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HomeMy WebLinkAbout09177 City of Port Townsend Development Services Department /OM Gemeethan Notice PERMITNUMBER Nln — r7) OWNER JOB LOCATION , Inspection of this structure has found the followinif was �E�N j 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 mad?, cal for inspection. e Ww/o Dat Inspector I� 1A �L1 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 /�®jti�� PERMIT NUMBER U d ( _ / / / OWNER c /� JOB LOCATION 32 ( 3 (2LI-FF Inspection of this structure has found the following ems: l7 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 mad , call for inspection. I ,� Date 2 ool LU Inspector ► � K-� DSD ain Office (360) 379-5095 INSPECTION REQUEST (3610,).C3185-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department lg�pf�)/Ie� CLf=reect on Notice PERMIT NUMBER r5iA 0 "J 17_7 OWNER JOB LOCATION Inspection of this structure has found the following vio atioiTs. -f`i�t=1 i��li1.JF,, 1 �?�?'!/�iGL�Tf fib(%'1y�/I✓�`'C'rIL n;1 0 1XI-S C , 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 12 1cl.)l tT Inspector i ! DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE o�V.ORTtO�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 0 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. 959701206 PERMIT NO. BLD09-177 ISSUED DATE 09/10/2009 EXPIRATION DATE 03/09/2010 ADDRESS 3293 CLIFF ST CONSTRUCTION TYPE V-B OCCUPANT LOAD OWNER LOESCHEN DORIS PROJECT DESCRIPTION New SFR; existing house to become ADU. CONTRACTOR HILINE HOMES LENDER INSPECTION INSP )ATE COMMENT INSPECTION INSP SATE COMMENT SETBACKS SURVEY P141, GWB FOOTING FINAL PUBLIC WORK UFER l %Oi FINAL BUILDING Q 3j/�/�!0 FOUNDATION WALL IL 10 0 ul:it!2 QQ()Z AA; /-"q FOUNDATION DRAIN I SLAB MISCELLANEOUS FLOOR FRAMING i ly SHEARWALL&HOLDOIA �j1 /li8 FRAMING az AIR SEAL PLUMBING I� PLUMBING WTR PIPIN MECHANICAL l AM INSULATION i (z-�( VgLLS TO REQUEST AN INSPECTION CALL (360)385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. PORT r0 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 FFRIDAY. DATE OF INSPECTION: 10 2 3 PERMIT NUMBER: N Q ( / SITE ADDRESS: .3 Z L( CONTACT PERSON: PHONE: TYPE OF INSPECTION: f EV' I (k)A-LL to o , PROVED ❑ APPROVED WITH [I NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector (z/ � Date 23 Q 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. ORT T �OFP 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: )0 b PERMIT NUMBER: SITE ADDRESS: 3�q 3 e, �� � CONTACT PERSON: / PHONE: TYPE OF INSPECTION: 7T G1 09 ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector C ( Lo64 Date 16 M7 6 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�QORTTo�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 BYC}3:OOP]M FRIDAY. DATE OF INSPECTION: /V / D /g PERMIT NUMBER: SITE ADDRESS: J29 3 L L—i—F <,:� E k CONTACT PERSON: p� C PHONE: TYPE OF INSPECTION: 1��� 1 � C� `� ONL y AC-4S YEC 11#120UEt� !SI (P J lAk ) OALL Fo-k- ke /Xi Silk tl(-)k) ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding`. Inspector I A L pl y Date �a r 7 � 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. 9LI)6 N ,7/ RT City of Port Townsend �° Development Services Department BUILDING NUMBER APPLICATION Name of Property Owner: ZO r S 1-ve-S ch e N Mailing Address: TO �R ox 1,803 ?o r+ "T-Qw v 5 eK d . .9 S 3 6 g Telephone: Property is located in: Addition: Nil Block(s): 102 Lot(s): /, 02, 7 tR Faces/Access is from: Parcel Number S- 701 i Directions to the Property(draw vicinity map on back) AUG 2 0 2009 f DSD If this is a new ADU,has a building permit been applied for? Yes No Date: Notes: ITLZo , p 4he_ /aDj.nj ataune M-0-up r�x }�� `s �F crane-Ij _ tVufm.Q = 12 4 7 v 2✓ HOUSE NUMBER ASSIGNED: 93 �t�t /" 5-r Date of Approval: For Department Use Only: Application Fee Received ($3:90-,-TC-2200): S. 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 http://ptimaging/DSDBuilding_FormsBuildingPermitPacket/Application-Address Number.doc;6/12/06 3 4 5 1 2 3 4 5 24 MUG- 8 LO 8 3407 2 CN 8 8 6 co 7 7 2 7 2 7 2 7 �2 6 3 6 3 6 3 6 3 7 9=8 7 6 4 5 4 6 34th St. 5 4 5 2 3 4 5 8 2 2 P 7 2 7 2 7 2 3 3 6 3 3 7 6 3 6 4 U) 4 [jfl5 Q) [J05 2 3 4 5 8 CO El 8 65 2 7 2 El 2 7 2 7 1 2 2 4 5 3 Q 6 3 6 3 6 3 6 3 4 6 m 4 5 4 4 32nd St. 01 1 5 0 5 4 5 3 4 5 32nd St. 31 5 a M, 0 6 5 lij 8 8 2 2 7 2 7 2 7 2 3 VA El 3 M7 7 6 4 10 9 8 7 6 N5 4 6 5 4 31 st St. 5 4 5 V5 a 23 4 5 1 8 1 8 1 8 CO 8 2 7 2 7 2 wa 7L 2 2 7 3 3 6 3 6 6 7 65 4- 5 4 5 4 5 4 5 1331.33 1331.33 C0 U) 2 7 -0 >1 2- LLJ 7 a 2 7 2 7 2 7 3 6 O�pORTTp�y BUILDING PERMIT ti� iP City of Port Townsend wDevelopment Services Department 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-177 Permit Type Residential- Single Family-New Project Name New SFR; existing house to become Site Address 3293 CLIFF ST Parcel# ADU. Project Description 959701206 New SFR; existing house to become ADU. Fee Information Project Details Project Valuation $197,845.64 Dwellings—Type V Wood Frame 1,940 SQFT PLAN REVIEW REFUND 150 -150.00 Private Garages—Wood Frame 528 SQFT Plan Review Fee 1,002.66 Units: Heat Type: ELECTRIC BBH Energy Code Fee-New Single 100.00 Bedrooms: 3 Construction Type: V -B Family Unit Bathrooms: 2 Occupancy Type: R-3/U-I 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 Building Permit Fee 1,542.55 State Building Code Council Fee 4.50 Technology Fee for Building Permit 30.85 Record Retention Fee for Building 10.00 Permit Site Address Fee 3.00 Total Fees $ 2,993.56 Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. Ca11385-2294 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. f Print Name 262i"/S 0&oS C` Date Issued: 09/10/2009 c� �/ ^ OLQQ� p Issued i SFOSTER Signature � T' v� ) Date � �� Qa Date Expires: 03/09/2010 O�PORTTO�Y BUILDING PERMIT City of Port Townsend Development Services Department �w 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-177 Permit Type Residential - Single Family-New Project Name New SFR; existing house to become Site Address 3293 CLIFF ST Parcel# ADU. Project Description 959701206 New SFR; existing house to become ADU. Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Loeschen Doris Owner Loeschen Doris Contractor Hiline Homes Gibbs (360)379-8600 STATE HILINH*981137 02/10/2010 Contractor Hiline Homes Gibbs (360)379-8600 CITY NW Central 00i 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 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: 09/10/2009 Issued By: SFOSTER Signature Date Date Expires: 03/09/2010 li7J,I i 1 s; Development Services poar 250 Madison Street, Spite 3 . Port Townsend WA 98368 }:_ AUG 2:� ���� ;s...J..` Phone: 360-37975095 1 Fax:;360-344=4619 ¢wn �IiY OF PORT TOVJNSEND www.Cityofpt.us Residenti I Buildin Per.. itApptication roject Address: 0 i (f S Legal Description (or Tax#): Office Use Only: f Addition: i I `.S Permit#;BLD09- Zoning: 2 `T Block: Associated Permit Parcel# Lot(s). J, a, 7,R 9s9 '�o/ Z oe Project Description: U.tQ�(h,�.l.(� EI'oU/)'L_` e � /►u� ➢ 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/Applicant: Lender information must be provided for projects Name: Boris Lcesc� &0 over$5,000 in valuation per RCW 19.27.095. Address: `P. 0. 2 O x Ig 0 3 Name: M. A, City/St/Zip:Torf lou)i'Kp-t2d, QA.R (nb3R5-61 Project Valuation: $ ISO, e60, cry Phone: @ Email: d&i,43 6e Mfj�U)J . jut Building Information (square feet): 1s`floor 194() Garage: 2"d floor D Deck(s): Contact/Representative: ' I 3`d floor�_ Porch (es): Q Name: i��,V ���_ Basement: is it finished? Yes No Address: Carport: Other: City/St/Zip: Manufactured Home❑ ADU ❑ Phone: New Addition ❑ Remodel/Repair❑ Email: Heat Type: Electric Heat Pump Other Contractor: ❑ Same as Owner Total Lot Coverage(Building Footprint):* Name: 14;L-ine, ffOM&S Square feet: 3,O y-4- % oZo2 Address: -94 ka-)a -ciou 1`t- Tl cF_ Impervious Surface:* City/St/Zip:- Qrf-roW tsend, oft 8236E Square feet: tq- *Total existing&proposed Phone: 360--372-8600 Exf 104 what year was the structure built? Email: —am 1U eNi Lik)o , Cov» If work includes demolition, see Page 2. State License#:IH( N H.Q&-P 1 Exp: l O Any known wetlands on the property? Y City Business License#:__DE)7-:RI.S Any steep slopes (>15%)? Y NO 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: Jori's l.DP_SC�lEN Signature: �APi'�C� Date: aZ2 422, Page 1 of 2-5/14/2009 0 0 RESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new dwellings, additions, remodels, and garages, ❑ Residential permit application. ❑Washington State Energy&Ventilation Code forms ❑Two(2) sets of plans with North arrow and scaled, no smaller than %4'�= 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: no fee for HPC Administrative review. Complete HPC Form. Partial demolition includes exterior demolition for additions and remodels. Page 2 of 2-5/14/2009 wa I a-t f ro vn f_orv►eY' L� RI Ie�ro X 3�8 t� I I 18z33 �� FAN. Rtle(r�(rp \ I ,boo t m VAULT LINE I ;� ii ro 0 — — I "X 33'sA � \ t)O OItyolrac �t�{fed EH FAN W/TIMEt �\ 1 rc, \ / SWITCHzz - O db I � I e wP(p f 1 le ►ro 1;erco Lt1&4+ = I " f{, � %3 '�u,' � I Q.44- = l 8`' f-f, 3 3 _3/8 i oU& are - - - INN Ito I I f 91 ckqn8es EL CrIRICAL FL �I I,j'�,•r,. One gn, two comfort solutions. The 101 ® ® Allegro is a natural convection unit with a ? ". unique design and all the Convectair r® a :. � advantages. 750W 3 3/8" "HER WATTqG I- WIDTH r1F��l I ' ; 6• Y�, 18Uz" m I�E 4y A CABL -EMyE WIDTH 2 — ----- 750 W ! 1 000 W 1 1 250 W 1 500 W 1 1 750 W , 2 000 W 94! y 7in j 9-'=in I 12G2in I 16in 16in 16in HEATING ELEMENT " Basic heating Convection : X-shaped,monoblock element made of surface-treated extruded aluminum. Manual reset overheat protection. (750 to 2000 W) , TEMPERATURE CONTROL 'pp' 4©- Electronic thermostat Built-in electronic proportional-action thermostat ultraprecise to 1/5°F. CONTROL PANEL Location Located on top right hand side of the unit with see-through lockable protective cover. Dial 1 Thermostat control dial can be locked. 2 Economy adjustment dial(setback can be set between 40F and 130F below the Comfort setting). Mode-function selector 5-mode-function selector with indicator light:Off;Comfort;Economy(setback of 7°F below the Comfort settings); Frost protection (450F);Program(automatic setback when connected to the Convectair Programmer -see technical specifications for catalogue number 7392). Indicator light Heating indicator light CABINET 4; n i i Steel construction with polyester/epoxy anti rust powder coating.11 ;:•x: Cabinet Built-in side wire covers. <' Louvres Front-louvered air outlet that hides the unit interior and directs heat towards the center of the room. ; Color BB=White INSTALLATION Installation Quick-mounted surface installation with easy snap-on bracket that also serves as marking template. Y P g P Connection Armoured cable complete with junction box cover and wire connector supplied with heater. Installation requires a wall box(not included). x:-` Installation height 4 in Clearances a Front:20 in e►Sides:6 in a Above:4 in ,f }' Note 3-conductor cable or 2-conductor cable plus a third wire should be used if unit is to be linked with the Convectair Programmer module(7392 FP). 1 1 t• � , '� � °t�f'�'� jjt��a 'St ALLEGRO (1)(sa A7300-007 BB 750 W 563 W 18 U2 19 4 U4 11,7 A7300-CIO BB 1 000 W 750 W 18 iit 22112 41i4 12,8 hie f, A7300-02 BB 1 250 W 938 W 181/2 251l2 41i4 13,9 I x"'I - T—... A7300-0 5 BB 1 500 W 1 125 W 18112 301," 4 i, 17 A7300-07 BB 1750W 1313W 181/2 333I8 4ii_ 194 A7300 C20 BB 2 000 W 1 500 W 18112 33 h 41/4 19,4 "•'�'r1 20 Compatible with the Convectair Programmer system(see technical specifications for catalogue number 7392). sv Control panel designed to accept the 7392 Programmer module. S ._6L For guaranteed,dependable operation, we recommend that all units be installed by a licensed electrical contractor. x;.l 28 www.convectair.com ` "1 r �J %zz warms towels and bathrooms in r y f e record time. Perfect for people who like the ,,f"',,, comfort of quick heat and the silence of Ja � basic convection heat. — 24 t/4„ C 44 JUNCTION 1 BOX (RESPECT 9 1/2„ THE INDICATED 1 , ;J t s�rr� ' r9t /j / 8 5/8" INCLUDING .. ..,..,.i. _. . _. BRACKET HEATING ELEMENTS Basic heating Convection :X-shaped,monoblock element made of surface-treated extruded aluminum. Automatic reset overheat protection. (750 or 1000 W) 120-V unit:Manual reset overheat protection. ?� =si %T, Quick heat Fan forced heat and towel drying: Low-thermal-mass heating element combined with low-pressure tangential blower. (750 or 1000 W) Resetable overheat protection Reset by turning heater off. TEMPERATURE CONTROL -66'- Electronic thermostat Built-in electronic proportional-action thermostat ultraprecise to 1/50F for convection heating. r Timer 0-30 minute resetable mechanical timer for drying or fast heating. xw":'• CONTROL PANEL s° Location Located in the front of the unit with protective cover. Switch on/Off switch,also serves as reset for overheat protection. Dial 1 Thermostat control. 2 Timer dial with 3 mode-function selector(see below). Mode-function selector 3-mode-timer-function selector:Fast heat(2000 W);Towel drying(1000 W);Room-temperature drying. Indicator light Heating indicator light, 1.„1 CABINET Steel construction with polyester/epoxy anti-rust powder coating. �i Cabinet Splash-proof construction with rounded edges and built-in side wire covers. ;;,1a, Louvres Top forward-louvered air outlet ensures even room temperature. `r Color BB=White INSTALLATION V, : a 4p Installation Quick-mounted surface installation with easy snap-on bracket. 'Jt,rJ Connection 240-V unit:Armoured cable complete with junction box cover and wire connector supplied with heater. installation requires a wall box(not included). 120-V unit:Plug-in connection with 6'flexible cord. �.. •a I Installation height 30 in Clearances ®Front:20 in o Sides:6 in a Above: 12 in ~' "� Note 246 V unit: 3-conductor cable or 2-conductor cable with a third wire should be used if unit is to be linked with the Convectair Programmer module 7392 FP. g ( ) we ,r JAll OO A7618-C20 BB 1000-2000 W 24114 2011s 85/8 21,4 q, 1 4 1 • ®' � ® - ' JAll ® 7618 B15 BB 750- 1500 W 241/4 . 20118 8518 21,4 z0 Compatible with the Convectair Programmer system (see technical specifications for catalogue number 7392). t ® Not compatible with the Convectair Programmer system;plugs into a 120-V outlet. For guaranteed,dependable operation, we recommend that all units be installed by a licensed electrical contractor. 36 www.convectair.com '' • a CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG ,\ PERMIT # L�(� ' r 7 7 DATE RECEIVED Q / SCOPE OF WORK: J. DATE ACTION INITIALS ENTERED INTO CHET CHECKED FOR COMPLETENESS V - ff Z �Q P6S c Vied 3 Z cl Zoning: Setbacks OK? .f Lot Size: o 1 Building Size: -CX'1S1 57 Lot Coverage: FAR OK? a _ CC)' ✓b m�` " Height OK? OA Parking OK? c q r r t�sq. 27 Critical Area? - �! Demo? No Historic Rev? Notice to Title? Lots of Record? A. Abrous, Ph.D., P.E. HiLine Homes, Inc. Page 1 of 31 PLAN 1940-08 [30-PSF SNOW, 120 mph, Exp. C, & SDC D2] PROJECT-INFORMATION AND CRITERIA 1. PROJECT INFORMATION OWNER/ADDRESS: See Permit Application TAX PARCEL NUMBER/SITE ADDRESS: See Permit Application JOB NUMBER: See Job Binder 2. STRUCTURAL DESIGNER INFORMATION ABDELOUAHAB (Wahab) ABROUS, Ph.D., P.E. 0v I AHAB,q 4(oy HiLine Homes, Inc. off`' o¢WAS4 e'�o Engineering Department 11306 62ND Ave E., Puyallup, WA 98373 Phone: (253) 770-2244 Ext. 132 Email: Wabrous(j)HiLinehomes.com �,; 6110 .� Washington Licence No: 36110 1 EXPIRES ! l Q Note: The Above stamp applies to the structural Oregon License No: 81419PE members and assemblies described in the following calculations only and is valid with a copied or wet stamp intended for reuse by HiLine Homes, Inc. 3. SCOPE OF DESIGN TYPE OF DESIGN LATERAL ENGINEERING ANALYSIS OF WIND AND SEISMIC FORCES. EXTENT OF D 1GNT `�jj r rnl� Structural specifications for residence. U v u I I I 2006 International Building Code (IBC) TAUG3 2 C !J 2006 International Residential Code (IRC) ._ L National Design Specification (NDS) cily or PURT ov;ystw° American Society of Civil Engineers GAD (ASCE) Standard 7 REFERENCE CODES AND STANDARDS American Society for Testing Materials (ASTM) Standard A307 American Plywood Association (APA) FLE O oM Diaphragms and Shear Wall �uf Design/Construction Guide, November 2004 Revised PROJECT INFORMATION AND CRITERIA Printed 8/22/2008 Plan 1940-08 30-PSF Snow, 120 mph, Exp C, & SDC D2 2/19/2009 ��'� i.. ._ �-- c� �� .vy;.` < r, T`='�"�d �'�� a � - � ���; � a '1 -� � ��`�;� � ' ��,y ���'���-.°_�-1 rA���..C�i �v Z/�/� :aS 1 i Suzanne Wassmer From: Alex Angud Sent: Tuesday, September 08, 2009 9:34 AM To: Suzanne Wassmer; Fred Slota Cc: Samantha Trone Subject: RE: BLD09-177 Still waiting for the storm drainage size & calculation. Perk test is next. Thanks. Alex -----Original Message----- From: Suzanne Wassmer Sent: Friday, September 04, 2009 3:02 PM To: Fred Slota Cc: Alex Angud Subject: RE: BLD09-177 Certainly. Alex, what's the status of MIP09-088 for Doris Loeschen? It looks like Francesca signed off on it 8/26/09 but it ' s not at the Counter. Someone from engineering also needs to sign off on her BLD09-177 please. Thanks ! Suzanne -----Original Message----- From: Fred Slota Sent: Friday, September 04, 2009 1:39 PM To: Suzanne Wassmer Subject: BLD09-177 Suzanne, I have competed the plan review for Loeschen (BLD09-177) . The file is in the waiting for sign off bin. However, could you and I discuss the impervious area after the holiday like Monday morning to make sure that their site plan is correct. Thanks, Fred 1 HIS Window Schedule for NE ~ ° MES Plan 1 0 Manufacturer: Milgard Windows Inc. Type: Vinyl Model: Style Line Series U-Value= 0.35 Window SIZE GLAZING TOTAL LOCATION Quanti widthxhei ht AREA SQUARE FT. 2 1'Ox5'0 5 10 Entry *1 6'Ox4'0 24 24 Master Bedroom 1 4'Ox4'0 16 16 Bedroom#2 1 6'Ox5'0 30 30 Bedroom#3 1 4'Ox4'0 16 16 Master Bathroom 1 4'Ox3'6 14 14 Kitchen 1 6'Ox5'0 30 30 Great Room 1 6'Ox6'10" SGD 41 41 Dining Room 1 4'Ox4'0 AL 16 16 Garage Total Window Area = 197 SQ.FT. tT-otalGlazinq Area = 197 SQ.FT. (197 ! 1940) ` 0.102 x 100 = 10% (Glazing Area / Conditioned Floor Area) x 100 = Glazing Percentage * If a sliding glass door option was chosen, switch the appropriate window with the slidinq qlass door and use the calculation below. 1 6'Ox6'10 SGD 41 41 Appropriate Room (214 / 1940) 0.11 x 100 = 11% (Glazing Area / Conditioned Floor Area x 100 = Glazing Percentage *All other doors,windows and skylights do not need to be calculated because they meet all minimum requirements Updated 5/5/05 Lj CITY Or POi?T TOWNJEND ` ..;y. 1 ^ts�F.. � .;:,�,,, a:a k✓,�+ u,. ..�.+- �<x a�- Pr.�:•a ^$:,;• s, wy,r:., ,. ,'d3 P=�.f, +. '.5. .u.� .4..-3Ym'49 �.i,.lya •.(5.i 4.4,'� :a ,%:�, s!`nF Y� d:'. +# .:P,',}'� -'�'- �'afF r.,:r' •.>z�> 45: ,93 s',....,Zt d.�<:�d� ',z�', ':,�` <.a J< ,1#. 7 ���.t„ :ar^:,,.. - 3: >.,:�», + r.-: C2 s:E r.. :°•; fiv. r"mx. F r,'s. i,. r+,t 7# #",}` i"., ' .. x r:. di�` a,.. ,,W.. _. ',*c.-s^r '. a-...,,.. >.,•r.-... 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'>��`' • 0 City of Port Townsend TABLE 17.16.030 Residential Zoning Districts- Bulk, Dimensional and Density Requirements DISTRICT R-1 R-II R-III R-1V MAXIMUM HOUSING 4 dwelling units(Multiple 8 dwelling units(Multiple 16 units per 40,000 sf 24 units per 40,000 sf DENSITY(units per dwelling units on a single lot dwelling units on a single lot of lot area of lot area 40,000 square foot area) must be contained within a must be contained within a single structure,except: a single structure,except: a permitted accessory dwelling permitted accessory dwelling unit(ADU)may be unit(ADU)may be established in a separate established in a separate building if allowed by building if alloyed by 17.16.020 PTi\4C) 17.16.020 PTMC) (10,000 sf of lot area per unit) (5,000 sf of lot area per unit) MINIMUM AVERAGE 10 units where a parcel 15 units HOUSING DENSITY and/or contiguous parcels (units per 40,000 square under single ownership foot area) are 12,000 square-feet in size or greater MAXIMUM NUIMBER 4 (Note: limited structures 4 (Note: limited structures No limit No limit OF DWELLING UV'ITS %yith more than 4 dwellings with more than 4 dwellings IN.ANY ONE per structure may be permitted per structure may be STRUCTURE through the PUD process,see permitted through the PUD Chapter 17.32 PTMC.) process. see Chapter 17.32 PTIMC.) MINIMUM LOT SIZE 10,000 sf=single-famil 5.000 sf=single-family 3,000 sq ft=single-famih detached detached detached; 5,000 sf= single-family attached (duplex); 7,500 sf= single-family attached (triplex); and 10,000 sf= single-family attached (fourplex)and multi- family' MINI1%4U1\4 LOT 50' 50' 30' except: 100'= WIDTH multifamily MINIMUM FRON"I0:except: 10' except 20 feet for 20'except. 20' except; YARD SETBACKS 50'=barns and agricultural garages with vehicle access 10' �%/side or rear 10' %y/side or rear buildings facing a street right-of-way parking/garages:garages parking; no setback for and 50'=barns and with vehicle access facine multifamily structures agricultural buildings a street right-of-\gay must located within 200 feet be setback 20';no setback of an abutting mixed use for multifamily structures zoning district located within 200 feet of an abutting mixed use zoning district MINIMUM REAR 20' except: 10' except: 10' except: 15' except: YARD SETBACKS 50' =barns and agricultural 100'=bams and agricultural no setback for multifamily 20' if directly abutting buildings,and 100' if abutting buildings structures located within an R-1 or R-II district,no a R-II, R-III,or 200 feet of an abutting setback for multifamily R-IV zoning district mixed use zoning district structures located within 200 feet of an abutting mixed use zoning district See Back of This Page For More t In order to achieve the minimum density, subdivision of parcels 12,000 square feet or greater shall not allow individual lots larger than 4,000 square-feet unless said lots are reserved for multi-family dwellings. P:IDSDTormsWuilding Forms Unformation-Table 17.16.030 Res Zoning Districts.doc Page 1 of 2 05115109 • City of Port Townsend TABLE 17.16.030 Residential Zoning Districts- Bulk, Dimensional and Density Requirements DISTRICT R-1 R-11 R-111 R-IV MINIMUM SIDE 5'except: 5'except: 5' except: 151 except: YARD SETBACKS 10'=abutting a street r-o-w; 10'=abutting a street r-o-%V: 101=along a street r-o-w; 20' if directly abutting 20 feet for garages with 20 feet for garages with 20 feet for garages xvith an R-1 or vehicle access facing a street vehicle access facing a street vehicle access facing a R-11 district;no setback right-of-way and 50'barns right-of-way and 100'= street right-of-way and no for multifamily and agricultural buildings and barns and agricultural setback for multifamily structures located within 100' if abutting a R-Il,R-III, buildings structures located within 200 feet of an abutting or R-IV zoning district 200 feet of an abutting mixed use zoning district mixed use zoning district iMAXIMUM 30' 30' 35' y 35' BUILDING HEIGHT MAXIMUM LOT 25% j35%except 40%where an 45% 50% COVERAGE ADU is included on the lot �dAXIIMUM FENCE Front=4';Side=8'; Side Front--4': Side=8'; Side Front=4% Side=8';Side Front=4';Side=8'; HEIGHT* abutting a public right-of-\\ay abutting a public right-of- abutting a public right-of- Side abutting a public =4';rear-8' way=4';rear-8' �\av=4'; rear-8' right-of-�sav=4'; rear-8' • NOTE: Maximum fence heights apply within any required front, side,or rear setback area or along the edge of any required yard; refer to Chapter 17.68 PTMC, Fences, Walls, Arbors, and Hedges for specific requirements. (Ord. 2967 3 4.2.2008;Ord. 2939 33 1,2,2007;Ord.2913 3 2,2005;Ord. 2925 3 4, 2003;Ord. 2782 3 4,2001;Ord. 2716 3 4.3, 1999: Ord. 2700 3 11, 1999; Ord. 2571 3 2, 1997). P:IDSD'+ForrnslBuilding ForrnsUnfonnanon-Table 17.16.030 Res Zoning Districts.doe Page 2 of 2 05.'15109 OF PORT TOk City of Port Townsend o Development Services Department 250Madison Street,Suite 3grwns Port Townsend,WA.98368 (360)-379-5095: Fax: (360)344-469 Washington State Indoor Air Quality 2006 Residential Construction Checklist for Zone I This form is to be completed in addition to prescriptive compliance form or component performance compliance calculations. Please answer the following questions: VENTILATION REOUIREMENTS FOR INDOOR AIR QUALITY: What kind of ventilation will be used throughout the house: Exhaust Option ❑ HVAC Integrated Option If you chose"Exhaust Option," complete the following: , + a • Where is your whole house fan located(what room, etc.)? O 04 • What size is the whole house exhaust fan? See table below: Floor Bedrooms Area, ft2 2 or less 0 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 191L-d500. 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 85 128 100 150 115 173 130 195 145 218 160 240 175 263 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 ai£inlet-will-be-installed? Window Port ❑ Wall Port See next page C:\Documents and Settings\markp\Local Settings\Temporary Intemet Files\Content.Outlook\YCFWUM82\Checklist-Indoor Air Quality.doc TYPE OF HEATING: • Electric: Wall Heater ❑ Baseboard ❑ Electric Forced Air ❑ Boiler • Non-Electric: ❑ Propane ❑ Oil Heat ❑ 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 .Poly plastic (greater than or equal to 4 millimeter thick) ❑Backed batts • Walls: ❑Poly plastic (greater than or equal to 4 millimeter thick) ❑Face-stapled, backed batts „IRLow-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) gow-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 Settings\Temporary Intemet Files\Content.Outlook\YCFWUM82\Checklist-Indoor Air Quality.doc N O O N O O C7 *k DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL N Ii REGIST. # EXP. DATE CC01 HILINH*98113T 02/10/2010 °O EFFECTIVE DATE 01/30/2002 HI-LINE HOMES 0 11306 62ND AVE E PUYALLUP WA 98373 � ! I te_s-t -t>fxt,vlv, Detach And Display Certificate — N N N O t` ti C7 u7 CIA REGISTERED AS PROVIDED BY LAW AS oil CONST CONT GENERAL Please Remove REGIST. # EXP. DATE 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 � I signature CD Issued by DEPARTMENT OF LABOR AND INDUSTRIES Lu F62 5-05 L000 1,10971 S E O_ Li mw .NIk 61 i. (JO ( SC�9 4 e 31 ' 48' W T O 1 T' T HOUSE #3297 , F tr, eY. S+vL in o 1 6[]T W _ ® OLn 100. 00 CD r" O U ; J-0 i f I 100. 00 ! :sty i N O O CV O O rL- N DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL N t/ REGIST. # EXP. DATE � CC01 HILINH*981BT 02/10/2010 EFFECTIVE DATE 01/30/2002 _ o HI-LINE HOMES r- 11306 62ND AVE E PUYALLUP WA 98373 Detach And Display Certificate --' Cp N N [V O t� f` co to REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE Please Remove CCOI 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 w Sipisture_ o Issued by Df✓PAR"rawhNT OF LABOR JAND iNDUSTRICS w J S E _O li. Parcel Details Page ] of 2 ff Home County Info Departments Seoich Parcel Number: 959701201I SEARCH Parcel Number: 959701201 Printer Friendly Owner Mailing Address: DORIS LOESCHEN PO BOX 1803 PORT TOWNSEND WA983680210 Site Address: Section: 4 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HILL'S ADDITION Assessor's Land Use Code: 9100 - VACANT LAND Property Description: HILL'S ADDITION I BLK 12 LOT 1 1 I Click on photo for larger image. J No J No 2nd Photo Photo Available Available No Permit No Assessor Data Data Available Tax, A/V, Sales Info Map Parcel Plats &Surveys Available HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.Jefferson.wa.us/assessors/parcel/parceldetail.asp I/16/2009 Parcel Details Pagel of 2 „ �`��.�4a z ,� C" Weatt►er Stat.on �°'�� '�- .Database Tools �Maps� �►�(�_�..Webcam Home County Info Departments Search) P Parcel Number: 959701202 I SEARCH Parcel Number: 959701202 Printer Friendly Owner Mailing Address: DORIS LOESCHEN PO BOX 1803 PORT TOWNSEND WA983680210 Site Address: Section: 4 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HILL'S ADDITION Assessor's Land Use Code: 9100 - VACANT LAND Property Description: HILL'S ADDITION I BLK 12 LOT 2 I I Click on photo for larger image. x l No No 2nd Photo Photo Available Available No Permit No Assessor Data Tax, A/V, Sales Info Map Parcel Plats & Surveys Available Data Available HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co-iefferson.wa.us/assessors/parcel/parceldetail.asp 1/16/2009 Parcel Details Page l of 2 a i M. a Weat►erS#ation ' Database-Too3s _Maps _ r+` Q Vfebcam _ Nome County Info Departments Search Parcel Number: 959701206 SEARCH Parcel Number: 959701206 Printer Friendly Owner Mailing Address: DORIS LOESCHEN Wit PO BOX 1803 Co r� PORT TOWNSEND WA983680210 YA-� u Site Address: 3297 CLIFF ST PORT TOWNSEND 98368 Section: 4 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HILL'S ADDITION Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: HILL'S ADDITION I BLK 12 LOTS 7 & 8 1 l Click on photo for larger image. No 2nd ,-^ Photo hr Available No Permit Data Assessor Bldg Data Tax, A/V, Sales Info Map Parcel Plats &Surveys Available x== I I s HOME COUNTY INFO DEPARTMENTS I SEARCH c Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac littp://www.co.jefferson.wa.us/assessors/parcel/parceldetaI].asp?PARCEL NO=959701206 1/16/2009 Assessor Detail Building #1 Page l of I °h y Weather Statwn Databa a Tools, Maps web am Homo County Info Departments Search 1 Assessor Detail Building #1 Parcel Number: 959701206 Building Number Year Built Year Remodeled 1 1993 0 Building Exterior Building Area Building Interior Building Type: HOUSE 1st Floor Area: 576 Int. Walls (Cabin): Building Style: 1 STY 2nd Floor Area: 0 Heat: ELECTRIC BB/WALL Foundation:CONCRETE PERIM. 3rd Floor Area: 0 Exterior: SIDING/STUCCO (LAP) Loft Area: 246 Floor Cover(1): VINYL Roof Cover:COMPOSITON Attic Area: 0 Floor Cover(2): FINISHED WOOD Total Area: 576 Basement Area: 0 Building Rooms Mobile Home Garage Bedrooms: 1 Make: Type: Full Baths: 1 Model: Area: 0 Half Baths: 0 Length: 0 Exterior: Width: 0 Roof: Year Built:0 Carport Square Footage: 0 Skirting: Area: 0 1st Addition 2nd Addition Type: Type: Area: 0Area: 0 Year Built: 0 Year Built: 0 Exterior: Exterior: Roof: Roof: To view another building associated with this parcel. Select building : 1 2 3 + HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://wwNN,.co.jefferson.wa.us/assessors/parcel/assessordetal l.asp?Parcel_NO=959701206 1/16/2009 Parcel Photos Page I of 1 'Parcel Number. 959701206 Site Address.- 3297 CLIFF ST PORT TOWNSEND 98368 No 2nd Photo Available rt C-.- MAI� �a i 3r o http://www.co.jeffersoii.x\,a.us/assessors/parcel/parcelpliotositus.asp?Parcel_NO=9597012... 1/16/2009 Parcel Details Page 1 of 2 ---- - � �Weatfier_-Stationer� Qatabase=Tools_�MapS—��(b�__Webca Home County Info Departments Search Parcel Number: .959701206 SEARCH Parcel Number: 959701206 Printer Friendly Owner Mailing Address: DORIS LOESCHEN PO BOX 1803 PORT TOWNSEND WA983680210 Site Address: 3297 CLIFF ST PORT TOWNSEND 98368 Section: 4 School District: Port Townsend (50) Qtr Section: NE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HILL'S ADDITION Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: HILL'S ADDITION l BLK 12 LOTS 1, 2, 7 & 8 Click on photo for larger image. A !J No 2nd Photo Available �f 4 L '�� No Permit Data Assessor Bldg Data Tax. A V Sales Info Map Parcel Plats &Surveys Available HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later 0 Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 8/20/2009 °Q'PORT TOk o Receipt Number: 09-0752 Receipt Date 09/10/2009 Cashier: SFOSTER Payer/Payee Name: LOESCHEN DORIS Original Fee Amount Fee Permit# Parcel Fee Description Amount Paid Balance BLD09-177 959701206 PLAN REVIEW REFUND 150 -$150.00 -$150.00 $0.00 BLD09-177 959701206 Plan Review Fee $1,002.66 $1,002.66 $0.00 BLD09-177 959701206 Energy Code Fee-New Single Family i $100.00 $100.00 $0.00 BLD09-177 959701206 Mechanical Permit Fee per Dwelling Ui $150.00 $150.00 $0.00 BLD09-177 959701206 Plumbing Permit Fee per Dwelling Unii $150.00 $150.00 $0.00 BLD09-177 959701206 Building Permit Fee $1,542.55 $1,542.55 $0.00 BLD09-177 959701206 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-177 959701206 Technology Fee for Building Permit $30.85 $30.85 $0.00 BLD09-177 959701206 Record Retention Fee for Building Per $10.00 $10.00 $0.00 BLD09-177 959701206 Site Address Fee $3.00 $3.00 $0.00 Total: $2,843.56 -Previous Payment History Receipt# Receipt Date Fee Description Amount Paid Permit# 09-0690 08/20/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-177 Payment` `Check Payment Method Number Amount CHECK 1306 $2,843.56 Total: $2,843.56 genpmtrreceipts Page 1 of 1 OF pOPi TOE � ym u o Receipt Number: 09, •:-1 _ �,. -,r_]h. -4:Mxy s,*-.c[ "' a Sa '?, .s�n''"_.axa e�S' r°'.y e Receipt Date Q8/20I2009 �{3 Cashier SWASSMER� PayedPayee Name ,LOESCHEN DORIS��� u #�� 'L GT .�s__ :., ��''. ��-�-_:xl.::�.�-.,..�.__.�_.', :-�_ ,._. ._�.�..___sue,.._�s"_',--��• _..s:_.._.r_„__�...-_:...v_.s'i.z-s?�._�s�'s -��' .�_...��_.._�.a_.__;.:�._.._sr ,: :€.ss.:. _)�f !k a w, Y,�' yklve� a ,' �„ .r-rt g.�,w"1{ "�..� z� `�"�- �'qx. �, -�- � r�£ f3 , ,N "''S 4 x i,+r».zt^ 'cs a._ i' •` 's3. r. x � � ,_{ Ongmal�Fee _j Amount - Fee i ! 3 i -x,x ��'�'.a-r'e-mac �rfi•..0''wS. 3 'l�s'-fir: F #'�x -y' "rt-'gw"a K k' ft Penntt# x "t Parcel £� Fee Descnpt�on� � �� pmount� � ,f sPa�dBalance � :a, s� �9.-:%"ix,. BLD09-177 959701206 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 ,k x ,T` r L "tc "—r-s• .4. —.fin. �. 7 z' q ct :,v. r+„- .31-S s ..a # a 3MEPreWo Ws:PaymentHastory � e: tL �.. r#t '�3""'°. k G�"3§ox I€�.+.r.,. -ai.�-•`"''k3 st" -''�'- s,1 Rece►pt Date : "Fee Uescri no ' r Amounf Paid s2 Permit# PaYenf Check ' ''y ienf Method' Numbee, i y £<� Amount CHECK 1305 $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1 A �