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HomeMy WebLinkAboutBLD00-006 (2)o� tOL-,C) CITY OF PORT TOWNSEND PERMIT ACTIVITYLOG PERMIT # 0 6 DATE RECEIVED: SCOPE OF WORK: \\Bcd_pennits\pe,-rmtsTORMS\BUILDINGTennit Activity Log.doc Received and entered into TRIPS ESA logged Vested Date 9, cl) a 0--Y,-,@ - do 4,— Da, -P,-40 CAA-�I'r,-� —'00,6 roof S-1 9 Ked 6 4' e. X Ct SL,—, o )-YAt,-e G C- L - C \\Bcd_pennits\pe,-rmtsTORMS\BUILDINGTennit Activity Log.doc CITY OF PORT TOWNSEND PERMIT ACTIVITYLOG PERMIT # j L 0 00 -' o0 6DATE RECEIVED: SCOPE OF WORK: kj Alat-) qe=�� ylo-t-' 0AAka:�U 1, 7cP- 6z rA m- ri r -e- a 21 4- -e , kQuS-,e V= t +a, Received and entered into TRIPS i& Oa ESA logged iS ., Vested Date Sw 04k 1f f "J "'o i (A cl�, ,X V/ llj,-) z w-"Np- 'I'dod 19(" W,-([ L ,- (-� .-�, J -40 sci 62L V 1,-YA12,fO sC'bk)q4'f /91a�n-� V / u u G/ ur t fir-,# mss %/ \\Bcverrmts\perrnits\FORMS\J3]�UDING\Pennit Activity Log doc u 312-160 if\ toux 3 Ob. 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Waterman & Katz Building 181 Quincy Street Suite 301 Port Townsend, WA 98368 Phone (360) 379-3208 Fax (360) 379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: BLD00-006R-1 Issued: 1/28/00 Parcel Number: 957901001 Job Address: 1510 Hastings Avenue Zoning: R-11 Type: V -N Occupancy: UU=1 Total Occupant Load: 3 Nature of Work: Detached garage accessory to Single-family Dwelling Owner: Dan Harbin Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE SEPARATE PERMITS REOUIRED: Electrical — Contact Labor & Industries @ 360-417-2702 REQUIRED INSPECTIONS APPROVED/DATE TEMP EROSION & SDM'T CONTROL See General Condition #2 Silt Fence as needed Drive Off Mat per attached details (see Permit #BLD00-006) SLAB Setbacks Forms Monolithic Slab Foundation Reinforcement Anchor Bolts UFER FRAMING Walls Roof/Ceiling Headers Rafter Positive Connection Blocking Weather Resistive Barrier FINAL Final — Building Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Building Permit #BLD00-006R-1 GENERAL CONDITIONS 1. Contractors working on this project are required to have a Labor & Industries contractor's registration number and a City business license. Failure to provide proof of this documentation prior to work may result in job shut down while this is accomplished. 2. Temporary erosion and sediment control (TESL) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance (see attached details). Adjacent rights -of way shall be kept free of dirt and debris. Soils exposed during construction shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be permanently stabilized with seeding, plantings, sodding, etc. once construction is complete. Applicant is responsible for protection of adjacent properties. 3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced wall panels (ABWP) require inspection prior to cover. 4. Owner or owner's agent shall review and oversee correction of any and all deficiencies noted by required inspections. 5. Re -inspection is required after any corrections are completed. 6. The Building Department is unable to pass final inspection on your project until Public Works requirements have been completed and inspected. For Public Works inspection call 385-2294, press 3. A minimum of twenty-four hours notice is required. Public Works approval must be received prior to scheduling the Building Department's final inspection. 7. Final Inspections are required prior to occupancy; a Certificate of Occupancy is required for non- residential projects. 8. All building permits expire if no progress has been made within six months, or if no inspections are done by the Building Department within one year. Call for at least one inspection per year to keep your building permit active. 9. Revisions require submittal and approval prior to making changes in the field. Contact the Building Department (379-3208) prior to making changes to the approved plans. 10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 3 of 2 Waterman & Katz Building 181 Quincy Street Suite 301 Port Townsend, WA 98368 Phone (360) 379-3208 Fax (360) 379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: BLDOO-006R-2 Issued: 5/03/00 Parcel Number: 957901001 Job Address: 1510 Hastines Avenue Zoning: R-11 Type: V -N Occupancy: UU=1 �v Total Occupant Load: 3 Nature of Work: Construct 4 s ware foo attached garage instead of q square foot &tached gar ,26-' Owner: Dan Harbin Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE SEPARATE PERMITS REQUIRED: Electrical — Contact Labor & Industries @ 360-417-2702 UIRED INSPECTIONS APPROVED/D INSPECTIONS - See permit #BLD00-006R-1 GENERAL CONDITIONS 1. Contractors working on this project are required to have a Labor & Industries contractor's reeistration number and a City business license. Failure to provide proof of this documentation prior to work may result in job shut down while this is accomplished. 2. Temporary erosion and sediment control (TESC) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance (see attached details). Adjacent rights -of way shall be kept free of dirt and debris. Soils exposed during construction shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be permanently stabilized with seeding, plantings, sodding, etc. once construction is complete. Applicant is responsible for protection of adjacent properties. 3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced wall panels (ABWP) require inspection prior to cover. 4. Owner or owner's agent shall review and oversee correction of any and all deficiencies noted by required inspections. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Building Permit #BLD00-006R-2 5. Re -inspection is required after any corrections are completed. 6. The Building Department is unable to pass final inspection on your project until Public Works requirements have been completed and inspected. For Public Works inspection call 385-2294, press 3. A minimum of twenty-four hours notice is required. Public Works approval must be received prior to scheduling the Buildine Department's final inspection. 7. Final Inspections are required prior to occupancy; a Certificate of Occupancy is required for non- residential projects. 8. All building permits expire if no progress has been made within six months, or if no inspections are done by the Building Department within one year. Call for at least one inspection per year to keep your building permit active. 9. Revisions require submittal and approval prior to making changes in the field. Contact the Building Department (379-3208) prior to making changes to the approved plans. 10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 Total Value of Revision: S Impervious Surface Change B Yes — lbOsq.tt. ❑ No chan e Revisions require 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. Be aware that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (changing windows, heat source, etc.) to conform to your proposed changes. j t Scope of work: —4 to r- r �� iv e-,14 u se,� PZL- �% 37� --'i zo (Applicant Signature) (Telephone Number) BCD_permitslpermitslFormslRevision Form.doc Rev. 4/16199 City of Port Townsend Building & Community Development f} t���t•'t Waterman &Katz Building tr_c s-. 181 Quincy Street, Suite 301 €�t Port Townsend, WA 98368 1332 (360) 379-3208 Fax: (360) 379-6923 �'X ryI3'_ ytf Y HALL 1$`:a'i Total Value of Revision: S Impervious Surface Change B Yes — lbOsq.tt. ❑ No chan e Revisions require 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. Be aware that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (changing windows, heat source, etc.) to conform to your proposed changes. j t Scope of work: —4 to r- r �� iv e-,14 u se,� PZL- �% 37� --'i zo (Applicant Signature) (Telephone Number) BCD_permitslpermitslFormslRevision Form.doc Rev. 4/16199 Waterman & Katz Building 181 Quincy Street Suite 301 Port Townsend, WA 98368 Phone (360) 379-3208 Fax (360) 379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: BLD00-006R-3 Issued: 5/19/00 Parcel Number: 957901001 Job Address: 1510 Hastings Avenue Zoning: R-11 Type: V -N Occupancy: UU=1 Total Occupant Load: 3 Nature of Work: Construct 680 square foot detached LFarase instead of attached garage Owner: Dan Harbin Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE SEPARATE PERMITS REQUIRED: Electrical — Contact Labor & Industries @ 360-417-2702 REQUIRED INSPECTIONS APPROVED/DA INSPECTIONS - See permit #BLD00-006R-1 Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Building Permit #BLD00-006R-3 GENERAL, CONDITIONS L Contractors working on this project are required to have a Labor & Industries contractor's registration number and a City business license. Failure to provide proof of this documentation prior to work may result in job shut down while this is accomplished. 2. Temporary erosion and sediment control (TESC) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance (see attached details). Adjacent rights -of way shall be kept free of dirt and debris. Soils exposed during construction shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be permanently stabilized with seeding, plantings, sodding, etc. once construction is complete. Applicant is responsible for protection of adjacent properties. 3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced wall panels (ABWP) require inspection prior to cover. 4. Owner or owner's agent shall review and oversee correction of any and all deficiencies noted by required inspections. 5. Re -inspection is required after any corrections are completed. 6. The Building Department is unable to pass final inspection on your project until Public Works requirements have been completed and inspected. For Public Works inspection call 385-2294, press 3. A minimum of twenty-four hours notice is required. Public Works approval must be received prior to scheduling the Building Department's final inspection. 7. Final Inspections are required prior to occupancy; a Certificate of Occupancy is required for non- residential projects. 8. All building permits expire if no progress has been made within six months, or if no inspections are done by the Building Department within one year. Call for at least one inspection per year to keep your building permit active. 9. Revisions require submittal and approval prior to making changes in the field. Contact the Building Department (379-3208) prior to making changes to the approved plans. 10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 1332 ;! Y HALL 1spi City of Port Townsend Building & Community Development Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 379-6923 Revisions require 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. Be aware that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (chani4ing windows, heat source, etc.) to conform to your proposed changes. Scope of work: (Telephone Number) BCD_permitslpermitslFormslReviston Form.doc Rev. 4116199 Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax: (360) 385-7675 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: BLD00-006R-4 Issued: 06/15/01 Parcel Number: 957901001 Job Address: 1510 Hastines Avenue Zoning: R -II Type: V -N Occupancy: RR=3 Nature of Work: Add half bath to garaee, extend north cable Earage roof. Owner: Dan Harbin Contractor: Owner (379-5120) GENERAL CONDITIONS APPLY - SEE LAST PAGE SEPARATE PERMITS REQUIRED: Electrical - Contact Labor & Industries @ 360-417-2702 See original permit BLD00-006 for other inspections. REQUIRED INSPECTIONS APPROVED/DATE FOOTING Pier Block PLUMBING Rough -In (D -V -T & Clean Outs) Water Supply Pipe Insulation (R-3) Pressure Reduction Valve if pressure > 80 psi MECHANICAL Source Specific Fans Environmental Air Exhaust ducting (with backdraft dampers), insulation (R-4), and terminus (located 3' from openings into building) FRAMING Walls Ceiling Fire Blocking Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Permit #BLD00-0068-4 UIRED INSPECTIONS APPROVED/DATE DRYWALUNAILING (as applicable) Walls Ceilings FINAL Final — Plumbing Final — Mechanical Final — Building GENERAL CONDITIONS 1. Contractors working on this project are required to have a Labor & Industries contractor's registration number and a City business license. Failure to provide proof of this documentation prior to work may result in job shut down while this is accomplished. 2. Temporary erosion and sediment control (TESL) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294. Measures shall include installation of silt fencing and graveled construction entrance (see attached details). Adjacent rights-of-way shall be kept free of dirt debris. Soils exposed during construction shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be permanently stabilized with seeding, plantings, sodding, etc. once construction is complete. Applicant is responsible for protection of adjacent properties. 3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced wall panels (ABWP) require inspection prior to cover. 4. Owner or owner's agent shall review and oversee correction of any and all deficiencies noted by required inspections. 5. Re -inspection is required after inspection report corrections are completed. 6. The Building Department is unable to pass final inspection on your project until Public Works requirements have been completed and inspected. For Public Works inspection call 385-2294. A minimum of twenty-four hours notice is required Public Works approval must be received prior to schedulinu the Building Department's final inspection. 7. Final Inspections are required prior to occupancy; a Certificate of Occupancy is required for a non- residential project. 8. All building permits expire if no progress has been made within six months, or if no inspections are done by the Building Department within one year. Call for at least one inspection per year to keep your building permit active. 9. Revisions require submittal & approval prior to making changes in the field. Contact the Building Department @ 379-3208 prior to making changes to the approved plans. 10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 CI'T'Y H 189, 9, REVISION TO BUILDING PERMIT City of Port Townsend Building & Community Development Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 385-7675 OWNER: I )/A2=j 42r LN- SITE ADDRESS: Wo 0Am, Total Value of Revision: S '�-pc °©o Impervious Surface Change hyes sq.ft. ❑ No change Revisions require 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. If your plans were stamped by a design professional, all revision submittals require a stamp with a wet signature. Be aware that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (changing windows, heat source, etc.) to conform to your proposed changes. (Applicant BCD_permitslpermitslFormslRevision Form.doe Rev. 9/21/00 31 79��i (Telephone Number) Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: 360-379-3208 Fax360-379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection /62 (a(l ; 316 /6D Permit Number: BLD00-006 Issued: 1/28/00 Parcel Number: 957901001 Job Address: 1510 Hastings Avenue Zoning: R-11 Type: V -N Occupancy: RR=3 Total Occupant Load: 1 Nature of Work: Unheated sunroom addition to Single-family Dwelling (see #00-006R-1 for garage construction) Owner: Dan Harbin Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE SEPARATE PERMITS REOUIRED: Electrical — Contact Labor & Industries @ 360-417-2702 RF.n1TIRF.11 TNCPF.f T10Nq APPROVED/DATE TEMP EROSION & SDM'T CONTROL See General Condition #2 Silt Fence as needed Drive Off Mat per attached details FOOTINGS Setbacks Footings Forms Reinforcement Interior Footing LIFER FOUNDATION Stem Wall Forms Reinforcement Anchor Bolts w/ 2" x 2" x 3/16" square washers Vents — 3 required Crawl Access Beam Pocket Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 3 Building Permit #BLD00-006 uTl11T11DTil11VCP1 PT1nNC APPROVED[nATF. FLOOR FRAMING Girders Joists Blocking Shield under Posts Positive Connections Girder to Concrete Beam Pockets or Post-to-Fdn. Wall Connection Treated Wood to Concrete Anchor Bolts & Washers Foundation Vents — 3 required PLUMBING: No fixtures shown on plans MECHANICAL; — Ventilation per openings FRAMING Walls Roof Ceilings Posts, beams & headers Rafter Positive Connection Fireblocking Weather Resistive Barrier INSULATION — Unheated space DRYWALL NAILING — No interior finish specified FINAL House Number Smoke Detectors - required throughout existing house per UBC; one in each sleeping room and each area/hallway leading to sleeping room with minimum one detector each floor; battery powered okay Final — Building Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 3 Building Permit #BLD00-006 GENERAL CONDITIONS 1. Contractors working on this project are required to have a Labor & Industries contractor's registration number and a City business license. Failure to provide proof of this documentation prior to work may result in job shut down while this is accomplished. 2. Temporary erosion and sediment control (TESC) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance (see attached details). Adjacent rights -of way shall be kept free of dirt and debris. Soils exposed during construction shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be permanently stabilized with seeding, plantings, sodding, etc. once construction is complete. Applicant is responsible for protection of adjacent properties. 3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced wall panels (ABWP) require inspection prior to cover. 4. Owner or owner's agent shall review and oversee correction of any and all deficiencies noted by required inspections. 5. Re -inspection is required after any corrections are completed. 6. The Building Department is unable to pass final inspection on your project until Public Works requirements have been completed and inspected. For Public Works inspection call 385-2294, press 3. A minimum of twenty-four hours notice is required Public Works approval must be received prior to scheduling the Building Department's final inspection. 7. Final Inspections are required prior to occupancy; a Certificate of Occupancy is required for non- residential projects. 8. All building permits expire if no progress has been made within six months, or if no inspections are done by the Building Department within one year. Call for at least one inspection per year to keep your building permit active. 9. Revisions require submittal and approval prior to making changes in the field. Contact the Building Department (379-3208) prior to making changes to the approved plans. 10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 3 of 3 Jefferson County Health--& Human Services i CASTLE HILL CENTER • 615 SHERIDAN • PORT TOWNSEND, WA • 98368 Daniel Harbin December 22, 1999 40922 nd street Port Townsend, WA 98368 Re: 1610 or 1510 Hastings Ave. SEP73-98 Dear Mr. Harbin: On July 20th this office completed an evaluation of the septic system referenced above. The evaluation was requested for an occupancy permit following a fire. That evaluation revealed a system that had been repaired with out a permit thus invalidating the existing permit. The evaluation stated the system must be repaired or hooked up to the city sewer depending on distance from a collection main. If hook-up to the city sewer is not allowed then a on-site repair would be required. Due to poor soils a wet season evaluation will need to, be conducted January through March. Recently this office became aware that the residence has become occupied and the septic system has not been repaired. This letter is to serve notice that you are in violation of Jefferson County Ordinance 2-77 and Washington State Onsite Sewage Code 246-272. You are required to provide for adequate sewage disposal for any residence on your property. Please contact this office within ten (10) days to inform us of the steps you intend to take to alleviate this violation. Sincerely Randy M Cc: C.L. Flint] City of Port Townsend Building Dept. HEALTH ENVIRONMENTAL DEVELOPMENTAL ALCOHOL/DRUG DEPARTMENT HEALTH DISABILITIES ABUSE FAX 360/385-9400 360/385-9444 360/385-9400 360/385-9400 360/385-9401 903 E: Carolime Port Angeles Court House ayi- OLYMPIC HEALTH DISTRICT Permit No, SELVAGE DISPOSAL PERMIT APPLICATION Submit in Duplicate Builder j Port Townsend /� /v-'`'� Date%3 / 73 _ Gv. aL �,-ZZZ�-E-2_— ,tea G OWNER �� �,� ADDRESS PHONE DIRECTIONS FOR LOCATING SITE �' APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM REPAIR EXISTING SYSTEM TDRAINFIELD LENGTH IDTH� DEPTH #LINES SEPTIC TANK SIZE W A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE ANY CHANGE IN BUILDING OR SL' AGE DISPOSAL PLANS, LOCA' j6 MA Z THIS PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HLALTFi�V1� DATE OF INSTALLATION 7/5 17 � SIGNATURE OF APPL: � APPROVED % I 7 j� INSPECTED BY SANITARIAN'S CONMIEniTS : I CERTIFY THAT THIS SYS S INSTeD IN Fir. MANNER APPROVED BY THE HEALTH DEAPRTM ENT DATE INf, LLERS A YPE OF BUILDING NO. OF BEDROOMS BASEMENT SITE SIZ NAME OF INSTALLER TDRAINFIELD LENGTH IDTH� DEPTH #LINES SEPTIC TANK SIZE W A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE ANY CHANGE IN BUILDING OR SL' AGE DISPOSAL PLANS, LOCA' j6 MA Z THIS PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HLALTFi�V1� DATE OF INSTALLATION 7/5 17 � SIGNATURE OF APPL: � APPROVED % I 7 j� INSPECTED BY SANITARIAN'S CONMIEniTS : I CERTIFY THAT THIS SYS S INSTeD IN Fir. MANNER APPROVED BY THE HEALTH DEAPRTM ENT DATE INf, LLERS A /v� �`t til J Cou my permXCenter 621 Sher" St port Townse t&, WA 98368 (360)379-4450 Evaluation of an Existing System (EES) Attach Plot Plan Showing Location of: Structures, Drainfield, Septic Tank, Well, etc. Type of Evaluation Reason for Evaluation^ Evaluation of on-site sewage disposal system X Real-estate transaction Kther Evaluation of drinking water ❑ Complete a septic permit `` _fa4llt Evaluation of on-site sewage & drin ing waterL J L 1 Building permit review and/or no septic permit on NAME of APPLICANT ' s �Iiz' Property Owner Name(s) '5a M Previous property owner name Is) if Address of Evaluation Site Directions to site /' Parcel Number Send Completed Report to: Is Home Occupied?u If no, vacant for how long? Septic Permit Number? C Date Phonet1 Phone Number of Bedroo 5� Range FOR HEALTH DEPARTMENT USE ONLY DO NOT WRITE BELOW THIS LINE SEWAGE DISPOSAL SYSTEMTrue/False/NA Permitted System? Installed Prior to 1970? Previous EES? Sewage Noticed On Ground at Time of Inspection? House is unoccupied therefore an evaluation of drainfield performance is not possible at this time. # Bedroom residence indicated in Health department records for this parcel. Septic tank needs to be pumped. (Pumping is recommended every 3-5 years) Septic tank :!J volume �J-�_ #of compartments Baffles: good condition inlet missing or damaged outlet missing or damaged Repair Area is: adequate limited none available WATER SUPPLYTrue/False/NA Sample was taken?—Sanitary seal in place? Well 100' from drainfield? Well casing 12" above ground Sample resultsHECEIVED Comments: 9 JUN 27 1999 J.C. PERMIT CEf-1-Y CO Date 7/;;eA Time Environmental Health Specialist THIS RE DOES NOT CONSTITUTE. A GUARANTEE, EITHER WRITTEN OR IMPLIED THAT THE SYSTEM WILL CONTIN TO FUNCTION P OPERLY. THIS REPORT CONSTITUTES A SUMMARY OF FINDINGS ONLY q � (��]�` 1 17 44 FEE S RECEIPT S CHECK# DATAQ__ � _R { SEP v -7 2v S� Al"" dAC,�V co-yvP Pad Carport. 1610 0 0 Vent 11 Trent Residence at 1610 Hastings Aue. Single 2 -:',tory 2 Bed R i 1l� Bath Hedge = = ) Lilac: Dus i ... " :......... . ` Field An, Apple � tree i . 1-4 l -, H _tstii lg s A Benue — r----1 C= == = .i Contact the Building Department at 379-3208 prior to making changes or revisions to the approved plans 701 �v v NOVOR.- Plans i:..- -�--.id excepting BLD 0 0 any errors oroms'; r :i. ---,JI work must 0 0 6 pass inspection i- .1.1-rmance with all applicable co(j,:., regulations. Pbb-r F, � ) it = Jt I If S V ft-t� e 610 d*STMIG� 3iq - �, zo Waterman &K2tzBuEding 181 Quincy St, Suite 301 G Port Townsend, WA 98-W Phone: (360) 379-3708 Fax: (360) 379-6923 City ofPort Townsend RESIDENTIAL BUILDING PERMIT APPLICATION FOR NEW CONSTRUCTION, REMODELS & ADDITIONS Legal Owner's Name / fS V Mailing Address /� .� City, State, Zip To WA g Phone Perrrtlt No Property Street Address t Zoning District Parcel # qS 7 Vol©©/ Legal Description: Additionf�� Block Lots) -- Contractor's Name Mailing Address Phone State License Number City Business License Number Estimated Value of construction $ Financed By all Date Work is to Begin(( Date Work is to be Completed Scope of Work: Please check all items that apply for the type of building permit you are requesting: Glnr%r A rnn- tha nrnnn-_Pd 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: Repair/Remodel House Accessory Dwelling Unit Other (please describe): City Sewer Septic Glnr%r A rnn- tha nrnnn-_Pd structure is to be used for: Finished Heated Space sq. ft: Garage sq. ft: Unfinished Heated Space sq ft: Carport sq. ft: Unfinished Basement sq ft: Porches sq. ft: Semi -Finished Basement sq ft: Decks sq. ft: Storage sq. ft: Other (please describe): s \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc Page 1 of 4 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION FOR NEW CONSTRUCTION, REMODELS & ADDITIONS Property Site Area/Coverage Information: 1. The total area of the property in square feet: 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) 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: Existing Garage Roofprint sq. ft: Proposed Porch/Walkway sq. ft: Existing Porch/Walkway 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: 1 Percentage Impervious: * (Impervious surface - lot sq. ft) *If total impervious surface exceeds 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): \\Bcd_permits\permits\FORMS\BUILID ING\BLPAPP.doc Page 2 of 4 Site Plan Interior & Exterior Wall Bracing (panel locations shown on floor plan) Drainage Plan (if over 40% Impervious) Typical Wall Framing Details (section from foundation through roof) Foundation Plan Elevations Floor Plan 1998 WSEC Compliance: Electric Non -electric Floor Framing Plan. WSEC Construction Checklist Roof Framing Plan Other: \\Bcd_permits\permits\FORMS\BUILID ING\BLPAPP.doc Page 2 of 4 W.2teiman &Satz Building 181 Quincy St, Suite 301 Post Townsend, WA 98M8 Phone. (360) 379-3208 Fax: (360) 379-6923 City of Port T'oumsend RESIDENTIAL BUILDING PERMIT APPLICATION FOR NEW CONSTRUCTION, REMODELS & ADDITIONS Property Street Address Zoning District Parcel # Leqal Description: Addition Block Lot(s) Contractor's Name Mailing Address Phone State License Number City Business License Number Estimated Value of construction $ Financed By Date Work is to Begin Date Work is to be Completed Scope of Work: Please check all items that apply for the type of building permit you are requesting: New House Addition New Garage or Carport Repair/Remodel Garage Repair/Remodel House Accessory Dwelling Unit .Other (please describe): City Sewer Septic Floor Area: the proposed structure is to be used for: Finished Heated Space sq. ft: Garage sq. ft: Unfinished Heated Space sq ft: Carport sq. ft: Unfinished Basement sq ft: Porches sq. ft: Semi -Finished Basement sq ft: Decks sq. ft: Storage sq. ft: Other (please describe): \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc Page 1 of 4 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION FOR NEW CONSTRUCTION, REMODELS & ADDITIONS. 0 Property Site Area/Coverage Information: 1. The total area of the property in square feet: 0 2. The total area covered by existing and proposed structures in square feet: -F (total ground coverage from the outside of walls or supporting members) � Percentage of lot coverage: (2 =1) 1% 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: 17 OC) Proposed Garage Roofprint sq. ft:�gp Existing Garage Roofprint sq. ft: zZ (51, Proposed Porch/Walkway sq. ft: ExistinPorch/alkway sq. ft: Proposed. Driveways sq. ft: Existing Driveways sq. ft: Ll� Other (describe):, � Other (describe): L_�a , Total Proposed Impervious sq. ft: `% Total Existing Impervious sq. ft: 2 Total Proposed + Existing sq. ft: 3 10 Percentage Impervious: (Impervious surface _ lot sq. ft) :7 � r *If total impervious surface exceeds 40% of the lot area, you must submit a written s ormwater plan to address run-off. Please check which plans you are submitting with this application (2 sets needed): \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc Page 2 of 4 Site Plan V/ Interior & Exterior Wall Bracing (panel locations shown on floor plan) Drainage Plan (if over 40% Impervious) Typical Wall Framing Details (section from. foundation through roof) Foundation Plan V1 Elevations Floor Plan 1998 WSEC Compliance: Electric Non -electric Floor Framing Plan. WSEC Construction Checklist Roof Framing Plan Other: \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc Page 2 of 4 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION ,FOR NEW CONSTRUCTION, REMODELS & ADDITIONS c.,o.-iaf r.nnrlitinn.q Applicant Certification The applicant hereby certifies to have knowledge of those sections of the Uniform Building Code and the Port Townsend Municipal Code pertinent to the above project and that the applicant is responsible for constructing in conformance with these codes; the applicant understands that the permit, if issued, expires in six months unless work is started; that the permit, after construction has started, will expire after one year if an inspection is not made to show significant progress on the structure; the applicant agrees to abide by the ordinances, codes, regulations, restrictive covenants, deed or plat restrictions, and water and sewer plans attached hereto; the applicant certifies that all information given above and on accompanying plans is complete and accurate to the best of 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. 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. Page 3 of 4 \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc NO Please check YES or NO as applicable YES 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? / / V 4. Will this proposal involve any sewer, water or other utility extensions which 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: e.g. subdivision, short plat, variance, conditional use permit, street vacation, planned unit development, restrictive covenant, etc? (If yes, attach copies of appropriate documents.) V/ V 6. Are any properties within 800 feet of the site owned or controlled by the applicant, any relative or business associate, or any partnership, corporation, or other entity affiliated with the applicant? (If yes, attach list.) 7. Have any of the properties listed in item #6 been developed within the last two years? (If yes, attach list.) 8. Have you previously discussed this project with a City staff member? If yes, who and when? D� pr—1 ka ©dtl �&F 64 `• r4 d r / Applicant Certification The applicant hereby certifies to have knowledge of those sections of the Uniform Building Code and the Port Townsend Municipal Code pertinent to the above project and that the applicant is responsible for constructing in conformance with these codes; the applicant understands that the permit, if issued, expires in six months unless work is started; that the permit, after construction has started, will expire after one year if an inspection is not made to show significant progress on the structure; the applicant agrees to abide by the ordinances, codes, regulations, restrictive covenants, deed or plat restrictions, and water and sewer plans attached hereto; the applicant certifies that all information given above and on accompanying plans is complete and accurate to the best of 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. 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. Page 3 of 4 \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION FOR NEW CONSTRUCTION, REMODELS & ADDITION$ Complete Application 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 Building and Community Development Department. Until a complete building permit application is filed, all applications for land use and development permits shall be reviewed subject to any zoning or other land use control ordinances which become effective prior to the date of issuance of a final decision by the city on the application. An application for a building permit shall be considered complete when an application meeting all of the requirements of Section 106.3 of the Uniform Building Code, 1994 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 106.4.1 of the Uniform Building Code, 1994 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 struct , I,- o Signature of Applicant or Authorized Representative Date For Official Use Only Permit No. c. 47uv -111)6 ..Vuilding Offici 1 Approval f Date Issued T --Ii Plan Review Fee $ Date f v Receipt No. , Water/Sewer SDC $ �j Date Receipt No. Balance Due $ L106,36' 3' Date Receipt No. Applicant/Representative Signature Date Received V \\Bcd_permits\permits\FORMS\BUILDING\BLPAPPAoc Page 4 of 4