HomeMy WebLinkAboutBLD07-228))
BT]ILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-so9s
Project Information
Permit Type Residential - Addition/Remodel
Site Address 3l l0 SAN ruAN AVE
Project Description
Enclose existing rooftop porch
Permit #
Project Name
Parcel #
BLD07-228
001022017
Names Associated with this Project
Type Name
Applicant Lewis Clifton E
Owner Lewis Clifton E
Contact Phone #
License
Type License # Exp Date
Fee Information Project Details
Dwellings - Remodel @20%187 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
$3.ss8.61
91.25
63.21
4.50
5.00
s.00
Total Fees s174.96
Conditions
10. Property corner survey pins must be located at time of foooting inspection to verify setbacks
**X SEE ATTACHED CONDITIONS ***
Call 385-2294by 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
Date lssued: 1l/1512007
Issued By: SFOSTER
that I arn the owner of the property or authorized agent of the owner
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CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMTT# 8-snol - 22R
SCOPE OF WORK:
DATE RECEIVED It'g--7
DATE ACTION INITIALS
tt-q -01 ENTERED INTO CHET
CA - to Planning - No evidence
CHECKED FOR COMPLETENESS
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lnspection Report
Project 6ttc/tse /rm Permit u6z2l7-ZZg
Date lnspector lnspection & Notes
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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.
DATE OF'INSPECTION:ll-2 7-o7 PERMIT NUMBER:
SITB ADDRESS:
PROJECT NAME:S CO R:
CONTACT PERSON:PHONE:M
TYPB OF INSPECTION:Trlrn rA o , llJna tL /t)g,l-l ' /U#L.ril(,'Jl
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! APPROVED ! APPROVED WITH
CORRECTIONS
Ok to proceed. Corrections will be
checked at next inspection
tr NOTAPPROVED
Call for re-inspection before
proceeding.
Inspector Date
Approved plans and permit card must be on-site ond available at time of inspection. A re-inspection fee may
be assessed if work is not ready for inspection.
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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.
Property Owner:
Name: C tl.p1.*. F L.,-;.:t
Address: .1 i r t' 5.'- -J-t .,n
City/SUZip:Pr,rT T*uro^,i tttTf 't$3ag
4uc' 4
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Phone
Email:
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25O'Madison Stree.t, Suite 3
Port Townsend WA"98368
Phone: 360-379-5095
Fax: 360-344-461 I
lmrvrv.cityofpt.us
Lender lnformation:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.O95.
Name
Project Valuation: $ ,2 , sctrs
Building lnformation (square feet):
1't floor Garage:
Deck(s)
o
2"d floor
3'd floor Porch(es)
Basement._ ls it finished? Yes No
Carport._
Manufactured Home n ADU !
New I Addition n Remodel/Repat t
Total Lot Coverage (Building Footprint):
Square feet %
lmpervious Surface:
Square feet
Any known wetlands on the property? Y
Any steep slopes (>15%l? Y 6i
@
ContacURepresentative;
Name: ( (. f pr^ Lur. *
Address: .l il ci .1^ {;*.* 4- ve
City/SUZip:Pu rf fi,u^>..-rL LJI 1g-l6t
Phone: ?t,0 3"Jar 4o"r4
Email: Lhr^rrtrpLur, -lo,'tn'1. (oD utor'CJ'4\
I
Contractor:
Name:
Address:
City/SVZip:
Phone:
Emait
State License #:
City Business se #:I ):, ir
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I hereby certify that the information provided is correct, that t am either the owner or authorized lo 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 t:
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Project Address:
',3liu !..i.. -'i*o.^ t'l ve'
Legal Description (or Tax #):
Addition:€h;ttWBlock:
Lot(s ':1
Offigp Usq Onlv
Permit*_:fiig,nl:2zB
Associated Permits:Parcel#
,Jr; \ C L7()11
Project t,,,'.ln
Signatu
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Receipt Number:
BLDOT-228
BLDOT-228
BLD07-228
BLD07-228
BLDOT-228
001022017
001022017
001022017
001022017
oo1022017
$63-21
$5.00
$4.50
$97.25
$5.00
Total:
$63.2t
$5.00
$4.50
$97.25
$5.00
Plan Review Fee
Technology Fee for Building Permit
State Building Code Council Fee
Building Permit Fee
Record Retention Fee for Building P
$0.00
$0.00
$0.00
$0.00
$0.00
$174.96
KCHEC 2074 $ 174.96
ct;.t6Total
genprrrtrreceipts l?rge 1 of 1