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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 Iffirmation
Permit Type Residential - Addition/Remodel
Site Address 4549 LOPEZ AVE
Project Description
Extensive interior remodel
Permit #
Project Name
Parcel #
BLD07-183
992300038
Names Associated with this Project
Type Name
Applicant Madinger Duane A
Owner Madinger Duane A
Contractor Ray Weber Construction
Contractor Ray Weber Construction
Contact Phone #
License
Type License # Exp Date
(360) 744-1211
(360) 144-t21t
CITY
STATE
1846 t2/31/2007
WEBERCx033( I | 129 12008
Fee Inforniation Project Details
Dwellings - Remodel @30%1,080 SQFT
Project Valuation
Building Permit Fee
Plan Review Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
$30.834.00
451 .85
293.10
4.54
9.04
10.00
Total Fees $769.09
*** SET' ATTACHED CONDITIONS ***
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 rny knowledge. I further certify
that I am the owner of the property or aulhorized agent of the owner.
Date Issued
lssued By:
t0102t2007
PWESTERFIELD
Print Name Kny u/€B€ts
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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/Remodel
Site Address 4549 LOPEZ AVE
Project Description
Extensive interior remodel
Permit #
Project Name
Parcel #
BLD07-183
992300038
Conditions
10. Not approved for rental purposes. Any use as an ADU or transient accomodation would require appropriate permit
and approval.
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commencedo 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 infornration 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 arn the owner of the property or authorized agent of the owner.
Date lssued:
lssued By:
10t02/2007
PWESTERFIELD
Print Name
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PERMIT# I3LDT)iT-a3
SCOPE OF WORK:
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
DATE RECETVED -2q -r,7
F: *etn s I tle tnL,-r',^i. l^en
DATE ACTION INITIALS
ENTERED TNTO CHET Ao)t f-
CA - to Plannins - No evidence t
CHECKED FOR COMPLETENESS
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Inspection Report
Project permit oVLDoT- Lg>
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Date Inspector Inspection & Notes
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Receipt Number:
BLD07-183
BLD07-183
BLD07-183
BLD07-183
BLD07-183
992300038
992300038
992300038
992300038
992300038
$293.70
$9.04
$4.50
$451.85
$10.00
Total:
$293.70
$9.04
$4.50
$451.8s
$r0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Review Fee
Technology Fee for Building Permit
State Building Code Council Fee
Building Permit Fee
Record Retention Fee for Building P
$769.09
CHECK 3017 $ 769.09
Total $769.09
genprntrreceipts Page 1 of 1
Development Services
Residential Building Permit Application
) Applications accepted by mail must include a check for initial plan review fee of $150) See the "Residential Building Permit Application Requirements" for details on
plan submittal requirements.
Lender Information:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name:
Project Valuation: $
I
Any known wetlands on the property? Y
Any steep slopes (>15%l? Y
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 v1/E
,Rn,->/a,I*
Project Address:
'/fqq LoPF& Ave
Parcer# 7t> 3oo O38
n Tor ax(#)Legal
Lot(s)3s
Addition
Block:
Project Description:
,+Wl
Property Owne6 H€NPY l+outfol
Name:Dt41lcr *. *t*wtt3€ R
Address: lf q q LIPE i* /+ v €
?P 3APCity/SUZip:P,'7. w*
Phone
Emai
ContacURepresentative:
Name: Ran tiebefJAdd
City/SVZip
Email
Address. 499{ LoPez 4V€nT. w* 7f 3{3
Email: favarlcbera td email . C1r17t
State Licens e t:Ve:eet'&&bSo *xp.AhjJptr
City/SVZip:
Name v
City Business License #:
Contractor:
Phone
Building lnformation (square feet):
1" ftoor l Tfl Garage:t7L
2"o floor"-Deck(s)2rO
3'd floor----Porch(es):17
Basement:lQ FO ls itfinishedz @ No
Carport:_
Manufactured Home !
New fl Addition !
Other:
ADU !
RemodeliRepairff
Total Lot Coverage (Building Footprint)
Sq uarefeet: /AfL o//o /a
lmpervious Surface:
Sq uare feet: -76O
Signature o Date:p
sV,'<".l:t"O
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