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CITY OF PORT TO UWSEND
PERMIT ACTIVITY LOG
PERMIT # 6L(3077-015 DATE RECEIVED: 7
SCOPE OF WORK:
DATE ACTION INITIALS
-2/7/07 Entered into C Ff-e_T
ESA — to Planning -no vidence of ESA -
Vested Date
Checked for Completeness
1\Bcd_permits\forms\BUILDING\Permit Activity Log.doc
•
•
RT r°may BUILDING PERMIT
City of Port Townsend
`gam Development Services Department
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250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information Permit # BLD07-015
Permit Type Commercial Miscellaneous Project Name
Site Address 215 TAYLOR STREET Parcel # 989704001
Project Description
NEW PROJECTING SIGN FOR BUSINESS
Names Associated with this Project License
Type Name Contact Phone # Type License # Exp Date
Applicant Kitsap Bank
Owner Mount Baker Block Copr
Contractor Hanson Sign Co Randy Hanson (360) 613-9550 CITY 422 12/31/2007
Contractor Hanson Sign Co Randy Hanson (360) 613-9550 STATE HANSOI*2213 05/08/2008
Fee Information Project Details
Entered Bid Valuation 1,100 DOLL
Project Valuation $1,100.00
Technology Fee for Building Permit 5.00
Building Permit Fee 50.00
Record Retention Fee for Building 3.00
Permit
Total Fees Paid $58.00
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. 1 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.
Print Name Date Issued: 02/26/2007
Issued By: PWESTERFIELD
• City of Port Townsend •
BUILDING PERMIT APPLICATION
SIGN INSTALLATION
Name (Legal Owner(s))
PAOY—
Please check YES or NO as applicable
Mailing Address
AR -4-
-1bWlq2ff!;D
Phone
Permit #
a t- DQ 7- Q ( S
Property Street Address
S
Zoning District
Parcel #
Legal Description: Addition
Block Lot(s)
Contractor's Name
co ,
Mailing Address Bm
R2S6 OR
Phone
J - ctSs
State License Number
7,'Z%:3 \ City Business License Number:(Doo417__
5/010D "
Valuation: $ t
Rg-_npt4 of Work -
Please check all that apply for the type of sign you are installing:
Please check the Information that you are submitting w
Projecting Sign - if the sign projects over a
Please check YES or NO as applicable
Other- pl(
public right -of way area or sidewalk, i.e. where
2. Do you have the property owner's approval to install the sign(s)?
the public walks under it.
l b 1 .OD
Monument Sign - if over 5 feet in height.
Please check the Information that you are submitting w
Site Plan fes- Sign Attac.....V... vctau rvca.uvi.
✓ Sign Locate Plan (Elevation View) Bolting Specifications, if applicable
Special Conditions
YES
NO
Please check YES or NO as applicable
co
1. Is the property within the Port Townsend Historical District? If yes, HPC #
2. Do you have the property owner's approval to install the sign(s)?
l b 1 .OD
Site Plan fes- Sign Attac.....V... vctau rvca.uvi.
✓ Sign Locate Plan (Elevation View) Bolting Specifications, if applicable
Special Conditions
YES
NO
Please check YES or NO as applicable
1. Is the property within the Port Townsend Historical District? If yes, HPC #
2. Do you have the property owner's approval to install the sign(s)?
3. Do you have an authorized sign permit? If yes, please indicate SNP #
NXM_p .r VV \8 LDU4 BLPA ean.Aw
ivnim
BUILDING PERMIT APPLICA'
SIGN INSTALLATION
The applicant hereby certifies to have knowledge of those sections of the Uniform Building Code and the
Port Townsend Municipal Code pertinent to the above project and that the applicant is responsible for constructing
in conformance with these codes. The applicant agrees to abide by the ordinances, codes, regulations, restrictive
covenants, deed or plat restrictions, and the applicant certifies that all information given above and on
accompanying plans is - �- —I--
777
this information will be Miscellaheous Receipt NO.
any permits may be wr Finance Department
Port Townsend WA
360-385-2700 Cash ❑ CheckX DATE TJ 0
The undersigne RECEIVED FROM nf
action, judgments, Clairt
restrictive covenants, K �`''�a �D, Dollars ($
parties other than the
Pr i1
Complete Ap licatiol..... / a
(11102) City of Port TAnsend I
An application
requirements of Uniform Building Code as adopted by PTMC Section 16, is submitted which is consistent with all
then applicable ordinances and laws. In addition, to be considered complete, such an application must be
accompanied by complete applications for a sign and/or complete applications for other discretionary permits
Arequirnd r he ordinances of Port Townsend. (for example: Historic Preservation Design Review)
of pplicant or Authorized Representative Date
For Official Use Only
X%BW p-miAf .%BI RUt4CFALPAPP•io..d-
=102
2of2
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City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend WA 98368
Phone 360.379.5095; Fax 360.344-4619
SIGN PERMIT APPLICATION
u� Qoer row
o
mmmompow.- DO NOT CONSTRUCT SIGNS UNTIL YOU HAVE A SIGN PERMIT
Please review Port Townsend's sign regulations before applying for a permit
FOR DEPARTMENT USE ONLY Application # S N p D 7 - nn 1
.Sign Permit Fees (TC 2123): ` S ($35 first sign; $10 each add.) :Record Retention Fee: $3 (TC 9992)
;Building Permit Required, (TC 2001): � 60 . GYM I�
❑ HPC Administrative Review XHPC Review Required - #
Business/Organization: Kc S?�p BBV-
]_—Phone:
one:
Owner/Contact Name: Tim G4R�i 6%A£L
Site Address: 15 TANL0fZ ST RT Ttrw's3SF N n
Mailing Address (If different from site)
State/Zip:
Site Parcel #: GJSq'Zp g W (
City Business License #: 0MAI-L
Expiration Date:
Property Owner's Name (If different from Applicant) M , wm Q1o& (!bM
Address: 1 A 160 411 _ A ._ _
Phone.
Do you have the Property Owner's permission to ins i ll,tihe, sign?Ys ❑No
Sign Maker Name:r
st (gip,
rhe: �t3, qSS�
92
Address: (b BOK q-Lfb Siiunzc-FEB - 7 2001
'State/ZipiZA --Q838
ZONING DISTRICT:
Please provide the following with your application: _
1. Location Drawing. Site plan including location of all existing signs (if applicable) and the
proposed new sign(s).
• Freestanding or Monument Sign: Include the setback distance from public rights-of-way.
NOTE: If the sign is over five (5) feet tall, you will need a sign installation building permit.
The Building Permit fees, $76.50, are in addition to the Sign Permit fees, and include an
inspection fee.
• Projecting Sign: A detailed drawing of how the sign will be attached, what kind of wall
material it will be attached to (wood, brick, etc.), type of hardware and pieces used (bolts,
screws, etc.), hardware size and type of metal. NOTE: A sign installation building permit is
required if the sign will project over a public sidewalk or right-of-way.
2. Sign Drawing. Dimension(s), height(s), lettering, colors, structural and footing detail(s), material
specifications, method of attaching proposed sign(s), illumination (if applicable), and front and
end views of awning signs.
3. Insurance Rider: If you are applying for a Sandwich Board sign, an insurance rider is required
in the amount of $1,000,000 showing the City of Port Townsend as the insured. The owner of the
property where the sandwich board sign will be placed must sign this application if the owner is
different from the Applicant.
C Ooeuments and Settings\Randy Hanson\Local Settings\Temporary Intemet FileAOLMAppiication-Sign Permit.doc / 1/17/2007
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JAN.1c.2007 1::55 36G :io 7801;�
K_Jnf .n?v'K n`i•13N #5345 F'.GC% G0.
FROM : HAh+SON SIGNS FHX NO. : 360 61; 9515 ,tan. 16 2007 Q : 03PM P2
4 0
All sabjeet aQf cants and n Wrty owners musjaim aonuCSfiud WOW to signify axreem nt
vim' U,tbr. proposed ana ice f".
The Applicant below hereby certifies than: all of the above statemOnts and inforrnation contained in any
exhibits, plot plans, or other transtnittals nWe nerewtal tic 4µc and Frvvide an aCrurata TWASC"tation Of
the proposed project. The Applicsnt(s) acknowledges that any action taken by the City of Port
Townsend based in whole or in part of this application nray be reversed if it develops that any such
statement or other information contained herein rs false.
The undorsignod hereby saves and holds the City of Port Townsend harmless from any and all causes of
action, judgments, claims; or demands, or from any liability of any nature arising from any
noncompliance with any restrictive covenants, plat restrictions, deed restrictions, or other restrictions
which Mq%have Xvvl, catabli3hcd by paetavc other than the City of Port Townsend.
Signature
Property Owner Signature
Date
Date
Date
Signature of Property Owner, of off-site location Date
where Sandwich board sign will be placed (if applicable)
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