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BLD08-047
CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT # a `l DATE RECEIVEDmm SCOPE OF WORK: ( p ° r ° UILDING PERMIT ` City of Port Townsend Development Services Department "WAt� 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLIu08-047 Permit Type Residential - Addition/Remodel Project Name Remodel studio to home office - see home occupation permit Site Address 4753 WILLAMETTE ST Parcel # 951902913 Project Description Remodel studio to home office - see home occupation permit Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Wolf William G Owner Wolf William G Contractor Owner Builder O - STATE exempt 12/31/2008 Fee Information Project Details Decks — Residential (Covered) 40 SQFT Project Valuation $14,230.20 Dwellings - Remodel @ 30% 484 SQFT Building Permit Fee 251.25 Plan Review Fee 163.31 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.03 Record Retention Fee for Building 10.00 Permit Plumbing permit manual input 54.00 Mechanical Permit 40.00 Total Fees $528.09 * * * 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 art',t�l"re property trr ttt�rtho� a ��c��e! zwt e�rxt of the owner, Print Name 4 A�?, ., ,4 ✓ " Date Issued: 03/17/2008 Issued BY: SWASSMJ"I oR VORT UI1LDING PERMIT City of Port Townsend Development Services Department A 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit Type Residential - Addition/Remodel Site Address 4753 WILLAMETTE ST Project Description Remodel studio to home office - see home occupation permit Permit # BLD08-047 Project Name Remodel studio to home office - see Parcel # home occupation permit 951902913 Conditions 10. Building is considered as part of the dwelling under State amendments IRC 202. As such it is exempt from accessibility requirements. 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 1 am the owner of the property or authorized agent of the owner. Print Name Date Issued: 03/17/2008 Issued By: SWASSMER V Co M 00 o O � H 0 AWL 4.0 !y O r 1 v kn N AML 0 0 LL LL O w w t- Z C� m zw x r w z 130 w J LLI Co Q J z > Oa w w m IL~ UN Z D U) � z 5 O wLU Q a a. z Q 0 w w LU LL U z cn to } m U ~Z w a > > O U W U �a O 0 I LL > IL IL J d IL Q 00 0 0 N a O O J H z a w a H D 0 O Z IL W p o 0 o z w N O u, U o o m z ly O w LLIa U 0 O J 0 � a 0 w U c W TLU 0 U a 0 00 0 J m O z H w IL co N O rn U) rn O z J W U a a Of U)p W J w �. in W in Of Z O m LL LO J 0 o C CO � W Z H Q 0 U h z z W O U w Q 0 IL N z z O U w IL U Z z w O U w 0 z a m Q J O z U- O O J o z 2 g z 2 3 J v Z = v W a z m m .J a° M Q� 6 = < j m m � W g J w L) — z 5 m J Z Z O U W IL z Q 0 N Z N W Lo cLL o M coa p J M ao z O� V a W IL fn W zW Z W a� �w N m W D w m 0 W D W a' z O w IL Z Receipt Datem 0 1171, 00 Kermit # Parcel BLD08-047 951902913 BLD08-047 951902913 BLD08-047 951902913 BLD08-047 951902913 BLD08-047 951902913 BLD08-047 951902913 BLD08-047 951902913 Receipt Number: 00-029 Cashier. S W'ASSMER Pay r/Pay ,e flame: WOLF WILLI M C Original Fee Am cunt Pee Fee Description Am Paid; Balance Plan Review Fee $163.31 $13.31 $0.00 Technology Fee for Building Permit $5.03 $5.03 $0.00 State Building Code Council Fee $4.50 $4.50 $0.00 Mechanical Permit $40.00 $40.00 $0.00 Building Permit Fee $251.25 $251.25 $0.00 Record Retention Fee for Building P $10.00 $10.00 $0.00 Plumbing permit manual input $54.00 $54.00 $0.00 Total: $378.09 Previous Payment, History Receipt # Rec 1pt Data Fee Description 08-0238 03/03/2008 Plan Review Fee Payment Check Method Nuuinbear CHECK 2572 Payment Amount $ 378.09 Total $378.09 Arr ount paid Permit # $150.00 BLD08-047 genpmtrreceipts Page 1 of 1 s i : Oln (2T : >-X-"g ;)Obij 5;2�rr_-4 : NO �IvMY 89�26 VM '(INISNMOi i2]Od *iS 11113AV-ITM VSL4 kn ATOM VWMIM 240A 131J�0 ]AOH C'n o is ]li]AV-nIm . . . . . ..... . rn M, I 99296 VM '(INISNMOi i�]Od 'iS 313vqv311m �Stlj :: rc-] Alom vqvl-lli/v\ doi 2,/b 7-ob jsb IDUJO AAGH < oCO oz I cn z < Z M C) 00 N < .00 ZVI :2 0 u Eil LL-1 . .. ..... .. . ... . . ...... I z 16 x < < Q C . fy . . ............. . . . ...... . - ------------ ------------- M. X6 _5 O . . ......... x ID L---------- ---------- . . .... ...... ... .. 00 z 0 CD w U) zw�C C� X o C) PT x C) w NO EA, C5 x vi 10 z 13D 0 z . . . .. . .......... 'tl -. 5:� 29�96 VM '(IN3SNM01 IHOd YXYK IS 313VNVI]IM lzcch 61 d w -lom NVIIIIM "Joi L �A 7j: 331J-JO INOH Lo CD cl LLI 0 < 0 —J U < n� O LLJ LLJ < m 0 0 0 0- Cr LL- a- (J� cr- < > (o LL- m EL LLJ Z IJ D C/� LLJ --i C/� < -17 (j� z m k t s--1 2C,226 VM 'GN-1EtNM01 idOd 66 IS U.-MVITM SSLA L,J .J- _Jlom VIVIMIM HO-1 A il 6,zo 6 lsb -1-3-4b'j 301ijo JVIOH t D 0 V) L�j I C) V) J7 91,CH VM 'ClN""1SNMOi idOl -h--. , IS --Ii3VIV-1-11M "1-/, -- B AOffi vivi-l-lim �Joj :mi.iio -Ivqol-1 11"S ........... rr L C2 UJ u) n, < L-1 o o co "o(") Vi L'j CA. w x 0 U) V) 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 Y4" = 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. Street names and any easements or vacations 6. Location and diameter of existing trees 7. Utility lines 8. If applicable, existing or proposed septic system location 9. 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 71 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 Devero,pmerrt Services oR Tdyp s �r,r r riarfib Streee"w ,�taite "6A aos+unserld±Ay�yti�NBryi3 r, PI1rge14 IF +J—d :'c tyof'p .0 Residential Building Permit Application Project Address: Legal Description (or Tax #): y 7 Addition: Fo,,wLE9' s PF2K __. Block: Z� Parcel# 02_,� IS Project Description: 2EMoD(-._ S, u i 0 Qo (,mi= OFFi c_t ➢ Applications accepted by mail must include a check for initial plan review fee of $150 See the "Residential Building Permit Application Requirements" for details on plan submittal requirements. Property Owner: Name: 1n): L,UA M 6, Address: 'I'7c, (, :"A(I0-TL �iT Cit /St/Zi P Phone: 00o ,yl -- 9 3�/ Email: Vjol F Contact/Representative: Name: SAm Address: City/St/Zip: m mm Phone: Email: Contractor: Name: S/)M - ��u Address: ti City/St/Zip: l Phone: a Email:`' _ ...---- _. State License E City Business License tf ,� Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 1927.095. Name:_._..Ul ln1 2...__._.51 tiANCQD.M .......... ..-._ Project Valuation: $ 7, 000 Building Information (square feet): 1st floor .....�� V-J ....... Garage:_..... 2"d floor Deck(s): 3`d floor .._ Porch(es)- Basement... _...... Is it finished? Yes Carport. ... .._ Other: Manufactured Home ❑ ADU ❑ New ❑ Addition ❑ Remodel/Repair Total Lot Coverage (Building Footprint): Square feet: .... " ` c Impervious Surfacer Square feet: Al : i las'rr. Any known wetlands on the property? Y Any steep slopes (>15%)? YO I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print Name: W i Li,0 1 G WbLF Signature: aLj&,, _. J � '�Y� Date: Z // 2-� (> S William G. Wolf 4753 Willamette Street Port Townsend, WA 98368 REMODEL OFEXISTING SEPARATE E NOTE: The only modification to the footprint of the existing structure is the addition of a 6' x 4' covered entry to be located at the east side of the building. With eaves, this amounts to 40 square feet of coverage. The covered entry will be situated above an already impervious driveway. DESCRIPTION OF ROOM USE AS A HOME OFFICE: East Room: • Waiting room/ reception area North Room: • Interview and treatment room. South Room: • Home office and pharmacy. South/East Room: • Lavatory with toilet. Prescriptive Approach — Simple Form For the Washington State Energy Code (2001 Edition) Climate Zone 1 Site Information Lot: Address: City: State: Zap: Contact: . Phone: Phone 2: Fax: Building Department Use Only Permit # Notes: Table 6-1 PRESCReT1vE REQUIREMElv1'S °'' FOR GROUP R OCCUPANCY C11MATE ZONE 1 Talimited tll art )tion Only) Glazing 1amig U-Factor Doo Wall Wall Wall Option Area"U Ceiline Vaulted Above Into lam° % of Floor Vertical Overhead" factor Ceiling3 Grade Below Below Grade Grade III Unlimited Group R-3 0.40 0.58 020 R 38 R 30 R-21 R 21 R-10 Occupancy Only Floors n R34 R10 4 See the code tee; for footnote references r, This project complies with the following: ✓ The project is a single family residence or duplex. �� wl71 ✓ The project is wood frame OR all of the insulation is interior or exterior of the fraring. ✓ Alt building components meet the requirements fisted in Table 6-1, Option 111.UJ ✓ The project will meet all other provisions of the WSEC and VIAQ_ The project will take advantage of the following exceptions to the prescriptive option: ❑ 602.6 Exception 1. One door, that is 24 ft? or less, that does not meet the standards is allowed."-`— &s"" Location of the door taking this exception ❑ 602.6 Exception 2_ Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taldng this exception CopmgIt 200z WSUCEEP02 oss Copied by permission from the Washington Stale Ur iveraity Cooperative E)dension Energy Pro9( prescri col e, - , e Font tmate Zonel F a ;rr 19. `5 11 , ��� U 5/31/2002 — o 7 2001 EDITION TABLE'6-1 PRESCRIPTIVE REQUIREMENTS" FOR 5ROUP R OCCUPANCY Glazing Glazin U-Factor Wall Wall* Wall* Slab Option I Area Door 9 Ceilin(Y Vaulted Above int ext Floors on 1 % of Floor Vertical Overhead" ll-Factor Celing Grade Below Below Grade Grade. _Grade I 1210 0.35 0.58 0.20 R-38 R-30 if G R15 R-15 R-10 ' R-30 R-10 [1.* 158/0 0.40 0.58 0.20 R-38 R-30 1 1 R 21 R 10 R 30 R-10 HL Unlimited OAO 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Group R-3 Occupancy Only * Reference Case 0. Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%, it shall comply with all of the requirements of the 15% glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R 10, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturer's specifications. See Section 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab peruneter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602A. 7. Int. denotes standard framing 16 inches on center with headers insulated with a minimum of R-5 insulation. 8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing. 9. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C. 10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be, less than or equal to that value. Overhead glazing with U-factor of U=0.40 or less is not included in glazing area limitations. 11. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5_ 12. Log and solid timber walls with a minimum average thickness of 3.5" are exempt from this insulation requirement. Effective 7/01/02 33 Prescriptive Approach — Simple Form For the Washington State Energy Code (2004 Second Edition) Climate Zone 1 Site Information Lot: IFARcL-Lk 931 7OZ913 Address: L1753 i(„ )ILLAML-7�E 5T City: o'if '7&w D State:Zip: ISMS Contact: '\JILLIAM G. WOLF Phone: 360 SOH ? 3 j , ,0 Phone 2: M0 385 ` 7603 , F-Ew: g4TM Building Department Use Only V Permit #: Notes:.. Table 6-1 PRESCRIPTIVE REQUIREMENTS" FOR GROUP R-3 OCCUPANCY CLIMATE ZONE 1 (Unlimited Gla inn Ovtir n OmtM' Glazin Glazin U-Factor 9 Wall Wall Wall Slab' Option o Area io Vertical Overhead" Door U-factor Ceiling 2 Vaulted s Ceiling Above Grade Int Below Ext Below Floor s On Grade /a of Floor Grade Grade IV, Unlimited Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Occupancy Only See the code text for footnote references This project complies with the following: ✓ The project is a single family residence or duplex. ✓ The project is wood frame OR all of the insulation is interior or exterior of the framing. ✓ All building components meet the requirements listed in Table 6-1, Option IV. ✓ The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: ❑ 602.6 Exception 1. Doors with a U-factor of 0.40 (or less) allowed, Option IV only. Location of the door(s) taking this exception ❑ 602.6 Exception 2. One door, that is 24 ft.z or less, which does not meet the standards, is allowed, Location of the door taking this exception Copied by permission from the Washington State University Cooperative Extension Energy Program Copyright 2006 WSUEEP06-016 Prescriptive — Simple Form — Climate Zone 1 8/8/2006 ,90RT ro5� City of Port Townsend Development Services Department 250 Madison Street, Suite 3 Port Townsend, WA 98368 (360) 379-5095 Fax: (360) 344-4619 Washington State Energy Code (WSEC) - 2006 Residential Construction Checklist Complete this form in addition to WSEC prescriptive compliance form. 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. rc-t&/House d iunder 750 square feet of Py,, Lu,14;' 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. ft. does not require whole house ventilation. Spot ventilation is still required. TYPE OF HEATING - Please check all that apply: E Mll Heater Q Baseboard � Forced Air Furnace 4-19 Radiant Floor (Boiler) Other Non -Electric: Propane:"' Radiant Floor/Baseboard (Boiler) ' LPG Stove ' LPG Furnace ' Other LPG Heat Pump ' Oil Furnace 1 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: Floors: W� lywood with exterior glue 13'oly plastic (greater than or equal to 4 millimeter thick) i Backed batts • Walls: Poly plastic (greater than or equal to 4 millimeter thick) DrFace-stapled, lacked batts Low -perm paint • Ceilings: Not required where ventilation space averages greater than or equal to 12 inches above insulation Face -stapled, backed batts Poly plastic (greater than or equal to 4 millimeter thick) Low -perm paint SEE BACK PADSD\Forms\Building FormsUpplication-Residential Energy Code Cheddist,doc Pagel of2 WASHINGTON STATE VENTILATION AND INDOOR AIT UAL T'Y J2000 Code °l pe of ventilation used 1hroughout the house:'HVAC Integrated Option Exhaust Option Whole House Fan for "Exhaust Option": • In what room is your whole house fan located? 13�)Rood • What size is the whole house exhaust fan? 50-75 CFM (1-2 bedroom house) 80-120 CFM (3 bedroom house) �0 100-150 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 cfm 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 forts 61 Wall Ports P:\DSD\Forms\Building Forms\Application-Residential Energy Code Cheddist.doc Page 2 of 2 Development elopment Services e Veer 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 y www_cityofpt:us wo Home Occupation Application Property address: ? 53 CJ►u�M / _ S r. Office Use Only Pe t Legal Description (or Tax #): Parcel Number: 9S I '1029 13 # - Addition: wyBlock(s)www 2 Associated Permits: Lots : 1 i .-._.®..� - Home Occupation Description (attach additional pages if necessary): Name of Business: SCUOD )'%P-i9LTN . Type of Business: lVR?VR-,& 'C. K 0K'CjiML_ rIEDIciwES Business Activities: CLINI GIL CZ w) 5, NZ of SuP�cF�i:�JTs !Q rIc�Ts FE% 2 0' f • MWJ - FR1 PA I a,,) _ 5 and Hours o Operation: M Days a i Y P � � «; Property Owner: Business Owner/Tenant (if renting the property): Name: WIL LAM G. WOLF Name: Address: '/%5S WJ1-(AMt-_-77E Sl. Address:, City/St/Zip. PORT TG1nJSCMD, UA 9%M'9 City/St/Zip: ... .__.. Phone: 36c) 30l -Icl,34.1 Phone: Email: Wo!F @ ©h t�y ice-F Email: How many customer or business visits do you anticipate per day? per week? I6 - 2d Will any non-resident employees work on -site? ® No ❑ Yes If yes, how many? Will you be selling any merchandise from your Home Occupation? ❑ No ® Yes If yes, what? 5vPPLEMENTS Will you be holding instructional activities from this location? ❑ No 19 Yes If yes, how many people in a group? 3 - 10 . ?' ( 1 - 2 -nmis ?frz Mori How much floor area will be devoted to the Home Occupation? '7841 sq. ft. of ' 'l total building sq. ft. Will the home occupation create any exterior changes? ❑ No R Yes If yes, describe on a separate sheet. Include any additional noise, smoke, dust, fumes, vibrations, odors, cars, signs, equipment or other conditions that were not present before the home occupation. I verify the property affected by this application is the exclusive ownership of the applicant, or the applicant has submitted the application with the written consent of all the owners of the affected property. Print Name: W IL. —Li AM G.WOLF Signature: Date: 2 0 r3 See attached for details on plan submittal requirements and cost. Page 1 of 2 Receipt Bate; 03/0312,008 Cashier. SWAS MER payeripayee rr ount Fee Original fee Paid l~,talarice eprall par eq Fee teer,rl'Ption Amount - $150.00 $150.00 $0.00 BLD08-047 951902913 Plan Review Fee Total. $150 00 Previous Payment History, Receipt I�eciptDate Fee Description Arrountl�a6tl �perrmtt' � 1Payrni a nit - - Check paym e M lootll+c d Number AM,OuOt CHECK 2564 $ 150.00 Total $150.00 page 1 of 1 genpmtrreceipts Miscellaneous Receipt JG C4f 2S-6 � NO. 25331 C; n De nrtmant Port Townsend WA 360-385-2700 Cash 0 Check L.)�/ DATE RECEIVED FROM t Dollars($ . ...... .. .. C� P X �,C City of Port Townsend clel (�uP a P - o Z/ SOUND HEALTH NATUROPATHIC & ORIENTAL MEDICINE A SOLE PROPRIETORSHIP ATTN WILLIAM G WOLF 1233 LAWRENCE ST PORT TOWNSEND, WA 98368-6554 2564 Date - 2, 62-15/311 Pay to the order of...._.._ GITV of )N(Z� 14VJWD 2e-w '501)0 D-fl. 110 m. ddJones'EwarPulBNANr.EWWI M80555514 E ego O.mA'WIph. Pc ___] Yor N4Dq4 e,(r 147,C 116000000 2 S G L000 1:0 3 1100 IS?11: L813 100 G? 2 I'll' Inspection Report Project � Permit # DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CITY OF PORT TOWNSEND 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. : ATE . _..._._...._ SITE ADDRESS: W PROJECT NAME: : CONTACT: TYPE OF INSPECTION: 4_i('LaAAA i ❑ APPROVED �1"PRO ' I), W1 1'141 ❑ NOT APPROVED fs"o 1iI 1' IONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Ispector_________________________________.. ate V'�_ .r ..� .- .............. 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.