HomeMy WebLinkAboutBLD07-029 (Complete)).'-'^ 1
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BUILDINGPERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-s09s
Project Information
Permit Type Residential - Single Family - New
Site Address 1012 HOLCOMB STREET
Project Description
New house with attached ADU and garuge
Permit #
Project Name
Parcel #
BLD07-029
94830stt7
Fee Information Project Details
Decks - Residential
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
Project Valuation
Building Permit Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
Site Address Fee
Plan Review Fee
Energy Code Fee - New Single
Family Unit
Plumbing Permit Fee per Dwelling
Unit - New Residential
Mechanical Permit Fee per Dwelling
Unit - New Residential
$294,914.88
2,085.75
4.50
41.72
10.00
610 SQFT
2,892 SQFT
s98 SQFT
3.00
1,355.74
100.00
150.00
1s0.00
Total Fees Paid $3,900.71
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180
days. Work is verified by obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certi$
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 certifu
that I am the owner ofthe property or authorized agent ofthe owner.
Datelssued: 03/13/2007
IssuedBy: PWESTER_FIELD
Print Name
))
BUILDINGPERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-s09s
Project Information
Permit Type Residential - Single Family - New
Site Address 1012 HOLCOMB STREET
Project Description
New house with attached ADU and garage
Permit #
Project Name
Parcel #
BLD07-029
948305117
Conditions
10. Property corner pins must be located at time of foundation inspection to veri$r setbacks.
20. Temp. erosion control measures must be installed and maintained prior to approval of any building inspections.
30. Building is approved as a single-family residence with an ADU. Any use as a transient accommodation is prohibited.
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180
days. Work is verified by obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certi$r
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 certifr
that I am the owner ofthe property or authorized agent ofthe owner.
Datelssuedr 0311312007
IssuedBy: PWESTERFIELD
Print Name
\n'
)
BIJILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)37e-s09s
Project Information
Permit Type Residential - Single Family - New
Site Address 1012 HOLCOMB STREET
Project Description
New house with attached ADU and garage
Permit #
Project Name
Parcel #
BLD07-029
948305 1 I 7
Names Associated with this Project
Type Name
Applicant Humphrey Christine A
Owner Humphrey Christine A
Contractor Bob Fitzpatrick
Contractor Robert Fitzpatrick
Contact Phone #
License
Type License # Exp Date
Bob Fitzpatrick
Bob Fitzpatrick
(360) 385-4451
(360) 38s-44s1
CITY
STATE
5163 r213U2007
BOBFIFC963 JL 04 I 13 I 2008
*** sEE ATTACHED CONDITIONS **x
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
that I am the owner
for this permit is true and accurate to the best of my knowledge. I further certifu
Datelssued: 03113/2007
IssuedBy: PWESTERFIELD
Print Name
provided as a part of the
of the owner
-;
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.
4-t6 - D8 PERMIT NUMBER:DATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
PHONE:
i4'""ovED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
II NOT APPROVED
Call for re-inspection before
proceeding.
E-26-dfInspectorDate
Approved plans and permit card must be on-site and available ot time of inspection. A re-inspection fee may
be assessed if work is not readyfor inspection.
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WSEC Residential Construction Checklist
City of Port Townsend
Developnrent Services Department
250 Madison Street, Suite 3
Port Townsend,'!VA 98368
(360) 379-s095 Fax: Q60) 344-4619
Washington State Energy Code (WSBC)
2001 Residential Construction Checklist
Complete this form in addition to WSEC forms. Please answer the following questions:
TYPE OF PROJECT:
ffiaddition over 750 square feet
Must meet whole house and spot ventilation requirements, and showfull WSEC compliance as
a stand-alone project. A detached, habitable structure such as an Accessory Dwelling Unit
regardless of size must also meet these requirements.
I House addition under 750 square feet
Possible trade-offs are allowed with the existing buildingfor WSEC compliance, such as
increasing ceiling insulation. See WSEC component pedormanceforms.
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 annlv:
Electric
n Wall Heater tr Baseboard I Forced Air Furnace ! Radiant Floor (Boiler) tr Other _
Non-Electric:
Propane:J Radiant Floor/Baseboard (Boiler) I LPG Stove tr LPG Furnace ! Other LPG
pHeat Pump tr Oil Furnace tr Woodstove (can only be used as secondary heat source)
VAPOR RETARDERS:
Vapor retarders shall be installed toward the warm surface as represented below. Select one
option for floors, walls, and appropriate ceilings:
r Floors:
KPlywood with exterior glue
! Poly plastic (greater than or equal to 4 millimeter thick)I Backed batts
o Walls:
tr Poly plastic (greater than or equal to 4 millimeter thick)I Face-stapled, backed batts
Slow-perm paint
r Ceilings:
! Not required where ventilation space averages greater than or equal to 12 inches above
insulation
n Face-stapled, backed batts
I Poly plastic (greater than or equal to 4 millimeter thick)
S,Low-perm paint
SEE BACK
P:\DSD\Department Forms\Eluilding Forms\Application-Residential Energy Code Checkli$.doc
Page I of I
""-\ -'a
j)
Prescriptive Approach - Simple Form
For the Washington State Energy Gode (2001 Edition)
Climate Zone f
Site lnformation
ur bt4stlFgt4? Aots I e?s qt Lora t1 ,1?'11
Address: Hovam +r
City:Pa rz-1-'-o*-,LJ z?t5.*N N
State: W tr ?tp:4bz ta6
Contac't:
Phone:
t+\rvlJ{stz_
t)- o7t
Building Department Use Only
Perrnit #:
Notes:
E trr/ txJ ln l41aAN - DtE-7tAr.,qa
F Lo, uo 7ot ^?+7/l-
Table6-1
PRESCnIPTWE REQUIREMENTIT qr FOR GROUP R OCCUpAIyCy
CLID{ATDZONE T
See the code
This proiect complies with the following:y' tne project is a single fanily residenoe or duplex.{ Tn project is wood frame OR all of the insulation is interior or exterior of the framing./ Xt building components meet the requirements listed in Table dl, Option lll.{ tne project will nreet all other provisions of the WSEC and MAe.
The project will take advantage of the followin-g exceptions to the prescriptive option:
El, 6OZ.O 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 M D
0 0OZ.O Exception 2. Doors with a tlfac{or of 0.40 allowed without calcutations, Option ll! only.
Location of the door(s) taking this exception
Copyrll{ 20@ WSU0EEPO2-@
Copiet by permission fom the Wastrirgton State University Cooperative Extension Energy Program
VaultedOptionCeilind
Vertical Ceilind
m
0.40 0.58 0.20 R-38 R-30 R-21
Overheadlt factor
U-
Wall
Above
Grade
Glazing
Arealo
% of Floor
Unlimited
GroupR-3
Ocoupancy
Wall
Inta
Below
Grade
Wall
Ec4
Below
Grade
Floof
Slaba
On
Grade
R-21 R-10 R-30 R-10
Prescriptive - Simple Form - Climate Zone 1 5131Dfi2
Kirk Boike ARCHITECT a 4601 Mason Street <) PortTownsend WA 98368 a 360 38S 6140
architect@surfbest. net
2006
The calculations herein cornply with the requirements of the 2003 IBC (internationalBuilding Code),
IRC (InternationalResidential Code), WFCM (Wood Frame Construction Manual), AISI (American Iron
and Steel Institute), COFS/PM (cold-Formed Steel Framing -Prescriptive Method for one and two family
dwellings).
Seismic zone: Dz
Ground snorv load: 25psf
Exterior deck load: 65psf (DL+LL)
DL (hay storage, if applic.): l25psf
Dl(other): 20psf
Wind speed: 85mph, exposure "C"
Wind loading: l5psf
Weathering probability: Moderatb
Frost line depth: 18'
Termite infestation prob.: SIight to Moderate
Decay probability: Slight to Moderate
Winter design Temp,: 20 degrees F
Soil bearing: 1500psf vertically; 1O0psf/ft (bearing), l30psf (sliding) laterallyCalculator: Hewlett Packard 12c with RPN data entry
Sincerely,
Kirk Boike, Architect
#6528 expires: 30 April2008
Sincerely,
Kirk
FEB 15 2|j07
LATFr<^l t?E?taLl FoK <.t4rzlb Hut",lp\eay *oucovl *r,
JAFIUaKY '/-cso1
Kirk Boike ARCHITECT {Mason Street O PortTownsend WA
architect@surfbest. net
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Kirk Boike ARCHITECT
4601 Mason Street
Port Townsend,.WA 98368
360.385.6{40
a rchitect@su rf best. net
Square Footing Design
Description FI
General lnformation
Dead Load
Live Load
Short Term Load
Seismic Zone
Overburden Weight
Concrete Weight
LL & ST Loads Combine
Load Duration Factor
Column Dimension
1.800 k
5.500 k
0.000 k
3
0,000 psf
145.00 pcf
1.330
3.50 in
Footing Dimension 2.500 ft
Thickness 7.25 in
# of Bars 3
Bar Size 4
Rebar Cover 3.000
fc 2,400.0 psi
Fy 30,000.0 psi
Allowable Soil Bearing 1,500.00 psf
Rei
Rebar Requirement
Actual Rebar "d" depth used
2O0lFy
As Req'd by Analysis
Min. Reinf 7o to Req'd
Max. Short Term Soil Pressure
Allow Short Term Soil Pressure
Mu : Actual
Mn.Phi :Capacity
4.000 in
0.0067
0.0029 in2
0.0039 o/o
1,255.60 psf
1,995.00 psf
1.23 k-ft
2.08 k-ft
As to USE per foot of Width
Total As Req'd
Min Allow % Reinf
0.186 in2
0.465 in2
0.0014
Footing OK
2.50ft square x 7.3in thick with 3- #4 bars
Max. $tatic Soil Pressure 1,255.60 psf
Allow Static Soil Pressure 1,500.00 psf
Vu :Actual One-Way
VntPhi : Allow One-Way
Vu : Actual Two-Way
Vn*Phi : Allow Two-Way
Alternate Rebar Selections..
3 #4's 2 #5's
1 #7's 1 #8's
32.47
83.28
psi
psi
98.72 psi
166.57 psi
2 #6's
1 #g',s 1 # 10's
l/l{irk Boike ARCHITECT
4601 Mason Street
Port Townsend,.WA 98368
360.385.6140
net
Square Footing Design
Description F2
General lnformatlon
Dead Load
Live Load
Short Term Load
Seismic Zone
Overburden Weight
Concrete Weighl
LL & ST Loads Combine
Load Duration Factor
Column Dimension
14.400 k
0.000 k
3
0.000 psf
145.00 pcf
1.330
3.50 in
Thickness
# of Bars
Bar Size
Rebar Cover
fc
Fy
I
5
3.000
2,400.0 psi
30,000.0 psi
9.25 in
Allowable Soil Bearing 1,500.00 psf
Reinforci
Rebar Requirement
Actual Rebar "d" depth used
20OtFy
As Reg'd by Analysis
Min. Reinf % to Req'd
Max. Short Term Soil Pressure
Allow Short Term Soil Pressure
Mu : Actual
Mn'Phi : Capacity
5.938 in
0.0067
0.0039 in2
0.0052 %
1 ,31 1.77 psf
1,995.00 psf
3.62 k-ft
7.75 k-ft
As to USE per foot of Width
Total As Req'd
Min Allow % Reinf
0.371 in2
1.485 in2
0.0014
Footing OK
4.00ft square x 9.3in thick with 8- #5 bars
Max. Static Soil Pressure 1,31 1.77 psf
Allow Static Soil Pressure 1,500.00 psf
Vu ; Actual One-Way
Vn-Phi : Allow One-Way
Vu : Actual Two-Way
VntPhi : Allow Two-Way
Alternate Rebar Selections..
I #4's 5 #5's
3 #7's 2 #8's
40.19 psi
83.28 psi
i44.56 psi
166.57 psi
4 #6's
2 #9's 2 # 10's
sl*
Kirk Boike ARCHITECT
4601 Mason Street
Port Townsend, WA 98368
360.385.6140
rfbest,net
Description Zyr I
Criteria
Retained Height
Wall height above soil
Total Wall Height
Top $upport Height
Slope Behind Wal
Height of Soil over Toe
Soil Density
Wind on Stem
Surcharge Loads
8.50 ft
= o.0o:1
= 0.00 in
= 110.00 pcf
0.0 psf
Allow Soil Bearlng
Equivalent Fluid Pressure
Heel Active Pressure
Toe Active Pres"ure
Passive Pressure
Water height over heel
FootingllSoil Frictior
= 1,500.0 psf
Method
= 0.0
= 0.0
= 0.0
= 0.0ft
= 0.300
= 0.00 in
0.0 #/ft
0.00 ft
0.00 ft
8.00 fr
0rq0 ft
8.50 fr
Restrained Retaining Wall Design
Soil Data Footing Strengths & Dimensions
fc = 2,400 psi Fy = 30,000 psiMin.As% = 0.0014
Toe Width = 0.50 ft
Heel Width = 1.50
Total Footing Widtl = 2 00
Footing Thickness = 9.25 in
Key Width = 0.00 in
Key Depth = 0,00 in
Key Distance from Toe = 0.00 ft
Cover @ Top = 3.00 in @ Btm.= 3.00 in
Footing Load
Soilheight to
for passive
ignore
pressure
Uniform Lateral Load to Stem
Surcharge Over Heel = 0.0 psf
>>>NOT Used To Resist Sliding & Overturn
Axial Load Applled to Stem
Axial Dead Load =
Axial Live Load =Axial Load Eccentricity *
0.0 psf
& Overturning
150.0lbs
450.0 lbs
0.0 in
Lateral Load
...Height to Top
...Height to Botton
Stem is FIXED to top of footing
Deslgn height
Rebar Size
Rebar Spacing
Rebar Placed al
Rebar Depth 'd'
fdjacent Footing Load :Footing Width a
Eccentricity =
Wall to Ftg CL Dist =
Footing Type
Base Above/Below Soil
at Back of Wall
Mmax Between
Top & Base
2,000.0 lbs
2.00 ft
0.00 in
4.00 fr
Line Load
0.0 ft
Design Summary I Goncrete Stem Construction [:_ ";v,trj;s.juftiruffirry:l:aY€"r'd:tp{.?.ii,:t j;:.*.-.:-r:::
Total Bearing Load = 2,379 lbs Thickness = B,OO in Fy ; 30,000 psi...resultant ecc' = 0.96 in walt weight ; 96.7 pcf f ; = z,aoo psi
Sqil Pressure @ Toe = 905 psf OK
Soil Pressure @ Heel = 1,473 psf OK
Altowable = 1,500 psf
Soil Pressure Less Than Allowable
ACI Factored @ Toe = 1,319 psf
ACI Factored @ Heel = 2,146 psf
@ Top Support @ Base of Wall
Footing Shear @ Toe =
Footing Shear@ Heel =Allowable =
Reaction at Top =
Reaction at Bottom =
Slidino Calcs Slab Resists All Slidino !
Lateril Sliding Forc€ = 6.8 tbs
Footing Design Results
Toe - Fleel
1 ,31 I 2,1 46 psf
0ft4
484 ft+
484 ft4
16.83 psi
83.28 psi
Mn * Phi.....Allowable
Shear Force @ this height =Shear.....Actual =Shear.....Allowable =
Rebar Lap Required =
Rebar e rbedment into footing
9.1 psi OK
16.8 psi OK
83.3 psi
0.3 lbs
0.8 lbs
Stem OK
8.50 ft#5
16.00 in
Center
4.00 in
Stem OK
0.00 ft#5
16.00 in
Center
4.00 in
Stem OK
0.00 ft#5
16,00 in
Center
4.00 in
0.001
1.4ft+
2,017.8ft4
0.8lbs
0.02 psi
83.28 psi
6.00 in
Design Data
tblFB + talFa
Mu..,.Actual
0.000
0.0 ft+
2,017.8 ft+
0.0lbs
0.00 psi
83.28 psi
=12.00
in
0.001
1.4 ft4
2,417.eft+
12.00 in
Factored Pressure =
Mu': Upward =
Mu' : Downward =
Mu: Design =
Actual 1-Way Shear =
Allow 1-Way Shear =
173
20
153
9.13
83.28
Other Acceptable Sizes & Spacings:
Toe: None Spec'd -or- Not req'd, Mu < S'Fr
Heel:None Spec'd -or- Not req'd, Mu < S " Fr
Key: No key defined -or- No key defined
1/\l
Kirk Boike ARCHTTECT
+601 Mason Street
Port Townsend,. WA 98368
360.385,6140
urfbest.net
I Restrained Retaining Wall Design
Description
of Forces on Footin : Slab RESISTS sl stem is FIXED at
on ng pressure >>> Sliding Forces are restrained by the adjacent slabLoad & Moment Summary For Footing : For Soll Pressure Cales
Moment @ Top of Footing Applied from Stem
Surcharge Over Heel = lbs
Axial Dead Load on Stem = 600.01bs
Soil Over Toe = lbs
Surcharge Over Toe = lbs
Stem Weight = 821.71bs
Soil Over Heel = 733.3 lbs
Footing Weight = 223.5 tbs
Total Vertical Force =
- 2,378.5 lbs
Soil Pressure Resulting Moment =
Base Moment = 2,567.9 ft4
-189./ft+
=
ft
0.83 fr
ft
ft
0.83 ft
1.58 fr
1.00 ft
-1.4ft+
ft+
500.0 ft+
ft+
ft+
684.7 ft+
1,161.1 ft+
223.5ft$
Kirk Boike ARCHITECT
4601 Mason Street
Port Townsend, WA 98368
360.385.6140
Description RW2
Cantilevered ing Wall Design
SoilData
Allow Soil Bearing
Equivalent Fluid Pressure
Heel Active Pressure
Toe Active Pressure
Passive Pressure
Water height over heel
Footingl!-soil Frictior
Soil'height to ignore
for passive pressure
\o/t\
; Footing Strengths & Dirnensions i
fc = 2,400 psi Fy = 40,000 psi
Min.As% = 0.0012
Toe Width = 1.00 ft
Heel Width = 2.00
Total Footing Widtt = - -' -3.00
Footing Thickness = 9.25 in
Key Width = 0.00 in
Key Depth = 0.00 in
Key Distance from Toe = 0.00 ft
Cover @ Top = 3.00 in @ Btm.= 3.00 in
8.00 ft
0.50 ft
0.00: 1
0.00 in
'110.00 pcf
Griteria
Retained Height
Wall height above soil
Slcrpe Behind Wal
Height of Soil over Toe
Soil Density
Factored Pressure
Mu':Upward
Mu': Downward
Mu: Design
Actual 'l-Way Shear
Allow 1-Way Shear
Toe Reinforcing
Heel Reinforcing
Key Reinforcing
= 1,500.0 psf
Method
= 0.0
= 0.0
= 0.0
= 0.0ft
= 0.300
Wind on Stem 0.0 psf
, Surcharge Loads I
Surcharge Over Heel = 6.6 psf
Used To Resist Sliding & Overturning
Surcharge Over Toe = 0.0 psf
Used for Sliding & Overturning
' Axial Load Applied to Stem h
Axial Dead Load = 100.0 lbs
Axial Live Load = 200.0 lbs
Axial Load Eccentricity = 0.0 in
Oesign Sumrna.V- - -- rru
Total Bearing Load = 2,936 lbs
...resultant ecc. = 0.80 in
Soil Pressure @ Toe = 1,110 psf OK
Soil Pressure @ Heel = 848 psf OK
Allowable = 1,500 psf
Soil Pressure Less Than Allowable
ACI Factored @ Toe = 1,592 psf
ACI Factored @ Heel = 1,216 psf
Footing Shear @ Toe = 10.5 psi OK
Footing Shear @ Heel = 27.6 psi OKAllowable = 83.3 psi
Wall Stability RatiosOverturning = 4.15 OKSliding = 3.78 OK
Sliding Calcs (Vertical Component Used)
Lateral Sliding Force = 217.4 lbs
less 100%o Passive Forcer - 0.0 lbs
less 1000/o Friction Force= - 820.7 lbs
Added Force Req'd = 0.0 lbs OK
....for 1.5 : 'l Stability = 0.0 lbs OK
n Results
Toe
= 1,592
= 775
=81= 694
= '10.55
= A??R
= None Spec'd
= None SpeCd
= None Spec'd
Lateral Load Applied to Stem H
--
Adjacent Footing Load Hwagtr-rit'f.:I:;5t1
Adjacent Footing Load = 2,000.0 lbs
= 0.00 in
Lateral Load
...Height to Top
...Height to Botton
Stem Construction
Design height
Wall Material Above "Ht"
Thickness
Rebar Size
Rebar Spacing
Rebar Placed at
Design Data
f/olFB + lalFa
Total Force @ Section
Moment....Actual
Moment.....Allowable
Shear.....Actual
Shear.....Allowable
Footing Width :Eccentricity L
Wall to Ftg CL Dist =
Footing Type
Base Above/Below Soil
at Back of Wall
0.0 #/ft
0.00 ft
0.00 ft
2.00 ft
0.00 in
4.00 ft
Line Load
0.0 ft
ft
rgpStgm
Stem OK= 0.00
= Concrete
= 8.00
=f5= 32.00
= Edge
Bar Develop ABOVE Ht. in =
Bar Lap/Hook BELOW Ht. in =
Wall Weight =
rus ]
ft*=
Psi =
Psi =
ln=
0.585
366.1
1,850.6
3,162.1
4.9
83.3
23.88
6.21
96.7
6.1 9Rebar Depth
Masonry Data
fm
Fs
'd'
pst
psl
Heel
1,216 psf
0ft+
1,301 ft+
1,301 ft+
27.61 psi
83.28 psi
Solid Grouting
Special lnspection
Modular Ratio'n'
Short Term Factor
Equiv. Solid Thick.
Masonry Block
Goncrete Data
Type = Medium Weight
fc psi = 2,400.0Fy psi = 60,000.0
Other Acceptable Siz6s & Spachgs
Toe: Not req'd, Mu < S * Fr
Heel:#4@ 23.75in,#5@36.75 in, #6@ 48.25 in, #7@48.25 in, #8@ 48.25in,#9@4
Key: No key defined
|/il
Kirk Boike ARCHITECT
4601 Mason Street
Port Townsend,,WA 98368
360.385.6140
@__
I
L Cantilevered Retaining Wall Design
Description RW2
Overturnl &
Force
lbs
OVERTURNING.
Distance
ft
orces & Moments
" llloment
fr+
Forci"
lbs
1,173.3
266.7
100.0
821.7
346.9
27.2
.RESrSTrNG....
Distance
2.33
2.33
1.33
1.33
1.50
3.00
lVloment
ft+
2,737.8
622.2
1 33.3
1,095.6
520.3
a1.7
Item
Heel Active Pressure =
Toe Active Pressure =
Surcharge Over Toe =
Adjacent Fooiing Load =
Added Lateral Load =
Load @ Stem Above Soil =SeismicLoad =
0.26
5.75
Soil Over Heel -
Sloped Soil Over Heel =
Surcharge Over Heel ='Adjacent Footing Load =
Axial Dead Load on Stem =
Soil Over Toe
Surcharge Over Toe =Stem Weight(s) =Earth @ Stem Transitions=
Footing Weighl =Key Weight =Vert. Component =
217.4 1,250.3
Total = 217.4 O.T.M.,o 1,250.3
Reeistlng/Overturnlng Ratio = 4.15
Vertical Loade used for Soil Pressure = 2,935.8 lbs
Vertical component of active pressure used for soil pressure Total = 2,735.8 lbs R.M.=5,190.9
')
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52 t 306
Page: 1 of 2
@3t13t2@@7 011A4PNTIT A? AOI
Cify of Port Townsend
Development Services Department
250 Madison Street Suite 3
Port Townsend, WA 98368
NOTICE TO TITLE
Grantor: Christine Humphrey
Grantee: City of Port Townsend, a Washington municipal corporation.
Reference: City Permit Numbers BLD07-029 and SDP07-006
Legal description: The Grantor owns the following described real property:
Eisenbeis Addition, Block 51, Lots 17 to 19
Assessor's Parcel Number 9 48-305-l 17
NOTICE IS HEREBY GIVEN to the Grantor/Owner of the above-referenced real property, to
potential purchasers and future owners, to agents or representatives, and to any other concerned
person or entity:
1)An Accessory Dwelling Unit (ADU) with the address of 1006 Holcomb
Street will be built within the single-family residence at l0I2 Holcomb
Street. The ADU is accessory to and shares utilities with the single-family
residence.
2)The Port Townsend Municipal Code (PTMC) requires that the property
owner reside on the subject property, in either the principal residence or
ADU in order to rent or lease the other unit. A one-year hardship waiver
may be granted by the City in accordance with PTMC 17.16.020.C.2.
Additionally, neither the principal nor accessory unit shall be used as a
transient accommodation (PTMC 17 .l 6.020.C.3 ). A transient
accommcdation is defined as a use less than 29 days (PTMC 17.08.060).
3) This notice may be removed or modified only with approval by the City.
Page I of2
Parcel Details
- *i;giaiiffi-.ftiit6**i?
Parcel Number:948305 1 1
Parcel Number: 948305117
Owner Mailing Address;
CHRISTINE HUMPHREY
1430 LOPEZ AVE
PORT TOWNSEND WA9B36B27O3
Site Address:
Section: 10
Qtr Section: NE1/4
Township: 30N
Range: lW
School District: Port Townsend (50)
Fire Dist: Port Townsend (B)
Tax Status: Taxable
Tax Code: 100
Planning area: Port Townsend (1)
Page I of2
Prir:ter Friendlv
Sub Division: EISENBEIS ADDITION
Asses$sr's Land Use C*iJe: 9100 - VACANT LAND
Property Description:
ETSENBETS ADDTTTON I BLK 51 LOTS 17 TO 19 | CERT/LOTS OF REC #51347L I I
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http : //www. co j efferson.wa.us/assessors/parcel/parceldetail. asp 31612007
s t\o.0cCITY OF PORT TOWNSEND
VELOPMENT SERVTCES DEPARTMEN
City Hall,250 Madison Street, Suite 3
Port Torvnsend, WA 98368
Phone: 360-379-5095 Fax360-344-4619
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTTON, REMODELS, & ADDITIONS
Property Owner's Name(s)LHrztnTtpa HuMp{-\\z-u-J
Mailins Mdress | +a O Lr) ? g,Z FstJ €'
City,State,Zip TOfzf TdrAJ tJ4ts'r-Jb , NN 1gl 68-21O 7
Phone (e,"Dz,11 - 03t1 Permit No.
Property Street Address llo,-,&m 4T
ZonngDistrict Parcel #+6 o It
Legal Description; Addition Fl4.gr..l ts Block I Buff[Lot(s)t1 I I
General Contractor's Name lZ-O nqZf F I TL ? f<-Tl?)Of-
MailingAddress 4+27 4 FU JU A-^J AVf [aT -I-o r^/ P +{rU D wN abSu
Phone bD 3O' - ++Tl Cell Phone
State License Number O O O F \ F L < b2 l L- Ciry Business License Number
Authorized Representative/contact person: F og t*rar F I fr-pATpl c( phone:(s,.o) 7bt - *+st
Estimated Value of construction $
Financed By
Date Work is to Begin Date Work is to be Completed
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:
K New House Addition
K New Garage or Carport Repair/Remodel Garage
Repair/Remodel House x Accessory Dwelling Unit
Manufactured Home Other (please describe)
Finished Heated Space sq. ft: h oV4e \ 4 -7
t N()u 4zl Garage sq. ft: Va
Unfinished Heated Space sq ft:Carport sq. ft:
Unfinished Basement ft:Porches sq. ft:
Semi-Finished Basement ft:Decks sq. ft: bt O
Storage sq. ft:rIl] 1Other (please describe)5 ZUU'
P:\DSD\Forms\Building Forms\Application-Residential Building permit.doc Page 1 of2
))
CITY oF PoRT TbwNsnND RESIDENTIAL BUILDTNG PERMTT APPLICATIoN
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Special Conditions
Please check YES or NO as applicable YES NO
l Is the propefty within 200 feet of a fresh or saltwater shoreline?x
2. Is the propertry within the Port Townsend Historical District?x
3. Is the property located within or adjacent to an environmentally sensitive area?X
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 identi$ring the utility extensions and
sites.X
5. Have any special conditions been placed on this properfy, 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 x
Subdivision/Short Plat/Boundary 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, corporation, or other entity affiliated with the applicant? (If ps,X
7. Have of the properties listed in item #6 been developed within the last two years? (If yes, attach list.)K
8. Have you previously discussed this project with a City staff member? If yes, who and when?
K
Applicanf Certifi cafion
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 aftei one year if an inspection is not made to show significant progress on the fructure; the
applicant agrees to abide by the ordinan""r, ,od"r, 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 i 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.
P:\DSD\Forms\Building Forms\iApplication-Residential Building permit.doc Page 3 of 3
{
Residential Building Plans Ghecklist
City of Port Townsend
Development Services Department
25O Madison Street, Suite 3
Port Townsend, WA 98368
(360) 379-5095 Fax: {360) 344-4619
Name 6Hfzl4T I rJ€H u urp+l pr/Pemit#
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.
In addition to this form. please submit:
. Residential Building Permit Application form
. Sensitive Areas Questionnaire
.2001 Washington State Energy Code forms, Use either prescriptive forms, or component performance
forms with calculations.
. Washington State Energy Code Construction Checklist
. Two sets of plans. 18" x 2+, plansheet size is preferred. Plans mustbe to scale. Vq": 1ft. is preferred.
. If an architect has signed your plans, one set must have an original signature and wet stamp on each page.
o For structures that require engineering (including pole structures, suffooms, 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:
r Street/Utility Development Permit application, or Minor Improvement Permit application if water and
sewer are already stubbed to the property. For any utility extensions, provide engineered plans.
. Two additional copies of the site plan for Public Works (three sets if a septic system is proposed). Please
also include one reduced 8-ll2'x L1" size site plan.
NOW: Electrical Permits are required by the State of Washington Department of Labor & Industies (L&I).
Contact L&l at (360) 417-27A0for more information.
l'.ji I r /-,/\'j
i i I i ,/ : iir,
P:\DSD\rorms\Building Forms\Application-Residential Building permit plans checklist.rtf
Rev. 8/706
Page I of4
!
" PAGE#FLOORPLAN
PAGE# WALL SECTION
P:\DSD\Forms\Building Forms\Application-Residential Building Permit PIans Checklist.rtf
Rev.8/7/O6
zl+Room use,size and square footage by floor level.
z/rr Braced wall panel locations
3 Smoke detector locations.
Stairways:width, rise, run handrails" zuardrails. landinss. etc.
I?t+Window, skylight and door locations and sizes, with egress and safety glazing, if applicable. (Include
brand/model and U factor on energy application.)
b Rafter and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters,
optional iftrusses.
Attic access location and dimensions.
4
Plumbine fixtures.
Hot water tanks, furnaces. fireplaces. solid fuel appliances and combustion air ducts.9 Location of whole controls and timer9I.ocation and cfm of all other exhaust fans (i.e. bathroom. kitchen and laundrv)
b Type of exhaust duct material, duct path and exterior termination point of appliance vents and
environmental exhaust ducts.,v Tvpe and location of all WSEC outside fresh air inlets.
Fire blocking
+/s l-hr. construction between dwelling & garage on garage side.
4l€If engineering, show shear wall symbol and verbiage on the floor plan itself
1 F reinforcement vertical below natural and final
1 Foundation width and reinforcement hold if
1 washers x 2 x3116 treated
Thickness of floor slab
1 Floor under floor clearance from for oists and beams
Floor and
1 Wall stud and
to be used or advanced-6 1 and insulation
Wall and
&weather-resi stive b arrier
and location of 502.1
-1 b Sheetrock:and location.
material and R-value in and below flo and slabs
o with and to wall.
1 Ceiling height.
1 b Roof materi roof attic ventilation
Page 3 of4
))
City of Port Townsend
Development Services Department
CRITICAL AREAS QUESTIONNAIRE
Permit applications are reviewed by our staffto make apreliminary determination ofthe presence or
absence of a Critical Area on the property, pursuant to Chapter 19.05 of the Port Townsend
Municipal Code. To help us make this determination, please supply the following information.
General Information:
Critical Area
t')
%
ApplicantName: OA ?lATl NE Ituyr ?firz-4 rmn@ uDZll-oZ
l4Zo Uo?6-z Ava 7oV', 1zlt."r N?qs\ib\ lV/v ?tMailing Address:
Property Address (if different)UDtlt)A 4
Description of Proposal (include site plan): F.r tnp pe I >6*,{,E- n11J D A DU
The proposed new construction creates Lb b1 square feet of impervious surface. What best
managernent practices are proposed? a rur :*.Uf+.r:s tn t o/orz H Fy F kvg?
1. Is any portion of the property within or near a mappedCritical Area?
(Maps are available at the Development Services Department)YES X NO
2. Is there any standing or running water on the surface of the siteat any time during the year?Yes X No If YES, please describe:
Has any portion of the site been identifed as a wetland?
If YES, please describe:
KNoJYES
Is the site characterized as:
Forest Meadow 1', Mixed
4
Cleared
P:V)SD\Forms\Land Use FormCrApplicationCritical Areas euestionnaire.doc
ReceiptNunrben mffi
BLD07-029
BLD07-029
BLD07-029
BLD07-029
BLD07-029
BLD07-029
BLD07-029
BLD07-029
BLD07-029
9483051 1 7
9483051 1 7
9483051 1 7
9483051 1 7
948305117
948305117
9483051 1 7
9483051 17
9483051 17
$1,355.74
$41.72
$100.00
$4.50
$150.00
$150.00
$2,085.75
$10.00
$3.00
Total:
$1,355.74
$41.72
$100.00
$4.50
$150.00
$150.00
$1,935.75
$10.00
$3.00
$o.oo
$0.00
$0.00
$0.00
$0.00
$0.00
$0,00
$0.00
$o.oo
Plan Review Fee
Technology Fee for Building Permit
Energy Gode Fee - New Slngle Famil
State Building Code Gouncil Fee
Plumbing Permit Fee per Durelling t
Mechanical Permit Fee per Dwelling
Building Perm it Fee
Record Retention Fee for Building P
Site Address Fee
$3,750.71
07-olo2
CHECK
021'1512007 Building Permit Fee
1077
Total $3,750.71
$150.00 BLD07-029
$ 3,750.71
genprntrreceipts Page 1 of 1
a I
Receipt Nunber:ffimilp
BLD07-029 948305117 Building Permit Fee
CHECK 1072
Total
$2,085.7s $1s0.00
Total: $150.00
$1,935-75
$ 150.00
$1s0.00
genpnlrreceipls llage 1 of 1
)CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
DATE RECEIVED -1PERMIT #
SCOPE OF WORK:
DATE ACTION INITIALSzENTERED INTO CHET
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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.
PERMIT NUMBER:"DzDATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
PHONE:
e
c -th'r,'
! APPROVED tI APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
,[*ot APPR''ED
Call for re-inspection before
proceeding.
Inspector
_*_A
-4)/->f,t"-
Approved plans and permit card must be on-site and available at time of inspection. A re-inspectionfee 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 360-385-2294by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATB OF INSPECTION:k -O PBRMIT NUMBER:
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION:
APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
APPROVED
Call for re-inspection before
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 ready for inspection.
a
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: 5 -4O'g'PERMIT NUMBER: 1 -ZtT
SITE ADDRESS:\2-
PROJECT NAME:
CONTACT PERSON:
TYPE OF'INSPECTION:A rartr
i,Ja t)r'
J
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CO
CONTRACTOR:
PHONE:
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! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will
checked at next inspection
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N APPROVED y'u^ot APPR.'ED
ne/ Cullfor re-inspection before
proceeding.
Inspector Date
Approved plans and permit card must be on-site qnd avqiloble at time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
Kirk Boike ARCHITECT a 4601 Mason Street O PortTownsend WA 98368 a 360 385 6140
architect@surfbest. net
28 May 2008
Re: permit 7-29 @ 1012 Holcomb
The shear-walls along grid '6'top floor, and grid 'B' first floor have been built slightly differently than
the original plan specified (as revised on sheet one of the structural calculations). The shear-wall nailing
and hold-downs as installed meets the necessary rerluirements.
Sincerely
<
Kirk
,:*
rpl!t
U=*GE IVE
i.' .. '
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H, .
illAY 2I 2008
8TY Ri
DSD
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Street t PortTownsend WA ge '\r
360 385 6140r
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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.
DATB oF'INSPBCTIoN: 4-W PERMIT NUMBER: 1"7q
SITE ADDRESS: I O\)-- tltO r-Cat^'18
a
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION:AU.-S
LEnP)e T\b &:YLL <+Vr tv G f.rV , NfttLuuG, " 1 H r\'r
ft,{L€ OYNY,a
^/
U
lE
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Mnnot APPR.'ED
Call for re-inspection before
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 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.
DATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF'INSPECTION:
PERMIT
CONTRACTOR:
B^b PHoNE:
/iln otlL
t-A /o
ffiril rlJ
/ L(_
! APPROVED
Inspector Date 2 0
Approved plans and permit card must be on-site and availoble at time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Calt for re-inspection before
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:1-t -01 PERMIT NUMBER: i3 LD67 . 621
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHoNE: 30 I Oq13
TYPE OF INSPECTION:Pl,-,r",tr'.,a ri\ slaA. P-o#,",q e)rnmU
or ATelv
7C LL
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
N NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Date 2_
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.
t('-l--
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.
9 PERMIT NUMBER:L ^02DATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE INSPE ON
lz
CONTRACTOR:
A/
U5L7Etfl of
L vL
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections
checked at next inspection
! APPROVED
Inspector Date
Approved plans and permit card must be on-site and available at time of
be assessed if work is not ready for inspection.
tr NOTAPPROVED
be Call for re-inspection before
A re-inspection fee may
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:6 ^ lq - n1 PERMTT NUMBER: Rl-r)rf7 -o2q
SITE ADDRESS:
PROJECT NAME:l-{ rl !'h r,hnur CONTRACTOR:
CONTACT PERSON:
-J B-b PHONE:
TYPB OF INSPECTION:1
Q
! APPROVED
Inspector
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
! NOTAPPROVED
Call for re-inspection before
proceeding.
h /rq lez
/' '/ |
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.
0- -<.-'-')
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.
r5-3D- Da PERMITNUMBER: IBLD 01- O)qDATE OF'INSPBCTION:
SITE ADDRESS:
PROJECT NAME:ItDr.n^,h re) )CONTRACTOR:
CONTACT PERSON:
'r' J PHONE: Abl - 6q13
TYPE OFINSPECTION: VU*rhA f#TTLAC K'\U
0t)
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector Date
Approved plans and permit card must be on-site and availoble at time of
be assessed if work is not ready for inspection.
! NOTAPPROVED
Call for re-inspection before
proceed-ing.r/ so /o>l/
inspection. A re-inspection fee may
I ,il)o)''
\))
UITY OF PORT TOWNSENU
STREET & UTILITY INSPECTION REPORT
PERMIT NUMBER:
Site Address
Contractor
Owner
Date of lnspection
Worksite or Cell Phone#
E Sewer Main / Manhole
tr Side Sewer
tr Water Main
D Street Prep
RFaecT:e€f,
4 4v
Q Street Paving
Q Driveway Prep / lnstallation
tr Storm Drainage / Culvert
Q Trail(s)
tr Erosion / Sediment Control
4/,m
ArA -77tt4
tr Hydrant
tr ROW Landscaping
tr Temporary Occupancy
tr Final lnfrastructure
*,&k
4t/--
L1_
/b
Additional fees may be assessed for multiple re-inspections. For Re-inspection, call lnspection Message
Line at (360) 385-2294 prior to 8:00 AM. (NO OCCUPANCY UNTIL APPROVED BY DSD.)
tr APPROVED tr APPROVED WITH CORRECTIONS tr NOT APPROVED
sEE BELOW SEE COMMENT(S) BELOW
f,rJ"hriW
/ zzz->/
ava
Approved pl be on-site and available at time of inspection.
lnspector Date
DateAcknowledged by
and permit card m
:4y'-az
A
) ,-.)
CITY OF PORT TOWNSENU
STREET & UTILITY INSPECTION REPORT
NA)
PERMIT NUMBER
Site Address
Contractor
Owner a.h..i=fi
^
.,. W, ,hn n hrprt
Date of lnspection
Worksite or Cell Phone#
tr Sewer Main / Manhole
D Side Sewer
tl Water Main
D Street Prep
D Street Paving
tr Driveway Prep / lnstallation
tr Storm Drainage / Culvert
tr Trail(s)
tr Erosion / Sediment Control
tr Hydrant
tr ROW Landscaping
D Temporary Occupancy
tr Final lnfrastructure
Inspection Message
BY DSD.)
NOT APPROVED
sEE COMMENT(S) BELOW
R percTesY
Additional fees may be assessed for multiple re-inspections. For Re-i
Line at (360) 385-2294 prior to 8:00 AM. (NO OCCUPANCY UNTIL
tr APPROVED tr APPROVED WITH CORRECTIONS
SEE BELOW
n-J
Approved pl ans and permit card must be on-site and available at time of inspection.
lnspector Dale 9' /J-o/
Acknowledged by Date