HomeMy WebLinkAboutBLD07-065I )
BIJILDING 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 1339 21ST STREET
Project Description
SFR
Permit #
Project Name
Parcel #
BLD07-065
94831 I 501
Fee Information Project Details
Decks Residential
Dwellings - Type V Wood Frame
Storage Shed
Project Valuation
Site Address Fee
Building Permit Fee
Energy Code Fee - New Single
Family Unit
Mechanical Permit Fee per Dwelling
Unit - New Residential
Plan Review Fee
Plurnbing Pennit Fee per Dwelling
Unit - New Residential
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Pennit
$112.364.88
3.00
1,066.55
r 00.00
16 SQFT
1,176 SQFT
32 SQFT
150.00
693.26
150.00
4.50
21.33
10.00
Total Fees $2,198.64
CaII 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.
Thegrarrtingofthispermitshallnotbeconstruedasapproval toviolateanyprovisionsofthePTMCorotherlawsorregulations. Icertif
that the inforn.ration provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify
that I am the owner of the property or authorized agent of the owlter.
Date Issued
Issued By:
051011200'1
PWESTERFIEI,I)
Print Name
BIJILDING PERMIT
Cify of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-s095
Project Information
Permit Type Residential - Single Family - New
Site Address 1339 2l ST STREET
Project Description
SFR
Permit #
Project Name
Parcel #
BLD07-065
9483 1 I 50r
Conditions
10, Property corner pins must be located at time of foundation inspection to verify setbacks.
20. Ternp. erosion control measures rnust be installed and maintained prior to approval of any building inspections.
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
thattheinformationprovidedasapartoftheapplicationfor.thispermitistrueandaccuratetothebestofmyknowledge. Ifurthercertifu
that I anr the owner ofthe property or authorized agent ofthe owner.
Date Issued
lssued Bv:
05/01/2007
PWESTERFIELD
Print Name
BT]ILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Torvnsend, WA 98368
(360)379-s09s
Project Informstion
Permit Type Residential - Single Farnily - New
Site Address 1339 2lST STREET
Project Description
SFR
Permit #
Project Name
Parcel #
BLD07-065
9483r1501
Names Associated with this Project
Type Name
Applicant Habitat For Humanity Of
East
Owner Habitat For Humanity Of
East
Contact Phone #
License
Type License # Exp Date
*** SEE ATTACHED CONDITJONS ***
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 regulaiions. I certify
that tlre information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certif'
that I am the owner ofthe property or authorized agent ofthe owner.
Date lssued: 05/0112007
IssuedBy: PWESTERFIELD
Print Name
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Page I ofl
Scottie Foster
From: JamieMaciejewski [habitat@olympus.netJ
Sent: Monday, March 10, 2008 2:55 PM
To: Scottie Foster
Subject: tax parcel numbers
HiScottie,
Regarding the correct parcel numbers for the two Ceilificates of Occupancy:
1327 21sI slreet: 94831 1 503
1339 21st street: 94831 1504
Thanks for getting those done!
Jamie Maciejewski
Executive Director
Habitat for Humanity of East Jefferson County
360-379-2827
3lro/2008
Page I of I
Suzanne Wassmer
From: Jamie Maciejewski [habitat@olympus.net]
Sent: Friday, March 07, 2008 12:06 PM
To: Suzanne Wassmer
Subject: Re: final certificates of occupancy
Thank you!
--- Original Message ---
From: Suzanne Wassmer
To: Jamie Maciejewski
Cc: Leonard Yarberry
Sent: Friday, March 07,2008 11:57 AM
Subject: RE: final certificates of
HiJamie,
6L
LO 67^4f
1
b o1
Temporary Certificates of Occupancy on December 7,2007. lt stated for a final C of O:
1327 needs to pave apron or bond for work to be completed under MlP07-039,
and 1339 needs to do the same for MlP07-038.2Jt
I looked in those MlPs and saw that Alex Angud signed off the public works for both on 2l4l0$
I prepared the C of Os, and will leave them for our Director to sign off. l'll let you know when they're ready
Thanks,
Suzanne
----Original Message-----
From : Jamie Maciejewski [ma ilto : habitat@olym pus. net]
Sent: Friday, March 07, 2008 10:57 AM
To: Suzanne Wassmer
Subject: final certificates of occupancy
HiSuzanrie,
I'm not sure who I should be asking about this, so I will start with you-do you know whether the final
inspections were done yet for 1327 and 1 339 21 st street? And if so, were final certificates of occupancy
issued? lf so, what date?
Thanks,
Jamie Maciejewski
Executive Director
Habitat for Humanity of East Jefferson County
360-379-2827
311012008
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\1\-.TY Of PORT TOWNSEND '
Development Services Department
250 Madison Street, Port Townsend, WA 98368
360-379-5095 Fax 360-344-4619
TEMPORARY CERTIFICATE OF OCCUPANCY
December 7, 2007 throush December 21. 2007
Building Permit l.{o.: BLD07-065
Owner:Habitat for Humanity
Address:1339 2L" Street, Port Townsend
Use(s) permitted:R-3, Single-Famity Residential
The above*referenced building or portion complies with the applicable requirements of the
Port Townsend Building Code (PTtvIC 16.04), has passed all required inspections and may be
used and occupied prior to completion and final inspection without sutrstantial hazard, and is
hereby granted this Temporary Certificate of Occupancy. provided substantial progress is
being made toward completion and final inspection is passed by the date entered above.
This Temporary Certificate of Occupancy shall be posted in a conspicuous place on the
premises and shall not be removed except by the building official-
Approved:7
Leonard Yarberry Date
Complete Remaining ltems for Final
1. Pave apron or bond for work to be completed under MIP07-038
ial
htp^*a \"Y *A z l+los.
fat
A NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT
Page I of 1
Jan Hopfenbeck
1339 21
From: Jan Hopfenbeck
Sent: Friday, December 07,2007 1:25 PM
To: 'habitat@olympus.net'
Gc: Penny Westerfield
Subject: TCOs for two homes 1327
Jamie, E4,Cr7 -ab f,
LeonardYarbeny, our Director,has approuedisluqnce of Temporary Certifi.cates of OccttpancU (TCO)for your
two homes giuen the circumstances. They willbe ualidfor atwo weekperiodto giue goutime to haue a pauing
companA compile an estimate,,andfor Habitat to submit the bonding form and check based on that estimate.
Penny is preparing those now. Please let us know if you would like to pick them up or if you would like her to
mail them to gou.
Congratulations on the completion of two more homes,
Jan
Jan HopfenbeckCPE, CBI
Plans Examiner/Permit Coordinator
City of Port Townsend
Developmenf Serulces Department
250 Madison Street Sulfe 3
Port Townsend, WA 98368
Phone: (360) 379-5086
Fax: (360) 344-4619
i h o pfe n be c k@cityofpt. u s
12t7t2007
')Page 1 of 1
Jan Hopfenbeck
From: Jan Hopfenbeck
Sent: Friday, December 07,2007 1:25 PM
To: 'habitat@olympus.net'
Cc: Penny Westerfield
Subject: TCOs for two homes 1327 and 1339 21st Street
Jamie,
LeonardYarberry, our Director,has approuedissuance of Temporary Certif.cates of Occupanca (TCO)for your
two homes giuen the circumstances. Theg wiIIbe ualidfor atwo weekperiodto giue youtime to haue a pauing
companA compile an estimate, andfor Ha.bitat to submit the bonding form and checkbased on that estimate,
Penny is preparing those now. Please let us know if you would like to pick them up or if you would like her to
mail them to you.
Congratulations onthe completion of two more homes,
Jan
Jan HopfenbeckCPE, CBI
Plans Examiner/Permit Coordinator
City of Port Townsend
Deve I o p m enf Services D ep a rtm e nt
250 Madison Street Sulfe 3
Port Townsend, WA 98368
Phone: (360) 379-5086
Fax: (360) 344-4619
ihpp renbee4@etlvpt pLue
1217t2007
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.
PERMIT NUMBER:B LD 07 - c,lasDATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
Dzn PHoNE:
! 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 availoble at time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
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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.
PERMTT NUMBER: .RL ,f>h1- O 1"5DATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
CONTRACTOR:
cf} n PHoNE:
TYPE OF INSPECTION:
TI APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector Date
Approved plans and permit cord must be on-site and available at time of
be assessed if work is not readyfor inspection.
! NOTAPPROVED
Call for re-inspection before
A re-inspection fee may
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.
B - 14 -D1 PERMTT NUMBER: RLD a) - O(SDATE OF INSPECTION:
SITE ADDRESS:1.?3q Jlsr
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
PHoNE: ,71q .5 ll Z)
L L
t/LaJ
r
AI st) L /o
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
proceeding.
o^,"rg//4 /o >Inspector
-/' //
Approved plans and permit card must be on-site and available at time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
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.
R^ to-t>1DATE OF'INSPECTION:
SITE ADDRESS:t3
PROJECT NAME: Hn-l\ itnf
CONTACT PERSON:
CONTRACTOR:.Dan PHoNE: 37q .5lao
TYPE OF INSPECTION:
:
por"*orr"o ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
! NOTAPPROVED
Call for re-inspection before
Inspector
Approved plans and permit must
at next inspection
Date f e
be assessed if work is not ready for inspection
ite and available ot time of inspection. A re-inspectionfee may
t
lt
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 inspectionso call by 3:00 pM Friday.
DATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
PERMIT NUMBER:
CONTRACTOR:
\L)N fi PHONE:
TYPE OF INSPECTION:
('-/:
/L auFsr
I
tr APPROVED N APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
tr NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Q,,O o^r" 6/zz-,/o ?((r
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 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
1 PERMTT NUMBER: €Lbnt- O 1o (DATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
C>n PHONE:
@aattvto trlar ?rn,*ina
a
7
N APPROVED N APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector Date
Approved plans and permit card must be on-site qnd available at time of
be assessed if work is not ready for inspection.
N NOTAPPROVED
Call for re-inspection before
proceeding.
(,/r/nt
,),!"",-!., .t,:n-n,p*tionJbe 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 For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPBCTION:
7 pERMTTNUMBBR: AtJ of * 0(r5-
\-
CONTRACTOR:
PHONE:6,-1t *l z,vol
lT
ftL (
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
N NOTAPPROVED
Call for re-inspection before
proceeding.
R,.(Inspector Date
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.
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 inspectionso call by 3:00 PM Friday.
DATE OF'INSPECTION:5-3O-O7 pERMTTNUMBER: ..Bl--o O7 - 6bf.
ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:tfVn PHoNE: h43-,-7 q4
TYPE OF INSPECTION:
L} Q-
SI
! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
proceeding.
3nInspectorDate
Approved plans and permit cqrd 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 CI65-
1 PBRMTT NUMBER: .Bl D D7 *e&-DATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:(fla N PHONE:q'- 5lLO
TYPE oF INSPECTIoN: .E, ,{ rA, O* SM U4 KJI+LL--.I
! APPROVED
Inspector
! APPROVED WITI]
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
N NOTAPPROVED
Call
proceeding. ^ ^q/,8/a>
/'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.
o PERMIT NUMBER:1-OATE OF INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PBRSON:
CONTRACTOR:
C)a n PHoNE
TYPE OF INSPECTION:
f)I--nfrftnArv-J
-'l
\
,\R APPROVED
Inspector
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
N NOTAPPROVED
Call for re-inspection before
proceeding.
/' .t,,''1'
--Date
Approved plans and permit must be on-site and available at time o.f inspection. A re-inspection fee may
i,4
t I i jI !();
1I.:
be assessed if work is not ready for inspection.
))
CITY OF PORT TOWNSEND
STREET & UTILITY INSPECTION REPORT {-1 €-
iYrl\;,8'3"7*'"
/)1-',
j)44 /-/t;*r&;il- Crrs
(-|f, /','l
/il/t/t{t t t l{'
PERMIT NUMBER
Site Address
Contractor ti'{lr'il/?/#/*Owner
Date of lnspection
Worksite or Cell Phone#
D Sewer Main / Manhole
D Side Sewer
O Water Main
E Street Paving
tr Driveway Prep / lnstallation
tr Storm Drainage / Culvert
tr Trail(s)
tr Erosion / Sediment Control
D Hydrant
tr ROW Landscaping
fl Temporary Occupancy
D Final lnfrastructureD Sttedt Prep
Ltf' PrF t:-
Additional fees may be assessed for multiple re-inspections. For Re-inspection, call Inspection 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
'./:;' i n .
|4 nf ,-l i!di". ttr 4
4 5,nrtt1lt Sl'tt J 't
,
/l
.4'I f/"t51,'t/ + .)t I i'1.,1 l{t' }'l} t tt,/'^t = J/ '
tP)4
Approved plans an permit card must be on-site and available at time of inspection.
lnspector Date .1*.;2'i' '^'',/l \--
Acknowledged by Date .i - i-i'- t' ^'l
1g 12 11 10 Ia76e-{.1.5i+:JI2Dl/^
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City of Port Townsend
Development Services Department
BUILDING NUMBER APPLICATTON
B(D a794 s
miFoT-oJg
uName of Property Owner:
Mailing Address:8n Bo-sk
0*n Tr)r r}r,r no0
Telephone, 3tq.a&e-J-
Propertv is located in:
Addition: g.Sf-e\,h,€-[- \ Block(s):\\5 Lot(s):4
Faces/Access is from
Parcel Number
5r Sheet
Directions to the Pronertv (draw vicinitv maD on back)
sr
If this is a new ADU, has a building permit been applied for? Yes No Date
Notes:
HOUSE NUMBER ASSIGNED:133 zl 5T
Date of Approval:o a 7
For Department Use Onlv:
Application Fee Received ($3.00, TC2200):Date
Copyto:D Finance
tr Sheriff
tr Public Works
U Fire Dept
U Police .
O DSD database
I Post Office
tr GIS
I Assessor's Office
For address changes: tr Qwest Address Management Center - 206-504-1534
P:\D6D\Departrnent Fomrs\Building Forms\Application-Address Number-doc ;6112106
@81 1 8451354513r513645 137 4336363
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Tamara Halligan, Architec!, P.C'
P,O. Box 862
Poft Townsend, WA 98368
360.385.2528
City of Port Tovmsend
Building and Community Department
Jan Hopfenbeck
250 Madison St. Suite 3
Port Townsend, WA 98365
ljll
:)
' ll
i MAY15 2A07 :
l
_._ -__.!
Re: Building permit #'s BLD 07-A65 and BLD 07-066
May 15,2007
Dear Jan,
Habitat for Humanity would like to make these changes for the two projects listed above
l. (t)++ nAR at the top of the foundations instead of (2).
2. Vertical rebar at 48" O.C. instead of 16" O.C.
3. The key at the bottom of the stem wall can be taken out.
Please contact us if you have any questions at385-2628.
Thank you.
Tamara Halligan, Architect, P. C.ltlm
ReceiptNunben W
BLD07-065
BLD07-065
BLD07-065
BLD07-065
BLD07-065
BLD07-065
BLD07-065
BLD07-065
94831 1501
94831 1501
948311501
94831 1501
94831 1 501
94831 1 501
94831 1s01
94831 I 501
$693.26
$21.33
$100.00
$4.50
$150.00
$150.00
$1,066.5s
$10.00
Total:
$543.26
$21.33
$100.00
$4.s0
$150.00
$150.00
$1,066.55
$10.00
$2,045.64
Plan Review Fee
Technology Fee for Building Permit
Energy Code Fee - New Single Famil
State Building Code Council Fee
Plumbing Permit Fee per Dwelling L
Mechanical Permit Fee per Drelling
Building Permit Fee
Record Retention Fee for Building P
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
i 07-0288
07-0288
0410312007
04t0312007
4740
Plan Review Fee
Site Address Fee
Total
$150.00
$3.00
BLD07-065
BLD07-065
GHECK $ 2,045.64
$2,045.64
genprntrreceipts Page 1 of 1
ICITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMTT #BL>o7- a 6s
SCOPE OF WORK:
kL€tD sCR o^t LoT 4/
DATERECETvED ?-s- D7
5imiLqrz ?l.snt> z7 n:
Ltt?o'/- o4z-
DATE ACTION INITIALS -Z -o7 ENTERED INTO CHET S LL)
CA - to Planning - No evidence
CHECKED FOR COMPLETENESS
Ll-b -n^/NTDILdSS
'T?
'TD 9 6 .3 LD
S<-t'b d rltl, f [s1- LatL*nn-ts+ a)L A. RE 2-a*e .StL)
l V
(.$bt P\-'..g o\- \^.. "lN-- l-AA \.-F- -g .-.le-S.' \L'\J.
t4- za-27 4PDtZ6r9 /PF//ab A rui./ J(/ "' 5r _sr'
V.o*l.rz tL AL:I-
t
1/CITY OF PORT TOWNSENDD' 'pLOPMENT SERVTCES DEPARTMENT )
City Hall,250 Madison Stree! Suite 3
PortTownsend,WA 98368
Phone: 360-379-5095 Fax360-344-4619
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Owner's Name(s)
Mailing Address o,Box- 6Sg
r^-s\ t^JA lbivbState, Zip
ryrq-
^nT
Phone BPermit No.
2 \ 4+ t+"-er-+- ( Cwla.6a d )Property Street Address
Parcer# f1 ,.1 b '?i trZoningDistrict (1--l-'r !':1/' '.
Legal Description:Lot(s) Cil
\Block \ \EN BE 5
General Contractor's Name \T
Mailing Address
Phone Cell Phone
Ciry Business License NumberState License Number
Authorized Representative/Contact Person :Phone:
sTqz-@
Estimated Value of construction $o
Financed By
Date Work is to be Completed / ODate Work is to Begin
Scope of Work:
Please check all items that apply for the type of building permit you are
Floor Area: the proposed structure is to be used for:
X New House Addition
New Garage or Repair/Remodel Garage I
Repair/Remodel House Accessory Dwelling Unit
I i-rlI'i l
Manufactured Home Other (please describe):
Finished Heated Space sq. ft: \\l to Q-F Garage sq. ft:
Unfinished Heated Space ft:Carport sq. ft:
Unhnished Basement Porches sq. ft:L
Semi-Finished Basement sq ft:Decks sq. ft:
Storage sq. ft:
V1/o1A^-Other (please describe)
P:\DSD\Forms\Building Forms\Application-Residential Building permit.doc Page 1 of 2
CITY OF PORT TOWNSEND RESIDENTIAL BI]ILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Property Site Information:
Impervious Surfaces:
Please provide the square footage ofthe roof area ofthe proposed and existing structures, and the square footage ofthe total area
covered by porches, walkways, patios and driveways. Do not include declu allowing drainage to earth below.
*lf total impervious surface is equal to or greater than 40o/o of the lot area, you must submit a written stormwater plan to address run
off.
Please check which plans you are submitting with this application (2 sets needed):
l. The total area ofthe property in square feet:L
2. The total area covered by existing and proposed structures in square feet:
t \-t u €t'(total ground coveragefrom the ouside ofwalls or supporting members)
Percentage oflot coverage: (2:1)l-lb .+
=,}ac' - ,73tL X\oo = 73 , 52 o/o
"$\"+
hoposed House Rooforint sq. ft:l/t no {-\2-Existing House Rooforint sq. ft:t),
Proposed Garage sq.ft Garage Rooftrint sq. ft: ,\
Proposed PorcMWalkway sq. ft:2p Existing Porch/Walkway sq. ft:I rl r' : r. -r ..i-
o l+-Existing Driveways sq. ft:
Other (describe ),gla',rs{afi q Aavc.sz. }r${z
Total Proposed Impervious sq. ft Total Existing Impervious sq. ft:
Other (describe):
Total Proposed + Existing sq. ft:\1 o8t\i'- ---->
Percentage Impervious: *
(Impervious surface + lot sq. ft)38, lty olo
Site Plan 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 roo0
Foundation Plan Elevations
Floor Plan 2003 WSEC* Compliance:Prescriptivef Component
-
Floor Framing Plan WSEC Construction Checklist (Washington State Energy Code)
Roof Framing Plan Other:
Installing Manufactured Home _Yes _\_No Year:Make:
Was the manufactured home originally constructed within three (3) years of proposed placement? -:-Y-eS- 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 than one foot ofthe
perimeter foundation is visible above grade; and
composed of composition, wood shake or sh ingle, coated metal, or a similar roof material; and3) Roofmust be
to the manufactured home must be eliminated as a condition4)of building permit approval.
P:\DSD\Forms\Building Forms\Application-Residential Building permit.doc
I
I
Page 2 of 2
,1 -\ ')
CITY OF PORT TOv,I{SEND RESIDENTIAL BIIILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDTTIONS
Special Conditions
Please check YES or NO as applicable YES NO
l. Is the property within 200 feet of a fresh or saltwater shoreline?
2. Is the properfy within the Port Townsend Historical District?
3. Is the property located within or adjacent to an environmentally 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 identifoing the utility extensions and
sites.
5. Have any special conditions been placed on this properly, 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 Line Adjustrnent?
SEPA (environmental review)?'t/
Variance?
Conditional Use Permit?),
Sheet Vacation?
Planned Unit -{
Reshictive 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? (If
attach no',^,{ it
7. Have any of the properties listed in item #6 been developed within the last two years? (If attach list.)x-
8. Have you previously discussed this project with a City staff member? If yes, who and when?
ApFlicant Cerfifi 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 after one year if an inspection is not made to show significant progress on the $ructure; 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 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\Apptication-Residentiat Buitding permit.doc Page 3 of 3
CITY OF PORT TOWNSEND RESIDENTIAL BIIILDING PERMI APPLICATION
NEW CONSTRUCTTON, REMODELS, & ADDITIONS
The undersigned hereby saves and holds the City of Port Townsend harmless from any and all causes of action, judgments,
claims, or demands, or from any liability of any nature arising from any noncompliance 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.
CnmJrlefe Applicafion
Port Townsend Municipal Code, Section 16.04.140, Vested Rights - Substantially Complete Building Permit Application:
applications for all land use and development permits required under ordinances of the city shall be considered under the zoning and
other land use control ordinances in effect on the date a fully complete building permit application, meeting the requirements dentified
in this section, is filed with the Development Services Deparhnent. Until a complete building permit application is filed, ail
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 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 RI05.3 of the lnternational Residential Code, 2003 Edition, is submitted which is consistent with all then applicable
ordinances and laws. In addition, to be considered complete, such an application must be accompanied by complete applications for a
subsidiary land use or development permits needed, such as a complete shoreline management permit application and/or complete
applications for other discretionary permits required under the ordinances of Port Townsend. An application for a partial permit under
Section R105.3.1 of the International Residential Code,2003 Edition, shall not be considered complete unless it meets all requirements
stated above and contains plans for the complete structural frame of the building and the architectural plans for the shucture.
3 ^ zz -o+
Signature of Applicant or Authorized Representative Date
For Official Use Only
Permit No.Building Offi cial Approval Date Issued
Balance Due $Date Validation Stamp below:
Owner/Representative S ignature Date
P:\DSD\Forms\Building Forms\Application-Residentiat Building permit.doc Page 4 of 4
Residential Building Plans Checklist
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3
Port Townsend, WA 98368
(3601 379-5O95 Fax: (360) 344-4619
Name 1\I Permit#
This checklist is for new dwellings, additions, remodels and garages. The purpose is to show what you intend
to build, where it will be located on your lot, and how it will be constructed.
In addition to this form. please submit:
. Residential Building Permit Application form
. Sensitive Areas Questionnaire
. 2001 Washington State Energy Code forms. Use either prescriptive forms, or component performance
forms with calculations.
. Washington State Energy Code Construction Checklist
. Two sets of plans. l$n ;)!n plan sheet size is preferred. Plans must be to scale. Vq": I 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.
1 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: Electrical Permits are required by the State of Washington Department of Labor & Industies (L&I).
Contact L&l at (360) 417-270Ofor more informntion.
P:\DSD\Fomu\Building Forms\Application-Residential Building permir plans Checklisr.rrf
Rev. 8/?/06
Page I of4
\
List the pagelunner in the left column for each item that you have included on your plans.
PAGE # SITE / PLOT PLAN
PAGE# FOUNDATION PLAN
P:\DSD\Forms\Building Forms\Application-Residential Building permit plans Checklisr.ff
l\-\L€dftessriptian, parcel number, name, address and telephone number of property owner/applicant,
IX.Property lines and dimensions.all interior lot lines.
["}r All lines and exterior dimensions all and structures
A-\
Setbacks from property lines and buildings including structures on neighboring lots. (Indicate roof
overhang. Overhang may extend into setback area a maximum of two feet.) The setbacks shall be
drawn in accordance with an accurate. Dinned boundary line survev (IBC 106.2).
A-\decks and
A-\On-site parking (Two 9'x l9' spaces required for new residential construction. These spaces may be
Trees: Diameter, species name, location and canopy of existing significant trees in relation to
proposed and existing structures, utility lines, and construction limit line.
"Significant trees" are those with a minimum diameter of 12 inches measured at 4-U2 feet above average grade.
IdentiS all significant trees to be removed by placing an "x" on them, and circle those trees that will remain.
Significant trees removed in relation to and necessary for the construction of buildings, parking and driveways in
connection with the issuance of a building permit are exempt. Exempt activity requires a written exemption issued by
the Development Services Director.
l\- r lqget names, road easements and easements of record.
A-r and osed service lines and e sze
A^r Slope of land (grade and direction)
Submit an impervious drainage plan, indicating sizes of drainage areas, method(s) of detention, depth
of detention and what materials used.
lr ll
Waterfront property: indicate bank height, setback between building and top of bank or blufi, all
creeks, drainage corridors, etc. For new exterior construction, include all structures on either side
Existing and/or proposed septic system, if applicable. Please provide an extra set of plans for the
County Health l)epartment.
A-4 Footings, piers, and foundation walls (including interior footing or pier locations).
l\ -4 Post and beam sizes and spans; detail beam/post and post/pier (or footing) positive connection.
Beam pockets or method of securing beam ends
Aq Floor joist size, material grade, layout and spans
A-4 Foundation venting and calculations (1 square foot of vent/I50 square feet of crawl space)
Nr4 Crawl space access & dimensions.
Ka Plumbing sizes and locations of foundation penetration
Vapor retarder on crawlspace ground (6 mil black polyethylene)
If engineering, show holddown symbol and verbiage on the foundation plan itself
Rev. 8i7l06
Page 2 of 4
4 PAGE# XLOOR PLAN
PAGE# WALL SECTION
L<Room use, dimensions, size and footage floor level.
AJt,["t Braced wall panel Iocations
[4 Smoke locations.
UIA Stainuavs: width, rise, run, handrails. zuardrails.landines. etc.
ilaA{
A5
Window, skylight and door locations
brand/model and U factor on enersv
and sizes, with egress and safety glanng, if applicable- (Include
application.)
A-rl Rafter and ceiling joist size, material grade, layout and spans. Roof framing plan required if rafters,
optional if trusses.
Ia,frJ Attic access and dimensions.
A?14 Ilumbing fixtures.
Vz "h4 Hot water tanks, furnaces. fireplaces. golid fuel appliances and combustion air ducts.
ta of whole house controls and timer
IYZ Location and cfm of all other exhaust fans (i.e. bathroom. kitchen and laundrv)
Type of exhaust duct material, duct path and exterior termination point of appliance vents and
environmental exhaust ducts.
Type and location all WSEC outside fresh air inlets.
Fire
illh l-hr. construction between dwelling & garage on garage side
If engineering, show shear wall symbol and verbiage on the floor plan itself
B reinforcement vertical d below natural and finalF
k3 Foundation width and hold-downs if
k1 washers x2x 6 and treated
N/i offloor
A3 Floor and under from crawl for oists and
h{Floor sheathing,type and size.
Az.tr,\{Wall stud size, grade and spacing.
to be or advanced
Header. size, grade, spans and insulation (if applicable).
M,AAU Wall sheathins and sidine and material
TL,3, 14 _Tlpg & location of weather-resistive barrier
Sheetrock: thickness, type and location.
retarder (WSEC 502. 1.6).Tvoe and location of va
1 Insulation material aq{R value in walls above and below srade. floor ceilins and slab.
Rafters. ceiline iojsts, trusses, with blocking and positive connection of roof svstem to wall.
A3 A4fi(Ceiling height.
roof attic ventilation de calculationsRoof
P:\DSD\Forms\Building Forms\Application-Residential Building permit plans checklist.rrf
Rev- 8/7/06
Page 3 of4
(
L-<Exterior views on front, rear and sides; show all windows and doors.
{-s Decks, steps, handrails, guardrails, landings.
A-q Heieht of building
N\l[Chimneys: show required heieht above roof.
A-q+l Final grade.
r,J/*Retaining walls, if applicable.
P:\DSD\Forms\Building Forms\Application-Residential Building Permit Plans Checklist.rtf
Rev. 8/7/06
Page 4 of4
Prescriptive Approach - Simple Form
FortheWashinst"n"l,*,1|i"=X.rnrr""de(2001Edition)
tot
Site lnformation
4 ,?)v \\s ?-iszavtp;s
{-
Building Department Use Only
Pernit #:
Notes:
1-
*l
ci$:.t- r
sate: \xil\ zp, -''k31i
Contad: Jlr,,ii,,.. 1.. 1!r',r'.,. i
phone: 6vctt-l fusLrt- 3:+4 J L J]
Phone z: Dczrrt.l*4fb,t,,l bI3 - lYtrl
Teble6-l
pREs(Rrprmn REeTTIREMENTs0'r FoR GRot p R (rccupAl\cy
CLIN{AIEZ)NE I
See code text for
This proiectcomplies With the following:
{ m"project is a single tanily residenoe or duplex.
{ Tn"project is wood frame OR. a[ bt ttre insulation is interior or exterior of the franing.
{ Ii{hdlding components meet,the requirements listed in Table G1, Option lll.
{ Th"prolect will nreet all other provisions of the I/\ISEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option:
tr OOZ.S Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed
Location of the door taking this exceplion
tr 0U.0 Exception 2. Doors wtth a Wac{or of 0.40 allowed without calculations, Oprtion lll only.
Location of the door(s) taking this exception
cqldfi2m,WSUCEEP@-OE6
Cqied bypemfe$onftom ttre V\fastrirqrton State Univenrity Cooperative.Extension Energy Program
Prescriptirre -Siinde form - Climate Zone I
..,,:;i.. .. , ., :.'. i:
GlazingU-Factor
FloofOption
Glaing
Arealo
%of Floor Vertical Overheadll
DooC
U.
factor
Ceilingl Vaulted
C"ili"d
Wall
Above
Grade
Wall
Inta
Below
Grade
Wall
Ed4
Below
Grade
Slab'
On
Grade
u Unlimited
GroupR-3
Occupancy
Onlv
0.40 '0.58 o.n R-38 R-30 R-21 R-21 R-10 R-30 R-r0
ff31nffi2
Option
Glazino
Areal{
% of Floor
Glazinq U-Fac{or
Door e.
U-Fador CeilingF Vaufted
Ceilin93
Wall
Above
Grade
Wall.
inta
Below
Grade
Wall.
erta
Below
Grade
Fbof
Slaba
on
GradeVerticalOverheadll
I t2%0.35 0.58 0.20 R-38 R-30 'Rl5/R-15 R-10 R-30 R-10IL*l5o/o 0.40 0.58 0.20 RJ8 R-30 'Fclr
R-21 R-10 R-30 R-10mUnlimitcd
Group R-3
Oocupancy
Onlv
0.40 0.58 0.20 R-38 R-30 R-2t R-21 R-10 R-30 R:10
2001EDtTtoN
p REscRr pnvE REa u a R=*11,?bF'fJ" R G Ro up
CL|MATE ZONE o R OCCUPANCY
0' Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
l' {limum requirements foleach option listed. For examplg if a proposed design has a glazing ratio to the conditioned flooruep'of l3o/o,it shall comply with all_of the requirgments of ttre 15% ilazing option(o. rrigrt"ii proposed designs which cannotmeet ttre specific requirements of a listed option above may calcuhtJcomp'iiairce by ctrait#+ or j of this Co?".
_:
2' Requirement applies to all ceilings except single rafter orjoist vaulted ceilings. 'Adv,denotes Advanced Framed Ceiling.
3- Requirement applicabte only to single rafter orjoist vaulted ceilings.
4' Below grade walls shall be insulated either on the exterior to a minimum level o f R- 10, or on the interior to the same level aswalls above grade- Exterior insulation installed on below grade walls shall be a water resistan, ."i".Li, -".;;; i;;intended use, and installed according to dre manufacturet's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6' Required slab perimeter insulation shall be a water resistant matbrial, manufactured for its intended use, and installedaccording to manufactureds specifications. See Section 602.4.
7' Int deirotes standard framing 16 inches on center with headers insulated with a minimum of R-5 insulation.
8- This uall insulation requirement denotes R- 19 wall cavrty insulatign plus R-5 foam sheathing.
9. Doors, including all fire doors, shall be assigned iieautt u-racton frqm Table l0-6c.
l0' Whene a maximum glazing area- is listed the total glazing arba (combined vertical plus overhead) as a percent of grossoonditiond floor area shall be less than or equal to that valuJ overhead glazi"g;ith fi-fgc;r of u=0.a0 or less is not included..im glaung af€8 lmftatlons.
I l ' Overtread glazing shall have U-factors determined in accordairce wift NFRC I 00 or as specified in Section 502.1 .s .
12' Log and solid timber walls with a minimum averige thickness of 3.5" are exempt from this insulation requirement.
* ReferenceCase
.;.:a,
-t ,.r
'-- ' .l.i:1,.1:f.,. ,. '.. '. .':. ::
.r,1..i,r,.:.,. : .Eftdive'7Ollll2,33
)City of Port Townsend
Developmen t Services Depa rtment
CzuTICAL AREAS QUESTIONNAIRE
Permit applications are reviewed by our staff to make a preliminary determination of the 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 lnformation:
v\elP'rE
AreaI ns
Applicant Name Phone:3ry\-)ta>
'TActttn8{,l^c!
Mailing Address ?ov.Y b str
Property Address (if differenr)2\il- S-+-,-.c}
Description of Proposal (include site plan): il g \,"t € r ,,. e ].q\j '1
:-
ste_ r r
{ 9., q'.. r!,?tu, ie*,r I
square feet of impervious surface. What best
Co*.;!u^., a\"orr' s{or,..r...-*l- ^\\ t4p{- €G*r-r-f , - U- A,
vdix- Lr^w lc^ils \])<-y<-
l" \* ::* F:,'11:' h,-it 5:-
1 o*rt* .ti.t^ *..,-oft , o.t\
The proposed ner.v construction creates iQ
oosed?'So,pto
I l.rTo
lna ent tces arenagemprac
e t .>F 1]v\'P^-ev TOLL!4)Vt.-s,C^c t I t\JJt-VE \":s*v*$
<-isL€'v1a-
I \-t \sc\\C\9.)f,.*.e.J t,o-\.J)i,ftC\cla
c I\I5 w
Is any portion of the properry within or near a mappedcritical Area?
(Maps are available at the Development Services Department)
-_YES
X NO
2. [s 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 identiled as a wetland?
If YES, please describe:
3 NOYES
Cleared
4
t,---_--Mixed
ls the site characterized as
Meadow_Forest
P:\DSD\Forms\Land Use FormCrApplicationCritical Areas euestionnaire.doc
5. [s the slope of the properry: Jfnu,
(0%_ s%)
_Critical Slope- 40yo or greater
gentle slooe
(s%- ts%)
steep slope
(l5o/" - 40y.)
Crtdcd Slopc
tl096 or grcrtcr
S(ccp Slopc
15 - 4096
Gcnuc 596 - 15
>400A
400A
t5%
0Y.
Flsa-O-5
The applicant hereby certifies that att of the above statements and the information contained in any othertransmiftals made herewith are true, and the applicant acknowledges that any action taken by the City of port
Townsend based in rvhole or in part on this application may be .ev-ersed if it ievelops that any such statementor other information contained herein is false.
The applicant understands that the determination of the Director may be appealed by the applicant or by anyother party by following the appeal procedure outtined in Chapter I . l4 of,the port Townsend Municipat Code.Any appeal must be filed within seven calendar days from ihe Notice of a finaldecision.
6tH,,--3.>T e+
Signature of Applicant Date
FOR DBPARTMENT USE ONLY:
Reviewed by:Date:
Site visit Required? --_NO YES Site visit made on
Exempt per PTMC 19.05.040 (C)? NO YES
Threshold Determination (presence/absence of Critical Area, type of Critical Area):
Shorelines Jurisdiction?NO --.-YES
P:\DSD\Forms\Land Use Form$ApplicuiooCritical Arcas eucstionnairc.doc
WSEC Residential Construction
Develo
(360)
t-\W
t\ru
-/ - t--rulY
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:
(New constructicin, or addition over 750 square feet
Must meet whole house and spot ventilqtion 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.
D House addition under 750 square feet
Possible trade-offs are allowed with the existing buildingfor IYSEC compliance, such as
increasing ceiling insulation. See .|ilSEC 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 aprrly:
Eleclric
J(Wlt Heater ! Baseboard ! Forced Air Furnace tr Radiant Floor (Boiler) n Other
-Noi-Electric:
Propane:Z Radiant Floor/Baseboard (Boiler) U LPG Stove ! LPG Furnace tr Other LPG
I Heat Pump D Oil Furnace ! 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:
o Floors:
! Plywood with exterior glue
(noty plastic (greater than or equal to 4 millimeter thick)
O Backed batts
o Walls: !.,i,',i " ;l i|il/
! Poly plastic (greater than or equal to 4 millimeter thick)
O Face-stapled, backed batts
{Low-perm paint
o Ceilings:
O Not required where ventilation space averages greater than or equal to 12 inches above
insulation
I Face-stapled, backed batts
.tr-PolV plastic (greater than or equal to 4 millimeter thick)
{Low-perm paint
SEE BACK
P:\DSD\JDeparEnent Forms\Building Forms\Applicarion-Residential Energy Code Checklig.doc
Page I of I
T 0
Type of ventilation used throughout the house: ! HVAC Integrated Option fiExhaust Option
Whole House Fan for "Exhaust Option":
r In what room is your whole housJfan located?K,V V*"-r What size is the whole house exhaust fan?n 50-75 CFM (l-2 bedroom house)
n 80-120 CFM (3 bedroom house)( tOo-tso CFM (4 bedroom house)I l'20- 180 CI M (5 bedroom house)
Note: the whole house fan shall be readily accessible and controlled by a2Shour clock timer
with the capability of continuous operation, manual and automatic control. At the time of final
inspection, the automatic control timer shall be set to operate the whole house fan for at least 8
hours a day, and have a sone rating at 1.5 or less measured at 0. 10 inches water gauge.
Spot Ventilation:
Source specific exhaust ventilation is required in each kitchen, bathroom, water closet, laundry
room, indoor swimming pool, spa and other rooms where excess water vapor or cooking odoiis
produced. Bathrooms, laundries or similar rooms require fans with a minimum 50 cfmiating at
0-25 inches water gauge; kitchens shall have a fan with a minimum 100 cfm rating at 0.25 incnes
water gauge.
Outdoor Air [nlets:
Outdoor air shall be distributed to each habitable room by means such as individual inlets,
separate duct systems, or a forced-air system. Habitable rooms include all bedrooms, living and
dining rooms but not kitchens, bathrooms or utility rooms. Where outdoor air supplies are
separated from exhaust points by doors, undercutting doors a minimum of % inch above the
surface of the finish floor covering, distribution ducts, installation or grilles, transoms or similar
means where permitted by the Uniform Building Code. When the system provides ventilation
through a dedicated opening, such as a window or through-wall veni, these openings must:
o Have controlled and secure openings
o Be sleeved or otherwise designed so as not to compromise the thermal properties of the wall or
window in which they are placed.
o Provide not less than 4 square inches of net free area of opening for each habitable space.
What ype of fresh air inlet will be installed? (See figure below)
,,Q Window Ports
I Wall Ports
P:\DSD\Department Forms\Building Forms\Application-Residential Energy codc checklis.doc
Page2 of2
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Inspection Report
Proj ect ilnh*77 Permit #ov- oA5
Date Inspector Inspection & Notes
,-zqb1 5tr fiut v4A;d.fu- L4e72 -O 4Wts
2
Receipt Nunber:
BLD07-065
BLD07-065
94831 1501
94831 1501
Plan Review Fee
Site Address Fee
$150.00
$3.00
Total
$1s0.00
$3.00
$0.00
$0.00
$153.00
KHECc 4700 $ 153.00
Total $153.00
genprntrreceipts Page 1 of 1
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