HomeMy WebLinkAboutBLD04-244 CITY OF PORT TOWNSEND
PERMIT ACTIVITYLOG
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Waterman and 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: BLD04-244 Issued: 09/22/04 Parcel Number: 948 312 201
Job Address: 1380 13th Street Zoning: R-III Type: V-N Occupancy: R-3
Total Occupant Load: 6 Nature of Work: 13uild 2-sto_q modular Dome with site-built deck. Upstairs is
unfinished for future bedroom wardrobe bath and den..
Owner: Anna McEnery Contractor: Advantage Building Systems, Inc.
ADVANBS981PJ
GENERAL CONDITIONS APPLY—SEE BELOW
SEPARATE PERMITS REQUIRED:
Electrical—Contact Labor& Industries @ 360-417-2702
MANUFACTURER'S INSTALLATION MANUAL REQUIRED TO BE ON-SITE.
NOTE: Revision or separate building permit required to finish the second floor.
REQUIRED INSPECTIONS APPROVED/DATE
TEMPORARY EROSION & SEDIMENT
CONTROL
See General Condition No. 2—install on-site as
needed during construction to prevent sediment from
leaving the site and to eliminate tracking of soil onto
the street; see also SDP02-017
FOOTINGS
Setbacks
Footings— 15"x 6" continuous
Forms
Reinforcement— 1 #4 bars
Interior Footings
Porch Footings
UFER
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 1 of 1
Building Pennit#BLD04-244
-REQUIRED INSPECTIONS APPROVED/DATE
FOUNDATION
Etiveners, hangers, etc, in contact visit h freated material
tnust be hot Lfi L)Lyd alvanizecl
Stem Wall
Forms
Reinforcement
Anchor Bolts—per engineer design
5/8" x 10" @ 4 ft. o.c. with 3" x 3"x 1/4" square
washers
Vents - 15 required
Crawl space access
Positive Connections
Treated Wood to Concrete
6 mil black poly
Shield Under Posts
FINAL
Public Works Sign-Off
Electrical (L & 1) Sign-Off
House Number—5" numbers
Landings
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(TESC) 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
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-insp,&tion is required after any corrections are completed.
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 2 of 2
Building Permit#BLD04-244
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
scheduling the Building Department's final inspection.
7. Final Inspections and Certificate of Occupancy are required PRIOR to occupancy.
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 review and approval prior to making changes in the field. Contact the Building
Department at 379-5086 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
Waterman and 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: BLD04-244R-1 Issued: 03/29/05 Parcel Number: 948 3:12 201,.
Job Address: 1380 13th Street. Zoning: R-III Type: V-N Occupancy: RR=3
Total Occupant Load: 6
Nature of Work: Finisb upstairs bedroom 'wardrobe bath and den—install insulation sheetrock
bathroom fixtures.
Owner: Anna McEneEy Contractor: Owner
GENERAL CONDITIONS APPLY—SEE BELOW
SEPARATE PERMITS REQUIRED:
Electrical—Contact Labor& Industries @ 360-417-2702
See Original Permit BLD04-244 for other inspections.
REQUIRED INSPECTIONS APPROVED/DATE
FRAMING
PLUMBING
Water Supply
Pipe Insulation(R-3)
...................................
MECHANICAL
Source Specific Fan in Bathrooms
Environmental Air Exhaust ducting (w/back draft
dampers), insulation(R-4) and terminus (located 3'
from opening into building)
FINAL ...... ................See Original Permit Record
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 1 of 1
Building Permit#BLD04-244R-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(TESC) 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
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; 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 and Certificate of Occupancy are required PRIOR to occupancy.
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 review and approval Rliff to making changes in the field. Contact the Building
Department at 379-5086 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
° CITY OF PORT TOWNSEND
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. �7
Ai
DATE OF INSPECTION: PERMIT NUMBER: (�
.,.
SITE ADDRESS:
1.3AO
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: l t � .�° �. PHONE: `
TYPE OF INSPECTION:
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❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will b Call for re-inspection before
..S checked at next inspection proceeding.
r,,;, ._
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.
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
For inspections,call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections,call by 3:00 PM Friday.
'541DATE OF INSPECTION: ---L[),21 0 PERMIT NUMBER:
SITE ADDRESS:
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: PHONE: C1
TYPE OF INSPECTION: n_6 Q akli'111� ...............................
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❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re-inspection before
checked at next inspection procecdiljg.
.............................. Date
Inspector .................... -----------........ 41. ... ....
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.
` CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
WA
PERMIT NUMBER: 0A A
SITE ADDRESS:
CONTRACTOR:��
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DATE OF INSPECTION:
WORKSITE OR CELL PHONE #: ". _......_..........
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TYPE OF INSPECTION REQUESTED. � r�aR�,� ����� ,� �t�'` , ?✓. . � �� � i„ �� ��'3� ,....
R„. .. ..
For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspection;, call by 3:00 PM Friday.
❑ APPROVED ❑ APPROVED WITH CORRECTIONS ,,, ❑ NOT APPROVED
ay..
NOTED BELOW CALL FOR RE—INSPECTION
BEFORE PROCEEDING
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Approved plans and permit chard must be on-site and available at time of inspection. A re-inspection
fee may be d�esscd if work is not ready for
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Inspector Dt
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Acknowledged" y � "' ��� " ,,,.,.,. Dated
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PORT
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
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PERMIT NUMBER:
SITE ADDRESS:
............. _ __ _ __... _.._........
CONTRACTOR:-----.— �
DATE OF INSPECTION:
WORKSITE OR CELL PHONE #:
TYPE OF INSPECTION REQUESTED: .... „mmm
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.
❑ APPROVED ❑ APPROVED WITH CORRECTIONS( ❑ NOT APPROVED
NOTED BELOW CALL FOR RE-INSPECTION
IIII+" )RE PROCEEDING,
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Approved plans and permit card must be on-site and available at time of inspection. A re-inspection
fee may �c <,' essed if work is not ready for inspection.
Inspector ,� �� ��� Date
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Acknowledged . _. �._....... .. .__—. _.._...... m ...-. e._ .................. Date . _.... .. ............................................................_.............m
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CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
" = INSPECTION REPORT
� WA
PERMIT NUMBER: &
SITE ADDRESS: , .,.. ...w , .. .� u . .
CONTRACTOR: �
DATE OF INSPECTION: _ p w .w.
WORKSITE OR CELL PHONE #:
TYPE OF INSPECTION REQUESTED: 'ice
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.
❑ APPROVED ❑ APPROVED WITH CORRECTIONS ❑ NOT APPROVED
NOTED BELOW CALL FOR RE-INSPECTION
BEFORE PROCEEDING
Approved p]� t'i�s and permit card must be on-site and available at time of inspection. A re-inspection
fee may be 3ss :.ssed if work is not ready for inspection.
--
Inspector q „. . . . _W... Date
Acknowledged ................._�....� _ .. w._..� _ .............._. Date...................a.� __� _�_..,. .._
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
WA INSPECTION REPORT
PERMIT NUMBER:
Site Address -------- ----------
Contractor
Owner
Date of Inspection
Worksite or Cell Phone# �5 _ 1
❑ Erosion/Sediment Control ❑ Plumbing/Top Out ❑ Propane/Wood Appliance
❑ Setbacks/Footings/LIFER ❑ Propane Pipe/Pressure Test ❑ Manufactured Home Set-up
❑ Foundation Walls ❑ Propane Tank/Line ❑ Fire Department
❑ Footing Drainage ❑ Mechanical ❑ Temporary Occupancy
❑ Slab/interior Footing/insulation ❑ Framing ❑ Fees Paid
❑ Groundwork/Plumbing Test Ll Insulation 10 "u,
--in "a",
❑ Underfloor Framing ❑ Interior Shear/BWP Nail w_Oth Co 1111"It.-7
❑ Ext. Shear Wall/Holdowns ❑ Drywall/Fire Wall
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. Additional fees may be assessed for multiple re-inspections
if the work is not ready and the inspector must return to the site. Failure to provide inspection record and
approved plans on the site will result in $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR
W,JVTTEN-APPROVAL BY DSD.)
.......... 'N"
❑ APPROVED ❑ APPROVED WITH CORRECTIONS ❑ NOT APPROVED
............ SEE BELOW SE�_COMMENT(S) BELOW
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Approved laps and permit card must be on-site and available at time of Insp cti,on
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Inspector Date
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Date
Acknowledged by ,'�/ 0,
41 CITY OF PORT TOWNSEND PUBLIC WORKS &
DEVELOPMENT SERVICES DEPARTMENT
� t INSPECTION REPORT
PERMIT NUMBER:
6 (
Address
Contractor
Owner
Date of Inspection _.,... , C a �� _. _
Worksite or Cell Phone#
❑ Erosion/Sedimentation ❑ Plumbing/Top Out ❑ Drywall/Fire Wall
❑ Setbacks/Footings/UFER ❑ Gas Pipe/Pressure Test ❑ Gas/Wood Appliance
❑ Foundation Walls ❑ Propane Tank/Line ❑ Manufactured Home Set-up
❑ Slab Interior Footing/Insulation ❑ Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test ❑ Framing Other/Consultation
❑ Underfloor Framing ❑ Insulation I ........I
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail ❑ FINAL
If corrections required, re-inspection must be done prior to covering or concealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8;00 AM..
NO OCCUPANCY UNTIL FINALIZED BY BUILDING AND, IF APPLICARL UBLIC WORKS.
❑ VIOLATION 1_1 APPROVAL JZORRECTION REQUIRED
❑ APPROVED WITH CORRECTION ❑ NEED APPROVED PLANS & PERMIT ON SITE
Approved pi s peer nit card ust a on-site and available at time of inspection.
Inspector . . ....._ _m... --- - _ .... -- --- .__...... ... Date .._ ... —
CITY OF PORT TOWNSEND PUBLIC WORKS
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
PERMIT NUMBER:
Address
Contractor
Owner
........... .................
Date of Inspection
----------
Worksite or Cell Phone#
❑ Erosion/Sedimentation ❑ Plumbing/Top Out ❑ Drywall/Fire Wall
❑ Setbacks/Footings/UFER ❑ Gas Pipe/Pressure Test ❑ Gas/Wood Appliance
❑ Foundation Walls ❑ Propane Tank/Line >�&l anufactured Home Set-up
❑ Slab Interior Footing/Insulation ❑ Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test ❑ Framing J Other/Consultation
❑ Underfloor Framing ❑ Insulation
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail ❑ FINAL
If corrections required, re-Inspection must be done prior to covering or concealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY BUILDING AND, IF APPLICABLE, PUBLIC WORKS.
❑ VIOLATION elPPRiOVAL ❑ CORRECTION REQUIRED
❑ APPROVED WITH CORRECTION ❑ NEED APPROVED PLANS & PERMIT ON SITE
. ........ 0...... ..........hcndat
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................... ................ ............ .......... ..................... ......................
Approved plTas , d permit ca ust be on-site and available at time of inspection.
Inspector .............. Date
Y
CITY OF PORT TOWNSEND PUBLIC WORKS(�_' �
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
PERMIT NUMBER: LO 4'1_72,�(
..............................................---------------
Address
i......... .... .........).......... ..........................................................................
Contractor
MC
Owner
Date of Inspection . ........
Worksite or Cell Phone#
❑ Erosion/Sedimentation ❑ Plumbing[Top Out ❑ Drywall/Fire Wall
❑ Setbacks/Footings/ FER ❑ Gas Pipe/Pressure Test ❑ Gas/Wood Appliance
Foundation Walls j�') [Y14'tN LJ❑ Propane Tank/Line ❑ Manufactured Home Set-up
❑ Slab Interior Footing/Insulation ❑ Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test ❑ Framing ❑ Other/Consultation
❑ Underfloor Framing ❑ Insulation ...... .........................
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail ❑ FINAL
If corrections required, re-inspection must be done prior to covering or concealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY BUILDING AND, IF APPLICABLE, PUBLIC WORKS.
❑ VIOLATION l EROVAL ❑ CORRECTION REQUIRED
❑ APPROVED WITH CORRECTION ❑ N PROVED PLANS & PERMIT ON SITE
................. ...... ...... ---------- --------------------------------------------
...............------
.......................................
................... ...... .......... ..............................
................ .............. .... ... ...--- --------- .....................................................................
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.......... -- -- - --- ----------------------------------------------------------...................
................................................................... .................. ............................. ...
.......................
.......... ...........
Approved plans gap Irit card ust b on-site and available at time of inspection.
Inspector Date
CITY OF PORTT WNSEN PUBLIC WORKS
DEVELOPMENT SERVICES DEPARTMENT
F I I WA. INSPECTION REPORT
PERMIT NUMBER: - ---- (3
- ------- .......... ............
Address
..................... ..........n................. ..........
Contractor Ild
JIlly, J.4
Owner
...............
Dateof Inspection ---- .................... �y................ ...........................................
... ........ ............... ..........
Worksite or Cell Phone#
❑ Erosion/Sedimentation LJ Plumbing/Top Out ❑ Drywall/Fire Wall
❑ Setbacks/Footings/UFER LJ Gas Pipe/Pressure Test ❑ Gas/Wood Appliance
Foundation Walls ❑ Propane Tank/Line ❑ Manufactured Home Set-up
❑ Slab Interior Footing/insulation ❑ Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test Ll Framing ❑ Other/Consultation
❑ Underfloor Framing ❑ Insulation ................. ----------
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail ❑ FINAL
If corrections required, re-inspection must be done prior to covering or concealing areas
of construction.Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED�BY B�AL
AND, IF APPLICABLE, PUBLIC WORKS.
PPROVA
LJ V110LATION PPROVAL J CORRECTION REQUIRED
LJ APPROVED WITH CORRECTION LJ NEED APPROVED PLANS & PERMIT ON SITE
................. .................-----................-......................................-..................... _'_. . .......................... .........__............ ........... ............
.......... ..... .. ................111 ....... -----------
......................................... ...................... .............................................................. - --------------------
............................................. ............. .........................................................
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..............___.............................................................................................................................. ...............................
................ ........... ............................................................... ........ . ...... ..................................................................—--------
............... ... ....... .... ..................................
.......... ---- --- ................................................
Approved plans an p,(, lit car Bust be on-site and available at time of inspection.
0
Inspector Date
� 0 Y CITY OF PORT TOWNSEND PUBLIC WORKS
DEVELOPMENT SERVICES DEPARTMENT
PWA�' < INSPECTION REPORT)LA PERMIT NUMBER: r � , -....
Address .A,_. 4t..m.m__ .m. .__....._I 3. -- ��3 �.. ......_ Sty ,
_
4 F
Contractor �a v -. d . � �
�. ..
Cw
Owner ----- .... �! .
. ...� ......... .....m
Date of Inspection
Worksite or Cell Phone#
❑ Erosion/Sedimentation ❑ Plumbing/Top Out ❑ Drywall/Fire Wall
Setbacks/Footings/UFER ❑ Gas Pipe/Pressure Test ❑ Gas/Wood Appliance
❑ Foundation Wails ❑ Propane Tank/Line ❑ Manufactured Home Set-up
❑ Slab Interior Footing/Insulation ❑ Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test ❑ Framing ❑ Other/Consultation
❑ Underfloor Framing ❑ Insulation
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail ❑ FINAL
If corrections required, re-inspection must be done prior to covering or concealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY RUILDING AND, IF APPLICABLE, PUBLIC WORKS.
❑ VIOLATION L,,rA';PROVAL ❑ CORRECTION REQUIRED
❑ APPROVED WITH CORRECTION ❑ NEED APPROVED PLANS & PERMIT ON SITE
_. .. Approved pla .. ..� d permit c r
, .... - _
d must be on-site and available at time of inspection.
d
Inspector Date
0 CITY OF PORT TOWNSEND PUBLIC WORKS
DEVELOPMENT SERVICES DEPARTMENT
WA St4�w* INSPECTION REPORT
.w
PERMIT NUMBER;
Address " ..k..
Contractor — ... .. � :..? ... `�........ � _ `
Owner .. 1 ......... �� `:
Date of Inspection ........_ ._
Worksite or Cell Phone#
❑ Erosion/Sedimentation LJ Plumbing/Top Out LJ Drywall/Fire Wall
Setbacks/Footi n gs/U F E R LJ Gas Pipe/Pressure Test LJ Gas/Wood Appliance
/K
LJ Foundation Walls J Propane Tank/Line Manufactured o Set-up
Ll Slab Interior Footing/Insulation ❑ Mechanical LJ Public Works
❑ Groundwork/Plumbing Test ❑ Framing Ll Other/Consultation
❑ Underfloor Framing ❑ Insulation
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail ❑ FINAL
If corrections it , re-inspection ri covering or concealing areas
of construction. i i assessed I i I re-inspections.
For Re-inspection, call I i i prior .
BUILDING NO OCCUPANCY UNTIL FINALIZED BY L .
LJ APPROVED WITH CORRECTION L) NEED APPROVED PLANS & PERMIT ON SITE
X P .,
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iC......,........ T_boo„ !t
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.. �� ...... . .. ...... .......... ... .. v ... ........ .
Approved plans p ermit .. ... .....
card must be on-site and available at time of inspection.
Inspector _ &.a _ ........__ _ _ Uale .:
l�
nl� City of Fort Townsend
Building& Community Development
Waterman&Katz Building
CITY HALL 181 Quincy Street,Suite 301
18 Port Townsend,WA 98368
(360)379-3208 Fax:.(360)385-7675
REVISION TO BUILDING
PERMITW
( 31181 MW
,y
OWNER: C f
�� �` `�' SL SATE ADDRESS:
Total Value of Revision: $ (D 00 Impervious Surface Change 0 Yes sq.ft.
No cha;n e
FRevisions equire 2 sets of plans and a wri tten scope of work that fully describes the propos d change
ditional information that will be of assistance m issuing your revision. If,your plans were
a design professional,all revision submittals require a stamp with a wet signature. Be
changes to the existing approved plans may also require you to revise Y g
our original building
g
permit application(lot coverage,impervious surface,structures square footage,etc,
6 q g � )and energy code
documents(�han,ging wlladuws,heat source,etc.)to conform to y�rur plroposed,chaelges,
T Scope of work-,
,ry
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( Ppi Signature) (Telephone Number)
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BCDjermitslpermitY,WormsU?evision Form.doc
Rev.9111100
CITY OF PORT TOWNSEND
JILDING&COMMUNITY DEVELOPMEi.i` pptl`1
Waterman&Katz Building,181 Quincy Street,Suite 301A d
Port Townsend WA 98368 '
Phone: 360-379-5082 Fax 360-385-7675 ,
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION,REMODELS, &ADDITIONS
Property Owner's ame(s)
Mailing Addres
City, State,Zip
Phone �.. Permit No.
Property Street Address
Zoning District 3 Parcel# --
gal Description: Addition " Block ( Lot(s)
Le
General Contractor's Name Rlji* w sus .
Mailing Address Pa 13a C)-n Fni S
Phone o �" 0
3 7
� ....... �� ..... . Cell..Phone,.,.,.
State License Number 4c>oh)\1 C3 S18 � City Business License Number /JA
Authorized Representative/Contact Person: -, Phone: X3.71100
Estimated V Iiu�a, on
By
f co�s�C
Financed B ,i
9 .: D
Date Work is to Be in •r. ate 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 Dwellings Unit
Other(please describe): ,
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 Basements
q ft: �� Porches sq. ft:
Semi-Finished Basement sq ft: Decks sq.ft:
Storage sq. ft: Other(please describe):
\\Citypdc\bcd\AII Forms\Building Permit Application.doc Page 1 of 1
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION,REMODELS,&ADDITIONS
Property Site Area/Coverage Information:
. ..._ "
1. The total area of the property in square feet:
2w The total area covered by existing and proposed structures i square �
f w
(total ground coverage from the outside of walls or supporting members) I ,.
Percents of lot covets e: (2- 1)
Impervious Surfaces:
Please provide the square footage of the w-otarm of the-proposed;and existing structures, and the square footage
of the total area covered by porches, walkways, patios and driveways.' Do 170 include decks a//owing drainage to
earth below,
Proposed House Roofprint sq. ft: � �� Existing House F,oOfprlpt sq. ft:
Proposed Garage Roofprint sq. ft: Existing Garage Roofprint sq. ft:
............
_ _.
Proposed Porch/Walkway,sq: ft:l �, Existing'Porbh%WalkvvaV sq. ft:
.. .. .......
Proposed Driveways sq. ft: xisting 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 - lot sq. ft) L
*If total impervious surface is equal to or greater than 40% of the lot area, you must submit a written stormwater
plan to address run-off.
Please check which plans you are submitting with this application (2 sets needed):
Site Plan Interior & Exterior Wall Bracing (panel locations
shown on floor plan)
Drainage Plan (if 40% or more Typical Wall Framing Details (section from
impervious) foundation through roof)
Foundation Plan Elevations
Floor Plan 2001 WSEC Compliance: Prescriptive_ Component
Floor Framing Plan WSEC Construction Checklist
Roof Framing Plan Other:
\\Citypdc\bcd\AII Forms\Building Permit Application.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 o er an h project site?? If es,plea se
attach information identifying the �tl,ity
1
a�� w (beau � w. � iextenswons and sites, -<
�.
S. Have ally 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/Bounda ry Adjustment?Llne .
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.)
8 Have you previously discussed this pro
je t with a City tafff member? If yes,who and when?
�.w � "I'll" n
Applicant Gertificatinn
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.
\\Citypdc\bcdWll Forms\Building Permit Application.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 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.
Complete Ap li a ion
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, 1997 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, 1997 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 r Authorized Repre ntative Date
For Official Use Only
Pmit No. � Bu Iding Official Approve _ � Date Issued
Balance Due $ Date Validation Stamp below:
Caw r/Representative S' Date
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