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CITY OF PORT TOWNSEND
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.
ATE OF INSPECTION: PERMIT NUMBER:
SITE ADDRESS: Grunt 'S±
PROJECT NAME:. �� CONTRACTOR:
CONTACT PERSON: PHONE: ° _2 /4 6q
TYPE OF INSPECTION:
APPROVED
Inspector
❑ APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
❑ NOT APPROVED
Call for re- inspection before
proceeding.
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.
PORT TO
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INSPECTION REPORT
CONTRACTOR:
DATE OF INSPECTION:
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WORKSITE OR CELL PHONE #:
OF INSPECTION REQUESTED:
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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.
CO APPROVED
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❑ APPROVED WITH CORRECTIONS
NOTED BELOW
❑ NOT APPROVED
CALL FOR RE- INSPECTION
BEFORE PROCEEDING
Approved plans and permit card must be on -site and available at time of inspection. A re- inspection
fee may befa essed if work is not ready for inspection.
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Inspector �, Date
Date
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PERMIT NUMBER:
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
SITE ADDRESS: 13 (�) ra h
CONTRACTOR: 'Fa 13 ����1
DATE OF INSPECTION:
WORKSITE OR CELL PHONE #:_ (,A_3 -)'2_b2=
TYPE OF INSPECTION REQUESTED: VA
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 ❑ NOT APPROVED
9 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 ass sed if work is not ready for inspection.
Inspector i Date 0 �
Acknowledged , Date
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Site Address
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DEVELOPMENT CITY OF PORT TOWNoEND
SERVICES DEPARTMENT
INSPECTION ■ P • R
Date of Inspection
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Worksite or Cell Phone# A - I ---)
❑ 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
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Approved p s and permit card must be on -site and available at time of jinpection.
J[,! e/z_ Date
Inspector C
Acknowledged by X 1e) "I.J"L W s-, / T Date
CITY OF PORT TOWNoEND
DEVELOPMENT SERVICES DEPARTMENT
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W INSPECTION REPORT
PERMIT NUMBER: L n
Site Address
Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
❑ Erosion/Sediment Control
I#- Setbacks/Footings/UFER
❑ Foundation Walls
❑ Footing Drainage
❑ Slab/Interior Footing/Insulation
❑ Groundwork/Plumbing Test
❑ Underfloor Framing
❑ Ext. Shear Wall/Holdowns
❑ PlumbingfTop 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
❑,T6mporary Occupancy
Ll 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 DS;.)
JAPPROVED ❑ 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.
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Inspector
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Date
Acknowledged by
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CITY OF PORT TOWNoEND
DEVELOPMENT SERVICES DEPARTMENT
W INSPECTION REPORT
PERMIT NUMBER:
Site Address 13 cs� a__AAJ
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Contractor _zz�olqE,
Owner rm,�'p is
Date of Inspection
Worksite or Cell Phone#
❑ Erosfon/Sediment Control
L&tbacks/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 DSID.)
❑ 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.
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Inspector t C_ Date
Date
Acknowledged by
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CITY OF PORT TOWNbEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
PERMIT NUMBER: )2) LD o (0 - o o'+
Site Address
Contractor
Owner
Date of Inspection
Worksite or Cell Phone#
❑ Erosion/Sediment Control
�dSetbacks/Footings/IJFER
❑ Foundation Walls
❑ Footing Drainage
❑ Slab/Interior Footing/insulation
❑ Groundwork/Plumbing Test
❑ Underfloor Framing
❑ Ext. Shear Wall/Holdowns
I
SWIAM,
❑ 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.)
LI APP ROVED ❑ APPROVED WITH CORREOTIONS ❑ NOT APPROVED
SEE BELOW SEE COMMENT(S) BELOW)
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Inspector C_
Acknowledged by
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permit card must be on-site and available at time of inspection.
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Date
Date
Development Services Department
250 Madison Street Suite 3
Port Townsend, WA 98368
Phone: (360) 379 -3208 Fax: (360) 344 -4619
CITY OF PORT TOWNSEND
CONSTRUCTION PERMIT & INSPECTION RECORD
THIS CARD MUST BE POSTED AT CONSTRUCTION SITE
Call 385 -2294 for Inspection
Permit Number: BLD06 -004 Issued: 02/07/06 Parcel Number: 948 312 408
Owner: Robert & Mary Falstad Contractor: Jaime Kozelisky WAINS# 0626 & KOZELs027C3 Active
Job Address: 1113 Grant Street
Zoning: R -I Type: V -N Occupancy: RR =3
Nature of Work: Set Manufactured Home.
GENERAL CONDITIONS APPLY — SEE LAST PAGE
SEPARATE PERMITS REQUIRED:
Electrical and Manufactured Home Inspection — Contact Labor & Industries @ 360 - 417 -2702
NOTE: Set -up manual shall be on -site at time of inspection.
REQUIRED INSPECTIONS
TEMPORARY EROSION & SEDIMENT
CONTROL
See details attached to SDP05 -01 S and General
Condition #2
Silt Fence as needed
Drive Off Mat to prevent sediment from leaving
the site
SLAB /CONCRETE
Setbacks
APPRO V EINI)Al'E
Call 48 hours before you dig for utility line locates
1- 800 - 424 -5555
Page 1 of 3
Building Permit # BLD06 -004
REQUIRED INSPECTIONS APPROVED /DATE
PLUMBING (prior to skirting)
Water Supply — Main shut -off valve (port or ball valve)
installed in water supply piping prior to connection to home,
min. 3/ " diameter, same as supply pipe
Hose Bibs (backflow protection required)
Pipe Insulation — Outside & in crawl spac — R -3
Pressure Test — 30 p.s. i. for 15 minutes
Pressure relief valve drain - to exterior of skirting, exhaust
downward between 6" and 24" above ground
Drainage Piping — sloped min. Y4 " per foot
Licensed Plumbing Contractor's Signature & License
Number:
Sign here
MECHANICAL (prior to skirting)
Ducts & Duct Insulation
Dryer Exhaust — vented to outside. Extension into crawl space
requires venting through skirting with no dips and shall be
strapped or blocked to be held above grade; follow dryer
manufacturer's instructions.
Public Works Final
(must be approved before building final)
L &I Final
(must be approved before building final)
FINAL
House Number — minimum 5" numbers
Plumbing
Mechanical
Final — Building
No holes or gaps greater than % " allowed in skirting.
Skirting to be rated for contact with earth if backfill is involved.
Crawl space ventilation per installation manual @ I sq.
ft. 1150 sq. ft. (10 required); located close to corners, on at least
two opposing sides for cross ventilation.
Crawl space access must provide access to all areas under
home; minimum I8" x 24" unless specified otherwise; covered
with vinyl, pressure - treated wood or metal.
Call 48 hours before you dig for utility line locates
1- 800 - 424 -5555
Page 2 of 3
Building Permit 4 BLD06 -004
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). 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 call 385 -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 379 -3208 prior to making changes to the approved plans.
10. POST THIS PERMIT ON -SITE WITH THE APPROVED PLANS.
Call 48 hours before you dig for utility line locates
1- 800 - 424 -5555
Page 3 of 3