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HomeMy WebLinkAbout09058 PaRT7,0 CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND TWA 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. 948312305 PERMIT NO. BLD09-058 ISSUED DATE 06/05/2009 EXPIRATION DATE 12/02/2009 ADDRESS 1335 13TH ST CONSTRUCTION TYPE OCCUPANT LOAD OWNER HIRSCH JUSTIN D PROJECT DESCRIPTION New SFR CONTRACTOR OWNER BUILDER LENDER INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE COMMENT EROSION CONTROL SETBACKS SURVEY PIN FOOTING / UFER FOUNDATION WALL FOUNDATION DRAIN FLOOR FRAMING ((i� (iZ eoofcc 1 `(/7fOi2 lO % GAJ SHEARWALL & HOLDOVI FRM-PLM-MECH-AIRSEA INSULATION GWB FINAL PUBLIC WORK FINAL BUILDING TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. PORT TO CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:OOpm THE DAY BEFORE YOU WANT TH/E INS ECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: (� PERMIT NUMBER: n'1 5 SITE ADDRESS: 3 CONTACT PERSON: PHONE: TYPE OF INSPECTION: l M T v - � ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS - Ok to proceed. Corrections will be Call for re-inspection before checked at nest inspection Date proceeding. ector Ins p Q �C7a 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. aF VORT ro z� CITY OF PORT TOWNSEND �o 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 3:OOPM F�R-IID^�AY. DATE OF INSPECTION: I PERMIT NUMBER: �� SITE ADDRESS: CONTACT PERSON: PHONE: TYPE OF INSPECTION: ❑_ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector P1 C- I L© Date 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. pOpTT°� CITY OF PORT TOWNSEND y so DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT �WAS1+"' 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: L� �~ PERMIT NUMBER: SITE ADDRESS: CONTACT PERSON: PHONE: TYPE OF INSPECTION: \/ l�:�f'�:"'C: � ' r��ililt'L� �i'_[:; l (•�'�'i� C�C�t':�1i,1� �• tL'•.,'= (!t /�.� 1 �� �^C��1lG� � ���:.t D c���kic;'•�.'"A/"' r ; ._�( --�- -�' -�. � �I�i f II,� �1 � r. � ;[•u v' Cl e'v', JCL.. C: L)Kr- EGA V -;I'AS <<= �� �"��. ; a " ; _cJ Cats�4�� r`; '1'1_ ❑ APPROVED ❑ APPROVED WITH /NOT APPROVED CORRECTIONS it Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector i 2J/ Date 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. PORT r0 CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT 15 INSPECTION REPORT TWA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:OOpm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY(3:OOPM FRIIDDAY. DATE OF INSPECTION: PERMIT NUMBER: ' SITE ADDRESS: I ? CONTACT PERSON: PHONE: TYPE OF INSPECTION: - lI(1 �l �Q B l993/XJ f� - i VL S-F6-1 T1�L2 -FU7C n yz1 e i.4 L ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector I --Ti—AN (X C2 Date Lo 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. PORT TO CITE' OF PORT TOWNSEND �v DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT 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: C PERMIT NUMBER: SITE ADDRESS: 13 CONTACT PERSON: PHONE: TYPE OF INSPECTION: _� O_ U14 LL y4d, 6 K 7-o 01) tl ft2 O 0 5 r, ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector \ 'C Date / 71 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. pORTr°�ti�, CITY OF PORT TOWNSEND �o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT TWA 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: PERMIT NUMBER: IJ V — � / 0 SITE ADDRESS: 13 3 T `J CONTACT PERSON: PHONE: TYPE OF INSPECTION: t-))'l (n A /k - a ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector. I10 K-1 Date 2 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. O�pORT Tod CITY OF PORT TOWNSEND Z s�o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT TWA 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: ' G�f PERMIT NUMBER: ��� _a J 8 � 5( SITE ADDRESS: CONTACT PERSON: PHONE: TYPE OF INSPECTION: wo CEO] APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS �--— Ok to proceed. Corrections will be Call for re-inspection before checked at nest inspection proceeding. Inspector L j� `� Date 6/2 b 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. PORT T°� CITY OF PORT TOWNSEND ys�o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE I SPECTION. FOR MONDAY INSPECTION,CALL BY3:OOPM FRIDAY. DATE OF INSPECTION: U PERMIT NUMBER: / o C( 1(� Sg SITE ADDRESS: �� �2- CONTACT PERSON: PHONE: TYPE OF INSPECTION: <S IE.M W�k LL- \ UV� t ,a ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before .,---------checked at next inspection proceeding. Inspector 1 C-kz l -- Date 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. QORrTo�y� CITY OF PORT TOWNSEND o 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 3:OOPM FRIDAY. DATE OF INSPECTION: Q PERMIT NUMBER: U SITE ADDRESS: r 3 ( J r4 '�-EL CONTACT PERSON: Q PHONE: TYPE OF INSPECTION: r2o � c AYft UEe:�� ------------------------ ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection �;71; roceding. Inspector IK YL-0 G� Date 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. NoRTN 71 -'I-' �I - -JO O SLIDER �p-3O-31�D� 3o905L�DEt� I ._ r z FLoc)a -: 5 tjpp 4 , ��,N qq�F O s.o. e o 2 0 u o i o x 8.5 q x u. u To-'A L Co s.F. I,. 0 Ln J < IL o V w`/ oW (6 ►6 FA o 1 � � � UP a --J %Vn �- 3•z 3z Q TuB o-e„ x IQ W.H uND LR 1 VA _ 8O10 SLIDER I -8• �'' G— 2 r 30, LE COPY REOIS(N (7-) ILI RomF D �\o o t•� -. ----� J i j(C.x - - IO (o . zs s.a. .. � 4 J 8 7 x'3,5 (A�_�J I q'5 0 V o °D, Dow II�S x J6 ,2�5 -. A V) ,o7 N p M ? Jo• 2 No FLoo R �. 9 ro 5 SF• - !o - o' 1 g9S.F. 7.5' I - -,\ I, 17Z p opt J7'S" V7" 1 �I �c�'�,q,�/ r}. t "' i4 ��i�� OE PORT ro •Y o mo Receipt Number OM551-- �waves A. ,x 8 eqw':• ' } ,.g, - a _ F .e a `' `- "Ja+€ � ,�TiT a Recelpt'Date ' 07/17/2009 P y Cashier SFOSTER x zayer/Payee Name Shana Anderson { l::k.r.... _vvc."� Uiz.- i� m,..:iX*.i '�.c......-�i _ .3_.1_...u-._i_ _..,c...-v�.- r..v_ _#c.<�_.._?-:._.si Y..�..._.a=c �->. x.v.__ias a�. " E. "Z•"L' _ `4 � r k t� ��.Orlglnal_F�ee ".��":� .� �� g� t S,..s�.� .�, �� - r c „�;� ,�,. �• `� *� .�s ;F. -"'a� k ��t�`� z:xt,r vT:, � r �lt..,c. � ��. �Pemttt#_. w��. �� Parcel�����• Fee Desc�ription� �-_ram -�� � '��� „Amount�rfi�.�, �� �Pa d ���.�,��,_Batance���� BLD09-058 948312305 Plan Review Fee-Revision $50.00 $50.00 $0.00 Total: $50.00 "� � _ � �� ��;�-�� � � '�r Prev►ous Payment History' � -�`'� r�r�, � �� � � g p q,a.?a},k`^ Recei t# ' ERecei ut Date .r t Fee DescnpUon �' Fs Amount Paida ?Penh# 09-0412 06/05/2009 Building Permit Fee $1,004,95 BLD09-058 09-0412 06/05/2009 Energy Code Fee-New Single Family Unit $100.00 BLD09-058 09-0412 06/05/2009 Mechanical Permit Fee per Dwelling Unit-Nev $150.00 BLD09-058 09-0299 05/05/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-058 09-0412 06/05/2009 PLAN REVIEW REFUND 150 $150.00 BLD09-058 09-0412 06/05/2009 Plan Review Fee $653.22 BLD09-058 09-0412 06/05/2009 Plumbing Permit Fee per Dwelling Unit-New 1 $150.00 BLD09-058 09-0412 06/05/2009 Record Retention Fee for Building Permit $10.00 BLD09-058 09-0412 06/05/2009 Site Address Fee $3.00 BLD09-058 09-0412 06/05/2009 State Building Code Council Fee $4.50 BLD09-058 09-0412 06/05/2009 Technology Fee for Building Permit $20.10 BLD09-058 Payment' Check ay Pmen't'= Method` p Number Amount+ CHECK 1015 $50.00 Total: $50.00 genpmtrreceipts Page 1 of 1 OF?ORT TOE i y o` �o Receipt Number 09'-0551VVI Receipt Date �07/17l2009� �E � Cashie� SFOSTER F�'�.; PayerlPayee Name �ShanaQnd�one°��� �., .��� r..r...-_.�..:,s:.�.-c-_..�y,._.���:a.:: ..,Ys�:>:;Sa-,:�.._s.,='u.����_-.,.�`�..r...t.w.._�v__....._.�.._.�.r��=�__..:���-��..->�.•:.:.r.. _�'_�,z:�__:v..�.,.�:r-.�`'" .�..�� . .�'�.���c:�.�' t - - °2� , v z _ ' r `< + x "' lay �� x Ongtnal,FeesAmount Fed Permit# Parcel y fr Fee Descnpt!on gj. Amount t Paid Balance � < .9 ,r_.,�, a, .- BLD09-058 948312305 Plan Review Fee-Revision $50.00 $50.00 $0.00 Total: $50.00 4 Receipt#g Receipt Datez. � °-�` ' Fee DescnpUon � � Amount Patd�` ��Pennrt#,n 09-0412 06/05/2009 Building Permit Fee $1,004.95 BLD09-058 09-0412 06/05/2009 Energy Code Fee-New Single Family Unit $100.00 BLD09-058 09-0412 06/05/2009 Mechanical Permit Fee per Dwelling Unit-Nev $150.00 BLD09-058 09-0299 05/05/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-058 09-0412 06/05/2009 PLAN REVIEW REFUND 150 $150.00 BLD09-058 09-0412 06/05/2009 Plan Review Fee $653.22 BLD09-058 09-0412 06/05/2009 Plumbing Permit Fee per Dwelling Unit-New 1 $150.00 BLD09-058 09-0412 06/05/2009 Record Retention Fee for Building Permit $10.00 BLD09-058 09-0412 06/05/2009 Site Address Fee $3.00 BLD09-058 09-0412 06/05/2009 State Building Code Council Fee $4.50 BLD09-058 09-0412 06/05/2009 Technology Fee for Building Permit $20.10 BLD09-058 Payment Check Payment Method"' Number' `Amount CHECK 1015 $50.00 Total: $50.00 genpmtrreceipts Page 1 of 1 CITY OF PORT TOWNSE PERMIT ACTIVITY LOG p PERMIT # --�D g — g DATE RECEIVED :ED ' .5 SCOPE OF WORK: Y r DATE ACTION INITIALS S - b `� ENTERED INTO CHET CHECKED FOR COMPLETENESS S g 0 �VlEtJEI� AU Qpvkh re no S.'V cT>G -e A AIM. G Z o(i - i g!_ YXA QUO rfu 2�L(T. oo . ov f.00 + J-. ao �l.a ti- R '. 4�12�t t "1�''CCFEB�sc�Cq�.E l-cr(— Zoning: — ► ` oF Setbacks OK? Lot Size: 9(0 r1A.,.0 , ` (� 4 � (4 0 Building Size: Lot Coverage: Zoo FAR OK? `ram Height OK? Parking OK? S l N 5 c - l W tt7.>- Critical Area? Np , Demo? 06 Historic Rev? lJor Notice to Title? alp ) Lots of Record? l.1 61:!> a M M OF pORT tO�Y y� City of Port Townsend �o Development Services Department 250 Madison Street, Suite 3 Port Townsend WA 98368 360-379-5095 Fax 360-344-4619 REVISION TO BUILDING PERMIT # `�� V ( ` Revision #�_ N (A i(LSc,i-1 OWNER: J���N� A ti;n (L�u,t� SITE ADDRESS: Total Value of Revision: S Impervious Surface Change? ❑ Yes ?�No Revisions require 2 sets of plans and a written scope of workthat fully describes the proposed change plus any additional information that will be of assistance in issuing your revision. If your plans were stamped by a design professional,all revision submittals require a stamp with a wet signature. Be a�tare that changes to the existing approved plans may also require you to revise your original building permit application(lot coverage, impervious surface,structure square footage, etc.)and energy code documents(changing windows, heat source,etc.)to conform to your proposed changes. 1 Scope of nrk: j, J IQ.' KZ t1 P iI I1 E -1 III I 11�1!� .II III III III11111 noon I I Ul l CITY 0�FUr<i luvYrvJ[nu ncn /(a, O Applicant Signature Date OFFICE USE ONLY: Submittal date: Two sets of plans for revision: Approval of engineer of record (if original plans engineered): ❑ Yes ❑ No ❑ NA P:0SD\Depamnent Forms\Building FormskApplication-Revision.doc -7 is Ocl O huO C-c z .tCn,Dc-t FIT'to BUILDING PERMIT City of Port Townsend 9� Development Services Department �W 250 Madison Street,Suite 3, Port Toi nsend,Ni'A 98368 (360)379-5095 Project Information Permit# BLD09-058 Permit Type Residential - Single Family- New Project Name New Single Family Residence Site Address 1335 13TH ST Parcel# 948312305 Project Description New SFR Fee Information Project Details Project Valuation S101,356.05 Dwellings—Type V Wood Frame 1,065 SQFT Site Address Fee 3.00 Units: Heat Type: Building Permit Fee 1,004.95 Bedrooms: Construction Type: Energy Code Fee-Ncw Single 100.00 Bathrooms: Occupancy Type: Family Unit Mechanical Permit Fee per Dwelling 150.00 Unit - New Residential Plan Review Fee 653.22 Plumbing Permit Fee per Dwclling 150.00 Unit -New Residential State Building Code Council Fee 4.50 Technology Fee for Building Permit 20.10 Record Retention Fee for Building 10.00 Permit PLAN REVIEW DEPOSIT 150 150.00 PLAN REVIEW REFUND 150 150.00 Total Fees S 2,395.77 Conditions 10. Property corner surrey pins must be located at time of footing inspection to verifv setbacks. Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if-svork is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The eranting of this permit shall not be construed as approval to violate any provisions of the PTi�1C 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 Date Issued: 06i0512009 Issued RN: SFOSTER Signature Date Date Expires: l2/0-12009 poRT7.0 BUILDING PERMIT City of Port Townsend ' Development Services Department 250 Nladison Street,Suite 3, Port Townsend,NVA 98368 (360)379-5095 Project Information Permit # BLD09-058 Permit Type Residential - Single Family- NeNNT Project Name New Single Family Residence Site Address 1335 13TH ST Parcel # 948312305 Project Description New SFR Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Hirsch Justin D ONyner Hirsch Justin D Contractor Owner Builder (360)379-6471 STATE exempt 12/31/2009 `YY 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 Llrantinp of this permit shall not be construed as approval to violate any provisions of the PTMC or other km s 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 a_>ent of the ox ncr. Print Name .41,3 O2 C'w Z�i 'i�61�� Date Issued: 06/05/2009 Z �--- _ Issued By: SFOSTER Signature Date - S/O1 Date Expires: 12,102/2009 PA.ircel Details Page 1 of 2 Aa „, w y .M ,VleatfierStation + Database:Tools :' mm=Maps =,_ _Vlebcam Home County Info Departments Search Parcel Number: 948312305' SEARCH Parcel Number: 948312305 jj Printer Friendly Owner Mailing Address: JUSTIN HIRSCH-----� 3C9`C�(R(�� Lam-' U '----110518-SW 132ND PL VASHON WA98070 t�TS l� � 2 S�fS I qq -Foz- e-6 Site Address: 1335 13TH ST PORT TOWNSEND 98368 ���5�`f ' Section: 10 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: EISENBEIS ADDITION Assessor's Land Use Code: 9100 - VACANT LAND Property Description: EISENBEIS ADDITION I BLK 123 LT 2(LS E9.3' OF S13.3') I BND THRU LLA#101941 I I Click on photo for larger image. No I Z No 2nd F'ho:o Photo Available Available No Permit No Assessor Data Data Available a�A/V, Sales Info Map Parcel Plats&SurveXs Available S Z, ', r r t>r HOME COUNTY INFO i DEPARTMENTS I SEARCH Best vievred with Microsoft Internet Explorer 6,0 or later http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 5/11/2009 II�III��III II�III�III IIlI IIIIlIII II�II III�IIII II I Il�I 5age: I 40128 I fn,,nty Oi,A .111STIN HIRSCH 1:45R wn A7 AA warranty%20Deed[1] Recording requested by: Justin D. Hirsch Jefferson County Excise Tax when recorded, mail to: d Name: Justin D. Hirsch Aff # 1 1 2 4 0 3 Date - d I Address: 10518 sw 132nd pl Tax$ / !• gales Amt$ City: vashon i`g4LU— State/zip: Washington, 98070 By p Deputy Treasurer Space above-`respr..e d :O:Or By Record ' S.-'t7f{9:ge:°' Warranty Deed.::::>:::.,::::::.:'::,:":; This warranty Deed is made on 1 /1`I ai c34` ;"::::'' between David T. Anderson, grantor, address: 1375 13tFt::;St"P.Q(t:::.Townsend, Washington 98368 and Justin D. Hirsch, grantee.::% address: 10518 sw 132nd pl vasfton;, Washington 98070`'•; For valuable cons ideratevti`r:::ti e grantor hereby::s01-s,, :grants, and conveys the following described re a] Pstdxe;, A n fee si mpi e.,,.,tq the :Grantee to have and hold forever, along with all. easomaits, rights, and:,bu.ildings belonging to the described property, located at'. ' 3:35::: 3t(, st. Cit ,Q:f::..Port;'Townsend, County of Jefferson, state of washi ngton,::dnd: esc r.ibed as EISENBEIS ADDITIbOr:.] `$i.X 133 LT 2(LS-.-E9. ;3'::.Or: 513.3') I BND THRU LLA#101941 Block 123, Lard`bf`:AeJ:Eisenbeis gdd:itiori'°to`:'the City of Port Townsend, Less the East 9.3 feef:%df%the:South 13.3 fees ."% f9+c PARcEL- zek i4l. 3iz 305 The Grantor warrants that he is lawfuT-'•owner and has full right to convey the property, and that the property is free from all claims, liabilities, or indebtedness, and that the Grantor and his successors will warrant and defend title to the Grantee against the lawful claims of all persons. Dated:I ,r/ II Da.vid` AnJerson signature of Grantor Printed Name of Grantor state of washginton County of —ThurSA'0r1 On 1, Y UAr., 14 20 09Slav 16 Ar rscr, personally came before me and, being sworn, did state that he or she is the person described in the above document and that he or she signed the above document in my presence. Signature of Notary Public Notary Public, in and for the county of —"- AY'SiCW-\ u0��yQTARY 2 state of PUBLIC a 0 My commission expires: Notary Seal = Taxes for the tax year 2009 shall be paid by Grantee. send all tax statements to Grantee. Page 1 of 'VeVervi@ REAL ESTATE EXCISE TAX AFFIDAVIT TbJ&Am b your ta.dp FLEASETYPEOJ= CHAPTER 82A5 RCW-CHAPTER 45"1A WAC whm atsmpW by whW TfDB Wn t.NOT BX ACCZPTZD UNLESS ALL ARLAS ON ALL PAGFSARX FULLY COMPLrIM (Son bak oflm pw tOr bw.;fi-) bmtR nb of U f None I Nrme N Mdhtg Admen r T, Malfmg Addy o �N 1.. Cky's. w 6 U44. 7lp %01114 A 19%07QQI O Fbm.Nc.Oe.btdiq rea earo Z.I 6 Phone N.(lonmm.g we..ode) J/' Send dpmpwWmacmnocammacwN.SmarBuy.'O- LaLHMW-dpnonLLpoperyb¢paod.conest a.-WV.1ag.) ®b--check bon Vpwaoed w.Pmy None 9N4 3/Z 309 n 30i 000 Mailing Addnm n aWiSbUm75p n Ph-No.(�d•gw•-ondeL n ®Strew admen dpmpmy: 133 5 / This Property.I.laced in RaiaabL'weegMl Pear TeWNszND ❑ChekW ifay fdeH dpwmh-bi.S syapd oam.kwp-d. Lspl de--dPd.e of P-P-M(U once.p.on 6 d4 yo.m.y.u..h.cap r .hest m.a p4c.f th.atBNvit) I EI sENgE1S AD-pIr1cN 1 131.K IZ3 40T Z (L653, E CA 3 A of S Select n e od Lin all por-mal pro-ty(.mgmY and bdmglb1.)1n hY I..d ft ache t.,a.rodw price. inter err dNtloaal nodes: 9! (Soo back of but page for ioatruedom) YES NO 1.thb p am op-y-.p D pmpottY tax For cbapm ❑ err NOs 94.36 RCW(mgno&orgm(atim)f YES NO If elaiming en axamptio..Eat WAC..mbar and reason for-ptio.: Taft Rtpwryd-w*drf mWdprdo.9433 RCWf ❑ 14 hth'spmpmq dead8edaaoxmtmo(.po.apaa4lhms.d ❑ 54 WAC No.(Seotioo/S.b-do.) . agiimbard,vdmhe0lmdprrhWaB4.NT Reaaoc for exemption Ydm pnprty mndv6gtpoddvahrefmrbimrolpmpary ❑ pxcbaptr84.26RCWf lfac•atnmemygmoIDleboi.mutedbebr. `-/ (1)W=OFOONTINUAPI(B FIAND(IMCURRMYFIM Typeof Document Wk"l%sm Q�fl PIEW OWNEPA'S:Toonm®r ft cmiem d.dg..d u a teem lmder cLWllodoo-co oot rm(.pm ap-oe.fYm aid av-mq orth be) Damof Docameut lmd.yen mad alpm0ibII ID q.Ufyandwalfodl-byby4• bd-. Omo Shcl.g Price 5�1 fall. 60 ifthelmdmmt6medn(3)rmm lfd-Yidwlmg:gWigm Qywdo mt wbb mamtYm the dedpRim •Personal Property(deduct)3 ordaaiSmtim,It will be m v W and meonmpn�geraddidaaal rre will be de ad pry"by do miler or Aaorotdwtkwofnb.(RCW Exemption Claimod(deduct)s 8433.140.RCWS4x.INS Pdmnd4mg(3)bebw.yaottq•ommd Taxable S.Hi gPrice s om y.er bel awmtyarerer(ammo Info meDm E..i.Tax:Swo S r-ID.00 Thin Imd ❑doe ❑does non govi%for.endmrmm. 0.0000 Locals om •Delinquent Interest:Sum S DEPUTY ASSESSOR DATE Local S W NORCROFOODPflAN[BanwromCPROPERM -Delinquent Pmalty s NEW OWNPE(S):To aotmmo q+xW vahutlon a 6tamtic I. n' Wm p)bona..IIltthe rry_oar.) mt wYh m c�imx,dl Submtal s A f 0.00 mod pay"by thethe ae0er or ncamforx tone ofeale. 6e don -Stem Tochnology Pon S 5.00 (3)OWNM)SIGNATURR -Affid.At Ptooesatag Fee S Told Does /bLG.O tom PRINT NAME A MINIMUM OF s10.00 IS DUX IN FXS(S)AND/OR TAX •SEE INFMUCLTONS IuznyY UNDER"MALTY OF MUURYTRAT TOE PORRGOING IS TRUE AND CY) 17 Swift"of Spabue of Cr�amr rc Granter's mt - Grates or Gr=MW@ Agent Name(prfat) ♦` Name WM) N R Ora k city of rlgrunS Oe -0 Data k city of siping: PcJmys PaJmyba der C fakny wb b I.p®W.W by btpdammmt in the amen atmdum tam alert mom then fie yar%er a0m)pn0pm emLoiomfbSrod 0nopmtofmtmmo dwfi.6..ddolin .OD and Don 001 310 REv r M (U'J ) 1/1 6/2 U 0 1 6 A o s7111 COUNCY ASSESSOR 112403 .__ Development Services oFQoaTro�y 250.M6dison Street `Suite 3' Port Townsend'V1/A 98368 ,Phone: 360-379-5095. `�oFwas www.cityofpt.us' Residential Building Permit Application Project Address: Legal Description (or Tax#): Office Use Only l Addition: bets Permit Zoning: Block: #BLD p.5 S Parcel # G� _ Lots : Z Associated Permits: 3i Z-345 ( ) Project Description: NP-W Sir, 5" ➢ 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. Lender Information: Lender information must be provided for projects Propert�wner/Applicant: over$5,000 in valuation per RCW 19.27.095. Name:_ vSVir\ 'D. kAZrSc.�,, Name: ONE CAA, �INANGlAL Address:J CT�;1 g SW l3? ^A P 1 _ City/SUZip:_y_asko � WA q So Project Valuation: $���'� r�Q Phone: (:3� Building Information (square feet): Email: \VS�\ �nirSC-V\ c� �IAn,-,l1 -Con-N 15tfloor 5o4 Garage: 2"d floor 9 Deck(s): Contact/Represent tiv Name: SlnanA Cfe(SOn 3`d floor Porch(es): 90 Address: (Cs-�g SW 13Z"`t P Basement: Is it finished? Yes No City/St/Zip: \ GCk!l . lJ� CI Sp q�_ Carport: Other: Phone: 2C:Yo ( Sglj n�3SC7 Manufactured Home ❑ ADU ❑ Email: C31S�a���G��1e1'G c-Ge(1�CGdV New Addition ❑ Remodel/Repair❑ Contractor: lysame as Owner Total Lot Coverage (Building Footprint):' Name: Square feet: 6 90 % a— Address Impervious Surface:* City/St/zip,.�_ � � �� III 1�= �,-, -, _� _� i� �; $ � „ Square feet. Total existing8�proposed Phone Email: ffI Li MAY - ri 2i n� What year was the structure built? State License, I �. If work includes demolition,see Page 2. CIiY OF rAR i0—W N—' An known wetlands on theproperty? Y City Business License#: y . UJU Any steep slopes (>15%)? Y O 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 t N `"�l(Z.Sc,vl� Signature: Date: "` V Page 1 2 31/ 08 RESIDENTIAL 4 ESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST This hecklist is for new dwellings, additions, remodels, and garages. The purpose is to show what you inte d to build, where it will be located on your lot, and how it will be constructed. sidential permit application. ❑ ashington State Energy &Ventilation Code forms Two(2) sets of plans with North arrow and scaled, no smaller than '/<" = 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. If 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. 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 ❑Wall 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 ❑ If architecturally designed, one set of plans must have an original signature ❑ If engineered, one set of plans must have one original signature ❑ For 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 �,►� AIL _� ■ � e • I • i ■ . ' :: 1 ■�of IY4 • • s: .:r:B • • I .1 : u■ • i • I� � I �� I � 1 1� 1 I ■ rA ■ 11 _ I�I • � - � I • • 1 I T.: f�5LDog_ ( z ,3 J Gj WU--PDS - osz� Boar ro City of Port Townsend Development Services Department Q �o BUILDING ADDRESS APPLICATION 9��w Name of Property Owner: I Cp At /1_XC-, qQt J Mailing Address: /-3 ,S /-57-11 <,? %-, Telephone: Property is located in: Addition: r_�CSCA 6 E ss Block(s): Lot(s): z Faces/Access is from: Street n Parcel Number `� _Y1 Z- s Directions to the Property (draw vicinity map on back) i ,1 i J IOMNISEND If this is a new ADU, has a building permit been applied for9 -No -:' Notes: Q HOUSE NUMBER ASSIGNED: _ + 3_3s 13�1 S 1�,C- l Date of Approval: 1911 d� For Department Use Only: Application Fee Received ($3.00, TC 2200): Date: Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office ❑ Sheriff ❑ Police(Lyn) ❑ GIS ❑ Public Works ❑ DSD database ❑ Assessor's Office For address changes: ❑ Qwest Address Management Center 206-504-1534 P_\DSD\Fonns\Building Fomts\Application-Address Number-doc,6/12/06 4 2 1 4 3 0) � 3 2 1 4 3 1 13- 7 R . 4 �n 122 6 O 00 Lu 130 8 5 6 7 8 g� 6 7 8 C� 6 7 8 z 5 6 . W 1 4 3 2 1 4 3 2 �, 1 4 3 2 1 � 1 / ' ,z , r 1 z 12 Y 102 a� Q _U 00 11 CSC-1d' w -IQ , 0 1 1 o p 2 f 8 8 5 6 7 r r r W cn k rav LO LO 4 2 1 4 3 2 �0@2 1 4 3 2 CD 12 1 11 vY%�u'r Wa.rc Warcr 09 .. 111 , Storm Watcr r I inch cquaLs 100 666667(crt 6 T :' .. '._� � Ttin mil.is prns;dcd on.m"xs ss" wn�h all lauln M r� hx n The Cm.ai P t T omsrnA and n rmpinver. �� nn nrn�wram m zny w,y chc.¢tt an of the„ . 11 T e acre n S T nrtnmm�cnn.tined m�i.mM rld rnhra nn nl thq•nl all msp minrmmnn a lhr sole mspnnrihility of the user.lhrr rel—cs the Oryol Pnn Tn.—d and iu cmpk,)—1—any liAlay Lo r LINO 1 UncCR C]QOI./NrZ> SCRVIC PAVE, l� G1t AV L-,-PACKI NCj {io s6 Dccu - I 8 I AFT. /MPCK 10U8 � — —I L-- - — - cL-F n 0 o u r 2 4' (Qocu(,_)arEhVZ C T wa rE a 3 -3---s' LL OrO J Lo j C_1NC 1 U+vAER GRo�NfJ S �RV1cC l29i PAVE to I F;o�s6 GRAVLE PAP KIWC, �EcK — G Rev L-c- LK I 7-1 108 5 r4 E - 1 Vc--O WA EQ OF q,OPT TOY u my Receipt Number: 09-0551 _Receipt Date_ 0 711 7/2 0 0 9 _ Cashier__SFOSTER Payer/Payee Name: Shana Anderson____ i Original Fee Amount Fee Permit# Parcel Fee Description Amount Paid Balance BLD09-058 948312305 Plan Review Fee-Revision $50.00 $50.00 $0.00 Total: $50.00 Previous Payment History Receipt# Receipt Date Fee Description Amount Paid Permit# 09-0412 06/05/2009 Building Permit Fee $1,004.95 BLD09-058 09-0412 06/05/2009 Energy Code Fee-New Single Family Unit $100.00 BLD09-058 09-0412 06/05/2009 Mechanical Permit Fee per Dwelling Unit-Nev $150.00 BLD09-058 09-0299 05/05/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-058 09-0412 06/05/2009 PLAN REVIEW REFUND 150 $150.00 BLD09-058 09-0412 06/05/2009 Plan Review Fee $653.22 BLD09-058 09-0412 06/05/2009 Plumbing Permit Fee per Dwelling Unit-New 1 $150.00 BLD09-058 09-0412 06/05/2009 Record Retention Fee for Building Permit $10.00 BLD09-058 09-0412 06/05/2009 Site Address Fee $3.00 BLD09-058 09-0412 06/05/2009 State Building Code Council Fee $4.50 BLD09-058 09-0412 06/05/2009 Technology Fee for Building Permit $20.10 BLD09-058 Payment Check Payment Method Number Amount CHECK 1015 $50.00 Total: $50.00 genpmtrreceipts Page 1 of 1 of poRT To/P i tis a i Receipt Number: 09 0412 w s„ Receipt Date d6/0512009 Cashier SFOSTER PayerlPayee Name HIRSCH JUSTIN D � On In` ee � � C � OUnt } Feescr r ' x s Perm�t�# Parcel ee Descr�ion Amaunt � Paid Balances ' .4 --.1-= "5, i�` BLD09-058 948312305 Site Address Fee $3.00 $3.00 $0.00 BLD09-058 948312305 Building Permit Fee $1,004.95 $1,004.95 $0.00 BLD09-058 948312305 Energy Code Fee-New Single Family $100.00 $100.00 $0.00 BLD09-058 948312305 Mechanical Permit Fee per Dwelling U $150.00 $150.00 $0.00 BLD09-058 948312305 Plan Review Fee $653.22 $653.22 $0.00 BLD09-058 948312305 Plumbing Permit Fee per Dwelling Uni $150.00 $150.00 $0.00 BLD09-058 948312305 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-058 948312305 Technology Fee for Building Permit $20.10 $20.10 $0.00 BLD09-058 948312305 Record Retention Fee for Building Per $10.00 $10.00 $0.00 BLD09-058 948312305 PLAN REVIEW REFUND 150 $150.00 $150.00 $0.00 Total: $2,245.77 ,..i" - ory aymert 3 iteceipt#sue x $ '. Receipt Date Fee Description � � x Amount,Paad Permit# -.�.. __�. ...-. 09-0299 05/05/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-058 Payment, r Check '% Payment; Method ry Number Amount; CHECK 3767 $2,245.77 Total: $2,245.77 genpmtrreceipts Page 1 of 1 OF PORT to A yS 0 o Receipt Number: 09-0299X�� " �` .,. "�, F2ecerpta 05/;05/29 €� aeS FOSTER Payer/Payee NameHIRSCHJUSTIN D` d r a _.� '• z �.mLmrt#` ..' Parcel Fee Description ��° rr r,� � e >Amount�, �� r Patd ' Balance �_ BLD09-058 948312305 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 - �- � �� �r �;� ��� '� Prev►ous Payment H►story � � �` Receipt,#. �� Receipt Date � = � � Fee Description;- �� � � �� a -Amount Pard Permit# Payment� Ch Payment Method �� � � Number� °Amounti CHECK 3755 $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1 TOD rn � ��Jam. LIP 0 J IN UNO eR CR Oki Nr RViCC � G�✓ - PAVE C, 0o Sq r. Isq,�y, ( GRAVLFPARKtNCB t l0 MIN c sRrvww ccc- {�.ocZcK I r MiAl 5Q J 0 8 s�T+tiwe K L-- _ cc.-E4 a OUT a 2 �Oi '�3ctc ArC-.lAvALvC 1 wa Ea JJJ 13- j-- /fir.Citr�Ci Uoi i S � .2 R e DE c EDATE s 8 �rrm�frnn��rri�N�nnirnrrr�m u.�rrwrrrr�s ,� a � MAY 5 2009 PERMIT ' og - 0$8 to x Z.q tt X �2 W/ 3-4T,J ®®v ( y l* 4 WAy JE N CITY Of PORT OWNSEKO DSD (BUILDING OFFICIAL) CITY OF PORT TOWNSEN a 3 `r�►'P® �� Its SC , 1 , . ► Ivy IV 1 - �v Ahc14oRa<< s " sTAgT N OR 3a BLD0 1 G4RQ3r El I E GRG 98 a / sT _ E�.t2CR S �-�2 X.IE1 s'� - M �ousF fav _ --- 2-2XG HSADef— DooA l 214a L- r L7RYER VE1vf• RA 6a E f t S M M-T �4DRoot� 3Gs.F; .5x15, ( Aull Li ( �O x tZ � tQ V VI a 8 �J S.D.s•D o MCZAt NA 4 7x3, A �o�1 ) G� s.� Q s.U. %3 `, .D, D ! I•� X J6 2� o q ND 'i TRw-1-bF---OJTLooR- A.1Q, tguff� WI MUW 0k WRLL ROUS - - 3' G'' �9 s,F• JA, st Ito o-C,. AI 5 FF- R�Vv L-> N NOR rH to 9d30 SLR DER �1i3kJD 309©SUDEta roo eF �sr L ooa s is r f), o o a v 4 qsF !�00 2 0' , O s.D, -Ili Q a D. `, o 1©X8.5 x l To-rA L P. Z Q l a g ° fqI X.cg � T FouN� o ,orJ S t L,L � J -} < o ,_ �, �o v I l Zxi2 �,M J oisT �o1ST Ja rr/ f _ � 1 ' 7 Ion 4 p� sT�? Thf I Ix 11. Q tagoM 4ousE rn �j S.F. N 3: .. OF&ATF-dL �j ( Z w-H uNC�R °"'e' 1" lAT FORM VY ,, F RAM )N G iew I sr T p Vf ew q HorsfaF�N gog0 SLIDeg �aDW�us a( r _ S1D�(,lA�� S I a c '� 2 SGt= RU�sowParf - - - - - - - - - - - - - - - l� 1 - r r '1 G L C-T la 1-CU GC R �� ' ' F fRc S-Ttr , tRE STOP 7 Im 2 s o —�- 1'` i �s`��F�r(� �' tt�L�� t PK'E NT �jlMF'SON �r_2a - _ Cac!-r ZAFr�R a�� Qrr�J0 � C x a 4 FiRG I 14 LFT�6ER .?h-6 C0Ak` fo o c \ — 1 C G� LEhc-AR 1 1 ESFp$ 6 6 MFTA1. �43TENERS C LnPBaARp 1 e _ q l�� .� �v g I I - O- F3 0VE ' R i �►RG S ; i , _. _I '_ ccKR FRaM�dG GRAB�� 2 x4 4 NIFrAc j Fc,e�Nt*�s HovSc 6-oon, 2kC. PT, — — - - - — — — — R 30✓ ,c 1._ 2x12KZ.© # f FIR 16 -c- � �3�8DG8(t .�z�6pT )60 _ / LA 6®�� MEiac.NcwGAaS NDG !L L S 311, 5, 1 _ 5 c-� xG P.T. p 7 -7 r, z A�A46 - - -1- - - -, _ q-7" - 3 BLD 0 � P ��,, �]✓ MILL �L,,yCK �ASTr C ° `d r � N 1 - ZgxZ IX Iz