HomeMy WebLinkAboutBLD08-190BUILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD08-190
Permit Type Residential - Single Family - New Project Name NEW SFR
Site Address 1077 54TH STREET Parcel # 972902706
Project Description
New single-family residence
Names Associated with this Project
License
Type
Name Contact
Phone # Type License # Exp Date
Applicant
Ayzenberg Alexander
And Jaclyn
Owner
Ayzenberg Alexander
Contractor
Chisholm Construction
O - CITY 004626 12/31/2008
Contractor
Chisholm Construction
Q - STATE CHISHC*972D 03/11/2009
* * * 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 of the property or authorized agent of the owner,
Print Name
c4j�w/� Date Issued: 09/23/2008
Issued By: PIOLAVERA
Signature �4r Date __R/ � _ Date Expires: 03/22/2009
CIT'!%r:�— <JF PORT TOWNSEND
Prl�- X-74t-MITACTIVITY LOG
PERMIT DATE RECEIVED
SCOPE OF WORK:
DATE
Setbacks OK?
[o-t"S--ize:
B—Uifjing —Size:
Lot
Co
FAR OK?
If K?
ParkjjiS OK?...
Critical Area?
Hi.stor.ic Rev?
Notice to Title?
Lots —of Record?
. . ......... �Co"
ENTERED INTO CHET
CHECKED FOR COMPI"
I-- . . . .............. — -... � �' -� � —!--- �J 7 E N 13'S S
[NmA-L—
S
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT # c),K
SCOPE OF WORK:
DATE RECEIVED
SAX � 0 3 y
m
yv
9 ATrO BUILDING PERMIT
City of Port Townsend
R < ` Development Services Department
WA 250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information
Permit Type Residential - Single Family - New
Site Address 1077 54TH STREET
Project Description
New single-family residence
Permit #
Project Name
Parcel #
BLD08-190
NEW SFR
972902706
Fee Information
Project Details
Project Valuation
$158,566.99
Decks — Residential
238 SQFT
Site Address Fee
3.00
Dwellings — Type V Wood Frame 1,509 SQFT
Building Permit Fee
1,324.15
Private Garages — Wood
Frame 524 SQFT
Energy Code Fee - New Single
100.00
Units: 1
Heat Type: ELECTRIC BBH
Family Unit
Bedrooms: 3
Construction Type: V - B
Mechanical Permit Fee per Dwelling
150.00
Bathrooms: 2
Occupancy Type:
Unit - New Residential
Plan Review Fee
860.70
Plumbing Permit Fee per Dwelling
150.00
Unit - New Residential
State Building Code Council Fee
4.50
Technology Fee for Building Permit
26.48
Record Retention Fee for Building
10.00
Permit
Total Fees
Conditions
$ 2,628.83
10. Property corner survey pins must be located at time of f000ting 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 & 1); contact L & I @ 360-417-2702
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 Date Issued: 09/23/2008
Issued By: PIOLAVERA
Signature _ Date Date Expires: 03/22/2009
PORT TO BUILDING PERMIT
City of Port Townsend
F_
XM� 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 1077 54TH STREET
Project Description
New single-family residence
Names Associated with this Project
Type
Name Contact
Applicant
Ayzenberg Alexander
And Jaclyn
Owner
Frank Karl T
Contractor
Chisholm Construction
Contractor
Chisholm Construction
Permit #
Project Name
Parcel #
Phone #
BLD08-190
NEW SFR
972902706
License
Type License # Exp Date
CITY 004626 12/31/2008
STATE CHISHC*9721) 03/11/2009
* * * 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 of the property or authorized agent of the owner.
Print Name
Signature Date
Date Issued: 09/23/2008
Issued By: P]OLAVERA
Date Expires: 03/22/2009
UILDING PERMIS"
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 1077 54TH STREET
Project Description
New single-family residence
Permit #
Project Name
Parcel #
BLD08-190
NEW SFR
972902706
Fee Information
Project Details
Project Valuation
$158,566.99
Decks — Residential
238 SQFT
Site Address Fee
3.00
Dwellings — Type V Wood Frame 1,509 SQFT
Building Permit Fee
1,324.15
Private Garages — Wood Frame 524 SQFT
Energy Code Fee - New Single
100.00
Units: 1
Heat Type: ELECTRIC BBH
Family Unit
Bedrooms: 3
Construction Type: V - B
Mechanical Permit Fee per Dwelling
150.00
Bathrooms: 2
Occupancy Type:
Unit - New Residential
Plan Review Fee
860.70
Plumbing Permit Fee per Dwelling
150.00
Unit - New Residential
State Building Code Council Fee
4.50
Technology Fee for Building Permit
26.48
Record Retention Fee for Building
10.00
Permit
Total Fees
$ 2,628.83
Conditions
10. Property corner survey pins must be located at time of f000ting 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
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. I certify
that the information provided as a part of the application for this pennit 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 �10t 'O 01�f (f" `_ Date Issued: 09/23/2008
Issued By: PIOLAVERA
Signature ly t Date ����� Date Expires:03/22/2009
N Madison
Port Townsend VVA�98368'i'
Phone, 360-379-5695
" ..
M .. Www.city0f0tUS7—
Residential Building Permit Application
➢ Applications by mail must include a check for initial plan
review
fee of $150 for projects valued over $15,000.
See Page or details on Ian submittal regtoirements.
9 p
Lender Information:
.
-e t, 6 e
J
L ender information must be provided for projects
Property Owner/Applicant:
over $5,000 in valuation per RCW 19.27.095.
Name:.
Project Valuation: $
Address:C) �3 )— ,�)
City/St/Zip: Ire
Phone: Z "
Building Information (square feet):
1" floor ' )' "' _ Garage: ;;L
Email:
2nd floor Deck(s):
Contact/Representative:
3rd floor Porch(es): 2
Name;
Basement: Is it finished? Yes No
Carport: Other:,
s. ,.
Address: ,
City/St/Zip: iP, % C 3,6
Prone: ,t U .. iU $`
Manufactured Home ❑ ADU ❑
Email:
New Addition ❑ Remodel/Repair ❑
Contractor: ❑ Same as Owner
Name: " A
Total Lot Coverage (Building Footprint):*
emot, 5
Square feet:.� o
Address: % S "
Impervious Surface:*
City/St/Zip: ° ,,,_ oze"i" ' 4G0 �kt
Square feet: *Total existing & proposed
Phone: 3,60 1� Fo 2 r
Email:
What year was the structure built?
State License :��! �? Exp-./
If work includes demolition, see Page 2.
City Business License : 0
Any known wetlands on the property? Y
Any steep slopes (>15%)? Y
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:
511
,;."
Signature. :, b �°/;,""
Date: /A/
Page 1 of 2 /31/2008
RESIDENTIAL BUILDING PERMIT APPLICATION
CHECKLIST
This checklist is for new dwellings, additions, remodels, and garages. The purpose is to show what you
inte to build, where it will be located on your lot, and how it will be constructed.
esidential 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. 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
gIf applicable, existing or proposed septic system location
16, 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
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
1i ,Por 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 district and not 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
TABLE 6-1
PRESCRIPTIVE REQUIREMENTS" FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
Glazing Glazin U-Factor Wall12 Wall- Walk Slab
AreatO: Doors z Vaulted Above into ext4 5 on
Option Ceiling s Floor
% of Floor Vertical Overhead" U-Factor Ceiling Grade Below Below Grade
Grade Grade
L- 10% 0.32 0.58 0.20 R-38 R-30 R15 R-15 R-10 R-30 R-10
IL 15% 0.35 0.58 _ 0.2 R-38 R-3 ] R-2 iiii R-21 R-10 R-3 R-10
III. 25% 0.40 0.58 0.20 R-38 / R-30 / R-21 / R-15 R-10 R-30 / R-10
Group R-1 U=0.031 U=0.034 U=0.057 U=0.02
and R-2 9
Occupanci
es Only
IV,, Unlimited �0.35 0.58 _ 0.20 R-38 R-30 R-21 R-21 R 10 R-30 R-10
Group R-3
and R-4
Occupanci
es Only
V„< Unlimited 0.35 0 58 0.20 R-38 / R-30 / R-21 / R-15 R-10 R-30 / R-10
Group R-1 U=0.031 U=0.034 U=0.057 U=0.02
and R 2 g
Occupanci
es Onl
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 complying with note 3. 'Adv' denotes
Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings where both (a) the distance between the top of the
ceiling and the underside of the roof sheathing is less than 12 inches and (b) there is a minimum 1-inch vented airspace above the,:
insulation. Other single rafter or joist vaulted ceilings shall comply with the "ceiling" requirements. This option is limited to 500
square feet of ceiling area for any one dwelling unit.
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 manufacturers specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacturer's specifications. See Section 602.4.
7. Int. denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 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.
City of Port Townsend
Development Services Department
BUILDING NUMBER APPLICATION
Name of Property Owner:
�er- A- c ,\, C
P-M
Mailing Address: 3D -3 -S ( '� A-,/ P - V
Telephone: a D b" T\ q -& ";3 2 -a-
3 g_5
- z �Z21,
Properly is located in:
Addition: Block(s): Lot(s):
Faces/Access is from: t� Street
Parcel Number
Directions to the Properly draw vicinity map on lack
,.
If this is a new ADU, has a building permit been applied for? _Yes No Date:_ -
Notes:
NUMB ASSIGNED: HOUSE ER O
Date of Approval: 1
For Department Use Only:
Application Fee Received ($3.00, TC 2200): Date:
Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office
❑ Sheriff ❑ Police (Lyn) ❑ GIS
❑ Public Works ❑ DSD database ❑ Assessor's Office
For address changes: ❑ Qwest Address Management Cente?-- 206-504-1534
hitp-IlptiimginWDSL)fiitiOd n ,y-ory s uildin "crmi►ilacketl Applicaalioii-Addtes,,; Nrimbet.(I,uc, M 2IQ6
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City of Port Townsend
Development Services Department
250 Madison Street, Suite 3
Port Townsend, WA 98368r
(360) 385-0644 FAX (360) 344-4619
email: swassmer@cityofpt.us
September 4, 2008
Wayne Chisolm
1212 First Street
Port Townsend, WA 98368
RE: Building Permit Application BLD08-190, Ayzenberg Residence at 1077 541h Street
Dear Mr. Chisolm:
We have checked the above application for zoning requirements. The above single-family
residence is proposed to be built in within the R-I residential zoiie. The building pernnit
application and the plans show 1509 sq. ft. of heated space, plus ' �'sq ft of garage, plusx
sq. ft. of (two) covered porches. The total lot coverage of the stru lure is 2514 sq. ft, On 10 000
sq. ft. of property this is 25.14% lot coverage, and the maximu:rn 1, t coverage in the R-I. 7x:)n,e is
27 c �
Lot coverage is defined in the Port Townsend Municipal Code Chapter 17.08 as "the total ground
coverage of all buildings or structures on a site measured from the outside of external walls or
supporting members, including accessory buildings or structures, but not to include at -grade off-
street parking lots, deck areas, terraces, swimming pools, pool deck areas, walkways, roadways,
or driveways." The total lot coverage on the application is 2271 sq. ft.; however covered porches
are included in lot coverage.
Please provide revised plans that show the total lot coverage would not exceed 25%. Ole -
In addition, a permit for utility connections, on -site stormwater, and driveway is required as the
previous street development permit SDP08-030 was for the sewer main extension only. A
permit condition of SDP08-030 states that a separate permit is needed at time of the building
application. An SDP application is enclosed.
If you have any questions, please let me know. Thank you.
Sincerely,
Suzanne Wassmer
Land Use Development Specialist
A NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT
Parcel Details
Page I of 2
Parcel Number: 972902706
Parcel Number: 972902706
Owner Mailing Address:
ALEXANDER AYZENBERG
JACLYN AYZENBERG
81 OAK RD
PORT HADLOCK WA98339
Site Address:
1077 54TH
PORT TOWNSEND 98368
Section: 34 School District: Port Townsend (50)
Qtr Section: NW1/4 FireDist: Port Townsend (8)
Township: 31N Tax Status: Taxable
Range: 1W Tax Code: 100
Planning area: Port Townsend (1)
Sub Division: MONTANA ADDITION
Assessor's Land Use Code: 9100 - VACANT LAND
- 11 - --l-1-1,11-11-11,111 ......... . . . ....
Property Description:
MONTANA ADDITION I BLK 27 LTS 6 & 8 1 1 1
Click on photo for larger image.
No
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No 2nd
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Data
No Assessor
Data AvailableTax'
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MPR-PA(qa�!
R1at5- 4-$urYvzys,
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http://www.cojefferson.wa.us/assessors/Parcel/Parceldetail.asp 9/4/2008
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Trades It Licensing
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General/Specialty Contractor
A business registered as a construction contractor with Lftl to perform construction work
within the scope of its specialty. A General or Specialty construction Contractor must
maintain a surety bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Verify Workers' Comp Premium Status
Name CHISHOLM
CONSTRUCTION
Phone No. (360) 379-4687
Address 1212 1ST STREET
Suite/Apt.
City
PORT TOWNSEND
State
WA
Zip
98368
County
JEFFERSON
Business Type
INDIVIDUAL
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Company
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UBI No.
Status
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License Type
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0
602278033
ACTIVE
CHISHC*972DJ
CONSTRUCTION
CONTRACTOR
3/11/2003
3/11/2009
GENERAL
UNUSED
=a Business Owner Information Hide All
— Date Expiration Date
F-1-1-HISHOLM W.. Name Role Effective
_. _
AYNE 0 OWNER 03/11 /2003
v
Bond InformationBond
Bond Company Account Date
Expiration Cancel Impaired Bond m ITm mmReceivedmm
Name Number ate Date Date Date Amount Date
..._ _..�.._—.� .._,n�� _m..... ..... _.. ........ ._
OLD
2 REPUBLIC YL1245349 �03/11/2005�Until
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000.00 12 /06 / 2004
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https://fortress.wa.gov/lni/bbip/Detail.aspx?License=CHISHC*972DJ 8/22/2008
Look Up a Contractor, Electric' n, Plumber or Elevator Professional Li se Detail Page 2 of 2
RNS COLIC
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03/11/2003
-J$12,000._00�12/06/200403/11/2005
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Policy Number
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Name
Date
Date
Date
Date
Date
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7
CASUALTY
L0650020225
08/01/2008
08/01 /2009,
$300,000.00
06/10/2008
INS CO
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L065002022 4
08/01/2005
08/01/2008
$300,000.00
07/09/2007
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08/01/2004
08/01/2005
$300,000.00
07/27/2004
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L065002002
08/011/2003'08/011/2004
$300,000.00
08/12/2003
Co
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BH00453068671
03/11/2003,03/11/2004
$300,000.00
05/20/2003
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03/11/2003
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I
i42
Page I
of 2
I I 04/ 0/ 006 04.:11P
Jefferson County Aud DAVID CARRUTHERS CERT 33,00
City of Port Townsend
Development Services Department
250 Madison Street Suite 3
Port Townsend, WA 98368
CERTIFICATION OF CONFORMANCE &
RECOGNITION OF LOTS OF RECORD
FILE NO. LUP06-018
DEVELOPMENT SERVICES DIRECTOR DECISION
Grantee: David Carruthers, a single man
Grantor: City of Port Townsend, a Washington municipal corporation
Information of lots or parcels being certified:
Address: 5321 Wilson Street
Assessor tax #: 972-902-701
Legal description: Lots 1 through 8 of Block 27 in Montana Addition as recorded in
Volume 2 of Long Plats, Page 31 Records of Jefferson County,
State of Washington
Zoning: R-I
File Reference: AFN .r/ 0"fe' 7 Rescission of 1990 Restrictive
..._..................
....-M..........._.............. _.....__..._
Covenants
The owner intends to split the block into three parts in order to sell:
A) Lots 2 and 4
B) Lots 6 and 8
C) Lots 1, 3, 5 and 7.
These lots meet the requirements for three (3) legal, buildable parcels under the Port
Townsend Zoning Code (Title 17 PTMC) and Land Division Ordinance (Title 18
PTMC) in effect at the time this certification is signed below. The Development
Services Department Director hereby finds that the above parcels are legal lots for
building purposes under the Port Townsend Zoning Code and Land Division Ordinance;
provided, however:
1) This certification is conditioned upon the Applicant or the Applicant's successors
and assigns installing all public improvements (including street access, and water,
sewer and stormwater improvements) in full conformance with the Port Townsend
engineering design standards in effect at the time the Applicant applies for a buildi.
or other development permits.
r?croer
cs " Receipt Number: 08-0872 -
Receipt Date: 0912312 08 Cashier: PIOLAVERA Pay Nr/Payoe Name: AY ERG ALEXANDER AND JACLYN
"etmit # Parcel
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
BLD08-190
972902706
Original Fee
Fee Description,
Amount
Plan Review Fee
$860.70
Technology Fee for Building Permit
$26.48
Energy Code Fee - New Single Famil
$100.00
State Building Code Council Fee
$4.50
Plumbing Permit Fee per Dwelling L
$150.00
Mechanical Permit Fee per Dwelling
$150.00
Building Permit Fee
$1,324.15
Record Retention Fee for Building P
$10.00
Site Address Fee
$3.00
Total
Amount
Fee
Parity
Balarice
$710.70
$0.00
$26.48
$0.00
$100.00
$0.00
$4.50
$0.00
$150.00
$0.00
$150.00
$0.00
$1,324.15
$0.00
$10.00
$0.00
$3.00
$0.00
$2,478.83
Previous Payment History
Receipt # Receipt Date Fee Description Amount Pablo Permit #
08-0787 08/22/2008 Plan Review Fee
Payment Check Payment
Method Number Amount
CHECK 5149 $ 2,478.83
Total $2,478.83
$150.00 BLD08-190
genprntrreceipts Page 1 of 1
ART ,
� way
Receipt Number:; 0$-07 7
Receipt Date 00r22/2008 Cashier; FROWDESK Payer/Payee Name, AYZENBERG ALEXANDER ANDJ CLY N
Original Fee Am,ount Fee
Permit # Parcel! Fee Description Amount Paid Balance
BLD08-190 972902706 Plan Review Fee $150.00 $150.00 $0.00
Total: $150.00
Previous Payment History
Receipt # Receipt Date Fee Description
Payment Check P"aymant.
Method Number Amount
CHECK 5144 $ 150.00
Total $150.00
Amount Paid Permit #'
genpmrrreceipts Page 1 of 1
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CITE' OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
era
CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU
WANT THE I NSI'F;C'I'I ON. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY..
DATE OF INSPECTION: PERMIT NUMBER:
SITE ADDRESS: w�";w:°`�
CONTACT PERSON: PHONE:
TYPE OF INSPECTION: °' _ 1�.. (.) ._ ("
❑ APPROVED
❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
�� DateIns Inspector
.
Acknowledgement
Date
❑ NOT APPROVED
Call for re -inspection before
proceeding.
_w.. ...........
_-� ...._...-...-
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.
VooT ao
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
=" INSPECTION REPORT
� A � CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU
WANT THE ILN'�'PIEIXXIQN. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY.
DATE OF INSPECTION: 4'11� PERMIT NUMBER: ®�
r ,"..�w....
SITE ADDRESS:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION:
APPROVED ❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector` ° Date
Acknowledgement
Date
❑ NOT APPROVED
Call for re -inspection before
proceeda11.
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.
VaRT
_k 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: f PERMIT NUMBER: �L
SITE ADDRESS:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION: "'T'AU'd LvI
0 APPROVED
Inspector
Acknowledgement
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0 APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
Date
0 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.
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DEVELOPMENTCITY OF PORT TOWNSEND
E DEPARTMENT
INSPECTION
For inspections, call the Inspection Line at 3 -3 5-229 y 3:00 PM the day before you want
e inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTION: PERrVVIT NUMBER:
SITE ADDRESS: 4 _4j_.....� ..
PROJECT NAME: m CONTRACTOR:
CONTACT PERSON: N
TYPE OF INSPECTION: �s � � " ' ..._ � �" � .
r
41
.....�.... .......
Mw�'^'"m F'
_.. _ .............
.-.
µ ❑ APPROVED ❑ APPROVED WITH I NC1'k" Al"PROVED
s
CORRECTIONS
IONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
f1p '1S Date
�e l,Fo� u
Approved plans° and permit card must be on -site and available at time of'in.spection. A re -inspection fee may
be assessed if work is not ready, br inspection.
9014T CITY OF PORT TOWNSEND
c 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 °F' i� "^i � P ERMIT N [JMBER: m`'L
SITE ADDRESS: j^,^. �� n°��(„�.�i� . y
PROJECT NAME: CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION:
_............ d 4� ._...
u
APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
- —
checked at next inspectionproceeding. p Inspector .i.�� I �n 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.
Inspection Report
Project
Permit #