HomeMy WebLinkAboutBLD05-115
Waterman and Katz Building
I81 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 BE POSTED AT CONSTRUCTION SITE
Call 385-2294 for Inspection
Permit Number: BLDOS-I IS Issued: 06/20/05, revised 6/30/05
Parcel Number: ,~$-3F3-68 Zoning: R-III Type: V=N Occupancy: R=3
Job Address: 1450 10th Street (downstairs) and 1460 10th Street (ADU upstairs)
Total Occupant Load: 6 Nature of Work: Install 2-story modular home with site-built stairs.
House comes on-site with upstairs unfinished; owner to build/finish walls and install plumbing for
bedroom, kitchen, bath and livinff room far upstairs ADU.
Owner: Jack Finney Contractor: Same as Owner
GENERAL CONDITIONS APPLY -SEE BELOW
SEPARATE PERMITS REQUIRED:
Electrical -Contact Labor & Industries @ 360-417-2702
MANUFACTURER'S INSTALLATION MANUAL REQUIRED TO BE ON-SITE.
RF,OTTiRF.D INSPECTIONS APPROVED/llATE
TEMPORARY EROSION & SEDIMENT
CONTROL
See General Condition No. 2 -install on-site as
needed during construction to prevent sediment from
leaving the site and to eliminate tracking of soil onto
the street; see also SDP02-017
FOOTINGS -grade 60 bar minimum
Setbacks
Footings - 15" x 7" continuous
Forms
Reinforcement - 2 #4 bars
Interior Continuous Footing
Stair Footings
UFER
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 1 of 1
Building Permit 1lBLDOS-115
RF,OiTiRF,D INSPECTIONS APPROVED/DATE
FOUNDATION -grade 60 steel minimum
Fasteners hangers etc. in contact with treated material
must be hot dipped~alvanized
Stem Wall
Forms
Reinforcement
AriChOr BO1tS &i Washers (3"x 3"x 1/4"square waskers)
Vents - 9 required
Crawl space access
Positive Connections
Treated Wood to Concrete
Foundation Cripple Wall
STAIR/DECK FOOTINGS
24" x 24" 12" with (2) #4 each way
STAIR FRAMING -pressure treated or wood of
natural resistance to decay
P. T. posts
Post Bases
Post Caps/Positive Connections
Ledger
Decks/Landings
Guardrails
Handrails
PLUMBING -Second Floor only
Plumbing shall be under test at time of inspection
Rough-In (D-V-T & Clean outs)
Water Supply
Water Hammer Arrestors -dishwasher, clotheswasher
and refrigerator ice maker
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
Ca1148 hours before you dig for utility line locates
1-800-424-5555
Page 2 of 2
Building Permit kBLD05-115
RF(ITTTRFiI TNSPF,CTTONS APPROVED/DATE
MECHANICAL- Second Floor only
Source Specific Exhaust Fans @ bathroom (SOcfm),
laundry room, (50 cfm) and kitchen (100 cfin)
Environmental Air Exhaust ducting (w/ backdraft
dampers), insulation (R-4) and terminus (located 3' from
openings)
Whole house fan -Bath
FRAMING -Second Floor only
Interior Walls
Windows -escape (minimum 20"x 24") not less than 5.7
sq. ft.
Windows -safety glazing
Window U-factor - 0.40 or better
Door U-factor - 0.20 or better
DWELLING UNIT SEPARATION
One-hour fire separation between first floor and second
floor
DRYWALL NAILING
Walls
Ceiling
FINAL
Public Works Sign-Off
Electrical (L & I) Sign-Off
House Number - 5" numbers
Landings
6 mil black poly in crawl space; lap seams 12"
Final -Building
Ca1148 hours before you dig for utility line locates
1-800-424-5555
Page 3 of 3
Building Permit #BLDOS-Ili
GENERAL CONDITIONS
i. Contractors working on this project are required to have a Labor & Industries contractor's
reeistration 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
inspected 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 and 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 or owner's agent shall review and oversee correction of any and all deficiencies noted
by required inspections.
5. Re-inspection is required after any 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 ca11385-2294;
a minimum of twenty-four hours notice is required. Public Works approval must be received
prior to scheduling the Building Department's final inspection.
7. Final Inspections and Certificate of Occupancy are required PRIOR to occupancy.
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 arior 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
Waterman and Katz Building
181 Quincy Stree[ Suite 301
Port Townsend, WA 98368
Phone (36D) 3793208 Pax (360) 385-7675
CITY OF PORT TOWNSEND
CONSTRUCTION PERMIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
Call 385-2294 for Inspection
Permit Number: BLDOS-I1S Issued: 06/20/05 Parcel Number: 948 313 601
Job Address: 1450 10th (1460 future ADUI Street Zoning: R-III Type: V=N Occupancy: R=3
Total Occupant Load: 6 Nature of Work: Build 2-story modular home with site-hunt stairs. Upstairs is
unfinished for future additional dwelling unit; revision or separate permit reg'd
Owner: Jack Finnev Contractor: Same as Owner
GENERAL CONDITIONS APPLY -SEE BELOW
SEPARATE PERMITS REQUIRED:
Electrical -Contact Labor & Industries @ 360-417-2702
MANUFACTURER'S INSTALLATION MANUAL REQUIRED TO BE ON-SITE.
NOTE: Revision or separate building permit required to finish the second floor.
REQUIRED INSPECTIONS APPROVED/DATE
TEMPORARY EROSION & SEDIMENT
CONTROL
See General Condition No. 2 -install on-site as
needed during construction to prevent sediment from
leaving the site and to eliminate tracking of soil onto
the street; see also SDP02-017
FOOTINGS-grade 60 bar minimum
Setbacks
Footings - 15" x 7" continuous
Forms
Reinforcement - 2 #4 bars
Interior Continuous Footing
Stair Footings
LIFER
Call 48 hours before you dig for utility line locates
1-800-424-SS55
Page 1 of 3
Building Permit WBLDOS-I I S
RF.(1TTTRFT) TNSPFC".TinNS APPROVED/DATE
FOUNDATION -grade 60 steel minimum
Fasteners hangers etc. in contact with treated material
must be hot dipped~alvanized
Stem Wall
Forms
Reinforcement
Anchor Bolts & Washers (3"x 3"z t/4"square washers)
Vents - 9 required
Crawl space access
Positive Connections
Treated Wood to Concrete
Foundation Cripple Wall
STAIR/DECK FOOTINGS
24" x 24" 12" with (2) #4 each way
STAIR FRAMING -pressure treated or wood of
natural resistance to decay
P. T, posts
Post Bases
Post Caps/Positive Connections I
Ledger
DeckslLandings
Guardrails
Handrails I
FINAL ~
Public Works Sign-Off
Electrical (L & 1) Sign-Off ~
House Number - 5" numbers
Landings
6 mil black poly in crawl space; lap seams 12" ~
Final -Building
GENERAL CONDITIONS
1. Contractors working on this project are required to have a Labor & Industries contractor's
re¢istration 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.
Ca1148 hours before you dig for utility line locates
1-800-424-5555
Page Z of 3
Building Permit NBLDOS-115
Temporary erosion and sediment control (TESC) measures shall be installed on-site and inspected
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
and 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 or owner's agent shall review and oversee correction of any and all deficiencies noted by
required inspections.
5. Re-inspection is required after any corrections are completed.
6. The Building Department fs unable to pass final inspection on your project until Public Works
requirements have been completed and inspected. For Public Works inspection ca11385-2294; a
minimum of twenty-four hours notice is required. Public Works approval mast be received prior to
scheduling the Building Department's final inspection.
7. Final Inspections and Certificate of Occupancy are required PRIOR to occupancy.
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
1-800-424-5555
Page 3 of 3
~ Qorn row
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
-f. ~ 250 MADISON STREET-SUITE 3
PORT TOWNSEND, WA 98368
~a`' PHONE (360) 379-5082 FAX (360) 344-4619
RESIDENTIAL CERTIFICATE OF FINAL INSPECTION
1 _a _ -_.
ADDRESS: ..
PARCEL NUMBER:
BUILDING PERMIT NUMBER: l
PERMIT APPLICANT: f ~
This form, when signed and-dated by a City of Port Townsend building inspector, certifies that
the work performed on the structure named above, under the specific permit listed, conforms
with the requirements of the City of Port Townsend Municipal Code.
Inspector Signature:-
Date:
This form is a three-part form. The original of each part is as follows: 1 -White (City File); 2 -Yellow (permit holder);
3 -Pink (lender copy), ACCept n0 photo Statl[ COpleS.
CONSTRUCTION PLANS ARE REQUIRED BY LAW TO BE KEPT ON FILE BY THE CITY FOR 90 DAYS AFTER
THE DATE OF FINAL INSPECTION. AFTER 7HE END OF THE REQUIRED 90-DAY TERM, PLANS NOT PICKED
UP WITHIN 30 DAYS MAY BE DESTROYED.
pOPt t0
4a CITY OF PORT TOWNSEND
~/~ DEVELOPMENT SERVICES DEPARTMENT
- ~ :: 250 MADISON STREET -SUITE 3
PORT TOWNSEND, WA 98368
PHONE (360) 379-SD82 FAX (360) 344-4619
RESIDENTIAL CERTIFICATE OF FINAL INSPECTION
ADDRESS: ~ ~ lUV ~ ~ °j-N
PARCEL NUMBER: `I ~ ~ J 2 ~~~~
BUILDING PERMIT NUMBER:~-^ ~ ~ ~ ~ ' 115
PERMIT APPLICANT: T'- ~Y1Y1'F'\ / ~ ~ ~C1sao~C~
This form, when signed and dated by a City of Port Townsend building inspector, certifies that
the work performed on the structur named above, under the specific permit listed, conforms
with the requirements of City f o ~ T nsend Municipal Code. 2
Inspector Signature: Date: / ~J e
This form is a three-part form. The original of each part is as follows: 1 -White (City File); 2 -Yellow (permit holder);
s -Pink (lender copy). Accept no photo static copies.
CONSTRUCTION PLANS ARE REQUIRED BY LAW TO BE KEPT ON FILE BY THE CITY FOR 90 DAYS AFTER
THE DATE OF FINAL INSPECTION, AFTER THE END OF THE REQUIRED 90-DAY TERM, PLANS NOT PICKED
UP WITHIN 30 DAYS MAY BE DESTROYED.
o~poar row2,~ CITY OF PORT TOWN5END
+a o DEVELOPMENT SERVICES DEPARTMENT
-'' ` ~ INSPECTION REPORT
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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.
DATE OF INSPECTION: PERDIIT NUMBER: ~3G,17 D~`~ ~ IS
SITE ADDRESS: ~ ~ ~p ~ ~ ~~
PR0.7ECTNAME: ~~~~n~~ J CONTRACTOR DLP~Y1 PJ('
CONTACT PERSON; ~~ PHONE:
TYPE OF INSPECTION: ~f UI.,I~.L~
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^ APPROVED ^ APPROVED R'[TH ~' NOT APPROVED
CORRECTIONS
_,__._.___.-~' ~ Ok to proceed. Corrections will be Call for re-inspection before
checked at next inspection proceeding.
i" ,
~.-~ i r_ _
Inspector '° Date
Approved plans acrd permit cm~d must be on-srte anc~ availah, le at time o_jinspectzwi. A re-inspection fee may
be assessed if work is not ready for- inspection.
°~`°s,Tr°~ CITY OF PORT TOWNSEND
~'"~ DEVELOPMENT SERVICES DEPARTMENT
' ~'? ~ INSPECTION REPORT
`~. ` ?. .
~` ~wr 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.
DATE OF INSPECTION: D PERMIT NUMBER; °~La t~- ~ ~r'~
SITE ADDRESS: J "~[LP~-~t~ T)-t
PROJECT NAME: ~ n Y1A V CO-N~T^RACTOR: ~y
CONTACT PERSON: T~,~qq-__ ~~~J ~ PHONE: ~$ ~ R 2 (p-(
TYPE OF INSPECTION: ~ '(~ S(,~TLUI'u ~ . ; / !~• ~ r -~
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^ APPROVED ^ APPROVED WITH ^ NOT APPROVED
CORRECTIONS
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_ -. -~ ~ Ok to proceed. Corrections will be Call for re-inspection before
~ checked at neatinspection proceeding.
/, rte.
Inspector ~ ~ ° ~~ Date ~~ /` '
Approved plans and permit card muss he on-site and available at time of mspeclian. 9 re-inspection fee may
be assessed if work is not ready for inspection.
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f_ ~~~.1- o~poprro~
CITY OF PORT TOWNSEND
;'~_. ~ ~o DEVELOPMENT SERVICES DEPARTMENT
' "'' INSPECTION REPORT
~~
~~w
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.
DATE OF INSPECTION - ~` f PERMIT NUMBER: s ~ ~
SITE ADDRESS: f 4l ~1 (? 7~~-/-~' "-?
PROJECT NAME: ,~ /~i ''T _j j ~ ,~ .'. CONTRACTOR: -
CONTACT PERSON: (~- (~ ~' ~ I ~ ? PHONE: - "~'~ ` I ' `l ~ f ~
1'S:PE OF INSPECTION ~~~ ~~ ~ 4 0 s Yi , t ~ ,. ~ _~ i. ,.:-~ ° ,:._ ! ,. ~' (i , '' ( ` ~ I ' K ! ~
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^ APPROVED ^ APPROVED WITH ^ NOT APPROVED
_ CORRECTIOKS
-~ Ok to proceed. Corrections will be Call for re-inspection before
checked atneztinspection proceeding.
Inspector ~`~. Date
Approved plans and permit card must he on-site and available at ttme of inspection. .4 re-inspection fee may
be assessed if work is not ready for inspection.
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
181 Quincy Street, Suite 301A, Port Townsend WA 98368
PLUMBING CERTIFICATION PRESSURE TEST
BUILDING OWNER ~/ ~ PERM[T # ~~ ~ ~ S ~ ~ ~ S
ADDRESS Imo!? / 0• "-1- ~-. .'+ DATE OF TEST / c' S " O~
PLUMBING CONTRAC OR~~_ _ _a tnB1[~'YP.~CENSE # R.G i '~ S S~PrJ `7~'RYLL1
ROUGH-IN PLUMBING ~a FINAL
u GROUND WORK
DWV WATER SERVIC T
PSI Air G~ PSI
Air -Head Water Working Pressure
Water'1Pt~ ,-----• Minutes
Time ~ Minutes Time ~~
NOTE: TESTING REQUIREMENTS (SECTION 318 UNIFORM PLUMBING CODE) MINIMUMS:
Water Test - 10' Head- 15 Minutes Test at Working Presure
Air Test- 5# PS[- i 5 Minutes 50# PSI - 15 Minutes
I hereby certify the information provided above is the result of [he 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- ear statute of limitation. VISUAL SYSTEM INSPECTION IS REQUIRED BEFORE
COVER.
,,~ ~ Date ~~ ~ tL' Ct
Signature
pONT Tp
,o ~"s CITY OF PORT TOWNSEND
~ o DEVELOPMENT SERVICES DEPARTMENT
„~ ;~. - INSPECTION REPORT
~¢
Far inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before yon want
the inspection. For Monday inspections, call by 3:00 PM Friday.
DATE OF INSPECTION:
PROJECT NAME:
~~~,~,` CONTACT PERSON: _
~Q` n(~ TYPE OF INSPECTION:
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PERMIT NUMBER: {'~1-.YJ D~~ 115
CONTRACTOR: ,}~,~ of 1 ~S ~l,~,i
Y~ YYl PHONE: ~~ ~ ' e(~ (a G
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C APPROVED ^ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Inspector
C NOT APPROVED
Call for re-inspection before
proceeding.
Date
Approved plans and permit card must be on-.rite and available at time ojinspection. A Ye-inspection fee may
he assessed if work is rznf r-eacly jor inspection.
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~ER~'~IIT NUMBER:
'/ SITE ADDRESS:
CONTRACTOR:
DATE OF INSPECTION:
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
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WORKSITE OR CELL PHONE #: ~~ )~ " ~ ~ ~~
TYPE OF INSPECTION REQUESTED: ~ ~ ~ ~~mP~~7 (~Y1
For inspections, call the Inspection Line at 360-385-?294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
n
APPROVED
^ APPROVED WITH CORRECTIONS
NOTED BELOW
~-' ~ l _ -
r_- ~ .-.,
r' ,
NOT APPROVED
CALL FOR RE-INSPECTION
BEFORE PROCEEDING
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Approved plasi3 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.
Inspector t ~ ~ ~ $ Date ' ~ S'`
,rr
Acknowledged, ~/~ ~ ~ ~~ ~,% ~ ~''"~'°'~~ ~ Date
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,o ~"s CITY OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
"'' ~ INSPECTION REPORT
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~' PERMIT NUMBER: I') ~. lJ l..!~ - 1
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SITE ADDRESS: ~~Ci' f L'~
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CONTRACTOR:
DATE OF
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WORKSITE OR CELL PHONE #: ~I%~~~~ ~ ~ ~ -C vim'
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TYPE OF INSPECTION REQUESTED: ~` ~ 1`~ ~,t_{ ! ~`Lt Y'l''~ I Y7 l~
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.
^ APPROVED
.,,~.,/
^ APPROVED WITH CORRECTIONS C NOT APPROVED
NOTED BELOW CALL FOR RE-INSPECTION
BEFORE PROCEEDING
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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.
Inspector ~ ~ Date s
,4cknowledged Date ~~ 'Z / `~ ~j
. ;
. ! - oE,aR.,°~ry~ CITY OF PORT TOWNSEND
~-=~_ DEVELOPMENT SERVICES DEPARTMENT
y~~FWASW~ INSPECTION REPORT
p PERMIT NUMBER: ~I ~~S I ~5
~~~ ~ ~ Site Address ~ ~~~?t> ~ ~~
J ~ Contractor ~ I7 n+°~a
l~
Owner
Date of Inspection ~~/ ~/ ~
Worksite or Cell Phone# 3 ~ ~ - ~ D
Q ErosionlSediment Control ^ Plumbing fop Out ^ PropaneMlood Appliance
Setbacks/Footings/LIFER ^ Propane Pipe/Pressure Test ^ Manufactured Home Set-up
^ Foundation Walls ^ Propane Tank/Line ^ Fire Department
^ Footing Drainage
Slab/Interior Footing/Insulation
^ Groundwork/Plumbing Test
^ Underfloor Framing
^ Ext. Shear Wall/Holdowns
^ Mechanical
^ Framing
^ Insulation
^ Interior Shear/BWP Nail
Drywall/Fire Wall
^ 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 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
RITTEN APPROVAL BY DSD.)
APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
Approved
Inspector __"~.
Acknowledged by
per i car must be on-site and
available at time of inspection.
Date ~~ '~~
Date
~~~ I
y<'~`~i
l.~`
QOflTTp
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PERMIT NUMBER:
Site Address
Contractor
Owner
Date of Inspection .
/o - Z~ - OS
Worksite or Cell Phone# 3 ~~ l S
^ 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
0 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 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
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pe' r
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Approved plans and
Inspector
Acknowledged
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
~'~SO /d ~-
iit card must be on-site and available at time of inspection.
j ~.r
r Date ~ , ~~ ~ ~ ~` ~~ I
Date