HomeMy WebLinkAboutBLD03-301Waterman and Katz Building
18l Quincy Street, Suite 301
Port Poansend, W'A 98368
Phone: (360) 379-3208 Pax: (360)385-7675
•
•
•
CITY OF PORT TOWNSEND
CONSTRUCTION PERMIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
Ca11385-2294 for Inspection
Permit Number: BLDO3-3O1 Issued: 3/23/04 Parcel Number: 999 400 005
Job Address: 2691 Wilson Street Zoning: RR=II Type: VV=N Occupancy: R-3/U-1
Total Occupant Load: 5/1 Nature of Work: Construct Single-family Dwelling with
attached garage
Owner: Hammer Head Construction
Contractor: Hammer Head Construction - HAMMECH013J4
GENERAL CONDITIONS APPLY: See last page
SEPARATE PERMITS REOUHiED:
Electrical Permit -Contact WA State Dept. of Labor & Industries 360-417-2702
RF,OUiRED INSPECTIONS
APPROVED/DATE
TEMP EROSION & SEDIMENT CONTROL
See General Condition No: 2
Silt Fence as needed
Drive Off Mat to restrict sediment from leaving
the sits
FOOTINGS
Setbacks -
Footings
Forms
Reinforcement
piers
UFER
FOUNDATION
Stem Wall
Forms
Reinforcement
Anchor Bolts & Washers
Post to beam Positive Connection required
Holddowns -per engineer design
Vents
Call 48 hours before yon dig for utility line locates
1-800-424-5555
Page 1 of 4
Building Permit #BLD03301
•
•
RE UIRED INSPECTIONS APPROVED/DATE
FLOOR FRAMING
NDTE: Engineered BCI floorplan on-site and
available to the Inspector at inspection time
Girders
Joists
Blocking
Post to Foundation Wall Connection
Positive Connections
Treated Wood to Concrete
Anchor Bolts & Washers
Holddowns -per engineer design
R
}
`
`~ = "
'"
PLUMBING
Rough-In (D-V-T & Clean outs)
Gas supply
Water Supply
Water Hammer Arrestors, accessible at final
Hose Bibbs - backflow protection required
Pipe Insulation (R-3)
Pressure Reduction Valve if> 80 psi
Water Heater
R-]0 under if electric
Seismic Restraint -upper & lower 1/3rd
Pressure Relief Valve drain to exterior, terminate
6" -24" above ground
Plumbing Contractor sign here
X
Plumbers license number here
X
MECHANICAL
Source Specific Exhaust Fans @ bathrooms (SOcfm),
laundry room, (50 cfm) and kitchen {100 cfm)
Environmental Air Exhaust ducting (w/ backdraft
dampers), insulation (R-4) and terminus (located 3'
from openings)
Whole house fan required with 24 hr. timer
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 2 of 4
Building Pertni[ #BLD03-301
RE UIRED INSPECTIONS APPROVED/DATE
•
•
C~
FRAMING
Shear walls -Shear Panel Blocking per engineer
design/to be viewed before cover
Floor - Engineered BCI plan to be on site at inspection
Holddowns -per engineer design
Roof -Engineered truss plan to be an-site at time of
1
inspection
Attic venting -gable & eave
Posts, beams and headers -per engineer design `,^ ;
~ ?' '
Windows -escape ~
Window U-factor - 0.40 or better "
Door U-factor - 0.20 or better
NFRC sticker must be an windows, doors & skylights
at time of inspection L
Air Seal
Fresh Air Intake -wall ports
Fireblocking
Weather Resistive Barrier
INSULATION
Floor (R-30 )
Walls (R-21)
Ceiling (R-38, attic
Baffles --
Vapor Barrier -paint
DRYWALL NAILING i
Walls ~ i'
Ceiling
Concealed space under stairs ,-
FINAL
Public Works Sign-off
House Numbers - 5" numbers
Plumbing
Gas final
Mechanical/Heating
Insulation Certificate
Smoke Detectors
Landings
Final -building
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 3 of 4
Building Permit kBLD03-301
• GENERAL CONDITIONS
1. Contractors working on this project are required to have a Labor & Industries
contractor's re¢istration 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 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 scheduline the Buildin¢ Department's final inspection.
7. Final Inspections are required prior to occupancy; A Certificate of Occupancy is required
for anon-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 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.
Ca1148 hours before you dig for utility line locates
1-800-424-5555
Page 4 of 4
� CITY OF PORT TOWNSEND PUBLIC WORKS
' DEVELOPMENT SERVICES DEPARTMENT
AS INSPECTION REPORT
PERMIT NUMBER:
Address �.
Contractor
a
Owner ..
� Date of .. .......... ____�_ _W.. ...�. ........_� ...�._mm Yo _ � .
M� Inspection
..._... _.. �g�/
Worksite or Cell Phone#
mm. ...
❑ 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
❑ Shear Wall/Holdowns ❑ Interior Shear/BWP Nail FINAL Z ' /"
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 FINALIZ D BY BUILDING AND, IF APPLICABLE, PUBLIC WORKS.
❑ VIOLATION APPROVAL ❑ CORRECTION REQUIRED
❑ APPROVED WITH CORRECTION La NEED APPROVED PLANS & PERMIT ON SITE
Approved plans and permit card must be on-site and available at time of inspection.
Inspector Date �i 8
. C & Ftt�sU��o�s
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FRANK FELTS CUSTOM PAINTING AND DRYWALL INC.
444 HASTINGS AVE
PORT TOWNSEND, WA. 98368
THE HOUSE AT 2691 Wilson S . Port Townsend Wa.
WAS SPRAYED WITH PVA PRIMER USED AS A VAPOR BARRIER.
"'PAN
TNG CO TRACTOR CT'OR DATE
CITY OF PORT TOWNSEND PUBLIC WORKS
BUILDING AND COMMUNITY DEVELOPMENT
INSPECTION REPORT
PERMIT NUMBER; _
Address _ ...�0z� �.
Contractor
Owner
Date of Inspection -
Worksite or Cell Phone#
❑ Erosion/Sedimentation ❑ Plumbing/Top Out Drywall/Fire Wall
❑ Setbacks/Footings/UFER ❑ Gas Pipe/Pressure Test J 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
❑ 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 ❑ APPROVAL RRECTION REQUIRED
i a �
. . :
H
_
....... m _
ry ( — m
.._I_I
d
Z� u2
p b
and Approved plans permit card must e on-site and
� available at time of inspection.
n o�
Inspector .... ... . . ........ - Date � ---^r .Date �.
90��� �0 CITY OF PORT TOWNSEND PUBLIC WORKS
� . BUILDING AND COMMUNITY DEVELOPMENT
P' AS INSPECTION REPORT
PERMIT NUMBER: 3 61
q I w
Address S 0�
�1
........_ I ,, u
Contractor __� w�. ....... .. .�
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 ❑ Manufactured Home Set-up
❑ Slab Interior Footing/Insulation Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test 'X 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 APPROVAL P CORRECTION REQUIRED
af4 � /,21" : .m ..., _....... r
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m� F sr � .._..... �
w... ...... " �.. ..... _ .e_ �,... n,., d. .....
Approved ad
lans l permit card must be on-site and available able at time of inspection
Inspector �� Date ' '
, rr " � CITY OF PORT TOWNSEND PUBLIC WORKS
BUILDING AND COMMUNITY DEVELOPMENT
INSPECTION REPORT
PERMIT NUMBER ..... ,.._ ......� n ......
Address
..Q
Contractor � Q:1, d.�..
Owner c,_ .... _me.
Date of Inspection
Worksite or Cell Phone# 43-7--`7 q 0
❑ 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 __
,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 ❑ APPROVAL j', 'RRECTION REQUIRED
Z -----
. nn
F
ree r
Approved plans and permit card must be on-site � __-__ .............
and available at time of inspection.
Inspector .
Date . . .....
,OKI CITY OF PORT TOWNSEND PUBLIC WORKS
' BUILDING AND COMMUNITY DEVELOPMENT
� m; INSPECTION REPORT
PERMIT NUMBER: 3_-
Address
Contractor U� /. _Gt16D(�.......
Owner S zany-•��
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 ❑ Manufactured Home Set-up
❑ Slab Interior Footing/Insulation ❑ Mechanical ❑ Public Works
❑ Groundwork/Plumbing Test ❑ Framing ❑ Other/Consultation
PkUnderfloor 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 APPROVAL ❑ CORRECTION REQUIRED
. ...._. m. ... ....,. .... ............... ... ..... �
.....Approved plans and permit card must be on-site and available at time of inspection.
Inspector _.... L .. _.. Date � O
.
°''p CITY OF PORT TOWNSEND PUBLIC WORKS
BUILDING AND COMMUNITY DEVELOPMENT
WASH INSPECTION REPORT
PERMIT NUMBER: ,
.. L0 ® �...�� Aiv)
Address `F
..
►�`....—
Contractor 11 V// ✓1,, w]^ � � , 0 � � CD n�.
1, W W d
Owner
Date of Ins � " � ��......�._. .. ........ ..
p ection Is— a
Worksite or Cell Phone# 3 0 0 ..,���_ �...m _.
❑ 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
❑ 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
APPN OVAL ❑CORRECTION REQUIRED
.. . �_ . .. ,.�
ri
...n
f —
Approved plans and permit card must be __..,._. l
A..._ _
pp p p on-site and available at time of inspection.
W _
Date,, ... .....
�.m_ .... ...... .
% CITY OF PORT TOWNSEND PUBLIC WORKS
BUILDING AND COMMUNITY DEVELOPMENT
�PWA � INSPECTION REPORT
PERMIT NUMBER:
Address _.... wrw ... a � ....m ... � _
Contractor ,...... "
-- ad
Owner �.......... C°
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 ❑ 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 B UILDING AND, IF APPLICABLE, PUBLIC WORKS.
❑ VIOLATION APPROVAL ❑ CORRECTION REQUIRED
"t� ",..... � �'_d ........ c yu
Approved card must be on-site
pp d lans and permit p p and available at time of inspection.
Inspector �.p �� Date,. -- -
Waterman and Katz Building
181 Quincy Street,Stile 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: BLD03-301 Issued: 3/23/04 Parcel Number: 999 400 005
Job Address: 2691 Wilson Street Zoning: R-II Type: V-N Occupancy: R-3/U-1
Total Occupant Load: 5/1 Nature of Work: Construct Single-family Dwelling with
attached gat—age
Owner: Hammer Head Construction
Contractor: Hammer Head Construction—HAMMECH013J4
GENERAL CONDITIONS APPLY: See last pag e
SEPARATE PERMITS REQUIRED:
Electrical Permit—Contact WA State Dept. of Labor & Industries 360-417-2702
REQUIRED INSPECTIONS APPROVED/DATE
TEMP EROSION & SEDIMENT CONTROL
See General Condition No. 2
Silt Fence as needed
Drive Off Mat to restrict sediment from leaving
the site
FOOTINGS — —.
Setbacks
Footings
Forms °
Reinforcement
piers
LIFER
FOUNDATION
Stem Wall
Forms
Reinforcement
Anchor Bolts & Washers
Post to beam Positive Connection required
Holddowns—per engineer design
Vents
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 1 of 4
Building Permit#BLD03-301
-REQUIRED INSPECTIONS APPROVED/DATE
FLOOR FRAMING
NOTE:Engineered BCI floor plan on-site and
available to the Inspector at inspection time
Girders
Joists ]
Blocking
Post to Foundation Wall Connection
Positive Connections
Treated Wood to Concrete ,
Anchor Bolts &Washers j A
Holddowns—per engineer design �'
PLUMBING
Rough-In(D-V-T & Clean outs)
Gas supply
Water Supply
Water Hammer Arrestors, accessible at final
Hose Bibbs—backflow protection required
Pipe Insulation(R-3)
Pressure Reduction Valve if> 80 psi
Water Heater
R-10 under if electric
Seismic Restraint—upper&lower 1/3rd
Pressure Relief Valve drain to exterior, terminate
6"—24" above ground
Plumbing Contractor sign here
X
Plumbers license number here
X
MECHANICAL
Source Specific Exhaust Fans @ bathrooms (50cfm),
laundry room, (50 cfm) and kitchen(100 cfm)
Environmental Air Exhaust ducting(w/backdraft
dampers), insulation(R-4) and terminus (located 3'
from openings)
Whole house fan required with 24 hr. timer
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 2 of 4
Building Permit#BLD03-301
REQUIRED INSPECTIONS APPROVED/DATE
FRAMING
Shear walls—Shear Panel Blocking per engineer
design/to be viewed before cover
Floor-Engineered BCI plan to be on site at inspection
Holddowns—per engineer design
Roof -Engineered truss plan to be on-site at time of
inspection
Attic venting—gable&eave
Posts,beams and headers —per engineer design
Windows—escape
Window U-factor- 0.40 or better
Door U-factor—0.20 or better
NFRC sticker must be on windows, doors &skylights
at time of inspection
Air Seal
Fresh Air Intake—wall ports
Fireblocking V
Weather Resistive Barrier
INSULATION
Floor(R-30)
Walls (R-21)
Ceiling(R-38, attic
Baffles
Vapor Barrier—paint
DRYWALL NAILING
Walls
Ceiling
Concealed space under stairs
FINAL
Public Works Sign-off
House Numbers—5"numbers
Plumbing
Gas final
Mechanical/Heating
Insulation Certificate
Smoke Detectors
Landings
Final—building
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 3 of 4
Building Permit#BLD03-301
GENERAL CONDITIONS
1. Contractors working on this project are required to have a Labor & Industries
contractor's re istration 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 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 twee -four hours notice is re uired. 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 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 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.
r
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 4 of 4
CITY OF PORT TOWNSEND
BUILDING&COMMUNITY DEVELOPMENT �clrc
Waterman&Katz Building,181 Quincy Street,Suite 301A
Port Townsend WA 98368 "'
Phone: 360-379-5082 Fax 360-385-7675
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION,REMODELS, & ADDITIONS
Property Owner's Names) � _?C� �
Mailing Address r
City, State,Zip °.. ,.3 .,.
LPLhone
� ) �� Permit No. ,� "
Property Street s I q
Zoning District L Parcel# 'X
Legal Description: Addition Block �� � Lot s
General Contractor's Name
Mailing Address "
Phone ��..� �_.. ..
Cell Phone
Cit Business License Number �Q ..
State License Number l y L4v q
Authorized Representative/Contact Person: . Phone: 3
Estimated Value of construction
Financed By fj so—
Date Work is to Begin Date Work is to be Completed tbylo 6
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):
Floor Area: the proposed structure is to be used for:
Finished Heated Space sq. ft: Garage sq. ft: :Z6 2 r 5 U
Unfinished Heated Space sq ft: Carport sq. ft:
Unfinished Basement sq ft: Porches sq. ft
Semi-Finished Basement sq ft: Decks sq. ft: O _
Storage sq. ft: Other(please describe):
\\Citypdc\bcdWll Forms\Building Permit Application.doc Page 1 of 1
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION,REMODELS,&ADDITIONS
Pro ert Site Area/Covers a Information:
p y w
1. The total area of the property in square feet:
2. The total area covered b existing and proposed structures in..q �...__..... mmmmmmmmmmITITm m-
Y g p p square feet:
supporting
(total ground coverage from the outside of walls or su pp members) mmIT ......
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:.
......... � !_rvw__ _..........
Proposed Garage Roofprint sq. ft: Existing Garage Roofprint sq. ft:
� ................ ._....�. � !�
Proposed Porch/Walkwa s ft: � Existing Porch/Walkway s ft
p ............. Y q' 9 Y q .........
Proposed Driveways sq. ft: .W • /® Existing Driveways sq. ft:
Other (describe): QQ Other (describe):
Total Proposed Impervious sq. ....'`� Total Existing Impervious sq. ft: �-
Total Proposed + Existing sq. ft: n< Percentage Impervious: * 6/0
a
(Impervious surface _ lot sq. ft)
*If total impervious surface is equal to or greater than 40% of the lot area, you must submit a written stormwater
plan to address run-off.
Please check which plans you are submitting with this application (2 sets needed):
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
L/" Roof Framing Plan Other:
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CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION,REMODELS,&ADDITIONS
Special Conditions
Please check YES or NO as applicable YES NO
1. Is the property within 200 feet of a fresh or saltwater shoreline?
2. Is the property within the Port Townsend Historical District?
3. Is the property located within or adjacent to an environmentally sensitive area?
4. Will this proposal involve any sewer, water or other utility extensions that will, or could serve
vacant properties other than the project site? If yes, please attach information identifying the utility
extensions and sites.
5. Have any special conditions been placed on this property, or has the property been subject to
any conditions on any prior action of the City(if"Yes"to any of the following, attach copies of
appropriate documents):
Subdivision/Short Plat/Boundary Line Adjustment?
SEPA(environmental review)?
Variance?
Conditional Use Permit?
Street Vacation?
Planned Unit Development?
Restrictive Covenant?
Easement?
urs
6. Are any properties within 800 feet of the site owned or controlled by the applicant, any relative or
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business associate, or any partnership, corporation, or other entity affiliated with the applicant? (If
es attach list.) 13
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?
Applicant
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\bcd\AII 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.
r
Signature of Apo'scantmor Authorized Representative Date
For Official Use Only
P rmit l lo. B1111pbfflclal� pproval Date Issue
. .3,
Balance Due $ — Validation Stamp below:
Owner/Representative Signature Date
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