HomeMy WebLinkAboutBLD07-212 oversize drawings not scannedl (lr'l-1" J u"'2. (^ nw e-.C-'ln d..Q-3 og
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-s09s
BTJILDING PtrRMIT
Project Information
Permit Type Residential - Accessory Dwelling Unit
Site Address 5266 HENDRICKS STREET
Project Description
New accessory dwelling unit for 5254 Hendricks
Permit #
Froject Name
Parcel #
Br.D07-212
912901942
Fee Information
Project Valuation
Building Permit Fee
Energy Code Fee - New Single
Family Unit
Mechanical Permit Fee per Dwelling
Unit - New Residential
Plan Review Fee
Plumbing Permit Fee per Dwelling
Unit - New Residential
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
Total Fees
Project Details I tre ,) /
Decks - Residential
Dwellings * Type V Wood Frame
Storage Shed
I bq{a^ ,yzpa.*aS{x
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$53.s30.84
6t t.15
100.00
150.00
436.64
150.00
4.50
13.44
10.00
$1,536.33
45 SQFT
557 SQFT
22 SQFT
Nov'e t^-b+r
(uz &n/\4--
Conditions
10. Property comer survey pins must be located at time of foooting inspection to veri$ setbacks
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 try obtaining a valid inspection.
The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify
that I am the owner of the property or authorized agent of the owner.
Print Name Daterssued: rt [16 fO7
tssued By: pCrl
))
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 - Accessory Dwelling Unit
Site Address 5266 HENDRICKS STREET
Project Description
New accessory dwelling unit for 5254 Hendricks
Permit #
Project Name
Parcel #
BLD07-212
972901902
Fee Information Project Details
Decks - Residential
Dwellings - Type V Wood Frame
Storage Shed
Project Valuation
Building Permit Fee
Energy Code Fee - New Single
Family Unit
Mechanical Permit Fee per Dwelling
Unit - New Residential
Plan Review Fee
Plumbing Permit Fee per Dwelling
Unit - New Residential
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
$53.530.84
611.15
100.00
45 SQFT
557 SQFT
22 SQFT
150.00
436.64
r 50.00
4.50
13.44
10.00
Total Fees $1,536.33
Conditions
10. Property corner survey pins must be located at time of foooting inspection to veri$z setbacks
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 provided as a part of the application for this permit is true and accurate to the best of rny knowledge. I further certify
that I am the owner of the property or authorized agent of the owner.
Date Issued
lssued By:
rr tr6loTPrint Name
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BIJILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Torvnsend, WA 98368
(360)379-s09s
Project Information
Permit Type Residential - Accessory Dwelling Unit
Site Address 5266 HENDRICKS STREET
Project Description
New accessory dwelling unit for 5254 Hendricks
Permit #
Project Name
Parcel #
BLD07-212
972901902
Names Associated with this Project
Type Name
Applicant Mulroney Patricia A
Owner Mulroney Patricia A
Contact Phone #
License
Type License # Exp Date
*** SEE ATTACHED CONDITIONS ***
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 pemit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify
that I am the owner ofthe property or authorized agent ofthe owner.
Date lssued
Issued By:
Print Name
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT #R L0 01- >Q-
SCOPE OF WORK
DATE RECEIVED
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Date Inspector Inspection & Notes
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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
PM Friday
? t,>--DATE OF INSPBCTTON:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION:
CONTRACTOR:
PHONE:
D,. ,.u'
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APPROVED ! APPROVED WITH
CORRECTIONS
! NOTAPPROVED
Call for re-inspection before
proceedir/g. /\€ {ilty le (
to proceed. Corrections will be
at next inspection
DateInspector
Approved plans and permit must be
be assessed if work is not ready for inspection
and available at time of inspection. A re-inspection fee may
€
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CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF'INSPECTION:
SITE ADDRESS:
PROJECT NAME:
CONTACT PERSON:
PERMIT NUMBER:
CONTRACTOR:
PIIIONE:
TYPE OF INSPECTION:t4'p
5(t
N APPROVED V *ot APPR''ED
Call for re-inspection before
proceeding.
l,I-7*o b
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
DateInspectorw
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: IN.Z7-6 PERMIT NUMBER: 1 ^Lt Z
SITE ADDRESS:
PROJBCT NAME:CONTRACTOR:
CONTACT PERSON:PHONB:
TYPE OF INSPECTION:
w
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€TDJZ D P-
! APPROVED ! NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Date rc zz+f
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.
MoppnovED wrrH
./donnncrroNs/ OUtoproceed. Corrections will be
checked at next inspection
\l4tt}
.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.
PERMIT NUMBER: 1 -Zl 7DATE OF INSPECTION:.2
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION: -T7\A] ic- 4 5"fNUI,J
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! APPROVED
Inspector
APPROVED WITH
Ok to proceed. Corrections will be
checked at next inspection
Date
N NOTAPPROVED
Call for re-inspection before
proceeding.
/o-77"CI&
Approved plans and permit card must be on-site ond available 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 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.
DArE oF TNSPECTToN: *'LLt-\tr
SITE ADDRESS: 52I@ (O P[ENOPTEP'
PERMIT NUMBER: 1"Ltz-
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION: {i HUrq{W KI,W
CONTRACTOR:
PHONE:
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N APPROVED Vorr*ouED wrrH
/cbnnncuoNs/ Ok to proceed. Corrections rvill be
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! NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Wna6 Date L-t-ZL4-0K
Approved plans and permit card must be on-site ond avoilable ctt time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
I
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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.
tfub-oa PERMIT NUMBER: f3 LDD7.)t2,DATE OF'INSPECTION:
SITE ADDRESS:rS2[ol, Hprr,)nrCcs
PROJECT NAME:7nu lronpv CONTRACTOR:
CONTACT PERSON:t{ )dll PHONB:
TYPE OF INSPECTION:
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! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Date
Approved plans and permit card must be on-site and avqiloble at 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
Development Services 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
TYPE OF PROJECT:UNPEE
fiNew construction, or additionoveeT50 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.
n House addition under 750 square feet
Possible trade-offs are allowed with the existing buildingfor IITSEC conryliance, such as
increastng ceiling insulation. See WSEC component performance forms.
NOTE: A house sddition less than 500 sq.ft. does not require whole house ventilution.
Spot ventilation is still required.
G - Please check all that
Electric
n Wall Heater I Baseboard tr Forced Air Furnace tr Radiant Floor (Boiler) I Other -_-_
Non-Electric:
Propane;n Radiant Floor/Baseboard (Boiler) bf fpC Stove ! LPG Furnace n Other LPG
n Heat Pump n Oil Furnace I Woodstove (can only be used as secondary heat source)
VAPOR ARDERS
Vapor retarders shall be installed toward the warm surface as represented below. Select one
option for floors, walls, and appropriate ceilings:
o Floors:
fiPlywood with exterior glue
n Poly plastic (greater than or equal to 4 millimeter thick)
I Backed batts
r Walls:
I Poly plastic (greater than or equal to 4 millimeter thick)
p Face-stapled, backed batts
ff.Low-perm paint
o Ceilings:
n Not required where ventilation space averages greater than or equal to 12 inches above
insulation
! Face-stapled, backed batts! Poly plastic (greater than or equal to 4 millimeter thick)
X Low-perm paint
SEE BACK
P:\DSD\Department Forms\Eluilding Forms\Application-Residential Energy Code Checklig,doc
Page I of I
IEGIiilVE
OcT 12 2001
CITY OF PORI TOYVNSLND
DStl
WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY (2000 Code):
Type of ventilation used throughout the house: n HVAC Integrated Option fi,Exhaust Option
Whole House Fan for'.Exhaust Option":
o In what room is your whole house fan located? EH //1Paarr.l
o What size is the whole house exhaust fan?F50-75 CFM (1-2 bedroom house)
tr 80-120 CFM (3 bedroom house)
U 100-150 CFM(4 bedroomhouse)
! 120-180 CFM(5 bedroomhouse)
Note: the whole house fan shall be readily accessible and controlled by a}Lhour 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 aI | .5 or less measured at 0. l0 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 odor is
produced. Bathrooms, laundries or similar rooms require fans with a minimum 50 cfm rating at
0.25 inches water gauge; kitchens shall have a fan with a minimum 100 cfrn rating at 0.25 inches
water gauge.
Outdoor Air Inlets:
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 vent, these openings must:
r Have controlled and secure openings
I Be sleeved or otherwise designed so as not to compromise the thermal properties of the wall or
window in which they are placed.
r Provide not less than 4 square inches of net free area of opening for each habitable space.
What type of fresh air inlet will be installed? (See figure below)
F Window Ports
! Wall Ports
6/pZtr.l 6 - ftfF,fcplFTlt/tE, af7/a/l E U-agd
P:\DSD\Department Forms\Building Forms\Application-Residential Energy Code Checklis.doc
Page2 of2
I ilil llill llllill llil lil lll[l ilIil lil lilll lil [il
529315
Page: 1 of 2
11119r20'A7 11:2@ANTIT 41 .A@
Cify of Port Townsend
Development Services Department
250 Madison Street Suite 3
Port Townsend, WA 98368
Jefferson Gountv Aud PRTTI |'4ULRoNEY
NOTICE TO TITLE
Grantor: Patricia Mulroney
Grantee: City of Port Townsend, a Washington municipal corporation.
Reference: City Permit Number BLD07-212
Legal description: The Grantor owns the following described real property:
Montana Addition, Block 19, Lots 4,6, and 8 (lt{orth 66'8" of each)
Assessor's Parcel Number 972-901 -902
5254Hendricks (formerly addressed as 5330 Hendricks Street)
NOTICE IS HEREBY GMN 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) The Grantor, Patricia Mulroney, has applied for the above building permit
to build a detached accessory dwelling unit (ADU) that would share
utilities with the single-family residence at 5254 Hendricks Street. The
ADU would have an address of 5266 Hendricks Street. In addition to the
two on-site parking spaces required for the single-family residence, one
additional space for the ADU will be provided either on-site, or as an
improved public on-street space if approved by the Public Works Director
(per PTMC Table 17.72.080 as amended by Ordinance2939).
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 .I6.020.C.3). A transient
accommodation is defined as a use less than 29 days (PTMC 17.08.060).
Page I of2
I ililt ilil iltil iltil il tilfli ili] til ililt il] ill
Jef ferson County Aud PATTMULRONEY
5293 1 5
Page: 2 of 2
11t19t20@7 1112aANTIT 41.@@
Mulroney ADU Notice to Title
3) This notice may be removed or modified only with approval by the City.
CITY OF PORT TOWNSEND
By:[1
Y Date
Development Services Department
/ t? "oo
Patricia Mulroney
Property Owner
Date
srATE OF WASHTNGTON )
)ss.
couNTY oF JEFFERSON )
I certify that I know or have satisfactory evidence that Patricia Mulroney is the person who
appeared before me, and who acknowledged that she signed the same as her free and voluntary
act for the uses and purposes mentioned in the instrument.
Given under my hand and official seal this I 9f* aay or NnUe rnbev^,2007.
(PrintName)p t
NOTARY PUBLIC in for the State of
Residing at:
My appointment expires 2-5-u
fNotary stamp inside 1" margin]
t((^
Page2 ofZ
j
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.
ATE OF INSPECTION:I D - Q-o'l PERMIT NUMBER:/\A
SITE ADDRESS:
PROJECT NAME:TOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION:'ffrr blda r:rr rlr r +
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APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
! NOTAPPROVED
Call for re-inspection before
proceeding.
Date rni'{j*-7Inspector
and available at time of inspection. A re-inspection fee may
(; 11 11 Development Senrfces
cll
tl!l)
ldinit-it ermit Application
) Applications accepted by mail must include a check for initial plan review fee of $150) See the "Residential Building Permit Application Requirements" for details on
plan submittal requirements.
ContacURepresentative :
Name: 6'r/ i€ / a), ,/,rfi^/ttrtj0t/
Address: /dl-:ff .. {24 s 7
Phone: (-gn*) 3 le * 3J'.26'
-tm
Contractor:
Name: T rs i,4 r" -Cf/Er' 'f tS /)
Address
City/SUZip:_
Phone:
Email
State License #:Exp:_
City Business License #:
Lender Information:
Lender information must be provided'for projects
over $5,000 in valuation per RCW 19.27.095.
Name: e)ruVtid l-/4 s' r:,:dir/ trt/,r//),-f
Project Valuation:
Building lnformation (square feet):
l"tftoor ..f56 . t.a-
2nd floor ,y'n
3d floor t\t /r'1
Deck(s),tV /'O
Porch(es): 4 4 F
ls it finished? Yes @)
Olher sf'e6:^ JZ,5
ADU X
Remodel/Repair n
Basement: r//n
Carporl: ph
Manufactured Home n
ruew'[ Addition tr
Any known wetlands on the property? Y&
Any steep slopes (>15%)?
I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner
and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code
Print Name: E- A * +r isi.//A//:12 y'
Parcel#rifZ ?ut fo3
Project Address 525 Legal Description (or Tax #):
Addition: M oiv f tcpl n
Lot(s):Fr, &c',; L 4
Block: / q
Project Description:
L?d i k D Eil /) D tJ n DJr*i??- )w ,a r" ,i. f'/i-tt /)t':^/a /-i
Property Owner:
Name: FA frl ,/t4 ua &r.tt{E y'
-43 i z> U/!t{oR / z'Es s'7
Pe& 7 'Taeltisz-tl/rs oz,/ra .r"r,.12 F
,[tr;u) ^] g"/ - / 7rr/
Email
Address
Phone:
C
Total Lot Coverage (Building Footprint):
Sq uare feet- i '7 a 4 o/o .?45"A-
lmpervious Surface:
Square feel.: ABgZ, lta
Signature:Date:
RESIDENTIAL BUILDING PERMIT APPLICATION
CHECKLIST iriili ' ;,:
This checklist is for new dwellings, additions, remodels, and garages. The purpose is fo show
what you intend to build, where it will be located an your lot, and how it wilt be constructed.
I Residential permit application
tr Washington State Energy & Ventilation Code forms
tr Two (2) sets of plans with North arrow and scaled, no smaller than /a" = 1 foot:
I A site plan showing:
1. Legal description and parcel number (or tax number),
2. Property lines and dimensions
3. Setbacks from all sides of the proposed structure to the property lines in accordance with a
pinned boundary line survey
4. On-site parking and driveway with dimensions
5. Street names and any easements or vacations
6. Location and diameter of existing trees
7. Utility lines
8. lf applicable, existing or proposed septic system location
9. Delineated critical areas boundaries and buffers
I Foundation plan:
1. Footings and foundation walls
2. Post and beam sizes and spans
3. Floor joist size and layout
4. Holdowns
5. Foundation venting
I Floor plan:
1. Room use and dimensions
2. Braced wall panel locations
3. Smoke detector locations
4. Attic access
5. Plumbing and mechanical fixtures
6. Occupancy separation between dwelling and garage (if applicable)
7 - Window, skylight, and door locations, including escape windows and safety glazing
J Wall section:
1. Footing size, reinforcement, depth below grade
2. Foundation wall, height, width, reinforcement, anchor bolts, and washers3. Floor joist size and spacing
4. Wall stud size and spacing
5. Header size and spans
6. Wall sheathing, weather resistant barrier, and siding material
7. Sheet rock and insulation
8. Rafters, ceiling joists, trusses, with blocking and positive connections
9. Ceiling height
10. Roof sheathing, roofing malerial, roof pitch, attic ventilation
I Exterior elevations (all four) with existing slope of the land in relation to all proposed structures
I lf architecturally designed, one set of plans must have an original signature
I lf engineered, one set of plans must have one original signature
f For new dwelling construction, Street & Utility or Minor lmprovement application
^iay of port Townsend .' \
Devek pment Services Department
BUILDTNG NTJMBBR APPLICATTON
Btbot,2tZ
Name of Property
Mailing Address:
Owner:P \
3?o
Telephone 1,Kt -l-t ,l+
ProperW is located in
Addition:)t7 Lot(s)p*a A
FacalArcess is from:
Parcel'Number q -i ?-4 o(-Q oz-
Street
nitv mat) orr back)
tfthis is a new ADU, has a truilding permit treen apptied rorr [ves --No Dare
llouse b ;Ll- i^I z s oxt Qq LA g 6ive.r{g €,553HeShouLD hnv eb (Zoo q
Housg NUMBBR ASSTGNED: 52 54 41 7yffiic/<s foR hottC €(coeuncT,ou)
5Z 5Fo 4 Du (ntaur;
OUSEH
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Date of Approval://t
t7
OcT 12 n07
ctly OF PORI iCWiYSTi\iO
iis
For address changa: o Qwest Address Management center - ze6-5e4-L1].4
Date
For Deoarlment Use Onlv:
Application Fee Received ($l-OO, TC 2200).
O Finance
O Sheriff
O Public Works
O Post Office
tr GtS
il Assessor's Office
C.opv to:O Fire Dept
O Police
O DSD datatrase
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Receipt Number
B;LD/07-212 972901902 Plan Review Fee $432.09 $150.00
Total: $150.00
$282.09
CHECK 17422 $ 150.00
Total $r50.00
genprntrreceipts Page I of 1
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AN)
D- .,
IALOPMENT
)
SER\rICES DEPART^ -1]NT
Waterman and Katz Bulding - 181 Quincy Street, Suite 301
Port Townsend, Washington 98368
Phone: (360) 379-5095 Fax: (360) 385-7675
MINOR IMPROVEMENT PERMIT
Building Permit Number: BLD05-185 Street and Utility Permit No: MIP05-130
PROPERTY OWNER TNFORMATION
Mulroney, Patty
Hendricks
Port Townsend, WA
Phonej (360) 38s-1244
C ONTRACTOR INFORMATION
KIMBALL& LANDIS LLC, *
151 Fredricks Street
Port Townsend, WA
Phone: 98368 3603854915
PercelNumber:972901901 Addition:MontanaAddition
Project Address: 5330 Hendrlcks Street
IMPROVEMENT TYPE
M Driveway U Parking (l-2 spaces) n Cukert
I Telephone f] caute I powe" M water M sewer
Detailed Description of Proposed Improvement.(Attach Drawin
Driveway, parking, water, sewer for new SFR
Call for
inspections(s)n
SIGNATURE
City of Port Townd
MIP Inspector:
Final MIP Inspeetion Date:
Block Blk 19 Lot(s): A
?,er-mitRe.[uircments.
prior to any back{illing,concrete, or paving, For questions or to schedule
38t2294
Date Approvedf-----uaase{
n Sidewelk
E other
MIP Review
Call48 hours before you dig for utility line locates. l-800-42+s5ss
Page I of I
Erosion and sediment control me&sur€s are to be in place and inspected prior to construction. Measures must be
to new sewer service stub. Install a backflow preventer at the residence and a cleanout outside ofthe
Submit a side sewer as-built at time of inspection on form provided.
to existing water service stubs. Water pressure in area is approx- 120 psi. Install a pressure-reducing
-o
Record.aNo Protest Agreement for the possible fufure improvements to 53rd Street.
Rockeries and fences must be on or inside the property lines.
construction.
May use existing driveway
a Notice to Title for the private maintenance of 53rd Street.
for inspection prior to backfilling.
IJ
AFTER RECORDING RETURN TO:
City of Port Townsend
250 Madison, Suite 3
Port Townsend, WA 98368
I lllil llll lllllll lll llil lllil lrlrllt ru lllll llll llll #,::,'*',,,Jefferson County Aud KII'IBALL AND LANDIS L COV 36.O@
NO PROTEST REAL PROPERTY COVENANT AGREEMENT
Reference documents: Notice to Title
GRANTORS: PATTY MULRONEY
GRANTEE: City of Port Townsend, a Washington municipal corporation
THIS NO PROTEST REAL PROPERTY COVENAI\T AGREEMENT is made by the City
of Port Townsend a Washington niunicipal corporation, Waterman &KatzBuilding, 181 Quincy
Sheef Port Townsend, WA 98368, under the laws of Washington State, (City or Grantee), and _
Patty Mulroney , (Grarto(s), 5330 Hendrick$ , Port Townsend, Washington
98368, and shall be effective as set forth in paragraph 11. "Grantors'i own the following
described real property located in Port Townsend, Jefferson County, Washington, more
commonly known as:
5330 Heqdricks
Port Townsend, WA 98368
Legal description: Montanq Addition, B 9 I,ot(s)A to the
City of Port Townsend, found in Volume
County, Washington.
Plats, page-_3!- records of Jefferson
Ietfercon CounQt Assessor Tax No. 972 901 901 (bereinafter the "properly" or "properties").
2of
NO PROTEST REAL PROPERTY COVENANTAGREE\,{ENT - PAgE I
I Iilil ililt ]Iffi ilt ilffiillil] ilt ilil illt illl
Jefferson County Aud KI|yIBALL nNO LANDIS L
5t2209
Page: I of 2
@6t12t2@A6 @3:27PNTIT 33.O@
Francesca Franklin
Development Services Depaftment
City of Port Townsend
250 Madison, Suite l
Port Townsend, WA98368
NOTICE TO TITLE
Grantor{s): PATTY MLLRONEY
Grantee: city of Port Townsend, a v/ashington municipal corporation.
Legal description: Grantor(s)/Owne(s) own the following described real property:
Addition:. Block: I 9 Lot(s): A to
the City of Port Townsend, found in Volume 2 of Plats,
page 3l records of Jefferson County, Washington.
Assessor's Property Tax parcel No:901 90r
NOTICE IS HEREBY GIVEN to the Grantor(s/Owner(s) of the above-referenced realproperty, to potential purchasers and future owners, to agents or representatives, and to any
other concemed person or entity:
53.d STREET AS IT ABUTS THE ABOVE REFERENCE PROPERTY IS APRIVATELY MAINTAINED GRAVEL DRTVEWAY LOCATED WITHIN A
DEDICATED PUBLIC RIGHT-OF-WAY. MAINTENANCE OF SAID DRTVEWAY ISTTIE RESPONSTBITTTY OF THE TNDTVIDUAL USERS, INCLUDTNG TFIE ABOVE
REFERENCED PARTTES, UNTIL SUCH TIME AS TI{E RIGHT-OF-WAY IS
IMPROVED TO TFM CITY STANDARDS AT TTIE TIME OF TTIE
IMPROVEMENTS AND CONVEYED AND ACCEPTED BY THE CITY AS APUBLIC STREET. MAINTENANCE SHALL INCLT]DE DUST CONTROL AS
NEEDED.
j\
I ffiil ltil ]ltffi ill llil iltll i;,;lt til lllll til ill;,,:;:-';,,"
Jefferson County Aud KIIIBALL AND LANDIS L
Grantee City: Notice to Title
NTtT 33.OO
Grantor(s)Page2
DATED tttts /)- dayof 2oolt
By:
STATE OF WASHTNGTON )
)ss.
couNTY oF JEFFERSON )
I certify trrat I know or have satisfactory evidence that Ct
r+ife, are the persons who appeared before me, and who acknowledged that they
free and voluntary act for the uses and purposes mentioned in the instrument.
husban*&-
same as their
Given under my hand and offrcial seal this I * *h auv of Ju^<200b_.
[PrintName]
NOTARY LIC in and forthe State of Washington,
Residing at:
My appointrnent expires: l0 -4 -41
lNoary stamp inside l" marginl
Ciry of Port Townsend
Development Services Department
BT]ILDING NUMBER APPLICATION
P
B t-Dot->r
Name of Property Owner:
Mailing Address:3?o
Telephone:2KS -l1 4+
Propertv is located in
Addition:s):tq t ot(s):P".a A
FaceVAccess is from:
Parcel Number
Street
-Qo 0
to the raw
If this is a new ADU, has a building permit been applied rorz [ves _No Dare:_
Notes:ho,,5 s (I
So 5 r-:d'.2?fia
*
(r)
Housc NUMBER ASSTGNED: 52 54 4cwxtc<s f,o<hot t<€5Z 5Fo
Date of Approval:
il
a
a 7 CITY OF PCR'I ]uWl'iSIND
ocT 12 2007
For address ch'anges: tr Qwest Address Managernent Center - 206-504-1534
Date:
For Use
trlrrfol
Application Fee Received ($3.00, TC22OO):
tr Finance
O Sheriff
B Pgllic Works
VEU
O Post Office
tr GIS
D Assessor's Office
Copy to tr Fire Dept
tr Police
tr DSD database
-)
Receipt Number:
BiLDO7-212
BLDoT-212
BLD,JT-212
BLD0T-212
BLD0T-212
BLD0T-272
BL]loT-212
BLD07-212
972901902
972901902
972901902
972901902
972901902
972901902
972901902
972901902
$436.64
$r3.44
$100.00
$4-50
$150.00
$r50.00
$671.75
$r0.00
Total:
$286.64
$13./M
$100.00
$4.s0
$150.00
$150.00
$671.75
$10.00
Plan Review Fee
Technology Fee for Building Permit
Erergy Code Fee - l,lew Single Famil
State Building Code Gouncil Fee
Plumbing Permit Fee per Dwelling L
Mechanical Permit Fee per Dvrelling
Building Permit Fee
Record Retention Fee for Building P
$0.00
$0.00
$o.oo
$0.00
$0.00
$0.00
$o.oo
$0.00
$1,386.33
07-0901 10112120A7 Plan Review Fee
5146
Total
$150.00 BLD0T-212
CHECK $ 1,386.33
$1,386.33
genprntrreceipts Page 1 of I
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