HomeMy WebLinkAboutBLD08-176CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT # m DATE RECEIVED e
SCOPE OF WORK: MEW
BUILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information
Permit Type Residential - Single Family - New
Site Address 2488 CLIFF STREET
Project Description
New Single Family Residence - Whirlwind II Block 7 Lot 12
Names Associated with this Project
Type Name Contact
Applicant Hanson David
Contractor Owner Builder
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
Permit # BLD08-176
Project Name WHIRLWIND II
Parcel # 987300712
License
Phone # Type License # Exp Date
O - STATE exempt 12/31 /2008
Project Details
$100,754.I8 Decks — Residential (Covered) 228 SQFT
3.00 Dwellings — Type V Wood Frame 1,034 SQFT
999.35 Units: l Heat Type: ELECTRIC BBH
100.00 Bedrooms: 2 Construction Type: V - B
Bathrooms: 2 Occupancy Type:
150.00
649.58
150.00
4.50
19.99
10.00
$ 2,086.42
* * * 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 p rt 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 p dope r ty Ol ttl}ts:�rized agent of the owner..
Print Name ���:eKj Date Issued: 08/22/2008
Issued By: FRONTDESK
Signature4&/����--'-Date Date Expires: 02/18/2009
BUILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
Project Information
Permit Type Residential - Single Family - New
Site Address 2488 CLIFF STREET
(360)379-5095
Permit #
Project Name
Parcel #
Project Description
New Single Family Residence - Whirlwind II Block 7 Lot 12
BLD08-176
WHIRLWIND II
987300712
10. Property comer survey pins must be located at time of footing inspection to verify setbacks.
20. Temp. erosion control measures must be installed and maintained prior to approval of any building inspections.
30. Electrical permit required from WA State Labor & Industries (L & I); contact L & I @ 360-417-2702
40. This property, as part of a Long Plat, is subject to the Tree Conservation Ordinance. Per PTMC Table
19.06.120(D)1, 30 tree units per 40,000 square feet in the R-Ill zone are required. For this 5,000 sq. ft lot a minimum
of 4 tree units are required. Existing trees 1 " - 6" diameter at 4-1/2 ft. above the ground = 1 tree credit; 7" - 19" = 2
tree credits; 20" and greater = 3 tree credits. Trees to be preserved trust be protected during construction. An
inspection by Planning staff must be completed prior to any clearing or other site work.
Ca11385-2294 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. 1 certify
that the information provided as a pa:-t of the application for this permit is true and accurate to the best of my knowledge. 1 further certify
that I am the owner of the property or authorized agent of the owner.
Print Name
Signature Date
Date Issued: 08/22/2008
Issued By: FRONTDESK
Date Expires: 02/18/2009
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Receipt Number: 08-0789
i ece'ipt fate:
08/2212.008
Cashier. FRONTDESK Payrer/Pa'yee Name; HAN ON DA ID
lOriginal Fee Amount
Fee'
Perm! it#
Parcel,'
Fee -' Description
Amount
Paid
Balance
BLD08-176
987300712
Plan Review Fee
$649.58
$499.58
$0.00
BLD08-176
987300712
Technology Fee for Building Permit
$19.99
$19.99
$0.00
BLD08-176
987300712
Energy Code Fee - New Single Famil
$100.00
$100.00
$0.00
BLD08-176
987300712
State Building Code Council Fee
$4.50
$4.50
$0.00
BLD08-176
987300712
Plumbing Permit Fee per Dwelling l
$150.00
$150.00
$0.00
BLD08-176
987300712
Mechanical Permit Fee per Dwelling
$150.00
$150.00
$0.00
BLD08-176
987300712
Building Permit Fee
$999.35
$999.35
$0.00
BLD08-176
987300712
Record Retention Fee for Building P
$10.00
$10.00
$0.00
BLD08-176
987300712
Site Address Fee
$3.00
$3.00
$0.00
Total:
$1,936.42
Previous Payment History
Receipt #
Receipt Date
Fee Description
Amount Paid,
Perin it
08-0728
08/04/2008 Plan Review Fee
$150.00
BLD08-176
Payment
Check
Payment
Method
Number'
Amount
CHECK
1094
$ 1,936.42
Total $1,936.42
genprntrreceipts Page 1 of 1
Development services
,pOR� 250 Madison Street, Suite 3
Port Townsend WA 98368
Phone: 360-379-5095
Fax: 360-344-4619
WA www.cityofpt.us
Tree Conservation Affidavit Form
BUILDING PERMIT/SITE DEVELOPMENT PERMIT NO. _ L
THIS PERMIT AUTHORIZES �fie�lo�t
TO BEGIN WORK IN
SUBDIVISION AND/OR AT THE FOLLOWING ADDRESS
r
THE AUTHORIZED PERSON ACKNOWLEDGES THAT HE/SHE IS RESPONSIBLE
FOR TAKING ADEQUATE STEPS TO:
1. Protect the tree retention areas on this lot as identified in the tree conservation plan
(normally the front, rear, and or side 'yard areas) in accordance with the standards of
Chapter 19.06 — Tree Conservation.
2. Field locate, mark, and protect all tree conservation areas on the site during
construction. Marking shall consist of tape, ribbon, or tags attached to the retained trees
and protective fencing secured by posts set at least 12" into the ground installed in
accordance with the requirements of 19.06.150. All tree identification and fencing shall
be installed prior to site development and construction and shall remain and be
maintained until home construction is 100% completed.
3. Install any trees on the lot required by the approved tree conservation plan.
FAILURE TO COMPLY WITH THESE REQUIREMENTS WILL RESULT IN THE
ISSUANCE OF A STOP WORK ORDER OR OTHER CITATIONS.
CITY OFFICIAL
APPLICANT
Gt A4IrGL� 20 T^ �
EFFECTIVE THIS ZZ DAY OF
NOTE: DISPLAY THIS PERMIT AT THE MAIN POINT OF ACCESS
AND VISIBLE FROM THE STREET.
(Ord. 2837 § 1, 2003).
Page 1 of 1
Devetopment Services
oofax ro 250 Madison Street, Suite 3
Port Townsend WA 98368
Phone: 360-379-5095
Fax: 360-344-4619
www.cityofpt.us
Residential Building Permit Application
Project
Address: _ Legal ._De.scri..p.�t.i.o.�n.._�or Tax # Office s�e n.,l�CLIP ST_.........Addition
....Pern
Zoning: Z�. Bloch:�._....
�)$..�..�/ 7 '
Parcel # 101 3970 7I 2- Lot(s)=...... v _.._..... _..._... Associated Permits:
Project Description:-......_...... _...._................... _..... a
hd I L� I C
➢ Applications accepted by mail must include a check for initial plan review fee of $150
➢ See the "Residential Building Permit Application ..................w--......... ._..
➢ Requirements" for details on plan submittal requirements. I Lender Information:
w N it
a nzw�
Address: 1to31 &�WF L� P [ FQ.mm......_.._.............
City/St/zip:- A"'D lid tr
Phone:
Email:,__ CLka1&Sm r�-X (a7 Db4be4A cctA-
prt t.:. ive
Name
Address:1.(03 "
City/St/Zip: W�p?.. ...........�.vw.w
Phone: 5117 .
. ,w
Contractor: Same as Owner
Name:
Address:
City/St/Zip:
Q
Phone: J �..,
Email
State LicensJ#:
Cit Businesuse
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095_
Name:.. ...... .........
Project Valuation: $ d ��
Building Information (square feet):
1 `' floor +� Garage:_ _ _
2"' floor ���'...N Deck(s):
3", floor ...... - Porch(es): M5
Basement: NOY46 Is it finished? Yes No
Carport..
Other
Manufactured Home ❑ ADU n New
Addition ❑ Remodel/Repair ❑
Total Lot Coverage (Building Footprint):*
Square feet:" �Dy� OQj %.W....m........................................
Impervious Surface-*
Square feet.- //8/ *Total +exi tined &..proposed
If an existing s(cture, what year was it
built?��,
Any known wetlands on the property? Y
Any steep slopes (>15%)? Yo
hereby certify that th , infaa wi, i,4)fo iderf vg-'66rrd t, that I am either the owner or authorized to act on behalf of the owner
and that all activi i s ,.as ocsated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code,
Print Name:1
Signature: Date:.
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_
C1'Residential permit application.
g4Nashington State Energy & Ventilation Code forms
Cyfwo (2) sets of plans with North arrow and scaled, no smaller than = 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
I� 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
Aall 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 sigprre
❑ If engineered, one set of plans must have one original signature
0 For new dwelling construction, Street & Utility or Minor Improvement application
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3
G Port Townsend, WA 99368
(360) 379-5095 Fag: (360) 3444619
Washington State Energy Code (WSEQ
2001 Residential Construction Checklist
Complete this form in addition to WSEC forms. Please answer the following questions:
TYPE OF PROJECT:
�+ New construction, or addition over 750 square feet
Must meet whole house and spot ventilation requirements, and show full WSEC compliance as
a stand-alone project. A detached, habitable structure such as an Accessory Dwelling Unit
regardless of size must also meet these requirements.
House addition under 750 square feet
Possible trade-offs are allowed with the existing building for WSEC compliance, such as
increasing ceiling insulation. See WSEC component performance forms.
NOTE. A house addition less than 500 sq. fib does not require whole house ventilation.
Spot ventilation is still required
TYPE OF HEATING — Please check all that apply:
El tric
�klVallHeater I -A- Baseboard -!Forced Air Furnace ' Radiant Floor (Boiler) Other
Non -Electric:
Propane: � Radiant Floor/Baseboard (Boiler) : LPG Stove ' LPG Furnace ' Other LPG
Heat Pump 4.-' Oil Fumace ' Woodstove (can only be used as secondary heat source)
VAPOR RETARDERS:
Vapor retarders shall be installed toward the warm surface as represented below. Select one
option for floors, walls, and appropriate ceilings:
n Floors:
IX(Plywood with exterior glue
Poly plastic (greater than or equal to 4 millimeter thick)
Backed bates
o Walls:
T P'oly plastic (greater than or equal to 4 millimeter thick)
A_'eilings:
ace-stapled, backed batts
ow -perm paint
n
T Not required where ventilation space averages greater than or equal to 12 inches above
n
1 > ij
acestapled, backed baits I �� '" � �
Poly plastic (greater than or equal to 4 millimeter thick)
�I ow -perm paint I
SEE BACK �..4 ,4i J(J:r
http://ptimaging/DSDBuilding FormsBuildingPermitPacket/Application-Residential Energy Code C a�;ckho.�locC � d 0 4 1��; I 1 ��W �," I N D
Page 1 of 2 I 'di
l li
'1" e of ventilation usqd thro_ 1 h_a th lase: ' HVAC Integrated Option —Exhaust Option"
Whole House Fan for "Exhaust Option': -�`��
• In what room is your whole house fan located? 25? ( �7 Ti't�j
• What size is the whole house exhaust fan? 50-75 CFM (1-2 bedroom house)
80-120 CFM (3 bedroom house)
100-150 CFM (4 bedroom house)
120-180 CFM (5 bedroom house)
Note: the whole house fan shall be readily accessible and controlled by a 24-hour clock timer
with the capability of continuous operation, manual and automatic control. At the time of final
inspection, the automatic control timer shall be set to operate the whole house fan for at least 8
hours a day, and have a sone rating at 1.5 or less measured at 0.10 inches water gauge.
Spot Ventilation:
Source specific exhaust ventilation is required in each kitchen, bathroom, water closet, laundry
room, indoor swimming pool, spa and other rooms where excess water vapor or cooking odor is
produced. Bathrooms, laundries or similar rooms require fans with a minimum 50 cfin rating at
0.25 inches water gauge; kitchens shall have a fan with a minimum 100 cfm rating at 0.25 inches
water gauge.
Outdoor Air Inlets:
Outdoor air shall be distributed to each habitable room by means such as individual inlets,
separate duct systems, or a forced -air system. Habitable rooms include all bedrooms, living and
dining rooms but not kitchens, bathrooms or utility rooms. Where outdoor air supplies are
separated from exhaust points by doors, undercutting doors a minimum of %2 inch above the
surface of the finish floor covering, distribution ducts, installation or grilles, transoms or similar
means where permitted by the Uniform Building Code. When the system provides ventilation
through a dedicated opening, such as a window or through -wall vent, these openings must:
• Have controlled and secure openings
• Be sleeved or otherwise designed so as not to compromise the thermal properties of the wall or
window in which they are placed.
• Provide not less than 4 square inches of net free area of opening for each habitable space.
What type of fresh air inlet will be installed? (See figure below)
Window Ports
Wall Ports
http://ptimaging/DSDBuilding FormsBuildingPermitPacketlApplication-Residential Energy Code Checklist.doc
Page 2 of 2
Washington State Energy Code: 2003 Edition, Prescriptive Worksheet
Zone 1
Plan 1034/2488
Lot 12, Block 7 Phoenix Add. No. 1
Tax Acct. No. 987 300 712
2488 Cliff Street
Port Townsend. WA 98368
Owner/Builder:
Dave Hanson
1631 Griffiths Point Road
Nordland, WA 98358
360.379.1639
360.316.9664
�e
Option
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Copyright 2004 WSUEEP 02-143 CITY CA I'rlq Ir�Udiv�l (�In.e
Copied by permission from Washington State University Extension 'I"'rPrw�g�rra
(see copyright restrictions) 7/31/2008 1 of 3
Washington State Energy Code: 2003 Edition, Prescriptive Worksheet
Zone 1
Effective-71104-- V-6�6
Exterior Doors
Plan Component, Door Percent Width Height Glazing boor Door
ID Descriotiion Ref. U Glazed O,t. Feet ""' Feet "n ' Area Area UTA
ED1
Front Entry Door. Therma Tru FG S10
NFRC
0.1501
1
3
6
8
20.0
3.0
RE1
Front Entry Door, Therma Tru FG S10
NFRC
0.150
1
3
6
s
20.0
3.0
One ExemLt Door, If 24 ScIuare Feet or Less.
1
Sum of Area and UA (do not include eemt door)
40.0
6.0
Area I"eighted U
= UA/Area
t
Vertical Glazing fflin+ oWs,Doors avulsing Ex eption 602.6 #1)
Plan.,
Component
Glazing
Width
Height '
Glazing
ID
Description
Ref,
U
Qt.
Feet °n"h Feet °°o2I"
Area
UA
U
A
=U A
LV
Weathervane Vinyl, Single Hunq, LoE, Air
WV
0 ,3:?d
3
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s'
S
12.00
LV
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WV
0.320
2
2
4
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7.20
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WV
0.320
1
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WV
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WV
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1 2 6 5 1 5 3 75
Vinvl Picture LoE, Air WV .;rll
1 5 0 1,55
V Weathervane Vinyl, Picture, LoE, Air WV 2 2 4,0 1.24
BA2 Weathervane Vinyl, Single Hung, LoE, Air WV 2 3 6,0 1.92
BR2 Weathervane Vinvl. Casement. LoE. Air WV 0.300 1 2 5 19.5 R 7
Copyright 2004 WSUEEP 02-143
Copied by permission from Washington State University Extension Energy Program.
(see copyright restrictions) 7/31/2008 2 of 3
Washington State Energy Code: 2003 Edition, Prescriptive Worksheet
Zone 1
2�
Effective 744104
Overhead'Making
Plan
Component
Glazing Width Height
lQ
Description
Pet::tJ Ott. Feet Feet d
Area, AMA
-U A
NONE
Sum of Area and UA,
Area Weighted U = UkArea
Section'$021.2 Exception
Plan
Component'
Width Height
Area:
ID
becri ion
Qt. Peet Peet k� ii
Area )0
NONE
Sum of Area and Area X3
Copyright 2004 WSUEEP 02-143
Copied by permission from Washington State University Extension Energy Program.
(see copyright restrictions) 7/31/2008 3 of 3
City of Port Townsend
Development Services Department
250 Madison Street, Port Townsend, WA 98368
(360) 385-0644 FAX (360) 3444619
email: swassmer@cityofpt.us
August 11, 2008
Mr. Dave Hanson
1631 Griffiths Point Road
Nordland, WA 98358
SUBJECT: Building Permit BLD08-176
Dear Mr. Hanson:
Public Works Development Specialist Francesca Franklin sent you a letter dated August 6 regarding
additional items for Minor Improvement Permit MIP08-079.
There are several more items required by the zoning code that need to be indicated on your site plan for
building permit BLD08-176:
1) 1L'',.r king, Each residence requires two on -site parking spaces, each at least
9 feet by 19 feet.
2) Trees to be rmetaiiied. Because your property is within an approved plat in
the R-III zone, the retention (or planting) of 4 tree units are required on
your 5,000 square foot lot. Each 30" diameter tree is considered 3 tree
units, and each 15" diameter tree is considered 2 tree units.
Please let me know if you have further questions. Thank you.
Sincerely,
Suzanne Wassmer
Land Use Development Specialist
VOFiT
City of Port Townsend,
Development Services Department'
250 Madison, Suite 3
Port Townsend WA 98368
(360) 379-5095 Fax (360) 344-46t9
www.cityofpt.us
August 6, 2008
Dave Hanson
1631 Griffiths Pt. Rd.
Nordland WA 98358
RE: Permit application for utility connections (MIP08-079)
Dear Mr. Hanson:
I have reviewed the above application submitted on August 4, 2008 for completeness.
The application is incomplete and is missing the information below:
1. Contractor4nfounation needs to be included before the permit can be issued.
2. Estimated construction value for the work to be conducted under this permit must be
provided.
3. Submit a site plan that shows the edge of the existing pavement and the driveway. If
the driveway has been installed, please show the driveway as "existing".
4. Provide on -site stormwater management. I note that you show a drywell on site.
Please provide the perc tests or procedures and calculations that determined the size
of the dry well.
5. The power portion has been removed from this permit. Puget Sound Energy (PSE)
obtains a separate permit for its utility.
Please show dimensions on all items. I am returning the site plans submitted for your revisions.
Contact me at (360) 379-5093 or e-mail ff`rai*Iit� t :y 1Eat umi if you have any questions about
the submittal requirements. Thank you.
Sincerely,
)4,4�
Francesca Franklin
PW Development Specialist
Development Services
Q_r t
CITY OF PORT TO,,vNSEND DEVELOPMENT SERVICS DEPARTMENT
City [fall, 250 Madison Street, Suite 3 pCtt r r
Port Townsend, WA 98368
Phone: 360-379-5095 Fax 360-3444619'
t
STREET & UTILITY DEVELOPMENT PERMIT APPLICATION
Infrastructure
MIP No.P?-C"9— 6 7q SDP No. Rt.i) Nn
Property Site Street Address (if assigned:)
Zoning District:
Legal Description_ Addition:
Phone
Fax:
E mail
Phone: .
E-mail:
Phone:
E-mail;
/,P/ iFF
Block
Parcel U:
Lot(s):
Water/Sewer/Street Con
tractor
Marling Address �•-� �"� �� ` 7
a
m.... _..... _.... ..._ _.._ _.._ _.._.
Phone Cell Phone
AU
State License #_ Expiration: � ...- .. e..
City Business License l : l`spinitiCly
_
Estimated Value of utility and/or street construction $ CITY OF PORT TOWNSEfVD,
_..... D
54)
Describe Work to be conducted under this permit and purpose:
Print
P:\DSD\Forms\Right of Way Forms\SDP.MIP.App1.6-11-08.doc
`` � 1�►" 1,
To mitigate potential impacts due to the discovery of contamination during excavation, work
should be stopped and the DSD Director contacted immediately. Sampling of the potentially
contaminated media must be conducted. If the contamination of soil or groundwater is readily
visible, or is revealed by sampling, the Department of Ecology must be notified. Work may not
resume until approval is obtained from the DSD Director.
To mitigate the impact of construction noise, clearing, grading and street and utility
construction activities shall be limited to 7:00 am. to 5:30 p.m. Monday through Friday and
shall be prohibited on national holidays. Any necessary exceptions must be approved in
advance by the DSD Director.
RJORTO ISSUANCE OF FINAL SUBDIVISION APPROVAL
Street trees as per the approved Street Tree Plan shall be installed prior to issuance of a final
subdivision approval or a performance security shall be obtained by the Director_ The amount
of the performance security shall be based upon the current cost estanate of all plant materials
and landscape construction costs. The performance security shalt consist of a performance
bond in a form acceptable to the City Attorney and in an amount acceptable to the Director.
Cash deposited in an escrow account may also be accepted by the City. All required plantings
shalt be installed within six months of approving the performance security.
4. To mitigate impacts to habitat values due to the removal of mature vegetation in project areas
located within a designated open space corridor, a restrictive covenant shall be recorded
prohibiting the removal of trees with a diameter of 24 inches or greater located within the rear
lot setback area of Lots 3 — 8, Block 9 and Lots 7 —10, Block 8. Trees located within the
setback area that constitute a hazard may be removed upon review and approval of the DSD
director.
To mitigate long-term impacts to ground and surface water and to minimize the potential for
erosion on- and off -site, a stormwater maintenance agreement shall be prepared and submitted
for the review and approval of the Public Works Director_ The maintenance agreement shall
ensure the continued successful operation of constructed stormwater facilities serving the
proposal.
l6. To mitigate impacts to non -motorized transportation, the applicants shall construct pedestrian
improvements specified in the approved plans prior to issuance of final Short Plat approval.
17. To mitigate potential impacts to land use, the applicants shall record the following restrictive
covenant thatlinifts demsity and, roof areA" -
"Each lot is limited to the construction of one single-family detached dwelling unit The dwelling
unit must comply with the setbacks for the R-III zone and the roof area of the dwelling unit shall
be limited to 2,000 square feet. The site plan for each lot shall include a plan for collection,
treatment and infiltration of impervious surfaces on -site. The driveway serving the residence
shall be limited to a maximum width of 16-feet "
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City of Port Townsend
Development Services Department
BUILDING ADDRESS APPLICATION
Name of Property Owner:
Mailing Address:
........... _�'�IQ.e"���� .......
Telephone: _ �"
Pro pert V is located in:
Addition: ;� .__..,M Block(s): Lot(s):
Faces/Access is from: M . __... A� �_�...... ........................St,rect
Parcel Number
Directions to the Pro er draw vicinity man on back
If this is a new ADU, has a building permit been applied for? Yes No Date:
Notes:
HOUSE NUMBER ASSIG 'ED: �� __ _ mm
Z....
Date of Approval:
._.....M _..
For De artment Use Onl
Application Fee Received ($3.00, TC 2200):
Copy to: ❑ Finance ❑ Fire Dept
❑ Sheriff ❑ Police (Lyn)
❑ Public Works ❑ DSD database
t
k Post 431 1,.
6_1 Assessor's Office
For address changes: ❑ Qwest Address Management Center — 206-504-1534
P_\DSD\Forms\Building Forms\Application-Address Number.doc ; 6/12/06
10412000
Cashier SFOSTER PayortPayoo
'Perm It #
Parcel
fee N6,6rliptlon
BLD00-176
987300712
Plan Review Fee
PrevJ�ru s Payment Histery
[Rocol,pt 4 Reed tfl0atew. Fee Oatoriptton
aymont Cho in
Method Number Am 0t�91
CHECK 1086 $ IWOO
Total $150.00
Receipt Number 08-0728
i
OrIgin,al Fee Am ount fee
Amoun "t Pall Balance—
$150.00 $150.00 $0.00
Total: $150.00
genprrtrreceipts Page 1 of 1
Vaor 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 I'NS'PEC' "IGN. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY.
DATE OF INSPECTION: _ PERMIT NUMBER:
SITE ADDRESS: Z 0 L.
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.
Inspector �_... .,__...�—� ............ Date ..._ ... ._,... ........
Acknowledgement 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
WA � ' CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU
WANT THE4'PE,TION.FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY.
DATE OF INSPECTION:9PERMIT NUMBER: 4- 1. ��_
SITE ADDRESS • h
CONTACT PERSON: PHONE:
TYPE OF INSPECTION:
❑ APPROVED ❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will
checked at next inspection
Inspector, ��.� _..� Date
Acknowledgement
Date
W
❑ NOT APPROVED
Call for re -inspection before
proceeding.
Approved plans and perinit 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
Al 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: fSQS
SITE ADDRESS: qgg CLiFF
CONTACT PERSON: PHONE:
TYPE OF INSPECTION:
.. ......................... ....... . . ............... . . ...................... .
. .............
)Q7;ZY
'4311 vilt -7
. ....... . . . . . ................. . . ...... . . .......
7T( v . . ........
D APPROVED 0 APPROVED WITH 0 NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will. be Call for re -inspection before
e -,cljpck d at next inspection proceeding.
Inspector._ Date
Acktiowledgerm it
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.
,q0FtT
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.
76 DATE OF INSPECTION: PERMIT NUN11BER: op-1
SITE ADDRESS:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION-
0
rO APPROVED
M
0 NOT APPROVED
Call for re -inspection before
checked at next inspection proceeding.
Inspector Date
Acknowledgervient,
0 APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
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.
VORT
p CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
s INSPECTION REPORT
" For inspections, call the Inspection Line at 360-385-2294 b 3:00 PM the day before you want
P � P Y Y
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTIOPERMIT NUMBERN. "� � f
f'
SITE ADDRESS:
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION. ����_ ........._._................._._............._....
t
zil
_.....................�,. s.., A.�mm.
❑ APPROVED WITH ❑ NOT APPROVED
�CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding'.
y �
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.
Inspection Report
Project klcoPermit #