HomeMy WebLinkAboutBLD07-050BIJILDING PERMIT
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 Farnily - New
Site Address 303 CASTELLANO WAY UNIT #8
Project Description
New Single family residence in Spring Valley Lot 8
Permit #
Project Name
Parcel #
BLD07-050
001022024
Fee Informution Project Details
Decks - Residential (Covered)
Dwellings - Type V Wood FrameProject Valuation
Site Address Fee
Building Permit Fee
Energy Code Fee - New Single
Farnily Unit
Mechanical Permit Fee per Dwelling
Unit - New Residential
Plan Review Fee
Plurnbing Permit Fee per Dwelling
Unit - New Residential
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
$98,766.33
3.00
986.1s
100.00
266 SQFT
1,009 SQFT
150.00
150.00
r s0.00
4.50
19.14
10.00
Total Fees $1,573.99
CaIl 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 provisior.rs of the PTMC or other laws or regulations. I certifr
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I fi.rrther certify
that I arn the owner of the property or authorized agent of the owner.
Date lssrred
lssued Br':
0449t2007
PWESTERFIELD
Print Name
)I
BUILDING PERMIT
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 303 CASTELLANO WAY UNIT #8
Project Description
New Single farnily residence in Spring Valley Lot 8
Permit #
Project Name
Parcel #
BLD07-050
001022a24
Names Associated with this Project
Type Name
Applicant Kimball And Landis Llc
Owner Kimball And Landis Llc
Contact Phone #
License
Type License # Exp Date
CaIl 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
thattheinformationprovidedasapartoftheapplicationforthispermitistrueandaccuratetothebestofmyknou'ledge. Ifurthercertifu
that I am the owner ofthe properry or authorized agent ofthe o\ rner.
Date Issued
lssued B'r':
04i19t2007
PWESTERFIELD
Print Name
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Receipt Nunber:
BLD07-050
BLD07-050
BLD07-050
BLD07-050
BLD07-050
BLD07-050
BLD07-050
BLDOT-050
07-0212
CHECK
001022024
001022424
001022024
001022024
001022024
001022024
041022024
001022024
0311612007 Plan Review Fee
735
Total
Technology Fee for Building Permit
Energy Code Fee - l,lew Single Famil
State Building Code Gouncil Fee
Plumbing Permit Fee per llrvelling L
Mechanical Permit Fee per Dwelling
Building Permii Fee
Record Retention Fee for Building P
Site Address Fee
$19.74
$100.00
$4.50
$150.00
$150.00
$986.75
$10.00
$3.00
$1,423.99
$150.00 BLD07-050
$19.74
$100.00
$4.50
$150.00
$1s0.00
$986.7s
$10.00
$3.00
Total
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
1-a
$ 1,423,99
$1,423.99
genprnlrreceipts Page'1 of 1
t.---
\,)
CITY OF PORT TOWNSEND
DBVELOPMENT 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:
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION:
I
2
! APPROVED
Inspector
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
! NOTAPPROVED
Call for re-inspection before
proceeding.
/o- //- 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.
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 tly 3:00 PM Friday.
PERMIT NUMBER:DDATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
PHoNE: .tsoq 01 7 I
\ or**ou"o ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector Date
Approved plans permit must be on-site and available at time of
N NOTAPPROVED
Call for re-inspection before
proceeding..
yh,oIoX
be assessed if work is not for inspection.
,rrorl"rron.' o r!"-rnroution Jbe may
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
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
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.
PERMIT NUMBER:8LD,q 7- /.5elDATE OF INSPECTION: a -
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPBCTION:
CONTRACTOR:
PHONE:1
L
tL lf*ftrrc!
! APPROVED
Inspector
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
! NOTAPPROVED
Call for re-inspection before
proceeding.
Tlzr ftr>/ 'y' "/
Approved plans and permit card must be on-site qnd available at time of inspection. A re-inspection fee may
be assessed if work is not readyfor 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:-7 - 3-O-T PERMTTNUMBBR: R^n 01-45O
SITE ADDRESS:3o-\ Ca-ste,llana - #8
PRorECr NAME: s?rinet Vdle{
CONTACT PERSON: \/' /
CONTRACTOR:
TYPE OF INSPECTION:
tlL ft-
l
APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
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 INSPBCTION:1-g-o7 PERMIT NUMBER:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
CONTRACTOR:
Jae- PH ONE:ts1)q - n-771
TLJTYPE OF INSPECTION:t r
! 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 ond qvailable at time of
be assessed if work is not readyfor inspection.
! NOTAPPROVED
Call for re-inspection before
A re-inspection fee may
"-t \
)
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.
OF INSPECTION:
SITE ADDRESS:
PROJBCT NAME:
CONTACT PERSON:
PERMIT NUMBER:
CONTRACTOR:
R I ak- PHoNE:3Ol- gct-l
Vclo*:rin,n *tr-/rnaKs=t)frt1,4- bl'ZflJTYPE OF INSPECTION:
a
L
! APPROVED N APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
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.
iilr'/l,t 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 ER: 6 t*oou -a50DATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
CONTRACTOR:
---\AO PHONE:
TYPE OF'INSPECTION:
fu,C'l- RAn\y' Nlflr,rf r\x '76 t", /*"1
T'I APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
II NOTAPPROVED
Inspector Q,,L
Call for re-inspection before
proceeding.
t/u /o>'l '/
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.
b '4 - D1 PERMTT NUMBER: BL D N" -Z+ZDATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPB OF INSPECTION:
CONTRACTOR:
PHoNB: (Tffi D77 I
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#d'Po.,r€\
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! 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 available at time
be assessed if work is not ready for inspection.
! NOTAPPROVED
Call for re-inspection before
proceeding.
A/,t /o>
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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:{LA n> -os-oDATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION:
OL
tr APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
p
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 worh i,s not readyfor inspectiort.
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.
a /ctlotDATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
PERMIT
/- - /
CONTRACTOR:
PHONE:
TYPE OF INSPECTION:L
tr APPROVED tr APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
p
Inspector Date 2c)()
Approved plans and permit card musl be on-sile ond available at time of inspection. A re-inspection fee ntay
be assessed if work is not ready.for inspection.
') crry oFpoRTTowNSEND ')
DEVELOPMENT SERVICES DEPARTMtr;TTI
City Hall,250 Msdison Street, Suite 3
Port Townsend, WA 98358
Phone: 360-379-5095 Fzx360-3444619
RESIDENTIAL BTIILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Owner's Name(s)b
Mailing Address
City, State, Zip gsjL
r5**Phone Permit No.
3o3 [^)+Property Street Add ress
E
\\Parcel# OO I ,CDistrict
Lot(s) ALegal Description: Addition Block
General Contractor's Name JDIsvMailing Address
5-* 49,rPhone 48aCell Phone
State License Number City Business License Number
Authorized Representatiye/Contact Person:7at +aqaPhone:
Estimated Value of construction $
Financed By
Date Work is to Begin D?Date Work is to be Completed b
Scope of Work:
Please ch ll items that apply for the ty of building permit you are requesting:
Floor Area: the proposed sfructure is to be used for:
i,.'\i1
New House Addition
New or Carport Repair/Remodel Garage
Repair/Remodel House Accessory Dwelling Unit
Manufacfured Home Other (please describe):
Finished Heated Space sq. ft;oo
Un finished Heated sqft
!
1Garage sq. ft:
Carport sq. ft
Unlurished Basement sq ft Porches sq. ft z&
Semi-Finished Basement sq ft Decks sq. ft
Storage sq. ft:Other (please describe)
P \DSD\Forms\Building Forms\Application-Residential Building permit.doc Page 1 o{ 2
L The total area ofthe properfy in square feet:
2. The total area covered by existing and proposed structures in square feet
(total ground coverage from the outside ofwalls or supporting members)
Percentage of lot coverage: (2+l)
CITY OF PORT TOWNSEND RESIDENTIAL BIIILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Pro Site Area/Coverage Information :
Impervious Surfaces:
Please provide the square footage ofthe roof area ofthe proposed and existingstructures, and the square footage ofthe total area
covered by porches, walkways, patios and driveways. Do nol include decl<s allowing drainage to earth below.
*lf total impervious surface is equal to or greater than 40oh 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):
hoposed House Rooforint sq. ft:l/so Existing House Roofprint sq. ft
Proposed Garage Roofprint sq. ft Existing Garage Roofurint sq. ft:
Proposed PorcMWalkway sq. fl:Existing Porch/Walkway sq. ft:
Proposed Driveways sq. fi Existing Driveways sq. ft
Other (describe):Other (describe)
'fotal Proposed Impervious sq. ft TotalExisting I ious sq. ft:
Total Proposed + Existing sq. ft:
-}
Percentage Impervious: *
(Impervious surface + lot sq. ft)
/Site Plan L"Interior & Exterior Wall Bracing (panel locations shown
on floor plan)
Drainage Plan (if 40% or more impervious)Typical Wall Framing Details (section from foundation
through roof)
?Foundation Plan Elevatipns
Floor Plan 2003 WSEC* Compliance: Prescriprive Component
,/Floor Framing Plan -/WSEC Construction Checklist (Washington Srare Energy Code)
l,/Roof Framing Plan Other:
Installing Manufactured Home Yes No Year:Make
Was the manufacnred home originally constructed within three (3) years ofproposed placement?Yes No
2) Manufactured home must be placed on a permanent foundation with the space from the bottom of the home to the
ground enclosed by either load bearing concrete or decorative concrete or masonry blocks so that no more tban one foot ofthe
eter foundation is visible above grade; and
3) Roof must be composed of composition, wood shake or shingle, coated metal, or a similar roof material; and
4) Title to the manufactured home must be eliminated as a condition of build ing permit approval
P \DSD\Forms\Building Forms\Application-Residential Burlding 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
l. Isthe within 200 feet of a Iiesh or saltwater shoreline?
2. Is the properfy within the Port Townsend Historical Djstrict?
3. ls the located within or adjacent to an environmental ly sensitive area?
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);
Subdivision/Short PlaVBoundary Line Adjustmenr?
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 entify affiliated with the applicant? (lfps,
7. Have of the properties listed in item #6 been developed within the last two years? (lfyes, attach list.)
8. Have you previously discussed this project with a Ciry staff member? If yes, whb and when?
A nnlicant Certifi cation
The applicant hereby certifies to have knowledge of those sections of the lnternational 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; ii,ut tt,r permit, affer
construction has started, will expire after one year if an inspection is not made to show significant progress on,the sructure; the
applicant agrees to abide by the ordinances, codes, regulations, restrictive covenants, deed or plat restrictions, and water and sewerplans attached hereto; the applicant cerlifies that all information given above and on accompanying plans i complete and accurate tothe best of their knowledge; and the applicant understands that this information will be relieA upon in granting permits and that if suchinformation is later found to be inaccurate any permits may be withdrawn.
P \DSD\Forms\Buirding Forms\Apprication-Residentiar Buirding permit.doc Page 3 of 3
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
The undersigrred 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 noncompliance with any restictive covenants, plat
restrictions, deed restrictions, or otler restictions which may have been established by parties other than the City of Port Townsend
Comnlete Alnlication
Port Townsend MunicipalCode, 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 conkol ordinances in effect on the date a fully complete building permit application, meeting the requirements dentified
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 odinances which
become effective prior to the date of issuance of a f,rnal 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 lnternationalResidentialCode,2003 Edition, is submitted which is consistent with allthen applicable
ordinances and laws. In addition, to be considered complete, such an application must be accompanied by comp lete applications for a
subsidiary land use or development permits needed, such.as a complete shoreline management permit applicati on and/or complete
applications for other discretionary permits required under the ordinances of Port Townsend. An application for a parlial permit under
Section R105.3.1 of the
stated above and contains
Signafure of Applicant or Authorized ve
For Official Use Only
Code, 2003 Edition, shall not be considered complete unless it meets all requiremenrs
structural frame of the building and the architectural plans for the sfructure.
7 IG 6
Dj
Date
Permit No
-1,04
Building Offic Date Issu edl t
il l,1u lo1
Balance Due $(il,"' G 'r I ,
Validation Stamp below:
Own erlRepresentative Signature Date
P:\DSD\Forms\Building Forms\Application-Residential Building permit.doc Page 4 of 4
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Receipt Nunber:
BLD07-050 OO1O22O24 Plan Review Fee $1s0.00 _ $150.00
Total: $150.00
$0.00
CHECK 712 $ 150.00
Total $150.00
genprntrreceipls Page 1 of 1
Residential Building Plans Checklist
G*s City of Port Townsend
Development Services Department
25O Madison Street, Suite 3
Port Townsend, WA 98368
(3601 379-5O95 Fax: {360) 344-4619
Name (Pemit#
This checklist is for new dwellings, additions, remodels and garages. The purpose is to show what you intend
to build, where it will be located on your lot, and how it will be constructed.
In addition to this form. please submit:
. Residential Building Permit Application form
. Sensitive Areas Questionnaire
. 2001 Washington State Energy Code forms. Use either prescriptive forms, or component performance
forms with calculations.
. Washington State Energy Code Construction Checklist
. Two sets of plans. l$n a )!,n plan sheet size is preferred. Plans must be to scale. 1/+" : 7 ft. is preferred.
. If an architect has signed your plans, one set must have an original signature and wet stamp on each page.
. 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 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 11" size site plan.
NOTE: Electical Permits are required by the State of Washington Department of Labor & Industies &AD.
Contact L&I at (360) 417-270Ofor more informntion.
1
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P:'DSD\FonnslBuilding Formsv\pplication-Residenrial Building Permil plans checklisl,rtf
Rer'. 8i7i06
Page I of4.
t
PAGE# FLOOR PI"AN
ftvz doo- use, dimensions, size and square footage by floor level.
'l Braced wall panel locations.
Smoke detector locations.
Stairwavs: width, rise, run" handrails, zuardrails,landings. etc
Window, skylight and door locations and sizes, with egress and safety glaring, if applicable. (Include
brand/model and U factor on energy application.)
Rafter and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafterg
optional iftrusses.
Attic access dimensions.
fixtures.
Hot water tanks.furnaces, fireplaces, solid fuel appliances and combustion air ducts
I of whole house ventilation controls and timer
Location and cfm of all other exhaust fans (i.e. bathroom. kitchen and laundry)
II Type of exhaust duct material, duct path and exterior termination point of appliance vents and
exhaust ducts
V'N Tvpe and location of all WSEC outside fresh air inlets.
Fire blockine.
/l-hr. construction between dwelling & garage on garage side
7 If engineering, show shear wall symbol and verbiage on the floor plan itself
PAGE# WALL SECTION
P:tDSD\Forms\Building FormsVtpplicarion-Residential Building Permil plans checktist.rtf
Rev.8l7/06
L,,W reinforcement vertical rebar below natural and final
I width and reinforcement hold-downs if
Anchor washers X x3/16 and treated
Thickness of floor slab.
size and floor clearance from crawl for sts and
Floor sheathins-type and size.
and
Framing to be used, standard, intermediate or advanced
Hgader, size, gradq spans and insulation (if apolicable)
Wall sheathing and siding and material
location ofweather-
Tvpe and locationBf vapor retarder (WSEC 502.l 6)
Sheetrock and
Insulation material and R-value in walls above and below floor
with connection of roof to wall.
t Ceiling height.
I Roof sheathing, roofing material, roof pitch, attic ventilation (provide calculations)
Page 3 of 4
'] ^]
Prescriptive Approach - Simple Form
Forthe Washington State Energy Code (2001 Edition)
Climate Zone ,f
Site lnformatiori Building Department Use Only
Permit #:
Notes:
Lot:b
Address:<^.,nf,a.-
F
State:L)-'Ap:?fii tD B
Contact:ral
Phone:
Phone 2:
Table6-l
PRESTCBIPTWE REQIIREMEI\TS o'r FOR cROUp R OCCUPAI{CY
cr,[t{aTEz0hml
See the code text for footnote references
This project complies with the following:{ tne projec't is a single fant'ly residence or duplex.
/ tn" project is wood ftame OR all of the insulation is interior or extedor of the franf ng.
{ X building components meetthe requirements listed in Table S1, Opliony' tn" projectwill meet all other provisions of the WSEC and VIAQ.
The project will take advantage of
ICity:
f7
I
i.l 1 5 l)Cl
allowed.tr 002.0 Exception 1. One door,meet the
Location of the door taking this exception
E 002.0 Exception 2. Doors with a tlfac{or of 0.40
I
without calculations, Option lll only
Location of the door(s) taking this exception
Copyrigt{ 2004 WSUCEEP02- 056
CoiLO-'Uy perirission from the.Wbstrirgton Strate University Cooperalive E<tension Energy Program
Frescriptive - Slnple Fom - Climate Zone 1
,ill
GlazineU-Factor
Option
Glazing
Arealo
%o ofFloor Vertical Overheadll
Dool
U-
factor
Ceilind Vaulted
ceilind
Wall
Above
Grade
Wall
Inta
Below
Grade
Wall
Ed4
Below
Grade
Floof
Slab*
On
Grade
m Unlimited
GroupR-3
Occupancy
Clnlv
0.40 0.58 0.20 R-38 R-30 R-2t R-21 R-10 R-30 R-lo
5/|31t2tr/2
GrB ''l -)
City of Port Townsenc
Development Services Department
CRITICAL AREAS QUES TIONNAIRE
Permit applications are reviewed by our staffto make apreliminary determinationofthe 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 uestions:
Applicant Name:l(,,*GtA,r L (J*,9 It-c Phone:{41tr
Mailing Address:tsl-i#*=k_q+.
Property Address (if airc'f,\7
=A*tg^JDescription of Proposal (include site plan)
euto*=
The proposed new construction creates
management practices are proposed?
square feet of impervious surface. What best
1. [s any portion of the property within or near a mappedCritical Area?
(Maps are available at the Development Services Department)_YES K No
stal$gg or running water on the surface of the siteat any time during the year?K{.{o lf YES, please describe: , i )
2. [s there any
Yes
Has any portion of the site been identifed as a wetland?
If YES, please describe:
J YES D( No
4. Is the site characterized as:
Forest Meadow Xct"ur"a Mixed
P:\DSD\Forms\Land Use FormdrApplicationCritical Areas Questionnaire.doc
WSEC Residential Construction Checklist
lc)i\-DT- t>
City of Port Townsend
Development. Servicex Department
250 Madison Street, Suite 3
Port Townsend, WA 98368
(360) 379-s095 Fax: (360) 344-4619
Washington State Energy Code (WSEC)
2001 Residential Construction Checklist
Complete this form in addition to WSEC forms. Please answer the following questions:
ew construction, 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 Unit
regardless of size must also meet these requirements.
I House addition under 750 square feet
Possible trade-ffi are allowedwith the existing buildingfor WSEC compliance, such as
increasing ceiling insulation. See WSEC component performance forms.
NOTE: A house uddition less than 500 sq. ft, does not require whole house ventilation.
Spot ventilation is still required.
OF HEATING -lease check all t
Electric
I Wall Heater Baseboard I Forced Air Furnace Radiant Floor (Boiler) ! Other _
Non-Electric:
Propane : l) Radiant Floor/Baseboard (Boiler)
tr Heat Pump n Oil Furnace I 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 FloopC
{Vly *oodwith exterior glue
n Poly plastic (greater than or equal to 4 millimeter thick)
! Backed batts :, ., I ,
o Walls: :
U Poly plastic (greater than or equal to 4 millimeter thick)
ace-stapled, backed batts
paint
a
! Not required where ventilation space averages greater than or equal to 12 inches above
insulation
I Fage-stapled, backed batts
Z PAV plastic (greater than or equal to 4 millimeter thick)
WLow-perm paint
SEE BACK
P:\DSD\Department Forms\Eluilding FormsWpplication-Residential Energy Code Checklis,doc
Page 1 of I
G Stove n LPG Furnace I Other LPG
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT # B C^/- o3o
SCOPE OF RK:
DATE RECEIVED 3 -_ a7
PL;
DATE ACTION INITIALS3-t ENTERED INTO CHET
- No evidenceCA-to
FOR COMPLETENESS