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HomeMy WebLinkAbout09103 City of Port Townsend Development Services Department Correction !Notice PERMIT NUMBER 6 -/ '— /D3 OWNER ��jj JOB LOCATION RZ? Inspection of this structure has found the following violations: �4 L You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted othe e. When corrections have been made, call for inspection. Date ,� Inspector i ai DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE CITY OF PORT TOWNSLND DE . ..OI'MENT SERVICES DEPARTML, . _ 181 Quincy Street, Suite 301 A, Port Townserid WA 98368 PLUMBING CERTIFICATION PRESSURE TEST BUILDING OWNER '"�i—t M— PERMIT# - '�'`"C" ' ADDRESS_R 21 v✓` .J P-4 _ DATE OF TEST i PLUMBING CONTRAC"I'OR �^ ✓'r���rJ LICENSE H �',o^:,��_Pr'.n '3 t.i O GROUND WORK 'tl,R000IHN PLUMBING ❑ FINAL DWV WATER SERVICE Air PSI Air PSI Water W [dead Water o J Working Pressure Time a Minutes Time t ;, Minutes NOTE: TESTING REQUIREMENTS(SECTION 318 UNIFORM PLUMBING CODE) MINIMUMS: Water Test— 10' 1-lead— 15 Minutes Test at Working Presure Air Test—5# PSI— 115 Minutes 50H PSI— 15 Minutes I 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 two-year statute of limitation. VISUAL SYSTEM INSPECTION IS REQUIRED BEFORE COVER. Signature Date PORT TO Sys CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT was ' CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BYQ�3:OOlPM FRIDAY. DATE OF INSPECTION: ( 20 d PERMIT NUMBER: SITE ADDRESS: 827 J i m S W A 7 CONTACT PERSON: Q PHONE: TYPE OF INSPECTION: 0-� ! m� (� �- P-6 It <�S J L l ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS ---- Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector I rLb Date 2p Acknowledgement Date 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. p°RTT°�y� CITY OF PORT TOWNSEND �o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WAS CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. 1 DATE OF INSPECTION: 7 6 PERMIT NUMBER: SITE ADDRESS: (�7�� Sr 5 6�1 Y CONTACT PERSON: PHONE: TYPE OF INSPECTION: �OQAIIIJ af`f_ _ ZOO L 16� Afffit OLP\ L4 /0�e, 77Z 6a- ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED -- CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection p7,2 ding. q Inspector I C 7-�z,Q- Date / Acknowledgement Date 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. T'Y OF I'OR'1'TOWNSENU.;. , DEVE,_ _t-MENI' SERVICES DEPARTMENT 181 Quincy Street, Suite 301A, Port Townsend WA 98368 PLUMBING CERTIFICATION PRESSURE TEST BUILDING OWNER �ci'��� PERMIT tt - 09 — 0„ ADDRESS s � ,, DATE OF TEST' — "1 — c)l PLUMBING CONTRACTOR emu@ Cifw "1 u,4_ LICENSE GROUND WORK L1 ROUGII-IN PLUMBING U FINAL DWV WATER SERVICE Air -5 PSI Air PSI Water I-lead Water Working Pressure Time I� Minutes Time Minutes NOTE: TESTING REQUIREMENTS(SECTION 318 UNIFORM PLUMBING CODE) MINIMUMS: Water Test— 10' Head— 15 Minutes Test at Working Presure Air Test—5H PSI— 15 Minutes 50H PSI— 15 Minutes I hereby certify the information provided above is the result of the Plumbing System pressure test conducted by the undersigned at the indicated address and dale. Misrepresentation of this certification is a gross misdemeanor under RCW.9A.72.040 subject to a two-year statute of limitation. VISUAL SYSTEM INSPECTION IS REQUIRED BEFORE COVER. Signature �� Date '�� �o�QORTro�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND v wA Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 POST THIS CARD IN A SAFE,CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PARCEL NO. 948326602 PERMIT NO. BLD09-103 ISSUED DATE 07/07/2009 EXPIRATION DATE 01/03/2010 ADDRESS 827 SIMS WAY CONSTRUCTION TYPE V-B OCCUPANT LOAD OWNER SMITH DON & BARBARA PROJECT DESCRIPTION NEW SFR W/DETACHED GARAGE CONTRACTOR MCFADIN & DAVIS LENDER INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE COMMENT EROSION CONTROL SETBACKS SURVEY PIN MECHANICAL iL(L IZ) 20 FOOTING INSULATION S glg kJflLS UFER GWB 11�I SLAB INSULATION FINAL PUBLIC WORK PLUMBING HYDR. A FINAL BUILDING p ►�I� ff27 FOUNDATION WALL twv ,��C�l 7/29�es FOUNDATION DRAIN SLAB MISCELLANEOUS FLOOR FRAMING SHEARWALL& HOLDOVI IC� 11 FRAMING C-L/ Ua� AIR SEAL C1(1/ PLUMBING A,C(,/ TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. o�QORTT°� CITE' OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT - r = INSPECTION REPORT �WA s CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE I SPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: 2 2 D 9 PERMIT NUMBER: SITE ADDRESS: lq 'C"I m s (o r CONTACT PERSON: PHONE: �^ TYPE OF INSPECTION: �7E1`t��tt l� WALL 1 ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector ` A Tr.) x P-- Date 2 a 9 Acknowledgement Date 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. o�QORrT°� CITY OF PORT TOWNSEND ti y� �o DEVELOPMENT SERVICES DEPARTMENT %i. INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: SITE ADDRESS: R27 SI Im S WA T CONTACT PERSON: '' 11 PHONE: ' TYPE OF INSPECTION: �'�-4 0' WA LL t �)/ s�d 6Loo6AJ(n A�06_LS, (JAtA,_ &)SWCRO ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections ill be Call o checked at nest inspection proceeding. Inspector7 T L 7 Date Acknowledgement Date 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 ro Sys CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT �wast CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: 2/ PERMIT NUMBER: �� SITE ADDRESS: S C�Nky CONTACT PERSON: PHONE: TYPE OF INSPECTION: L'J U sit- � ��^� �AG l / � � 7�(M f� V ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before i checked at nest inspection proceeding. Inspector C t� 7 W Date Acknowledgement Date 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 CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-38S-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: SITE ADDRESS: Z S I V�l S ui 4 CONTACT PERSON: PHONE: TYPE OF INSPECTION: �f j . . 6 -T(ook ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector (C_ K ��Ot� Date (� Acknowledgement Date 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. CITY OF PORT TOWNSENL PERMIT ACTIVITY LOG PERMIT # -F L—PD6?. 103 DATE RECEIVED SCOPE OF WORK: DATE ACTION INITIALS 0 - 0 ENTERED INTO CHET r CHECKED FOR COMPLETENESS S -- (Z - oq b �r✓S cis Z'Y 1AIS SF:7 " v w �•19.Oct rig fie t Co i rnperucov . Zoning: Setbacks OK? j T',61-f i c'.Gr '� Lot Size: Building Size: Lot Coverage: FAR OK? l Height OK? j Parking OK? I 2 C Critical Area? — 2 flev Demo? N U Historic Rev? U Notice to Title? . q, Lots of Record? O�pORTTO�y� BUILDING PERMIT City of Port Townsend `gam Development Services Department awn ' 250 Madison Street,Suite 3,Port Townsend,wA 98368 (360)379-5095 Project Information Permit# BLD09-103 Permit Type Residential - Single Family -New Project Name NEW SFR W/DETACHED GARAGE Site Address 827 SIMS WAY Parcel# 948326602 Project Description NEW SFR W/DETACHED GARAGE Names Associated with this Project License TN pe Name Contact Phone# Type License# Exp Date Applicant Smith Don & Barbara (360)460-9121 Owner Smith Don & Barbara (360)460-9121 Contractor Mcfadin & Davis Zeke Mcfadin (360)381-5116 CITY 5241 12/31/2009 Contractor Mcfadin & Davis Zeke Mcfadin (360) 381-5116 STATE MCFADDI969P 07/01/2010 ***SEE ATTACHED CONDITIONS rx Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or atUtth►orized agent of the owner. Print Name /�` \"� V�J Date Issued: 07/07/2009 Issued By: FFRANKLIN Signature Date 7+UZ"C) Date Expires: 01/03/2010 �O�pORTTO�ys BUILDING PERMIT City of Port Townsend Development Services Department awn ' 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-103 Permit Type Residential - Single Family-New Project Name NEW SFR W/DETACHED GARAGE Site Address 827 SIMS WAY Parcel# 948326602 Project Description NEW SFR W/DETACHED GARAGE Fee Information Project Details Project Valuation S178,831.48 Decks—Residential 700 SQFT Plan Review Fee 933.50 Dwellings—Basements—Finished 538 SQFT Energy Code Fee - New Single 100.00 Dwellings—Type V Wood Frame 1,118 SQFT Family Unit Private Garages— Wood Frame 632 SQFT Mechanical Permit Fee per Dwelling 150.00 Units: Heat Type: HYDRONIC Unit - New Residential Plumbing Permit Fee per Dwelling 150.00 Bedrooms: 2 Construction Type: V - B Unit -New Residential Bathrooms: 2 Occupancy Type: R-3/U-I PLAN REVIEW DEPOSIT 150 150.00 PLAN REVIEW REFUND 150 150.00 Buildinc Permit Fee 1,436.15 State Buildine Code Council Fee 4.50 Technology Fee for Building Permit 28.72 Record Retention Fee for Building 10.00 Permit Site Address Fee 3.00 Total Fees $ 3,115.87 Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this pennit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of niv knowledge. I further certify that I am the owner of the property or authorized agent of the owner. Print Name Date Issued: 07/07/2009 Issued Bv: FFRANKLIN Signature Date ___ _ _ Date Expires: 01/03/2010 Development Services o�Qoar TO�y 250 Madison Street, Suite 3 Port Townsend WA 98368 _ --- Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us Residential Building Permit Application Project Address: Legal Description (or Tax#): Office Use.Only Addition.- Perm it#BLD09-IIZO Zoning: Block: 2&6 Associated'Permits: Parcel# y�B`3a f� o Lot(s): z 3 Esa's��'�/�1 (� _ Project Description: new S r h lle ' ' t'PS de►.C2 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: Property Owner/Ap licant: Lender information must be provided for projects Name: _bnn ­� r�a� S��M� over$5,000 in valuation per RCW 19.27.095. AddressIZa< f—, . Name: city/St/ZipS16:;ajL f, 4 3 Phone: 34-0- -It Project Valuation: $ i50 t dOa Email: Al 5lytltifA &)WQAae.aows Building Information (square feet): lllg° 1st floor Garage: &3a 2"d floor Deck(s): boo Contact/Re resentative: 3ra floor Porch (es): Name: M( �in Basement: 8�32 is it finished?6 No Address: Carport: Other: City/St/Zip: 1>."[, \Wk Inc;? Manufactured Home❑ ADU ❑ Phone: S`' CEO- New Addition❑ Remodel/Repair❑ Email: Z�� ac��ti��V��,CbM Heat Type: Electric Heat Pump Other Contractor: ❑ Same as Owner rTotal'LottiCoverage-(Buriding-F otprint):" Name: Mtyt4 f►•. ��i S 11 I E �(„ j� li v k °I D. Square_f, t: �,� /° Address: 2►t `To-q or ` Sv\'a'c-4 `I �11,ltina Impervious SurfaceCity/St/Zip:RT Y NS(a$ I I�l 4 Square-feet:`����n Total e &arot)osed Phone: 9 q-- HIS I I I. r f ``� What-year was the structyre built? Email: ,C2 +71n.C4iiv\dO�V��•CU� CITY OF PORT TOIN CFN State License#:6 02, 7b2 Exp: If work includes demolition,see Page 2. : 0 Any known wetlands on the property? Y� City Business License#: 00 15�9 4I Any steep slopes (>15%)? Y 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 activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print Name: Signature: Date: -O Page 1 of 2 -5/14/2009 f O�VORT TOE City of Port Townsend y`"Z 0 Development Services Department 250Madison Street,Suite 3 ¢w Port Townsend,WA.98368 (360)-379-5095: Fax: (360)344-469 Washington State Indoor Air Quality 2006 Residential Construction Checklist for Zone 1 This form is to be completed in addition to prescriptive compliance form or component performance compliance calculations. Please answer the following questions: VENTILATION REQUIREMENTS FOR INDOOR AIR QUALITY: What kind of ventilation will be used throughout the house: ❑ Exhaust Option 1p,HVAC Integrated Option If you chose "Exhaust Option," complete the following: • Where is your whole house fan located (what room, etc.)? • What size is the whole house exhaust fan? See table below.- Floor Bedrooms Area, ft2 1 2 or less 3 4 5 6 7 8 Min Max Min Max Min Max Min Max Min Max Min Max Min Max <500 50 75 65 98 80 120 95 143 110 165 125 188 140 210 501 -1000 55 83 70 105 85 128 100 150 115 173 130 195 145 218 1001-1500 60 90 75 113 90 135 105 158 120 180 135 203 150 225 1501-2000 65 98 80 120 95 143 110 165 125 188 140 210 155 233 2001-2500 70 105 85 128 100 150 115 173 130 195 145 218 160 240 2501-3000 75 113 90 135 105 158 120 180 135 203 150 225 165 248 3001-3500 80 120 95 143 110 165 125 188 140 210 155 233 170 255 3501-4000 85 128 100 150 115 173 130 195 145 218 160 240 175 263 4001-5000 95 143 110 165 125 188 140 210 155 233 170 255 185 278 5001-6000 105 158 120 180 135 203 150 225 165 248 180 270 195 293 6001-7000 115 173 130 195 145 218 160 240 175 263 190 285 205 308 7001-8000 125 188 140 210 155 233 170 255 185 278 200 300 215 323 8001-9000 135 203 150 225 165 248 180 270 195 293 210 315 225 338 >9000 145 218 160 240 175 263 190 285 205 308 220 330 235 353 *For residences that exceed 8 bedrooms, increase the minimum requirement listed for 8 bedrooms by an additional 15 CFM per bedroom. The maximum CFM is equal to 1.5 times the minimum. • Fresh Air Inlets are required for this option in each habitable room (includes all bedrooms, kitchen, etc., not bathrooms or utility rooms). What type of fresh air inlet will be installed? ❑ Window Port ❑ Wall Port See next page C:\Documents and Settings\rnarkp\Local Settings\Temporary Internet Files\Content.Outlook\YCFWUM82\Checklist-Indoor Air Quality.doe A TYPE OF HEATING: • Electric: ❑ Wall Heater ❑ Baseboard ❑ Electric Forced Air L' Boiler • Non-Electric: ❑ Propane ❑ Oil Heat ❑ Heat Pump ❑ Boiler VAPOR RETARDERS: Vapor retarders shall be installed toward the warm surface as represented below. Select one option for floors, walls, and appropriate ceilings: • Floors: ❑ Plywood with exterior glue [Poly plastic (greater than or equal to 4 millimeter thick) ❑Backed batts • Walls: ❑Poly plastic (greater than or equal to 4 millimeter thick) ❑Face-stapled, backed batts OLow-perm paint • Ceilings: ❑Not required where ventilation space averages greater than or equal to 12 inches above insulation ❑Face-stapled, backed batts ❑Poly plastic (greater than or equal to 4 millimeter thick) ❑Low-perm paint HEAT PUMP EFFICIENCY: As listed in the ARI directory, heat pump efficiency shall be met as follows: ❑Split system, air source heat pump: HSPF greater than or equal to 6.8; COP greater than or equal to 3.0 ❑Single package, air source heat pump: HSPF greater than or equal to 6.6; COP greater than or equal to 3.0 ❑Water source heat pump: COP greater than or equal to 3.8 ❑Ground source heat pump: COP greater than or equal to 3.0 CENTRAL COMBUSTION HEATING SYSTEM AFUE: As listed in the GAMA Directory, the central combustion heating system AFUE rating shall be: ❑Greater than or equal to .78 (Med. Prescriptive Options & Chap 5 Calculation) ❑Greater than or equal to .74 (low Efficiency Options) ❑Greater than or equal to .88 (High Efficiency Options) ❑Other (as per Systems Analysis Qualification) C:\Documents and Settings\markp\Local Settings\Temporary Internet Files\Content.Out]ook\YCFWUM82\Checklist-Indoor Air Quality.doc Parcel Details Page 1 of 2 17r; ,. m_. YJeatfier Station DatabaseTools Maps_- �( s ►!leicam_ m Home :- County Info Departments �Sear�h Parcel Number: 948326602 SEARCH Parcel Number: 948326602 Printer Friendly_ Owner Mailing Address: DONALD SMITH BARBARA TUCKER SMITH 324 E WASHINGTON #210 SEQUIM WA983823488 Site Address: Section: 10 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: EISENBEIS ADDITION Assessor's Land Use Code: 9100 - VACANT LAND Property Description: EISENBEIS ADDITION I BLK 266 LOTS 2 & 3(E50'S OF R/W) 4(E50') I I Click on photo for larger image. �J No 2nd Photo Available No Permit No Assessor Data ax, A/V, Sales Info Map Parcel Plat_s_&Surveys Available Data Available HOME i COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later Windows - Mac http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 6/15/2009 ITM I / Pam �L- WATER j - - - / I ,o4 I eMrMOVERTIV PHOIE oosrr+b ',/ ME /POMR/maz TO CC RMOVEP To&AP,*E I <> � ' I mom I A AW 1 SV44E, I I I Nl TT✓>25( `'rO CC 14%JVtP I� — � I � Mnl+,MOOR it i I EXIST INCH I III I r I MOM 1 I -I PGRCl7 I i Ili 013cp hVVSE vl I I a II �OPM � a{r I E@YAMMnC Ova. --- -" �vBt CIBB�T Top Mgga M AT�� II` WATER/ I I PROF.Ca;TM IO N 6tW39 TM!WIH I #9N (oOZ a---AT r AT"a+ MAINTENAN —- - - - - - - aw WATER Brats ro oe t M/WATER :;Mzv%C&W&7m I OF 9OHT TO$ 2 �i Receipt Number: 09-0512 Receipt Date 07/07/2009 Ca h er� FFRANKLIN' 'Pye�Paj+ee N m�e ISMITHDON 8 BARBARA �a �' r,.. ff g wNt m, gmal`F 05 cnptio BLD09-103 948326602 Plan Review Fee $933.50 $933.50 $0.00 BLD09-103 948326602 Energy Code Fee-New Single Family $100.00 $100.00 $0.00 BLD09-103 948326602 Mechanical Permit Fee per Dwelling U $150.00 $150.00 $0.00 BLD09-103 948326602 Plumbing Permit Fee per Dwelling Uni $150.00 $150.00 $0.00 BLD09-103 948326602 PLAN REVIEW REFUND 150 $150.00 $150.00 $0.00 BLD09-103 948326602 Building Permit Fee $1,436.15 $1,436.15 $0.00 BLD09-103 948326602 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-103 948326602 Technology Fee for Building Permit $28.72 $28.72 $0.00 BLD09-103 948326602 Record Retention Fee for Building Per $10.00 $10.00 $0.00 BLD09-103 948326602 Site Address Fee $3.00 $3.00 $0.00 Total: $2,965.87 PreviousrPayment History y F Mimi p ��Receipt Date =' � g� -x�FeefD`escnpUon °���- � �_.�.. Amount-Paid Permit#Rece� t# 09-0428 06/10/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-103 Pay e _ Check x `P nt Method Number - `xAmount' CHECK 6767 $2,965.87 Total: $2,965.87 genpmtrreceipts Page 1 of 1 OF PORT TOE � ~A u o Receipt Number: Receipf[?adte06/10/2009 Cashier SWASSMER< Payer/Payee Name HENTHORN tV�ARKi $ }' $ E k __.._..._ ..,�...... -_.._.. _..,... ,..,._.... `• � ` °��� - � '"'� " � � �. Original Fee° Amount � Fee `� Permit# �# �`�Parcel; ,r-- Fee DeSCfIQtIOn ,,. � , ,�� '` F5,_AInOIJnt � Palt1 ? ��ytiBalanCeLy��` BLD09-103 948326602 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 �� `�*�t z ` _ Previous Payment Hrstory Receipt# b Receipt Date a 4 i Fee Description s Amount Paid� Permit# Payment Check _ 7 E Payment: X C J EMethbo Number �1F Amount- CHECK 6718 $ 150.00 Total: $150.00 r genpmtrreceipts Page 1 of 1 Sb P©g _o 9 popr rok City of Port Townsend ss Development Services Department " �o BUILDING NUMBER APPLICATION`"^ Name of Property Owner: �ov. sc�Jct 4 �dtii`h Mailing Address: jVj&o%C110 57r'o 216 w I M, WA `7939-L Telephone: -zl(00 ' 9iZl Property is located in: Addition:L&.eh"iS, Block(s): G(� Lot(s):a Faces/Access is from: Street Parcel Number 9y83a(oka Directions to the Property (draw vicinity map on back) If this is a new ADU, has a building permit been applied for? _Yes _No Date: Notes: HOUSE NUMBER ASSIGNED: �� ` S,rrh 5 L A Date of Approval: 01111de), For Department Use Only: Application Fee Received ($3.00, TC 2200): Date: Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office ❑ Sheriff ❑ Police (Lyn) ❑GIS ❑ Public Works ❑ DSD database ❑ Assessor's Office For address changes: ❑ Qwest Address Management Center— 206-504-1534 http1/ptimaging/DSD/Building_Forms/BuildingPermitPacket/Application-Address Number.doc,6/12/06 3 6 6 6 6 3 Y_ zu --I609 612 " N E o 43 3 � 19 e 4 5 5 5 4 5 4 y y § 18 QO 4 VAC 1-21-48 132.97 17 TAX 5 rj$$ GISE 7 1 LOT A LOT B 6 1 S g 1 1$2.97 99.97 546 GISE 3 C ' 249 2 7 248 2 51 21GIISE ��PC Lo 50 3 LOT C TAX 7 B 3 6 6 3 N N r 240 5 4 5 5 4 LLJL °° 5IMS 902 Y �9 230 220 TAX 6 110 100 S NAY 8 1 6 6 Ee 357.55 7 423 , 0 2 a`l pcp C 264 A S TAX 9 IN6 3 6 �3 .6. OD O co U) A• -�00 O 0.60 a. 1 6 1 8 g 1 .� 0.24313 335 334 329 33 0.42 a. Q 2 7 2 322 2 7 7 2 4 2 0.50 a. 3L27 j 1 g 3307 3 37�9a 324 0.49 a.4 5 4 Q) U TAX 19 ' � 6 M O� 0.12 a. 1.93 a. � O 1 C' 0 e- 2 7 2 22 i8 Y7 2 209 319 2 2074206 5 4 16 6 �J�� 3 3 � 2nd St. TX149 15 `�a 44 in , 14 55