive Approach — Simple Form For the Washington State Energy Code (2001 Edition) Climate Zone 1 Site Information Lot: &s4hogS Address: City: &rJ T)Yn 0AY State:rA zip: 40.4 $ Contact: -An A f" Phone: 3 8S -- S (o / 4 Phone 2: Fax: Building Department Use Only Permit * Notes: Table 6-1 PREscitII'TNE REQUIREwNn µ FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Ontion Only) Option Glazing Area10 Glazing U actor Doo U Ceiling' Vaulted Wall Above Wall lnt4 Wall rSd4 Floors Slab On % of Floor Vertical Overhead" factor Ceiling3 Grade Below Below Grade Grade Grade Unlimited Group R-3 0.40 0.58 0.20 R-38 R 30 R-21 R 21 R-10 R 30 R-10 L Occupancy Onl 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 OR all of the insulation is interior or exterior of the framing. ✓ All building components meet the requirements listed in Table 6-1, Option III. ✓ The project will meet all other provisions of the 1NSEC and VIAQ. The act will take advantage of the following exceptions to the prescriptive option: 602.6 Exception 1. One door, that is 24 ft 2 or less, that does not meet the standards is allowed. Location of the door taking this exception 602.6 Exception 2. Doors with a Wactor of 0.40 alkywed without calculations, Option III only. Location of the door(s) taking this exception IFM n -t- Copyright 2002, WSUCEEP02 056 Copied by permission from the Washington State University Cooperative Extension Energy Program Prescriptive — Simple Forth — Climate Zone 1 5/31/2002 • . 2001 EDITION TABLES -1 PRESCRIPTIVE REQUIREMENTS°'' FOR�ROUP R OCCUPANCY CLIMATE ZONE * 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 ratter 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 manufacturer'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. Ibis 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 7/01/02 33 Glazindq Glazin U -Factor 9 wall Wall* int Wall* SlavA Option Door U Ceilin� VaUlted Ceilin63 dee Below ext4 Below Floors on %of Floor Vertical Overhead" -Factor Grade Grade Grade L 12% 0.35 0.58 0.20 R-38 R-30 ; R15 R-15 R-10 R30 R-10 II.* 15% 0.40 0.58 0.20 R-38 R-30 `Z11 R-21 R10 R-30 R-10 III. 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. Onl * 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 ratter 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 manufacturer'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. Ibis 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 7/01/02 33 City of Port Townsend Development Services Department 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: d' nn i c o6 a< K Phone: 3 Mailing Address: / 3 0 C IzV Property Address (if different): T Description of Proposal (include site plan): o 5 F-. sc"-"'"'of` cd t+t ovv f e4* oc(e— l r'.r�}-r� w ( n e.c� roo-f tin 2 �e � (tee V-- �� t � ��s t reuhove, exts� _jtcneu1 rw-ove. -6.3 sou4-h Std" The proposed new construction creates 3300 square feet of impervious surface. What best management practices are proposed? N , Critical Area Questions: 1. Is any portion of the property within or near a mapped Critical Area? (Maps are availableat t Development Services Department) YES NO 2. Is there any standing or running water on the surface of the siteat any time during the year? Yes _X_�No If YES, please describe: 3. Has any portion of the site been identifed as a wetland? YES __X_NO If YES, please describe: 4. Is the site characterized as: Forest Meadow Cleared Mixed P:\DSD\Forms\Land Use Forms\ApplicationCritical Areas Questionnaire.doc 0 5. Is the slope of the property: _flat (00ra - 5%) Critical Slope— 40% or greater gentle slope steep slope (5%— 15%) (l5%-40%) Flat - O - 5% >40% 40% Steep Slope 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. -X0Wztd fJ 0o � Signature of Applicant 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 FormsiApplication-Critical Areas Questionnaire.doc