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HomeMy WebLinkAbout09206 CITY OF PORT TOWNSLi j /PERMIT ACTIVITY LOG PERMIT # l,�O — �� 6 DATE RECEIVED COPE OF WORK: i/ 01 e-,41 doi-ei) DATE ACTION INITIALS ENTERED INTO CHET 62 a-M CHECKTD FOR COMPLETENESS FOR DAT TIME A.M.p.M. M < OF a� Pi ONE I MOBILE 1 F/ MESSAGES U �HONV---Y ED C LL z L CAL ILL CAL G CAME O SEE YOU SIGNED 1154 WANTS TO SEE YOU Zoning: Setbacks OK? a (; Lot Size: Building Size: Lot Coverage: FAR OK? Height OK? Parking OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? ve OCT 1 4 ­9 MY OF PORT TOWNSEND DSD Development Services of Qoer rok > y� 250:Madison Street;Sulte.3'' �o P6ft Townsend WA 98368 Phone. 360=379=5095 = - , .; Fax;-:360�34;4-4619 , �wasr www:cityofpt.us Residential Building Permit Application Pr j ct Address- Legal Des tion (or Talc #): Office Use Only VY U Addition: f� Permit#BLD09- Zoning: I S I — O 601 Block: f Associated Permits: Parcel# n Lot(s): --(./ ,4- Project Description: C.v)-i�,/M7 /49 6,>✓encro Pod?-C-(d i L7J c w 5 Gb v N ,- Ero S L,ti P a 2c i 1 > 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: Propert wne /AppU n : Lender information must be provided for projects Name: / over$5,000 in valuation per RCW 19.27.095. Address: a Name: City/St/Zip W h GJ l3 (o Phone: D 3 _ 0 3 7 1 Project Valuation: $ Email: r4a 1, Building Information (square feet): is, floor Garage: Conta epr e: 2nd floor Deck(s): Name:c /Lsepta 'v 3`d floor Porch (es): 1 _ Basement: is it finished? Yes No AddresPi4m Carport: ' Other: City/St/ w11. � � Manufactured Home ❑ ADU ❑ Phone: " d New Addition ❑ RemodeURepair❑ Email: , rz txq A, rka Heat Type: Electric Heat Pump Other Contractor: ame-as-Owner Total Lot Coverage (Building Footprint):' Name: Square feet: 13/Z % Address: U I ii II I Impervious Surface:' jtO o� 1--,;)7 0 lb City/St/Zip: n nT I vl I LJ I Square feet:S"8 Total existing &proposed Phone: i_____ I What year was the structure built? �S- Email: CITY OF POFi— TTrn^,/V"—Nn J I pQ- If work includes demolition,see Page 2. State License #: Exp-. --j Any known wetlands on the property? Y City Business License #: Y 0 Any steep slopes (>15%)? 1 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 activibe a sociated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code- Print Name: L Signature: Date: y�D�j Page 1 of 2 -5/14/2009 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 u 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 i I Su RuEy rVII ST Sad.PPH I fZE I io 8 /3 7 f /y W i W w i 010 }- N o RTH v� i(o HOU5E LOCATION --- ` -- PROPOSED 3LD LOTS 3 I X Z 2, zc 2/ _ lq P(ZoPo -D DRAlNPIt✓LD 711 >=I.ECTRICu}L VAULT 6URZ,vEy Pl►.15 I+oN LI h1 I 13LOC)�- UN DER Gp-OO J iJ) I �� �owLE2 PA2K TOWN s4 1p 31 ►N ORTH, l RANGE 1 \A/ES-T L, )(00 , ----- -- - --- - OF PORT TOE 'L o so Receipt Number: 09 0824 `�.- Jc. 7; ;^ gym" ..?y .:. Receipt Date 10/06/200g�?9 Cashier SWASSMER Payer/Payee Name �WRIGHT RICHARD C 3 xt.`:� -. }4. y �3.:, w' _✓"�.. �5 4f.-�, ifitG.- s; RAA+4 ,e..,�,' r... .,::"'�.k.I�-:a4, j a� mQ Onginai FeesAmount ��a Fee Pie wit:.# Parcel Fee Description k Amounts Paid Balance ?A .r, BLD09-206 951909601 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 Total: $50.00 - 7 rub '" "s, a 045 Pre►r►ous Payment History� 1 � k ; Receipts# Receipt Date ,FeeDescnptns rgmountPaid� Permit#,_ ; � �> Payme�n � jk Payment Check 3 Method Number amount P. 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