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Home My WebLink AboutBLD99-237Waterman & KatzBuilding 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax (360)379-6923 CITY OF PORT TOWNSEN CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: LD99-237 Issued: 12/14/99 Parcel Number: 984601706 Job Address: 1634 Jackson Street Zoning: R -II Type: V -N Occupancy: R-3 Nature of Work: Construct garage with unheated s ud above Owner: Robert & Carol 1'' iddelbur Contractor: Same as Owner GENERAL CONDITIONS APPLY SEE LAST PAGE REQUIRED INSPECTIONS APPROVED/DATE ATE TEMPORARY EROSION & SEDE LENT CONTROL See General Condition No 2 FOOTING Setbacks Footings Forms Reinforcement /J p all Sl w V� FOUNDATION Stem Wall Forms - Reinforcement Anchor bolts w 2"x 2"x 3/16" washers Alternate Braced Wall Panel Holdowns FLOOR FRAMING Joists Z Blocking Positive Connection Treated Wood to Concrete Anchor Bolts & Washers Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 3 Permit #BLD99-237 UIIRED INSPECTIONS APPROVED/DATE FRAMING Walls 2 ?j Alternate Braced Wall Panel Roof/Ceiling — 2 " x 6" rafters @ 16" o. c maximum span of ]I'll " Rafter/Truss Positive Connection Fireblocking Weather Resistive Barrier Brick — wall ties & weep holes -3 _ A" rNVALL/NAII.ING kq Walls Ceiling Garage/House Occupancy Separation FINAL Final — Building GENERAL CONDITIONS 1. Contractors working on this project are required to have a Labor "c Industries contractor's registration number and a Cit 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, press 3. Measures shall include installation of silt fencing and graveled construction entrance. 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. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 3 Permit # BLD99-237 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, press 3. A mininium of twenty-four hours notice is re wired. Public Works approval must be received rior to schednlin the Buildin Department's final inspection. 7. 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. Call for at least one inspection per year to keep your building permit active. 9. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 3 of 3 Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax: (360) 379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: 13 D99 -237R-2 Issued: 11/01/01 Parcel Number: 984601706 Job Address: 1634 Jackson Street Zoning: R -II Type: V -N Occupancy: R-3 Nature of Work: Add % balh to unheated studio Owner: Robert & Carol Middelburl Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE REQUIRED INSPECTIONS PLUMBING Rough -In (DWV & Clean Outs) Water Supply Pipe Insulation (R-3) Pressure Reduction Valve if > 80 psi APPROVED/DATE MECHANICAL Bath Fan Environmental Air Exhaust ducting (with backdraft damper), insulation (R-4) and termination (located 3' from openings into building) FRAMING Walls Fireblocking DRYWALL NAILING Walls Ceiling FINAL - See also original permit for final Inspection Final — Plumbing Final — Mechanical Final - Building Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Permit # BLD99-2378-2 GENERAL CONDITIONS 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 (TESL) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance. 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, press 3. A minimum of twenty-four hours notice is re aired. Public Works approval must be received rior to scheduling the Building Department's final inspection. 7. 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. Call for at least one inspection per year to keep your building permit active. 9. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 Waterman &Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax (360)379-6923 CITY OF P01tT TOWNSE CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: 13LD99-237I -1 Issued: 04/07 00 Parcel Number: 984601706 Job Address: 1634 Jackson Street Zoning: R -II Type: V -N Occupancy: R-3 Nature of Work: Chan a foundation from oured concrete to CMU, add utility sink. Owner: Robert &Carol Midde1bgrg Contractor: ,Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE REQUMED INSPECTIONS APPRO 'ED/DATE FOUNDATION 8" CMU Block Reinforcement 48" o.c. Bond Beam Anchor bolts w 2"x 2"x 3/16" washers Alternate Braced Wall Panel Holdowns PLUMBING J v Z So 4 Underground Plumbing DWV Water Supply lC�° FINAL See original permit for final inspection. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Permit # BLD99-2378-1 GENERAL CONDITIONS 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, press 3. Measures shall include installation of silt fencing and graveled construction entrance. 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, press 3. A minimum of twenjyjour hours notice is re wired. Public Works approval must be received prior to scheduling the Building Department's final inspection. 7. 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. Call for at least one inspection per year to keep your building permit active. 9. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax: (360) 379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number:: LDR99-237R— . Issued: 04/07/00 Parcel Number: 984601706 Job Address: 1634 Jackson Street Zoning: R -II Type: V -N Occupancy: R-3 Nature of Work: Change foundation from poured concrete to CMU add utili!j sink. Owner: Hobert & Carol Middelburg Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE REQUIRED ED NSPECTIONS APPROVED/DATE FOUNDATION 8" CMU Block Reinforcement 48" o. c. Bond Beam Anchor bolts w 2"x 2"x 3/16" washers Alternate Braced Wall Panel Holdowns PLUMBING Underground Plumbing DWV Water Supply FINAL See original permit for final inspection. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Permit # BLD99-2378-1 GENERAL CONDITIONS 1. Contractors working on this project are required to have a Labor & Industries contractor's registration number and a Citl 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 (TESL) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance. 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 walLpanels (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, press 3. A minimum of twenty-four hours notice is re uired. Public Works approval must be received prior t;o - schedtiling the Buildin Department's final inspection. 7. 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. Call for at least one inspection per year to keep your building permit active. 9. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax: (360) 379-6923 CITY OF PORT" TOWNSEND CONSTRUCTION PERIVIIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: LD99-237R-2 Issued: 11/01/01 Parcel Number: 984601706 Job Address: 1634 Jackson Street Zoning: R -II Nature of Work: Add % bath to unheated studio Owner: Robert & Carol Middelburg GENERAL CONDITIONS APPLY — SEE LAST PAGE RVOUIRED INSPECTIONS Type: V -N Occupancy: R-3 Contractor: Same as Owner FR W U : @WAbW 17 10 PLUMBING Rough -In (DWV & Clean Outs) Water Supply Pipe Insulation (R-3) Pressure Reduction Valve if > 80 psi MECHANICAL Bath Fan Environmental Air Exhaust ducting (with backdraft damper), insulation (R-4) and termination (located 3' from openings into building) FRAMING Walls Fireblocking DRYWALL NAILING Walls Ceiling FINAL - See also original permit for final Inspection Final — Plumbing Final — Mechanical Final - Building Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 2 Permit # BLD99-2378-2 GENERAL CONDITIONS 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 (TESL) measures shall be installed on-site and inspected prior to beginning construction; call 385-2294, press 3. Measures shall include installation of silt fencing and graveled construction entrance. 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, press 3. A minimum of twenty-four hours notice is re wired. Public Works approval must be received prior to scheduling the Building Department's final _inspection. 7. 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. Call for at least one inspection per year to keep your building permit active. 9. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 2 Waterman & Katz Building 181 Quincy Street Suite 301 Port Townsend, WA 98368 Phone: (360) 379-3208 Fax: (360) 379-6923 CITY OF PORT TOWNSEND CONSTRUCTION PERMIT & INSPECTION RECORD THIS CARD MUST BE POSTED AT CONSTRUCTION SITE Call 385-2294 for Inspection Permit Number: BLD99-237 Issued: 12/14/99 Parcel Number: 984601706 Job Address: 1634 Jackson Street Zoning: R-11 Type: V -N Occupancy: R-3 Nature of Work: Construct garage with unheated study above Owner: Robert & Carol Middelburg Contractor: Same as Owner GENERAL CONDITIONS APPLY — SEE LAST PAGE REQUIRED INSPECTIONS APPROVE D/DATE TEMPORARY EROSION & SEDIMENT CONTROL See General Condition No 2 FOOTING Setbacks vv/ Footings Forms Reinforcement !U,ER FOUNDATION Stem Wall Forms - Reinforcement Anchor bolts w 2"x 2"x 3/16" washers Alternate Braced Wall Panel Holdowns FLOOR FRAMING Joists Blocking Positive Connection Treated Wood to Concrete Anchor Bolts & Washers Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 1 of 3 Permit # BLD99-237 RE FIRED INSPECTIONS APPROVED/.DATE FRAMING Walls Alternate Braced Wall Panel Roof/Ceiling — 2 " x 6" rafters @ 16" o. c maximum span of ]I'll " Rafter/Truss Positive Connection Fireblocking Weather Resistive Barrier Brick — wall ties & weep holes DRYWALL/NAILING Walls Ceiling Garage/House Occupancy Separation FINAL Final — Building GENERAL CONDITIONS 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, press 3. Measures shall include installation of silt fencing and graveled construction entrance. 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. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 2 of 3 Permit # BLD99-237 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, press 3. A minimum of twenty-four hours notice is re uired.. public Works approval must be received prior to scheduling the Building Department's final inspection. 7. 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. Call for at least one inspection per year to keep your building permit active. 9. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS. Call 48 hours before you dig for utility line locates 1-800-424-5555 Page 3 of 3 Waterman & Katz Building 181 Quincy St, Suite 301 Port Townsend, WA 9&368 Phone: (360) 379-3208 Fax: (360) 379-6923 City ofPort Toumsend RESIDENTIAL BUILDING PERMIT APPLICATION FOR NEW CONSTRUCTION, REMODELS & ADDITIONS Property Street Address 1(.c3H i-- so Mt66T Zoning District Legal Description: Addition AL "-Curb R.yy E Parcel # (00! �i0to 702 Block I Lot(s) i, 2 Colt Estimated Value of construction $ 1( Z� Financed By ®wy1l.Y Date Work is to Begin irt)Or ye.r 2,000 Date Work is to be Completed JHhq, '.000 s'}. Scope of Work: Please check all items that apply for the type of building permit you are requesting: Floor Area: the proposed structure is to be used for: (0 AQ q bra Finished Heated Space sq. ft: --4Carport Garage sq. ft: J4 ) (y Unfinished Heated Space sq ft: sq. ft: Unfinished Basement sq ft: Porches sq. ft: Semi -Finished Basement sq ft: Decks sq. ft: Storage sq. ft: Other (please describe): \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc Page 1 of 4 ENTIAL BUILDING CITY OF PORT FOR O WNCSENDONS R CT ON, REMODELS &pAD�T O S IT LIGATION Property Site Area/Coverage Information: uare feet: 2O'000 1. The total area of the drbpee existing and proposed structures i y in g 2. The total area cove Y n square feet (total ground coverage from the outside of walls or supporting members) Percentage of lot coverage: l2 =11 �es Impervious Surfaces: Please provide the square footage of the roof area of the 'proposed'and exis'tirid structures, and the square footage of the total area ,covered by 0orches, walkways, patios and driveways. Do not include decks allowing drainage to earth below. *If total impervious surface exceeds 40% of the lot area, you must submit a written stormwater plan to address run-off. Please check which plans you are submitting with this application (2 sets needed): Page 2 of 4 \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc Existing House Roofprint sq. ft: ! " U„o Proposed House Roofprint sq. ft: Proposed Garage Roofprint sq. ft: zo Existing Garage Roofprint sq. ft: Proposed Porch/Walkway sq. ft: 12p Existing Porch/Walkway sq. ft: ! VO Proposed Driveways sq. ft; Existing Driveways sq. ft: ADV® C (describe): Other (describe). ft Oj pD Total Existing Impervious sq. ft: �'O® Total Proposed Impervious sq. Total Proposed + Existing sq. ft: - Percentage Impervious: ft) 14 0'% -� (Impervious surface =lot sq. *If total impervious surface exceeds 40% of the lot area, you must submit a written stormwater plan to address run-off. Please check which plans you are submitting with this application (2 sets needed): Page 2 of 4 \\Bcd_permits\permits\FORMS\BUILDING\BLPAPP.doc CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION FORT ,W CONSTRUCTION, REMODELS & AT-1ITIONS Special Conditions YES NO �I Please check YES or NO as applicable 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 of adjacent an environmentally sensitive area? 4. Will this proposal involve any sewer, water or other utility extensions which 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: e.g. subdivision, short plat, variance, conditional use permit, street vacation, planned unit development, restrictive covenant, etc? (If yes, attach copies of appropriate documents.) 6. Are any properties within 800 feet of the site owned or controlled by the applicant, any �I relative or business associate, or any partnership, corporation, or other entity affiliated with the ap licant? (If yes, attach list.) 7. Have any of the properties listed in item #6 been developed within the last two years? (If yes, attach list.) 8. Have you previously discussed this project with a City staff member? If yes, who and when? The applicant hereby certifies to have knowledge of those sections of the Uniform Building 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 inaccurate any permits may be withdrawn. 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. \\Bcd_permits\permits\FORMS\BUILID ING\BLPAPPA oc Page 3 of 4 CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION FOR r, 'V CONSTRUCTION, REMODELS & ADp`TIONS Com lets ligation 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 completq" building permit application, meeting the requirements identified in this section, is filed with the Building and Community: Development 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 106.3 of the Uniform Building Code, 1994 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 106.4.1 of the Uniform Building Code, 1994 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. Signature of Applicant or Aut ' rized Representative Date For Official Use Only Permit No. Building Official pprova Date Issued Date /� Receipt No. Plan Review Fee f Water/Sewer SDC $ Date Receipt No. Balance Due $ Date Receipt No. a � fir✓', �'� r Applicant/Representative Signature Date Received \\Bcd_permits\permits\FORMS\BUILD1 NG\BLPAPPA oc Page 4 of 4 (,- I -r y H 1891 REVISION TO BUILDING City of Port Townsend Building & Community Development Waterman & Katz Building 181 Quincy Street, Suite 301 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 379-6923 Revisions require 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. Be aware that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (chanlyinio windows, heat source, etc.) to conform to you r_proposedchanges Scope of work:�yv�Cl (Applicant Signature) BCD_permitslpermitslFormslRevision Form.doc Rev. 4116199 (Telephone Number) City of Port Townsend 9A� Building & Community Development Waterman &Katz Building C11'r "At.. 181 Quincy Street, Suite 301 Port Townsend, WA 98368 (360) 379-3208 Fax: (360) 385-7675 REVISION TO BUILDING PERMIT # `1 ' 2 evisin # (officewe only) _ 1 � 1 OWNER: '' . ✓ ( U 1.b SITE APPE RI S$: �� ..� �JC\dc'w1'" rI w Total Value of Revision: $ Infj rvious S'01/13ce Change ❑ Yes sq. ft. ''�(No Chan e Revisions require 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. If your plans were stamped by a design professional, all revision submittals require a stamp with a wet signature. Be aware that changes to the existing approved plans may also require'Lou to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (changing windows, heat source, etc.) to conform to your proposed changes. Scope of work: !� G� - , -A-c' r m r , Td i (Applicant Signature) (Telephone Number) Office ice ase fly If: °.0:Stl autt I . write 'Two, sets of plans fol- revision ' )'r' 0'V.1 ! Jt bI+Le t) iM ` ►t ( i L1l � i A2+�t l t l l 3 t 1t t)1 G" u*N" t 1'e, .�` t1 ONA BCD_permitslpermitslFormslRevision Form. doc Rev. 9/21/00