HomeMy WebLinkAboutBLD07-022a
RT T BUILDING PERMIT
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City of Port Townsend
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Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD07-022
Permit Type Residential - Garage Project Name
Site Address 342 HARRISON ST Parcel # 989706006
Project Description
New garage
Names Associated with this Project License
Type Name Contact Phone # Type License # Exp Date
Applicant Taylor Steven S
Owner Taylor Steven S
Fee Information Project Details
Manual Input 512 DOLL
Project Valuation $29,463.04 Private Garages — Wood Frame 768 SQFT
Building Permit Fee 441.75
State Building Code Council Fee 4.50
Technology Fee for Building Permit 8.84
Record Retention Fee for Building 10.00
Permit
Plan Review Fee 287.14
Total Fees Paid $752.23
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 1 am the owner of the property or authorized agent of the owner.
Print Name Date Issued: 02/27/2007
Issued By: PWESTERFIELD
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°fpr rO`� CITY OF PORT TOWNSEND
v o DEVELOPMENT SERVICES DEPARTMENT
>z `= 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: o % I �� PERMIT NUMBER: _B LQ d-2 - 6 2 2 --
SITE ADDRESS: _ 9 rr �St1Y�
PROJECT NAME: CONTRACTOR: (-(a In r
CONTACT PERSON:+�V'� PHONE:
TYPE OF INSPECTION:
FGj
❑ APPROVED ❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector
❑ NOT APPROVED
Call for re -inspection before
proceeding.
Date -IV — ( —1p
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.
�oF Voar roomyCITY OF PORT TOWNSEND
v DEVELOPMENT SERVICES DEPARTMENT
K ` INSPECTION REPORT
¢WI►9
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: A61—PO / " 4�ZZ PERMIT NUMBER:
SITE ADDRESS: 3 q Z 4Q rzsg+ Sb Ad
PROJECT NAME: —fTFV C= T !�j/(� f� CONTRACTOR:
CONTACT PERSON: 57E t5 PHONE:
TYPE OF INSPECTION: :r-7 AJ S V L-4-r�D Q
//} L..-
K'Eako11Irt�21k
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
/ checked at next inspection procee 'ng.
Inspector I C Date &
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 ins ection.
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o�QORTr°� CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
d' 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: 31 —0-7 PERMIT NUMBER: 0-7 - (0,'), Z
SITE ADDRESS: 1,_ 7 2
PROJECT NAME: �Q,�,► f CONTRACTOR:
CONTACT PERSON: ���e.— PHONE: 3 gS
TYPE OF INSPECTION: Era imm f,
"C''1� (411, iCom,
=C' lr_ _
[I APPROVED Lehecked
ED WITH ❑ NOT APPROVED
ONS
ed. Corrections wi 1 be Call for re -inspection before
ext inspection proceeding.
Inspector A i Date
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.
POgTrOwy CITY OF PORT TOWNSEND
c3 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.
6 z z
DATE OF INSPECTION: �� ' 1,5-0--r PERMIT NUMBER: LQQ-7
SITE ADDRESS: ;-;3A a-
PROJECT NAME: TC'�I�(" CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION: c� h ton r I I fl r,
6 Ul
❑ APPROVED .� ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
lnspectorwiC4Date I k ��k �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.
•
•
o�°°gTrO� CITY OF PORT TOWNSEND
v DEVELOPMENT SERVICES DEPARTMENT
?F `= INSPECTION REPORT
q"W For inspections, call the Inspection Line at 360-385-2294 b 3:00 PM the da before you want
P � P Y Y
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTION: PERMIT NUMBER:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
PHONE:
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
:-�
Inspector
9-1—C
Date
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.
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CITY OF PORT TOWNSEND
U DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
�¢ WA
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: O PERMIT NUMBER: &.0(n %
SITE ADDRESS: 34,2
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: �T PHONE: �5,,Z - Q
TYPE OF INSPECTION: f6t )hC13±7 M/L_
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❑ APPROVED i ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection procee iinn}gA Inspector 1 C Date /
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.
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CITY OF PORT TOWNSEND
a DEVELOPMENT SERVICES DEPARTMENT
+y 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: It (LO -7 PERMIT NUMBER: 6 L� CO -7 . n2-2—
SITE
Z,2.SITE ADDRESS:
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: PHONE:
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections wi I be Call for re -inspection before
checked at next inspection proce ding.
Inspector - Date
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 CITY OF PORT TOWNSEND*
rvxxTnd ?,- C5 (7 PERMIT ACTIVITY LOG
PERMIT # L 0(°j %- (Fj 7 DATE RECEIVED_
SCOPE OF WORK:
DATE ACTION INITIALS
ENTERED INTO CHET
CA - to Planning - No evidence
CHECKED FOR COMPLETENESS
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City of Port Townsend
Development Services Department
250 Madison Street, Suite 3
Port Townsend WA 98368
(360) 344-3057 FAX (360) 344-4619
August 30, 2011
BUILDING PERMIT EXPIRATION NOTICE
Steven and Susan Taylor
342 Harrison Street
Port Townsend, WA 98368
Mr. and Mrs.Taylor
According to our records, your building permit BLD07-022 for the new
garage has been expired since March 29, 2008.
The office copy of the approved construction plans will be disposed of 30
days after the date of this notice.
Be aware that our records will show that this permit did not receive a
final inspection.
Please contact the Development Services Department with any questions
concerning your permit or this notice. I can be reached at 360-379-5058.
Regards,
4aaj-�W—
Fred Slota, CTO
Building Official
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DESCRIPTION OF SUBJECT PROPERTY \
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FEET OF THE NORTH 102 FEET OF LOT 6, ALL IN BLOCK 60 OF THE ORIGINAL
TOWNS17E OF 7HE Cl Y OF PORT TOWNSEND, PER PLAT 7HEREOF AS
RECORDED IN VOLUME 1 OF PLATS AT PAGE 1 77-IEREOF, RECORDS
OF JEFFERSON COUNTY, WASHINGTON.
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CHECK 1244 $ 602.23
Total $602.23
genpmtrreceipts Page 1 of 1
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Receipt Number:
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BLD07-022 989706006 Plan Review Fee
$287.14
$137.14 $0.00
BLD07-022 989706006 Technology Fee for Building Permit
$8.84
$8.84 $0.00
BLD07-022 989706006 State Building Code Council Fee
$4.50
$4.50 $0.00
BLD07-022 989706006 Building Permit Fee
$441.75
$441.75 $0.00
BLD07-022 989706006 Record Retention Fee for Building P
$10.00
$10.00 $0.00
Total:
$602.23
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07-0060 02/09/2007 Plan Review Fee
$150.00 BLD07-022
CHECK 1244 $ 602.23
Total $602.23
genpmtrreceipts Page 1 of 1
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BLD07-022 989706006 Plan Review Fee
genpmtrreceipts
0
Receipt Number:
$208.81
Total:
$150.00 $58.81
$150.00
Page 1 of 1
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTM14
Waterman & Katz Building, 181 Quincy Street, Suite 301A
Port Townsend WA 98368
Phone: 360-379-3208 Fax 360-385-7675
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Property Street Address
/2/
Zoning District i?_ Parcel # �j 70
Legal Description: Addition.7 Block Lot(sl
r
eral Contractor's Nameing Address
ne 3i5-2&SS(N� 3e �� w Cell Phone S3e License Number City Business License Number
Authorized Representative/Contact Person: Svc Tr�yco>, Phone:
Estimated Value of construction $ % '000 D
Financed By
Date Work is to Begin f 1.9/2_ c-,,4 % 2(,07 Date Work is to be Completed U a 'A.1;� 30 2 6 p
Scope of Work:
Please check all items that annly for the tvne of huilrtinn nPrmit unii ara raniinetinn-
Floor Area: the proposed structure is to be used for:
Finished Heated Space sq. ft:
New House
Unfinished Heated Space sq ft:
Addition
Unfinished Basement sq ft:
New Garage or Carport
Semi -Finished Basement sq ft:
Repair/Remodel Garage
Storage sq. ft: fr- `� Z
Repair/Remodel House
Accessory Dwelling Unit
Other (please describe):
Floor Area: the proposed structure is to be used for:
Finished Heated Space sq. ft:
Garage sq. ft: 7�5F
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: fr- `� Z
Other (please describe):
P:\DSD\Department Forms\Building Forms\Application-Residential Building Permit.doc
Page 1 of 1
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: G/20
2. The total area covered by existing and proposed structures in square feet:
(total ground coverage from the outside of walls or supporting members) -2-2-7'
G Percentage of lot coverage: (2=1) 3 7 / 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:
Existing House Roofprint sq. ft:
Proposed Garage Roofprint sq. ft: FS—/
Existing Garage Roofprint sq. ft:
Proposed PorchiWalkway sq. ft:
Existing PorchiWalkway sq. ft:
Proposed Driveways sq. ft:
Existing Driveways sq. ft:
Other (describe):
Other (describe):
Total Proposed Impervious sq. ft:
Total Existing Impervious sq. ft:
Total Proposed + Existing sq. ft:
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):
XSite
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
Roof Framing Plan
Other:
*WSEC = Washington State Energy Code
PADSD\Department Forms\Building Forms\Application-Residential Building Permit.doc
Page 2 of 2
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
es attach list.
�(
7. Have any of the properties listed in item #6 been developed within the last two years? (If yes,
attach list.)
X
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 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 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.
PADSD\Department Forms\Building Forms\Application-Residential Building Permit.doc
Page 3 of 3
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PEIT 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 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.
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 identified 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 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 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
For Official Use Only
Representative
2 -2 ^d7
Date
Permit No.
Building Official Approval
Date Issued
Balance Due $
Date
Validation Stamp below:
Owner/Representative Signature
Date
PADSD\Department Forms\Building Forms\Application-Residential Building Permit.doc
Page 4 of 4
City of Port Townsend
Development Services Department
Waterman & Katz Building
181 Quincy Street, Suite 301
Port Townsend, WA 98368
(360) 379-3208 Fax: (360) 385-7675
Name �"Permit# L b �2 2
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 submiit:
• 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 R .sidential 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 original, dimensioned, scaled 8-1/2' x 11" size site plan (not a reduced copy).
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.
ROSD\Department Forms\Building Forms\Checklist-Residential Building Plans-Applicant.doc
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Page 1 of 1
List the page numher in the left column for each item that you have included on your plans.
PAGE # SITE / PLOT PLAN
Iq
Legal description, parcel number, name, address and telephone number of property owner/applicant,
including cellular phone if available.
1_3
Property lines and dimensions, including all interior lot lines.
'L-
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
overhang. Overhang ma extend into setback area a maximum of two feet.
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 Director of Building and Community
Development.
Street names, road easements and easements of record.
Existing and proposed utilities, service lines and pipe size.
Slope of land (grade and direction).
If there is 40% or more impervious surfaces on the lot, submit an impervious drainage system,
indicating square footages on drainage site plan and method of detention.
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.
PADSD\Department Forms\Building Forms\Checklist-Residential Building Plans•Applicant.doc
Created on 11/23/2004 11:06 AM
Page 2 of 2
PAGE# FOUNDATION PLAN.
3
Footings, piers, and foundation walls (including interior footing or pier locations).
Z-.
Post and beam sizes and spans; detail beam/post and post/pier (or footing) positive connection.
Z
Beam pockets or method of securing beam ends.
3 8
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.
Vapor retarder on crawlspace ground (6 mil black polyethylene).
PAGE# FLOOR PLAN
2.
Room use size andsquare footage by floor level.
Z-.
All room dimensions.
Z
Braced wall panel locations per IRC Section R602.10
Smoke detector locations.
Stairways: width rise run handrailsguardrails, landings, etc.
Z
Window, skylight and door locations and sizes, with egress and safety glazing, if applicable. (Include
brand/model and U factor on energy application.)
Rafter and. ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters,
optional if trusses.
Attic access location and dimensions.
Plumbing fixtures.
Hot water tanks furnaces fireplaces, solid fuel appliances and combustion air ducts.
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.
Tvve and location of all WSEC outside fresh air inlets.
Fire blocking.
1 -hr. construction between dwelling & garage on garage side per IRC Section 309.2
ROSD\Departinent Forms\Building Forms\Checklist-Residential Building Plans-Applicant.doc
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Page 3 of 3
PO[.Eli WAI1 CPPTTnM
PAGE # EXTERIOR ELEVATIONS
S
Floodproofing lan if structure is in a flood zone — see FEMA maps, and ESA map in DSD.
Footing size, reinforcement (include vertical rebar) depth below natural and final grade.
Foundation wall height, width and reinforcement rebar hold-downs if applicable.
3
Anchor bolts washers 2 x 2 x 3/16 square, steel and pressure treated plates.
3
Thickness of floor slab.
Floor joist size andspacing, under floor clearance from crawls ace grade for joists and beams.
Floor sheathing, a and size.
Wall stud size rade andspacing.
Framing -to be used: standard intermediate or advanced.
Header, size rade spans and insulation if applicable).
41
Wall sheathing and siding and material.
T e & location of weather -resistive barrier per IRC Section R703.2 and R703.8
Tvve 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 ceiling joists trusses with blocking and positive connection of roofs stem to wall.
Ceiling height.
Roof sheathing, roofing material, roof pitch, attic ventilation(provide calculations).
PAGE # EXTERIOR ELEVATIONS
S
Exterior views on front rear and sides; show all windows and doors.
Decks steps, handrails drails landings.
Hei ht of building per IRC Section R202• also see handout on Residential Building Height
Chimneys: show required height above roof per IRC Section 1001.6 R1001.17 and R1002.1
Final grade.
Retaining walls, if applicable.
P:\DSD\Department Fonns\Building Fonns\Checklist-Residential Building Plans-Applicant.doc
Created on 11/23/2004 11:06 AM
Page 4 of 4
0 City of Port Townsend*
Development Services Department
ENVIRONMENTALLY SENSITIVE AREAS QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of an Environmentally Sensitive 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: Phone: 395--29S'-5^
Mailing Address: rg36S
Property Address (if different):
Description of Proposal (include site plan): Dam c r_/ 7-14
STO�/�6Fi 860�`Di�c Cp�STi2uG7'7D^/ 4'c /Y'SG� O�/9/�sizj'�
The proposed new construction creates _ sq. ft. of impervious surface. What best
management practices are proposed?
Sensitive Area Questions:
1. Is any portion of the property within or near a mapped Environmentally Sensitive Area?
(Maps are available at the Building and Community Development Department)
YES_ C�NO
2. Is there any standing or running water on the surface of the site at any time during the year?
Yes _XNo If YES, please describe:
3. Has any portion of the site been identified as a wetland? YES_NO
If YES, please describe:
4. Is the site characterized as:
Forest Meadow Cleared Mixed
\\CITYPDC\Home\Pennyw\BCD Forms\Sensitive Areas Questionnaire.doc
5. Is the slope of the property: flat
(0%-5-1.)
Critical Slope — 40% or greater
gentle slope steep slope
(5%u-15"10) (15%-40%0)
>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 m' 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.
f� Z -2-
Signature of Applic Date
FOR DEPARTMENT USE ONLY:
Reviewed by:
Site visit Required? NO YES Site visit made on:
Exempt per PTMC 19.05.040 (B)? NO YES
Threshold Determination (presencelabsence of ESA, type of ESA):
Shorelines Jurisdiction? NO YES
\\Citypdc\home\Pemyw\BCD Fomes\Sensitive Areas Quescionnaire.doc