HomeMy WebLinkAboutBLD08-250BUILDING IERMIT
_ s
City of Port Townsend
' Development Services Department
TWA 250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information
Permit Type Commercial Miscellaneous
Site Address 918 WATER ST
Project Description
Re -roof flat portion of roof with white PVC membrane material,
Names Associated with this Project
Type
Name
Applicant
Mercer Raymond G
Owner
Mercer Raymond G
Contractor
Cloise And Mike
Construction
Contractor
Cloise And Mike
Construction
Fee Information
Project Valuation
Building Permit Fee
Plan Review Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
Total Fees
Contact
Permit # BLD08-250
Project Name Re -roof flat portion of roof with white
Parcel # PVC membrane material.
989704005
License
Phone # Type License # Exp Date
Q - CITY 5360 12/31/2008
Q - STATE CLOISMC9911" 08/24/2010
Project Details
$2,450.00 Roofing/Commercial/Other (per square) 14 SQUP
83.25 Units:
54.11 Bedrooms:
4.50 Bathrooms
5.00
4.25
Heat Type:
Construction Type:
Occupancy Type:
Ca11385-2294 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 thw propedy or authorized agent of the owner.
Date Issued:
Print Names e'iC4,A '-
Issued By: S
Signature _A_.....` Date I ��/� Date Expires: t}6!t)7!2()i)9
MM
❑ W
w r
z w
O O
y
❑ w
Z =
a�
W z
❑ O
aW
J
LU Co
Q J
c Q
O Q
U m
W
IL u)
U
z �
WN
a 0.
It w
Q of
J 0.
z a
7 ❑
W d
z ra
Nr
= Z
~a
w 0.
O D
M. U
W U
w O
F- w
O 0
z
LL
0 W
QW O
W
0.
J d
0. a
z V
O z
Q O
J
of m
D x
O F-
D
U z
a a
z
z _
U0
O
LL =
LL
a a
a W
z _Q
of 0.
a O
U cc
a
2 a
F- W
U
0 m
m
o'
0
N
o p
CO Q
o O
J
F-
Z
Q
w a
z O
O
a
6
W
c
O_
}
F-
0
O
z
a.
O
6
D
o
F-
c
Z
it
O
LU
LU
U
0
0
O
Q
w
a_
o
W
Of
D
U
Cl)
w
U
o
F-
w
O
W-
ILL,
0
LO
N
00
0
❑
J
m
O
z
H
Q'
W
d
0
0
v
0
O
0)
O
O
Z
J
W
Q
a
c3
Z
0
H
U
F-
z
0,
U
w
Y
Z❑
Q
w
U)
0
J
U
W-
O
F-
F-
z
O
U
w
a
O
a
Z
Z
Z
O
U
ui
a
U)
z
zZ
w
O
U
W
Q
0.
N
z
z
O
U
w
a
Z
z
O
H
w
(L
U)
Z
Q
p
F-
W
rn Z
N O
coLL
Cl)
CDa
o
J M
JO
U �
Z
52
F
Ua
W p
to j
z
Z U
Q W
~ W
m m
7 F-
a cn
w D
w g
0 H
W
D
d
W
d'
Z
O
H
U
w
a
cn
z
Roofing Permit Application
Project Address: Legal Descr tMon (or Tax #).
1
Addition __ ..
Block:'.._ ....
Parcel #Qg�d' Z Lot(s)�......�.---
SF Residential ❑ Commercial X MF Residential ❑ Bed & Breakfast*[-]
* B&B's located in Historic District may require design review approval.
Contractor:
Name:. ac CC�,..��-
Address:.........i�
City/St/Zip ........ eo cl
Phone.
Email:
State
Cit Bus Hess Licensee �
y_ #.......................................�..�......................�_
Is the structure located within 200 feet of a fresh or
saltwater shoreline? Y N
Will work take place on or near the public right-of-
way? Y
If yes, pro a site plan and pedestrian protection
plan-
1 2y Irrr . !
250 Madison Street, Suite 3
Port Townsend WA 98368
Phone: 360-379-5095
Fax: 360-344-4619
www.cityofpt.us
Office Use Ont
Prgfrit
Associated Permits:
Lender Information:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095_
Name:
Project Valuation:
Scope of Work:
Number of existing roof layers: 3
Square footage of roof: /YOO
Tear off? Y�N
Replacing sheathing? Y C
Replacing/altering rafters or trusses? Y
If "yes" a roof framing plan is required.
New Roof Type: (6)
❑ Composition
t , PVC
❑ Metal
❑ Cedar shingles ❑ Cedar shakest ,.
❑ Torchdown or Hot Mop ki Other u
0
RE
/1V
Venting type (check all that applies):
❑ Roof ❑ Gable End ❑ Eave/soffit
❑ Ridge b;� Other
I 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: ux
�.,
Signature: "� Date: oe
�- « 7 § » \ :
Cy\y� e
.� ��
»7%d
/... � -..`. � 2:� °\ ,� d\
. ..� � « � \ \ /�
<�\ �®�� �
�� � � % �� \ /� \'
��
� «
Vaanr rod
y
« Receipt Numbers 00,10,86
Recelpitbate:m. rm.
Original Fee
Amiount
Fee
Perm It #
ParceI
Fee Description
Amount
Paid
Balance
BLD08-250
989704005
Building Permit Fee
$83.25
$83.25
$0.00
BLD08-250
989704005
Plan Review Fee
$54.11
$54.11
$0.00
BLD08-250
989704005
State Building Code Council Fee
$4.50
$4.50
$0.00
BLD08-250
989704005
Technology Fee for Building Permit
$5.00
$5.00
$0.00
BLD08-250
989704005
Record Retention Fee for Building P
$4.25
$4.25
$0.00
Total:
$151.11
Previous Payment History
Recelpl #
Receipt Date
Fee Description
Amount Paid' Permit
Payment
Check
Payment
Method
Number
amount
CHECK
10397
$ 151.11
Total $151.11
genpmtrreceipts Page 1 of 1