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Residential Building Permit Application
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Contractor:
Address
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Phone: g.h t €a,g2 -. ^{ { /^( "'
Email 56 l"Jvr
StateLicensu*W*p
City Business License #: (2oO'7iO
velopment Servr'ces
t/) Applications accepted by mail must include a check for initial plan
) See the "Residential Building Permit Application Requirements" for details on
plan submittal requirements.
of $1 50
Lender lnformation:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name.
Project Valuation
Any known wetlands on the property? Y 6D
Any steep slopes (>15%l? Y @
I hereby certi{y that the information provided is correct, that I am either the owner or authorized to acl 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 : ",fa ,>L. hr/'n g
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Project Address:Leqal Description (or Tax #):
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Block: j'/
Lot(s)*
Property Owner:
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Address: Ib li *s,Jar.i"rr*.#-.-",
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Name:
Address:
Email
City/SVZip
Phone:
Building Information (square feet): ,
1't floor Crr"g", N /
2ndrroor ;;";L;@q
3'd floor Porch(es
Basement:_ ls it finished? Yes No
Carport: Ot
Manufactured Home ! ADU D
New Ll Addition I Remodel/Repair !
Total Lot Coverage (Building Fcotprint)
Sq uare feet:o//o
lmpervious Surface:0 hq r\c\q_*
Square feet
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RESIDENTIAL BUILDING PERMIT APPLICATION
CHECKLIST
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 on your lot, and how it will be constructed.
! Residential permit application.
n Washington State Energy & Ventilation Code forms
I Two (2) sets of plans with North arrow and scaled, no smaller than /a" = l foot:
X 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
B. lf applicable, existing or proposed septic system location
9. Delineated criticalareas boundaries and buffers
f 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:
Room use and dimensions
Braced wall panel locations
Smoke detector locations
Attic access
Plumbing and mechanical fixtures
Occupancy separ-ation between dwelling
Window, skylight, and door locations, including escape windows and
i
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safety glazing
tr Wallsection:
1. Footing size, reinforcement, depth below grade
2. Foundation wall, height, width, reinforcement, anchor bolts, and washers
3. 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 material, roof pitch, attic ventilation
I Exterior elevations (allfour) with existing slope of .the land in relation to all proposed structures
f lf architecturally designed, one set of plans must have an original signature
lf engineered, one set of plans must have one original signature
I For new dwelling construction, Street & Utility or Minor lmprovement application
1.
2.
3.
4.
5.
6.
7.
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and garage (if applicable)
CITY OF PORT TOWNSEND
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PERMIT ACTIVITY LOG ./
DArE RECET'ED 5 - q- 0{
SCOPE OF WORK:
DATE ACTION INITIALS3"Ll-09 ENTERED INTO CHET sl=
CA * to Planning - No evidence
CHECKED FOR COMPLETENESS
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PO Box i lf9
Porr Tawnssnd, WA 98368
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Phone (36Si 385-5653
Fax {360} 379-8456
TO:
FAX ,-r*,
DATE:3 *t9 -o g
# OF PAGES (including cover)
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NOTES
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