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HomeMy WebLinkAboutBLD04-244 CITY OF PORT TOWNSEND PERMIT ACTIVITYLOG PERMIT# L�L�10 DATE RECEIVED: SCOPE OF TK*� O 71 L)-i u,, Entered into TRIPS Planning e66--evidenceµ ESA to p, q&10 g � e of ES.�� Vested Date Checked for Completeness r p Co u D r /'o n 1, J �1 t o if L r�� r rr i Ty , , w a \\Bcd_pernvts\forms\BUILDING\Permit Activity Log.doc a 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: r _ ..... m �r w. f 'I� --- - _ LVt -..... �. .„d.. _ ❑ 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� ............................... ... ................... �............... .............. ........ ------- ........... -A ................... ......................... ....................... ............... . ................ ..................... W .......... 71............ ................. ........... ............ ....................... ............. ❑ 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:�� W r v DATE OF INSPECTION: WORKSITE OR CELL PHONE #: ". _......_.......... r � 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 0 1 "n" Ill .. ��� f ...�.�. �...,......__.. :. �.....�,.. .. �...:........ ..Y Po...�._�, ...�....�..:. ....,. 1 . .. - q °o 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 � _.° �,� .,., � '�� �� 1� Date Inspector Dt � � .a. �° - ._. . ... ✓ / �pP �p� f� Acknowledged" y � "' ��� " ,,,.,.,. Dated . dry PORT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT DI 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, "F ✓� � � (rtl f I �� � 4 � �I � b �Y % ili . ^. .uG —,...—.. .u.....�r., ..Jua,_,. _ �..�......_ ..._. _ ._._ _.�._ . w Li .,," " JI�I, �,� ._. _...............m.....�... 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 d 1 Acknowledged . _. �._....... .. .__—. _.._...... m ...-. e._ .................. Date . _.... .. ............................................................_.............m C ('e. a, 90AT tq �W 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 j L 36 ............................ ...............111�... .... Z_ ........... "Zi........... ........... .... ..... ........... _3 gy L ply ry ,.m. q',''�^AP .............) Approved laps and permit card must be on-site and available at time of Insp cti,on a� 7, Inspector Date 7,�' . - - -—-------- ...................... 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 0 ...... ....... ............d 41 _6-k6u] C.141ner—ax., .......... ..............._.... .... _......................... ___.................... ........... .... ...................... .. ..............�4 .... ...... .............. .............................. r2 .............................. ......... -- ---- - --------- ..................­.....................................­­­...........- ----- --­----- . ............ ............. ..............___........................... ....... .................. ..... ...............................................................---------------- . ............... ................... ................ ............ .......... ..................... ...................... 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 ................. ...... ...... ---------- -------------------------------------------- ...............------ ....................................... ................... ...... .......... .............................. ................ .............. .... ... ...--- --------- ..................................................................... -- -------- ... ........LL.... .......... -- -- - --- ----------------------------------------------------------................... ................................................................... .................. ............­­­................. ... ....................... .......... ........... 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 ....... ----------- ......................................... ...................... .............................................................. - -------------------- ............................................. ............. ......................................................... ............... ..... .. .............. ........................................................----- ..............___.............................................................................................................................. ............................... ................ ........... ............................................................... ........ . ...... ..................................................................—-------- ............... ... ....... .... .................................. .......... ---- --- ................................................ 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 ., �. _ ....... .,. iC......,........ T_boo„ !t - .. �� ...... . .. ...... .......... ... .. 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 ' ; 44.E1 i ( Ppi Signature) (Telephone Number) V ��� o�f � �✓'? � �f* 1 ����tt !l � ^M^ � f � i^✓ Yip �a4 FT���'R�pb ,. C y N� ��� � .�+ �..�" 'p ,aw?�� �V �Tnr;#„'RYA' � �,✓F ef � �� f t � 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 \\Citypdc\bcd\AII Forms\Building Permit Application.doc Page 4 of 4