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CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT # 09 d 19 DATE RECEIVED z" S- O 9 SCOPE OF WORK: C') e—vrl-- �' ��_ 'goo DATE ACTION INITIALS Z - ENTERED INTO CHET s I:::: - CHECKED FOR COMPLETENESS z- -oc Setbacks OK? Lot Size: Building Size: Lot Coverage: FAR OK? Height OK? Parking OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? ?ORT BUILDING PERMIT City of Port Townsend Development Services Department �wA 250 Madison Street, Suite 3, Port Townsend, SVA 98368 (360)379-5095 Project Information Permit # BLD09-019 Permit Type Residential - Re -Roof Project Name RE -ROOF Site Address 1250 BLAINE ST Parcel # 965700011 Project Description RE -ROOF Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Kopriva Charles J Owner Kopriva Charles J Contractor Hope. Inc. (360) 385-5653 CITY 710 12/31/2009 Contractor Hope; Inc. (360) 385-5653 STATE HOPER*043N7 02/16/2009 Fee Information Project Valuation Units: Heat Type: Record Retention Fee for Reroof (R- 7.50 Bedrooms: Construction Type: 3 and U occupancies) Bathrooms: Occupancy Type: Reroof Permit Fee (R-3 and U 40.00 occupancies) State Building Code Council Fee 4.50 Technology Fee for Reroof Permit 5.00 (R-3 and U occupancies) Total Fees $ 57.00 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. 1 further certifv that I am the owner of the property or authorized agent of the owner. Print Name �� '�� Date Issued: 02/09/2009 Issued By: FFRANKLIN Signature Date ;Z— el Date Expires: 08/03/2009 OF VOH7 TOS i tis & o Receipt Number 09-0072 BLD09-019 965700011 Record Retention Fee for Reroof (R-3; $7.50 $7.50 $0.00 BLD09-019 965700011 Reroof Permit Fee (R-3 and U occupar $40.00 $40.00 $0.00 BLD09-019 965700011 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-019 965700011 Technology Fee for Reroof Permit (R-": $5.00 $5.00 $0.00 Total: $57.00 GaPayment w Check F "mPayment; yMethod?� (Vumbec: y Amount: } a CHECK 23280 $ 57.00 Total: $57.00 genpmtrreceipts Page 1 of 1 �O�pORTTp�y CONSTRUCTION PROGRESS RECORD cm2 CITY OF PORT TOWNSEND 0 WA Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 POST THIS CARD IN A SAFE, CONSPICUOUS LOCATION. PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY. STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PARCEL NO. 965700011 PERMIT NO. BLD09-019 ISSUED DATE 02/09/2009 EXPIRATION DATE 08/08/2009 ADDRESS 1250 BLAINE ST CONSTRUCTION TYPE OCCUPANT LOAD OWNER KOPRIVA CHARLES J CONTRACTOR HOPE, INC. PROJECT DESCRIPTION RE -ROOF LENDER INSPECTION INSP DATE COMMENTS INSPECTION INSP DATE COMMENTS ROOF NAILING FINAL BUILDING TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. 02/05/2009 13:03 FAX 3603798456 HOPEI:NCG Q 001/001 APR -30-2087 01:01P FROM:CITY L ORT TOWNSEN 3603444619 3:4379845'0 P.2 Development Services �eopT Tv� 250 Madison Street, Suite 3'. Port Townsend WA 98368 Phone: 360-379-5095 Fax: 366»344-4619 wvwv.cityofpt. us Roofing Permit Application Project Address: Legal Description (or Tax #l: .i i Office Use Qnly Addition:_ :.tom 1Q��1(t✓P it Block: rt / # f�.D�_ d Parcel # R �� G!� Lots):._ `7 _ (Pd _ Associated Permits: SF Residential;( Commercial ❑ MF Residential D Bed & Breakfast`❑ ` B&B's located in Historic District may require design review approval. v permit is required if replacing or adding asphalt shingles to a SFR or duplex. - r Bed & Breakfasts, multi -family. and commercial buildings require a permit for any roofing work Property Owner: , Name: Address: City/St/Zip: RE 7-1 Phone: Email: Contractor. Name: v Address: P.Q. 6g% Il49 city/sUZip.. T,.&aWag s0 Uig qs'3�� Phone: Email: State License #:8OPE--9 B y3rtNl Exp: City Business License #:, Q1207/f s the structure located within 200 feet of a fresh or LJ saltwater shoreline? Y Will work ke place on or near the public right-of- way? Y If yes, provide a site plan and pedestrian protection plan. 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: Square footage of roof:Yd2Q Tear off?oY N Replacing sheathing?6Y N Replacinglattering rafters or trusses? YO If "yes" a roof framing plan is required. New Roof Type: KComposition O Metal © Cedar shingles ❑ Cedar shakes O Torchdown or Hot Mop ❑ Other Venting type (check all that applies): [I Roof ❑ .Gable End 0 Eave/soffit Ridge ❑ Other 1 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: Signature: Date: Parcel Details Pagel of 2 vNwik_�� Parcel Number: 965700011 Parcel Number: 965700011 Owner Mailing Address: CHARLES KOPRIVA JANE B KOPRIVA 1250 BLAINE ST PORT TOWNSEND WA983686506 Site Address: 1250 BLAINE ST PORT TOWNSEND 98368 Section: 2 School District: Port Townsend (50) Qtr Section: SE1/4 Fre Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: KUHN'S RANCH Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: KUHN'S RANCH 19(W 60') 1 1 1 Click on photo for larger image. _W4 Printer Friendly No Permit Data Assessor Bldg Data Tax, A/V, Sales Info Map Parcel Plats & Surveys Available e#�rsan,Countp►4t PRO• . Best viewed with Microsoft Internet Explorer 6.0 or later aWindows - Mac http://www.co.Jefferson.wa.us/assessors/parcel/parceldetall.asp?PARCEL_NO=965700011 2/6/2009