HomeMy WebLinkAboutBLD07-048/^-|
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BIJILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-s09s
Project Information
Permit Type Residential - Addition/Rernodel
Site Address 1084 JACKMAN ST
Project Description
Remodel SFR - no change to ilnpervious.
Permit #
Project Name
Parcel #
BLD07-048
Remodel
948303601
Names Associated with this Project
Type Name
Applicant Garrett Michael
Owner Garrett Michael
Contractor Craig Johnson
Contractor Craig Johnson
Contact Phone #
License
Type License # Exp Date
Craig
Craig
(360) 319-8s94
(360) 319-8s94
CITY
STATE
r 830 12/31/2001
cRAr GJ C99 2N 08 / 22 / 2001
Fee Information Proiect Details
Decks - Residential
Decks - Residential (Covered)
Dwellings - Remodel @20%
Project Valuation
Building Permit Fee
Plan Review Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
$6.060.90
139.25
150.00
5.00
7.00
420 SQFT
70 SQFT
110 SQFT
Total Fees $301.25
CaIl 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.
ThegrantingofthispermitshallnotbeconstruedasapprovaltoviolateanyprovisionsofthePTMCorotherlawsorregulations. Icertifu
that the information provided as a part of the application for this permit is true and accurate to the best of my knorvledge. I further certify
that I am the owner ofthe property or authorized agent of
Date Issued
lssued Br':
04il2/2007
PWESTERFIELD
Print Name
owller
I
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
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.
DArE oF INSPECTIoN: 1-Z{-{PERMITNUMBER: a-Ll.K
SITE ADDRESS: iCIkq "Y*r'rn r*t\.\
PROJECT NAME:
CONTACT PERSON:
TYPE OF INSPECTION: .RruTti-
CONTRACTOR:
PHONE
.s
p-61rL , \\.\
TD N
! APPROVED
Inspector Date h'L;-<
Approved plans and permit cqrd must be on-site and available at time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
V, nor APPRovEn
Call for re-inspection before
proceeding.
I
f,
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
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.
DArE oF INSPECTIoN: L' A l" - O-7 PERMIT NUMBER:
SITE ADDRESS:
PROJECT NAME:CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF INSPECTION:
hK -N3PL
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
N NOTAPPROVED
Call for re-inspection before
Inspector Date
Approved plans and permit card must be on-site and availqble at time of inspection. A re-inspectionfee may
be assessed if work is not readyfor inspection.
2
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
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.
{)LDO 1 - 04,IDATE OF INSPBCTION:PERMIT NUMBER:
SITB ADDRESS:
PROJECT NAME:6amptr CONTRACTOR:
CONTACT PERSON:PHONE:
TYPE OF'INSPECTION:L4Y74
/-
APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
N NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector 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 TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
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.
aloDATE OF'INSPECTION:PERMIT NUMBER: O
SITE ADDRESS:
PROJECT NAME: aft{ZEN CONTRACTOR: &IPTA.vA,
,fr,. CONTACT PERSON:
OF'INSPECTION:
LbEAT oNE: 9A/-Z f?9
rJ%n**
Ll
N APPROVED
Inspector
! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
Date
tr NOTAPPROVED
Call for re-inspection before
p roceed rng.
L 4'.
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 readyfor inspectiotr.
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Receipt Nunber:
BLD07-048
BLD07-048
BLD07-048
948303607
948303607
948303607
$5.00
$139.25
$7.00
Total:
$s.00
$139.25
$7.00
Technology Fee for Building Permit
Building Permit Fee
Record Retention Fee for Building P
$0.00
$0.00
$0.00
$151.25
-020607 0311512007 Plan Review Fee
1042
Total
$150.00 BLD07-048
CHECK $ 151.25
$151.25
genpntrreceipts Fage 1 of 1
CITY OFPORTTOWNSEND '. \\
-
/ nnvnlopMnNT SERVICES DEpARTM--. T
City Hall,250 Madison Street, Suite 3' Port Townsend, WA 98368
Phone: 360-379-5095 Fax360-344-4619
RESIDENTIAL BUILDING PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Property Owner's Name(s)rt/
Mailing Address
City, State, Zip ,86/
trLPhone Permit No.
Property Street Address
?-30 fZonng District Parcel #
tr J Block Lot(s) 2l '23Legal Description; Addition (
General Contractor's Name C--ont'4/h
Mailing Address 72t f-uhn L,l
Phone Cell Phone
State License Number C 2n Z City Business LicenseNumber lz 3r 7.a
Authorized Representative/Contact Person :Phone:
Estimated Value of construction $
Date Work is to Begin Date Work is to be
Scope of Work:
Please check all items that apply for the type of building permit you are requesting:
Floor Area: the proposed structure is to be used for
[4An I 5 ?_0rJ7
New House Addition
New Garage or Carport Repair/Remodel GarageXRepair/Remodel House Accessory Dwelling Unit
Manufactured Home Other (please describe):
Finished Heated Space sq. ft:Garage sq. ft:
Unfrrished Heated Space sq ft:Carport sq. ft:
Unfinished Basement sq ft:Porches sq. ft:
Semi-Finished Basement sq ft:Decks sq. ft
Storage sq. ft Other (please describe):
ws+brt e.)
P:\DSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 1 of 2
-\ ' \
)
CITY OF PORT TOWNSEND RESTDENTIAL BUILDTNG PERMIT APPLICATION
NEW CONSTRUCTION, REMODELS, & ADDITIONS
Special Conditions
Applicanf Certifi cation
The applicant hereby certifies to have knowledge of those sections of the International Residential 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 understands that the permit, if issued, expires in six months unless work is started; that the permit, after
construction has started, will expire after one year if an inspection is not made to show significant progress on the Sructure; the
applicant agrees to abide by the ordinances, codes, regulations, restrictive covenants, deed or plat reshictions, and water and sewer
plans attached hereto; the applicant certifies that all information given above and on accompanying plans i complete and accurate to
the best of their knowledge; and the applicant understands that this information will be relied upon in granting permits and that if such
information is later found to be inaccurate any permits may be withdrawn.
Please check YES or NO as applicable YES NO
l. Is the property within 200 feet of a fresh or saltwater shoreline?
2. Is the property within the Port Townsend Historical District?
3. Is the property located within or adjacent to an environmentally sensitive area?v
4. Will this proposal involve any sewer, water or other utility extensions that will, or could serve vacant
properties other than the project site? If yes, please attach information identifying the utility extensions and
sites.v
5. Have any special conditions been placed on this property, or has the property been subject to any
conditions on any prior action of the City (if "Yes" to any of the following, attach copies of appropriate
documents):
Subdivision/Short Plat/Boundary Line Adjustment?
SEPA (environmental review)?\
Variance?
Conditional Use Permit?
Street Vacation?
Planned Unit Development?\
Restrictive Covenant?
Easement?
6. Are any properties within 800 feet of the site owned or conholled by the applicant, any relative or
business associate, or any partnership, corporation, or other entity affiliated with the applicant? (If ps,
attach list.)N
7. Have any of the properties listed in item #6 been developed within the last two years? (If yes, attach list.))4
8. Have you previously discussed this project with a City staff member? If yes, who and when?
(
P:\DSD\Forms\Building Forms\Application-Residential Building Permit.doc Page 3 of 3
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ReceiptNunber, lffi&ffi
BLD07-048 948303607 Plan Review Fee $150.00 $150.00
Total: $150-00
$0.00
CHECK 2817 $ 150.00
Total $1s0.00
genprnlrreceipts Page I of 1
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PERMIT #bc"nctl * oYt
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
DATE RECEIVED
SCOPE OF WO A z"a,{. s d
DATE ACTION INITIALS
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