Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout09082 CITY OF PORT TOWNSEND�
PERMIT ACTIVITY LOG
PERMIT# 1-� ��d ( — ��' Z DATE RECEIVED
SCOPE OF WORK:
C � a�-� ��,n o u z r t d a,--s i,-L
d, t 0
DATE ACTION INITIALS
�„ (J ENTERED INTO CHET
CHECKED FOR COMPLETENESS
Zoning:
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? Lj
M �
�OFpoRTr. BUILDING PERMIT
City of Port Townsend
Development Services Department
arw
250 Madison Street,Suite 3, Port Townsend,NVA 98368
(360)379-5095
Project Information Permit# BLD09-082
Permit Type Residential - Miscellaneous Project Name Change windows and doors in garage
Site Address 1733 HASTINGS AVE Parcel # 001033007
Project Description
Change windows and doors in garage
Alames Associated with this Project License
Type Name Contact Phone# Type License# Exp Date
.Applicant Shoulberg Ted H
Oxvner Shoulberg Ted H
Contractor Owner Builder (360) 379-6471 STATE exempt 12/31/2009
Fee Information Project Details
Project Valuation S2.000.00 Entered Bid Valuation 2.000 DOLL
Plan Review Fee 50.00 Units: Heat Type:
PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type:
PLAN REVIEW REFUND 50 -50.00 Bathrooms: Occupancy Type: U-1
Building Permit Fee 69.25
State Building Code Council Fee 4.50
Technology Fee for Building Permit 5.00
Record Retention Fee for Building 3.50
Permit
Total Fees S 132.25
Call 385-2294 by 3:00pm for next day inspection.
Permits expire 180 days from issuance if work is not commenced, or if Nyork 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. 1 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 of the property or authorized agent of the owner.
Print Name Date Issued: 06/01/2009
Issued By: SFOSTER
Signature Date � �( Date Expires: 1 I/23/2009
poRT)r, CONSTRUCTION PROGRESS RECORD
CITY OF PORT TOWNSEND
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. 001033007 PERMIT NO. BLD09-082 ISSUED DATE 06/01/2009 EXPIRATION DATE 11/28/2009
ADDRESS 1733 HASTINGS AVE CONSTRUCTION TYPE OCCUPANT LOAD
OWNER SHOULBERG TED H PROJECT DESCRIPTION Change windows and doors in garage
CONTRACTOR OWNER BUILDER LENDER
INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE COMMENT
FINAL BUILDING
TO REQUEST AN INSPECTION CALL (360) 385-2294.
INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION.
4Tej C0 ( q) 33007 �
i
14 � �i
CC= i
to I I
C
i CD z
o
kv, I
ru
Q I I
I^ �1C�? �v��1 �C
yS q it
i.
�MaMED FOR CODE
COMP LANCE
�- err
\V `'
e'er
ID.
14 D - 14 p.Z,7 D -; 7 0.30 fl,3
535296
Pa9 5 0 5
21
on
Jefferson County Aud FIRST AMERICAN TITL +SWD 4Exhibit"A"
Resultant Parcel A: That portion of Government Lots 1 and 2 in Section 3 in Township 30
North, Range 1 West of the Willamette Meridiem, inb i i o o send in
said County and State, and more particularly described as follows: Commencing at the
Southwest corner of said Section 3; thence Nor& °bUMQEast, along the West line of said
Section 3,a distance of 2,006.57 feet more or less, to the center ue,
extended; thence South 88°22'28" East, along a distance of 847 feet to the
Northwest corner of a tract of land conveyed to Milton T. and Ellen V. Thayer, by deed
recorded in Book 103 of Deeds, page 93 thereof, thenconoul ! 2 3 L7141 aot, a distance of
50.00 feet to the Southern margin of Hastings ANe usz- ekr-eNoo tFL-V8,21 o along
said margin, a distance of 86.66 feet, to the true point of beginning for this described Parcel
"A";thence continuing North 88°22'28" West, along said margin, a distance of 227.34 feet,to
the westerly limits of said Parcel "A";thence South 02°34'18" West, a distance of 126.39
feet;thence South 88°22'28" East, a distance of 227.34 feet,to a point that bears South
02°34'l9" West, from the true point of beginning•, thence North 02'34'19" East, a distance of
126.39 feet to the true point of beginning.
Situate in the County of Jefferson, State of Washington.
\AjfM 1 � X � t r5�i �Z �`C> (� 161
H;-::AD:-7R SIZE RASP-b ON ►LI COAt->(K 9-
H-WE W fcD 3SO L6 D.r.#Z O K
I ( � LOAD l
L4 6 w ;,r. Q V\j it
i f
D a e INN", �a
,
r
7E
i P-C\ CA
LI
36
�, �-� I !i '. � �--------- �� 'I � � III I - --1
-�\)e—v ) Do Q, 46
T-.k
i
i
Uj
vA �1��
moo
Development Services
oFe°RTTO� 250 Madison Street, Suite 3
tis�Z Port Townsend WA 98368
_ Phone: 360-379-5095
Fax: 360-3444619
www.cityofpt.us
Residential Building Permit Application
Project Add ess: Legal Description (or Tax#): Office Use.Only
\ e vVl Addition: X Permit Number
Zoning: Block: BLD () 9- ri_� z
Parcel # 0 b ?j �j Lot(s): Associated Permits:
Project Description:
> Applications by mail must include a check for initial plan review fee of$150 for projects valued over$15,000.
See Page 2 for details on plan submittal requirements.
Lender Information:
Lender information must be provided for projects
P rope rty.OwrTr/A plicar : over$5,000 in valuation per RCW 19.27.095.
Name: e CC S �,� �`j
� Name:
Address: V'P
City/St/Zip: C��1?>w N S-vv-e 1 q Project Valuation: $
Phone: ll, Building Information (square feet):
Email: 1 s`floor Garage:
2nd floor Deck(s):
ContaRe pr�sgntative:
Name: Q' b $ U [ ` 3`d floor Porch(es):
f) 1�
Address: I ) 3 . 4 ��c b Basement: Is it finished? Yes No
City/St/Zip:� (;'��`�'1n,'1�15 Lrrti • Carport: Other:
Phone: ( �) 346 b �,_ Manufactured Home ❑ ADU ❑
Email: New Addition ❑ Remodel/Repair[
Contractor: - ame-as-Owner Total Lot Coverage (Building Footprint):*
Name: Square 0 ( 0
feet: � t 1,1 /o
Address: Impervious Surface:*
City/St/Zip: �; , ,� U nv , Square feet: '�,�- *Total existing&proposed
Phone: I _I cvu;i � I
j -- ---� , What year was the structure built?
Email: CIT1'uFF
If work includes demolition
State License#: �—`-�----�--E-xp � see Page 2.:__.` � 9
City Business License #: Any known wetlands on the property? Y 0
Any steep slopes (>15%)? Y(N)
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: -V
„u �.
Signature: � �� Date:
Page 1 of 2 4/16/2009
u Irlu.ulu J,%u 1 to ur rs'„„u l,.r,i,l "h' .,Y 5` `P « V -r�,+.t.t: r ^¢+ F,. >`yr % t s+, #ap"•. .
4'rl w,uu,I..uwlJu III.-I ,,.0 1,u,,,l -
I,.i,!)) ,I r I.. 1 .,,"Ir I c 1.4 I.a i awo�'ea �'• �� 3* i" b 2��� r�.Y�i'».. s add A'�'I,�,1.�+`7�, ^`4 , �«o., °+�' 'r ��,�
.,t,r,.,y I Ill L.Illiu.t,<<I II,111 Ql.l I r.,ry 1 t,�
,�,I,.,i,,, 1-.I,t,. u,
I 4 a I,,,
>i
aawlJwa a pu,p,rw.,,ol I I s``'11 ."'4
„sr , u.J.,I,•u„I "r •a «, eh'�!\t��, ;z ., `n'r+T+d -"a "
„I,�I,, ,1 �,�� ti�•,� � ��� �, � s #�;~w�'�,.��.t�a.` ,r�'�'� ' ffi �„ • g s �.�
t.iaj OS—rJ xu 1
W.ur
.11sI,,a\
.t.>li:`\\ ar+- s ' � �• € .`"- a s'( r $,d.€L l," ,. #}pia d ' r yv`�bc,'
' la*
4u ` �i� `t; � m, 5 .r r
,��l %"K;,. .. Sw w, � .�� �'.'_.au,,. Mz, S:i.»,fi �4 re !✓ � +'^a�i�}r`�S*r:.�'� w,^
�Ca"r ,;�«$��a y .:.� * �'� r,r ,,,�er �°P., i`.•t��.'} �f'ra.�bar >��,... ��,«...::�f� �_ � }';�.. ,� fL ,..,v.�a�� �, r,�..
�:, s« a..�,.,;Y�� ��Y ,.,��y. 9 #. �fir,• ,�, J� �e �, s �, :r ,I''"c,a�`,r r,rPi,. „
6 1f k �%,i � ,t' t £• G. . n9, 7 ;,e t�.al*.+«k t d'..'�P+x - �;m..'�i 1J`�i. ��.f P:, Y4" „C�, p.
a'�T�Jxcs, t �;. 'ik..'� ^a'� fir: 5.�+' "'��"- �• �x2'�" y��� +',u`u,�" .',`a, .';�'^�..
.��. 1!� �$-Sf,e. 3 � 0+; ids.Z,K'�y+•}, Rk. ar4i. �A. .� r1 'c( ,w• :�.�
o i#
: :r., =sr= ,`i. ✓ .r.:RC, �'»•+ s,.....;,•ny...: ax' aY4«'' ! a r },,: z . +�.
,i+P'.
.,r�O
t.,. .,�, � a,'. t� !. '�, r .� a � �4",.� ,sn:., �,& i r y...u: fir•
t � ''�,.. s,.� ��•�;r, � 'zsn;:-n 4{tli«'"x;4c"'� :�. r Y ^r; b +,^r 'P «,; rv�fk.% x`Pw'.e. `a.�- ��- °
�„ �' �` 'as,.�. r�� � � a �O �,. �is��tip '� `ti .��'-•,� '`� �` s��.'a. - .�3,.. .m u
M:
ra ""`" r '��. �>, #pr y„t. ' � ��u"�"sw` �fy ^4 f ri�'��a; s'a'a �^«�"rv:- � .n,�rx. „ny,4�• �a��S��q�,
�,
5 d,��,�°g s r n ,a.� � w�l r§ ¢r«. y v,.i=?:•��r•"4 rs.F. � s.. � ;� �r 3 ,�,,,
��i ,�� r, � a�;,,. �"• n. •k r r:, I a , a� w a, .� r,� ''ps � � � ,rrc• s 4w ,,::.
r,E" � �,P.. .R • � � Via?«�:. � .4`�:..�� " d�.tr i. ap. q °� a. �. � ,.,..��':
,t,: �; � a. '�•-��� 6t'
'.,,x.a?%a<s^��.a;.
s'k.a � - iV
�
z'k.s`�tA.s�`' _m �' � .�1 4 .���.v ..#{�.>w rP• s^ C �. $ '`y+r,,,. _^� ,��, �' ,:M ^�+ �, ^�,�
��1.id;.x„�:�' � � "• # . �"?S„��,�� .ILk' $.`rM� )� 4y',:: rat" t 'M1 kft'
t Y � w,v"r;, � ,'�,_` ,a .'$ %�' �.:.•ems x�,. � �;� � ,�.
".�k� 4,t' K s,� .� t �'�ik�.'���``"�;�� � '�� �y � � «.�. «',� "•'bid`^ •��.�,. ,,>sV;�'= '^�,,�i.� s�cr tf'7�'q'* t
'"
s .s,```.r« .� �� t 2° �. } a4,'t` a Y ,•'-a^.y 4 �, +4 r-., .� .:.7,..., ,h � `l;o' "4
.-: r � •vy •>«4 ..,,::,rv, _..._... 4` ��... b .,.: ,^h a.:.. '<- ,,�:. � .x a.. � ..,,; ....w �rts'"�:t+SS.�+a3`.
��
..?.-.,. -,«. d�'� ., y.a.,.;, _... ,-r,-_.Y ,a:9u ... ... �✓` tc,.::-<,r S .� ;,,' ,. „�, ...,, ..+ v-;-..,. .:.,•..
s �.. ��'S-1 .-, 9,..� ..5;, n-��: sR «r-_.a z ,,. .,.. ■.,, .:.., ..;r. .- :,e. ,,. . !b�eS,>rs ,,� =s: -N 'ate«°'",. r.�..r..«� fia�
�«+ t $ '. .�•.�.
a ,.,:.r �.-o#7D.�.,i. .,.+�. x.:,� �....,. ...,. „� .,.mod •. ..,:. �.. P e ,.
F..> _ _,_k`., _. �...3?"#� '`}#.::«.r, ,.. � a� •i�`s**r. +& .. r, ���,� �� .,,, m 'fx `?"v Y �...y t� •y-G.>*3 r.... P,`�, -+n` e* a .#a
r,s` ;- '$ ,'fr;
Wfu
�r
5. a���v' 3• ,v i � ^�1. 3�e}«. r � �� ���y, ����T'S ,¢r �y,,;�'»br ��'iv,`�;fr fii:
�, ha � a, t �' a r '�2 z� `�•s'a��t t�v'i '�`Rd; -r,u• yf r z '�r:,s � �.
,
w
w
•t ,.,:. w .,3� ,. zu ,5�4u ra. t, ;., � ��`5�. .,>.�,��a��.i,•Y.�.���r,.sSf-r� �t`�' ut� �.,".,.° `v� � :..
e •
OF pORT TOE
� yin
o ? Receipt Number: 09-0395
r:rs-x+ .-' r�T :=;fry¢: "-:.,, "i^.:, E _ r
Receipt Date A6/01/2009 � CashterSFOSTER Payer/Payee Name SHOUL`BERG TED H�R � � i
.w v r
} x€�
�'� T
OVA-
Ong►nal Fee Amount Fee _.
Permit#� Parcel°� Fee Description s Amount Paid , Balance
' `
BLD09-082 001033007 Plan Review Fee $50.00 $50.00 $0.00
BLD09-082 001033007 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00
BLD09-082 001033007 Building Permit Fee $69.25 $69.25 $0.00
BLD09-082 001033007 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-082 001033007 Technology Fee for Building Permit $5.00 $5.00 $0.00
BLD09-082 001033007 Record Retention Fee for Building Per $3.50 $3.50 $0.00
y Total: $82.25
4 xF Previous Paymenf Hisfory �
Rece► t# Recef t Date Fee Descrf tfon F '. 14mOUnt:,Pald P
09-0367 05/21/2009 PLAN REVIEW DEPOSIT 50 $50.00 BLD09-082
1Paymen# check �f?ayment
!Method Number Amount=
CHECK 8520 $82.25
Total: $82.25
genpmtrreceipts Page 1 of 1
of poR7 Tod
o y"Po Receipt Number: 09-0357 ;'
Receipt Date a05/21/2009 Cashier SWASSMER-- 4 Payer/Payee Name „SHOULBERG TED H � �r
t §, n.� 3,
s , ' Ongmal Fee Amount Fee , ems
Permit# *Parcel Fee Descnpt1011C+ � Ba al nCE °Amounts „ Paid
BLD09-082 001033007 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00
Total: $50.00
�rf g� Prev►ouay►r►entfH►story°
Receipt# x Receipt Date --,� 5ee D'escnptton Amouni Paid �` "''Pennit#
,aym6nti,f ;Check k Payment
Method * Number Amount
CHECK 8514 $50.00
Total: $50.00
genpmtrreceipts Page 1 of 1