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BLD10-160
Noi AG City of Port Townsend Development Services Department Correction Notice PERMIT NUMBER {ors -\vo OWNER JOBLocaTION COU OF eautne Inspection of this structure has found the following violations: ] j 4 lan Lo Dp 4 ed You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwjse. When corrections have been made, call for inspection. NW cues, Date \- ets (O Inspector DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department Correction Notice PERMITNUMBER (20.0 \S = (WO OWNER | JOBLOCATION (OUUE oy (Xone Inspection of this structure has found the following violations: - f \ \ Kewaunk SAnue rove BAL 3U( /- ZQ Lf hott, ws ‘i Lx ue Las VC pat, } 5 UU Z co NN ae ] / —- \ | q a } ene at eK aii SL, \ Bie, | VINA ck, Ten a | : RNS oN RW \) \ You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. ‘ 1 abe ed OB, | icv, Date \\~ 2-tU Inspector)“ \\ © DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 y THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 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. 958502301 PERMIT NO. BLD10-160 ISSUED DATE 09/02/2010 EXPIRATION DATE 03/01/2011 ADDRESS 2333 SAN JUAN AVENUE CONSTRUCTION TYPE V-B_ OCCUPANT LOAD OWNER QUIMPER UNITARIAN UNIVERSALIST PROJECT DESCRIPTION Conversion of old office & kitchen to meeting rooms, new CONTRACTOR RAVENSWOOD CARPENTRY LENDER INSPECTION INSP JATE COMMENT INSPECTION INSP JATE COMMENT FOOTING THC 14-9-[o OK Te Pose FRAMING OE Vaile MISCELLANEOUS GWB wy eid ok FINAL BLDGC OFO |r | Ye Horacvo4)\ Comlede | TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. Receipt Number: BLD10-160 958502301 Plan Review Fee $136.01 $136.01 $0.00 BLD10-160 958502301 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 BLD10-160 958502301 PLAN REVIEW REFUND 150 -$150.00 -$150.00 $0.00 BLD10-160 958502301 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 BLD10-160 958502301 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD10-160 958502301 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-160 958502301 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD10-160 958502301 Building Permit Fee $209.25 $209.25 $0.00 BLD10-160 958502301 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $364.76 genpmtrreceipts Page 1 of 1 BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-160 Permit Type Commercial Tenant Improvement Project Name Remodel meeting rooms, fellowship Site Address 2333 SAN JUAN AVENUE Parcel # hall and lobby . , 958502301 Project Description Conversion of old office & kitchen to meeting rooms, new wall between, remodel fellowship hall and lobby Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Quimper Unitarian Universalist Owner Quimper Unitarian Universalist Representative Forrest Jan (360) 385-2994 Contractor Ravenswood Carpentry Irv Mortensen (360) 683-3441 CITY 3432 12/31/2010 Contractor Ravenswood Carpentry Irv Mortensen (360) 683-3441 STATE RAVENC*077( 02/14/2011 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 Wii or authorized agent of the owner. Print Name ly \) Wy oy” cu <4 Date Issued: 09/02/2010 7 _ = : ; Issued By: SWASSMER . f ML WVY DAL q ) ires: Signature fim _S { +f 4A _ ~~. Date 7 Sf £& U Date Expires: 03/01/2011 _ City of Port Townsend (360)379-5095 BUILDING PERMIT Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 Project Information Permit # Permit Type Commercial Tenant Improvement Project Name Site Address 2333 SAN JUAN AVENUE Parcel # Project Description BLD10-160 Remodel meeting rooms, fellowship hall and lobby 958502301 Conversion of old office & kitchen to meeting rooms, new wall between, remodel fellowship hall and lobby Fee Information Project Details Project Valuation $12,000.00 Entered Bid Valuation 12,000 DOLL Plan Review Fee 136.01 (inte: Heat Type: PLAN REVIEW DEPOSIT 150 150.00 Bedrooms: Construction Type: V - B PLAN REVIEW REFUND 150 -150.00 Bathrooms: Occupancy Type: A-3 PLAN REVIEW DEPOSIT 50 50.00 PLAN REVIEW REFUND 50 -50.00 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Building Permit Fee 209.25 Record Retention Fee for Building 10.00 Permit Total Fees $ 364.76 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 authorized agent of the owner. Date Issued: 09/02/2010 Issued By: SWASSMER Date Expires: 03/01/2011 Print Name Signature PERMIT# JOUDLO~LWO CITY OF PORT TOWNSEND BLDG PERMIT ACTIVITY LOG DATE RECEIVED 07 14-10 SCOPE OF WORK: coqnuer ston of epChite are lotthen Spates 42 mea fax Mann S§S New wall betusen fllowshio Hall t Wisboy DATE ACTION INITIALS e- 4-10 ENTERED INTO CHET we) G-4G-tO CHECKED FOR COMPLETENESS MW Plan Review # Bedroom(s) = # Bath(s) = Heat Type: S/Adho Called #lbt messuge edit ee Foo Be Poem Fo ( (dew LOSS Com te Coll. Pras ecct v1 yeqowes Arch JEvg. Remoung bearing | well. — _ A 4 qG-|-ico ‘Pleas Redlew | xiepah . Wav SEPTIC? AY Zoning: KA Setbacks OK? No chane fo exter $0 - Lot Size: iv | A Building Size: Lot Coverage: FAR OK? Height OK? Parking OK? Yao = nm Nn as (7 US. Critical Area? N ) (Check Na Impervious of p R Surface limits 19.05.050D4(a) Shorelines Jurisdiction? N 0. Demo? Tu krnel Historic Rev/ No Design Rev? Notice to Title? . Lots of Record? > P:\DSD\Forms\General Use Forms\Activity Log Bldg Permit.doc July 12, 2010 FILE COPY, ty is Fig , . OF 00 So pat Lb 20 pot per tit fon } Opst bu (89)() = S60 pif } }} 4 4 @ Phos MAN AISO nas y Se Nee aN NNO anL nine | * Xa! LWA (2) * 4 Ep} L <P TCLn Boron See§ s(Seoti.29) Us) 7) a\ ‘ tt 7, 6X E] (2400) 4,3 E ox 746, seit Fire Seet a ny mper Un jtartay “333 San) Juan Ay N, Font Tounsend, we Owner: Quimper lt arian Universalist Fellowship 379-0 Contact: Jan Forresi, _oard of Trustees, President 385-2994 General Contractor: Irv Mortensen of Ravenswood Carpentry 360 683 3441 Legal Address: 2333 San Juan Avenue North Legal Description: , Hasting 0.C. Supp, Block 13, Lots 1-4, and Block 23, Lots -4. Tax Parcel Numbers 98501301 and 9850231 Project Description and Scope of Work: Conversion of old office and kitchen spaces to meeting rooms, new wall between Fellowship Hall and Lobby (all in original building). There is no additional space being created and no affect on the exterior of the building. Also, a new wall will be built across the lobby to provide 2 new doors; one to access the upstairs storage and meeting area (formerly the church offices), and one to access the new meeting space in the former kitchen. In addition, a new wall (about 20’ in length) with 6’0 x 6’8 double doors will be installed between the lobby area and the fellowship hall (old sanctuary). All of these new walls are non load bearing. On the second floor, a meeting space of approximately 310 Square Feet will be eated by the removal of the non load bearing wall between the main office and the minister’s office. The existing closets and small DRE office will remain for storage. There will be no effects to the energy code requirements - existing heating appliances and lighting fixtures will be relocated or replaced in the new room layouts as required. The building envelope will be unaffected as well. Property Coverage: Lot 69,844 SF Total Lot Area covered by Structures: 9645 SF Percentage of Lot Coverage: 13.8% Total Impervious Surfaces: 34,523 Percentage Impervious Surfaces: 49.4% ance te Vor. “Dedeuntivel @ Flupl , El e c t r i c a l No t e s Sh e e t 3 - Gr o u n d Fl o o r Pl a n Sh e e t 4 - Se c o n d Fl o o r Pl a n - Pr o j e c t De s c r i p t i o n an d Sc o p e of Wo r k Sh e e t 5 - Co n s t r u c t i o n De t a i l s Sh e e t 7 - Bu i l d i n g Oc c u p a n c y an d Ex i t Pl a n Sh e e t 6 - Si t e Pl a n Sh e e t 1 Sh e e t 2 FILE COPY REVIEWED FOR CODE COMPLIANCE NOTICE: Plans are approved excepting any efrors or omissions. All work must Pass inspection in conformance with all applicable codes and regulations. + = 5 F £ 3 £ < rs e Ee = ome) MZ > o£ o Es —| x = 32 66 2 voc | co 2Fe¢gseg i “v eS © 7) s -'o 19) ies 2 mo " —_ es {a} i ©} ex 2 gt & h4 ww a> T+) 00 = oe < CO &S F656 Oo to ¥ 24 5 SH Gg ss 60 8 em 2 36 oe & .- Y O# > B= 7) ¢ £6 [<9] 2s $2 a ~ & al (7) yo = be uv 2 | nd o UW = Ge WY [<)] Os § 93 '§ “SO = = 6 he =o &£ °2 « ‘5 3 ea §s2 sh & 5s - < S -_ > Vv 2s 9 3$ y Qo uwUJO8 7) Sheet 2 - Electrical Notes This is a summary of the electrical revisions required for the conversion of office and kitchen spaces to meeting rooms, new wall between Fellowship Hall and Lobby (in original building). First Floor: Lobby, FH (Fellowship Hall), Meeting Room (old Kitchen) Move thermostat from stairwell to FH wall. Extend circuit to add outlet in new wall in FH. Note: insure that outlet supply at South end and North end is on the same phase for audio. Move existing track lights from South end to North end of FH. Remove 8’ baseboard from Lobby - leaving 6’ baseboard in place. Install new 5’ baseboard in Meeting Room. Move switches and outlets as required. Second Floor: Offices to Meeting Room Conversion. Wall to be removed holds 2 heating units, 2 thermostats, and wiring for ceiling fan/light switch. Relocate one heating unit to serve newly configured classroom. Move switch and remove outlets as required. Lage. Dp wachvles Ermut Keguded on t r a c t o r Se r v i c e s pr o v i d e d by Ir v Mo r t e n s e n De s i g n / B u i l d / G e n e r a l C of Ra v e n s w o o d Ca r p e n t r y 36 0 68 3 34 4 1 ] Fo r Qu i m p e r Un i t a r i a n Un i v e r s a l i s t Fe l l o w s h i p » ne w wa l l pa c e s to me e t i n g ro o m s an d ki t c h e n s Ha l l an d Lo b b y (i n or i g i n a l bu i l d i n g ) . Co n v e r s i o n of of f i c e be t w e e n Fe l l o w s h i p Sh e e t 2 - El e c t r i c a l \\ OT E S fi AL O ! 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Lo w e , Sf = Se He y 2 in h e r . ne gU " OC , ” So s | | = sa i l 38 27 Se — TI “T P en a e a Fae —— ee E & <9 I I RE G A R D I N G | { on on _ | 4 5 8 §¢ 1 I FI N I S H E S ee s we Ns .= ae 1] I] af = ; a | fs So o t < g 5 Fy ; mH [| II ew , Sc a r c e ‘l t * Se oO Ss {| RE E Z E W A Y I ne be a) 1 | | S$ 5 © 8B + Qo uw US L Sheet 3 - Ground Floor Plan S B i t | P R O P O S E D 1 E R D R O O K , F R U R E E a i o iy as y FL O O R YK O H S E D f w a e we t i pA m e x [i n | | Am e Wa i p e n e n d He r o _ Co m m e n t ba = 5 ra s , Bu r k ok , ~ ‘ —« OF T E R I O R OO O R ~ - SA N L T O A RY h * EX T E R I O R DO C O K R ~ SA L I V A Rx Conversion of office and kitchen spaces to meeting rooms, new wall Design/Build/General Contractor Services provided by Irv Mortensen between Fellowship Hall and Lobby (in original building). of Ravenswood Carpentry 360 683 3441 For Quimper Unitarian Universalist Fellowship Sheet 4 - Second Floor Plan Ivy Movrterser of Ravenswood Carpentry 360 683 3441 For Quimper Unitarian Universalist Fellowship Conversion of office and kitchen spaces to meeting rooms, new wall between Fellowship Hall and Lobby (in original building). ~ BA R I A I G lL O A L G DE T A I L S = a , AJ EX I S T / I D G CO S : FU C T I O CO M P O S I T I O N RO O F I N G O/ 30 LB BP O/ 1/ 2 " CD X O/ SI S S O R PR E EN G I N E E R E D TR U S S E S @ 24 " OC O/ R 49 BL O W N IN IN S U L A T I O N O/ 5/ 8 " GY P BD . VE L U X SK Y L I G H T | ne ws XS HU R R I C A N E T I E FA L S E RA F T E R TA I L & 7 5 i E AO N bs ON E CO A T ST U C C O Oy s ™ & 10 " EN E R G R I D BL O C K a ug 8) ae s EW DO / M E T A L L A T H OY | LA P 40 @ DO W E L S TO MA T C H IN FO O T I N G AT 3e Ag e WA L AT CO D bs Ta d Ne eu m fy | SE E EN G I N E E R I N G FO R LI N T E L S O/ OP N G f ~~ ae KE = 3! | 9x 6 BL O C K I N G W/ {| IN S E C T SC R E E N W/ Ww \ BA F F L E T O V E N T 1 at e 'P BD WA L L TO RI D G SS i 2X 1 0 PL A T E Wi | ' HA N D R A I L S v ee e 6 al e oF a ac a n UB C SE C T I O N 10 0 8 . 9 Ss J S le x 7/ 2 El o OE R 71 % - . Dt TR MI K E ! 7 x PU } Z YF B B ©] | i i =— | Il ei D» ) t iN (| il im | ol { ff \ nH : } 7 | ST A I R TR E A D @8 0 " MA X HE ( Dy | j ' 3 e Ys l e ee LD ) : <} | + , SE | g | go s oo n 9 SG * CI R C U L A R ST A I R UP UB 6 E — — _ _ _ _ _ " . o N N 1 SE C T I O N 33 0 6 . C \ o- 2 | J KY = le ' mm OY le >) S Ni — g é S 24 x 2 4 4: 1 2 o 4" CO N G - S E A B - W 6X 6 X 1 0 X 1 0 EW W M O/ » a > ° Ge m < i 6 MI L BL A C K VB O/ CO M P A C T E D FI L L W/ FO o TH F e —— g “y o wo r e EX B T I G S* ‘f 18 " W X 8" D MI N . TH I C K E N E D FO O T I N G BE T H : i c == — H i t RB CO N T I N U O U S (O V E R L A P CO N N E C T I O N S L( | bs “ AN D N G || . fi 4 UY Y~ R E EW == / i — 8 n vo ap e 6 D CO N C R E T E PA D Wi | As == — vy _ ; z i j —| i CS __ a = a a 7 ow =) it a ~ Sy ai wc i i m c n l || Sp — & a= " _ R1 0 RI G I D C™ . Sheet 5 - Construction Details NE W AD D I T I O N FO R QU I M P E R UI RI A N UN I V E R S A L I S T FE L L O W S H . \R C E L #5 48 5 0 1 3 0 1 AN D 48 5 0 2 3 0 ! EC T DE S C R I P T I O N : PR O P E R T Y CO V E R A G E : ‘A DE S I G N BU I L D PR O . E C T . LO T . 64 5 8 4 SQ . FT . (I N C L U D E S 25 R D ST . RO W ) ‘A BU I L D I N S AD D I T I O N TO IN C L U D E A AR E A CO V E R E D BY EX I S T I N G ST R U C T U R E S : 36 1 5 SF SA N C T U A R Y , OF F I C E SU I T E , 4 RE S T R O O M S (2 AR E A CO V E R D BY PR O P O S E D ST R U C T U R E S : 5, 4 1 0 SF ‘A D A CO M P L I A N T ) , JA N I T O R ' S RO O M , KI T C H E N TO T A L LO T AR E A CO V E R E D BY ST R U C T U R E S : 46 4 5 SF AN D CE N T R A L FO Y E R . - PE R C E N T A G E OF LO T CO V E R A G E : 15 . 8 % "A R K I N S LO T , WA L K W A Y S , AN D CO U R T Y A R D PA T I O . 4 IM P E R V I O U S SU R F A C E S : ‘A N EX I S T I N G RO A D UP G R A D E , 22 n d ST R E E T . EX I S T I N G RO O P P R I N T : 4] 2 8 SF A FI R E SP R I N K L E R SY S T E M IN TH E NE W AN D ‘ EX I S T I N G DR I V E R A Y AN D PA R K I N G : 80 5 7 SF EX I S T I N S BU I L D I N G S , EX I S T I N G WA L K W A Y S : 42 4 SF CR A W L SP A C E VE N T I L A T I O N PE R 20 0 6 IB C SE EX I S T I N G GA R D E N WA L L , ST E P S AN D FO U N T A I N : 31 2 SF RE Q U I R E D : 51 3 8 SF /I 0 O S F = 3 2 3 S F 2. PR O E C T SH A L L CO M P L Y WI T H TH E FO L L O W I N G TO T A L EX I S T I N G MP E R V I O S SU R F A C E S : 15 . 4 2 6 SF PR O V I D E D : (6 ) OP E N I N G S OF 8° X I 6 " = 6 X £4 SF = 53 4 SF pa m ; 26 IB C , 20 0 6 WS E C , 20 0 6 VI A G , 20 0 6 IM C , YE H RO O F P R I N T : 1) SF AT T I C . VE N T I L A T I O N PE R 20 0 6 IB C 12 0 3 2 EX C E P T I O N 36 IF C , 20 0 6 IA M P O UF C , AN S I AI M , [4 4 3 WA T E R NE H DR I V E R A Y AN D PA R K I N G : 12 6 4 2 SF : 1/ 4 PI T C H RO O F RE G D : 12 8 6 SF * 1/ 3 0 0 = 4. 2 4 SF OR 61 1 . 2 2 SQ . IN . 3S . ST A N D A R D , be t t e Re g d we V4 PI T C H RO O F PR O V I D E D (H I G H ) : (6 ) HO L E S 5° x I I * = 33 0 SQ . IN . WA L K W A Y : IM P E R V I O U S CO N C R E T E V4 PI T C H RO O F PR O V I D E D (L O W ) : (4 4 ) 3" HO L E S = 30 B SQ . IN . 2P E R T Y DE S C R I P T I O N . NE H WA L K W A Y S : 43 5 7 SF OF PE R V I O U S CO N C R E T E V4 PI T C H RO O F PR O V I D E D (T O T A L ) : 63 8 SQ . IN . ST I N S S OC . SU P P , BL O C K 13 , LO T S I- 4 AN D TO T A L NE A IM P E R V I O S SU R F A C E S : 05 4 7 IK 29 , LO T S ES 5 PI T C H RO O F RE G D : I5 1 6 SF * 1/ 3 0 0 = 5. 2 5 SF OR T5 6 4 SQ . IN . RS TO T A L EX I S T I N G AN D NE W IM P E R V I O U S SU R F A C E S : 5 PI T C H RO O F PR O V I D E D (H I G H ) : CO N T . RI D G E VE N T = I" X I1 2 8 " = 11 2 5 $3 . IN we . 5 PI T C H RO O F PR O V I D E D (L O W ) (4 ) HO L E S T™ x I I " + (1 4 1 ) 2° HO L E S = DU P A N C Y GR O U P : A 31 2 SQ . IN . + 44 2 . 4 6 SQ . IN . = 15 4 . 4 6 5 PI T C H RO O F PR O V I D E D (T O T A L ) : 18 8 2 . 4 6 $@ . IN . f ST R U C T I O N TY P E : 5- 8 LD I N G HE I G H T . 27 - 3 " LO U L A T E D PE R OR D I N A N C E 24 3 4 BW 3 6 : 3 1 = 13 5 8 / 4 = 34 5 AV E R A G E GR A D E % 20 SF = 20 SB E R OF ST O R I E S : | FE R R E D SU B M I T T A L S : AT I N S SY S T E M DE S I G N AN D WS E C CO M P L I A N C E BA AA S A E AL A R M SY S T E M DE S I G N SP E C I A L IN S P E C T I O N S A NE W OF F I C E SU I T E : 80 7 SF 'E SP R I N K L E R SY S T E M DE S I G N NO SP E C I A L IN S P E C T I O N S AR E RE Q U I R E D PE R IB C RE Q D : 80 1 SF * 4% = 32 3 . ND S C A P E DE S I G N VE R I F Y EX I S T I N G AD D R E S S NU M B E R S ME E T CI T Y OF PO R T TO W N S E N D MW N I C I P A L CO D E FO R SI Z E , VI S I B I L I T Y AN D CO N S T R A S T I N G BA C K G R O U N D , SA N C T U A R Y : RE Q D : 26 6 OC C U P A N T S § IS / C F M = 34 4 0 CF M (4 0 0 0 C F M ) PR O V I D E D : 10 TO N : SP E C I F I C A T I O N : TR A N E PR E C E D E N T *A 5 C 12 0 24 ° LO N G X 53 ° HI D E X 46 " HI G H , 10 2 6 LB S . IN D E X TO DR A W I N G S PE R M I T CO R R E C T I O N NO T I C E RE S P O N S E IS S U E FO R PE R M I T DA T E DE S C R I P T I O N wa s [ 14 4 5 © RI C H A R D BE R G AR C H I T E C T S , PC 20 0 8 NO T E TO O| CO N T R A C T O R S AN D BU I L D I N G OF F I C I A L S : |. TH E S E PL A N S AR E IN T E N D E D TO CO N T A I N AL L . 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OF F I C E SU T E Fi IE M S T I N G ED U C A T I O N WI N G . am y es jU M C O N C E N T R A T E D US E TO T A L OC C U P / pu i c o u c e n r m a r e TA L OC C U P A fi ii 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 CITY OF PORT TOWNSEND www.cityofpt.us Commercial Project Address & Zoning District: Legal Description (or Tax #): Office Use Only _— 3 Addition: ; Permit 125.2 ay oriole Blox _/Z 23 #UE> 1 ~1WO Parcel # eo 25 3 | se Va Lot(s):__)- Y l- Y Associated Permits: f 7 flaw av " ‘ ro) o& ot hae ep i ricben Fo Project Description: Conyers ON OF © Mp rpows, Vieus ung Ul Lop uoen m odo Coe y SW Va B tao > Applications Sacco by mail must include a check for initial plan review fee of $150 > See the “Commercial Building Permit Application Checklist” for details on plan submittal requirements. Property Owner: a, Fellow >t» > Name:_Qojm wlan as alist Address:_Z33,3 Som Juen Aue Ad City/StZip:_Povt Jpuonsoest 4 A GB ISBS Phone:_ZL£(70 37f OG09 Email: Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: Q UY F Project Valuation: $ ] 2,000 Contact/Representative: Boas A Presiheed Name: Jaw Fovwe Address: City/St/Zip: Phone: SES 79T4 Email: Name: | Qvern Ry pawrtn, — Address:_/O Dcttce\ HD ay City/SUZip: Det vier 59 a Phone 7° 2 Seo Email:_ ya State License #PAVEASL¥N7720Z Exp: 214 //1 all ¢/]I City Business License #:_ CO 34 7Z Construction Type: SB Occupancy Rating: A3 Building Information (square feet): 1* floor Restrooms: 2™ floor Deck(s): 3” floor Storage: Basement: Is it finished? Yes No Other: New 0 Addition + Remodel/Repair ya. Change of Use 0 Total Lot Coverage (Building Footprint): Square feet_ 764 5S %_/3.E Impervious Surface: Square feet: 3Y, SZ 5 | hereby certify that the information provided is correct, that | 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: uine A A [2 hou Saw". Signature: My Mees Date: Aspe T, LO)O COMMERCIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new construction, additions, and remodels Commercial building permit application. O Non-Residential Energy Code forms: xt Lighting xt Mechanical xt Envelope O Three (3) sets of plans with North arrow and scaled, no smaller than %” = 1 foot: Title Page/Cover Sheet: Project identification Project address, legal description, location map, tax parcel number(s) All design professionals identified including addresses and phone numbers Name, address, and phone number of person responsible for project coordination Design criteria, including occupancy group, construction type, allowed floor area vs. proposed, occupant loads, height and number of stories, deferred submittals, etc. Designate compliance with all applicable codes 6. f site plan showing: ON O A R W N > Legal description and parcel number (or tax number), Property lines and dimensions Setbacks from front, sides and rear in accordance with a pinned boundary line survey On-site parking and driveway with dimensions Street names and any easements or vacations Location and diameter of existing trees Utility lines If applicable, existing or proposed septic system location Delineated critical areas boundaries and buffers Foundation plan: 1. 2: 3. 4. Footings and foundation walls Post and beam sizes and spans Floor joist size and layout Holdowns Foundation venting Floor plan: Oa h W O N > Room use and dimensions Braced wall panel locations Smoke detector locations Attic access Plumbing and mechanical fixtures Occupancy separation between dwelling and garage (if applicable) Window, skylight, and door locations, including escape windows and safety glazing Wall section: DC O N D A R W N = Footing size, reinforcement, depth below grade Foundation wall, height, width, reinforcement, anchor bolts, and washers Floor joist size and spacing Wall stud size and spacing Header size and spans Wall sheathing, weather resistant barrier, and siding material Sheet rock and insulation Rafters, ceiling joists, trusses, with blocking and positive connections Ceiling height 10. Roof sheathing, roofing material, roof pitch, attic ventilation O Exterior elevations with existing slope of the land in relation to all proposed structures O If architecturally designed, one set of plans must have an original signature 0 If engineered, one set of plans must have one original signature 0 For new dwelling construction, Street & Utility or Minor Improvement application Parcel Details Page | of 2 Home County Info Departments ~ Search sancen NOME? 958502301 SEARCH Parcel Number: 958502301 Printer Friendly Owner Mailing Address: QUIMPER UNITARIAN UNIVERSALIST FELLOWSHIP 2333 SAN JUAN AVE PORT TOWNSEND WA983686253 Site Address: 2333 SAN JUAN AVE PORT TOWNSEND 98368 Section: 3 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: State Exempt Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HASTINGS 0O.C. SUPP Assessor's Land Use Code: 6911 - CHURCHES Property Description: HASTINGS O.C. SUPP | BLKS 23&13 LTS 1-4(OF EA BLK) | & VAC 23RD ST | BND TGTH THRU LLA#112125 | Click on photo for larger image. No Permit Data Assessor Bldg Data |Tax, A/V, Sales Info Map Parcel Plats & Surveys Available fem, Jefferson County waseincr HOME | COUNTY INFO | DEPARTMENTS | SEARCH Best viewed with Microsoft Internet Explorer 6.0 or later http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp?Parcel_ NO=958502301 8/9/2010