HomeMy WebLinkAboutBLD07-190In"OF PORT TOWI\SEND
PERMIT ACTIVITY LOG
PERMTT n Ett)oV- l?a DArE RECET'ED ?- / - lv
SCOPE OF WORK:td Faa/
DATE ACTION INTTIALSq- 6- 0/ENTERED INTO CHET str
CA - to Planning - No evidence
CHECKED FOR COMPLETENESS
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BUILDINGPtrRMIT
Cify of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-s09s
Project Information
Permit Type Residential - Addition/Remodel
Site Address 2923 HASTINGS AVE
Project Description
SFR REMODEL
Permit #
Project Name
Parcel #
BLD07-190
SRF REMODEL
967500301
Numes Associated with this Project
Type Name
Applicant Bentley Lesta A
Owner Bentley Lesta A
Contact Phone #
License
Type License # Exp Date
Fee Information Project Details
Dwellings Type V Wood Frame 672 SQFT
Project Valuation
Building Permit Fee
Plan Review Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
$63,9s4.24
141.7 5
r 50.00
4.54
t4.84
10.00
Total Fees $921.09
Conditions
10. Property corner suruey pins must be located at time of foooting inspection to veri$r setbacks.
*** SEE ATTACHED CONDJTJONS ***
CalI 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 certiSr
that I am
Print N Datelssued: 09/14/2001
lssued By: SWASSMER
the owner of the authorized agent of
Development Seryfces
: Fax
Residential Building Permit Application
) Applications accepted by mail must include a check for initial plan review fee of $'150F See the "Residential Building Permit Application Requirements" for details on
plan submittal requirements.
Property
Name:
Address ?7
^3City/SUZip
-(,
C o ntacURepresentative
Na
Add
City/SUZip
Phone:
Email:
Any known wetlands on the property? Y @
Any steep slopes (>15%)? Y CD
I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner
and that all activities associated with this will be in accordance with State Laws and the Port Townsend Municipal Code.
Print
Contractor:
Name:*--
Add ''l
City/SVZip
Em
State License #:
City Business L #:
Exp:_
parcel# (AZ*5:0^b(
Project Address
7
^>
/:
ption (or T #):
3
, /*{
Addition:
Legal
Block
Lot(s)
Enk-,J ]-i s{ouv rr*lb /o* ,zroC{^-Project Description
Lender lnformation:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.O95.
Name: d ilF
i/!-t
Project Valuation: $
Building lnformation (square feet):
1't floor (3 q1 Garage.
z"d froor 6gq Deck(s)
3'd floor Porch(es)l(a.r
Basement:_ ls it finished? Yes No
Carport:_ Other
Manufactured Home n
New tr Addition l
ADU I
Remodel/Repair (
Total Lot Coverage (Building Footprint)
t6Square feet:fY3.t yo
lmpervious Surface:
Square feet:lvl
Signature:Date:(*6-q
WSEC Residential Construction Checklist
City of Port Townsend
Developrnent Services Department
250 Madison Street, Suite 3
Port Townsend, WA 98368
(360) 379-5095 Fax: (360\344-46t9
Washington State Energy Code (WSEC)
2001 Residential Construction Checklist
Complete this form in addition to WSEC forms. Please answer the following questions:
TYPE OF'PROJECT:
n New constructicin, or addition over 750 square feet
Must meet whole house and spot ventilation requirements, and show full WSEC compliance as
a stand-alone project. A detached, habitable structure such as an Accessory Dwelling {Jnit
regardless of size must also meet these requirements.
{Hour" addition under 750 square feet
Possible trade-offs are allowed with the existing buildingfor WSEC compliance, such as
increasing ceiling insulation. See WSEC component performance forms.
NOTE: A house addition less than 500 sq. ft, does not require whole house ventilation.
Spot ventilation is still required.
TYPE OF HEATING - Please check all that apply:
Electric
! Wall Heater (Baseboard n Forced Air Furnace I Radiant Floor (Boiler) D Other
Non-Electric:
Propane:J Radiant Floor/Baseboard (Boiler)(LPG Stove n LPG Furnace n Other LPG! Heat Pump n Oil Furnace n Woodstove (can only be used as secondary heat source)
VAPOR R ARDERS:
Vapor retarders shall be installed toward the warm surface as represented below. Select one
option for floors, walls, and appropriate ceilings:
o Floors:
n Plywood with exterior glue
D Poly plastic (greater than or equal to 4 millimeter thick)
!(Backed batts
r Walls:
n Poly plastic (greater than or equal to 4 mitlimeter thick) iji:l - fi ?i:ii'i i
D Face-stapled, backed batts '
E(.ow-permpaint , ,, ,,'i ,
o ceilings: ', ' "
! Not required where ventilation space averages greater than or equal to 12 inches above
insulation
n Face-stapled, backed batts
[1 Poly plastic (greater than or equal to 4 millimeter thick)
Pclow-perm paint
SEE BACK
P:\DSD\Department Forms\Building Forms\Application-Residential Energy Code Checklis.doc
Page I of I
9"'rPort@
Tdri'nieri'd
Receipt Number: DS6-00421
360-379-5095
Development Services Dept.
250 Madison St. Suite 3
Port Townsend, WA 98368
Payer/Payee: ATIA LLC
1528 UMATILLA ST
PORT TOWNSEND WA 98368
Cashier: Abby Siefer Date= 1211312016
BLDO7.190 RESIDENTIAL . ADDITION/REMODEL 2923 HASTINGS AVE
Fee Description
Additional Hours
Fee Amount
$s0.00
Amount Paid
$50.00
Fee Balance
$0.00
$50.00 $50.00 $0.00
BLDOT-177 RESIDENTIAL . ADDITION/REMODEL 2923 HASTINGS AVE
Fee Descrintion
Additional Hours
Fee Amount
$50.00
Amount Paid
$50.00
Fee Balange
$0.00
$50.00 $50.00 $0.00
CHECK 379 $100.00
Total Paid:$100.00
Payment AmountPaymentMethod Reference
Number
Previous Related Payments
0910612007
09t14t2007
0911412007
0911412007
a9n412007
09t14t2007
0911412007
09t14t2007
0911412007
0911412007
Plan Review Fee
Building Permit Fee
State Building Code Council Fee
Record Retention Fee for Building Permit
Technology Fee for Building Permit
Building Permit Fee
Record Retention Fee for Building Permit
State Building Code Council Fee
Plan Review Fee
Technology Fee for Building Permit
a7-0789
07-0813
07-0813
07-0813
07-0813
07-0814
07-0814
07-0814
07-0814
07,0814
$150.00
$741.75
$4.50
$10.00
$14.84
$44.85
$3.00
$4.50
$50.00
$5.00
BLD07-190
BLD07-'190
BLD07-190
BLD07-190
BLD07-190
BLD07-177
BLD07-177
BLDOT-177
BLD07-177
BLD07-177
Total: $1,028.44
Receipt # Receipt Date Fee Description Amount Paid Permit #
Printed 121131201612:35:00 by Abby Siefer Page 1 of 1
a
Receipt Number:
BLD07-190
BLD07-190
BLD07-190
BLD07-190
967500301
967500301
967500301
967500301
$14.84
$4.50
$741.75
$10.00
Total:
$14.84
$4.50
$741.75
$10-00
$0-00
$0.00
$0.00
$0.00
Technology Fee for Building Permit
State Building Code Gouncil Fee
Building Permit Fee
Record Retention Fee for Building P
$771.09
07-0789
GASH
09/0612007 Plan Review Fee
it/A
Total
$150.00 BLD07-190
$ 771.09
$771,09
genprntrreceipts Fage 1 of 1
'.-)
ReceiptNumber m
BLD07-190 967500301 Plan Review Fee $150.00 _g!o-ooTotal: $150.00
$0.00
GHECK N/l729 $ 150.00
Total $150.00
genpntrreceipts Page 1 of 1
t'
I
I'trPort@r
lOwnsend
City of Port Townsend
Development Services Dept.
250 Madison St. Suite 3
Port Townsend, WA 98368
360-379-5095
l7 tq
SITE ADDRESS: 2923 HASTINGS AVE PORT TOWNSEND
PARCEL: 967500301
PROJECT NAME: SRF REMODEL
Residential - Addition/RemodelBLD07-190
ISSUED: 0911412007
EXPIRES: 0711912017
APPLIGANT:BENTLEY LESTA A
TACHE BENTLEY
PORT TOWNSEND, WA 98368-5943
OWNER:BENTLEY LESTA A
TACHE BENTLEY
PORT TOWNSEND, WA 98368-5943
VALUATIONS:
Dwellings-TypeVWood
Frame
672.00 $63,954.24
Total: $63,954.24
FEES:
Building Permit Fee
State Building Code Council Fee
Record Retention Fee for
Building Permit
Technology Fee for Building
Permit
Additional Hours
Plan Review Fee
Paid
$741.75
$4.50
$10.00
$50.00
$150.00
Due
$0.00
$0.00
$0.00
$14.84 $0.00
$0.00
$0.00
Totals $971.09 $0.00
Printed by:Abby Siefer on: 121191201610:13 AM Pagel of2
$'rrPort@,
lOwnsend
Gity of Port Townsend
Development Services Dept.
250 Madison St. Suite 3
Port Townsend, WA 98368
360-379-5095
BLD07-190
10
CONDITIONS
Property corner survey pins must be located at time of foooting inspection to verify setbacks
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
Contractor or Authorized Agent:4Date:
a permit presumespecified herein or not. The granting of
the provisions of any other state/local I
to give authority to violate or cancel
or the performance of construction.
Printed by : Abby Siefer on: 1211912016 10:13 AM Page 2 of 2
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CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
For inspectionso 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:I l- t" - b1 PERMTT NUMBER: BLD n1 - t q b
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPB OF INSPECTION:I n*,r ln:*r Dn-
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Date
Approved plans and permit card must be on-site and avoilable at time of inspection. A re-inspectionfee may
be assessed if work is not ready for inspection.
Z€,1 ' //n{i);,tr (a,}
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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: /O - I g - C7 PERMIT NUMBER: 6tDO7' /?O
SITE ADDRESS:7 c)Z.Z il*/u1E
PRoJECT NAME: RE ATT/-E V CONTRACTOR:
CONTACT PERSON:74C//PHONE
TYPE OF INSPECTION:ht^q
\
N APPROVED N APPROVED WITH
CORRECTIONS
0k to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Date
Approved plans and permit card must be on-site and avoilable at time of inspection. A re-inspectionfee may
be assessed if work is not ready for inspection.