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O�pORTTO�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND wAs; 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. 989710907 PERMIT NO. BLD09-176 ISSUED DATE 09/22/2009 EXPIRATION DATE 03/21/2010 ADDRESS 514 VAN BUREN CONSTRUCTION TYPE V- B OCCUPANT LOAD OWNER WEST WILLIAM B PROJECT DESCRIPTION NEW SFR W/GUEST BEDROOM } CONTRACTOR OWNER BUILDER LENDER INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE COMMENT EROSION CONTROL INSULATION I� Z SETBACKS SURVEY PIN "'` GWB FOOTING is t! (2 Zo /O FINAL PUBLIC WORK LIFER FINAL BUILDING� u SLAB INSULATION U GJ (, ;lJ 112 st. 437�1 P�/ti'<0 PLUMBING HYDR. aQr/ �%3/2c3/L� FOUNDATION WALL It l 2S Zb/© CC 1, D FOUNDATION DRAIN Z 1f 1d t2p�J ���� �I e�2 1.41S ' ' (e a/f l6/eola SLAB ".r='=r'=ram•"-=='='= ` SHEARWALL& HOLDOVI ( 7 �p /D `�� 6k CL" z'" u FRAMING AIR SEAL PLUMBING 4L 27 NOo - MECHANICAL TO REQUEST AN INSPECTION CALL(360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. City of Port Townsend Development Services Department PERMIT NUMBER OWNER JOB LOCATION L Inspection of this structure has found the following viajati2W. 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, all f r inspection. 7—_.__(_.)f�� Date 3 AD Inspector �� 4 ?'L(�L- 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 �A�S� crio�/ ffrefifien N tiCe PERMIT NUMBER L'� �? OWNER / JOB LOCATION �`j ���nn't 1 '1 Inspection of this structure has found the following Yes:--- izeX Al FI . 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. �/ —mil J_r ",, Date 2 Inspector K- l o T Lv 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 rC. rec�jtion Notice PERMIT NUMBER OWNER JOB LOCATION Inspection of this structure has found the following violations: t V4 0 ;. Fp 1 AJ /p A-1`-L A - to TO f� 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 foZZ ' n. Date �. Inspector DSD Mai 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 Cor ect' n Notice PERMIT NUMBER At,h, v OWNER JOB LOCATION Ttt;N 6()k IET�l Inspection of this structure has found the following violations: n j :M ' t41 /Xj n OnA QUO I 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. Date Inspector 7 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 S cc ( r� -- c-#p Notice PERMIT NUMBER G L- S o (�' t7�j OWNER ,,nn JOB LOCATION �� "'1 � Inspection of this structure has found the following vielefiom , G 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 mad c /6/0 all for inspection. �,,��eeDate CInspector C'LU k— 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 Correction Notice PERMIT NUMBER OWNER JOB LOCATION Inspection of this structure has found the following violations: ,gyp L) U 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. Date 2 Z i o Inspector DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE 1 D � Dal 0 AUG 1 7 2GG9 ' o�QoaT To,� City of Port Townsend h ys� CITY OF PORT TOWNSENO Development Services Department DSO BUILDING ADDRESS APPLICATION ��WA Name of Property Owner: �( �"►�` � � � t-� ���� Mailing Address: 926 D �1 � Poe, Telephone: qj4^ y 1(0 Propertv is located in: � l � Addition: ©2t�.s[�L�`t�uJnls� Block(s): jd�l Lot(s): ��� I Faces/Access is from: Parcel Number "I q 9 -7 1 0 W Directions to the Property (draw vicinity map on back) MR P of l If this is a new ADU, has a building permit been applied for? Yes No Date: Notes: HOUSE NUMBER ASSIGNED: 5� ` Vag j�ufz,6&l S% Date of Approval: eJ 8/ / j �J c a j F For Department Use Only: q Application Fee Received ($3.00,;O1 ): 3 '�� Date: Copy to: ❑ Finance U Fire Dept ❑. Post Office Sheriff Police . GIS Public Works [I DSD database Assessor's Office For address changes: Qwest Address Management Center-- PADSD',.Fonns\Building Fonns Application-Address Number.doc:2/5!09 s �61 � O NI 0-1 CP v ` ' Ja��.� d c' 61 C39 CP 61 C'7 •�� ' /`�� Y J O� JS S � v �J s s 06 s ���� �� s � � C) Z� � (P s � s s Cl� a rn s o � s lP�s > O y J J � a Nc CITY OF PORT TOWNSE PERMIT ACTIVITY LOG PERMIT # -.�iL��� ' ( DATE RECEIVED y© SCOPE OF WORK: rr� ' �p C4 5I � Van —B ,✓zn DATE ACTION INITIALS ' L� ENTERED INTO CHET i CHECKED FOR COMPLETENESS 20 0 ,� s u 51 `4v 44 13 Q — Lis nef �1�fi -5 v d i`cl (u « 4, Zoning: KTL Setbacks OK? _'G ) " M a X it, — Lot Size: =S- - ' M 1 ,'J -- Building Size: � 5,' ;�� �-p J� 17,. lei Lot Coverage: �' -----� 0 FAR OK? -e Height OK? Parking OK? f in-; JNL(-2. Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? (�(- Stu,-, � � �' s �O�pOR7T��y� BUILDING PERMIT City of Port Townsend 9� wn Development Services Department 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-176 Permit Type Residential - Single Family- New Project Name NEW SFR W/GUEST BDRM Site Address 514 VAN BUREN Parcel# 989710907 Project Description NEW SFR W/GUEST BEDROOM Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant West William B Owner West William B Contractor Owner Builder Q - STATE exempt 12/31/2009 ***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 1.80 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 Znz��—'c r� Date Issued: 09/22/2009 Issued By: SWASSMER Si ate 1-L Date Expires: 03/21/2010 "o VORTTO�ys BUILDING PERMIT City of Port Townsend Development Services Department WA `' 250 Madison Street,Suite 3, Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-176 Permit Type Residential - Single Family-New Project Name NEW SFR W/GUEST BDRM Site Address 514 VAN BUREN Parcel# 989710907 Project Description NEW SFR W/GUEST BEDROOM Fee Information Project Details Project Valuation $169,783.28 Dwellings—Type V Wood Frame 1,784 SQFT Plan Review Fee 900.74 Units: Heat Type: ELECTRIC BBH Energy Code Fee-New Single 100.00 Bedrooms: 3 Construction Type: V-B Family Unit Bathrooms: 3 Occupancy Type: R-3 Mechanical Permit Fee per Dwelling 150.00 Unit-New Residential Plumbing Permit Fee per Dwelling 150.00 Unit-New Residential PLAN REVIEW DEPOSIT 150 150.00 PLAN REVIEW REFUND 150 -150.00 Building Permit Fee 1,385.75 State Building Code Council Fee 4.50 Technology Fee for Building Permit 27.72 Record Retention Fee for Building 10.00 Permit Site Address Fee 3.00 Total Fees $ 2,731.71 Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. 20. Studio may not be used as an Accessory Dwelling Unit or a Transient Accommodation (i.e. rented less than 29 consecutive days). 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 pennit 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: 09/22/2009 Issued By: SWASSMER Signature Date Date Expires: 03/21/2010 w w 40 so P T F A R C H I T E C T S ® EC E DVE MEMO JUN 1 1 2010 To: Port Townsend Building Dept CITY OF PORT TOWNSEND Fred Slota DSD From: Patricia Fels Date: June 8, 2010 Re: Corners at Main West City House, 514 Van Buren Street Permit# BLD 09-176 I have inspected the framing construction at the Main West House and find the corner/top plate construction method acceptable. The nailing at the corner 2x6 studs, combined with the plywood sheathing, and the blocking/top plate nailing provide for sufficient bracing and connection at all corners. REM (51a � PATRICIA TUS:', STATE OF I'VASH;;: 30002 Issaquah-Fall City Rd. * Fall City, Washington 98024 425-222-0744 * Email: tusafels@centurytel.net @ k _ __ y--- � = _. y � , � _� -- i,_ -: � ��- e..._..-_:j;�---. �- - _.__ . CITY OF PORT TOWNSEN 4WELOPMENT SERVICES DEPAJNT 181 Quincy Street, Suite 301A,Port Townsend WA 98368 PLUMBING CERTIFICATION PRESSURE TEST BUILDING OWNER W ES I .PERMIT# - I U q ) 7� ADDRESS 5i 14 VA4 9(J9iJ,) DATE OF TEST S— LS- 20/0 PLUMBING CONTRACTOR__ 6zoy�r "(A LICENSE# SO&PYL0c.o 22.L-z;7 ❑ GROUND WORK ;ROUGH-IN PLUMBING ❑ FINAL DWV WATER SERVICE Air PSI Air PSI Water i0' Head Water ) Working Pressure Time 3o Minutes Time 60 Minutes NOTE: TESTING REQUIREMENTS(SECTION 318 UNIFORM PLUMBING CODE)MINIMUMS: Water Test— 10' Head—15 Minutes Test at Working Presure Air Test—5#PSI— 15 Minutes 50#PSI— 15 Minutes I hereby certify the information provided above is the result of the Plumbing System pressure test conducted by the undersigned at the indicated address and date. Misrepresentation of this certification is a gross misdemeanor under RCW.9A.72.040 subject to a two-year statute of limitation. VISUAL SYSTEM INSPECTION IS REQUIRED BEFORE COVER. Signature Date S `'s `\0 N so 01 - 16 IFGAS(heck- 01 -7 2 94,6.5 9 �RAChe ck — Gas Appliance ystem Check Account Number Invoice Number 2-0E—; 7 Date Name GJ Company/Branch,--A,( G Address 6 h 11,4, Call Taken By City 5 State L. Zip 'Telephone(Work) (Home) Appliance Check ov a TOE 1�1 1-1� U T IE� VIA", 7 I I N1 ill ill JU 4 DEC ZUU IL=/l OR 111 ur i Vt%1 I DSD Container Check 7 nahulau o 3 o-N - O U B -' , 6iR m Rehefxsvp'U <22 0 rl_ Pressure Test Gf Applicable) Piping Check —Is0i Pressure Held N Work Order y N X 7— System Leak Check Pressure Held Work Order N Regulator Check g." V 47 ","Ot 02.A oqz,/-P z-7 Safely Information Supplied: Comments:Please note all repairs and corrections made along with any recommended actions. PRC 005625 0PERC 2007 FROPME CUSTOMER COPY DC—EP770NA ENERGr - ---. -E i -'4 _ ` J I.L. CIROSS RS S'FRUC'FURAL INGINEE 7 ....... 4 5194 L 16, L S E P 2 1 Lgoog CITY OF PORT TOWNSEND DSD 207 First Avenue South—Suite 250 Seattle, Washington 98104 Ph. (206)623-0769 Fax(206)623-9081 COPY o.j!cp 00 00 STRUCTURAL CALCULATIONS MAIN WEST CITY HOUSE Port Townsend, WA P T F ARCHITECTS 30002 Issaquah Fall City Rd * Fall City Washington 98024 425-222-0744 * tusafels@centurytel.net N N CODE: IBC 2006 TYPE OF OCCUPANCY: R-3 NUMBER OF STORIES: 1 DESIGN LOADS: FLOOR LIVE LOAD: 40 PSF ROOF SNOW LOAD: 25 PSF EARTHQUAKE: Zone D WIND: 85 MPH, EXP B SOIL BEARING: 1500 PSF Structure meets prescriptive requirements with the following exceptions which have been calculated: 1) Braced Wall panel greater than 12' high Wind— simplified procedure IBC 1609.6 Basic wind speed = 85 mph Importance factor I= 1.0 Adjustment factor= 1 Roof angle = 20 P = 15.9 psf(1609.6.2.1(1) 15.9 x 13 = 206.7 plf R = 206.7 x 13/2 = 1.34 K V(wall) = 1.34K/7' panel = 192 plf Type 1 panel 260 PLF capacity 2) Clerestory beam — see I.L. Gross calcs (PDF files) Drawing changes: Sheet 3 —Roof Plan, clerestory GL 5 1/8 x 15 Sheet 4— South Elevation, eliminate easternmost clerestory window 15, 4 remaining windows to stay. 3) Irregular shape. M Bedroom wing is at 30 degrees to main house block. This wing meets prescriptive design on its own as a rectangle. Main house meets on its own. See foundation and plan sheet—additional braced wall panel at west side of M. Bedroom. N N 00 00 ' Title: Job# Dsgnr: Project Desc.: Project Notes Footed:10 SE 2019.. 15AM Wood Beam Design ENERCALC,INC.1983-2008,Ver:60221, N:41216 Description: Clerestory Support Beam Material Properties_ Calculations per IBC 2006,CBC 2007,2005 NDS Analysis Method: Allowable Stress Design Fb-Tension 2400 psi E.Modulus of Elasticity Load Combination 2006 IBC&ASCE 7-05 Fib-Compr 1850 psi Ebend-xx 1800ksi Fc-Prll 1650 psi Eminbend-xx 930 ksi Wood Species : DF/DF Fc-Perp 650 psi Ebend-yy 1600 ksi Wood Grade 24F-V4 Fv 265 psi Eminbend-yy 830 ksi Ft 1100 psi Density 32.21 pcf Beam Bracing Beam is Fully Braced against lateral-torsion buckling -- - D(0 0975)Lr(0.1875) i i 5.125x15 Span=20.0 ft Applied Loads Service loads entered. Load Factors will be.applied for calculations. Beam self weight calculated and added to loads Load for Span Number 1 Uniform Load: D=0.09750, Lr=0.1875 klft, Tributary Width=1.0 it Moment: W=8.0 k-ft,Location=1.50 ft from left end of this span DESIGN SUMMARY __... o a w Maximum Bending Stress Ratio = 0.422 1 Maximum Shear Stress Ratio = 0.196 : 1 Section used for this span 5.125x15 Section used for this span 5.125x15 fb:Actual = 995.41 psi fv:Actual = 51.89 psi FB:Allowable = 2,358.52 psi Fv:Allowable = 265.00 psi Load Combination +D+0,7501_r-#0,75OL-i0.750W+H Load Combination +D+Lr+H Location of maximum on span = 8.800ft Location of maximum on span = 0,000ft Span t,where maximum occurs = Span#1 Span If where maximum occurs = Span ff 1 Maximum Deflection Max Downward L+Lr+S Deflection 0.262 in Max Upward L+Lr+S Deflection = 0.000 in Live Load Deflection Ratio = 915 Max Downward Total Deflection = 0.423 in Max Upward Total Deflection 0.000 in Total Deflection Ratio = 567 Maximum Forces& ... -- ............... ............_.. .._ry.._- ry Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values _... _......_ _ ........_....._._ -_ .. Segment Length Span# M V C d Mactual fb-design Fb allow Vactual tv-design Fv-allow +D Length=20.0 It 1 0.152 0.074 1.000 5.73 358.07 2,358.52 1.01 19.69 265.00 +D+L+H Length=20.0 It 1 0.152 0.074 1.000 5.73 358.07 2,358.52 1.01 19.69 265.00 +D+Lr+H Length=20.0 It 1 0.400 0.196 1.000 15.11 943.44 2.358.52 2.66 51.89 265.00 +D+0.750Lr+0.750 L+f-i Length=20.0 ft 1 0.338 0,165 1.000 12.77 797.10 2,358,52 2,25 43.84 265.00 +D+W4H Length=20.0 ft 1 0176 0,104 1.000 10.43 651.38 2,358.52 1.41 27,50 265.00 +D+0.750Lr+0.750L+0.750W+H Length=20.0 ft 1 0.422 0.188 1,000 15.94 995.41 2,358.52 2.55 49.69 265.00 +D40.750L+0.750S+0.750W 4i Length=20.0 ft 1 0.242 0.096 1.000 9,13 569.89 2,358.52 1.31 25.55 265.00 N N 00 of ' Title: Job# Dsgnr: Project Desc.: Project Notes Fin'a.&IQ SE 2009.1:53i'M Wood BEa17! Design ENERCALC INC.19832008,Ver:U221, NA1216 -a Description: Clerestory Support Beam Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values ....... --- .... Segment Length Span# M V C d Mactual fo-design Fb-alloy Vaclual fv-design Fv allow —..._.. _.. _...........__ ..... .... __. . ........... +0.60D+W+H Length=20.0 it 1 0.228 0,074 1.000 8.60 537.19 2,358.52 1.01 19.62 265.00 Overall Maximum Deflections-Unfactored Loads ............ _ Load Combination Span Max.'-'Nil Location in Span Load Combination Max,'+•Dell Location in Span D+L+Lr 1 0.4227 10.100 0.0000 OA00 Maximum Vertical Reactions-Unfactored Support notation:Far left is#1 _---_...._ ............. ---- —-...._------ pP.._....-_ ...._..........._......._.-._ - -.. _._ .....__.... Support&Load Combination Support Reaction Support 1, (D+L+Lr) _.... 3.022 IF Support 2, (D+L+Lr) 3.022 k N N L1 -r I vR J i 4Q. "- .... - Of, d n i- D fi In i!3 ElI ---------- I: _ l i i 2 prr ; n t " f i � D MAIN WEST CITY HOUSE Van Buren Street _, 0 71 Port Townsend,WA 98368 M N ��. >- _, . ,f*, ,- ... r. _ .._ .. n. . . .... ,: ,... �:. �.: � . ` � _ _ s '- ,� � ,:., i i E __:, . �� .�� -. i Z 00 90 41 ---------- . ...... .......... ........... A V', 7", .......... ...... ex ell �4 . ................ . SHEET TITLE SCALE DATE DESIGNED BY I.E. C,ROSS CLIENT CHECKED SHEET 207 R,l Avenw,South-Suite 250 SGattic,Washington 98104 Ph. (206)623-0769 Fax(206)623-9081 so so �4 ............ ............. .... SHEET 1 ITLE SCALE DATE PROJI CT DESIGNED BY T. C ROSS CHECKED SHEET 267 Fast A-mmie 3nljth.-Suite 250 Saalllo,Washinolon 96104 Ph. (206)623.0769 Fax(206)623-90131 N N Wind Design Method 1-Simplified Procedure ASCE7 Building Characteristics h= 16 It mean roof height W= 33 ft least horizontal dimension L= 80 R greatest horizontal dimension Basic Wind Speed V= 85 mph (ASCE7 Figure 6-1) Importance Factor I= 1.0 (ASCE7 Table 6-1) Exposure Class B i= i (ASCE7 Figure 6-2) Topographic Effects (ASCE7 Figure 6-4) KI= 0.34 Ke= 0 K,= 0,26 If,= 1.00 Velocity Pressure ps= ).K,,Ips3o (ASCE7 Eq 6-1) h= 16 ft mean roof height L= 33 ft least horizontal dimension a,q,,,t,= 6.4 ft 0,101,or 0.4h,whichever is smaller but not less than 0.041,or 3ft au„,,= 3.3 h q= 0 roof angle Summary of Design Pressures(psf) Load Horizontal Pressures Vertical Pressures Overhangs ..... _. — Case A B C D E F G ! H Eoh Goh ps30 1 14 4 ' 2 3 10.4 2.4 -6.4 -8.7 -4.6 -7.0 -11.9 i -10.1 2 2 4 ; 4 7 ' -0! -3.0 __.... ps 1 14.4 2.3 10.4 2.4 -6.4 -8.7 -4.6 7.0 11.9 10.1 s 2 -2.4 -4.7 -0.7 -3.0 -__.... 1 t C S _ , u» i; _ l.�ng;P�cinal Development Services p�QORTT 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 �w www.cityofpt.us Residential Building Permit Application Project Ad ress, Legal Description(or Tax#): Office Use Only lu✓ v jFj✓/Z&7,) Addition: Pert Town%.a&4 a'`ke, Permit#BLD09- j Zoning: / `. Block: 1.09 G, !� Associate bz3 Permit Parcel# -71 O t 07 Lot(s) 3 C ► �b O� � Project Description: "3 j 1 ©M 5 i��',a 'N%Q t-�'% s F ➢ 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: Property Owner/A licant: Lender information must be provided for projects Name: I Q- .1 2, Ut 51l*124 4 A44 ' over$5,000 in valuation per RCW 19.27.095. Address: 2Z6 O S64-v1e—w 2 - Name: N/l, City/St/Zip: l!y�••; i I.� �i> 3M C", Phone: •54,U SLl 9- I d3 Project Valuation: $ Email: M PftN 4✓M C Q' 4'4141ne' .CZAA Building Information(square feet): 1 s`floor IZ S`t Garage: Contact/Represen tive: 2n floor Deck(s): Name: 3 floor Porch (es): r Basement: is it finished? Yes No Address: ZOZ� "/ �L• Carport: Other: City/St/Zip:P02i li'�- uy�f �' - ��3�, Manufactured Home❑ ADU❑ Phone: Se, o :3,4 4 L4 I New Addition❑ Remodel/Repair❑ Email: ✓1'1 r97n1 L.L)e--dam @. yop0`Cvvt't Heat Type: Electric wo" Heat Pump Other Contractor: Same as Owner Total Lot Coverage(Building Footprint):* Name: Square feet: 4 % 3 1.13 `�D Address: Impervious Surface:* City/St/Zip: Square feet: 211 *Total existing&proposed Phone: What year was the structure built? Email: If work includes demolition,see Page 2. State License#: Exp: Any known wetlands on the property? Y City Business License#: Any steep slopes(>15%)? YGD 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: U-) "- r Signature: Date: 17-4) I f Page 1 of 2-5/14/2009 O�?ORT TOE City of Port Townsend y`�Z 0 Development Services Department `°= 250Madison Street,Suite 3 �w Port Townsend,WA.98368 (360)-379-5095: Fax: (360)344-469 Washington State Indoor Air Quality 2006 Residential Construction Checklist for Zone 1 This form is to be completed in addition to prescriptive compliance form or component performance compliance calculations. Please answer the following questions: VENTILATION REQUIREMENTS FOR INDOOR AIR QUALITY: What kind of ventilation will be used throughout the house: 1YExhaust Option ❑ HVAC Integrated Option If you chose"Exhaust Option,"complete the following: • Where is your whole house fan located (what room, • What size is the whole house exhaust fan? See table below: I q O �F Floor Bedrooms Area,tI2 1 2 or less 3 4 5 6 7 8 Min Max Min Max Min Max Min Max Min Max Min Max Min Max <500 50 75 65 98 80 120 95 143 110 165 125 188 140 210 501 -1000 55 83 70 105 85 128 100 150 115 173 130 195 145 218 1001-1500 60 90 75 113 90 135 105 158 120 180 135 203 150 225 1501-2000 65 98 80 120 95 143 110 165 125 188 140 210 155 233 2001-2500 70 105 85 128 100 150 115 173 130 195 145 218 160 240 2501-3000 75 113 90 135 105 158 120 180 135 203 150 225 165 248 3001-3500 80 120 95 143 110 165 125 188 140 210 155 233 170 255 3501-4000 85 128 100 150 115 173 130 195 145 218 160 240 115 263 4001-5000 95 143 110 165 125 188 140 210 155 233 170 255 185 278 5001-6000 105 158 120 180 135 203 150 225 165 248 180 270 195 293 6001-7000 115 173 130 195 145 218 160 240 175 263 190 285 205 308 7001-8000 125 188 140 210 155 233 170 255 185 278 200 300 215 323 8001-9000 135 203 150 225 165 248 180 270 195 293 210 315 225 338 >9000 145 218 160 240 175 263 190 285 205 308 220 330 235 353 *For residences that exceed 8 bedrooms, increase the minimum requirement listed for 8 bedrooms by an additional 15 CFM per bedroom. The maximum CFM is equal to 1.5 times the minimum. • Fresh Air Inlets are required for this option in each habitable room (includes all bedrooms, kitchen, etc., not bathrooms or utility rooms). What type of fresh air inlet will be installed? ❑ Window Port M Wall Port See next page C:Wmuments and Settings\markp\Local SettingMemporary Intemet Files\Content.Outlook\YCFWUM82\Checklist-Indoor Air Quality Am M w t 00 TYPE OF HEATING: • Electric: ❑ Wall Heater ❑ Baseboard ❑ Electric Forced Air ff Boiler •Non-Electric: ❑ Propane ❑ Oil Heat O Heat Pump ❑ Boiler VAPOR RETARDERS: Vapor retarders shall be installed toward the warm surface as represented below. Select one option for floors, walls, and appropriate ceilings: • Floors: ❑ Plywood with exterior glue ffPoly plastic(greater than or equal to 4 millimeter thick) ❑Backed batts • Walls: OPoly plastic(greater than or equal to 4 millimeter thick) NfFace-stapled, backed batts ❑Low-perm paint • Ceilings: ❑Not required where ventilation space averages greater than or equal to 12 inches above insulation Face-stapled, backed batts ❑Poly plastic(greater than or equal to 4 millimeter thick) ❑Low=perm paint HEAT PUMP EFFICIENCY: As listed in the ARI directory, heat pump efficiency shall be met as follows: ❑Split system, air source heat pump: HSPF greater than or equal to 6.8; COP greater than or equal to 3.0 ❑Single package, air source heat pump: HSPF greater than or equal to 6.6; COP greater than or equal to 3.0 ❑Water source heat pump: COP greater than or equal to 3.8 ❑Ground source heat pump: COP greater than or equal to 3.0 CENTRAL COMBUSTION HEATING SYSTEM AFUE: As listed in the GAMA Directory, the central combustion heating system AFUE rating shall be: ❑Greater than or equal to .78 (Med. Prescriptive Options& Chap 5 Calculation) ❑Greater than or equal to .74 (low Efficiency Options) ❑Greater than or equal to .88 (High Efficiency Options) ❑Other (as per Systems Analysis Qualification) C:\Documents and Settings\markpTocal Settingffemporary Intemet Files\Content.Outlook\YCFWUM82\Checklist-Indoor Air Qualiry.doc � w City of Port Townsend °FQpR7T°�y Development Services Department _ 250 Madison Street Suite 3 9 Port Townsend WA 98368 (360)379-5095 FAX(360)344-4619 MEMO TO: Patty Voelker, Finance FROM: Scottie Foster, DSD CC: Peter West DATE: December 11, 2009 RE: Refund for BLD09-176 On September 22, 2009, William B. West paid $3 for a new address number. It was then discovered that he had paid for the address on an earlier occasion. Therefore, please refund $3.00 to: William B. West, 2260 Seaview Dr., Port Townsend, WA 98368. A copy of the FMS Report is attached for your records. 400 OF ,,OPT Tp� Receipt Number: 09 0790 : �¢wns Recet iDate '09122/2009 x sIN Cashier SWASSMEIS T R� Payer/Payee zName WEST.WILLIAMsB p€ .i'v. `rr a.E<' ` .. t.. .. a'_.: 4 "+x-�� N> xY ,d! ...a.>: >-a;' a '�X :'�. .: ., .,^�f- 71 . 7s F i k €5 Or gmaIFeeAmount, Fee P� Parcels FeeDescnptlon n � Amount aidBal rice rl AN . BLD09-176 989710907 Plan Review Fee $900.74 $900.74 $0.00 BLD09-176 989710907 Energy Code Fee-New Single Family i $100.00 $100.00 $0.00 BLD09-176 989710907 Mechanical Permit Fee per Dwelling Ui $150.00 $150.00 $0.00 BLD09-176 989710907 Plumbing Permit Fee per Dwelling Uni $150.00 $150.00 $0.00 BLD09-176 989710907 PLAN REVIEW REFUND 150 -$150.00 -$150.00 $0.00 BLD09-176 989710907 Building Permit Fee $1,385.75 $1,385.75 $0.00 BLD09-176 989710907 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-176 989710907 Technology Fee for Building Permit $27.72 $27.72 $0.00 BLD09-176 989710907 Record Retention Fee for Building Per $10.00 $10.00 $0.00 BLD09-176 989710907 Site Address Fee $3.00 $3.00 $0.00 Total: $2,581.71 " i' Preyrous Payment H►story. Sr '"x?:v "' Y "" ? "' I £ fRece�pt�# Recei t Date Fee Desch tto Amount Paid Perm t# 09-0689 08/20/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-176 ethod " ' ' '3Number � � `� amount CHECK~ 2061 $2,581.71 Total: $2,581.71 genpmtrreceipts Page 1 of 1 E 9ORT Tp 00 O yy so Receipt Number. 09-0689 F2ece pt Date 08I20/2009h Cashier SFOSTER P yerlPayee N me WE�S�WILLB S Original Fee Amount + Fee Permit# ;Parcel z :,Fee Description �RM u�� ? Amountt � Paid ; ?Balance F _ .___.�._. _ _._ _ _ _ BLD09-176 989710907 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 777 7 Prev►ous Payment H►story Reset t# Reset t Date Fee Descn tton r $ p p p Amount`Patd Permit# PZl ayment} Check Payment' Method 4 ' � Number, Amount CHECK 2046 $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1