HomeMy WebLinkAboutBLD07-025 (oversized drawings not scanned)13
o�Q°RTr°may BUILDING PERMIT
City of Port Townsend
Development Services Department
awns
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD07-025
Permit Type Residential - Accessory Dwelling Unit Project Name Rodgers ADU
Site Address 382 F ST Parcel # 001024066
Project Description
New attached ADU, new attached garage
Fee Information Project Details
Dwellings — Type V Wood Frame
Project Valuation $56,477.00 Private Garages — Wood Frame
Building Permit Fee
692.75
State Building Code Council Fee
4.50
Technology Fee for Building Permit
13.86
Record Retention Fee for Building
10.00
Permit
Plan Review Fee
450.29
Energy Code Fee - New Single
100.00
Family Unit
Mechanical Permit Fee per Dwelling
150.00
Unit - New Residential
Plumbing Permit Fee per Dwelling
150.00
Unit - New Residential
Total Fees Paid $1,571.40
524 SQFT
264 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 Name Date Issued: 04/03/2007
Issued By: MESTERFIELD
°sP°RTT°�y� BUILDING PERMIT
a City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD07-025
Permit Type Residential - Accessory Dwelling Unit Project Name Rodgers ADU
Site Address 382 F ST Parcel # 001024066
Project Description
New attached ADU, new attached garage
Names Associated with this Project License
Type Name Contact Phone # Type License # Exp Date
Applicant Rodgers Trustee Marjorie E
Owner Rodgers Trustee Marjorie E
Contractor Dave Johnson Construction Dave Johnson (385) 902-8 CITY 2748 12/31/2007
Contractor Dave Johnson Construction Dave Johnson (385) 902-8 STATE DAVEJC*044009/01/2008
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 Name Date Issued: 04/03/2007
Issued By: PWESTERFIELD
07-0088
CHECK
02/13/2007 Plan Review Fee
6134 $ 1,421.40
Total: $1,421.40
Receipt Number:
$450.29
BLD07-025
001024066
Plan Review Fee
$13.86
BLD07-025
001024066
Technology Fee for Building Permit
BLD07-025
001024066
Energy Code Fee - New Single Family
BLD07-025
001024066
State Building Code Council Fee
BLD07-025
001024066
Plumbing Permit Fee per Dwelling Uni
BLD07-025
001024066
Mechanical Permit Fee per Dwelling U
BLD07-025
001024066
Building Permit Fee
BLD07-025
001024066
Record Retention Fee for Building Per
07-0088
CHECK
02/13/2007 Plan Review Fee
6134 $ 1,421.40
Total: $1,421.40
Receipt Number:
$450.29
$300.29
$0.00
$13.86
$13.86
$0.00
$100.00
$100.00
$0.00
$4.50
$4.50
$0.00
$150.00
$150.00
$0.00
$150.00
$150.00
$0.00
$692.75
$692.75
$0.00
$10.00
$10.00
$0.00
Total:
$1,421.40
$150.00 BLD07-025
genpmtrreceipts Page 1 of 1
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CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT #
SCOPE OF WORK:
�cp-)mokd
DATE RECEIVED
v! tnt SI-rIP L C
DATE
ACTION
INITIALS
JAIC) 7
ENTERED INTO CHET
CA — to Planning
— No evidence
CHECKED FOR COMPLETENESS
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o�PopTT°� CITY OF PORT TOWNSEND
c3 DEVELOPMENT SERVICES DEPARTMENT
r= `- INSPECTION REPORT
¢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:Ln o
SITE ADDRESS: 3 () c� P_' IS -4
PROJECT NAME: f (_n a e-rs CONTRACTOR: JJ; h n ,&YL_
CONTACT PERSON: .1�(� PHONE: /,o,4,3 J L -"
f
TYPE OF INSPECTION:
❑ APPROVED 0 APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Inspector VrCJ4 Date Z /
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.
poNTr CITY OF PORT TOWNSEND
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: (p ' g ( PERMIT NUMBER: P(��)nl ��JT
SITE ADDRESS: a F�' (5t"
PROJECT NAME: Q M q CONTRACTOR: �j
CONTACT PERSON: c�%P_ PHONE: �p'43 GD2�
TYPE OF INSPECTION:
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
- CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceed' g.
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.
• •
o�°°gTrO� CITY OF PORT TOWNSEND
y
�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: PERMIT NUMBER: �_n(7):2 -�
SITE ADDRESS: f5,;)- F L�t
PROJECT NAME: S CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION. ' n'C'(-) lI0 ` b6A
+ ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Inspector i Date'Ai r
7-
Approvedplans 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.
PORT T
CITY OF PORT TOWNSEND
c3 DEVELOPMENT SERVICES DEPARTMENT
t INSPECTION REPORT
WAS
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: Q_) PERMIT NUMBER: 8 L 0i — 025
SITE ADDRESS: c�3 s,2.— P �St
PROJECT NAME: q PSS CONTRACTOR:
CONTACT PERSON: S�-\j e- NONE:
TYPE OF INSPECTION: j"' (�(� , 1�11F�_C
n
❑ APPROVED El APPROVED WITH El NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections ill be Call for re -inspection before
ked at next inspection proce ding.
Inspector f r" _ 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.
S6.4 L
poprr°� CITY OF PORT TOWNSEND
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.
ATE OF INSPECTION: PERMIT NUMBER:
SITE ADDRESS: $2 t—
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: U P, PHONE:
TYPE OF INSPECTION: I i�S 1(ter�
) I l 1 olj\�jEOL FTG o
❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Inspector 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.
�QopTro� CITY OF PORT TOWNSEND
c3 y DEVELOPMENT SERVICES DEPARTMENT
a 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: 1,5 II07 PERMIT NUMBER:
SITE ADDRESS:
PROJECT NAME: P rS CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION:
❑ APPROVED
Inspector
--�' C �
7-c �/(— c, �
❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
❑ NOT APPROVED
Call for re -inspection before
proceeding.
An r
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.
w w
o�poaTr°`` CITY OF PORT TOWNSEND
u 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: /� 7 PERMIT NUMBER: AP 67-0-7s-
SITE
7-QaTSITE ADDRESS:
PROJECT NAME: d 121 CONTRACTOR: Mve- 77 /t /soa
CONTACT PERSON: bAJ8 4 PHONE:
TYPE OF INSPECTION:D6jJ�l
❑ APPROVED
❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections
checked at next inspection
Inspector C �� Date
❑ NOT APPROVED
Call for re -inspection before
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.
Parcel Details I* q
Parcel Number: 001024066
Owner Mailing Address:
MARJORIE RODGERS TRUSTEE
M RODGERS REVOCABLE TRUST
378 F ST
PORT TOWNSEND WA98368
Site Address:
382 F ST
PORT TOWNSEND 98368
Section: 2 School District: Port Townsend (50)
Qtr Section: SE1/4 Fre Dist: Port Townsend (8)
Township: 30N Tax Status: Taxable
Range: 1W Tax Code: 100
Planning area: Port Townsend (1)
Sub Division:
Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm)
Property Description:
S2 T30 R1W I TX 148 LESS TX 149 1 WITH EASE
Click on photo for larger image.
No 2nd
lr ^{nPhoto
Availabil
No Permit
Data
Available
Assessor Bldg Data
ax AV Sales Info
Map Parcel
Plats & Surve s
Jefferson County•
Best viewed with Microsoft Internet Explorer 6.0 or later
Windows - Mac
Page 1 of 2
http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 3/16/2007
BLD07-025 001024066
Plan Review Fee
a
CHECK 6081
$150.00
Total $150.00
$450.29 $150.00
Total: $150.00
$300.29
genpntrreceipts Page 1 of 1
9CITY OF PORT TOWNSEND
VELOPMENT SERVICES DEPARTMENO
City Hall, 250 Madison Street, Suite 3
Port Townsend, WA 98368
Phone: 360-379-5095 Fax 360-3444619
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Property Street Address
F0
Zoning District kl�tL Parcel # n 01 0.2(�
Legal Description: Addition Block Lot(s)
General Contractor's Name V R 1/ r
So 14 a s n 4 C A s i u
Mailing Address 2)q P 9.o
A / ,6 1 i 8 lri/d y, 3 6
Phone
Cell Phone 3 D
State License Number
City Business License Number
Authorized Representative/Contact Person:
j2A V6 Phone: G H 3 "/ 12 y
Estimated Value of construction S
/-/(o
Financed By
Date Work is to Begin _ 3 _ p
Date Work is to be Completed
Scope of Work:
Please check all items that annly for the tune of building hermit you are reanestinue
New House
Addition
New Garage or Carport
Repair/Remodel Garage
Repair/Remodel House
Accessory Dwelling Unit
Manufactured Home
Other (please describe):
Floor Area: the nronosed structure is to be used for: / /- /' .
Finished Heated Space sq. ft: ,}�
Garage sq. ft: C Ll S 9 /<-f,
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):
P:\DSD\Forms\Building FormsWpplication-Residential Building Permit.doc Page 1 of 2
• 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: 7o
2. The total area covered by existing and proposed structures in square feet: G r
(total ground coverage from the outside of walls or supporting members) I O
Percentage of lot coverage: (2=1) - Z 6 ( p
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:
L V.
Existing House Roofprint sq. ft:
Interior & Exterior Wall Bracing (panel locations shown
on floor plan)
Proposed Garage Roofprint sq. ft:
Drainage Plan (if 40% or more impervious)
Existing Garage Roofprint sq. ft:
Typical Wall Framing Details (section from foundation
through roof)
Proposed Porch/Walkway sq. ft:
Existing Porch/Walkway sq. ft:
Elevations
Proposed Driveways sq. ft:
Floor Plan
Existing Driveways sq. ft:
4/&O
Other (describe):
.5 A rn4
Other (describe): ATtO
/91—
4Z_Total
Total Proposed Impervious sq. ft:
` - ��
Total Existing Impervious sq. ft:
2 rJ ,� 0
Total Proposed + Existing sq. ft:.
3 o
Percentage Impervious: *
(Impervious surface - lots . ft
' .4 Z
*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
Site Plan
Was the manufactured home originally constructed within three (3) years of proposed placement? Yes No
Interior & Exterior Wall Bracing (panel locations shown
on floor plan)
3) Roof must be composed of composition, wood shake or shingle, coated metal, or a similar roof material; and
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
Year: I 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 PLICATION
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?
q `� �- Q . 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.)
8. Have you previously discussed this project with a City staff member? If yes, who and when?
Q AN ANG rn6biova
(LA NC05C0 lr QAPVL'
5 N.
Applicant Certification j�S a Z
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 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:\DSD\Forms\Building Forms\Application-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 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 Applic t or Authorized Representative
For Official Use Only
f.3 07
Date
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
I
is
•
City of Port Townsend
Development Services Department
BUILDING NUMBER APPLICATION
Name of Property Owner:
Mailing Address: 5 -7 gv E 5� V
Telephone:
Property is located in:
Addition:
Faces/Access is from:
Block(s): _
K
Parcel Number
Directions to the Property (draw vicinity map on back)
Lot(s):
If this is a new ADU, has a building permit been applied for? ZYes _No Date: ?,))*o7
Notes:
HOUSE NUMBER ASSIGNED: — 18 Z— r �T�CC-�
Date of Approval: o Z���o,7 cor,E
For Department Use Only:
Application Fee Received ($3.00, TC 2200): Date:
Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office
❑ Sheriff ❑ Police ❑ GIS
❑ Public Works m` '` ❑ Assessor's Office
For address changes: ❑ Qwest Address Management Center — 206-504-1534
PADSMDepartmew Forms\$ulding Fomu\AMlication-Address Number doc ; 6/12/06
0 - a
1111 Hill 11111111111 521464
lilt, 111111111111111111111 Page: 1 of 2
.l rsffnrenn (:nnn}� p��A MgR.IARTF RAAf.FRS NTTT9'211 An11:12A
City of Port Townsend
Development Services Department
250 Madison Street Suite 3
Port Townsend, WA 98368
NOTICE TO TITLE
Grantor: Marjorie Rodgers Trustee, M. Rodgers Revocable Trust
Grantee: City of Port Townsend, a Washington municipal corporation.
Reference: City Permit Number BLD07-025
Legal description: The Grantor owns the following described real property:
S2 T30 R1 W, Tax 140 less Tax 149 with Easement
Assessor's Parcel Number 001-024-066
378 F Street
NOTICE IS HEREBY GIVEN to the Grantor/Owner of the above -referenced real property, to
potential purchasers and future owners, to agents or representatives, and to any other concerned
person or entity:
1) The Grantor, Marjorie Rodgers, lives in the single-family residence at 378
"F" Street, and proposes to remodel the attached garage into an Accessory
Dwelling Unit (ADU). The ADU will have an address of 382 F Street,
and will share utilities with 378 "F" Street. A single -car garage will be
built west of the Accessory Dwelling Unit.
2) The Port Townsend Municipal Code (PTMC) requires that the property
owner reside on the subject property, in either the principal residence or
ADU in order to rent or lease the other unit. A one-year hardship waiver
may be granted by the City in accordance with PTMC 17.16.020.C.2.
Additionally, neither the principal nor accessory unit shall be used as a
transient accommodation (PTMC 17.16.020.C.3). A transient
accommodation is defined as a use less than 29 days (PTMC 17.08.060).
3) This notice may be removed or modified only with approval by the City.
Page 1 of 2
Rodgers ADU Notice to Title
CITY OF PORT TO
Leonard Yarberry-,'Rir
Development Services
521464
Page: 2 of 2
03/19/2007 11:128
Jefferson Countv Qud MARJORIE RODGERS WIT 33 00
Date
s
-51f 9 e
Marjorie Rodgers Da e
Property Owner
STATE OF WASHINGTON )
)ss.
COUNTY OF JEFFERSON )
I certify that I know or have satisfactory evidence that Marjorie Rodgers is the person who
appeared before me, and who acknowledged that she signed the same as her free and voluntary
act for the uses and purposes mentioned in the instrument.
Given under my hand and official seal this )qt -!4 day of M a rrcj) , 2007.
WEBr�i�''i
o: �OTAy;s��O
7 wet.%*A 0
[Notary stamp inside V margin]
Page 2 of 2
(Print Name) Tin hU
NOTARY PUBLIC in and for the State of
Washington, Residing at:
My appointment expires S l l
of 'PORT
0
w
Name iqQA1JOLI`6 R 0DG6/-f
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. I/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 I V 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.
PADSDTorms\Building FomvsL4pplication-Residential Building Permit Plans ChecklistAf
Rev. 8/7/06
Pagel of
List the p2ge number in the left column for each item that you have included on your plans.
PAGE # SITE / PLOT PLAN
j
Legal description, parcel number, name, address and telephone number of property owner/applicant,
j
including cellular phone if available.
3
Property lines and dimensions, including all interior lot lines.
f
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
3
overhang. Overhang may extend into setback area a maximum of two feet.). The setbacks shall be
I
drawn in accordance with an accuratepinned boundaKy line survey IBC 106.2).
3
Driveways, walkways, patios, decks and porches.
3
On-site parking (Two 9'x 19' spaces required for new residential construction. These spaces may be
provided in a garage.)
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. Pky Ljjkl,
",/Waterfront
property: indicate bank height, setback between building and top of bank or bluff, all
IN
creeks, drainage corridors, etc. For new exterior construction, include all structures on either side
within 300 feet and their setbacks.
>J/
Existing and/or proposed septic system, if applicable. Please provide an extra set of plans for the
//
County Health Department.
PAGE# FOUNDATION PLAN
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Rev. 8/7/06
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.
Beam pockets or method of securing beam ends.
Z
Floor joist size, material grade, layout and spans.
Foundation venting and calculations (1 square foot of vent/150 square feet of crawl space).
Crawl space access & dimensions.
I
Plumbing sizes and locations of foundation penetration.
Vapor retarder on crawlspace ground (6 mil black polyethylene).
If engineering, show holddown symbol and verbiage on the foundation plan itself
P:\DSD\Forms\Building Forms\Application-Residential Building Permit Plans Checklist.rtf Page 2 of 4
Rev. 8/7/06
' PAGE# FLOOR PLAN
PAGE# WALL SECTION
1
Room use, dimensions, size and square footage by floor level.
?
Braced wall panel locations.
I
Smoke detector locations.
' A
Stairwa s: width rise run,handrails guardrails, landings, etc. R 0 "'VD 4 6 ✓E J-
I
Window, skylight and door locations and sizes, with egress and safety glazing, if applicable. (Include
brand/model and U factor on energy application.)
1
Rafter and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters,
optional if trusses.
I z
Attic access location and dimensions. ( N k , s ^ ` r/v✓��
I /,j-
Plumbing fixtures.
1
Hot water tanks furnaces fireplaces, solid fuel appliances and combustion air ducts.
1
Location of whole house ventilation fancontrols and timer.
I
Location and cfin of all other exhaust fans i.e. bathroom kitchen and laundry).
l
Type of exhaust duct material, duct path and exterior termination point of appliance vents and
environmental exhaust ducts.
2
Type and location of all WSEC outside fresh air inlets.
Z
Fire blocking,
I
1 -hr. construction between dwelling & garage on garage side.
1/1,-
If engineering, show shear wall symbol and verbiage on the floor plan itself
PAGE# WALL SECTION
1
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Rev. 8/7/06
Footing size, reinforcement include vertical rebar depth below natural and final grade.
Foundation wall height, width and reinforcement rebar hold-downs if applicable.
Anchor bolts washers 2 x 2 x 3/16 square, steel and pressure treated plates.
Thickness of floor slab.
I'Jlp,
Floor joist size andspacing, under floor clearance from crawls ace grade for joists and beams.
Floor sheathing, type and size.
I z
Wall stud size grade andspacing.
I /,j-
Framing to be used: standard intermediate or advanced.
Header, size grade, spans and insulation if applicable).
1
Wall sheathing and siding and material.
1
Tvve & location of weather -resistive barrier.
1 2
Type and location of vapor retarder (WSEC 502.1.6 .
2
Sheetrock: thickness type and location.
Z
Insulation material and R -value in walls above and below grade, floor, ceiling and slab.
i ,v
Rafters ceiling joists trusses with blocking and positive connection of roof system to wall.
1/1,-
Ceiling height.
Roof sheathing, roofing material, roof pitch, attic ventilation(provide calculations).
P:\DSD\Fonns\Building Forms\Application-Residential Building Permit Plans Checklist.rtf Page 3 of
Rev. 8/7/06
PAGF. it F.XTF,RIOR FINVATIONS
Exterior views on front rear and sides; show all windows and doors.
Decks steps, handrailsguardrails, landings.
z Height of building
Chimneys: show required height above roof.
Final grade.
Retaining walls, if applicable.
P:\DSD\Forms\Building Forms\Application-Residential Building Permit Plans Checklist.rtf
Rev. 8/7/06
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) 344-4619
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 lq Forced Air Furnace q Radiant Floor (boiler) ❑ Other —
Non -Electric:
Propane: ❑ Radiant Floor/Baseboard (Boiler) ❑ LPG Stove ❑ LPG Furnace 0 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
III 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
I 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)
'K Low -perm paint
SEE BACK
PADSMDepartment Forms\Building Forms\Application-Residential Energy Code Cheeklist.doc
Page 1 of 1
• 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":
• In what room is your whole house fan located? I A7r1
• 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 cfrn 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
PADSD\Department Forms\Building Forms\Application-Residential Energy Code Checkli!cdoc
Page 2 of 2
Prescriptive Approach — Simple Form
For the Washington State Energy Code (2001 Edition)
Climate Zone 1
Site Information
Lot: TA 1 04
Address: V-)9
City: e o Q.'( T v W N J 6 r✓0
State: Wk zip: 9 83 LT
Contact: Q A v( S o 0 y To
Phone: Q4 3 1 6 a Lf
Phone 2: 3 �r • cj 0 a- T
Fax: H 14 1 3
Building Department Use Only
Permit M
Notes:
T" 6-1
REQUMEMEM 04 FOR GROUP R OCCUPANCY
CINdATE ZONE 1
(Unlimited Glazing ion Only)
Option
Glazing
Area10
GlazingU-Factor
Doo
U
Ceilige
Vaulted
Wall
Above
Wall
Int°
Wall
E44
Floors
Slab
On
% of Floor
Vertical
Overhead'
factor
Ceiling
Grade
Below
Grade
Below
Grade
Grade
III
Unlimited
Group R-3
0.40
0.58
0.20
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 OR all of the insulation is interior or exterior of the framing.
✓ All building components meet the requirements fisted in Table 6-1, Option Ill.
✓ The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
❑ 602.6 Exception 1. One door, that is 24 ft? or less, that does not most the standards is allowed.
Location of the door taking this exception
❑ 602.6 Exception 2. Doors with a Wac for of 0.40 allowed without calculations, Option Ill only.
Location of the door(s) taking this exception
Copyd9it 2. VYSUCEEP02-056
Copied bypem mon from the WasNr4ion State tlnwerady Cooperative E)dwwwn Energy Program
Prescriptible — Simple Form — Cknate bons 1 5131/2002
• 2001 EDITION
TABLE 6-1
PRESCRIPTIVE REQUIREMENTS" FOR ROUP R OCCUPANCY
CLIMATE ZONE 1V
Option
Glazindq
Area' =
% of Floor
GlazingU-Factor
Door 9
U -Factor
Ceiline
Vaulted
Ceilin43
Wap
AboveMe
Grade
Wa41•.
Below
GradeL
WaN•
Below
Fbors
Slav
on
Grade
Vertical
Overhead"
12%
0.35
0.58
0.20
R-38
R-30
t (R 15
R-15
R-10
R-30
R-10
]Q.*
15016
0.40
0.58
0.20
R-38
R-30
'11-11
R-21
R10
R-30
R-10
>II,
Unlimited
0.40
0.58
0.20
R-38
R-30
R 21
R-21
R10
R-30
R-10
Group R-3
Occupancy.
OW
* Reference Case
0. Nominal R -values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
1. Mmimum 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 carrot
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 7/i01102 33
9 City of Port Townsend 0
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: VAV6 .3 u o fj CoAlS vG /,'
Phone: 3 8f` qo R
Mailing Address:
H 1 H — PT r ow -9 w.a s 3 48
Property Address (if different):
Description of Proposal (include site plan):
The proposed new construction creates 3gq— square feet of impervious surface. What best
management practices are proposed? 199'y
t72yc�rL� ,S l=a K 0
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 NO
2. Is there any standing or running water on the surface of the siteat any time during the year?
Yes �No 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 X Cleared Mixed
P:\DSDTormsTand Use FormsiApplicationrCritical Areas Questionnaire.doc
0
5. Is the slope of the property: flat
(0%-S%)
Critical Slope— 40% or greater
Jgentle slope steep slope
(5%-15%) (15%-40%)
Steep Slope
1546 - 40%
C nHi. A" _ YfLLf.
>40%
40%
15%
0%
Flat - 0 - 544
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.
L) I
Signature obk
pplicant
a' 13-o1
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