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BLD06-232 (oversize plans in storage)
CITY OF PORT TOWNSEND PERMITACTIVITYLOG PERMIT # DATE RECEIVED: cf1nnn nv wnnv. DATE ACTION INITIALS Z Entered into TRIPS ESA — to Planning -no evidence of ESA-' Vested Date pecked for Completeness " ILL yL Ll` THILL <L, L .. v ,y v m f" --yraw? A1Tv4 i2ickol 0�? e&�� t \\Bcd_permits\forms\BUILDING\Permit Activity Log.doc 90 HT LEGACY BUIL. DING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD06-232 Permit Type Legacy Building Permit Project Name Alter house Site Address 1415 WASHINGTON ST Parcel # 989703501 Project Description Phase 1. Detrno portion of existing house and moving rest to another part of property under new foundation, renovating into small SFR. Build new studio on part of existing foundation. Phase 2 will be construction of new main house in the future with small SFR becoming an ADU. Names Associated with this Project Type Name Contact Phone # Applicant Francis Robert & Kathleen Owner Francis Robert & (360) 344-4108 Kathleen Representative Hiatt Amy (360) 385-1172 Construction Townsend Builders Michael Colbert () - Contractor Construction Townsend Builders Michael Colbert O - Contractor License Type License # Exp Date CITY 310 12/31/2007 STATE TOWNSBI088J 03/30/2008 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. 1 further certify that I am the owner of the property or gent of the owner. Print Name. " � � % "" Date Issued: 04/12/2007 Issued By: PWESTERFIELD Project Information Permit Type Legacy Building Permit Site Address 1415 WASHINGTON ST Project Description City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Permit # BLD06-232 Project Name Alter house Parcel # 989703501 Phase 1. Demo portion of existing house and moving rest to another part of property under new foundation, renovating into small SFR. Build new studio on part of existing foundation. Phase 2 will be construction of new main house in the future with small SFR becoming an ADU. Fee Information Project Valuation Building Permit Fee $ 734.75 Building Permit Fee $ 47.00 State Building Code Council Fee $ 10.00 Record Retention Fee for Binding Sit $ 4.50 Total Fees $ 796.25 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. /' A4� Print Name 't r'1 �''"� Date Issued: 04/12/2007 Issued By: MESTERFIELD CITY OF PORT TOWNSEND `i DEVELOPMENT SERVICES DEPARTM— _ T Waterman & Katz Building, 181 Quincy Street, Suite 301A Port Townsend WA 98368 Phone: 360-379-3208 Fax 360-385-7675 RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTILC''I'ION, REMODELS, & ADDITIONS Cwµ Scope of Work: I�R&6C, 1 IPSMOLrrIO0; MWr✓ WA.I , o....� p , � GSL, Apvlrtoh! �, StT�vvof�l��` Please check all items that apply for the type of building permit you are req Testing;. New House ttf019E 044% 2 - Addition -MO, ACJ5 �,Wf" New Garage or Carport Repair/Remodel Garage Repair/Remodel House Accessory Dwelling Unit: MMOl.110� moo /I l A Other (please describe) -NM l l` rW pdASE� 2.1 I� pAI Floor Area: the pa oposed structure is to be used for: Finished Heated Space sq, ft: ~�5. S��� �Garage sq, ft; Unfinished Heated Space sq ft: Carport sq, ft: Unfinished Basement sq ft:r I i Porches sq. ft: _ �� Cit ITf2'Y Semi -Finished Basement sq ft: Decks sq. ft: S Storage sq. ftmm L C�,� Other (please describe):aw �jfrj _ SYI N 10 App O � P:\DSD\Department Forms\Building Forms\Application-Residential Building Permit.docl ew �UNbATI�t� , Page 1 of 1 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTRUCTION, REMODELS, & ADDITIONS Property Site Area/Coverage Information: P*,se, 1 FHA -Es 2, 1. The total area of the property in square feet: 2. The total area covered by existing and proposed structures insquare feet: �H SE ,.� 3' DSD S(✓ (total ground coverage from the outside of walls or supporting members) r ' 22 0470 u 0�► Percentage of lot coverage: (2=1) bI ?00 " . Impervious Surfaces: F10 $ I � PH&SP, .2— Please provide the square footage of the roof area of the proposed and existing structures, and the square footage of the total area covered by porches, walkways, patios and driveways. Do not include decks allowing drainage to earth below. Proposed House Roofprint sq. ft: NASE 2 -' 1,43 75 1--r- Existing House Roofprint sq, ft: � �'� o�wlE�Kl_.ovJ Proposed age Roofprint sq. ft:i A5F_ I I I r `� Existing Garage Roofprint sq. ft: Proposed RerthMalkway sq. ft: NAe6 Z; 1-6 Existing PorchilValkway sq. ft: Proposed Driveways sq. ft. `� " IeNS Existing Driveways sq. ft: 51TV,� 2 Other (describe): 017 5� 1 141 Other (describe): ( ) Total Proposed Impervious sq. ft: -to _5+3 1Jr Total Existing Impervious sq, ft: -6 Total Proposed + Existing sq. ft: Percentage Impervious: " Z� , +°5 t - x 16® == �� 7`�" 1 envious surface =lots . ft *If total impervious surface is equal to or greater than 40% of the lot area, you must submit a written stormwater plan to address run-off. #„qv.,7r i0t4AV -01 -0P11';r-i” B�l� 2dle e "'HICki WIVI., 0, i tF.F_W WI-rp I ISI -q i OV Please check which glans you are submitting with this application (2 sets needed): *WSEC = Washington State Energy Code l d (,?�. rk S�/ INU,Uba�l►��i✓ lI � �/ - oI✓ Lor wiu.0 e yr-. �.I I ��) Moe, Imm"J.90s SUrzr-,&CI: Tib fl f loq uISfl� 61. PADSD\Department Forms\Building Forms\Application-Residential Building Permit.doc Page 2 of 2 a56 1 MQ r�1P-S Site Plan '& Exterior Wall Bracing Interior (panel locations X CM,!�'I shown on f ) 0 e Drainage Plan (if 40% or more impervious)'A ( li Ilt���rl Foundation, Plan: (45E '� r�NL`( Typical Wall Framing Details (section from foundation through roof) ; Elevations: Floor Plan! 2003 WSEC* Compliance: Prescriptive)( Component_ Plan AT 6f Floor Framing; -'•C' 6D��iD4 nA4 WSEC Construction Checklist Roof Framing plan Ir , 1oHe_ >< Other: WLVA GLOSS_ei�I S *WSEC = Washington State Energy Code l d (,?�. rk S�/ INU,Uba�l►��i✓ lI � �/ - oI✓ Lor wiu.0 e yr-. �.I I ��) Moe, Imm"J.90s SUrzr-,&CI: Tib fl f loq uISfl� 61. PADSD\Department Forms\Building Forms\Application-Residential Building Permit.doc Page 2 of 2 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTRUCTION, REMODELS, & ADDITIONS Special Conditions Please check YES or NO as applicable YES NO 1. Is the property within 200 feet of a fresh or saltwater shoreline? +* 2. Is the property within the Port Townsend Historical District? 3. Is the property located within or adjacent to an environmentally sensitive area? "�!5M 06LOW 4. Will this proposal involve any sewer, water or other utility extensions that will, or could serve vacant properties other than the project site? If yes, please attach information identifying the utility extensions and sites. 5. Have any special conditions been placed on this property, or has the property been subject to any conditions on any prior action of the City (if "Yes" to any of the following, attach copies of appropriate documents): _dMsim, Jar-4aVl3oundary Line Adjustment? SEPA (environmental review)? Variance? Conditional Use Permit? Street Vacation? Planned Unit Development? Restrictive Covenant? Easement? 6. Are, any properties within 800 feet of the site owned or controlled by the applicant, any relative or business associate„ or any partnership, c rporation, or otlr enft affiliated with the applicant? (If es, attach list. V ��1 r 7. Have any of the properties listed in item #6 been developed within the last two years? (If yes, attach list.) . Have you previously discussed this project with a City staff member? If yes, who and when? �l Ci Wr JI CI ill mri FAXW 4� 9--(12 1 . *[. 61 W-TIV4 &JzT, K IT.dGk FP. Ap nation L NT -1 E 0611 N6E4?,_J HC 0'1.13 - 2.00( ) The applicant hereby certifies to have knowledge of those sections of the International Residential Code and the Port Townsend Municipal Code pertinent to the above project and that the applicant is responsible for constructing in conformance with these codes; the applicant understands that the permit, if issued, expires in six months unless work is started; that the permit, after construction has started, will expire after one year if an inspection is not made to show significant progress on the structure; the applicant agrees to abide by the ordinances, codes, regulations, restrictive covenants, deed or plat restrictions; and water and sewer plans attached hereto; the applicant certifies that all information given above and on, accompanying plans is complete and accurate to the best of their knowledge; and the applicant understands that this information will be relied upon in granting permits and that if such information is later found to be nnaccurate any permits may be withdrawn. (_e,ep, evI�, n P:\DSD\Department Forms\Building Forms\Application-Residential Building Permit.doc Page 3 of 3 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTRUCTION, REMODELS, & ADDITIONS The undersigned hereby saves and holds the City of Port Townsend harmless from any and all causes of action, judgments, claims, or demands, or from any liability of any nature arising from any non-compliance with any restrictive covenants, plat restrictions, deed restrictions, or other restrictions which may have been established by parties other than the City of Port Townsend. Port Townsend Municipal Code, Section 16.04.140, Vested Rights - Substantially Complete Building Permit Application: applications for all land use and development permits required under ordinances of the city shall be considered under the zoning and other land use control ordinances in effect on the date a fully complete building permit application, meeting the requirements identified in this section, is filed with the Development Services Department. Until a complete building permit application is filed, all applications for land use and development permits shall be reviewed subject to any zoning or other land use control ordinances which become effective prior to the date of issuance of a final decision by the city on the application. An application for a building permit shall be considered complete when an application meeting all of the requirements of Section R105.3 of the International Residential Code, 2003 Edition, is submitted which is consistent with all then applicable ordinances and laws. In addition, to be considered complete, such an application must be accompanied by complete applications for a subsidiary land use or development permits needed, such as a complete shoreline management permit application and/or complete applications for other discretionary permits required under the ordinances of Port Townsend. An application for a partial permit under Section R105.3.1 of the International Residential Code, 2003 Edition, shall not be considered complete unless it meets all requirements stated above and contains plans for the complete structural frame of the building and the architectural plans for the structure. Si dnatureof Applicar A thorized Representative ate For Official Use Only Perm* No. Building Official Approval � Date Issued Balance Due $ Date Validation Strnp below: Owner/Representative Signature Date PADSD\Department Forms\Building Forms\Application-Residential Building Permit.doc Page 4 of 4 RESIDENTIAL CHECKLIST (For 1-2 Family Residences) NAME OF APPLICANT: Date Received with all necessary paperwork: _By: _�.. ._._.__ ..............._....... ........ m._ .............. .._ BUILDING REVIEW BUILDING PERMIT # Zoning =? _ Impervious Surface % _ Lot Coverage = IT, OK w/zoning? Septic? If yes, contact County Env. Health ITmmmmmm_—ITIT _ ns on site plan _. . In a PUDE Yes/No Parking —need dimensions � � v Site Plan, all setbacks shown Address needed? ......w_ J__.._.. .._- ....... ........ �. Completed Plans Checklist ADU? Prepare Notice to Title �i�'� mEnergy Code Checklist & Compliance Form V/ If architect/engineer, plans wet stamp/signed �..�... ... _..._ ..._. ..�.-............_u 2 Sets of Plans Submitted? Garage? Attached Detached _._.. Type of Heat If a new detached garage or ADU, give copy of site Ian to Francesca —_ Floor Plan: Number of bedrooms .. L ............ lam, Typical framing details/section Number of bathrooms Found Floor if calcs, shear & ve bialoe mlan; if calcs, st be shown on down lans symbol �"` symbolr& verbiaaming ge e� must be shown nl laps Floor framing plan �' Elevation(s) ............................. Roof framing section plan PLANNING REVIEW . ............... ............... ....... __ VIEW (if applicable) LAND USE PERMIT # .TROUTED O: __.M.......... ............................... __. DATE: __ ....... .......... .... ................. ............ .....—.. — .. __.. ........ Critical Area Map checked. If in CA, what is it mapped? Slope: % ._, ........... g _._M ................... .................-FEMA forms if yes Within 200 ft of Shoreline OrdinaryI� h In Flood Plain? Fill out Water Mark? �......__.... —........................._.........__ Lots of Record review (all 3 must be true): 9 or fewer lot(s), plat created pre-1937, AND development requires water, sewer, or street to be extended; OR if a block is owned with one SFR & wants to build another residence. CHECK for prior Public Works pertuit if it was already issued! ..... PUBLIC WORKS REVIEW MIP# ($53 due) or SDP # ($330 due) .. ............... ROUTED TO: DATE: ................. . .... ._.. __..... ... _..........._— ....... Checklist attached 8-1/2 Submittal Checkx 11 Site Plan reviewed for all items .......................... _._ ................. All trees in ROW identified Septic? Need County OK FIRST �. _ _ ........ ....._ _.-........................ .............. ................... Pre-app Conference? Date held: PRE #; Impervious Checked ____._—.—.—._._------------- — Any work in ROW beyond a driveway apron needs Engineered Plans. DO NOT ACCEPT PERMIT WITHOUT THEM! Water, sewer, and/or streets being extended? Need 4 sets of engineered plans. Any existing or proposed easements for shared utilities or driveway w/ adjacent property owners? We must have the licensed contractor's name and information for ANY right-of-way work. P:\DSD\Forms\Building Forms\Checklist-Residential Building Plans-Front Counter Sep 06.doc Revised 9/27/06 BUILDING PERMIT FEES CHECKLIST m�. ° t P ® -0-to - Fees Based on Fair Market Valuation or Submitted Anglo unt Valuation mm FEES DUE AT SUBMITTAL Plan Review Fee (2010) ............. _._ . 1" $50 (2164) MIP Record Retention Fee $3 (9992) SDP Fees: Street $62.50 (2164) Water $62.50 (1201) ..�............................�.__._............................................... w....�....._.....................................W..�.............. ......._ -._ Sewer $62.50 (1361) Storm $62.50 (1401) SDP Record Retention Fee $10 (9992) PW Inspection Fee $70 (2140) Other Other TOTAL DUE AT SUBMITTAL ............. ...... _._........... �.�m_ FEES DUE AT PERMIT ISSUANCE Building Permit Fee 2000) Propane Tank/Pi in Inspection $47 (2000) ..._ State Building Code Surcharge $4.50 (2005) Plus $2/unit for multi-famil House Number $3 (2200) - .. $3 per unit if multi -family . _.. _... m...... Hamilton Heights Recreation Fee $200 (5030) Hamilton Heights Transportation Fee $156 (2167) Lynnesfield Off-site Transportation Fee $231 (2168) Record Retention Fee $3 to $10 (9992) .................. .__..._.......... .......... __.. , s_ Other Other.........m.._ ..... �..� _.. m _ TOTAL DUE AT PERMIT ISSUE =, R,Notified Permit is heady to be picked up (Wlio/ ate/lllitials): 1, �� your Impervious calculation to Finance sent (Date): :. 1 ........... .......... . ........ P:\DSD\Fomis\Building Fomis\Checklist-Residential Building Plans -Front Counter Sep 06.doc Revised 9/27/06 105 LL LL O ow W F 0 O N 0 W Z 2 a� W Z 00 aw w m Q U) Q oa (-) CL ~ U) m Z D U) �a O a a' w as � a za z 0 w W n, U O z Cl) rn } Z wa > a O :3 U W () W O F 2 00 Z LL W 08co a J IL y z O O Z ao U J O m v� w � 2 O F V Z a Q z z _ U0 O LLF 2 Q La 4 Z Q O IL IL Q 0 U m as W 0 a m N Cl) N m 0 J m O Z w a 0 LO C) 0 rn00 O Z W Q a Z LU w J H Q U) Y O 06 Ir H H Lo Z_ w _ m U v � LL N W W a. W Z Q O N z Z w O U LU 0 a y z Z O ww IL m z N Z LU O U LU Q 0 Z O U w CL N z J J 0- 0 Z O cn w F- C7 Z 00 LL Z O Q =O LL _Z m � m LL w OJ LL J Z Q W m C7 Z LL O O J_ O '' m Z E W Q 0 C a) o OZ r F- U o o � � cn aZ O w LU U 0 O Q w O ~ a 0 w D U cn cn N w O U Ir N Cl) N m 0 J m O Z w a 0 LO C) 0 rn00 O Z W Q a Z LU w J H Q U) Y O 06 Ir H H Lo Z_ w _ m U v � LL N W W a. W Z Q O N z Z w O U LU 0 a y z Z O ww IL m z N Z LU O U LU Q 0 Z O U w CL N z Q H N Z N coLL O Cl) Aja CD J M JO Q F- U Z O2 WL) a D a. co > W Z W Q Ix ~W N m D H w M ly m OU) W d w It Z O V W a U) Z J J Z O Z cn w F- C7 Z 00 LL Z O Q =O LL _Z m � m LL w OJ LL J Z Q W m C7 Z LL Z J W Z O J_ O '' m Z E Q H N Z N coLL O Cl) Aja CD J M JO Q F- U Z O2 WL) a D a. co > W Z W Q Ix ~W N m D H w M ly m OU) W d w It Z O V W a U) Z go T Receipt Number: w genpmtrreceipts Page 1 of 1 0—M/ ....// w " i/� iii Fetnit - Prc6i F+e+r //�/r BLD06-232 989703501 State Building Code Council Fee $10.00 $10.00 $0.00 BLD06-232 989703501 Building Permit Fee $47.00 $47.00 $0.00 BLD06-232 989703501 Building Permit Fee $734.75 $734.75 $0.00 BLD06-232 989703501 Record Retention Fee for Binding Si $4.50 $4.50 $0.00 Total: $796.25 Previous Payment History Receipt 0 Receipt Date Fie Description Amount Paid Permit # Payment Check Payment Metbod Number rnrunt CHECK 1680 $ 796.25 Total $796.25 genpmtrreceipts Page 1 of 1 ❑ M iiate ftppiacanon tceceivea 'kmendeo: Completion: ❑{' RECEIVED Annual: Ll$500" 1 �� A FEB 1 ZO A 2940 B Limited Lane NW, Olympia WA 98502 Phone: (360) 586-1044 Fax: (360) 491-6308 1yMr , a,or APPLICATION TO PRRFOIiM AN ASBESTOS PROJECT A. Prta act c; i. Asltestos ltetnoval _ _ 2, l enov lit tJ 3. Maintenance 4. Encgsulatxora S. Demolition 6. n er alae . 7• Other- -� � B. Property Owner: nDbr Property Owner's � hotae: Harlan Address: �� U� 5 Ol � 6_ C. Asbestos Coaatractor.� /(� ....Contractor OmnerlCEO: State: M Mail�ddros " o • , hon Ci zis D. Site Address. 4 L Ci : �� ���AJ State: Contac Manage AA I � � � � I r or 7a— r: 17 L er��tr Asbestos Stir cy or No. of Strutttrea tJate Asbestos Surveyanductcd:s Asbestos PtaundP Mat l Prresu led-, Yes3.06 rf l0 ury A1�1 A 1 to In � � _ � S ��v urns.�svxvEY9,REQrrx�naEFoxs.uca�r LOON Cert ficatzon No.: Expiration Date: Inspector Name: MOM=�12� dL , l LLQ 7 f76 / Lot rwZ1, �C, 16,277. d % lition No. of Structures: Start Traini.n Fire (]gist Fire Dept, as detnolitioti contractor below) F. Mento �.. ,. 1Detttolltlon lrtn/namehcwn„an n,nlaRBtnabx�,me« .3. C] ❑ Ordered] ontolition attach]co of Order Informations p b"Jmbnrko orn� Ifhnlning burn. entername aJJlre deprrnnen/here�-•,.: — ... _...._ Contractor t CX \ t Phone: (N.&sz,) G. Asbestos No. of Structures: (sec Start Date: Completion Wk. Days: M Th F Sa Su Project back if> 1) Hours: Date: urs: Informations 1 3, o-7 Will all asbestos material be removed by Total Quantity to be, ]removed: Linear Feet ro"act conn letioni'� Yes ❑ O ��� Square Feet Tlterrttal. S stent Insulation: Boiler/Furnace Ins. Duct Ins. Pipt� Ins. Other: -- Snrfaca`n Mat'l:traproo frog Paints Plaster Textured Coatings Other. N isc. matli: Came nt Bd. Cement Ripe FloorlH. nS Mat'1 �itao�ng Mat'1 Other: AsbestosLDenaoliti+mtt Project atel;orless "foto tics W ttin�Pe�tL NON_ 3. ass than l0 ]sneer feet o r ices the n l i s are fust .,a• P Notice 25 ..—,—Prior 4. 1-2 linear feet or i l - l59 s arc feet 10 Work' Days-, 10 5, 2611- 9 9 ]sneer e� or i Ali �# 9 s oars fact "ork : 6. 1 iOQ - ^� 9 lntcar fact or 5 00U - 4� X99 s stat feet � 1C3 Woria Ila s $500 0 7. 10 8 ❑A fLi�t ._ 10 4'orki. Iia s 1 40t) ah Pipit d coal additional errnita conta t ItCAA' ..... _ . Prior to start of"'Now Year $500 911. �Atnsodctnc Pro act Prior Notice 'SU anis nti fee for Za axtt) ,"A atrtendtnettt Prior No tico 25 I. 1 da hereby certify that the information contained in this notit'ication, and supplemental data described heiein, is to the best of my imowledge Payment received state. 1-i accurate and complete. I shall not cause or allow any asbestos project or demolition activities to begin until the appropriate waiting period Reviewed date: Z• i has elapsed" Reviewed by. Rev. 9/3/2002 the ttucatdon to applicant: ,i Po inp Regulation 1, Section 14 -.Asbestos =.-•- ..�. C-' �.. rt era . Use l3"rai RECEIVED FEB 2 1 2007 ORCAk EM PERMIT" APPROVED., COMMMALLY APPR NOT APPROVED FOR COMPLIANCE WITH ORCAA REGULAMN f V _ Notification of Demolition Permit It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos - containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos -containing material remaining in the area of the structure. Project Site Address A S • y 1 City Connty. ...�, � �.,�,��,.�_ ..�.•.�..�-State. Zip: ���- p �. Starting Date: a p Completion Date: *(here is a 10 working day advance notification mriod from receint of nn nit vmnl;,-ar;—N Property Owner: Mailing Demolition Contractor: SState License #: "" Mailing Address: , l)-1-414 LDS '• � �.. State: � Contact Person: . t " elephone. 3$S, Fapt: YEF S NO Demolition by Wrecking or Dismantling? ($25.00 fee) check Training Fire Demolition? (If yes, attach fire department request for training fire) x Renovation, Alteration, Remodeling, Maintenance, or other Construction? xAsbestos found or suspected* *An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos" form acid appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be prefoi`med by a Certified Asbestos Contractor and all friable' -or potentially friable asbestos must be removed before any demolition begins.. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestos Survey Completed by AEERA Certified Inspector r Certification # — OG - l oZ D6 6 This approved permit must Enclose $25 Certification of the Asbestos Survey must be available at the job site Processing Fee accompany this form 2,94013 Limited Lane NW, Olympia, Washington 98502 CKNa,/ A � All 360.586-1044 * 800.422-5623 * fax :3fi0-491-630 homepage: www.orcia.org * email: i tl'g F:\COMMON\Forms\asbestos\DemoPermit.doc Rev. 10/22/02 Development Services Department 250 Madison Street, Suite 3 Port Townsend, WA 98368 Phone: (360) 379-5095 Fax: (360) 344-4619 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE For Next Day Inspection Call 385-2294 Before 3P.M. Permit Number: BLD06-232 Issued: 1/30/07 Parcel Number: 989 703 501 Job Address: 1415 Washington Street Zoning: R -II Type: V -B Nature of Work: SFR remodel with addition Owners: Robert +: Kathleen Francis Contractor: Townsend builders active GENERAL CONDITIONS APPLY — SEE LAST PAGE SEPARATE, PERMITS REQUIRED: Electrical — Contact Labor & Industries @ 360-417-2702 NOTE: ACQUAINT YOURSELF WITH THE LISTED REQUIRMENTS TO RECEIVE FINAL BUILIDNG INSPECTION PRIOR TO THE START OF CONSTRUCTION AND PRIOR TO YOUR REQUEST FOR FINAL INSPECTION. ***All elements of engineering including holdowns, framing, nailing and other engineering connections require inspection prior to cover. *** RE UIRED INSPECTIONS APPROVED/DATE TEMP EROSION & SEDIMENT CONTROL See General Condition No. 2 Silt Fence as needed Drive Off Mat to restrict sediment from leaving the site FOOTINGS Setbacks Footings Forms Reinforcement Holdowns MUST BE TIED IN PLACE NO WET STICKING Anchor Bolts & Washers L)FER Ground Tied to footing rebar steel) Interior Pads Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 4 FOUNDATION WALLS Reinforcement Hold Downs Anchor Bolts & Washers Permit #BLD06-232 PLUMBING: Rough -In (D -V -T & Clean outs) Water Supply Water Hammer Arrester (on dishwasher, ice maker & clothes washer) Hose Bibs (backflow protection required) Pipe Insulation (R-3) Pressure Reduction Valve required Water Heater Seismic Restraint — strap tank @ 1/3 points Pressure relief valve drain to exterior, terminate 6" — 24" above ground Expansion tank Licensed Plumbing Contractor's Signature & License Number: Sign here FLOOR FRAMING CALL FOR INSPECTION BEFORE COVER Cripple Walls Sheathing Joists Girders Posts Hangers Block joists ends & intermediate supports Positive Connections Treated Wood to Concrete Pressure treated plate connections Anchor Bolts & Washers Hold downs Shear wall nailing (TO BE INSPECTED & APPROVED PRIOR TO COVERING) Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 4 Permit #BLD06-232 WINDOW & HOUSE WRAP To be inspected & approved prior to cover MECHANICAL Whole House Fan W/ 24 hour timer Kitchen/Bath/Laundry Fans Environmental Air Exhaust ducting (w/ back draft dampers), Insulation (R-4) (on ducting in unheated space) LPG Tank LPG Piping LPG Stove LPG Heater FRAMING — all members and connections require inspection prior to cover Fasteners. in contact with Ireated inaterial must b hot Llip ped ga v an4ze d Walls Headers Rafters (hurricane clips) Roof Sheathing Joists (hangers) Cable X -Bracing Blocking Stairs Roof Venting — eave and ridge vents Windows - egress Smoke detectors (bedrooms, outside bedrooms and each floor) Safety Glazing Windows U factor - .40 or better Doors U -factor - .20 or better NFRC window sticker must be on window, skylights & doors at insp. time. Air Seal Fire Blocking Weather Resistive Barrier INSULATION Floor (R-30) Walls (R-21) Vault (R-30) Vapor Barrier: paint for walls and ceiling Baffles DRYWALL . ... ...... PUBLIC WORKS FINAL Public Works Sign -Off _(pljo r to building final) . ................ . ................... . ............ Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 3 of 4 Look Up a Contractor, Electrician .or Plumber Search Result Page 1 of 1 Topic Index Contact Info c va r ,fm airiz rf 0 Home Safety Claims & Insurance Workplace i s Trails it Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Your search for Name: 'Townsend builders' found 1 records. Click on License # in the License column to view details. Page 1 of 0 License Name UBI City Type Status TOWNS131088JA TOWNSEND BUILDERS INC 601356849 1 PORT TOWNSEND CONSTRUCTION ACTIVE 1 Start a new Search -eq, 61)out L I � bind a job rat Lel lni``wmaci6n erg es ahol 0 Site Feedback � r F nw� lei 1-800-547-8367i W fC�Nil�t Wa,,hiiigto 9 State CYre 'L, of Labor and liir9ustrie , Use of this :> Le is subject to the I.aw.� of, the ^,AtAe: of ashiriptrari, Access I Privacy and sci'lu ity sViU,,,rrieM I Mended G:'aral.icy Visit acres,` w,Wa, POV Staff orJy Unk https:Hfortress.wa.gov/lni/bbip/search.aspx 1/30/2007 FINAL Parking — 2 space required House Numbers — 5" minimum Plumbing LPG Vapor Barrier Paint Certificate Insulation Certificate Smoke Detectors Final — Buildinc kw' Permit #BLD06-232 1. Contractors working on this project are required to have a Labor & Industries contractor's registration number and a City business license. Failure to provide proof of this documentation prior to work may result in job shut down while this is accomplished. 2. Temporary erosion and sediment control (TESC) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294. Measures shall include installation of silt fencing and graveled construction entrance (see attached details). Adjacent rights-of-way shall be kept free of dirt debris. Soils exposed during construction shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be permanently stabilized with seeding, plantings, sodding, etc. once construction is complete. Applicant is responsible for protection of adjacent properties. 3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced wall panels (ABWP) require inspection prior to cover. 4. Owner or owner's agent shall review and oversee correction of any and all deficiencies noted by required inspections. 5. Re -inspection is required after inspection report corrections are completed. 6. The Building Department is unable to pass final inspection on your project until Public Works requirements have been completed and inspected. For Public Works inspection call 385-2294. A_ minimum of twenty-four hours notice is re wired. Public Works approval must be received prior to scheduling the Builtlin g De partrncut's final inspection. Final Inspections are required prior to occupancy; A Certificate of Occupancy is required for a non- residential project. 8. All building permits expire if no progress has been made within six months, or if no inspections are done by the Building Department within one year. 9. Revisions require submittal and approval prior to making changes in the field. Contact the Building Department (379-5095) prior to making changes to the approved plans. 10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. APPLICANT SIGNATURE DATE Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 4 of 4 City of Port Townsend Development Services Department Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 385-7675 Name gd-r� -14S Permit# K16 015HNWOO �T, 11141 VAN W�G,-H 5r, 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. I11.��addition to this form. Oeas+ submit: . Residential Building Permit Application form . Sensitive Areas Questionnaire . 2003 Washington State Energy Code forms. Use either prescriptive forms, or component performance forms with calculations. , :u . Washington State Energy Code Construction Checklist T16 . . Two sets of plans. 18- x 24- plan sheet size is preferred. Plans must be to scale. '/a " = 1 ft. is preferred. ".,, . If an architect has signed your plans, one set must have an original signature and wet stamp on each page, and the other set can be a photocopy of the signed and stamped plans. . For structures that require engineering (including pole structures, sunrooms, dormers of a certain size, "irregularly shaped" structures) provide two copies of calculations from a Washington Licensed Architect or Engineer: One set must have an original signature and wet stamp. For New Residential Dwelling Construction also submit: Street/Utility Development Permit application, or Minor Improvement Permit application if water and sewer are already stubbed to the property. For any work in the right-of-way, provide engineered plans. i . Two additional copies of the site plan for Public Works (three sets if a septic system is proposed). Please also include one original, dimensioned, scaled 8-1/2' x 11" size site plan (not a reduced copy). NOTE: Electrical Permits are required by the State of Washington Department of Labor & Industries (L&I).. Contact L&I at (360) 417-2700 for more information. i m AW -TF-&H r'wfz-T� i � u 0eAnJ0STM TK - , R P. " a.m�n .� _,, i No "m�T 5mEzr CORM �AJA116f2- 10 nEWALks , ? m�alicasat,doc \\Citynasl\public\DSD\Depaitment FontnAlluil ing Foam Thecklist-Recidentia.l Builths g Plansp Page 1 of 1 Revised 11/2005 � � List the paggetAnumbber in the left column for each item that you have included on your plans. PAGE # SITE I PLOT PLAN „� this To Ve'-11619N.IHOP T Irk L_, LI O id wl 6WA 16 � le4, L, pvv g:r _ AHO fmm \\Citynasl\public\DSD\Department Fomis\Building Forms\Checklist-Residential Building Plans-Applicant.doc Page 2 of 2 Revised 6/1/2005 Legal description, parcel number, name, address and telephone number of property I owner/a licant, including cellular phone if available. Property lines and dimensions, including all interior lot lines. All building lines and exterior dimensions (including all dwelling and accessory structures). Setbacks from property lines and buildings including structures on neighboring lots. (Indicate roof overhang. Overhang ma extend into setback area a maximum of two feet.) Driveways, walkways, patios, decks and porches. On-site parking (Two 9' x 19' spaces required for new residential construction. These spaces may be provided in a garage.) New ADUs do not require additional parking. ? Trees: Diameter, species name, location and canopy of existing significant trees in relation to proposed and existing structures, utility lines, and construction limit line. "Significant trees" are those with a minimum diameter of 12 inches measured at 4-1/2 feet above .2 average grade. Identify all significant trees to be removed by placing an "x" on them, and circle those trees that will remain. Significant trees removed in relation to and necessary for the construction of buildings, parking and driveways in connection with the issuance of a building permit are exempt. Exempt activity requires a written exemption issued by the Director of Development Services Department. Street names, road easements and easements of record. �i Existing and proposed utilities, service lines and pipe size. 'y Slope of land (grade and direction). eVHT Vu _ UN6s If there is 40% or more impervious surfaces on the lot, submit an impervious drainage system, indicating square footages on drainage site plan and method of detention. Sr�, I rE, I I,a Waterfront property: indicate bank height, setback between building and top of bank or bluff, all Icreeks, drainage corridors, etc. For new exterior construction, include all structures on either side within 300 feet, and their setbacks. ? %5, W5. 2 K1,0N, �' �' Existing and/or proposed septic system, if applicable. Please provide an extra set of plans for the County Health Department. „� this To Ve'-11619N.IHOP T Irk L_, LI O id wl 6WA 16 � le4, L, pvv g:r _ AHO fmm \\Citynasl\public\DSD\Department Fomis\Building Forms\Checklist-Residential Building Plans-Applicant.doc Page 2 of 2 Revised 6/1/2005 PAGE# FOUNDATION PLAN 5 -7 � t40%S 00 SHE61-4 6FAWL-�Ac.r-- MtA:. =7061-5F:, -/,Oel sr— —'1150 Sr r -- I qWl- NAS 0.11j, N51 �6 APEA 4 + PAGE# FLOOR PLAN =9:&7 -S� 4e 45 \/E405 . -314 Footings, piers, and foundation walls (including interior footing or pier locations). 3- f3 Post and beam sizes and spans; detail beam/post and post/pier (or footing) positive connection. 3. Window, skylight and door locations and sizes, with egress and safety glazing, if applicable. (Include brand/model and U factor on energy application.) Ge�" '�XHEVJLJ'S' Beam pockets or method of securing beam ends. Rafter and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters, optional if trusses. Floor joist size, material grade, layout and spans. fEl-bW Foundation venting and calculations (1 square foot of vent/150 square feet of crawl space). Plumbing fixtures. dSr-, 5cd Etat) LF, Crawl space access & dimensions. Hot water tanks, furnaces, fireplaces, solid fuel appliances and combustion air ducts.';E� GMft2, Location of whole house ventilation fan, controls and timer. Ser,- e--e-HEVAe Plumbing sizes and locations of foundation penetration. f�> Vapor retarder on crawlspace ground (6 mil black polyethylene). Type of exhaust duct material, duct path and exterior termination point of appliance vents and environmental exhaust ducts. Foundation Drainage (per UPC Section 1101.5) 6FAWL-�Ac.r-- MtA:. =7061-5F:, -/,Oel sr— —'1150 Sr r -- I qWl- NAS 0.11j, N51 �6 APEA 4 + PAGE# FLOOR PLAN =9:&7 -S� 4e 45 \/E405 . -314 Room use, size and square footage by floor level. ................................. .... m_.__............_ . All room dimensions. ..................... ..... . .... Braced wall panel locations per IRC Section R602.10 EV 15� . ..... .... ........... ..... Smoke detector locations. 3- f3 Stairways: width, rise, run, handrails, guardrails, landings, etc. �2#4 4 61-,J Window, skylight and door locations and sizes, with egress and safety glazing, if applicable. (Include brand/model and U factor on energy application.) Ge�" '�XHEVJLJ'S' Rafter and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters, optional if trusses. Attic access location and dimensions. Plumbing fixtures. dSr-, 5cd Etat) LF, Hot water tanks, furnaces, fireplaces, solid fuel appliances and combustion air ducts.';E� GMft2, Location of whole house ventilation fan, controls and timer. Ser,- e--e-HEVAe Location and chn of all other exhaust fans (i.e. bathroom,-, kitchen,and.launqry), -�M Sput--F- Type of exhaust duct material, duct path and exterior termination point of appliance vents and environmental exhaust ducts. Mae and location of all WSEC outside fresh air inlets. X KA. Fire blocking. 1 -hr. construction between dwelling & garage on garage side per IRC Section 309.2 K14111P)2 New ?zy,, ��wn,4" Jy r t"T h, 7 N'4VVI✓ YIAIp16 21"1 r VCLiynra %puac6SDDepar'('inen(Form.s\BuilditigFonnklimkli�t-R,;idL,,ti,t uildingPlans-Appficantdac PQel f �otl OVISM 6?1/2665 , Floodproofing g plan if structure is in a flood zone - see FEMA maps, and ESA neap in DSD. 71�1,A S-' Fooling size, reinforcement (include vertical rebar) depth below natural and final grade. w,l II Foundation wall, height, width and reinforcement (rebar), hold-downs if a licaible. Anchor bolts, washers (2 x 2 x 3/16 square, steel) and pressure treated elates. �, A, Thickness of floor slab. 5--j Floor joist size and spacing, under floor clearance from crawl space grade for joists and beams. 11 Floor sheathing, type and size.. 11 Wall stud size, grade and spacing. 11 Framing to be used: standard, intermediate or advanced.. II 11 I Header, msize, grade, spans and insulation (i.�pylicable) _ _- Wall sheathing and siding and material. Type & location of weather -resistive barrier per IRC Section R703.2 and R703.8 11 Type and location of va or retarder ('SEC 502.1.6). 11 Sheetrock: thickness, type and location. II Insulation material and R -value in walls above and below grade, floor, ceiling and slab. II Rafters, ceiling joists, trusses, with blocking and positive connection of roof system to walla 11 Ceiling height. 11 Roof sheathing, roofing material, roof pitch, attic ventilation (provide calculations). ijEL F-,FLoq PAGE # EXTERIOR ELEVATIONS 'la MAXIMUM I I S I IS t� OrAH'� F� �ILVItJCIS �s L. ��I I.11 I A -MI II (p)i =1� / I I � T r YqIrH -6r— DIST; S9 , 6�1-r * � I'�7 4--3.sr -' WO sr -/SIS O'r. ,,50UPO, @ Co r -r 0,6, ALLY S AFM , 11 VHVep 0m2 Sr/�MT = 4,74:,:5r- -4.61 °!t�F- I�v, L laa 6r : I to'/e2F --l' o 5,F) \\Citynasl\public\DSD\Dcpartment Fonms\Building Fonns\Checklist-Residential Building Plans-Applicant.doc Page 4 of 4 Revised 6/1/2005 CD N O Il M � rr rt- t- 00 `- M L O m m C O 2 a m vi a) U m 0- _0 a a) N m 7 O 0 CD CO O L o` M c 00 U D M w Q CO 00 m a a C m j O N CCO C r 7 C 3 O � H � C m � m O � a cn L O m m C O 2 a m vi a) U m 0- _0 a a) N m 7 O 0 CD ami (n U C w w CO 00 m C C) m j r 7 N � � C m a� fA CD c CD ar C ~ ++ � N c 4 O i c a N a Cc O N � C = •� L R tl N w � M tl N 4' p N 06 Y Q +� M tl � U �m N> Y X u Y Y d N v E O N = L ir U) C 0 0 O �a � z o L O m m C O 2 a m vi a) U m 0- _0 a a) N m 7 O 0 •� L R tl N w y tl N 4' P X Y M tl Y N> Y X u Y Y p v � 3 3 m o - O - O Q) . _..._ ...... 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N m C C m N N +'' a` (D a) 0 L L L E O m o C •a) o o °� E co E m m o '° o E co E m E m �' E N m U m U x m a) X m U) a) a) a) E` m o6 oo vZ r:- O C N a 7 7 7 7 U cn` rnrn Q•-Eaamoaaa m m 0 E rn X X a s d •C C 0 O O O C Q) CD 7 L C 7 C 7 p 0 0 a 0 C 7 L p a s m L L O O O O O U m -0 7 Q N N � Q � 3: .x .;- O a Q a Q- - - - O_ L - - - - - - OLc- _J `s m U) a cn cn Ln I, I� O O O ^ L 3 Lo - N N O C aa)) .._.... _ N C c- N M LC) CC I� 00 d7 O r r N M r q* r rr rr 4 r �. 00 r .._.... N _ N N N '', N C14 N....... CD N N L O m m C O 2 a m vi a) U m 0- _0 a a) N m 7 O 0 o Qoa City of Port Townsend o Development Services Department ca � Waterman &Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 WA (360) 379-3208 Fax: (360) 385-7675 Washington State Energy Code (WSEC) 2001 Residential Construction Checklist Complete this form in addition to WSEC fora s. Please answer the following questions: �n'tes -r TAPE OF PRO.ECT: rtes�. 'KNew construction, e" it n v�5 � i ......R. w, Must meet whole house and spot ventilation requirements, and show full WSEC compliance a 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. ft. does not require whole house ventilation. Spot ventilation is still required. 6\ TYPE OF HEATING — Please check, all that apply: � Electric ❑ Wall'Heater % Baseboard ❑ Forced Air Furnace ❑ Radiant Floor (Boiler) ❑ Other _ Non -Electric: Propane: ❑ Radiant Floor/Baseboard (Boilet),'�,R(LPG Stove ❑ LPG Furnace ❑ Other LPG ❑ Heat Pump ❑ Oil Furnace ❑ Woodstove (candy used as secondary heat source) O VAPOR RETARDERS: 7 Vapor retarders shall be installed toward the warm surface as represented below. Select one option for floors, walls, and appropriate ceilings: o Floors: A )l Plywood with exterior glue ❑ Poly plastic (greater than or equal to 4 millimeter thick) ❑ Backed batts o Walls: ❑ Poly plastic (greater than or equal to 4 millimeter thick) ❑ Face -stapled, backed batts X Low -perm paint o Ceilings: 3 ❑ 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 W Xa PADSMDepartment Forms\Building Forms\Application-Residential Energy Code Checklist.doc o Page 1 of 1 r Type of ventilation used tluou pout the house: ❑ HVAC Integrated Option X Exhaust Option Whole House Fan for "Exhaust Option": • In what room is your whole house fan located? Iv - • What size is the whole house exhaust fan? X 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 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 Ports Wall Ports PADSMDepartment Forms\Building Forms\Application-Residential Energy Code Checklist.doc Page 2 of 2 Prescriptive Approach — Simple Form For the Washington State Energy Code (2001 Edition) Climate Zone 1 Site Information State: WA Zip: - _�5 2�S�o Contact:. A Phone: :MCO - 73515 -Ill 21 Phone 2: Fax Building Department Use Only Permit M Notes: Table 6-1 PRESCRIPTIVE REQUIREMENTS °"1 FOR GROUP R OCCUPANCY CLMATE ZONE 1 elimited Glazing Option Orsi. Option Glaffig Area1° OIazi'nB U -Factor I3oa U- Ceiling2 Vaulted Wall Above Wall Into Wall.. lk4 Floors Slab On % of Floor Vertical Overhead" factor Ceiling Grade Below Below Grade Grade Grade III 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 Onl I J I - 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 III. ✓ 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 2 or less, that does not meet the standards is allowed. Location of the door taking this exception '+ ❑ 602.6 Exception 2. Doors with a Wactor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception Copyright 2002, WSUCEEP02 056 Copied by permission from the Washington State University Cooperative Extension Energy Program Prescriptive — Simple Form — Climate Zone 1 5/31/2002 2001 EG'7i©4,4 TABLE `6-1 PRESCRIPTIVE REQUIREMENTS" FORROUP R OCCUPANCY CLIMATE ZONE 1 Option Glazing Area10: % of Floor Glazing U -Factor Doors U- actor Ceiling2 Vaulted Ceilind3 Wall Above Grade Wall• into Below Grade Wallo exe Below Grade Floors S 4 on Grade Vertical Overhead" L 12% 0.35 0.58 0.20 R-38 R-30 ' R15 R-15 R-10 R-30 I R-10 IL* 15% 0.40 0.58 0.20 R-38 R-30 -R-21 R-21 R-10 R-30 R-10 III. 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 Ont 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 proposed design has a glazing ratio to the conditioned flcwcar area of 13%, it shall comply with all of the requirements of the 15% glazing option (or higher). Proposed designs which c,ann t 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 R40, 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 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-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. 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To help us make this determination, please supply the following information. dM'-: General Information: AM HAI , lTtZX Applicant Name: ``'��N �IA ��S Phone: �j`�j�j' `1 Mailing Address: x-2.1 W� I ��©I`L '� 1 ►-rUWWr Property Address (if different): �Q'� ll4 t;N �Description of Proposal (include site plan): W 1"S r J 6 14 OiW t4 x 9 1 �p PW 6 or-r,� <I4l UI r 61 e 4 S 6 9- The proposed rxw construction creates 4-,5+5 . ft. of impervious surface. What best management practices are: proposed? 46j -r�ZgM41 i %3 t 'f W(* H 0 '�91 L, P 4;rU KF,14� 49X I '\"I4t7 SUP-A4,r,- 66 0 4Pd �1 l Sensitive AreaQuestions: 1. Is any portion of the property within or near a mapped Environmentally Sensitive Area? (Maps are available at the Building and Community Development Department) SES NO 2. Is there any st ading or ung water on the surface of the site at any time during the year? Yes No if YES, please describe: 3. Has any portion of the site been identified as a wetland? YESND If YES, please describe: 4. Is the site characterized as: Forest Meadow Cleared Mixed \\Citypdc%ome\Pennyw\BCD Forms\Sensitive Areas Questionnaire.doe 5. Is the slope of the property: flat gentle slope steep slope (0%-50/0) (5%-1501.) (15%- 400/6) Critical Slope — 40% or greater >40% 40% 15% 0% The applicant hereby certifies that all of the above statements and the information contained in any other transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of Port Townsend based in whole or in part on this application may be reversed if it develops that any such statement or other information contained herein is false. The applicant understands that the determination of the Director may be appealed by the applicant or by any other party by following the appeal procedure outlined in Chapter 1.14 of the Port Townsend Municipal Code. Any appeal must be filed within seven calendar days from the Notice of a final decision. Ze I o Signature of Applicant mate \\Citypdc\home\PennyWOCD Foims\Sensitive Areas Questionnaire. doc ASBESTOS BULK SAMPLE DATA Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360-385-0584 nordiwestasbestosconsultants@cablespeed.com To Clayton Services Date: 5/30/06 .lob Lo tion.' 241 Van Buren St. Port Townsend, WA 98368 QQatactsi Kathy Francis 2441 Van Buren St: Port Townsend, WA 98368 SAMD1LAL Kitchen and hallway. Floor vinyl with mastic. Brown &=pjg-Q.j Bathroom floor vinyl with mastic. White with gold. 52. LC * Fireplace mortar. e A4;. Exterior skirting. iuvg= Bob Witheridge AHERA - Building Inspector / Management Planner WAMOA - 0042-06-10270601 Expires - 10/27/07 Please call with test results when completed. See attachment. Thank you, Bob Witheridge, EFM m ]lad l of 2 "1 ASO_ ;TOS BULK SAMPLE DATA ..:, Log #: 42082 NVLAP LAB CODE #101106-0 priority: Regular B ciayr°" os Accredited Laboratory 4636I1. hi'W Way argmal Way se. salla leo Project #: 1100H-000001.00.024 Seattle, WA 99134 (206)763-7364 Number of Samples: 4 Client Name: Northwest Asbestos Consultants Contact: Bob Witheridge Job Location: 241 Van Buren Street, Port Townsend, NVA 98368 PO/Job#:Francis SAMPLE #:, SULTS: OTHER FIBERS % LAB #: 42082.1 Layers Homogenized for Analysis Cellulose 5 SOURCE: Floor Vinyl with Mastic Asbestos Containing Material (ACM) LOCATION: Kitchen and Hallway ASBESTOS TYPE PERCENT Chrysotile 15 OTHER MATERIALS % Filler & Binder 30 Foam 25 MA` I° RIAL Uhaol1'OM LAYERED Vinyl Filler and Binder 25 Brown, tan and whitepatterned vinyl on white spongy and off-white fibrous backing with yellow mastic Note: Unable to separate mastic for individual analysis. SAMPLE #: C2RESULTS:OTHER FIBERS % LAB #: 42082.2 Layers Homogenized f La y g or Analysis Cellulose 15 SOURCE: Floor Vinyl with Mastic No Asbestos Detected Glass Fiber 10 LOCATJON: Bathroom ASBESTOS TYPE PERCENT OTHER MATERIALS Filler & Binder 40 Foam 10 MATERIAL R : : LAYERED Vinyl Filler and Binder 25 White vinyl with pink and gold streaks on white spongy and tan fibrous backing with yellow mastic and wood shavings Note: Unable to separate mastic for individual analysis. SAMPLE #:RESULTS: OTHER FIBERS % LAI3A 42082.3 Cellulose Trace SOURCE- Mortar No Asbestos Detected LOCA"I"ION': Fireplace ASBESTOS TYPE PERCENT OTHER MATERIALS Aggregate 60 Filler & Binder 40 MATERIAL DESCRIPTION: HOMOGENEOUS Tan and gray gritty compressed material Note: SAMPLED BY: Bob Wither dge DATE: 5/30/2006 ANALYZED BY: Rachel Melgoza DATE: 6/5/2006 COMPANY: Northwest Asbestos Consultants RECEIVED BY: Rachel Melgoza DATE: 6/2/2006 Angimli Clayton is accredited by MSTMVLAP, Aeo"tation'by NVLAp docs not indicate endorsement by NVLA'l" or any other government ageatcy. Atli`bdlk samples ace analyzed in accordance with ntethod EPAlbooft4-82.020 (Dectanber 1982). Analyses anon cross-thceked through lnler and intra labor oary clsality ao urmov program for voifiicaeio n. Thepercent values reported above are based om calibrated visual estimates by voluome unless verification by Point Counting is indicated, Test results reported relate only to tlrc samples submitted by the rV ent to Claylon„ Trane amounts of avbatoa could. posabty be miucd by PLM, therefore negative rrpults cannot be guammeed• This repast shall not be reproduced except in its entirety, witha ut Clayton Cm up Soviets permission Error Pates: Chrysotile„ Amasito and tlrocidolilc asbeno& Slualhative os, Quantbasive-,12 /Trennalitc, Actinolite and Anthophyllileasbeaeasa Qualitstive.,02, Quandtativ*-.03 A tra" amount otashe dos is defined an a" to two fibers found in three slWa mounts, Asbestos found in this amount will be reported as "Trace". Low Asbestos Content, any sample containing 1 percent or less asbestos as verified by PLM. d t f �' 1t 2 o 2 rAL,ESTOS BULK SAMPLE DATA.. Log #: 42082 NVLAP LAB CODE #101106-0 Priority: Regular B claytnn o'"°P ScWvioaa' Accredited Laborato 1 V 463ri E. Mar�mnl Way So. suite 140 ry Project #: 110OH-000001.00.024 Seattle, WA 98134 (206) 763-7364 Number of Samples: 4 Client Name: Northwest Asbestos Consultants Job Location: 241 Van Buren Street, Port Townsend, WA 98368 Contact: Bob Witheridge PO/Job#:Francis SAMPLE #: Layers RESULTS: 4 Homogenized for Analysis LAB #: 42082.4 SOURCE: Skirting Asbestos Containing Material (ACM) LOCATION: Exterior ASBESTOS TYPE PERCENT Chrysotile 18 .MATERIAL PESCRIPTION: LAYERED White paitrt on gray hard fibrous compressed material Note: OTHER FIBERS % Cellulose 2 OTHER MATERIALS % Mineral Filler & Binder 65 Miscellaneous Particles 5 Paint 10. SAMPLED BY: Bob Witheridge DATE: 5/30/2006 ANALYZED BY: Rachel Melgoza DATE: 6/5/2006 COMPANY: Northwest Asbestos Consultants , RECEIVED BY: Rachel Melgoza DATE: 6/2/2006 , Cla8PA/6 81020 (Decam aer 19312),Analyzes we doss- Shedd through inter acid, intra lsiboraitoq qualityu assurance arosmnni lair verification, Tho perecat values �ste+d above a mba with tr hrad yt y y " cle P y aro based oat enlibratatl visual catimates by volume unless verFlicalion by Point Counting is indica, Teel tatulrs reported vclate only to the samples su7mr fined by the client to Clnyuan. Tmcc amounts of esters could possibly be missed by PLM, t ercfaru err ativa resrtilts cannot 1ta 8m aarrtaad This report shral nnt,be rgxWuardd except in its entirety, tvidrmmt Cimylem Grawp SMircas Permission. 1 trot lkntms Chwy aretlwie, Amtasita and Ctaaoidngito asbsstas. Qmiulitntivm•.03, Qawvt1vative-.l2 f Trcmolkc, Aclimolitc and Atuhaphylldte asbestos: Qualitative -.02, Quanti ativc-.03 A trace amuurrt Of aslrtalas is defined, as one to two ftbcrs found in three stiller amounts. Asbestos round in this annount will be reported as 'Trace. Low Asbestos Content, any sample contatin ngs 1 perc"t or less asbestos as vcTifmd by P1.2r1, This survey includes all areas of inspection with report results from Clayton Environmental Testing Labs. r , e Kitchen and hallway. Floor vinyl with mastic. Brown 15% chrysotile asbestos. Approx. 196 sq. ft. Bathroom floor vinyl with mastic. White with gold. No asbestos detected. Fireplace mortar. No asbestos detected. Same . Exterior skirting. 18% chrysotile asbestos. Approx. 68 sq. ft. All asbestos containing building materials with a reading of 1% or greater is to be removed by the owner or a certified abatement contractor which follows the rules of the EPA and governed by Olympic Region Clean Air Agency. During building renovation it is possible that additional suspect asbestos containing building material (ACBM) may be found with in a wall, floor, ceiling or other areas not accessible at the time of the survey. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non -asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. After the facility is completely cleaned out a walk through and inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the City of Port Townsend Permit Center and Olympic Region Clean Air Agency. Thank you, Bob Witheridge, E.F. WAC 197-11-960 Environmental checklist. ENVIRONMENTAL CHECKLIST Purpose of checklist. The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructions for applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or "does not apply." Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you car. If have problems, the governmental agencies can assist you. The checklist questions apply to all paints of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklistfor nonproject proposals: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as "proposal," "proposer," and "affected geographic area," respectively. A. BACKGROUND 1. Name of proposed project, if applicable: rf?,4fl6i s I2EN MH6& 61415 WASHI IU'Ia 4 APO �S4I \Ar I3OP-E ) d1r.) 2. Name of applicant. 99rW-1* K,,-�H 44C4 6 142-1_ WA9HI Hc{f017 3. Address and phone number of applicant and contact person.: � Amy HW -r/ A94,Hlrz-t l 23 SNP P, -rove 4GeOP, \NA —IM34b 4. Date checklist prepared: I 1 ?j • 2Qp�p 5. Agency requesting checklist: � fe � 0 L41 i 104 G1 f75. 6. Proposed timingor schedule (Inc a (including phasing;, if applicable):. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. Na. - 8. List any environmental information you, know about that has-been. prepared, or will be prepared, wrectly related to. this,proposal. Q� Y Rri INGE; �tzv�,Yl Ic INC 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Ho. M List any governnncut approvals or permits. that will be needed for your proposal, if known.. MgLl�l , N�E4,154M GAL, MIHnf Z- � a IMrfzo er 11. Give brief, complete description of your proposal, including the proposed uses ,and the size of the project -and site. There= several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific information on project description.) r 12. Location of the proposal. Give sufficient ,information for -a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. 'f 6WHSE514P O+ell NAbl-04elM 15L,0e4e.'551 Wr'S 112- AN12 �.9��oF �S ->�+ '�Id rl I I -�ar/NSN P aq W/ db�FF tj Com, WA, TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the. site (circle or : Flat, rolling, hilly, steep slopes, niountabious, other wTP, ",A 1-rY HAS I' % P vel -rtv r rp ICU f� b. What is the steepest slope on the site {approximate percent slope)? 0 f:� g \1Ef?`''i uw-. �&rte M V1 6 + I61�2 %, '%Q7e % LOV4 - 2 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. UHPW, .Y1 dq CILGAt✓ Ti LL- &a\A 9 ) t -b cMlsi r2 _' CSE6 Irl FtRV Zr, e. Dpwribe the purpose, type, and approximate quotitics. of any filling or grading prgpPsed. Indicate source of fill. l 6 N� �, PF4\19V*Y 4 VrUqiSYSTEM . f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe, g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? 20X Or- W AQ Le P901512V / fig% 6r, PM29100 .� v uw r� Erxle: , h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: a. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantifies if known. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. c. Proposed measures to reduce_ or control emissions or other impacts to air, if any: 3 TO BE COMPLETED BY APPLICANT 3. Water a. Surface: EVALUATION FOR AGENCY USE ONLY 1) Is there any surface water body on or in the immediate_ vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. 99afe.&W05 6:1(- DRi' rawN5010 r--'AIS 2-0,-l-�1 fiN� P- J11,M N P '2;l.'M/ 5� r P F?; ( W C S ET 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. M 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. I>vi 5) Does the proposal lie within a I00 -year floodplain? If so, note location on the site plan. NQ b) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. 0 b. Ground: 1) Will ground water be withdrawn, or will water be disclsa:rged to ground water? Give general description, purpose, and approximate quantities if known. is 2) Describe waste material that will be, discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals... ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. IVa O15. 4 TO BE COMPLETED BY APPLICANT c. Water runoff (including'stonnwater): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. 2) Could waste inaterials enter ground or surface waters? If so, generally describe. she z.13 ,P. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: 45� Is,s,p 4. Plants a. Check or circle types of vegetation found on the site: decid'uoustree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other shrubs grass pasture crop or gram wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? C�F066 LAWN -0 J�)P �r.4Cgp by HiX o� c. List threatened or endangered species known to be on or near the site. L4444 rs d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: EVALUATION FOR AGENCY USE ONLY . ' -I��1 - ;IHS IGS) s. Anima _ G' r 1'�►N�, a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: aonle n�gbiad other: sna m l deer, ear, elk, beavcr;, other: fish: bass, sa molt, trout, herring, shellfish, other: b. List any threatened or endangered species known to be on or near the site. N0015, 5 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY c. Is the site part of a migration route? If so, explain. I'�PN8, j 440\14 l d. Proposed measures to preserve or enhance wildlife, if any: NEVJ LMPi eAP 061 WILL r9oW6 IW_F- SeP �/ " � I'Gl� �✓ GI�� %zUGrUp-E; MVS 6wp,4He;I rEp_,,cavep of2,1,Prv5 i b, Energy and natural resources 152 e a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be- used for heating, manufacturing, etc. b. Would your project affect the potential use of _solar energy by adjacent properties? t �" ��°�� ����`� I �• If so, generally describe. c. What kinds of energy conservation features are included in theplans of this proposal? List other proposed measures to reduce or control energy impacts, if any: 7.'Environmental health H AA, 16W 1 I 'J �I i 00 UH PF— rL60F,$ / I H Am eies a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. Ha 51,14H I FI4d,rIT ANTie_A F^1 -EP, 1) Describe special emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: r:w sin 0 61 '!,JUCT_i/f74--, % P� PW01- SN6P Inas F2;e5 l 9SPE&TEV fOP-- b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. L ^ I'S i 1� � M A , , I l0 5K� � ^ 6 WI`s �'v lN�k'I f�i ! \1 I r�fs 6 L?UP- 4el Px6JHE;SS HDUP_�. TO BE COMPLETED BY APPLICANT 3) Proposed measures to reduce or control noise impacts, if any: 11 W MAW M11011 8. Land and shoreline use a. What is the current use of the site and adjacent properties? �I WA LE - �A[ l t✓� I ►7E1�T �l. r2 IT ---J 7.o�I b. Has the site been used for agriculture? If so, describe. 00 c. Describe any structures on the site. °bINeaLI�-rkl►L-( PehIr5NC'F' 65, W1r-1 QIP F'4'a AL d. Will any structures be demolished? If so, what? �WTA G,_ APP111o1IS 19_ LA; 690s 6 Vllu, I� MMOWSHfn/I e. What is the current zoning classification of the site? IZJT f. What is the Gwent comprehensive plan designation of the site? M V10H -%HE )IlrY `2-4W4L6-r-AM1Ly g. If applicable, what is the current shoreline master program designation of the site? U K*� h. Has any part of the site been classified as an ",environmentally sensitive" area? If so, specify -i4rEFP f31-L)KF--Cawo&i V-.P\L/a-1 PIF 4Z;6Fv i. Approximately how many people would reside or work in the completed project? -TWO L Mme'. %W-- W 1 TH A-12-0. OWP I Eb) j. Approximately how many people would the completed project displace? k. Proposed measures to avoid or reduce displacement .impacts,, if any: N045. - - 7 1 VALUX1'1ON FOR AGENCY USE ONLY TO BE COMPLETED BY APPLICANT 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 1`00G' R. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. -r\qa. 6?C-/V1 b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. . "e, c. Proposed measures to reduce or control housing impacts, if any: BONG, 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? ,µµ b. What views in the immediate vicinity would be altered or obstructed? EVALUATION FOR AGENCY USE ONLY \I16\0 I � rx a Ea �� u fry As Fgs9l P -LF, 5-( eW a5 - c. Proposed measures to reduce or control aesthetic impacts, if any: H910 H f W MAIM ISS[eZi 11. Light and glare ni�T'� Ls T- E or i Xk 506t. a. What type of light or glare will the proposal produce? What time of day would it mainly occur? �'-' b. Could light or glare from the finished project be a safety hazard or interfere with views? Ha c. What existing off-site sources of light or glare may affect your proposal? - d. Proposed measures to reduce or control light and glare impacts, if any: s TO BE COMPLETED BY APPLIC. _ I 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? b. Would the proposed project displace any existing recreational uses? If so, describe. c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or applicant, if any: H90l . EVALUATION FOR AGENCY USE ONLY 13. Historic and cultural preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so, generally describe. a . I Wnm � � E' sly, U N '�Z+' " I-�_N N, b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. K) 51 POLi,�A AD ICY PAUL Y -N< 91W p&WK . (OH -AH P 1'H E VaST- OWa, , c. Proposed measures to reduce or control impacts, if any: OP DOHS � r MGHF36. W , H15W 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system Show on site plans, if any. _W*�01Hcfr �( E , v� r Y s3 wog Irl- l TUB -F4054 1, b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? c. How many parking spaces would the completed project have? How many would the project eliminate? ?�_� �_�o� 51T� . N�� �� " SUM �N��ES �Nl; ��� SCI r✓� d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). k,e,e,z5S ON N1A0 JB1f S1i 9 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transporta- tion? If so, generally describe. f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. fW0 -F g. Proposed measures to reduce or control transiaortation impacts, if any: 15. Public services EL Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so, generally describe. 00 b. Proposed measures to reduce or control direct impacts on public services, if any. WHEN l �. 16. Utilities a. Circle utilities currently available at the site: electricity, ,water, rcfl ss sere ice, telephone,; sa�nitaEy s�t�er� ctl�er. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature:....... ...„........ ......... ....... ............. ............... ........ ......... ................ ---- ,..,. ,o... ......... ....— DateSubmitted: ..................................................................................................................................................................... 10 City of Port Townsend Development Services Department BUILDING FEE SCHEDULE 1. To find your project's valuation, multiply the square footage by the appropriate values below. 2. Go to the Fee Table below to determine your Building Permit Fee. 3. Multiply the Building Permit Fee by .65 to determine your Plan Review Fee. This is the minimum fee due upon submittal of your application. You may pay all the fees at submittal time if you wish. 4. Your project may have additional fees, such as Public Works. Please see the Public Works permit fees sheet. RESIDENTIAL FEES Note: Fees quoted before the time of permit application maybe subject to change. Separate structures will be valued separately. Foundations: $14.9 x '.Patin Slab: $4.92 x Manufactured Homes:$7.15 x = Garages: (Includes slab/runners, blocking, hold-downs, skirting, utility Wood Frame $25.03 x = connections, etc. A separate electrical permit is required) Carports: Dwellings (includes finished basements): Gable $16.10 x Wood Frame $95.17 x Flat $12.12 x = Masonry $99.81.x Storage Room $56.62 x ) je, _ -12... Storage Sheds: (Over 200 sq. ft. floor area) Unfinished, unheated, to be finished in future Insulated $25.84 x _ $37.15 x = - Un -insulated $20.49 x = Basements: Semi -Finished $22.50 x Unfinished $17.17 x = Pole Buildings: Slab (<300 sq.ft.) Slab (>300 sq' ft.) PLUS Building Covered Porches: $25.84 x $3.94 x $2.94 x $13.27 x Townhouses: $71.38 x Decks: $12,49 x L, � ^/ PLAN RE VIEW FEE: Stairs, per lineal ft: $129.88 x = BUILDING PERMIT FEE: Railings, " " $15.43 x = HOUSE NUMBER: $3.00 per address TOTAL VALUATION: STATE BUILDING CODE SURCHARGE: $4.50 TOTAL FEES: RECORD RETENTION FEE: $3.00 - $10.00 TOTAL VALUATION BUILDING PERMIT FEE $ t to $500 ..._,_...®_...��.. _ _ $23.50 $501 to $2,0 00 _$23.50 for the first $500, plus $3.05 for each additional $100 or fraction thereof. P f. $2,001 to $25,000 $69.25 for the first $2,000, plus $14 for each additional $1,000 or fraction thereof $25,001 to $50,000 .�.W_.�._...®_ $391.25 for the fust $25,000, plus $10.10 for each additional $1,000 or fraction thereof _ a« $50,001 to $100,000 $643.75 for the«_Wawfirst $50,000, plus $7 for each additional $1,000 or fraction thereof $100,001 to $500,000 _ $993.75 for the first $100,000, plus $5.60 for each additional $1;000 or fraction thereof $500,001 to $1,000,000 $3,233.75 for the first $500,000, plus $4.75 for each additional $1,000 or fraction thereof $1,000,000 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof * The Building Department establishes building permit fees based on Section 108 of the International Codes. The fees are calculated using the estimated fair market value of the project (material + professional labor costs). The value includes the total value of all construction work, including finish work. The Plan Review Fee, which is 65% of the Building Permit Fee, is paid at the tune of application submittal. The Building Permit Fee, and any additional fees, is paid at the time the permit is issued. All fees are based on fair market values. The values may be adjusted to coincide with the quality and individual characteristics of your project. The Building Department will establish an estimate using "good' values per square foot for similar buildings in the region. These estimates are updated on a regular basis. The valuations were taken from the ilding Standards, March/April 2002, and are estimated square footage values for residential and accessory buildings. P:\DSD\Department Forms\Building FormsWee Schedule-Buildings.doc/ 3/1/2006 Appl # 1W1LD03dG152 Date Issued [ t"18i2008" ....w...�..,.,ow.o,,,..n ...,..� .....eK d`" ���ar �Pamh cel # � C1S RbRR'I" �"' Parent # � 0t� X01 P Re -issue Date 01�? wre�10 Slt�e Address 11415 WA ,MOT STREET'' Date Submitted,�04/11t" 0'08` ................... ...se..veru .Fa a Date Closed Y� I'ie°erect Name se 2 -SFR +convert �xrst� S� Technically Complete Last Action �l c'0Slg1Cti Zoning Date Approved04P17a'00.. Suppress? r Gov?r- N? r Status Date [04ii18 008 Status �'1SSUED 39 day(s) to process New Applicntten uo Pint I Peru etiut Con 1 §ite_ Addas;s, � query App F � 0 1� 20 F® ATIO WALL �P: 1a711812008 a�aa t rspectoas 0 21 .F ... ... F�� �O W ,, �t�PP 09/09!2008 County Inspector 0 22sF�TJ ATTC7N WALL � P.„: 09(1612008 � . i :a Inspector ��„ wwww ?a A 11DRAIN i1�l � ti i PPP. 108113!2008 �'County Inspector 27N PLUMBING= ��'Ir ..,..0 �OS11312008 IlCounty Inst-e-cto"r u 0 Appl ................ Date Issued [6 /18/200,8OIRI Applicant " is RPBERT C- -SFR Expiratio �6,- --- 62 Type n Date 1125VIO F -ix � Parcel# 98�97035 Parent # Or)..140 Re -issue Date Site Address M15 WASIM'TGTOI%T STRIM . . .............. hase 2 - SFR + convert n6sfing SFT /11/2008 DateClosedF— Project Name ............ .. ... Date Submitted F6 .. .... . . .. . ........ .......... .. Last Action � Technically Complete h2/0812010 Z"jmg Date AprovedI04117/F0(taus Date17"1�1 I Status 4 ............. . pF �S> Suppress? Gov?N....... 39 day(s) to process bint j Query App # 22:; OLJlp�7014 WALL APP U911014UW FOM' 25 FOMMAITIOX'DRAn'; 1013112008 ............... ........... .. 008/13/2008 27� 8L111 VP "081I312008 �County Inspector ^^ U� 5��0 liiR5 ...... .......... .. . . . ....... ... MUNN [Rick Taylor [ OB �:s-rhj Foundabon wag states "third hft" AppI #[L �.� �O�C�e.e. DSS "o .. RRS SFR m .............. .R Dation Date ll 1, d2Cll11 C cALcj pm e1 1F�.9G Type LL �p2 Parent #,, 1�5�111200$� � e-e.e.eA�_e .� �,.. Date Sulunitted Date f`lesed � Project Name Phase 2 SFR+ c G� STREET w ,- - o y 1 tte-issue Date Site Address 1 1 - F�'� SFR +convert e�stroxq S Te anrtrlete ,...........mm..L ct1 u�1� '201 'ratdngR- Date Approved 117120 5 � ..,.,,,5 2 5 . _ pp Status [ISSN Status Date I�N�1f 1 pa upp�aessF GoOr 'I . 39 da (s) to process pPllcatxa ,.l. � x �. art d� a u3 ett rs Cop : 1 wm! res e �„ - ,,,.,/ �„ / , /i, ,, ,�//� /,, of/f /, n ,,y/ / ,ir /a r r i l» � ri r li ✓ r , r r �I / r,, , �aaiaii�irrai,�/ici7Jrrii!vyoi/�ii�ia✓r�rr�ic���ia�rrrrv�iii�rr�i��„11n//,//r�,�/lf//a/!/l�ff19�/SOI/1„IIIUUIrt/�rJ,12NhflVDUlJ1JJl1�//,r�IJu,,V/1�///lHrl�lG�A.U�)11JlDIi�Uw�Y(d(tl��'��VUUIY/�,CJI„J:fv(�t;(d"llWrl(Ul.Nlrr//r11��1M�!/I�lUJ�,uUUGr _ rr�ll%(fJN�?�6r'(�DH,, I 2? IPL 1i'*1"G Imo. 2 , ` R �AYIP �08/ 3/2008 kC” omit� Eris ector � 0 �REQUF"S`l L J1 tiq VT pi//ir/i / r PMITD��S� d SRW L HOLDO�S ...... Pi 1 P4 0 FR. MWG Iy APP -C '107106/2009 51 SL L � OP [071061200 � ackTaylor � 0 11 92TG t PP j0 1 cures Inspector 4 0REQU1µ S 3 G S0712 PIPING APP ��+d201p / ��///%�' twok�1`eed LPG leak test for house LPG line, post address.' Appl Date Issuad 0'4"/"1"8"12" 0 0 8 Applicant C 0 112.5'/'12'0"1 , 0" r v_- . ...... ..... Type Expiration Date Parcel 8 70351) Parent Re-issue Date Site Address 1i 5 WASENGTON STREET . . ......... . . . ... ..... ..... . .... .. - --- — ------ - - ------------ --- - -- DateSubmitted 311V2008 Date Closed . ... .......... Ftafect Name [P'hase 2 - SFR + convert ey�sfiq SFI Teebmically Complete F Last Action J'I"'2' 1"0" ' w"" '01 ZoningFR-n Date Approved [641,17,60,0 8"' Suppres s F Gov? F N? F (S!!ta!u!s! Date �;iil�")66�isttu, . . ..... ... . ... =� 39 day(s) to process Query Dint,u,;etters � qpp.,� �, Site,,,Ad&e _�op -, 11 1 "] Queue App #( of 110 0/2009 uR ck Taylor ..... .. ... . f Inspection Report Project Permit # C&-7— 3 Date Ins"or ector Inspection & Notes 7� 2. '7 661 ................ . . . . ......... �raar �c, 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. R— C PERMIT NUMBER: ": r„ " M. SITE ADDRESS: PROJECT NAME: CONTRACTOR: CONTACT PERSON:._ PHONE: TYPE OF INSPECTION: P'PIZOVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok tol occcd. Corrections will be Call for re -inspection before " I eciic 4i� a( next inspection proceeding. Inspector .. Date App be rove edlans k permit card must beon-siteand � � a vailable at time of inspection. A re -inspection fee may f s not ready for inspection. CITY OF PORT TOWNSEND � SERVICESDEVELOPMENT DEPARTMENT INSPECTION REPORT b 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: , "� mmm PERMIT NUMBER: SITE ADDRESS: ,�w... _...__._. PROJECT NAME: ;0"I'RA"'"11I .. CONTACT PERSON: TYPE OF INSPECTION: PHONE: ", °" I -- ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS .. .'Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Inspector � � ti�� 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 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. PERMIT NUMBER: DATE OF INSPECTION: ._j._Ljaq YN I SITE PROJECT NAME:^ l �... .. CONTRACTOR -,' � _o _.._. oa, - . � CONTACT PERSON: TYPE OF INSPECTION: �m. PHONE: „www,_. ®,.. ❑APPROVED , L1 APPROVED WITH L1 NOT APPROVED qCORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Date .. Inspector 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. ,?OPT 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: � E". 11"NUMBER:.,—S SITE ADDRESS: r ) ........ ........_ PROJECT NAME: w..- CONTRACTOR.... �.. PHONE CONTACT PERSON: TYPE OF INSPECTION: _ .. —.._. J APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Inspector Date Approved plans and permit card rrzrrwq be on-site and available at time of inslxwliewi. A re -inspection fee may be assessed if work is not c�adyrl'or 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. ' D�� PI, SATE OF INSPECTION: � �' �- SITE ADDRESS: PROJECT NAME:. CO 4,. CONTACT PERSON: TYPE OF INSPECTION: e PHONE: 30 ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED .... �..e..o.....,M.,�m,... CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before mm checked at next inspection proceeding. Inspector ��.. ���� ,.— �� ...�... ......� . ....__.. �...._ ...._� Date�,w� Approved plans and permit card must be on-site and available at time of inspec,,lion. A re -inspection fee may be assessed if work is not ready for inspection. j 'PORT '"° � CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT "w 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 NUMBER:. SITEADDRESS: ............. ...................................................... PROJECT NAME: `�� CONTRACTOR: 'e� CONTACT PERSON:If PHONE: TYPE OF INSPECTION: rn_ ❑ APPROVED Inspector ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection Date ❑ NOT APPROVED Call for re -inspection before proceeding. 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. ,90RT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT F INSPECTION REPORT WA 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 ,2 � DATE OF INSPECTION: � ~~0- PERMIT NUMBER: � �„ SITE ADDRESS:... _.. 1-� ............................ . A A PROJECT NAME:`CONTRACTOR: CONTACT PERSON: PHONE: TYPE OF INSPECTION: ..........-.......... �..._.� � �.......�. �n ..... 1 d 14V ❑ APPROVED ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be h k d t t " ction c ec e a nex �nspe Inspector's ��°� y Date ❑ NOT APPROVED Call for re -inspection before proceeding. V µ �m 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. 'PONT ' 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 NUMBER: /;� SITE ADDRESS:µ '71 PROJECT NAME: CONTRACTOR: Ir O4 , .Xl� r r �L✓� CONTACT PERSON: � _ _ ,PHONE TYPE OF INSPECTION:�t" 11 r4a'11RO VIA) ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection ❑ NOT APPROVED Call for re -inspection before proceeding. p�� Date °�° `�� ...._... �. Inspector �.......... .....,��..._— _ ...... ........a..w. � . Approved plans and permit card must be on-site and available at time of irTVl;WCti(WT 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. SIA I,E OF INSPECTION: PERMIT NUMBER .... SITE ADDRESS: PROJECT NAME: _ CONTRACTOR: _ CONTACT PERSON:PHONE:_......_.. " TYPE OF INSPECTION: — � o P "�'V ❑APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS .."° Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. Inspector "..�° _..... __----------------------- 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 readv for inspection. CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT �a `a 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 NUMBER: SITE ADDRESS: ..�__. �:...�...�.._.�.._. PROJECT NAME: _ CONTRACTOR: CONTACT PERSON: ..... PHONE: _...._.._.�' �._ .......... , TYPE OF INSPECTION: _..... l D APPROVED i ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection pr occoding. 1��sct�i 6..... ._ ._ �._.-. .. ---- 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.