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HomeMy WebLinkAbout09041City of Port Townsend Development Services Department (/j (0� Notice PERMIT NUMBER6a� 0 OWNER JOB LOCATION � 00 Z. KO Sf' n A Inspection of this structure has found the following v e": You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwi When corrections have been made call for inspection. Date 2 Inspector DSD Ma' Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department Correction Notice PERMIT NUMBER L ( o — 0 q JOB LOCATION Inspection of this structure has found the following violations: You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherw When corrections have been made, call for inspection. Date % 2, L2 -2-f f�9 Inspector r DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department fA)c kZ- iiC3I e -c. - Notice PERMIT NUMBER V (� OWNER JOB LOCATION `:� G 0 Z Inspection of this structure has found the following V'&# as: You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. n ��—, 1 Date Id- to , 0 �( Inspector R ) CTIz >�� T Lz ll�� DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department C rrect'on Notice PERMIT NUMBER �� o / oe l OWNER JOB LOCATION A Inspection of this structure has found the following violations: You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. c Date r � Inspector A YLO ez— DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE Ci of Port Townsend Development Services Department 0 / otice PERMIT NUMBER 8L� 09 OWNER JOB LOCATION Vl Inspection of this structure has found the following �ia�as: You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted othe e. When corrections have been made call or inspection. % Dat Inspector �! Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department �orrection (Notice PERMIT NUMBER C/"l L%q1_ OWNER 11 JOB LOCATION , -DO �O 2- _ IQt)t- Inspection of this structure has found the following violations: Q J You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwi ,e When corrections have been made call r inspection. Date 00fd Inspector i� C� C Wb DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department 040( (-,0N Notice _ PERMIT NUMBER 6 Qs 0(' O 44 OWNER JOB LOCATION Inspection of this structure has found the following violations: M You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been madq, call for inspection. Date . j �0/D Inspector /gin 4a ye DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE o�yo TTo�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 0 9� WA Development Services Department 250 Madison Street, Suite 3, Port "Townsend, WA 98368 POST THIS CARD IN A SAFE, CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PARCEL NO. 972600702 PERMIT NO. BLD09-041 ISSUED DATE 07/20/2009 EXPIRATION DATE 01/16/2010 ADDRESS 3002 ROSECRANS OWNER JACKSON JACQUELINE L CONTRACTOR OWNER BUILDER CONSTRUCTION TYPE PROJECT DESCRIPTION New SFR LENDER OCCUPANTLOAD INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE COMMENT EROSION CONTROL FINAL PUBLIC WORK SETBACKS SURVEY PINee Z p FINAL BUILDING &Z110 FOOTING FOUNDATION WALL FOUNDATION DRAIN l L l t FLOOR FRAMING 1' /@ SHEARWALL & HOLDOVI IQrc.ie 12122 S FRAMING AIR SEAL j� j / PLUMBING of I]MIRING ZLLPWIN MECHANICAL (C % 2010 INSULATION lv ofiW yjf �,F✓IA GWB IF 0. /p FINAL PLANNING rvALL�t eaiLlk)6 TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. T�� FAX COVER TO: �) COMPANY/AGENCY: FAX NUMBER: City of Port Townsend Development Services Department 250 Madison Street, Suite 3 Port Townsend, WA 98368 (360)379-5095 Fax(360)344-4619 DATE: I FROM: ` SUBJECT: .� U/Q('r/0 TOTAL NO. OF PAGES INCLUDING COVER SHEET: COMMENTS: � �� D 9- J'�fl 'PORT ]'0 BUILDING PERMIT City of Port Townsend 9� Development Services Department �W 250 Madison Street, Suite 3, Port Twomsend, NVA 98368 (360)379-5095 Project Information Permit # BLD09-041 Permit Type Residential - Single Family - New Project Name New SFR Site Address 3002 ROSECRANS Parcel # 972600702 Project Description New SFR Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Jackson Jacqueline L Owner Jackson Jacqueline L Contractor Owner Builder (360) 379-6471 STATE exempt 12/31/2009 Fee Information Project Details Project Valuation $171,764.96 Decks— Residential 96 SQFT Decks — Residential (Covered) 16 SQFT Site Address Fee 3.00 Dwellings — Type V Wood Frame 1;668 SQFT Building Permit Fee 1,396.95 Energy Code Fee - New Single 100.00 Private Garages — Wood Frame 484 SQFT Family Unit Units: Heat Type: Mechanical Permit Fee per Dwelling 150.00 Bedrooms: Construction Type: Unit -New Residential Bathrooms: Occupancy Type: Plan Review Fee 908.02 Plumbing Permit Fee per Dwelling 150.00 Unit - New Residential State Building Code Council Fee 4.50 Technology Fee for Building Permit 27.94 Record Retention Fee for Building 10.00 Permit Total Fees $ 2,750.41 *** 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 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. 1 further certify that 1 am the owner of the property or authorized agent of the owner. Print Name 66.4 kF—^ N� L- TA—Cid0o Date Issued: 07,20,'2009 Issued By: SwASSMER Signature __ \ Date'Oq Date Expires: 01x16/2010 Project Information BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Permit Type Residential - Single Family - New Site Address 3002 ROSECRANS Project Description New SFR Conditions Permit # BLD09-041 Project Name New SFR Parcel# 972600702 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. 20. Per the CAO permit LUP 09-033; approval is conditioned on a maximum of 30% impervious surface on Lots 3 and 4. Block 7 of the Monogram Addition. The existing site plan proposes roughly 32.5% impervious surface. It must be revised to meet the standard. Methods to reduce impervious surface may include reducing the building footprint, reducing the driveway area; or using pervious pavers in lieu of asphalt/concrete. 30. Per CAO permit Condition #8: PRIOR TO COMMENCING DEVELOPMENT ACTIVITIES Pursuant to Subsection 19.05.040(E)( I )(h), the applicant shall: i. Mark the following on the site to reflect the proposed site construction plan: the location of the building footprint and the 15 -foot setback from the wetland buffer. Install construction fencing along the approved wetland buffer edge. ii. Install erosion control measures in accordance with approved building permit plans. iii. Schedule a preconstruction meeting at the development site. The meeting is to be attended by the applicant (or applicant's agent) and city planning staff, to review specific project details and methods of construction. Field markings and erosion control measures shall be verified by staff. 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 my knowledge. 1 further certify that i am the owner of the property or authorized agent of the owner. Print Name Signature Date Issued: 07/20/2009 Issued B,: SWASSMER Date _ _ . Date Expires: 01/16%2010 Project Information BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 Permit Type Residential - Single Family - New Site Address 3002 ROSECRANS Project Description New SFR Conditions (360)379-5095 Permit # BLD09-041 Project Name New SFR Parcel # 972600702 60. Per the CAO permit conditions 1-3: GENERAL 1. Construction shall be completed in strict conformance to the site plan dated May 6. 2009 (Exhibit *), conditions of this permit and of any other city approvals obtained for the project (e.g., building permit, street development permit). 2. The DSD Director may approve minor modifications to the approved plans provided they conform to the analysis and conclusions provided herein. If the plan is significantly modified and/or contingency plans are required, the revised plans shall require an Addendum to the Critical Areas permit which shall be distributed to parties of record. 3. To minimize the impact to the buffers habitat functions, exterior lighting shall be of low wattage. shielded and directed to prevent illumination of the wetland buffer. Metal halide lights shall be prohibited. If motion sensors are used, they shall be set so as not to activate due to movement within the wetland buffer. 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. 1 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 1 am the owner of the property or authorized agent of the owner. Print Mame Date Issued: 07/20'2009 Issued By: SwASSMER Signature __._.__..__.__..._..._ Date Date Expires: 01/16/2010 Project Information BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 Permit Type Residential - Single Family - New Site Address 3002 ROSECRANS Project Description New SFR Conditions (360)379-5095 Permit # BLD09-041 Project Name New SFR Parcel # 972600702 40. Per the CAO permit Conditions 9-12, DURING CONSTRUCTION 9. All contractors shall prominently post on-site the site -work specifications and conditions of this pen -nit. 10. The applicant or his/her designee shall be responsible for maintenance of the site, including maintenance of field markings, fencing and temporary erosion control devices as indicated on approved plans. Additional best management practices shall be implemented as necessary to control runoff/sedimentation from the site. 11. The approved 100 -foot buffer shall not be disturbed. No construction activity may take place in the buffer. All construction debris shall be properly disposed of in such a manner that it cannot enter into the wetland/approved wetland buffer or cause water quality degradation. 12. Pursuant to the Engineering Design Standards, the applicant shall stabilize soils upon completion of construction activities. 50. Per the CAO permit conditions 13-14: PRIOR TO ISSUANCE OF OCCUPANCY PERMIT/FINAL INSPECTION 13. The applicant shall install permanent fencing and signage along the buffer edge. The fence shall be unobtrusive with an open design, such as split -rail fencing (i.e., no solid fencing which would inhibit water or wildlife movement). Signs shall be provided by the city and installed by the applicant. 14. An occupancy permit/final inspection shall only be granted upon a finding by the DSD Director that the buffer has not been disturbed.- temporary fencing and erosion control devices have been removed and permanent fencing and signage has been erected. 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 my knowledge. I further certify that I am the owner of the property or authorized agent of the owner. Print Name Date Issued: 07/20/2009 Issued Bv: SwASS1v1ER Signature _..._- --- -_ - - - - - _..-.------__. -- __..____ Date _..__ Date Expires: 01/16/2010 pORT TO CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT q`WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 33:OOPM�F/RIDAY. DATE OF INSPECTION: &)kQ PERMIT NUMBER: DC7Q) 0 G — 0q1 / SITE ADDRESS: CONTACT PERSON: TYPE OF INSPECTION: IkE6 No /J 41c oo PHONE: ❑ APPROVED Inspector k, Acknowledgement ❑ APPROVED WITH CORRECTIONS Ok to proceed. Correc checked at next inspect ❑ NOT APPROVED will be Call for re -inspection before /procee ing. Date / �o6 Date Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may be assessed if work is not ready for inspection. OF PORT Tod CITE' OF PORT TOWNSEND �o DEVELOPMENT SERVICES DEPARTMENT =' INSPECTION REPORT AWA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: D PERMIT NUMBER: AU'09—C)41 1 SITE ADDRESS: CSO Z LcECP_,4/,)S CONTACT PERSON: TYPE OF INSPECTION: S /� PHONE: 0TC0,W(i \/[ yd C Aj ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be ceedin- ion efore checked at next inspection pro Inspector 01 Sl Lp(1L Date A9 /9 16 Acknowledgement Date Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may be assessed if work is not ready for inspection. 0 0 oar T Q CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT AWA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE IN/SPECTION. FOR MONDAY INSPECTION, CALL BY 33:OOPM FRIDAY. Q DATE OF INSPECTION: V / / PERMIT NUMBER: NJ. QC( — Cis( SITE ADDRESS: n Z Rp Cidj CONTACT PERSON: PHONE: TYPE OF INSPECTION:��C , �C�0�i(, n fo=b-, �.Re, = -j2C? �m C() l EUD T07- Inspector L k— Acknowledgement ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection yco'�I' ❑ NOT APPROVED Call for re -inspection before proceeding. Date 1,0115 - Date Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may be assessed if work is not ready for inspection. Qoar ro CITY OF PORT TOWNSEND �v DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 33:OOPM FRIDAY. DATE OF INSPECTION: l U� PERMIT NUMBER: 4� I 0 I SITE ADDRESS: CONTACT PERSON: PHONE: TYPE OF INSPECTION: ( 4gLL Lodz 1Kt-i�t1S7�c%i�!</ ❑ APPROVED ❑APPROVED WITH❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call-for_re�inspection efore checked at next inspection proceeding. Inspector L(� ��1�L(7i1L Date q d� Acknowledgement Date Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may be assessed if work is not ready for inspection. i�� 9 -°off 3`F CITY OF PORT TOWNS.. ��// PERMIT ACTIVITY LOG PERMIT # �L1� Off, O ZP/ DATE RECEIVED SCOPE OF WORK: DATE ACTION INITIALS 3 -//- o ENTERED INTO CHET - CHECKED FOR COMPLETENESS da D 11-b al v � Z —,c c c S Z - n9 �.b`�ss �PP�ov oDZ oS�G�4►� 5 7I 5 I f, n •� r 0 fu 1 '10A fVM !vc cvv- UICY LAUZ.;-j " (i l k4t vl v n,� Uv` ; Zoning: S w Setbacks OK? IA40- , i (ca nS fs , Lot Size: 1 �.Q s ' F U +o o-44\ ' Building Size: a ' Lot Coverage: FAR OK? s Height OK? ules Parking OK? — oLjb L'c-,,,-- Cq Critical Area? ' v i�-e� Demo? Historic Rev? Notice to Title? Lots of Record? Yrs Li BUILDING PERMIT p,ppRTTp City of Port Townsend Development Services Department �W 250 N9adison Street, Suite 3, Port Tovmsend, NVA 98368 (360)379-5095 Project Mforniatioir Permit # BLD09-041 Permit Type Residential - Single Family - New Project Name New SFR Site Address 3002 ROSECRANS Parcel # 972600702 Project Description New SFR Names Associated with this Project License T7 Name Contact Phone # Tv pe License # Exp Date Applicant Jackson Jacqueline L Owner Jackson .lacqucline L Contractor Owner Buildcr (360) 379-6471 STATE exempt 12/31/2009 Fee litformatiott Project Details Project Valuation S171,764.96 Decks—Residential 96 SQFT Decks — Residential (Covered) 16 SQFT Site Address Fee 3.00 Dwellings — Type V Wood Frame 1,668 SQFT Building PerYnit Fee I.396.95 Enemy Code Fee - New Single 100.00 Private Garages — Wood Frame 484 SQFT faintly Unit Units: Heat Type: Mechanical Permit Fee per Dwelling 150.00 Bedrooms: Construction Type: Unit - New Residential Bathrooms: Occupancy Type. -cc Plan Review I 908.02 Plumbing Permit Fee per Dwelling 150.00 Unit - New Residential State Building Code Council Fee 4.50 TcchnolOgv Fee for Building Permit 2794 Record Retention Fee for Building 10.00 Permit Total Fees $ 2,750.41 SEE ATTACHED CONDITIO N;S r`Y Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if ivork is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. Tic erantinu of this permit shall not be construed as approval to violate any provisions of the PTHC or other laws or regulations. I certify that the information provided as a part of the application for this pennit is true and accurate to the best of my knowledge. 1 further certify that I am the owner of the property or authorized agent of the owner. s Print Name ���-Q�i_1 Nom- L J -,'�-CJ601J Date Issued: 07/20.'-'009 Issued Rs: SWASSNIER Signature �e� �,�y Date (�� Date Expires: 01.'16'_'010 Project Information BUILDING PERMIT City of Port Townsend Development Services Department 250 iVladison Street, Suite 3, Port Townsend, wA 98368 Permit'rype Residential - Single Family- - New Site Address 3002 ROSECRANS Project Description New SFR Conditions (360)379-5095 Permit # BLD09-041 Project Name New SFR Parcel# 972600702 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. 20. Per the CAO permit LUP 09-033, approval is conditioned on a maximum of 30°/, impervious surface on Lots 3 and 4, Block 7 of the Monogram Addition. The existing site plan proposes roughly 32.5°/, impervious surface. It must be revised to meet the standard. Methods to reduce impervious surface may include reducing the building footprint_ reducing the driveway area. or using pervious pavers in lieu of asphalt/concrete. 30_ Per CAO permit Condition #8: PRIOR TO COMMENCING DEVELOPMENT ACTIVITIES Pursuant to Subsection 19.05.040(E)(I )(h). the applicant shall: i. Mark the following on the site to reflect the proposed site construction plan: the location of the building footprint and the 15 -foot setback from the wetland buffer. Install construction fencing 310112 the approved wetland buffer edge. ii. Install erosion control measures in accordance with approved building permit plans. ]it. Schedule a prcconstruction meeting at the development site. The 111ee6112 is to be attended by the applicant (or applicants agent) and city planning staff, to review specific project details and methods of construction. Field markings and erosion control measures shall be verified by staff. Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if Nvork is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The grrnting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or rc2ulations. 1 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 1 am the owner of the property or authorized agnt of the owner. Print Name Signature Date Date Issued: 07;20112009 Issued By; SwASS\1ER Date Expires: 01/16,2010 Project Information BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port To -s nsend, NVA 98368 (360)379-5095 Permit "Type Residential - Single Family - New Site Address 3002 ROSECRANS Project Description New SFR Conditions Permit # BLD09-041 Project Name New SFR Parcel # 972600702 40. Per the CAO permit Conditions 9-12, DURING CONSTRUCTION 9. All contractors shall prominently post on-site the site -work specifications and conditions of this permit. 10. The applicant or his/her designee shall be responsible for maintenance of the site. including maintenance of field markings. fencing and temporary erosion control devices as indicated on approved plans. Additional best management practices shall be implemented as necessary to control runoff/sedimentation from the site. 11. The approved 100 -foot buffer shall not be disturbed. No construction activity may take place in the buffer. All construction debris shall be properly disposed of in such a manner that it cannot enter into the wetland/approved wetland buffer or cause water quality degradation. 12. Pursuant to the Engineering Design Standards. the applicant shall stabilize soils upon completion of construction activities. 50. Per the CAO permit conditions 13-14: PRIOR TO ISSUANCE OF OCCUPANCY PERMIT/FINAL INSPECTION 13. The applicant shall install permanent lcncing and signage along the buffer edge. The fence shall be unobtrusive with an open design; such as split -rail fencing (i.e.. no solid fencing which would inhibit water or wildlife movement). Signs shall be provided by the city and installed by the applicant. 14. An occupancy pennit/final inspection shall only be granted upon a finding by the DSD Director that the buffer has not been disturbed; temporary fencing and erosion control devices have been removed and permanent fencing and signage has been erected. Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance ih 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 pennit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. 1 certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. 1 further certify that 1 am the owner of the property or authorized agent of the owner. Print Name Signature _ Date Date Issued: 07/20/2009 Issued By: SwASS\1ER Date Expires: 01/16,'2010 Project Information BUILDING PERMIT City of Port Townsend Development Services Department 250 Nladison Street, Suite 3, Port ToiNnsend, WA 98368 Permit Type Residential - Single Family - New Site Address 3002 ROSECRANS Project Description New SFR Conditions (360)379-5095 Permit # BLD09-041 Project Name New SFR Parcel # 972600702 60. Per the CAO permit conditions 1-3: GENERAL 1. Construction shall be completed in strict conformance to the site plan dated Mav 6. 2009 (E=xhibit *). conditions of this permit and of any other- city approvals obtained for the project (e.g., building permit. street development permit). 2. The DSD Director may approve minor modifications to the approved plans provided they conform to the analysis and conclusions provided herein. If the plan is significantly modified and/or contingency plans are required, the revised plans shall require an Addendum to the Critical Areas permit which shall be distributed to parties of record. 3. To minimize the impact to the buffers habitat functions. exterior lighting shall be of lo« wattage. shielded and directed to prevent illumination of the wetland buffer. Metal halide lights shall be prohibited. If motion sensors are used, they shall be set so as not to activate due to movement within the wetland butler. 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 -,ranting of this penuit shall not be construed as approval to violate any prox inions of the PTHC or other lags 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. 1 further certify that I am the owner of the property or authorized agent of the owner. Print Name Date Issued: 07/20/2009 Issued Bv: SwASSMER Signature _ Date Date Expires: 01/16'2010 • De to men Services p t Se ces ➢ Applications by mail must include a check for initial plan review fee of $150 for projects valued over $15,000. See Page 2 for details on plan submittal requirements. Property O ner/Applicant: Name: A COF LI NFA (, Jf}LI-SOr11 Address: D l D X I City/St/Zip: P.T. I w A cliM.9 Phone w 3&5 2 p Email:�C.0 Contact/Re resentative: Prion, Name: r �C' � ncQ i Address. Ini> City St/Zip: ►� Phone: Email: Contractor:. _ Same as Owner hr Name..- Address: ame:Address: 3D61 CA- City/St/Zip: Phone: (� Email: I I W State License #: Exp: III I� MA City Business License #: U llllll I CITY Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: K►T5AP 0J26iDiT UNi Uf\1 Project Valuation: $ 3 004 000 Building Information (square feet): It 1 sc floor i i Garage. -- 2 nd arage:2nd floor Deck(s): 3`d floor Porch(es)- Basement: Is it finished? Yes No Carport: Nle+ Other: Manufactured Home ❑ ADU ❑ New Addition ❑ Remodel/Repair ❑ Total Lot Coverage (Building Footprint):* � Square feet: c2 /' J% o� �. Impervious Surface:* Cl L` Square -feet: *Total existing & proposed P� Wl�� Fll —What yea aslthe structure built? If workrin lu leUd i molition, see Page 2. Any known wetland s,gg,the property? YON ) r [Anytsteep.tslopes (>15%): YN 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: c� k U N t ` L. J A-(- <-E oIJ Signature: \.c -A, Date: 3 y / L `7 Page/1 of 7/3 200 0 0 ?S RESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST 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. l<Residential permit application. 13(Washington State Energy & Ventilation Code forms ` Two (2) sets of plans with North arrow and scaled, no smaller than '/4" = 1 foot: -- c2 XA 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. If creating new impervious surfaces, indicate measures utilized to retain stormwater on-site 6. Street names and any easements orva`cations 7. Location and diameter of existing trees 8. Utility lines 9. If 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 (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 ,AWaii section: 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 Exterior elevations (all four) with existing slope of the land in relation to all proposed structures f architecturally designed, one set of plans must have an original signature cif engineered, one set of plans must have one original signature kFor new dwelling construction, Street & Utility or Minor Improvement application If you are proposing partial or full demolition of a structure that is at least 50 years old, per Ordinance 2969 Historic Preservation Committee (HPC) review is required. If within the National Historic Landmark district: $58.00 for full committee review. If outside the National Historic Landmark district and not on the Historic Register: $30.00 for HPC Administrative review. Complete HPC Form. Partial demolition includes exterior demolition for additions and remodels. Page 2 of 2 7/31/2008 1. Make sure your contractor is properly registered. 2. Be wary of contractors who-askyou to pick up the building permit:' 3. Plan your project carefully; including detailed plans, if necessary.. °. 4. Try to get at least three written bids on each job. 5. Ask contractors for references: 6. Ask what inconveniences inightarise. 7. Obtain a written contract. 8. Make sure you understand.the terms before you sign anything:: 9. Be cautious about paying forwork not yet completed. 10. Put all change orders in writing. 11. Make frequent inspections_ and consult your local building department. 12. Avoid making final payment until you have received a lien release from suppliers and subcontractors. When hiring an unlicensed contractor and acting as your own contractor: 1. You are responsible for the medical and time loss costs of employees injured while working on your project. 2. You may be liable for all unpaid taxes. 3. Your homeowner's insurance may not cover work done by an unlicensed contractor. 4. The law requires complete disclosure of all work that has been done on your home, if you resell. You may be required to do work over again that has been done without permits, or inspections. Non -disclosure can lead to civil action being taken against you. 5. You may be placing yourself and your family in a life-threatening situation, especially when hir- ing unlicensed people to install plumbing, elec- trical wiring, heating systems or wood stoves. 6. Suppliers can place a lien on your home for non-payment of materials by your contractor. 7. Unpaid workers can place a lien on your property. 8. When problems arise, your only recourse is a lengthy and costly civil action — if there are any assets of value to attach, and if you can find the contractor. Contractors are required to carry at least $20,000 in property damage insurance coverage and $100,000 in bodily injury or death insurance. You are encouraged to verify the contractor's insurance coverage with his or her agent, as the department's records may not reflect current coverage. The Labor and Industries contractor registration information line 1-800-647-0982 operates weekdays from 8 a.m. until noon and 1 to 5 p.m., excluding state holidays. The information line allows you to check whether commercial and resi-dential contractors are registered and properly bonded. Our staff can tell you if the contractor currently is registered, if action against the bond is pending, or if legal acton has been taken against the contractor's bond in the past. We also can tell you how long a contractor has been registered. Labor and Industries is an Equal Opportunity and Affirmative Action employer. The department complies with all federal rules and regulations and shall not discriminate on the basis of race, color, national origin, sex, creed, marital status, sexual orientation, age, religion or disability as defined by applicable state and/or federal regulations or statutes. Before- "hiring a contractor If you are a consumer interested in having work done by a contractor, this brochure can help you by: • Explaining how the Washington state contractor registration program works. • Describing how the contractor registration law protects consumers. • Outlining the requirements for contractors. Washington state law requires all contractors to be registered. General contractors must maintain a $6,000 bond and specialty contractors must maintain a $4,000 bond. (Specialty contractors are those who participate in no more than two trades and do not subcontract work to other contractors.) The contractor registration law exists to protect consumers from incompetent and/or fraudulent contractors. Requiring contractors to be bonded gives consumers some financial protection against unsatisfactory or incomplete work. Dissatisfied consumers may take civil action to obtain It is against state law for any contractor to restitution by taking action against a contractor's submit bids or perform any contracting work bond in Superior Court. without being registered with the Department The law also requires contractors to carry of Labor and Industries. It also is illegal for insurance for property damage and public contractors to advertise without including their liability. It also ensures that contractors have a 12 -character 'contractor registration number in current Unified Business Identifier (UBI) the advertisement. Account Number and Federal Employer Account Number. Any correspondence you send to a contractor should clearly state that bids will not be accepted unless the contractor provides a valid registration number. While the law does not guarantee perfect performance, it improves the likelihood that the contractor does competent work. A maximum $3,000 fine and a misde- meanor infraction can be levied against any con- tractor who performs work or submits a bid with- out being registered with Labor and Industries. City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360-379-5095) FAX 360-344-4619 March 26, 2009 Jacqueline L. Jackson PO Box 115 Port Townsend, WA 98368 Subject: Wetland Delineation Dear Jacqueline, Your building plans are under review for permit issuance. However, according to the "Customer Assistance Information Staff Response" a letter prepared by a wetland expert that assesses the wetland edge and indicates if future development would be in a wetland buffer is required prior to permit issuance. See below. Critical Area Ordinance Permits (CAO) — PTMC 19.04. Please see PTMC 19.05 for a list of regulated critical areas. Critical areas include wetlands, steep slopes, seismic or geologic hazard areas, priority wildlife habitat, sole source aquifers, and flood zones. It is the responsibility of the property owner to confirm that no critical areas are actually on site. WETLAND While the property itself is not mapped as an Environmentally Sensitive Area (ESA) according to the City's ESA map, property to the west across Rosecrans Street is mapped as the North Deering Wetland. File records are available in the DSD office. Because wetlands change over time, and the wetland rating system used by the Department of Ecology has changed since the wetland was delineated in 1999, prior to developments of lots 3 and 4 a "Level 1 Wetland Assessment " is required. This is a letter prepared by a wetland expert that assesses the wetland edge and indicates if future development would be in a wetland buffer. If so, further study including wetland delineation would be required and depending on the findings, a critical area permit may be required. If you have any questions please contact Judy Surber (Senior Planner / Planning Manager) at (360)-379-5084 or by e-mail jsurber(d-)cityofpt.us. Regards, Fred Slota, Building Official A NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT M 40 HiL II�E BUILDING P%El, IT INFORMATION FORM %PLAN 1664 This form contains the information you'll need to complete your building permit packet. We've included information for all counties, some of it may not apply to yours. If you have any questions please give us a call at (253) 840-1849. Applicant/ Owner/ Contact information: Your name, address, phone number Contractor Information Name: HiLine Homes 4di1rcW.3 7779;4 Kala Square Place -.j Port Townsend, WA 98368 r X60/379-8600 oil Tax Parcel #/ Assessor's Account M This will be with your property information. Job Site Address: Your new home address (example: xxx Filmore St.) Legal Description: This will be with your property information. (example: Lot X Large Lot SubDivision xxx in Clark County ect.) This will be a New Single Family Residence Describe work/ type of job: NEW HOME CONSTRUCTION HOME INFORMATION: Floor Area: (square footage) Main/ 1st: 1664 # of stories: 1 Carports: 0 Second: 0 Bedrooms: 3 Decks: 0 Basement: 0 Bathrooms: 2 Porches: 0 Total: 1664 Garage: 484 (attached) Construction Method: Wood Frame Heating System: Chehalis Sheet Metal Contact: Be sure to choose the information below that coorolated with the heat system you have ordered. HVAC/ Mecanical Contractoris the company installing your heat system. 360.748.9221 Cadet/ Wall Mount/ Zone Heaters: standard heats stem Location: Chehalis Installer: Hendon Electric Contact: Scott Hendon TDE060A936 License #: HENDEEL11ONZ Phone: 360.297.4433 80.00% Watts: 997 Expiration: 08/09/07 Location: Kingston Location: Manuf: Cadet Brand: Register Plus Model: RM202, RM162 KW: 7 AMPS: 20 On permits, for the # of wall heaters, put 1, oryou'll be charged extra for every one. Heat Pump w. furnace w/ HWH: Installer: Chehalis Sheet Metal Contact: David Pyles License #: 212003217 Phone: 360.748.9221 Expiration: 03/01/08 Location: Chehalis Manuf: Trane Model: 2TWBO03OA1000AB Tonage: 2.5 HSPF: 7.6 KW: 10 LRA: 71 Efficiency: 100.00% Seer: 13 Natural Gas furnace w/ HWH: Installer: Chehalis Sheet Metal Contact: David Pyles License #: 212003217 Phone: 360.748.9221 Expiration: 03/01/08 Location: Chehalis Manuf: Trane Model: TDE060A936 BTU: 60000 Efficiency: 80.00% Watts: 997 Propane Gas furnace w/ HWH Installer: Chehalis Sheet Metal Manuf: Trane License M 212003217 BTU: 60000 Expiration: 03/01/08 Contact: David Pyles Model: TDE060A936 Phone: 360.748.9221 Efficiency: 80.00% Location: Chehalis Watts: 997 Spot Vent Fan: 1 Kitchen exhaust Fan: 1 Dryer Vent: 1 Wood/ Gas/ Pellet Stoves: 0 Plumbing System: Installer: Kitsap Plumbers Group Contact: Karen Alyia License #: KITSAPGO09CM Phone: 360.373.2859 Expiration: 03/11/09 Location: Bremerton Toilets: 2 Bathroom sinks: 2 Bathtubs: 0 Showers: 2 Kitchen sinks: 1 Water heater: 1 Clothes washer: 1 Dishwasher: 1 Hosebibs: 1 (first 4 enter quanity of 1, every home has 2) Energy Compliance Information: Compliance Method/ Path: Always #3 (Per Washington State Energy Code) Total Sq. Ft. of glazing (glass): Standard home: _214 . w. sliding glass door option: 231 divided by total sq. ft. of heated area: 1664 equals a glazing percentage of 13% standard or 14% w/ sliding glass door option. Swinging doors and skylights are not counted in this configuration because they meet all requirements minimums. Window Schedule: See attached form. Ventalation System: Intermittently operating Whole House Ventilation System using exhaust fans & window fresh air vents. (VIAQ 303.4.1) House Fan Specifications: Whole house fan: qty: 1 Manuf: Solitaire Ultra Silent Module#: S110U CFM: 110 Updated Bathroom one -bulb heater/ fans: Qty 2 Manuf: Solitaire Ultra Silent Model#: 162 CFM: 70 Copyright 2003 HiLine Homes op r N O O 1 N O O Cl - Cl) C7 N O N co 0 cv 0 0 (0 N N N O t� c'7 L0 N I Cn Lu ME: O Lu J S B O L. Ffi35-0.32.000 is/9' F625 -052 -OW fX/771 DEPARTMENT OF LABOR AND 1NDUSTRfFS REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL ,U` REGIST. # EXP. DATE Vt/ CC01 HILINH*981ST 02/10/2010 EFFECTIVE DATE 01/30/2002 HI -LINE HOMES 11306 62ND AVE E PUYALLUP WA 98373 c Detach And Display Certificate --1 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST . ## EXP. DATE Please Remove CC01 HILINH*981ST 02/1.0/2010 And Sign EFFECTIVE DATE 01/30/2002 Identification Card Before HI -LINE HOMES Placing In 11306 62ND AVE E Billfold PUYALLUP WA 98373 Signature Issued by DEPARTMENT OF LABOR AND INDUSTRIES N O O 1 N O O El - Cl) Cl) N co L0 N 00 0 0 T 0 co N N N O t• C'7 In N 0 co Lu ME 0 w J S E WS -032 -OW 091r 1:625 -052 -OW IX/971 DEPARTMENT OF LABOR AND INDUISTREES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL 1`tJ REGIST. # EXP. DATE _y Vt/ CC01 HILINH*981BT 02/10/2010 �U EFFECTIVE DATE 01/30/2002 HI -LINE HOMES 11306 62ND AVE E PUYALLUP WA 98373 Detach And Display Certificate --I REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST . ## EXP. DATE Please Remove CC01 HILINH*981BT 02/10/2010 And Sign EFFECTIVE DATE 01/30/2002 Identification Card Before HI -LINE HOMES Placing In 11306 62ND AVE E Billfold PUYALLUP WA 98373 Issued by DEPARTMENT OF LABOR AND INDUSTRIES • L! / Page] of 2 Scottie Foster From: Scottie Foster Sent: Wednesday, May 27, 2009 3:07 PM To: 'jackie@olympus.net'-, Judy Surber Cc: Rick Taylor; Fred Slota Subject: RE: Jackson House 3002 Rosecrans Jackie, I cannot find any record of a City of PT business License or a state contractors license for Robbie Metzger. Please let me have those license numbers. Thank you, jcottie roster Admirnistrative Assistai;t Development 5en�ices �epartment ?SCO-3aa_3�5% From: Judy Surber Sent: Thursday, May 14, 2009 11:48 AM To: Fred Slota Cc: Scottie Foster; Rick Taylor Subject: FW: Jackson House 3002 Rosecrans FYI re: Building permit for Jackson. Judy Surber Senior Planner/Planning Manager City of Port Townsend 360.379.5084 jsurber@cityofpt.us From: Jackie Jackson [mailto:jackiej@olympus.net] Sent: Thursday, May 14, 2009 11:25 AM To: Judy Surber Subject: Jackson House 3002 Rosecrans Dear Judy, Thanks for the meeting Tuesday. Here is the information on my new general contractor: Robbie Metzger 385-1650 RhMETZGER@cablespeed.com 1031 Milo St. 6/18/2009 Page 2 of 2 Port Townsend, WA 98368 Who else in the building department shall I forward this new contractor information to? Let me know if there is anything else you need. Heaps o' Thanks, Jackie Jackson 6/18/2009 Page 1 of 1 Scottie Foster From: Judy Surber Sent: Thursday, May 14, 2009 11:48 AM To: Fred Slota Cc: Scottie Foster; Rick Taylor Subject: FW: Jackson House 3002 Rosecrans FYI re: Building permit for Jackson Judy Surber Senior Planner/Planning Manager City of Port Townsend 360.379.5084 jsurber@cityofpt.us From: Jackie Jackson [mailto:jackiej@olympus.net] Sent: Thursday, May 14, 2009 11:25 AM To: Judy Surber Subject: Jackson House 3002 Rosecrans Dear Judy, Thanks for the meeting Tuesday. Here is the information on my new general contractor Robbie Metzger 385-1650 RhMETZGER@cablespeed.com 1031 Milo St. Port Townsend, WA 98368 Who else in the building department shall I forward this new contractor information to? Let me know if there is anything else you need. Heaps o' Thanks, Jackie Jackson 6/18/2009 O� PORT rO� City of Port Townsend tis Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 q,F (360-379-5095) FAX 360-344-4619 AWA March 26, 2009 / Jacqueline L. Jackson PO Box 115 Port Townsend, WA 98368 Subject: Wetland Delineation KJ kjp-u�� cD 0 9- a Dear Jacqueline, Your building plans are under review for permit issuance. However, according to the "Customer Assistance Information Staff Response" a letter prepared by a wetland expert that assesses the wetland edge and indicates if future development would be in a wetland buffer is required prior to permit issuance. See below. Critical Area Ordinance Permits (CAO) — PTMC 19.04. Please see PTMC 19.05 for a list of regulated critical areas. Critical areas include wetlands, steep slopes, seismic or geologic hazard areas, priority wildlife habitat, sole source aquifers, and flood zones. It is the responsibility of the property owner to confirm that no critical areas are actually on site. \A/FTI ANn While the property itself is not mapped as an Environmentally Sensitive Area (ESA) according to the City's ESA map, property to the west across Rosecrans Street is mapped as the North Deering Wetland. File records are available in the DSD office. Because wetlands change over time, and the wetland rating system used by the Department of Ecology has changed since the wetland was delineated in 1999, prior to developments of lots 3 and 4 a "Level 1 Wetland Assessment " is required. This is a letter prepared by a wetland expert that assesses the I.t s..-a•JAewT'..str.`-v[•v.b.'+N.J•\a.'�.'h. •ro/rreT:•2f:5wr.=�a�^'x^.S .. .. .... [...,.---•�G+..J�n....e .r.yr�:.LL♦4iG •.��1J -�.n`..y�,Gr r including wetland delineation wou,ld,pe_required and depending on the findings, acritical area permit may ...wYi�J.r"`.�r:..,y..:.-•:.::'. «R"ter-^�" .. .. i.n. •'.r.'. 4. .; -: s, •- _..aT:SCGf.-J•4^..;.���a.�e.+a. .f. V be'required. If you have any questions please contact Judy Surber (Sen, • r Planner / Planning Manager) at (360)-379-5084 or by e-mail isurberna,cityofpt.us. Regards, f1KZQS1Z Fred Slota,=,����,-1-�Lrj-Za.� Building Official AA Is �Ar 3 43-' �.a.Ar-. _ 1�, 11�k •.- 3�- ' I - _ h � :5y , _ "�?"{ I _ 4 -•* : - 'N >rFa'-,Pae. 1� 1, • .� C �`r.YR :, p' J.YLS-1[ I !�S"�'r'_'.^."� �.'' � e y— i F'_' - �"-1 I N � 1 "7" �nw tr t• Y X•tp •>tr-� 0.r•J:l..3� _ �•{r.• r. 7��+�> � r c ,. .. �, � _ � r+ ... -:tr•r✓.�c-o,-�(llr' rr x._ _ •.y'' -''z°' c'p".+.r✓-3FP`t„"'.: ni.'zv �. <,' �. __•_.ca .:."-sr, �,.G- - _ _ - ;kiF��'• - •T-, %1 NATIONAL MAIN STREET COMMUNITY WASHINGTON'S HISTORIC VICTORIAN SEAPORT +i i, i .1` i. y.i i 'I ;.i I if "d - -- -- �i d, , i U vy; T gr��ti � my �- A St�RuC7 terffiood Associates, Inc, 1015 S W. Nape, Rmd Pa" Onchan� WA 98367-9306 (360) 876.2403 Fax 0 0) 8762053 r to F- H —' )EUI Al )El-,AAjP U vy; T gr��ti � my �- A St�RuC7 terffiood Associates, Inc, 1015 S W. Nape, Rmd Pa" Onchan� WA 98367-9306 (360) 876.2403 Fax 0 0) 8762053 0 t PORT TO�d+ City of Port Townsend ti Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360) 379-5095 FAX (360) 344-4619ckWA Re: Critical Areas Permit ) File No. LUP 09-033 Application of- ) FINDINGS, JACQL F.:l_,INE aACK.S0N ) CONCLUSIONS AND DECISION SUMMARY OF APPLICATION AND DECISION Date: June 24, 2009 Application: Jacqueline Jackson requests approval of a Critical Areas permit to construct a single-family residence and associated infrastructure in proximity to a Category II wetland. A wetland delineation has been prepared by Vaughn Everitt of Wiltermood Associates, Inc. documenting a Category II wetland located off-site with a 100 -foot buffer that crosses the southwesterly corner of the Jackson property (May 2009). According to the wetland report the proposed residence will be located beyond the 100 -foot buffer and will maintain a 15 -foot setback from the buffer edge. The applicant has requested a waiver from the requirement to develop Rosecrans Street and to loop water lines in order to avoid wetland buffer impacts. Staff Contact: Judy Surber, Planning Manager Development Services Department 250 Madison Street Port Townsend, WA 98368 (360) 379-5084 jsurber e,cityofpt.us Decision: The application is CONDITIONALLY APPROVED. After respectful consideration of the above referenced application, the Port Townsend Director of Development Services hereby adopts the following Findings, Conclusions and Decision. Findings of Fact Project Description. On May 12, 2009, the property owner, Jacqueline Jackson, submitted application for a Critical Area Permit to construct a single-family residence on a parcel partially encumbered by a buffer of a Category II wetland. Ms. Jackson has also submitted 0 0 Director's Decision Critical Area Permit LUP09-033 Page 2 application for a building permit (BLD09-041), street development permit (SDP09-007), and a waiver from the street and utility standards (WVR09-003). 2. The subject property is located at 3002 Rosecrans Street, legally described as Lots 3 and 4, Block 7 of the Monogram Addition to the City of Port Townsend; Assessor's Parcel Number 972600702. The site is bordered by undeveloped Rosecrans Street on the west and undeveloped 30th Street on the south (Exhibit A. Vicinity Map). Lots 3 and 4 are 10,000 square feet in size. Residential development at this density within a wetland and/or it buffer is considered a high intensity land use requiring a 100 - foot buffer from a Category II wetland (Section 19.05.110 Port Townsend Municipal Code (PTMC). 4. Consistent with the requirements of Section 19.05.030 PTMC, a critical area permit is required. Each request for Critical Areas permit is considered a Type II application, Administrative with notice, under Port Townsend Municipal Code (PTMC, Chapter 20.01). Special Study: Wiltermood Associates, Inc. prepared a wetland report dated July 29, 2008 indentifying the presence of the North Deering Wetland within roughly 100 -feet of the Jackson property. The original report did not include a scaled graphic depicting the wetland buffer as it relates to the proposed development. City staff requested an addendum to the report. The addendum, dated May 6, 2009, indicates that the 100 -foot buffer encumbers the southwesterly property corner including the intersection of Rosecrans and 30th Streets. The proposed building footprint would retain a minimum 15 - foot setback from the 100 -foot buffer. Buffer fencing is recommended to protect the functions and values of the wetland. 6. NOA & Comment Letters: Notice of application was issued on May 26, 2009 pursuant to Chapter 20.01 of the Port Townsend Municipal Code. No comments were received. 7. Applicable Critical Areas Policies and Standards: The Performance Standards for Development and other applicable standards from the Critical Areas Ordinance are listed below in bold text. The plain text that follows is the explanation of how the proposed project is consistent with those standards. Section 19.05.060 Performance Standards for Development: (These standards are general development practices to minimize problems related to water quality, stormwater and erosion control, and the. placement and construction of development in the city's critical areas). Al. Avoiding Impacts to Critical Areas. To minimize impacts to the wetland, the applicant proposes to maintain the required 100 -foot buffer and minimum 15 -foot setback. To avoid wetland buffer impacts, the applicant has requested a waiver from the street and utility standards (WVR09-003), specifically the requirement to develop Rosecrans Street and to loop utilities in r� u Director's Decision Critical Area Permit LUP09-033 Page 3 (a 30`h and Rosecrans. The City has granted the request. D1. Minimum Lot Area 9,900 square feet — Lots 3 and 4 are each 5,000 square feet in size and thus, meet the minimum lot area. D2. Construction -Preferred Practices — A driveway access is proposed via undeveloped Rosecrans Street, the least environmentally sensitive location feasible. D4. Site Coverage — Impervious Surface Limits for Lots — The site plan proposes roughly 32.5% impervious surface, where the standard allows a maximum of 30%. The site plan must be revised to meet the standard. Methods to reduce impervious surface may include reducing the building footprint, reducing the driveway area, or using pervious pavers in lieu of asphalt/concrete. D5. Stormwater and Erosion Control. The conceptual stormwater plan (Exhibit F) dated March 5, 2009, shows infiltration trenches partially within the wetland buffer. The plan has been conceptually approved by the city's stormwater engineer; however, the infiltration trenches will need to be relocated beyond the 100 -foot wetland buffer. The final revised stormwater management plan must comply with the city engineering design standards manual and the 2005 Department of Ecology Stormwater Management Manual for Western Washington (SWMM-WW (2005)). As conditioned, the proposal will incorporate best management practices to control surface runoff during construction. D6. Alterations and Disturbance — The site construction plan proposes to maintain a 100 - foot buffer and 15 -foot setback in accordance with the Critical Areas Ordinance. A waiver has been requested to avoid extending infrastructure through the wetland buffer. Section 19.05.110 D. Performance Standards for Development D1, D3. Activities within Wetlands/Wetland Buffers - The site construction plan proposes to maintain a 100 -foot buffer and 15 -foot setback in accordance with the Critical Areas Ordinance. Section 19.05.110 E. Buffers and Setbacks. For residential development at greater than 1 dwelling unit per acre, the standard buffer for a Category II wetland is 100 -feet. Building shall be setback from the edge of the buffer no less than 15 -feet. 0 Director's Decision Critical Area Pen -nit LUP09-033 Page 4 Conclusions • The project requires a critical area permit pursuant to Section 19.05.030 PTMC. 2. The proposal is consistent with the Critical Areas performance standards contained in Chapter 19.05 PTMC; specifically, sections 19.05.060 Performance Standards for Development and section 19.05.110, Wetlands. A qualified wetland consultant has demonstrated that the proposal meets the buffers and setbacks set forth in Section 19.05.110E. Conditions have been applied to ensure consistency with all laws and ordinances of the city of Port Townsend, including but not limited to the policies and performance standards for Critical Areas contained in Chapter 19.05 PTMC and Chapter 5, Clearing, Grading and Erosion Control of the Engineering Design Standards Manual which requires implementation of BMPs to control erosion and sedimentation. 4. The proposed project would not have a detrimental effect on the public health, safety or welfare. Decision Based on the foregoing Findings and Conclusions, LUP09-033, the Director hereby APPROVES the requested critical areas permit maintaining a 100 -foot wetland buffer and minimum 15 -foot setback from the buffer edge subject to compliance with the following CONDITION: GENERAL 1. Construction shall be completed in strict conformance to the site plan dated May 6, 2009 (Exhibit *), conditions of this permit and of any other city approvals obtained for the project (e.g., building permit, street development permit). The DSD Director may approve minor modifications to the approved plans provided they conform to the analysis and conclusions provided herein. If the plan is significantly modified and/or contingency plans are required, the revised plans shall require an Addendum to the Critical Areas permit which shall be distributed to parties of record. 3. To minimize the impact to the buffers habitat functions, exterior lighting shall be of low wattage, shielded and directed to prevent illumination of the wetland buffer. Metal halide lights shall be prohibited. If motion sensors are used, they shall be set so as not to activate due to movement within the wetland buffer. 0 0 Director's Decision Critical Area Permit LUP09-033 Page 5 PRIOR TO ISSUANCE OF A BUILDING PERMIT Approval of the critical areas permit is conditioned on a maximum of 30% impervious surface on Lots 3 and 4, Block 7 of the Monogram Addition. The existing site plan proposes roughly 32.5% impervious surface. It must be revised to meet the standard. Methods to reduce impervious surface may include reducing the building footprint, reducing the driveway area, or using pervious pavers in lieu of asphalt/concrete. This approval is contingent upon the applicant's submittal and city approval of a stormwater management plan that complies with the city engineering design standards manual and the 2005 Department of Ecology Stormwater Management Manual for Western Washington (SWMM-WW (2005)). Surface water discharge from the site shall not be greater than historic or predevelopment rates. Infiltration trenches must be relocated to be outside the 100 -foot wetland buffer. The applicant is encouraged to incorporate Low Impact Development strategies (e.g., a rain garden). 6. The following legal documents prepared in a form approved by the city attorney and approved by the director shall be recorded by the applicant with the Jefferson County auditor (Section 19.05.050(H -I) of the PTMC): a. Hold Harmless Agreement - This agreement shall hold harmless and indemnify the city and its employees from and against any liability for damages to persons or property as the result of construction or other action undertaken by the applicant on the subject property. The Hold Harmless agreement shall cross-reference the Notice to Title, which documents the presence of a critical area. b. Notice to Title - Pursuant to Section 19.05.050(I) of the Critical Areas Ordinance, presence of a critical area shall be recorded with the Jefferson County Auditor as a condition of this permit. This document shall include language, which notifies all future property owners that future development proposals affecting the wetland or its buffer are subject to the Critical Areas Ordinance. Thirty -percent maximum impervious areas/site coverage limits shall be specified per the ordinance. The notice shall apprise future homeowners of the sensitivity of the neighboring wetland and wetland buffer and encourage stewardship by: i. Maintenance of the required permanent fencing and signage along the approved buffer edge. ii. Restricting the use of lighting, motion detectors, fencing, lighting, pesticides and fertilizers; promoting plantings which are compatible with the surrounding native vegetation; prohibiting invasive plantings; and iii. The Notice shall state that the homeowner is responsible for maintaining stormwater facilities. 0 Director's Decision Critical Area Permit LUP09-033 Page 6 PRIOR TO COMMENCING DEVELOPMENT ACTIVITIES Construction may not begin until the appeal period has expired or, if an appeal is filed, until all review proceedings are terminated. (19.05.050F(2)). Pursuant to Subsection 19.05.040(E)(1)(h), the applicant shall: i. Mark the following on the site to reflect the proposed site construction plan: the location of the building footprint and the 15 -foot setback from the wetland buffer. Install construction fencing along the approved wetland buffer edge. ii. Install erosion control measures in accordance with approved building permit plans. iii. Schedule a preconstruction meeting at the development site. The meeting is to be attended by the applicant (or applicant's agent) and city staff, to review specific project details and methods of construction. Field markings and erosion control measures shall be verified by staff. DURING CONSTRUCTION 9. All contractors shall prominently post on-site the site -work specifications and conditions of this permit. 10. The applicant or his/her designee shall be responsible for maintenance of the site, including maintenance of field markings, fencing and temporary erosion control devices as indicated on approved plans. Additional best management practices shall be implemented as necessary to control runoff/sedimentation from the site. 11. The approved 100 -foot buffer shall not be disturbed. No construction activity may take place in the buffer. All construction debris shall be properly disposed of in such a manner that it cannot enter into the wetland/approved wetland buffer or cause water quality degradation. 12. Pursuant to the Engineering Design Standards, the applicant shall stabilize soils upon completion of construction activities. PRIOR TO ISSUANCE OF OCCUPANCY PERMIT/FINAL INSPECTION 13. The applicant shall install permanent fencing and signage along the buffer edge. The fence shall be unobtrusive with an open design, such as split -rail fencing (i.e., no solid fencing which would inhibit water or wildlife movement). Signs shall be provided by the city and installed by the applicant. 14. An occupancy permit/final inspection shall only be granted upon a finding by the DSD Director that the buffer has not been disturbed; temporary fencing and erosion control devices have been removed and permanent fencing and signage has been erected. 0 0 Director's Decision Critical Area Permit LUP09-033 Page 7 Suspension — Revocation. In addition to enforcement procedures and penalties provided for in Chapter 1.20 PTMC, the director may suspend or revoke a permit if (s)he finds that the applicant or permittee has not complied with any or all of the conditions or limitations set forth in accordance with this chapter, has exceeded the scope of work set forth in the permit, or has failed to undertake the project in the manner set forth in the approved application. Expiration. Pursuant to Section 19.05.050B9(2-3) this permit shall be valid until May 6, 2012 (i.e., three years from the date the wetland delineation was verified by Wiltermood Associates, Inc.) and shall expire at the end of that time if not acted upon. An extension may be requested by the original permit holder or the successor in title. Rick Sepler, Director Development Services Development Exhibits Date Exhibit A: Vicinity Map Exhibit B: Site Plan dated May 6, 2009 Exhibit C: Wiltermood Associates Inc. Non -Wetland Determination (July 2008). Exhibit D: Addendum to the Non -Wetland Determination (May 6, 2009). Appeals The final decision of a Type It permit application is made by the DSD director. Per PTMC Section 20.01.210, Administrative Type II approvals subject to notice may be appealed to the Hearing Examiner in accordance with PTMC Chapter 1.14. Appeals shall be filed with the director within 14 calendar days after the date of the notice of the decision of the matter being appealed. The appeal fee of $200.00 is paid at the time of submittal, and an open record public hearing is then scheduled before the Hearing Examiner. If the Hearing Examiner's decision is appealed, Judicial Appeal to the Jefferson County superior court must be made within 21 calendar days of the date the decision becomes final per PTMC 20.01.320. r Development Services pORT TONY o y 250 -Madison Street,'Suite 3 Port Townsend WA 98368 Phone: 360-37975095 y Fax 3360-344-4619. �A` wnsr' www.cityofpt:us Customer Assistance Information Staff Response This process is offered by the city as a public service to the owner of a property at no charge, once every 18 months, or sooner if a substantial code change occurs. This process addresses general regulatory and engineering circumstances affecting a specific property. It does not evaluate development concepts. Other requests will be billed at the current hourly rate $50 per staff hour. The information presented is general in nature, based on information provided by the applicant, and on codes in place at the time of receipt. Regulations and fees are subject to change and this analysis cannot be considered to be vested to current regulations. Property Description: 972-600-702, Monogram Addition Block 7 Lots 3 and 4 CAM 08-008 Property Owner Name(s): Jenno Catastini and Jackie Jackson Phone: (360) 385-7427 Email: jennocatastini(a)yahoo.com CITY USE ONLY ENGINEERING QUESTIONS: 1. Streets and Driveways: a. Where will the access to the property be allowed? The access to the property would be from Rosecrans Street off of 3151 Street b. What is the required road standard? The required road standard would be a T-9 to the end of lot 2 and a driveway with paved apron to access lots 3 & 4 (NOTE: This road requirement is only if one house is built on both lots 3 & 4). Engineering of the roadway is required. c. Are there requirements for public trails or sidewalks? 2. Location of existing utilities (water, sewer and stormwater)? a. Water Requirement: Extended water main from existing water main within 301h Street to and through your property (i.e. terminate the water main at the intersection of 301h Street and Rosecrans Street). b. Sewer Requirement: Install a side sewer from the existing sewer main within 301h Street. May need to extend sewer a pipe length due to the fact a side sewer cannot be installed directly to a manhole. The depth of the man hole is 4.45 feet. (NOTE: You will need to insure the house can make grade to this existing sewer within 30" Street.) c. Stormwater Requirement: The stormwater for the street will need to be engineered, as part of street design, in accordance with the City's Engineering Design Standards and Department of Ecology Stormwater Manual for Western Washington. Onsite stormwater is required to be managed on-site (i.e. downspout water, etc.). 0 0 3. Are there any fire department/emergency vehicle requirements for this property (i.e. a hydrant, fire truck turnaround, etc)? There is an existing fire hydrant at the intersection of 3151 and Rosecrans Street. The flow is 925 gallons per minute. The fire department will need to verify if this is adequate flow for another residence. Fees associated with infrastructure improvements (system development charges, latecomers, permits, etc.)? As of today's date: a. Water Meter: • $1070.00 [NOTE: These prices are for a single 3/4inch service] b. System Development Charges — Water: • $2522.00 [NOTE: These prices are for a single 3/4inch service] c. System Development Charges — Sewer. - * ewer:• $2331.00 [NOTE: These prices are for a single 3/4inch service] d. Latecomer Due: • N/A e. Public Works Inspection Fee: • 2% of construction cost of infrastructure 5. What permits do I need for street and utility connections? 0 Street Development Permit: $ 150.00 (permit) + $5.00 (tech fee) + $10.00 (records retention) + $200.00 (plan review up to 4 hours of review time) O Minor Improvement Permit: M Latecomer Agreement Application: Possible latecomers for utilities and street ($200.00) LAND USE QUESTIONS: The goal of the land use portion of this permit is to provide basic information regarding your property, to guide you to the appropriate sections of code you will need to comply with, and to lay out the permit requirements that are likely applicable. City staff is unable to go to your property to evaluate conditions on your site. You should carefully evaluate and inventory the physical conditions of your site and the changes you propose. Pay particular attention to whether there are critical areas such as steep slopes or wetlands, shorelines, drainage issues, historic resources, etc. Note: In reading zoning codes always double check definitions as found in Port Townsend Municipal Code (PTMC) Chapter 17.08. Zoning Maps may be found at http://www.cityofpt.us along with a link to our Code on the left margin (blue circle). 1. Zoning and Code References: The property is zoned R -II residential. The intent and purpose of the R -II zone is to accommodate "medium density single-family dwellings". Please see PTMC 17.16, which describes the purpose, allowed uses, and bulk and dimensional requirements. Per PTMC Table 17.16.030, in the R -II zone the minimum lot size for a single-family residence is 5,000 square feet, and the minimum lot width is 50 feet. Each lot meets the minimum size and width as each lot in the Monogram Addition is platted to be 50 feet by 100 feet. However, please see #3 below regarding minimum lot sizes should the property be confirmed to include a Critical Area. Maximum lot coverage is 35%. If an accessory dwelling unit were to be proposed in addition to the single-family residence, up to 40% lot coverage is allowed. Required setbacks are: Front: 10 feet if parking in front; For a garage: 20 feet if it has vehicle access facing a street right-of-way, otherwise, normal setbacks apply. Side: 5 feet, or 10 feet if abutting a street right-of-way; Rear: 10 feet. The maximum building height allowed is 30 feet. This is the vertical distance measured from the average natural (pre-existing) grade to the highest point of the coping of a flat roof or the deck line of a mansard roof or the average height of the highest gable of a pitched or hipped roof (per PTMC 17.08.020). 2. State Environmental Policy Act (SEPA) PTMC 19.04. If the property is developed with buildings less than 4,000 square feet in size and any landfill or excavation is less than 100 cubic yards, then the project is exempt from SEPA. The property does not exceed one acre, and so is exempt from the Clean Water Act, although on-site stormwater must still be managed. 3. Critical Area Ordinance Permits (CAO) - PTMC 19.05. Please see PTMC 19.05 for a list of regulated critical areas. Critical Areas include wetlands, steep slopes, seismic or geologic hazard areas, priority wildlife habitat, sole source aquifers, and flood zones. It is the responsibility of the property owner to confirm that no critical areas are actually on site WETLAND: While the property itself is not mapped as an Environmentally Sensitive Area (ESA) according to the City's ESA map, property to the west across Rosecrans Street is mapped as the North Deering Wetland. File records are available in the DSD office. Because wetlands change over time, and the wetland rating system used by the Department of Ecology has changed since the wetland was delineated in 1999, prior to development of Lots 3 and 4 a "Level 1 Wetland Assessment" is required. This is a letter prepared by a wetland expert that assesses the wetland edge and indicates if future development would be within a wetland buffer. If so, further study including a wetland delineation would be required and depending on the findings, a critical area permit may be required. Per PTMC Section 19.05.060.C.1, maximum density in a confirmed critical area would be one dwelling unit per 10,000 square feet of site area. FLOOD: According to the Flood Insurance Rate Map Panel 7 of 11 dated March 15, 1982, the proposed building lots are all in "Zone C - areas of minimal flooding". 4. Tree Conservation Plan Requirements - PTMC 19.06. Tree conservation plans are required for certain development activities as listed in PTMC 19.06.100. Any proposal to remove trees prior to the issuance of building permits is subject to a tree conservation permit. However, tree removal associated with an approved project permit (which includes building permits) is exempt from a tree conservation permit. Please show on future building site plans where trees are located. and which ones are to be removed. 5. Parking and Landscaping — PTMC 17.72.080 lists the parking requirements for various uses. Each single- family residence must provide two on-site parking spaces, each a minimum of 9' by 19', and one extra space if an Accessory Dwelling Unit is proposed. Proposed parking may be outside or within a garage or carport. Please show parking locations on future building site plans. 6. PTMC Title 18. Shoreline Permits — Port Townsend Shoreline Master Program. This property is not within 200 feet of a regulated body of water. Therefore, no shoreline permit will be required. Lots of Record — PTMC 18.18. A Lots of Record process is required as development of this property includes the extension of water and Rosecrans Street as described in the public works section above. The current fee is $215.00 for two lots, and the application is available on the City website under "Forms" "Land Use Forms". The application processing time is typically one to two weeks. It results in issuance of a Certificate, typically two pages, which must be signed by the owner's in the presence of a notary, and then recorded with the Jefferson County Auditor's office (those fees are not included in the $215.00). Should the owners wish separate the two platted lots in order to sell them separately prior to development, another land use process is "the Letter to the Assessor". The current cost is $50.00, and results in staff writing a letter to the Jefferson County Assessor regarding land division. However, this letter does not take the place of the Lots of Record process. 8. Permit Processes — PTMC Title 20. You may find helpful the table at 20.01.040 that will describe the "Type" of permit and the general requirements for public notice, who makes the decision, where it may be appealed, etc. Lots of Record and Letter to the Assessor would be considered "Type I" projects, and do not require public notice. Should it be required, a Minor Critical Area permit would be a Type I project and cost $265.00, and a Major Critical Area permit would be a Type II project (including notice) and cost $775.00. 9. Design Review — PTMC Chapter 17.46. This section does not apply to development in the R -II zone. aq-ve !' City of Port Townsend �p�poATTp�y� Development Services Department Z o BUILDING ADDRESS APPLICATION ��WA Name of Property Owner: .! _ Mailing Address: c —� Telephone: _ 5 Propertv is located in Addition: M ON , � (n Block(s): 3 Faces/Access is from: Lot(s): Parcel Number 1}2 - b r-v,j --1 U Directions to the Property (draw vicinity map on back) L— t a h44c,, JL L. f G t k�&P_co�v, S (moo+ ids, , , t) . If this is a new ADU, has a building permit been applied for? _Yes No Date: Notes: �V HOUSE NUMBER ASSIGNED: ?- OS� j li 1 1 Date of Approval: D zlef For Department Use Oiily: hp SSD Application Fee Received ($3.00, TC 2200): Date: Copy to: Finance Fire Dept p Post Office Sheriff Police GIS Public Works DSD database Assessor's Office P. 1DSMForms'Building Fonns'•Application-Address Numbrr-doc ; 2/5/09 Ir �50PILI 17-va7 City of Port Townsend �o�QopTTo�y� Development Services Department BUILDING ADDRESS APPLICATION WA -z - Name of Property Owner: J � �_ LA Mailing Address: _�tC_-�I`k bvlt Tp�_JY\�jh�A �A;� Telephone: }{ - �' `� 7ki)t- Proper , -- Property- is located in: Addition: /V \ o� ��� Block(s): _ Lot(s): Faces/Access is from: �- -.�, Parcel Number 112 - to cXJ _`1 � Directions to the Property (draw vicinity map on back fT l�S Ti N l -S jf" a 1. 17 tj 0.l c c,G�L Le G� 1 , Le T '�' c: yr ZGS tCvi�►�l) It3, (�06 i Vo[!y If this is a new ADU, has a building permit been applied for? Yes No Date: Notes: HOUSE NUMBER ASSIGNED: I1 z �✓ �' 'j i Date of Approval: Def For Department Use Onlp: SEND 00 Application Fee Received (S3-00, TC 2200): Date: Copy o: D, Finance Fire Dept Post Office Slien' ff Ei Police GIS Public Works DSD database Assessor's Office P \DSD\FormslBuilding Fonns\Application-Address Number.doc ; 2.'5 09 2 3 4 5 1 4 3 1 2 5 1 4 3 2 1 _I ] 32nd 8 clq 3181 0 2 7 31 t 6 3 �576 O M35 st St. oftRa* 11LAS ft TfV �4 6 cu 29th St. 5 J— 4 BLD09-041 BLD09-041 BLD09-041 BLD09-041 BLD09-041 BLD09-041 BLD09-041 BLD09-041 BLD09-041 Receipt Number: 972600702 Site Address Fee $3.00 $3.00 $0.00 972600702 Building Permit Fee $1,396.95 $1,396.95 $0.00 972600702 Energy Code Fee - New Single Family $100.00 $100.00 $0.00 972600702 Mechanical Permit Fee per Dwelling U $150.00 $150.00 $0.00 972600702 Plan Review Fee $908.02 $758.02 $0.00 972600702 Plumbing Permit Fee per Dwelling Uni $150.00 $150.00 $0.00 972600702 State Building Code Council Fee $4.50 $4.50 $0.00 972600702 Technology Fee for Building Permit $27.94 $27.94 $0.00 972600702 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $2,600.41 09-0166 0311112009 Plan Review Fee CHECK 1061 Total: $ 2,600.41 $2,600.41 $150.00 BLD09-041 genpmtrreceipts Page 1 of 1 ,ORT iOg � b Receipt Number: 09-0166. genpmtrreceipts Page 1 of 1 Receipt Date: 03/11/2009 Cashier: FFRANKLIN Payer/Payee Name: JACKSON JACQUELINE L Permit # Parcel Fee Description Original Fee Amount Amount Fee Paid Balance BLD09-041 972600702 Plan Review Fee $150.00 Total: $150.00 $0.00 $150.00 Receipt # Receipt Date Previous Payment History Fee Description Amount Paid Permit # Payment Method CHECK Check Number 4282 Payment Amount $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1