HomeMy WebLinkAboutBLD05-118r ~~
CITY OF PORT TOWNSEND
CONSTRUCTION PERMIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
Call 385-2294 for Inspection
Waterman and Katz Building
181 Quincy S[meq Suite 301
Port TO.msend, WA 98368
Pltave' (360) 309-3208 Fax: (360) 385-]695
Permit Number:BLDOS-]~~ Issued:07/11/OS Parcel Number: 989714003
Job Address: 807 Lawrence St. Zoning: RR=II Type: V-B Occupancy: RR=3
Total Occupant Load: 3 (addition onlVl Nature of Work: Construct two story addition
**If stormwater becomes a problem, additional
drainage requirements will apply at that time.**
Owners: John UhvellinE
Contractor: Owners(see General Conditions #1)
GENERAL CONDITIONS APPLY: See last pale
SEPARATE PERMITS REpUIRED:
Electrical Permit- Contact WA State Dept. of Labor & Industries 360-417-2702
FOOTINGS -per approved desiglr
Setbacks
Footings
UFER
FOUNDATION -per nppr-oved
Stem Wall
Anchor Bolts & Washers
Post to Foundation Wall Positive Connection
Holddowns
Vents-3 Reyuir~ed
FOOTING DRAIN
FLOOR FRAMING
Girders
Joists
Positive Connections
Anchor Bolts ~ Washers
Holdowns
,~~
~~ n
CaII 48 hours before you dig for utility line locates
1-8U0-424-,555
Page 1 of3
Building Permit NBLDOS-118
PLUMBING
Rough-In (D-W-V & Clean-outs)
Water Supply
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
Licensed Plumbing Contractor's Signature & License Number:
Sign here
MECHANICAL
Source Specific Exhaust Fans ti bathrooms (~Ocfm),
laundry room, (50 cfm) and Kitchen (100 cfm)
Environmental Air Exhaust ducting (w/ backdraft dampers), insulation (R-4) and terminus (located
3' from openings)
Whole house fan
FRAMING (continued)
Attic venting
Posts, beams and headers
Windows -- escape
Window U-factor - 0.40 or better
Door U-factor - 0.20 or better
NFRC stacker rnust be ols windows, doors & skylights at time of inspection
Air Seal
Fresh Air Intake-wall ports
Fireblocking
Weather Resistive Barrier
INSULATION
Floor (R-30 )
Walls (R-
Ceiling (R-30 vault)
Baffles
Vapor Barr i er -paint
FINAL
House Numbers -Minimum 5" numbers
Plumbing
Mechanical/ H eati n g
Smoke Detectors'
Final -building
Call 48 hours before you dig for utility line locates
1-800-424-5555
Page 2 of 3
Building Permi[ #BLDOS-l l8
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
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 responsible for protection of adjacent properties.
3. All elements of engineering including nailing, holdowns, sheathing, and alternate braced
wall panels (ABWP) require inspection prior hi cover.
4. Owner or owner's agent shall review and oversee correction of any and alt deficiencies
noted by required inspections.
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 twenty-four hours notice is required. Public Works approval
must be received nrior to scheduling the Building Departments 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 Depardnent within one year. Call for at least one
inspection per year to keep your building permit active.
9. Revisions require review and approval rior to making changes in the field. Contact the
Building Deportment at 379-5086 prior to malting changes to the approved plans.
10. POST THIS PERMIT ON-SITE WITH THE APPROVED PLANS.
Call d8 hours before you dig for utility line locates
t-S00-424-5555
Page 3 0l' 3
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^ Sewer Main /Manhole
^ Side Sewer
^ Water Main
CITY OF PORT TOWNSEND
STREET & UTILITY INSPECTION REPORT
g ~.~~ ~ -
^ Street Paving
^ Driveway Prep /Installation
^ Storm Drainage /Culvert
^ Hydrant
^ ROW Landscaping
^ Temporary Occupancy
^ Street Prep ^ Trail(s) ^ Final Infrastructure
^ Erosion /Sediment Control ,~ S 1 ~ L! I Si '~
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.)
^ APPROVED ^ APPROVED WITH CORRECTIONS
SEE BELOW
i C/T V1 1 A T" f ~- ~ L ( -_ l_l1
^ NOT APPROVED
SEE COMMENT(S) BELOW
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Approved plans and permit card'm)ust be on-site and available at time of ins action.
Inspector ~~(Z wy~,r~-2 ~,!-~{ ~''~"~ Date 7 ~ ~S
Acknowledged byl~:~~ ~-E ~~-, Date
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SUBJECT;
Drainage Plan for the Ulwelling addition.
CONDITIONS:
The existing combined total roof azeas of the house, covered deck and shed is
2550 s.f. The lot azea is 6050 s.f. The roof impervious surface calculates to be
42% of the lot area. This existing condition is 2% over the maximum allowed for.
a Low Impact Project classification in the Stormwater Management Plan. When
we add the existing walkway and driveway areas, the total existing impervious
azea is 3333 s.f. This puts the percentage at 55%. The present conditions would
~i classify as a Medium Impact Project. The roof downspouts discharge into
landscaped portions of the yazd and into an individual drywell. The loamy sand
and gravel underlying soil appeazs to handle runoff mitigation more than
adequately. Please refer to the Downspout Areas Served, (existing) sheet where
the roof azea of each individual downspout is indicated.
PROPOSAL:
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The 223 s.f. covered deck will be removed and the 410 s.f. roofprint addition will
be built. This would make the proposed total roof area of the house 2642 s,f. and
with the shed roof area of 95 s.f. added, the proposed total roof area is 2737 s.f.
The roof impervious surface would be 45% of the lot azea. With the walkway and
driveway areas added, the proposed total impervious azea becomes 3520 s.f.
This would un t the percentage at 58%. The proposed addition would require one
more downspout with several others relocated. Please refer to the Downspout
Areas Served, (w/ addition) sheet, which indicates the new roof azeas served by
each individual downspout.
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Because of the apparently adequate runoff mitigation performance of the existing
conditions, we would like to util$ze similar practices for the proposed addition.
We want all runoff water to stay on site for the purpose of irrigating the
landscaping. This would be accomplished by use of diverters or short tightline
runs to landscape areas. The possible use of rain barrels will be considered if
rainwater distribution is facilitated by this method.
ASSESSMENT:
Plan. ,,~
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We would like to request an on site evaluation of the existing conditions to verify
that our approach is adequate to meet the needs of the proposed increase in
impervious roof surface and the requirements of the Stormwater Management
. Sl ? G ~ a ~ ur-ell ' '{T~•~ -~'Ea. ~ areas ~/,..p fo d a•,J vts~r~l-
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~~°°p"°"'ysm CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
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'~o~wps„.a INSPECTION REPORT
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PERMIT NUMBER:
Site Address
Contractor
a>7, Owner
Date of Inspection
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Worksite or Cell Phone#
. ~
~`n ^ Erosion/Sediment Control ^ Plumbing/Top Out ^ Propane/Wood Appliance
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~ Setbacks/Footings/LIFER ^ Propane Pipe/Pressure Test
~ Foundation Walls ^ Propane Tank/Line ^ Manufactured Home Set-up
^ Fire Department
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~' ^ Footing Drainage ^ Mechanical ^ Temporary Occupancy
~!`-~ ^ Slab/Interior Footing/Insulation ^ Framing ^ Fees Paid
~ ~ ] Groundwork/Plumbing Test ^ Insulation ^ Final Occupancy
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tat
^ Other/Consu
wall/Fire Wall
^ Dr
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owns
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^ Ext. Shear
~\ Additional fees may be assessed for multiple re-inspections. For Re-inspection, call Inspection Message
DSD
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Line at (360) 385-2294 prior to 8:00 AM. (NO OCCUPANCY UNTIL APPROVED BY
VAL BY DSD
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, OCCUPANCY REQUIRES WRITTEN APPRO
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Approved ans/and permit card must be on-site and available at time of inspection.
Inspector ` : l~ ~~~b~ _ Date ~ S ~ S
Acknowledged by _.___ Date
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°'`°pTr°'N~~, CITY OF PORT TOWNSEND
° DEVELOPMENT SERVICES DEPARTMENT
''~~WA~~°~ INSPECTION REPORT
PERMIT NUMBER:
Site Address
Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
^ 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
^ Final Occupancy_"`_____ ____ _
^ Other/Consultation ~ ~, w,
~~ •.?7-ot
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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Approved plans and permit card must be on-site and available at time of inspectign.
'~~ . ~ 'i ~ ' ~ i,_ Date
Inspector ' ~ Date
Acknowledged by
°'°°flT'°"~s~, CITY OF PORT TOWNSEND
° DEVELOPMENT SERVICES DEPARTMENT
~ ~'_ ='- _
9~a°t'YA~~ INSPECTION REPORT
PERMIT NUMBER:
Site Address
Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
^ 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
^ 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 CORRECTIOI~dS ^ NOT APPROVED
SEE BELOW ~ SEE COMMENT(S) BELOVI(
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Approved pltarts and permit card must be on-site and available at time of i spection.
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Inspector ~ ~ / f ~ ~ !` ~ - - Date / ~ '~
Acknowledged by ~." -~d-r ~ ~ _ Date `
°`°°ftTr°'~~s,~ CITY OF PORT TOWNSEND
° DEVELOPMENT SERVICES DEPARTMENT
'~'~wA~~2 INSPECTION REPORT
PERMIT NUMBER: k~ ~--Y~ DS ~ ~ ~ O
Site Addres
Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
^ 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
~iVlechanical
Framing
^ Insulation
--~.}nteriar-Shear/BWP Nail
^ Drywall/Fire Walt
^ 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 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 $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR
WRITTEN APPROVAL BY DSD.)
^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
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Approved plans and permit card must be on-site and available at time of inspection.
~ ____
Inspector Date
Acknowledged by Date
;f"°ftr'°'~~$ CITY OF PORT TOWNSEND
-_ __; ~~° DEVELOPMENT SERVICES DEPARTMENT
9~~was~`'G INSPECTION REPORT
PERMIT NUMBER: ~ ~ Y~ ~^
Site Address ~ ~ ~~ ~. ('~1 ~ f ~V1 C ~-
Contractor
Owner
Date of Inspection
Worksite or Cell Phone# ~ ~ ~'~~ 2
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
D 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
^ 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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Approved plans and permit. card must be on-site and available at time of inspection;
.'
Inspector ` ~" = `` - Date
Acknowledged by Date
>`°aarl°,~~~~ CITY OF PORT TOWNSEND
" DEVELOPMENT SERVICES DEPARTMENT
~~~„,~
~'~~` ".6~2 INSPECTION REPORT
PERMIT NUMBER: ~ t''~ ~/S
Site Address ~ ~ 7 ( C~~a ~~ ~ ~-~-
Contractor
Owner
Date of Inspection
li
/~
Worksite or Cell Phone# ~ ~ ~~ " ~ ~~,
^ Erosion/Sediment Control
^ Setbacks/Footings/UFER
^ Foundation Walls
^ Footing Drainage
^ Slab/Interior Footing/Insulation
^ GroundworWPlumbing Test
^ Underfloor Framing
^ Ext. Shear Wall/Holdowns
L`4,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
^ 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
WBITCEAIAPPROVAL BY DSD.)
^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
~~~ ~_ ~~__ ~_._ ~= `~ SEE BELOW SEE COMMENT(S) BELOW
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Approved ISlallts and permit card must be on-site and available at time of inspection.
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Inspector ~` ,~ f ~; Date ~
Acknowledged by a-r f ~• __ , , ~ -.. - Date
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PERMIT NUMBER:
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
Site Address 5~ ~-- ~ ~~r~'-I'~ ~-P -
Contractor
Owner
Date of Inspection
Worksite or Cell Phone# •~7r~'~
^ 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
U Mechanical
^ Framing
^ Insulalion
^ Interior Shear/BWP Nail
^ Drywall/Fire Wall
^ Propane/Wood Appliance
^ Manufactured Home Set-up
^ Fire Department
^ Temporary Occupancy
^ Fees Paid
^ Final Occupancy
`Other/Consultation
i ~ 1~~~'
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 $47 re-inspection fee charge. (OCCUPANCY REQUIRES PRIOR
WRITI'~#-APRROVAL BY DSD.)
^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
Approved plans and permit card must be on-site and available at time of inspection,
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Insoector~ry ~ __ Date '~ .
by
Date
p~pORiTpyY/Q~ CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
;, .. , ~$
PaFWpSN.~saT' WSPECTION R~EvPORT
PERMIT NUMBER ~ k.. ~ ~' Z I ~ ~'~?
j ,~ Site Address
Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
^ 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
U Mechanical
Framing
Insulation
^ Interior Shear/BWP Nail
^ Drywall/Fire Wall
~~~C
^ 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.
OCCUPANCY REQUIRES WRITTEN APPROVAL BY DSD.)
^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW
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Approved`plbns and permit card must be on-site and available at time of inspection.
Inspector ~ .~ ' : __ Date
Acknowledged by ` 4 ~ - _ Date
~``°P"°"hsm CITY OF PORT TOWNSEND
" - ' ° DEVELOPMENT SERVICES DEPARTMENT
'`~y ' ~ ~~ U~ INSPEGTION REPORT
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I PERMIT NUMBER: Y~l.-Y7 Ce ~ ' I I g
~~Site Address ~~Q~~.{ ,~, ~~P.1.(9~ C '~'1 ~'~
"~ Contractor I (;'ll^(~'1 ~~,5 Z'Y`l
Owner
Date of Inspection
Worksite or Cell Phone#
^ Erosion/Sediment Control
^ Setbacks/Footings/LIFER
^ Foundation Walls
~Plumbing/Top Out ^ Propane/Wood Appliance
^ Propane Pipe/Pressure Test ^ Manufactured Home Set-up
^ Footing Drainage
^ Slab/Interior Footing/Insulation
'] Groundwork/Plumbing Test
^ Underfloor Framing
^ Ext. Shear Wall/Holdowns
^ Propane Tank/Line
Mechanical
Framing
^ Insulation
^ Interior Shear/BWP Nail
^ Drywall/Fire Wall
^ 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.
•° OCCUPANCY REQUIRES WRITTEN APPROVAL BY DSDJ
~~ ^ APPROVED ^ APPROVED WITH CORRECTIONS ^ NOT APPROVED
~..__ ..__. --- SEE BELOW SEE COMMENT(S) BELOW
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Approved ns and permit card must be on-site and available at time of in pection.
Inspector ~ IC ~ ~'~~ ~ ~ Date ~~~ ~
Acknowledged by _ Date
_~
CITY OF PORT TOWNSEND
_'_.__ DEVELOPMENT SERVICES DEPARTMENT
,- " 181 Quincy Street, Suite 301A, Port Townsend WA 98368
1,
.'r ' ~ PLUMBING CERTIFIC
BUILDING OWNER ~ (.ciCj~~hL~
ADDRESS ~ ~4WJt C
PLUMBRVGCONTRACTOR ' crn~ ~~r~~i~n,{ St/J~rc
ATION PRESSURE TEST
PERMIT # ~ -
DATE OF TEST ~6 _~ '
LICENSE # C~ . ~'1 S ~. ~ F d ~ C(p
~S GROUND WORK y~ROUGH-IN PLUMBING u FINAL
DWV
Air PSI
Water /t~ ` _ Head
Time JQ f~S Minutes
WATER SERVICE
Air PSI
Water .~S- ~S~ Working Pressure
Time ,3 ~/ /S Minutes
NOTE: TESTING REQUIREMENTS (SECTION 318 UNIFORM PLUMBING CODE) MINIMUMS:
Water Test-10' Head- 15 Minutes Test at Working Presure
Air Test - 5# PSI -15 Minutes 50# PSI -15 Minutes
1 hereby certify the information provided above is the result of the Plumbing System pressure test conducted by the
undersigned at the indicated address and date. Misrepresentation of this certification is a gross misdemeanor under
RCW.9A.72.040 subject to a twoyear statute of limitation. VISUAL SYSTEM INSPECTION IS REQUIRED BEFORE
COVER. 1~/`/'~ h
Signature ~ ~ ~''%' %~~` °"°"~ Date 7 3L L vv
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