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Home My WebLink AboutBLD08-128ExPIRED tt llo lzaog Development Seruices Residential Building Permit Application ) Applications accepted by mail must include a check for initial plan review fee of $'150 F See the "Residential Building Permit Application) Requirements" for details on plan submittal requirements- Property Owner: 37'/ Phone: ? 74 -Dgq6 Email: Name: Address: f3 75' I nTH I f - ?z,rz.=fios6ipD q FV6g Pho Ema il- I hereby cedify 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 wl!! be in accordance with State Laws and the Port Townsend Municipal Code- ea,*lbldcLksAddress: Zoning: Rtg Parcer #?qg SIZ Zo5 Legal Description (cr Tax #) Addition: &:t c:a. N B(; ;.( Lot(s):a Block: ,/ g"Z Project Description: Lender lnformation: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: Cupem(tol , l=oProject Valuation: $ Building lnformation (square feet): t"'floorffi9J'1 c^r^gu- Manufactured Home ! ADU S Ne* Addition I Remodel/Repair D 7 la @ (t o Porch(es)(t Deck(s Basement ls it finished? Yes Other: 2nd floor 3'd floor Total Lot Goverage (Building Footprint):" Square feet:-y'Z,fi{ '/"# ZToZQe *Total existinq & proposed lmpervious Egg 33 { lf an existing (>1 DSD uQttlllt?il L\ty' j\) Any known - N.IA City Business Licrnse #: Owner Exp: Name: State License #: Add City/St/Zip Phone Email: what year was !i the property? Y @ }? Y{D Print Name:AJ D 6 RESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new dwellings, aciditions, remodels, and garages. The purpose is to showwhat you intend to build, where it will be located on your lot, and how it will be constructed. )c Residential permit application I Washington State Energy & Ventilation Code forms (fwo (2) sets of plans rvith North arrow and scaled, no smaller than To" = 1 foot:/ [] 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. lf creating new impervious surfaces, indicate measures utilized to retain stormwater on-site 6. Street names and any easements or vacations 7. Location and diameter of existing trees 8. Utility lines 9. lf applicable, existing or proposed septic system location 10. Delineated critical areas boundaries and buffers 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 p-Floor plan: 1. Room use and dimensions 2. Braced wall panel locations 3. Smoke detector locations 4. Attic access 5. Plumbing and mechanicalfixtures 6. Occupancy separation between dwelling and garage (if applicable) 7 - Window, skylight, and door locations, including escape windows and safety glazing ^Iilw"ttsection: / 1. Footing size, reinforcement, depth below grade 2. Foundation wall, height, width, reinforcement, anchor bolts, and washers 3. Floor joist size and spacing 4. Walf stud size and spacing 5. Header size and spans 6. Wa!! sheathing, v"'eather resistant barrier, and siding material 7. Sheet rock and insulation B. Rafters, ceiling joists, trusses, wiiir blocking anC positive connections 9. Ceiling height 10. Roof sheathing, roofing material, roof pitch, attic ventilation Exterior elevations {all four) with existing slope of the land in relation to all proposed structures D lf architecturally designed, one set of plans must have an original signature I lf engineered, one set of plans must have one original signature U For new dwelling construction, Street & Utility or Minor lmprovement application X I Developmdnt Senrices tultn/ ti\1 ll li rhili Project Address: t? 6 7{ sT. (r CilY CI (or Tax #): Lot( Block lA3 Parcel # 9 ul0 ;A V2t Property Owner: D,ru.,Name:'-i)at/ I r>.e,rNJ Address:te7g /77# City/SUZip ffia'fazDAr A)b q936ts Phone Special Overlay District: D Shorelines u Historic Contractor: Name: Address: City/SUZip: State License Citv Business License #: TYPE OF EQUIPMENT QUANTITY COST PER FEE Air handler up to 10.000 cfm 13.00 Boiler/Comp, < 100,000 btu or 3 hp 17.00 Boiler/Comp, 100,000 to 500,000 btu or 3-15 hp 30.00 Boiler/Comp, 500,001 to 1 M btu, or 16-30 hp 44.00 Boiler/Com 1M to 1 .75M btu or 31-50 h 60.00 BoileriCom > 1.75 M btu or 50 h 115.00 Domestic lncinerator 21.00 Evaporative Cooler 13.00 Furnace < 1 000 btu 17.00 Furnace > 100,000 btu 21.OO Gas hot water heater 15.00 Gas or wood stove 17.00 Gas piping, 1-4 outlets 9.00 Gas pipinq. additional outlets 3.00 Hazardous process piping system, 1-4 outlets 7.00 Hazardous process pipinq svstem additional outlets 2.00 Hood/exhaust system 13.00 lndustrial incinerator 71.00 lnstallation/i'elocation/replacement of each appliance 10.00 Other equipment 13.00 Process pipinq, 1-4 outlets 7.00 Process oipinq svstem additional outlets 2.00 Propane tank, includinq pipinq 22.00 Repair/alteration of equipment 16.00 VenUexhaust Fan 10.00 TOTAL FIXTURE FEES TOTAL FTXTURE FEES FROM PAGE 1 MECHANICAL PERMIT ISSUANCE FEE $30.00 PLAN REVIEW FEE(25% OF FIXTURE & ISSUANCE FEE) RECORD RETENTION FEE $3.00 TECHNOLOGY FEE $5.00 TOTAL MECHANICAL PERMIT FEE I hereby certiff that the information provided is corect, 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 sig Date InternaUonal Fire Code 2006 - TABLE 3804.3 LOCATION OF TP-GAS CONTAINERS MINIMUM SEPARATION BETWEEN CONTAINERS AND BUILDINGS, PUBLIC WAYS OR LOT UNES OF ADJOINING PROPERTY THAT CAN BE BUILT UPON CONIAINER CAPACITY (Water gallons) Mounded or Underground Containers (feet) Above ground Containers (fec0 Minimum Separauon Eetween Containers (fee0 Less than 125 125 to 250 251 to 500 501 to 2,000 None Selqted text from the above Table: The minimum distance for underground containers shall be measured from the pressure relief device and the filling or liquidgauge vent connection at the container, ixcept that all parts of an underground container shall be 10 feet or more from a building or lot line of adjoining property which can be built upon. In applying the distance between buildings and ASME containers with a water capacity of 125 gallons or more..:distances to the building wall shall not be less than thme prescribed in this table. The following shall apply to aboveground containers installed alongside buildings:1. Containers of less than a 125-gallon water capacity are allowed next to the building they sele when in compliance with ltems 2,3, and 4.2. DeparUnent of Transportation (DOTn) specification containers shall be located and installed so that the discharge from the container pressure relief device is at least 3 feet horizontally from building oilenings below the level of such discharge and shall not be beneath buildings unless the space is well ventilated to the outside and is not enclosed for more than 50o/o of its perimeter. The discharge from container pressure relief deMce shall be located no less than 5 feet from exterior sources of igniUon, openings into direct-vent (sealed combustion system) appliances or mechanical ventilation air intakes.3. ASME containers of less than 125-gallon water capacity shall be located and installed such that the discharge from pressure relief devices shall not teffninate in or beneath buildings and shall be located at least 5 feet horizontally ftom building openings below the level of such discharge and not less than 5 feet from exterior sources of ignition, openings into direct vent (sealed combustion system) appliances, or mechanical ventilation air intakes.4. The filling connection and the vent from liquid-level gauges on either DOT of ASME containers filled at the point in installation shall not be less than 10 feet from exterior sources of ignition, openings into direct vent (sealed combustion system) appliances or mechanical ventilation air intakes. Please draw a simple plot plan below or on another piece cf paper so we can easily locate the LPG container. Indicate container size and type, gas piping and regulator location, and setbacks to. Inciuoe the street and and other landmarks on-site. 5 10 10 10 10 10 10 10 None 3 3 -, CITY OF PORT TOWNSEI\D U}]VELOPMENT SERVICES DEPARTMENI' City Hall,250 Madison Street, Suite 3 Port Townsend, WA 98368 Phone: 360-379-5095 Fax360-344-4619 RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTRUCTION, REMODELS, & ADDTTTONS Scope of Work: Please check all items that for the type of building permit you are requesting:CiTY Floor Area: the structure is to be used for: OF P()RI D i I Ownerts State, Zip 8re Permit No.Phone Property Street Address Zoning District 3oParcel # ) Lot(s)E4 5'of S 13.3BIockAddition h,.,,,J ,4*1.,.-'rGeneral Contractor's Name S+ 1'7 + 6 Mailing Address Phone plal lt' Cell Phone City Business License NumberState License Number Authorized Representative/Contact Person:Phone: Estimated Value of construction $ i1Financed By Date Work is to Begin Date Work is to be Completed V New House Addition New Garage or Carport Repair/Remodel Garage Accessory Dwelling UnitRepair/Remodel House Manufactured Home Other (please describe): Garage sq. ft: O,Finished Heated Space sq. ft: lffc/ Unfinished Heated Space sq ft: 6 Carport sq. ft: O/ Unfinished Basement sq ft: A Porches sq. ft: tt/,tb Semi-Finished Basement sq ft: d Decks sq. ft: A Storage sq. ft: C)Other (please describe):,6 P:\DSD\Department Forms\Building Forms\Application-Residential Building Permit.doc Page 1 of 1 CITY OF PORT TOWNSEI\D RESIDENTIAL BUILDING PERMIT APPLICATION NEW CONSTRUCTION, REMODELS, & ADDITIONS Site Information: Impervious Surfaces: Please provide the square footage of the roofur€a of the proposed and existing structures, and the square footage of the total area covered by porches, walkways, patios and driveways. Do not include decks allowing drainage to earth below. xlf total impervious surface is equal to or greater than 40%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:"/8s3 2. T\e total area covered by existing and proposed structures in square feet: . (total groundcoveragefiomtheoutiideofwallsorsupportingmembers) I O 8K Percentageoflotcoverage: (2-i-l) e z Proposed House Rooforint sq. ft: la O Existin! House Roofprint sq. ft: I JO$S, Proposed Garage Roofprint sq. ft: A Existing Garage Rooforint sq. ft: Proposed Porch./Walkway sq. ft:Existing Porch/Walkway sq. ft: Proposed Driveways sq. ft:Existing Driveways sq. ft: Other (describe):Other (describe): Total Proposed Impervious sq. ft: lC Rn Total Existing Impervious sq. ft:{oge Total Proposed + Existing sq. ft:-----+ Percentage Impervious: * (Imnervious surface: lot so. ft) ?"-R, 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 roof) Foundation Plan Elevations Floor Plan 2003 WSEC* Complianc€l Prescriptive_ Component _ Floor Framing Plan WSEC Construction Checklist (washington State Energy Code) Roof Framing Plan Other: Installing Manufactured Home -Y", ,&.no Year:Make: Was the manufactured home originally constructed within three (3) years of proposed 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 than one foot of the perimeter 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 building permit approval. P:\DSD\Department Forms\Building Forms\Application-Residential Building Permit.doc Page2 of2 Development Senrices www.cityofpt. TOTAL FEES STIMMARY TOTAL FIXTURE FEES PLUMBING PER}JIIT ISSUANCE FEE $30.00 PLAN REVTEW FEE(25o/o OF FTXTURE & TSSUANCE FEE) FOR OTHER THAN R-3 & U OCCUPANCIES (MrN. FEE $60) $3.00RECORD RETENTION FEE TECHNOLOGY FEE $5.00 TOTAL PLUMBING PERMIT FEE 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 t-7 Ti/ 9lr, AT Gg.apf' l'rl;DProject Parcet # aqQ = iA BoS . t-*eJ"l Description (or Tax #): rO a- Addition. € r*,c.N Lot(s Block: lAg Property Owner: Name Address: )37€ /37{C- Cttyls7zip:'ftzt"t;'frs: N9e pO ' 99366 Phone: 37 q - 2gq A Email Special Overlay District: tr Shorelines tr Historic Contractor: Name: Address. City/SUZip Phone, Email State License #:Exp,- City Business License #: TYPE OF EQUIPMENT QUANTITY COST PER FEE Plumbing Fixture per trap (including piping)$12.00 Building sewer $27.00 Rainwater system (inside building per drain)$12.00 Electric water heater $15.00 . lndustrial pre-treatment interceptor $2s.00 Water treati $10.00 Vacuum breaker 1-5 $15.00 Vacuum breaker additional $4.00 Back flow device up to 2 inches $15.00 Back flow device > 2 inches $2B.00 TOTAL FIXTURE FEES Signature n*/ A/"--Date:e/z/ra CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT # B o9- |z7 DATE RECEIVED -3-o? SCOPE OF WORK:r\[sL;e{7 DATE ACTION LSg-v-ENTERED INTO CHET CA-toP - No evidence CHECKED FOR COMPLETENESS -3-gT-/-- t /o u 3 vf t' D I q -+- bu 0'?2 J la-rtt t4 _!.t-f.j3 Ua4 -o 5.(/)2a /4*alatfr-p a 9-o.fqa lh I 6LD os lzs $fi L*t- (erud iuq Io *z_- cK SG a /tt lcg a,b,r-t 1Aa- T1 t P {o. Do-,J brt a-( s1,<!* is {LD (o?n artil(^bQ- -+hL b*,1t" Tktl'tt (e{ us knou Wl^p-+ +hry u^u* d,bor-l- +4t- tri^ rn t'-l*s S;2-a-^^r- *ro F"{"r Bl-nfi -tzt Cij c 6r A-rrJ<rsdn Sa-td--n-o tl" (33 { Lu's SOn 3 $'l-r. l,,lo c ft4 A^&' B+h-on rnl/toan- Wffi*. rnt/0[ - 0{2,