HomeMy WebLinkAboutBLD07-205)
BIJILDING PtrRMIT
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 624 POLK ST
Project Description
Re-roof, new gutters, remove 1 chimney, cosmetic repairs & paint
Permit #
Project Name
Parcel #
BLD07-205
98971 3506
Names Associated with this Project
Type Name
Applicant Dorn D Malcolm
Owner Dorn D Malcolm
Contractor Wallyworks
Contact Phone #
License
Type License # Exp Date
Malcolm Dom (360)385:2112 STATE WALLYEL97902|28|2009
Fee Informution Project Details
Entered Bid Valuation 15,000 DOLL
Project Valuation
Building Permit Fee
Plan Review Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building
Permit
$r 5,000.00
251.25
1s0.00
4.50
5.03
10.00
Total Fees $420.78
Conditions
10. Property comer survey pins must be located at time of foooting inspection to verifli setbacks.
XX* SEE 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 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 ofthe property or authorized agent ofthe owner.
Datelssued: 10/291200'l
IssuedBy: PWESTERFIELD
Print Name Mat,^=[
PERMIT #U 1-70
- CITY OF PORT TOWNSEND.PERMIT ACTIVITY LOG
DATE RECETVED
SCOPE OF WORK:
DATE ACTTON INTTIALS
ENTERED INTO CHET SwttCA - to Planning - No evidence
CHECKED FOR COMPLETENESS
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Receipt Nunber:
BLD07-205
BLD07-205
BLD07-205
BLD07-205
$5.03
$4.50
$251.25
$10.00
Total:
$5.03
$4.50
$2s1.25
$10.00
$0.00
$0.00
$0.00
$0.00
989713506
989713506
989713506
989713506
Technology Fee for Building Permit
State Building Code Council Fee
Building Perm it Fee
Record Retention Fee for Building P
$270.78
07-0857
CHECK
0912712007 Plan Review Fee
6159
Total
$150.00 BLD07-205
$ 270.78
$270.78
genprntrreceipts Fbge l of 1
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John McDonagh
From:
Sent:
To:
Subject:
Gontacts:
John McDonagh
Wednesday, dctober Ois,2OO7 1:33 PM
'wallyworks@olympus. net'
624 Polk St
Malcolm Dorn
Eq
HPC HPC Exterior Paint
ication-Design Revie Registratio...
Malcolm,
Thanks for the return call today. Attached are the HPC forms we discussed. One is for the exterior paint when one is
using the palette. The other is for exterior changes such as the chiminey demo and new roofing materials. The next
meeting is Oct. 16. To be on that agenda, the Design Review application is due next Tuesday.
Look forward to seeing you
John McDonagh
City of Port Townsend
Development Services Department
250 Madison Street, Ste. #3
Port Townsend, WA 998368
360-344-3070 office
360-344-4619 fax
1
Assessor Detail Building #1 Page I of 1
rffiffiffis"
Jefferson {ountf :.,',,,,,
''4.
Parcel Number: 989713506
ffiuf;{dinq Nuanipen V Blr Year Rerm*deflcd
1 1890 ,/o
BLcild$ns Hxter{or ffiuE ffiwildinq I*rterFrr
Building Type: HOUSE
Building Style: 1.5 STY (FIN)
.ou ndation ; CONCRETE BLOCK
ixterior: SIDING/STUCCO (LAP)
R.oof Cover:WOOD SHINGLE
lst Floor Area: 1266
Znd Floor Area: 790
3rd Floor Area: 0
-oft Area: 0
\ttic Area: 0
fotal Area: 2056
3asement Area: 1256
Int, Walls (Cabin):
Heat: FORCED AIR
srN. 2 sry,
Floor Cover (1):
Floor Cover (2):
Suildit:a Roegils MCIhEls Fioswe ffiaraqe
Bedroomsl 0
Full Baths: 0
Half Baths: 0
Yake:
vlodel:
-ength:
width:
/ear Built:
Skirting:
Area: 0
Type:
Area: 0
Exterior:
Roof:
Carport Square Footage: 0
3"st Add$*$on 3rud AddEt9on
rype:
Area: 0
Year Built: 0
Exterior:
Roof:
l-ype:
Area: 0
fear Built: 0
Exterior:
Roof:
?o view afistheil'fu*x$$d$srg ass${ieted w$th this parcc$. Sclect build*srs i !. ft $
;. il firT:fl ;- ilnunly ln$n,, finpurfn':nnts $flfir{h
Assesson DetaiE Building #1
HOME I COUNTY rrur0 I FHpAnTffi*NTS I $EARClr
llest viewed with Micrc,s$ft :nternet f;xplorer 6.0 or l*ter
{E$ r,lindow$ - Mac
Jtffsron (**nly., .,,, :
http://www.co jefferson.wa.us/assessors/parcel/assessordetail.asp?Parcel_NO:989713506 l012l200l
Development Services
:'.::P
Residential Building Permit Application
'e S-.) Applications accepted by mail must include a for in plan review fee of $150) See the "Residential Building Permit Application Requirements" for details on
plan submittal requirements.
I hereby certify that the information provided is that I am either the owner or authorized to act on behalf of the owner
and that all activities a with this accordance with State Laws and the Port Townsend Municipal Code.
Print N "-.tD
Date: r /za /ot
//
s+
Address:
Parcer #(1?,1 ll3 SAG,43's
#):,or TaxLegal Descri
Addition
3<Block:
Lot(s
ption:sProject
fcQ
Lender lnformation:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name. f4a Itrr'l*-- -]"-
EcleProject Valuation: $
tr\-bOn.,.
Address:
City/SVZip
Emai
Property
Name:
C ontacURepresentative
Name:
Address
City/SUZip:{a n"+.
Phone
Email:
2nd floor 6 OO Deck(s)
3'd floor
Building lnformation
1't floor 8e 4
e"""r"nt,964
Carport:_
Manufactured Home n
New n Addition fl
(square feet):
Garage:_
Porch(es): I OO
ls itfinished? Yes @
ADU N
Remodel/Repair n
Co 5tV rName
City/SUZlp
Phone:5
Email: [l CD -l gJ
State License L&
City Business License #:
z-
Total Lot Goverage (Buil' .t
Square teet: NIC
ding Footprint):
Yo
lmpervious Surface:
Square feet
Any known wetlands on the property? Y
Any steep slopes (>15%l? Y
Signature:
(t\
\
)
Development Services
CFCT ul 6LC074ot
250 Madison Street; Suite 3
Port Townsend WA 98368
Phone: 360-379=5095
Fax: 360-344-4619
Roofing Permit Application
F No permit is required if replacing or adding asphalt shingles to a SFR or duplex.
F Bed & Breakfasts, multi-family, and commercial buildings require a permit for anv
roofing work.
P n
Name
Address
City/
Phone
Email:
Contractor
Name:
Phone:_
Email:
Address:
CityiSVZip
State License
City Business License #'._
I hereby certify that
and that all
Print Name:
www.cityofpt.us
Lender lnformation:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name:
Project Valuation:_
Venting type (check allthat applies):
n Roof n Gable End n Eave/soffit
SRidOe n Other
either the owner or authorized to act on behalf of the owner
with State Laws and the Port Townsend Municipal Code
tt)
this
Project Address:6zq g"lk Legal Description (or Tax #):
Addition:_
Block
Lot(s)
Office Use Onlv
Permit
Associated Permits:
SF Residential{ Gommercial n MF Residential n Bed & Breakfast*!
* B&B's located in Historic District may reguire design review approval.
Scope of Work:
Number of existing roof layers:
Replacing/altering rafters or trusses? Y @
N
Square e of roof:
@"
lf "yes" a roof framing is required
Replacing sheathing?
Tear
New Roof Type:
f,Composition
n Cedar shingles n Cedar shakes
n Torchdown or Hot Mop n Other
tr Metal
ftfn
200 feet of a fresh or
Yil;""i-65 place on or near the public right-or-
lf yes, provide a site plan and pedestrian protection
plan.
ls the structure located
saltwater shoreline? Y
Signature:Date
6
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Receipt Nunber:
BLD07-205 989713506 Plan Review Fee $150.00 $150.00
Total: $150.00
$0.00
CHECK 61 57 $ 150.00
Total $150.00
genprntrreceipts Fage 1 of 1