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HomeMy WebLinkAboutBLD08-212CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT SCOPE OF WORK: DATE RECEIVED — DATE �__....._.._._ ��...._ ._.......... _..._.. _ ACTION ....... .... _. INIT ENTERED INTO CHET . ..W_. w _._._._....m.�....... ................. _ .. ......... _...__......_... ............. __._.... CHECKED FOR COMPLETENESS _ ......_ "y 61. �m mm,.........,.,.,.��.,..m.m,,......,,........... ...... ....... — a.,w....�.mm.— �����..�............................ Zoning: Setbacks OK� Side .d"'Am�. r , �� 1. ' ��� ;, � �� ._.�. . �....... Lot Size: Building Size: __ _...,_ I�.�� Db ........ Lot Coverage: FAR OK? Parcilt OK- Parking OK .42 _ IC, ......... m Critical Area? _.. _..._ + t l win �. __ ......._.. .. ... _ . ..... Demo? ........ Historic Rev? /Vo Notice to Title ��,� - _...._.... _. ..... � - Lots of Record? ........ ... ........... .......� p . UILwNG PERMIT City of Port Townsend F Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # Permit Type Residential - Single Family - New Project Name Site Address 812 J STREET Parcel # Project Description New SFR (move house to empty lot/ install new foundation) Names Associated with this Project Type Name Contact Applicant Bush P Renee Owner Bush P Renee Contractor Blue Heron Construction Randy A. Welle Contractor Blue Heron Construction Randy A. Welle Phone # BLD08-212 House relocation to empty lot with new foundation 984901206 License Type License # Exp Date (360) 385-3958 CITY 504 12/31/2008 (360) 385-3958 STATE BLUEECC1091 08/19/2010 *** SEE ATTACHED CONDITIONS *** Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner ol`]Ilic py(J aty or authorized agent Sul the o%%na a Print Name "�'"^ '�� °°� " Dare35sued: I l/ls/zoos �� Issued By: FRONTDESK Signature / �(� Date el°�y = _ jj / Date Expires: 05/17/2009 VOW BUILDING ER .IT M City of Port Townsend w Development Services Department A 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD08-212 Permit Type Residential - Single Family - New Project Name House relocation to empty lot with new Site Address 812 J STREET Parcel # foundation Project Description 984901206 New SFR (move house to empty lot/ install new foundation) Fee Information Project Valuation Site Address Fee Building Permit Fee Energy Code Fee - New Single Family Unit Mechanical Permit Fee per Dwelling Unit - New Residential Plan Review Fee Plumbing Permit Fee per Dwelling Unit - New Residential State Building Code Council Fee Technology Fee for Building Permit Record Retention Fee for Building Permit Total Fees Conditions Project Details $47,763.15 Decks — Residential 164 SQFT 3.00 Dwellings — Basements — Semi Finished 977 SQFT 623.55 Units: I Heat Type: ELECTRIC BBH 100.00 Bedrooms: 2 Construction Type: V - B Bathrooms: I Occupancy Type: 150.00 405.31 150.00 4.50 12.47 10.00 $ 1,458.83 10. Property corner survey pins must be located at time of footing inspection to verify setbacks, Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or authorized agent of the owner. Print Name Signature Date Datelssued: 11/18/2008 Issued By: FRONTDESK Date Expires: 05/17/2009 AWS Development Services o�arr° 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone:360-379-5095 Fax_ 360-344-4619 www.cityofpt.us Residential Building Permit Application Project Address: Zoning: Parcel # U®O q $ll 90 12©6 Legal Description (or Tax ft Addition: Pe & CsM)e' Block: l 22 Lot(s): 3 Project Description: 14DJSe- ULacv�;o k/ n e-o 0,u4ex& OfficeOnly P #BLD-CY) Associated Permit ➢ Applications by mail must include a check for initial plan review fee of $150 for projects valued over $15,000, See Page 2 for details on plan submittal requirements. Propert Owner/A plicant: Name: Address,- City/St/Zip: Qyace,IL 0P', 99,374 Phone: 3bD--77(f- (8S9 Email: f kli eo ~ e tA4C �P— W 140+rvlA � �coPl l Contact/Representative: Narne: S�NA Address: Contractor: ❑ Same as Owner Name: 4&oa Address: CSK12i 71g, City/St/Zip: f O UAL Phone: 31D .. °1 . Email: :3�) �A l W MtUS: i e+1 State License #: (act ba ExpI - 3(-tj City Business License #: o 00 Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: lbw Ube S- Project Valuation: $ -1-n , co N Building Information (square feet): 1s' floor Garage: 2"d floor Deck(s): „„ I N w 3rd floor Porch(es): Basement: 71 J' Is it finished? Yes No Carport: Other, Manufactured Home ❑ ADU ❑ New Addition ❑ Remodel/Repair ❑ Total Lot Coverage (Building Footprint):* Square feet: ( I u 2,22 % Impervious Surface:* Square feet: I $d *Total existing, fl, proposed What yearwas the structure built? q26 If work includes demolition, see Page 2. Any known wetla `" h ' r e �JY Any steep slopes hereby certify that the information provided is correct, that I am either the owner or author and that all activities associated with this permit will be in accordance with State Laws and Print Name: SQ0 r (300i r Signature:_ � ?!�/�l tUL &Zjd t-�jL Date: PaV 2 7/31/2008 ct 00) hai �th i � e° Townsend Muniopal"Coc RESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new dwellings, additions, remodels, and garages. The purpose is to show what you intend to build, where it will be located on your lot, and how it will be constructed. ❑ Residential permit application. ❑ Washington State Energy & Ventilation Code forms ❑ Two (2) sets of plans with North arrow and scaled, no smaller than '/a' = 1 foot: ❑ A site plan showing: 1. Legal description and parcel number (or tax number), 2. Property lines and dimensions 3. Setbacks from all sides of the proposed structure to the property lines in accordance with a pinned boundary line survey 4. On -site parking and driveway with dimensions 5. If creating new impervious surfaces, indicate measures utilized to retain stormwater on -site 6. Street names and any easements or vacations 7. Location and diameter of existing trees 8. Utility lines 9. If applicable, existing or proposed septic system location 10. Delineated critical areas boundaries and buffers ❑ Foundation plan: 1. Footings and foundation walls 2. Post and beam sizes and spans 3. Floor joist size and layout 4. Holdowns 5. Foundation venting ❑ Floor plan: 1. Room use and dimensions 2. Braced wall panel locations 3. Smoke detector locations 4. - Attic access 5. Plumbing and mechanical fixtures 6. Occupancy separation between dwelling and garage (if applicable) 7. Window, skylight, and door locations, including escape windows and safety glazing ❑ Wall section: 1. Footing size, reinforcement, depth below grade 2. Foundation wall, height, width, reinforcement, anchor bolts, and washers 3. Floor joist size and spacing 4. Wall stud size and spacing 5. Header size and spans 6. Wall sheathing, weather resistant barrier, and siding material 7. Sheet rock and insulation 8. Rafters, ceiling joists, trusses, with blocking and positive connections 9. Ceiling height 10. Roof sheathing, roofing material, roof pitch, attic ventilation ❑ Exterior elevations (all four) with existing slope of the land in relation to all proposed structures ❑ If architecturally designed, one set of plans must have an original signature ❑ If engineered, one set of plans must have one original signature ❑ For new dwelling construction, Street & Utility or Minor Improvement application If you are proposing partial or full demolition of a structure that is at least 50 years old, per Ordinance 2969 Historic Preservation Committee (HPC) review is required. If within the National Historic Landmark district: $58.00 for full committee review. If outside the National Historic Landmark districted riot on the Historic Register: $30.00 for HPC Administrative review. Complete HPC'Form. Partial demolition includes exterior demolition for additions and remodels. Page 2 of 2 7/31/2008 clxr ro City of Port Townsend Development Services Department 250 Madison Street, Suite 3 Port Townsend WA 98368 360-379-5095 Fax 360-344-4619 REVISION TO BUILDING PERMIT it 6 22- Revision # l OWNER:. SITE ADDRESS: r Total Value of Revision: $ / S� 00C> Impervious Surface Change? X Yes w 06 l�l ❑ No Revisions require 2 sets of plans and a written scope of workthat fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. If your plans were stamped by a design professional, all revision submittals require a stamp with a wet signature. Be avare that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (changing windows, heat source, etc.) to conform to your proposed changes. Scope of work: 0 7 - �ecrwtSi > . .: _ �I Ic a Date OFFICE USE ONLY: Submittal date: 11 /�p (� Two sets of plans for revision: Approval of engineerrof rdcord (if original plans engineered): ❑ Yes ❑ No ❑ NA PADSMDepartment Forms�Building FormsUpplication-Revision.doc City of Fort Townsend Development Services Department 250 Madison Street Suite 3, Port Townsend, WA 98368 (360) 385-0644 FAX (360) 344-4619 email: swassmer@cityofpt.wa.us Date: July 22, 2008 To: Jefferson County Assessor RE: Assessors Tax Parcel Number 984-901-202 The property owner Colleen McLarney, through agent Teri Nomura, has requested information through LUP08-011 about whether the City objects to the assignment of different parcel numbers to platted lots within the above listed parcel number. The current legal description is Lots 3 through 6 less the north 92 feet of Lots 4 and 6, Block 12, Pettygrove's First Addition to the City of Port Townsend. The property is located near the northeast corner of J and Cherry Streets. A single-family residence with the address of 824 J Street is located on Lots 5 and 6. A portion of the garage has been removed through BLD08-026 to meet the minimum five-foot side setback. Please be advised that the City has no objection to the Jefferson County Assessors Office separating the above lots into two parcel numbers: ♦ Lot 5 and Lot 6 (less the north 92 feet of Lot 6) ♦ Lot 3 and Lot 4 (less the north 92 feet of Lot 4) According to City records of this date: Zoning, Port Townsend Municipal Code: Minimum Lot Size (PTMC Table 17.16.030) According to the Plat, each lot platted: According to the Critical Area Map: According to City Utility Map: R-11 5,000 square feet 50 feet by 100 feet. Streets platted 60 feet wide Not Mapped as Critical Area Street and utilities in J Street This letter provides no guarantee for future development nor does it waive the possible need for a formal Lots of Record process per PTMC 18.18. Development of the lot(s) will need to comply with all applicable provisions of the City's Municipal Code and Engineering Design Standards. Sincerely, Suzanne assmer Land Use Development Specialist Cc: Teri Nomura ,V) 1 Designation is preliminary only based on available information. Further assessment is required to determine the extent and nature of any critical area_ ,, A NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT City of Port Townsend Development Services Department 250 Madison Street Suite 3, Port Townsend, WA 98368 (360) 379-5095 FAX (360) 3444619 September 19, 2008 Ms. Kathy Watkins 8557 Iris Crest Way Elk Grove, CA 95624 SUBJECT: 808 J. Street, Lot 1 of Block 12, Pettygrove's First Addition Dear Ms. Watkins: On September 9 we received your letter regarding the fence on the west side of your property at 808 J. Street. According to a recent survey by Johnston Land Surveying and recorded June 6, 2007 in Book 32 of Surveys, page 6, Jefferson County Auditor (which survey you have a copy of), the fence is located on adjacent Lot 3 of Block 12, Pettygrove's First Addition to the City of Port Townsend. Whether the fence results in adverse possession is a private civil issue between you and the adjacent property owner. The City does not have authority to control or determine `adverse possession' claims. Only the courts can. As such, the City has no authority to stop the fence removal or not to issue permits (if they meet City code) for Lot 3 based on the survey. This is to let you know the following: the City has permitted the separation and assignment of separate tax parcel number s for Lots 3 and 5, and the owner of Lot 3 has applied for a street and utility permit for Lot 3. A building permit application for a house to be moved to the site has not been submitted as of this date. Please call with any questions. Si *ercly, Leonard Yarberry Director, Development Services Department A NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT NAVA 0 pwvhtopF Vatkm# j . .......... . ....... ... C PMT ...... ...... . . . . IJUSH P K M U . . .......... .......................................... . . . ........ RWON106 IX0479 INALED �vIx, �,REZ,,A, DT IMEM 8M99P ROME N2,11 IFMAUV I ER 11.)RFIS-WXR 'BUSH RENEE "psollm ..... ...... . 1,MNALED 0"FROY . . . ................ 212 'INAM) fMP,M47 NICKEL M, V I C %S . . . ...... ...... �WJSK F REX,EF ................. . .. .. . ................................... . ... ...... 6 '3ET0.036 i t,4, A- b ..... . . . ........... . . . . NF ;FJM P RFF - — --------- - . .. ....... .. . ...... .. B ... Se Addmvgs . V 1. iration Ce bsd . . ............ Word siioviv Tagavron .... . .......h is 2 1 ST . . ... ....... ... ULM �5 ix� .. . . .......... ........ �14 ow n d: C,,, Tm M F Frick "'s 17 J, ST 0 -9 A`A i f, -, M, � Imam" 62kfil 0 ij: 06NIM iw.Wr2w) ;a7maxog ,3FR I c r, rcl P� s I z T, �F U S J� ..... ..... s ERY i� B F Q R 1, t 2 ST �,B U S,4 mad"20M �Mov6 lvmkivowo Doc aw Swosc 2 J snmm �IiTf 51 1, w2=3 ..... . ... .............. i I M"IfJ008 COMM . .............. . .... ... ... ..... ',M) STREET . . .............. . .... ........ ........... . .. ... . ........... . .... .......... . .... . . Reporting Group So arc, 1,N ..... ....... . .................... . Caaural App) Contact searclJ I - No.Auto Wildicard ( I Piiinmy Parcel Orly 4.AlIParcels ) I Contractor Sip arch ,ap hi e n.�_�..___.....a.� ._._. `��.�� f __�. Page 1 of 2 Suzanne Wassmer From: Suzanne Wassmer Sent: Thursday, October 30, 2008 8:40 AM To: Francesca Franklin Cc: Alex Angud; Samantha Trone; Scottie Foster; Leonard Yarberry; Rick Sepler; Judy Surber; John McDonagh Subject: RE: House Moving Permits? Attachments: House Move Notification.pdf; House Move Liability Insurance.pdf Regarding DSD's past practices on house moving permits: 1) When Peter West moved a house in -town (BLD07-128) the moving portion was included in the foundation permit. Nichols Brothers provided a Building Move Notification Form for signatures of John Merchant, PSE, Fire Department, Police Department, QWEST and Cable (attached). In addition, they provided a notarized letter stating that they assume responsibility for any and all damages to City rights -of -way and would make any repairs resulting from such damages; and that the city is named as additional insured (attached). They also included a map of the move route. 2) For Columbia Homes (BLD06-138), the moving portion was also included in the foundation permit. 3) In 2005 the Sullivans had Nichols Brothers barge a house (BLD05-167) onto the Decatur Street right-of- way; they applied for a shoreline exemption and a minor critical area permit (LUP05-071). The moving permit portion was put under BLD05-167 and the foundation under BLD05-167R-1. The moving permit portion included site work such as digging the pit, establishing cribbing, and setting the moved house. For Rene Bush, we could have the move portion and the site work included with the foundation permit as we have done in the past. Or, addition to the new MIP requirement ask them to apply for a separate miscellaneous building permit (BLD-SFR-MISC) and charge staff time to review the paperwork. In my opinion, I'd rather see all the move paperwork included in one file (with the foundation permit). Suzanne From: Francesca Franklin Sent: Monday, October 27, 2008 11:01 AM To: 'Renee Bush' Cc: Alex Angud; Samantha Trone; Scottie Foster; Suzanne Wassmer Subject: House Moving Permits? Hi Renee, 10/30/2008 Page 2 of 2 I received your new site plan showing the drainage overflow going to a garden. As I understand it, you plan to move a house onto the lot at 812 J Street. Which house mover are you using? The moving company needs to get a moving permit and a Minor Improvement Permit (MIP) from the City. I do not see that the movers have submitted the permit applications. There has been a requirement in the past to get a moving permit but the requirement for a MIP is new. A notice did go out to the house movers earlier this year. Would you follow up with them and make sure they get the appropriate permits. I would like to issue both your permit for the connection of the utilities for the house and their permits at the same time. Please contact me if you have any questions. Trancesca rr nka P.W. Development Specialist Development Services 250 Madison, Suite 3 Port Townsend WA 98368 (360) 379-5093 ffranklin@cityofpt.us 10/30/2008 JE � / Via, LEGACY REPORT ER-4203 Reissued June 1, 2004 ICC Evaluation Service, Inc. Busirwm7legiori6l OffiOe a 5360 Wow Mill Road, Whittier, California 90601 a (562) 699-0543 Regional Office a 900 Montclair Road, Suite A, Birmingham, Alabama 35213 a, (205) 599-9800 www.icc-es.org Regional Office a 4051 West Flossmoor Road, Country Club Hills, Illinois W478 a (708) 799-2305 Legacy report on the 1997 Uniform Building CodeTm, the 2000 International Building Code® and the 2000 International Residential Code® DIVISION: 03—CONCRETE Section: 03130—Permanent Forms RASTRA PANEL SYSTEM RASTRA CORPORATION 7621 E. GRAY ROAD, SUITE Al SCOTTSDALE, ARIZONA 85260 1.0 SUBJECT Rastra Panel System, 2.0 DESCRIPTION 2.1 General: The Rastra panel system is comprised of individual elements, made of ThastyronTM, and is a permanent formwork for reinforced concrete beams, lintels, walls, and foundation and retaining walls. Walls constructed as described in this report are permitted for use in combustible or noncombustible construction. 2.2 Materials: 2.2.1 Rastra Panels: The Rastra panels are manufactured from a mixture of recycled polystyrene beads, portland cement, admixtures and water. The proprietary mixture is trademarked as ThastyronTM. The Rastra panels have a density between 20 and 24 pcf (320 and 380 kg/m3), and a Class 1 flame -spread index and a smoke -density rating no greater than 450 when tested in accordance with UBC Standard 8-1 (ASTM E 84). The panels are nominally 71/2, 15, or 30 inches (190, 380, or 760 mm) wide; 81/2, 10, 12, or 14 inches (216, 254, 305, or 356 mm) thick; and 90 inches (2286 mm) or 10 feet (3048 mm) high, with available core diameters of either 6 inches (152.4 mm) or 8 inches (1203.2 mm). When stacked in the final position, the panels form vertical and horizontal cavities where reinforcement and concrete are placed. See Figures 1, 2, and 3 for typical details of the panels. 2.2.2 Concrete: Panel cores are filled at the jobsite with normal -weight concrete having a 3/4 inch (19 mm) maximum aggregate size. The concrete must have a minimum compressive strength of 2,500 psi (17.2 MPa) at 28 days. Slump should be within 8 to 9 inches (203 and 229 mm). If construction is based on the 2000 International Residential Code® (IRC), concrete must comply with Section R611.6.1 of the IRC. ICC-ES legacy reports are not to be construed as representing aesthetics or any other a an endorsement of the subject of the report or a recommendation for its use. There is no any finding or other matter in this report, or as to any product covered by the report. 2.2.3 Reinforcement: Deformed steel reinforcement bars must have a minimum yield strength of 40 ksi (275 MPa) and must comply with Section 1903.5 of the 1997 Uniform Building Code TM (UBC) or the 2000 International Building Code® (IBC). If the construction is based on the IRC, reinforcing steel must comply with Sections R611.6.2 and R404.4.6 of the IRC. 2.2.4 Other Components: When required by the building official, wood members in contact with concrete for plates or window and door framing must be preservative -treated with an approved wood preservative, and must be attached with galvanized steel fasteners in accordance with Section 2304.3 of the UBC, or Section 2304.9.5 of the IBC, or Section R323.3 of the IRC. Materials other than wood, such as vinyl, are permitted for window and door framing if this is approved by the building official. 2.3 Design: 2.3.1 General: The design of cast -in -place, reinforced concrete structural members formed by Rastra panels must conform to Chapters 16 and 19 of the UBC or IBC, and with the following requirements: 1. Minimum horizontal reinforcement must be No. 4 deformed rebar spaced a maximum of 30 inches (760 mm) on center for structures located in UBC Seismic Zones 0, 1, and 2 (IBC and IRC Seismic Design Categories A and B); and must be minimum No. 4 deformed rebar spaced a maximum of 15 inches (380 mm) on center for structures located in UBC Seismic Zones 3 and 4 (IBC Seismic Design Categories C, D, E, and F). 2. Minimum vertical reinforcement must be No. 4 deformed rebar spaced a maximum of 30 inches (760 mm) on center for structures located in UBC Seismic Zones 0, 1, and 2 (IBC and IRC Seismic Design Categories A and B), and for structures located in Exposure C areas having a UBC basic (fastest mile) wind speed of 70 mph (102 km/h) or an IBC basic (3-second gust) wind speed of 85 mph (123 km/h). Minimum vertical reinforcement must be No. 4 deformed rebar spaced a maximum of 15 inches (380 mm) on center for structures located in UBC Seismic Zones 3 and 4 (IBC or IRC Seismic Design Categories C, D, E, and F), and for structures located in Exposure C areas having a UBC basic (fastest mile) wind speed greater than 70 mph (102 km/h) or an IBC basic (3- pcon0gust) wind speed of 85 mph (123 km/h). The rebar size n y nged tr trjgred ' 10 d/gr[the rebar spacing may specifically addressed, nor are they m ro l t a a r� i r�atM�fid as ICC a rrirBlrarr a a vh v� Aw.., a ""1 t n in 1, t$ as to ° Copyright © 2004 ,II1'0) Ji�l IJVIv�Sif�i�"-��� Page Iof9 Page 2 of 9 ER-4203 need to decrease, as a result of the structure being designed under Chapters 16 and 19 of the UBC and IBC. 3. Development and splices of reinforcement must be in accordance with Section 1912 of the UBC and Section 1901.2 of the IBC. 4. Calculations are based on the assumption that the Rastra wall is a solid -concrete wall having an equivalent thickness, b.., equal to 4.7 inches (119 mm) for walls with 6-Mch-diameter (152 mm) cores, and 1),,, equal to 6.3 inches (160 mm) for walls with 8-inch-diameter (203 mm) cores. 5. The strength -reduction factor, 0, is in accordance with Section 1909.3 of the UBC and Section 1901.2 of the IBC. 6. 7 F? A shape -reduction factor, W, with a value of 0.85, and the strength -reduction factor specified in Section 1909.3 of the UBC or Section 1901.2 of the IBC, must be used cumulatively in the design of the structural concrete formed by the Rastra panels. For members subject to shear and flexure only, the nominal shear strength provided by the concrete is determined as follows: For SI: V, = 2(�yp f' c beq d V� = 0.16ttp r C b.q d where: b,q = Width of an equivalent rectangular section equal to 4.7 inches (119 mm) for 6-inch (152 mm) cores, and equal to 6.3 inches (160 mm) for 8- inch (203 mm) cores. d = Distance from extreme compression fiber to centroid of tension reinforcement (inches or mm). f � = Specified compressive strength of concrete (psi or MPa). 4) = Strength reduction factor equal to 0.85. W = Shape -reduction factor equal to 0.85. In -plane shear strength of shear walls is determined as follows: F� _ 4)W J7c L baq For SI: Fv f7 Lb., where: b,q = Width of an equivalent rectangular section equal to 4.7 inches (119 mm) for 6-inch (152 mm) cores, and equal to 6.3 inches (160 mm) for 8- inch (203 mm) cores. f , = Specified compressive strength of concrete (psi or MPa). L = Total length of shear wall panel (inches or mm). � = Strength reduction factor equal to 0.85. tp = Shape -reduction factor equal to 0.85. 9. The length of wall considered the effective length for concentrated vertical loads must not exceed the center - to -center distance between the loads or the width of the bearing plate plus four times the effective wall thickness [b,q equal to 4.7 inches (119 mm) for 6-inch-diameter (152 mm) cores, and baQ equal to 6.3 inches (160 mm) for the 8-inch-diameter (203 mm) cores]. 10. Roof and floors must be anchored and supported at the wall in accordance with Section 1633.2.8 of the UBC or Section 1604.8.2 of the IBC. Ledger bolts must have the minimum diameter and spacing specified on the building plans approved by the building official. The horizontal reinforcement at each roof and floor level must be in accordance with the design, and must be a minimum of one No. 4 rebar. 11. Walls subject to axial loading or combined flexural and axial loading must be designed as compression members in accordance with Section 1910 of the UBC or Section 1901.2 of the IBC. 12. Anchorage to foundations must comply with Section 1915.8 of the UBC or Section 1901.2 of the IBC. 2.3.2 Alternate Design as Slender Walls: Alternate design of concrete walls formed by the Rastra panels is permitted to be used to comply with Section 1914.8 of the UBC, provided the calculations are based on the assumption that the Rastra wall is a solid -concrete wall having an equivalent thickness of 4.7 inches (119 mm) for walls with 6-inch-diameter (152 mm) cores, and 6.3 inches (160 mm) forwalls with 8-inch-diameter (203 mm) cores, and providing that the following are considered in the design: 1. The height -to -thickness ratio (h/b�) must not exceed 60. 2. In any case in which the vertical service -load stress exceeds 0.04 f ., the height -to -thickness ratio (h/b.') must not exceed 30. 2.3.3 Design in Accordance with the IRC: Reinforced concrete walls and structural members constructed with the Rastra panels must be designed and constructed in accordance with Section R404.4 or Section R611 of the I RC. 2.3.4 Prescriptive Design -Method I (UBC Only): For buildings regulated by the UBC, the following prescriptive design approach for a two-story building specified in this section is permitted to be used in lieu of calculations required by Section 2.3.1 of this evaluation report: 1. Structures in all seismic zones are limited to two stories and 10-foot (3048 mm) unsupported wall heights. See Figures 4 and 5 for two-story height limits. 2. Maximum total roof live and dead load is 50 psf (2.4 kN/mz), and the maximum total floor live and dead loads is 75 psf (2.6 kN/m2), with a maximum applied load eccentricity of 51/2 inches (140 mm). 3. The maximum superimposed load applied vertically at the top of the wall is 2,500 pounds per lineal foot (36 500 N/m ). 4. Maximum basic wind speed is 100 miles per hour (161 km/h) in Exposure C locations as defined in Chapter 16, Division II, of the UBC. 5. Vertical and horizontal wall reinforcements must be spaced in accordance with Table 1 of this report, and placement must comply with Section 1914.3 of the UBC. 6. Wall openings must be vertically and horizontally reinforced. 7. Roof and floors must be anchored and supported at the wall in accordance with Section 1633.8 of the UBC. 8. Ledger bolts must have the minimum diameter and spacing specified on the building plans approved by the building official. 9. Allowable in -plane shear loads specified in Table 3 of this report must be greater than or equal to design loads. Page 3 of 9 ER-4203 10. Anchorage to foundations must comply with Section 1915.8 of the UBC. 11. The horizontal reinforcement at each roof and floor level must consist of a minimum of one No. 5 rebar. 2.3.5 Prescriptive Design —Method II: In lieu of calculations required by Section 2.3.1 of this report, the structural design of Rastra walls is permitted to comply with the Prescriptive Method for Insulating Concrete Forms in Residential Construction (publication No. EB118), dated May 1998, published by the Portland Cement Association (PCA), subject to all applicability and use limits for screen -grid ICF wall systems. 2.4 Installation: 2.4.1 Footings: The Rastra wall system must be supported on concrete footings complying with Chapter 18 of the UBC or IBC, or Chapter 4 of the IRC. Vertical rebars, embedded in the footing, must extend into the panel wall system a minimum of 24 inches (610 mm), or a length complying with Section 1912 of the UBC or Section 1901.2 of the IBC, whichever is greater. 2.4.2 Panel Placement: Rastra panels may be laid horizontally or vertically provided horizontal and vertical reinforcement is placed in accordance with the approved building plans. See Figure 2 for a typical panel layout. If panels are stacked horizontally, whalers can be used and dry stacking is permitted. If panels are laid vertically, either foam adhesive or clamps may be used to affix the panels to each other in accordance with the Rastra installation instructions. 2.4.3 Reinforcement: Horizontal reinforcement is permitted to rest directly on the Rastra material in the cells of the panels. Vertical reinforcement must be placed in accordance with the design drawings before concrete is poured. Lap splices for the reinforcement must comply with requirements of Section 1912 of the UBC, or Section 1923 of the IBC, or Section R611.7.1 of the IRC. 2.4.4 Concrete: Concrete must fill all voids of the Rastra wall panels. Concrete can be placed in single -story lifts or in lifts by moving along the walls and returning immediately for the second and subsequent lifts. Field verification of a proper pourcan be accomplished by pushing a'/4 inch-diameter(3.2 mm) steel rod through the face shell of the panels into the concrete core and noting upon its withdrawal the presence of wet concrete on the rod. 2.4.5 Wood Ledgers: Wood ledgers must be attached to the Rastra wall. The face shell of the Rastra panel can remain in place. Wood ledgers are attached by cutting 6-inch- diameter (152 mm) holes into the face shell of the panel at the location of a horizontal or vertical core at spacing required by design, before the placement of the concrete. A dam must be used to hold the J-bolt centered in the hole. When concrete is poured into the wall system, the holes provided for the J-bolts form a solid concrete connection from the ledger board to the horizontal bond beam. 2.4.6 Wood Plates: Wood plates must be anchored to the top of the wall. Anchor bolts used to connect the wood ledgers or plates to the concrete must be cast -in -place, with the bolts sized and spaced as required by design. 2.5 Interior Finish: Rastra wall panels are permitted to be exposed to the interior of the building since the ThastyronTm material satisfactorily passes testing in accordance with UBC Standard 26-3. When an interior finish is provided, such as gypsum wallboard or plaster, the attachment of the finish is to be in accordance with the manufacturer's installation instructions. 2.6 Exterior Finish: 2.6.1 Above Grade: Exterior walls can be left unfinished or may be finished with an approved wall -covering in accordance with the applicable code or a current evaluation report. Negative wind pressure capacity of the exterior finish material is recognized in the code for generic materials or in a current evaluation report for proprietary materials. 2.6.2 Below Grade: Wall surfaces must be dampproofed and, when required by the local building department, waterproofed in accordance with Appendix 18 of the UBC, or Section 1806 of the IBC, or Section R406 of the IRC. Dampproofing and waterproofing materials must be approved by Rastra Corporation and the local building official. 2.7 Foundation Walls: The wall system is permitted to be used as a foundation stem wall supported on concrete footings complying with UBC Table 18-1-C, IBC Table 1805.2, or Section R404 of the IRC. 2.8 Retaining Walls: The wall system is permitted to be used as a retaining wall with reinforcement designed in accordance with this report and accepted engineering principles. 2.9 Crawl Spaces: The Rastra wall system in underfloor crawl spaces is permitted to be exposed to the crawl space, provided ventilation complies with Section 2306.7 of the UBC, or Section 2304.11.9 of the IBC, or Section R408.1 of the IRC. 2.10 Fire -resistive Construction: Wall assemblies constructed from minimum 10-inch-thick (254 mm) Rastra panels have a four-hour fire -resistive rating for walls that are load -bearing or nonload-bearing. The Rastra panel units, having widths of 71/2, 15, or 30 inches (190, 380, or 760 mm), are installed in accordance with Section 2.4 of this report. The cavity of the Rastra panels system must be filled with normal -weight concrete using either carbonate or siliceous aggregate. The concrete must be reinforced with reinforcing bars in accordance with this report and the approved building plans. 2.11 Special Inspection: Except for foundation stem walls conforming with Table 18-1- C of the UBC or Table 1805.4.2 of the IBC, special inspection is required during the taking of test specimens and the placing of reinforced concrete, as noted in Section 1701.5 of the UBC. For buildings regulated by the IBC, special inspections and verification of concrete construction are required in accordance with Section 1704.4 and Table 4.4 of p s not required when regulation is e Special p by the IRC caa inspection .... When the building official approves, special inspection is not required for construction regulated by the UBC when all of the following conditions are met: 1. Wall systems are a maximum of 8 feet (2438 mm) high and are limited to use in single -story construction of Group R, Division 3, or Group U, Division 1, Occupancies. 2. Maximum height of individual concrete lifts is 48 inches (1219 mm). Succeeding lifts must be placed in accordance with Section 1905.10.5 of the UBC. 3. Installation is by properly trained installers approved by Rastra Corporation. 4. Compressive strength (f.) of concrete used in design is one-half of that specified. Page 4 of 9 ER-4203 2.12 Identification: Each package bears a label carrying the Rastra Corporation name and address, the Rastra logo and trademark, the evaluation report number (ER-4203), and the name and logo of the inspection agency (Underwriters Laboratories Inc.). 3.0 EVIDENCE SUBMITTED Qualitycontrol manuals, and data in accordance with the ICC- ES Acceptance Criteria for Concrete Floor, Roof and Wall Systems and Concrete MasonryWall Systems, (AC15), dated June 2003; UBC Standard 2-1 (ASTM E 136); UBC Standard 7-1 (ASTM E 119); and UBC Standard 26-3. 4.0 FINDINGS That the Rastra panel system described in this report complies with the 1997 Uniform Building CodeT'" (UBC), the 2000 International Building Code (IBC), and the 2000 International Residential Code® (IRC), subject to the following conditions: 4.1 Panels are manufactured, identified, and installed in accordance with this report and the manufacturer's installation instructions. 4.2 When required by the building official, calculations showing compliance with the general design requirements of Chapters 16 and 19 of the UBC and IBC are submitted to the building official for approval, except that calculations are not required when the building design is based upon Section 2.3.3 or 2.3.4 of this evaluation report. 4.3 When regulation is under the UBC or IBC, special inspection is provided in accordance with Section 2.11 of this report. 4.4 When regulation is under the IRC, compliance with Section R324.4 of the IRC must be demonstrated. 4.5 The Rastra units are manufactured for Rastra Corporation by Eterna Building Systems, Inc., in Pima, Arizona, and by Rastra New Mexico Corp., in Albuquerque, New Mexico, under a quality control program with inspections by Underwriters Laboratories Inc. (AA-668). This report is subject to re-examination in one year. TABLE 1—RASTRA WALL PANEL REINFORCING SCHEDULE FOR THE PRESCRIPTIVE DESIGN APPROACH SPECIFIED IN SECTION 2.3.4 OF THIS EVALUATION REPORT'.Z.''`.' WALL CONDITION SEISMIC ZONES SEISMIC REINFORCING CATEGORIES Horizontal Vertical Crawl space wall and above -grade wall 0, 1, 2A, 2B A and B #3 ea. cell #3 ea. cell 3 and 4 C and D #4 ea. cell #4 ea. cell Basement wall with height of backfill "H" s 5' - 0" All A, B, C. D #4 ea. cell #4 ea. cell Basement wall with height of backfill "H" > 5' - 0" All A, B, C. D #4 ea. cell #5 ea. cell n SI: 1 inch = 25.4 mm, 1 foot = 304,8 mm, 1 list == 0,48 Wrnl, f pif _ 14.8 NIm, 1 mph = 1.61 km/h, 1 pcf = 16 kg/'0, 1 psi = 0.0069 MPa, 1 ksi = 6.72 MPw 'Maximum floor and roofjoist spans shown on wall sections are based on total floor load = 55 psf and total roof load = 50 psf. Other loading combinations are allowed, with a maxlrnum lolal supeOrnposed load on the top of the wall equal to 2,600 plf. 'Maximum a lowabie wind pressure based on 100 mph, Exposure C. 'ErfuNalent fluld pressure of soil = 62.5 pr,f. 'Concrete: f, = 2,500 psi, minimum. All voids must be filled. 'Reinforcing steel: Fy = 60 ksl. All reinforcing must be lapped as follows: #4 - 18 inches, #5 - 24 inches. Corner bars must be provided with 24-inch legs at every course at all corners and intersections. Page 5 of 9 ER-4203 TABLE 2—LINTEL REINFORCING SCHEDULE FOR THE PRESCRIPTIVE DESIGN APPROACH SPECIFIED IN SECTION 2.3.4 OF THIS EVALUATION REPORT1.2 MAX. LOAD PER FOOT OPENING LENGTH IN WALL 4. - v & . 0". 8. 0« 10' m. 12" m. Lintel Reinforcing Schedule 100 plf #4 #4 #4 #4 #4 #4 #4 200 plf #4 #4 #4 #4 #4 #4 44 400 pff #4 #4 #4 #4 #4 #5 #5 600 plf #4 #4 #4 #4 #4 800 pff #4 #4 #4 #4 1,000 plf #4 #4 #4 #4 _ - - 1,200 plf #4 #4 #4 1,500 plf Im #4 #4 2,000 plf #4 #4 2,500 pff #4 �.. For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm, 1 pff = 14.6 N/rrr,. 'Combinations below the heavy solid line require a minimum of two #3 stirrups every vertical cell, spaced at 4'/4 inches on center over the entire length of the lintel. Combinations above the heavy solid line require a minimum of one #3 stirrup every vertical cell over the entire length of the lintel. 2Lintel reinforcing shall extend a minimum of Z-0" past the edge of the opening. 'This reinforcement schedule is based on lintels having a depth such that the distance from the extreme compression fiber to the centroid of the flexural reinforcement is a minimum of 30 inches. TABLE 3—ALLOWABLE IN -PLANE SHEAR CAPACITY OF RASTRA SHEAR WALLS FOR THE PRESCRIPTIVE DESIGN APPROACH SPECIFIED IN SECTION 2.3.4 OF THIS EVALUATION REPORT' 'Walls must be reinforced with horizontal and vertical rebar in accordance with Table 1, Page 6 of 9 ER-4203 D 8.5'(215) 10" (250) 12" (305) 14" (355) Thickness ins(cm) 8.5"(21.5) 10"(25) 12"(30.5) 14"(35.5) K 5' (127) 6" (152) 6" (152) 6" (152) Length ins(cm) 90"(228) 120"(305) 120"(305) 90"(228) 120"(305) 90"(228) t � 1 1 i 0 1 V 1' i 1 DIMENSIONS In (mm) F L S T 1.75" (45) 90"(2286) 2" (50) 90"(2286) 15"(380) 30"(760) 71/z"(190) 3" (76) or 4" (100) 120"(3050) VOLUMES and WEIGHTS Sta Outside 6.64 (188) 10.42 (294) 7.81 (221) 12.5 (354) 9.37 (265) 14.58 (412) 10.94 (309) X 5.25"(135) M ndard Element cuft(dm3) End Elem. Weight Std.E. Cavity Net Net s Ibs(kg) 1.97 (56) 4.67 (132) 112 (51) . _.... .......... 3.67 (104) 6.75 (190) 4.22 (119) 158 (72) ......._ 2.73 (77) 5.08 (144) 3.17 (90) 120 (54) 3.67 (104) 8,83 (250) 5.26 (149) 197 (90) 2.73 (77) 6.64 (188) 3.95 (112) 148 (68) I 3.67 (104) 10.91 (308) 6.31 (178) 243 (110) 2.73 (77) 8.21 (232) 4.73 (134) 183 (83) �_..._ FIGURE 1—CONFIGURATION AND DIMENSIONS OF RASTRA® PANELS FIGURE 1—CONFIGURATION AND DIMENSIONS OF RASTRA® PANELS Page 7 of 9 ER-4203 p Concr w core FIGURE 2—PLACEMENT OF REINFORCEMENT WITHIN THE WALL _ ... ....._.. _ _ - i \y rJ t`JI dJ I l..�y l_�J k` J l`�1 � 1 r�Zl —mil i r. t`r® krr/ t A l_ l l� / \`�J 1 A,..,...,..».«...-�,.,....-.�.,.,....... �1I r -. r � . f^'1.,,,',. S Standard panel E End panel D Double panel S-a Standard panel cut to fit S-b Smaller openings cut out before concrete is poured FIGURE 3—EXAMPLE OF A RASTRA® WALL PANEL LAYOUT SCHEDULE Page 8 of 9 ER-4203 MI A4B[,..-r? FER P/ AN R001 S11EATHING RASTRA W/A/ I DOWEL FIER PLAN DOM11 L TO MAICii MIAI I Rf WF FOORNG WIDTLi For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm. 70P P1 ATE 2 X A'A s TRA BOUND. NAILING I I....D(;Ef? PEW PLAN BOUND, )VAILING I- 5f lEA Fi 1ING LEDGER PER PI AN CONCRE 71 SLAB III? PIAN BASE MATCRIAL AS REQUIRf. D REINb. FOP & ROTTOM FIGURE 4—TWO-STORY PLUS BASEMENT HEIGHT LIMIT DETAIL WHEN USING THE PRESCRIPTIVE DESIGN APPROACH SPECIFIED IN SECTION 2.3.4 OF THIS EVALUATION REPORT Page 9 of 9 ER4203 PJO rc 6" /..), F'INISH GRA DOW11 I PER i DOWFL TO MATCfl 11V41. f 0071NG 14110111 For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm. FIGURE 5—ONE-STORY HEIGHT LIMIT DETAIL WHEN USING THE PRESCRIPTIVE DESIGN APPROACH SPECIFIED IN SECTION 2.3.4 OF THIS EVALUATION REPORT R7 oI" 11 Receipt Number: q1 34", WA Re , cellpt Date: 11118t2008 Cashier: FROWDESK Pay r/Pay Name BUSH P Crriginl Fee Amount Fee Permit-# Parcel Fee Description Amraunt Paid Bals'nce BLD08-212 984901206 Site Address Fee $3.00 $3.00 $0.00 BLD08-212 984901206 Building Permit Fee $623.55 $623.55 $0.00 BLD08-212 984901206 Energy Code Fee - New Single Famil $100.00 $100.00 $0.00 BLD08-212 984901206 Mechanical Permit Fee per Dwelling $150.00 $150.00 $0.00 BLD08-212 984901206 Plan Review Fee $405.31 $255.31 $0.00 BLD08-212 984901206 Plumbing Permit Fee per Dwelling l $150.00 $150.00 $0.00 BLD08-212 984901206 State Building Code Council Fee $4.50 $4.50 $0.00 BLD08-212 984901206 Technology Fee for Building Permit $12.47 $12.47 $0.00 BLD08-212 984901206 Record Retention Fee for Building P $10.00 $10.00 $0.00 Total: $1,308.83 Previous Payrnent History Receipt # Receipt late Fee Description 08-0943 10/10/2008 Plan Review Fee Payment Check Paym e nt Method Ntim'ber Am punt CHECK 764 $ 1,308.83 Total $1,308.83 Amount Paid Permit' $150.00 BLD08-212 genpmi:rreceipts Page 1 of 1 Receipt Number: 08-0943, Receipt Date, 10111012008 Ca ilileur; FRONTIDESK PayorlPay a Name: Blue (Heron Construction Origjnal Fee Amount Fee Permit# Parcel Fee De eri tlon Arn bunt Paid Balance BLD08-212 984901206 Plan Review Fee $150.00 $150.00 $0.00 Total: $150.00 Previous Paymebt History Receipt'# Rec '%Pt Date Fee De rlpti ni Amount Paid) Perrnit# Payment Check Payment Method Number Amount CHECK 6118 $ 150.00 Total $150.00 genpmtrreceipts Page 1 of 1 CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: &_h_cP- 2/2 SITE ADDRESS: CONTACT PERSON: TYPE OF INSPECTION: PHONE: El APPROVED 0 APPROVED WITH 0 NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Inspector. Date. ..... Acknowledgement Date Approvedplans andpermit 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. V,ORT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE Sp'ION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: e's 2, 1 v)L SITE ADDRESS: CONTACT PERSON: PHONE: TYPE OF INSPECTION 4t) (J . . ............. . ... b, . . . . ...... ..... ...... APPROVED Inspector Acknowledgemerit 0 APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection Date Date 0 NOT APPROVED Call for re -inspection before procce(oug, 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. _ a & ,.I .. ......... �.....�..................... DATE OF INSPECTION � ^� � � * w SITE ADDRESS: PROJECT NAME: CONTRACTOR: CONTACT PERSON: PHONE: TYPE OF INSPECTION: ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. _Ins ector Date ..... ...w � Approvedplans andpermit 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. ?oor ro CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: �® PERMIT NUMBER: na� r �. SITE ADDRESS: 1 Z_. CONTACT PERSON: PHONE: TYPE OF INSPECTION:'^r 02D S 00 -K ` µ� n l" yr— .....�._ � o APPROVED ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection Inspector Date Ack:nowledgenlent Date ❑ NOT APPROVED Call for re -inspection before proceeding. 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. VORT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSI` FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. 4 �_') . . . ....... . PERMIT NUMBER: DATE OF INSPECTION: SITE ADDRESS: ti CONTACT PERSON: TYPE OF INSPECTION: .......... PHONE: o.. . . . . . ............. . . . . ...... . . . ........ ..... .... . .......... ...... . ...... .......................... 0 APPROVED 0 APPROVED WITH 0 NOT APPROVED CORRECTIONS -inspection before Ok to proceed. Corrections will be Call for re checked at next inspection proceeding. Inspector �.. _w..�..o�)ate Acknowledgement Date Approved plans and permit card must be on -site and available at time of inspection. be assessed �fwork is not readyfi,,w insjLion' A re -inspection fee may 9WIT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: 2, Q /0 PERMIT NUMBER: SITE ADDRESS: CONTACT PERSON: PHONE: TYPE OF INSPECTION: M6 0 APPROVED 0 APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection tov, InspectorM. Date -2- Date 0 NOT APPROVED Call for re -inspection before proceeding. q 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 µ INSPECTION REPORT A CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL \\ BY 3:OOPM FRIDAY. DATE OF INSPECTION: ) PERMIT NUMBER: L,U DL1'2 SITE ADDRESS:.._. CONTACT PERSON: PHONE: TYPE OF INSPECTION: m4 "° P It� ❑ APPROVED ❑ APPROVED WITH CORRECTIONS �Ok to proceed. Corrections will be clik I at next inspection Inspector _ . �....mm.._ Date Acknowledgement Date ❑ NOT APPROVED Call for re -inspection before proceeding. 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 far 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. DATE OF INSPECTION• PERMIT NUMB 129 SITE ADDRESS:, PROJECT NAME: CONTRACTOR: CONTACT PERSON: PHONE: TYPE OF INSPECTION: o ,1111"'. .... ....... 1,11-- . . ............ ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before Ucked at next inspection proceeding. dg. e Inspector .........,, Date �� � '................ Approvedplans andpermit 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. LL LL O Gw W Zm � 0 N Q F- wZ 00 J zin Q_ U) O Q �w In O IL U� U) Wz a. r..i G M WG A LLI con d �0 a r••� 3 Q Ja D W LLJ a VQ O 0 Oy z N C�� = . O a' rz > IL ri �� x F, 0 rO LL O w zp W w0 IL w a. ,o am Z z "y N UO Imo!! = m J Nw 0x O_~ c� z a}Q} AWN U) F- ce V L~ QQ Nw Q � Q zIL 0 IL g�C � L) a IL cn a ~ r W ol r, n � 0 4.41 in rn 0 O N � O LO p O J O � O Q 3 LLI a o z 0 s, O a w Off m X (D w O m wIL L } 00 r > o z 0 N E O (U LL U) 5 n3' z LU z w O z z a O J c a W � N T o r L) LLI IL s O z r w IL co 0 N 0 m 00 0 O z J W c� IL W W H N 00 U) N W c 0 Q W W z W d 2 U m w z 0 z O F- U z O U z O of w 2 W D J m w, O r r z O L) N r z W 0 w a 0 a N z z 0 LU w a z H z ui 0 u w Q 0 a W z z 0 r L) w IL N z N Z IL W J Y O Z z U m 0 a J Z __ z v) Y o ~ 0 LL > Q m Z o m a m wO O O 0 Z z WLL l a MU: z O c.� W a N Z a X rn Z N th 0 co LL. M2 o a. to o �o J ih ao V � z Ow �a Cl)a. LU z W z C) aw ~ W N m w CLU N Oy W a w w z O H V W a z City of Port Townsend Development Services Department, a BUILDING ADDRESS APPLICATION ASk Name of Property Owner 2 in e v Mailing Address: 612a_.... Telephone: p _ ...._.. ................ e....�..� ti.m� Property is located in: Addition: Pt-40G� Block(s):....m I..�z._....�.._......� _ Lot(s) .....................................�.�.�.�........................ Faces/Access is from: -� - e.e- F' Street Parcel Number CgPt clO l ZOG ffirections to the Pronert draw vicinity map on back) If this is a new ADU, has a building permit been applied for? Notes: Yes No Date: HOUSE NUMBER ASSIGNED: L Date of Approval: � Application Fee Received ( 3.00, TC 2200): Date: Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office ❑ Sheriff ❑ Police (Lyn) ❑ GIS ❑ Public Works ❑ DSD database ❑ s "� c For address changes: ❑ Qwest Address Management Center - 206-50 lG� 4 PADSD\Forms\Building Forms\Applicaioo-Address Number_doc ; 6/12/06 (�NTY N PO�;��tim�� �C,W,,4SEND :5 5� F e-,4-