HomeMy WebLinkAboutBLD04-298~ •.
' Waterman and Katz Building
., ] 81 Quincy Street, Suite 301
Pnrt Townsend, WA 98368
Phone: (360) 379-3208 Fax: (360) 385-7675
CITY OF PORT TOWNSEND
CONSTRUCTION PERMIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
Ca11385-2294 for Inspection
Permit Number: BLD04-298R-~ Issued: 02/23/05. Parcel Number: 955 900 027
.lob Address: 2705 St. Helen's Place Zoning: R-II Type: V-N Occupancy: R-3/LT
Total Occupant Load: 4/1 Nature of Work: Revision #1: remove recessed
ent to add 13 s , ft. of livin s ace
Owner: Danielle Kudronowicz Contractor: Owner
GENERAL CONDITIONS APPLY: See last pale
SEPARATE PERMITS REQUIRED:
Electrical Permit -Contact WA State Dept. of Labor & Industries 360-417-2702
NOTE: See original permit BLD04-298 for required inspections.
GENERAL CONDITIONS
1. Contractors working on this project are required to have a Labor & Industries
contractor's registration number and a City business license. Failure to provide proof of
this documentation prior to work may result in job shut down while this is accomplished.
2. Temporary erosion and sediment control (TESC) measures shall be installed on-site and
suspected prior to beginning construction; ca11385-2294. Measures shall include
installation of silt fencing and graveled construction entrance (see attached details).
Adjacent rights-of--way shall be kept free of dirt debris. Soils exposed during construction
shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be
permanently stabilized with seeding, plantings, sodding, etc. once construction is complete.
Applicant is responsible for protection of adjacent properties.
3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced
wall panels (ABWP) require inspection prior to cover.
4. Owner ar owner's agent shall review and oversee correction of any and all deficiencies
noted by required inspections.
5. Re-inspection is required after inspection report corrections are completed.
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 1 of 1
} . } R
Building Permit #BLD04298R-1
6. The Building Department is unable to pass final inspection on your project until Public
Works requirements have been .completed and inspected. For Public Works inspection call
385-2294. A minimum of twenty-four hours notice is required. Public Works approval
must be received prior to schedulin the Buildins? Department's final inspection.
7. Final Inspections are required prior to occupancy; A Certificate of Occupancy is required
far anon-residential project.
8. All building permits expire if no progress has been made within six months, or if no
inspections are done by the Building Department within one year. Call far at least one
inspection per year to keep your building permit active.
9. Revisions require review and approval prior to making changes in the field. Contact the
Building Department at 379-5086 prior to making changes to the approved plans.
10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS.
Ca1148 hours before you dig for utility line locates
1-800-424-5555
Page 2 of 2
CITY OF PORT TOWNSEND
_ ~ - DEVELOPMENT SERVICES DEPARTMENT
~ ~ Waterman & Katz Building, 181 Quiney Street, Suite 301A
~ Port Townsend WA 98368
Phone: 360-379-5082 Fax 360-385-7675
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
a°~pQRr T~~
~~m
U 4
r?~-
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Property Owner's Name(s)DAN 1ts1.1..F kuDRUiUVwt~~
Mailing Addre ~~~~~
City, States Zip ° ° ff165 BAYSHORE DRIVE NW
Phone t¢ ~~ ~ 3 s .. (~ `'~ O Permit Na. ( ~j~-
Property Street Address a~7(7 ~ ~7T I~tZ.~vS PL-f~C-+~ +~~ ,7bwruS~~JA c/4~3(~ $
Zoning District ~ Parcel # s ~ (~Q~ o?~]
Legal Description: Addition ~,~)w.-t~-~,t ~ ~,t~" Block Lot(s) m?~
Estimated Value of construction $
Financed BY D ~ (Lj~
Date Work is to Begin ~ ~ ~ p Date Work is to be Completed ~ ~-~
Scope of Work:
Please check all items tha# apply for the type of building permit you are requesting:
New House Addition
New Garage or Carport Repair/Remodel Garage
Repair/Remodel House Accessory Dwelling Unit
Other (please describe):
Floor Area: the proposed structure is to be used for:
Finished Heated Space sq. ft: (~ ~3 Garage sq. ft: ~ ?jL¢
Unfinished Heated Space sq ft: Carport sq. ft:
Unfinished Basement sq ft: Porches sq. ft: 72
Semi-Finished Basement sq ft: Decks sq. ft:
Storage sq. ft: Other (please describe):
\\Citypdc\bcd~All Forms\Building Permit Application.doc Page 1.of 1
1 r
_ ~•
CITY OF PORT TOWNSEND RESIDENTIAL BUILDING PERMIT APPLICATIDN
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Special Conditions
Please check YES or NO as app((cable YES NO
1. Is the property within 200 feet of a fresh or saltwater shoreline? X
2. Is the property within the Port Townsend hlistarical C7istrict?
3. Is the property located within or adjacent to an environmentally sensitive area? ~(
4. Will this proposal involve any sewer, water or other utility extensions that will, ar could serve
vacant properties other than the project site? If yes, please attach information identifying the utility
extensions and sites.
X'
5. Have any special conditions been placed an this property, or has the property been subject to
any conditions on any prior action of the City (if "Yes" to any of the following, attach copies of
appropriate documents):
Subdivision/Short Plat/Boundary Line Adjustment?
SEPA (environmental review)?
Variance?
Conditional Use Permit?
Street Vacation?
Planned Unit Development?
Restrictive Covenant?
Easement?
6. Are any properties within 800 feet of the site awned or controlled by the applicant, any relative or
business associate, or any partnership, corporation, or other entity affiliated with the applicant? (If
es attach list. `/
~5
7. Have any of the properties listed in item #6 been developed within the last two years? (If yes,
attach list.)
8. Have.you previously discussed this project with a City staff member? If yes, who and when?
The applicant hereby.certifies to have knowledge of those sections of the Uniform Building Code and the Part
Townsend Municipal Code pertinent to the above project and that the applicant is responsible for constructing in
conformance with these codes; the applicant understands that the permit, if issued, expires in six months unless wor
started; that the permit, after construction has started, will expire after one year if an inspection is not made to show
significant progress an the structure; the applicant agrees to abide by the ordinances, codes, regulations, restrictive
covenants,. deed or plat restrictions, and water and sewer plans attached hereto; the applicant certifies that all infor
given above and on accompanying plans is complete and accurate to the best of their knowledge; and the applic
understands that this information will be relied upon in granting permits and that if such information is later found
inaccurate any permits may be withdrawn.
\\Gitypdc\bcd\All Forms\Building Permit Application.doc
Waterman and Katz Building
181 Quincy Street, Suite 301
Port Townsend, WA 98368
Phone: (360) 379-3208 Fax: (360) 385-7675
CITY OF PORT TOWNSEND
CONSTRUCTION PERMIT & INSPECTION RECORD
THIS CARD MUST SE POSTED AT CONSTRUCTION SITE
Ca11385-2294 far Inspection
Permit Number: BLD04~-29g Issued: 12/21/04 Parcel Number: 955 900 027
Job Address: 2705 St. Helen's PI. Zoning: R-II Type: V-N Occupancy: R-3/U
Total Occupant Load: 4/1 Nature of Work: Construct Sin le-family Dwelling
with attached garage
Owner: Danielle Kudronowicz Contractor: Owner
GENERAL CONDITIONS APPLY: See last a e
SEPARATE PERMITS REQUIRED:
Electrical Permit -Contact WA State Dept. of Labor & Industries 360-417-2702
RF,(1TITRFT) TN~PE(`'TT(1N~
APPRnVED/DATE
TEMP EROSION & SEDIMENT CONTROL
See General Condition No. 2
Silt Fence as needed
Drive Off Mat to restrict sediment from leaving
the site
FOOTINGS
Setbacks
Footings
Forms
Reinforcement
Interior Footings
Porch footings
UFER
FOUNDATION
Stem Wall
Forms
Reinforcement
Anchor Bolts & Washers
Post to Foundation Wall Positive Connection
Holddowns
Vents -1,2 Required
Ca1148 hours before you dig for utility line locates
1-800-424-5555
Page 1 of 1
Building Permit #BLD04-29$
R F nT Tru F n INSPF CTiONS APPROVED/DATE
FLOOR FRAMING
Girders
Joists -Engineered BCI plan to be nn site at inspection
Blocking
Post to Foundation Wall Connection
Positive Connections
Treated Wood to Concrete
Anchor Bolts & Washers
Holddowns -Per engineer design
PLUMBING ~ 1 P h.; ~
Rough-In (D-V-T & Clean outs)
Water Supply f
Water Hammer Arrestors
Hose Bibbs - backflow protection required -- - ''
Pipe Insulation (R-3)
Pressure Reduction Valve if ~ 80 psi
Water Heater
R-10 under if electric
Seismic Restraint - 2 places
Pressure Relief Valve drain to exterior, terminate
6" -24" above ground
Licensed Plumbing Contractor's Signature &
License Number:
Sign here
MECHANICAL
Source Specific Exhaust Fans @ bathrooms (SOcfm),
laundry room, (SO cfm) and kitchen (100 cfm)
Environmental Air Exhaust ducting (w/ baekdraft
dampers), insulation (R-4) and terminus (located 3'
from openings)
Whole house fan -Bath
Ca1148 hours before you dig far utility line locates
1-800-424-S55S
Page 2 of 2
.. ~ Building Permil #BLD04-298
RF(7><1><RFn INSPECTIONS APPROVED/DATE
FRAMING
Prescri tive & deli ned braced wall anel sheathin
& nailing must be inspected prior to cover ? ~ ` ,~' x
Fasteners han ers etc. in contact with treated material ~ ,
must be hot di ed alvanized - ~ ' ~ ~
Floor - Engineered BCI plan to be on site at inspection _
..
Wa11s .
Halddowns
Shear walls -Per engineer design
Shear Panel Blocking
Roof -Engineered truss plan to be on-site inspection
Attic venting -ridge & eave
Posts, beams and headers
'
°
Windows -escape ;
, ~ --
, - .
Windows -safety glazing a
Window U-factor - 0.40 or better ~ -
Door U-factor - 0.20 ar better ' r ,, i
Skylight U-factor ~- 0.58 or better
NFRC sticker must be vn windows, doors & skylights
at time of inspection
Air Seal
Fresh Air Intake -Window
Fireblocking
Weather Resistive Barrier
INSULATION
Floor (R-30 )
Walls (R-21)
Ceiling (R-38, attic; R-30, vault)
Baffles
Vapor Barrier -paint
DRYWALL NAILING
Walls
Ceiling
Interior Braced Wall Panel
Gara e/ House Se oration
FINAL
Public Works Sign-off
House Numbers - 5" numbers
Plumbing
Mechanical/Heating
Insulation Certificate
Smoke Detectors
Stairs, Decks & Landings
Final -building
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 3 of 3
Building Permit #BLD04-298
GENERAL CONDITIONS
1. Contractors working on this project are required to have a Labor & Industries
contractor's registration number and a City business license. Failure to provide proof of
this documentation prior to work may result in jab shut down while this is accomplished.
2. Temporary erosion and sediment control (TESL) measures shall be installed on-site and
inspected prior to beginning construction; call 385-2294. Measures shall include
installation of silt fencing and graveled construction entrance (see attached details).
Adjacent rights-of--way shall be kept free of dirt debris. Soils exposed during construction
shall be temporarily stabilized with mulching, plastic sheeting, etc. Soils shall be
permanently stabilized with seeding, plantings, sodding, etc. once construction is complete.
Applicant is respousible for protection of adjacent properties.
3. All elements of engineering including nailing, holdawns, sheathing, and alternate braced
wall panels (ABWP) require inspection prior to cover.
4. Owner or owner's agent shall review and oversee correction of any and all deficiencies
noted by required iuspections.
5. Re-inspection is required after inspection report corrections are completed.
6. The Building Department is unable to pass final inspection on your project until Public
Works requirements have been completed and inspected. For Public Works inspection call
385-2294. A minimum of twen -four hours notice is re aired. Public Works a royal
must be received prior to scheduling the Building Department's final inspection.
7. Final Inspections are required prior to occupancy; A Certificate of Occupancy is required
for anon-residential project.
8. All building permits expire if no progress has been made within six months, or if no
inspections are done by the Building Department within one year. Call for at least one
inspection per year to keep your building permit active.
9. Revisions require review and approval prior to making changes in the field. Contact the
Building Department at 379-5086 prior to making changes to the approved plans.
10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS.
Ca1148 hours before you dig for utility line locates
1-800-424-SSSS
Page 4 of 4
~o~P°~~r°"'ys~p CITY OF PORT TOWNSEND
"-~_~ . , DEVELOPMENT SERVICES DEPARTMENT
~Q~wAgH~A INSPECTION REPORT
PERMIT NUMBER: ~ ~""y ~ ~ ~ z /
Site Address ~ ~ d~ ~~ ~ ~'~ ~ e h S
Contractor ~~ ~
Owner
Date of Inspection ~ _ g '"
Worksite or Cell Phone# ~ ~~ ~ ~ d 9 f ~'~ ~ ~-
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
C] Foundation Walls
^ Footing Drainage
^ Slab/Interior Footing/Insulation
^ Groundwork/Plumbing Test
^ Underfloor Framing
^ Ext. Shear Wall/Holdowns
^ Plumbing/Top Out
^ Propane Pipe/Pressure Test
^ Propane Tank/Line
^ Mechanical
^ Framing
^ Insulation
^ Interior Shear/BWP Nail
^ Drywall/Fire Wall
^ Propane/Wood Appliance
^ Manufactured Home Set-up
^ Fire Department
^ Temporary Occupancy
^ Fees Paid
J~Final Occupancy
^ Other/Consultation
For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want the inspection;
for Monday inspections call by 3:00 PM Friday. Additional fees may be assessed for multiple re-inspections
if the work is not ready and the inspector must return to the site. Failure to provide inspection record and
approved plans on the site will result in $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR
WRITTEN APPROVAL BY DSD.)
^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
_._ ,
- ,
•~
Approved ~S1~ns and permit card must be on-site and available at time of inspection.
;..
1 .~ m/'f:: ~ `,l ,• r-. Date ''.
Inspector
Acknowledged by ~:, ;,.,_.. ~ _____ Date ~-~
,'°¢P°~~r°~~~~, CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
~~~= =~ ~~
~~~fiWASH~`'`'~ INSPECTION REPORT
PERMIT NUMBER: ~. I..~ r'~J~ ° ~~
Site Address ~.~~ ~~
Contractor
Owner ~1-~~ _-_ __
Date of Inspection ``" ~ ~ ~ ~ ~~ ~ __ .
Worksite or Cell Phone#
,~~~
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
^ Foundation Walls
^ Footing Drainage
^ Slab/Interior Footing/Insulation
U Groundwork/Plumbing Test
LI Underfloor Framing
^ Ext. Shear Wall/Holdowns
~ Plumbing/Top Out
LV Propane Pipe/Pressure Test
^ Propane Tank/Line
^ Mechanical
^ Framing
sulation
U Interior Shear/BWP Nail
L,I Drywall/Fire Wall
^ Propane/Wood Appliance
^ Manufactured Home Set-up
^ Fire Department
^ Temporary Occupancy
^ Fees Paid
Final Occupancy
^ Other/Consultation
Additional fees may be assessed for multiple re-inspections. For Re-inspection, call Inspection Message
Line at (360) 3$5-2294 prior to 8:00 AM. (NO OCCUPANCY UNTIL APPROVED 13Y DSD.
OCCUPANCY REQUIRES WRITTEN APPROVAL BY DSD.)
APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
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A rove d must be on-site and available at time o ins action
pP ~ pans andJ perm it _car ~ ~ J, 1 '~i p ,' ;' --
Inspector ~ ,.. ; ~ . ^' , , ~~,. ~ ~.__.. Date ~: .
Acknowledged by : -, _ _ Date ,' ..
• ~~Q°~r~°~'Ms~z CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
~~~~wnsH~~ti INSPECTION REPORT
PERMIT NUMBER: ._. ~ L~1~~~ ` ~ `T
Site Address~~~ ~~~~ [ I ~ ~~~
Contractor __ (~ h-- ~-- f III
Owner h~~' 1~ 1 --- h~l.~-~ f~I ~ ~ ~~
Date of Inspection ~ ~~% ~ ~~ "~~ ~~
Worksite or Cell Phone#
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
^ Foundation Walls
^ Footing Drainage
^ Slab/Interior Footing/Insulation
^ Graundwork/Plumbing Test
^ Underfloor Framing
^ Ext. Shear Wall/Holdowns
^ Plumbing/Top Out
^ Propane Pipe/Pressure Test
^ Propane Tank/Line
^ Mechanical
^ Framing
^ Insulation
~iterior Shear/BWP Nail
~/^ Drywall/Fire Wall
^ Propane/Wood Appliance
^ Manufactured Home Set-up
^ Fire Department
^ Temporary Occupancy
^ Fees Paid
^ Final Occupancy
^ Other/Consultation
For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want the inspection;
for Monday inspections call by 3:00 PM Friday. Additional fees may be assessed far multiple re-inspections
if the work is not ready and the inspector must return to the site. Failure to provide inspection record and
approved plans on the site will result in $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR
WRF~TEN APPROVAL BY DSD.)
^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
`~--~._- SEE BELOW SEE COMMENT(S) BELOW
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Approvedfp~ans and permit card must be on-site and available at time of inspection.
-. i
Inspector ;~ _ ~ - Date ~ '
Acknowledg d by '' Date '
~~~ ~~ ` a~°°~~'°"'~s CITY OF PORT TOWNSEND
~p
=,~-. ,~~ DEVELOPMENT SERVICES DEPARTMENT
~OR wasM~`' INSPECTION REPORT
PERMIT NUMBER: ~~-~ d~ '" ~ 9g
z. '~v ~ ~`~ .,
Site Address ~ ~ ^ . F -- ~E` ~_'..,_ Y
.~.._ ,"
Contractor ~ ~G~
Owner ~u~p~L~~ G~~ l~4-rt ~~ L-.[......C ..
Date of Inspection ~ ~ ~ ~ ~ ~
Worksite or Cell Phone# 3 ~~ "- ~~ ~ ~ ~ C~
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
^ Foundation Walls
Footing Drainage
^ Slab/Interior Footing/Insulation
^ Groundwork/Plumbing Test
^ Underfloor Framing
^ Ext. Shear Wall/Holdowns
,I~plumbing/Tap Out
Propane Pipe/Pressure Test
^ Propane Tank/Line
L~'Mechanical
Framing
^ Insulation
^ Interior Shear/BWP Nail
U Drywall/Fire Wall
^ Propane/Wood Appliance
^ Manufactured Home Set-up
^ Fire Department
Temporary Occupancy
^ Fees Paid
^ Final Occupancy
^ Other/Consultation
Additional fees may be assessed for multiple re-inspections. For Re-inspection, call Inspection Message
Line at (360) 385-2294 prior to 8:00 AM. (NO OCCUPANCY UNTIL APPROVED BY DSD.
OCCI~PANCY REQUIRES WRITTEN APPROVAL BY DSD.)
^ APPROVED APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
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Approved pins and perrrlit hard.must be on-site and available at time of 'nsp~ction.
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Inspector r r ~.
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Acknowledged by , ~~''- ~ ~,. ~ ~ ~ - Date
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.''PERMIT NUMBER:
Site Address
h Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
r~
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
^ Foundation Walls
^ Footing Drainage
^ Slab/Interior Footing/Insulation
^ Groundwork/Plumbing Test
Underfloor Framing
^ Ext. Shear Wall/Holdowns
^ Plumbing/Top Out
^ Propane Pipe/Pressure Test
Propane Tank/Line
^ Mechanical
^ Framing
^ Insulation
^ Interior Shear/BWP Nail
^ Drywall/Fire Wall
~. ~~ ~ ~
^ Propane/Wood Appliance
^ Manufactured Home Set-up
^ Fire Department
^ Temporary Occupancy
Fees Paid
^ Finat Occupancy
^ Other/Consultation
Additional fees may be assessed for multiple re-inspections. For Re-inspection, call Inspection Message
Line at (360) 3$5-2294 prior to $:00 AM. (NO OCCUPANCY UNTIL APPROVED BY DSD.
-- -- OCCUPANCY REQUIRES WRITTEN APPROVAL BY DSD.)
^ APPROVED `l ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
\ ~ '---~-- -^ SEE BELOW SEE COMMENT(S) BELOW
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Approved tans and permit card must be on-site and available at time of inspection.
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Inspector ~ c _'~ ~-~~ P ~~ Date ~;i ~~.~. m ...
Acknowledged by`~ _•,.,.~` t..r,~-~ -~_ _- _ Date
Z~c~
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
I~ ~ ~ ON'- 7_ ~~ ~I
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31r~~~~
Z~ , -- ~
- ~oFQORrro~H~~~ CITY OF PORT TOWNSEND PUBLIC WORKS &
U - ~ DEVELOPMENT SERVICES DEPARTMENT
9~°~wpsH~a~ INSPECTION REPORT
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t<'Jf,,l
PERMIT NUMBER: ~- ~ ` ~ ~- ~
Address
Contractor
Owner
Date of Inspection
~'( ~~- ~ T
~ ~ ~ .~
Worksite or Cell Phone#
^ Erosion/Sedimentation IJ Plumbing/Top Out U Drywall/Fire Wall
l~,Setbacks/Footings/LIFER ^ Gas Pipe/Pressure Test ^ Gas/Wood Appliance
LI Foundation Walls ^ Propane Tank/Line ^ Manufactured Home Set-up
^ Slab Interior Footing/Insulation ^ Mechanical ^ Public Works
Groundwork/Plumbing Test ^ Framing ^ Other/Consultation
^ Underfloor Framing ^ Insulation
^ Shear Wall/Holdowns ^ Interior Shear/BWP Nail LJ FINAL
If corrections required, re-inspection must be done prior to covering or concealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For Re-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY~~B~~UILDING AND, IF APPLICABLE, PUBLIC WORKS.
^ VIOLATION APPROVAL ^ CORRECTION REQUIRED
^ APPROVED WITH CORRECTION ^ NEED APPROVED PLANS & PERMIT ON SITE
Approved plans
Inspector
2_-"~ ~ ~ ~_-~ .
~C
be on-site and available at time of in pection.
Date ~
r
~N~
°~°°pTr°~,ti~~ CITY OF PORT TOWNSEND PUBLIC WORKS &
U ~ DEVELOPMENT SERVICES DEPARTMENT
~~OFWASH~a~~ INSPECTION REPORT
PERMIT NUMBER:
Address
r ~ 9
`. ~/- ` Contractor
~,,J ~(
_. ~ V~Qwner
~`
Date of Inspection
,Z c
K ~~ ~ ~
~ ~ ~ s ~ ~.j
Worksite or Cell Phone#
^ Erosion/Sedimentation
u Setbacks/Footings/LIFER
Foundation Walls
V Slab Interior Footing/Insulation
^ Groundwork/Plumbing Test
~l Underfloor Framing
^ Shear Wall/Holdowns
it
If corrections required, re-inspection must be done prior to covering or concealing areas
of construction. Additional fees may be assessed for multiple re-inspections.
For rye-inspection, call Inspection Message Line at (360) 385-2294 prior to 8:00 AM.
NO OCCUPANCY UNTIL FINALIZED BY BUILDJNO AND, IF APPLICABLE, PUBLIC WORKS.
^ VIOLATION PPROVAL ^ CORRECTION REQUIRED
^ APPROVED WITH CORRECTION ^ NEED APPROVED PLANS & PERMIT ON SITE
Approved
Inspector
o~~~~-f~
^ Plumbing/Top Out ^ Drywall/Fire Wall
CJ Gas Pipe/Pressure Test V Gas/Wood Appliance
~1 Propane Tank/Line ^ Manufactured Home Set-up
^ Mechanical ^ Public Works
U Framing ^ Other/Consultation
^ Insulation
V Interior Shear/BWP Nail ^ FINAL
st be on-site and available at time of inspection.
~.__ Date _ ~ .~ ~[~~