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hO�pOSTIro BUILDING PERMIT - City of Port Townsend 9� Development Services Department Ewa ' 250 Madison Street,Suite 3, Port To- nsend,NyA 98368 (360)379-5095 Project Information Permit# BLD09-091 Permit Type Residential - Re-Roof Project Name RE-ROOF Site Address 1430 CHERRY ST Parcel# 984903304 Project Description RE-ROOF Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Arey Gerald Owner Arev Gerald Contractor Affordable Services Jane (360)683-9619 CITY 2846 12/31/2009 Contractor Affordable Services Jane (360)683-9619 STATE AFFORS-0650 08/23/2009 Fee Information Project Valuation Units: Heat Type: Buildine Permit Fee 40.00 Bedrooms: Construction Type: State Buildine Code Council Fee 4.50 Bathrooms: Occupancy Type: Technology Fee for Building Permit 5.00 Record Retention Fcc for Building 7.50 Permit 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. I further certif that I am the ownereoff tthe property or authorized agent of the owner. Print Name vC Date Issued: 05/28/2009 Issued By: SWASSMER Signatur Date rj Z •[ fA Date Expires: 11/24/2009 1.OR73,0�Lys BUILDING PERMIT 1 _ a City of Port Townsend Development Services Department 250 Madison Street,Suite 3,Port Townsend,NyA 98368 (360)379-5095 Project Information Permit# BLD09-091 Permit Type Residential -Re-Roof Project Name RE-ROOF Site Address 1430 CHERRY ST Parcel# 984903304 Project Description RE--ROOF Names Associated with this Project License Type Name Contact Phone# Tvpe License# Exp Date Applicant Arey Gerald Owner Arey Gerald Contractor Affordable Services Jane (360)683-9619 CITY 2846 12/31/2009 Contractor Affordable Services Jane (360)683-9619 STATE AFFORS*0650 08/23/2009 Fee Information Project Valuation Units: Heat Type: Buildinu Permit Fee 40.00 Bedrooms: Construction Type: State Buildinu Code Council Fee 4.50 Bathrooms: Occupancy Type: Technology Fee for Building Permit 5.00 Record Retention Fee for Buildinu 7.50 Permit Total Fees $ 57.00 Ca11385-2294 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 knowledue. l further certify that I am the owner of the property or authorized agent of the owner. Print Name Date Issued: 05/28/2009 Issued By: SWASSMER Signature _._ Date _ Date Expires: 11/24/2009 r � Development Services C.pOA7.7p� a' gr` � C.. c«15ttirrStBu Z � no 360 OJS �,- < � .d-lie_ •J1Ar � r xss,,,'x '73';it—�,a�4'.;�x ',�`'.i�c�..'t�e'�`_." - 9'�-t*"` �dJ1��M Roofing Permit Application i E gnat rl*,Q Hors Inr Talc Addition: z'7' �{i r•�: �� lL e � > Parcel# �; �T�,. Lot{s)'--� R SF Residential Commercial ❑ MF Residential❑ Bed&Breakfast ❑ . B&B's located in Historic District may require design review approval- Property Owner: Lender Information: Name-. 1 ' Lender information must be provided for projects Address: ' CkW r C over$5,000 in valuation per RCW 19.27.095. City/StJzip: L ,--w,u..'t� L 1G _!{� Name:- -- Phone: L i WZ_ Project Valuation:_�L�(L Email: Scope of Work: r Contrac pl Number of existing roof layers: ! Name: J"�"(�1�� �r /G� , Square footage of roof: ^rY � 7 L Jiv` Address: -I D .v rr1 _ Tear off?j' JN City/st/Zip: 1?l C(E Replacing sheathing? Y � Phone: %L � 1 �ll� ��l' - Replacing/altering rafters or trusses? Yin Email_ If"yes"a roof framing plan is required- State License#- %' New Roof Type: City Business License#: � (G t-rCampasition ❑ Metal ❑ Cedar shingles ❑ Cedar shakes Is the structure located wit in 200 feet of a fresh or ❑ Torchdown or Hot Mop ❑.Other saltwater shoreline? Y Will work t o place on or near the public right-of- Venting type(check all that applies): way? Y CN CtiAitbof ❑ Gable End ❑ Eave/soffit If yes, provide a site plan and pedestrian protection ❑ Ridge ❑ Other plan. I hereby certify that the infomnation 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:t� e T Signatur Date: ZZ2--" Iy� 100/100[n T]flV(IN0:1JV 6906 ZRS 09f. aV.1 09:90 6009/£Z/S0 1 "- r € kuu mul 1. YY I _t-.,rI 'w lie, e - Block: `? S ^ R y r Parcel# �.%rC�C-�.�. � Lot(s)7 � •��,.� � � SFResidentialK, Commercial ❑ MF Residential❑ Bed &Breakfast*❑ B&B's located in Historic District may require design review approval. T Property caner. ,{ Leader Information: Name: Zl"1t" 1 t 1r Lender information must be provided for projects Address: 1 Z+7 ( jLtJ t'ce[ L over $5,000 in valuation per RCW 19.27.095. City/St/Zip: '`{' l r L��> � l" 5 (� -� ,r Name: Phone: Cr' ���t Project Valuation: Email: Scope of Work: wortrac or: Number of existing roof layers: Square footage of roof: Address: Z-6— �. 2 T�Au It) yy Tear off?c `N cit Y R= _ Replacing sheathing? Y C r Phone: J`1`1 lL Replacinglaltering rafters or trusses? Y�N� Email: nyoasl If"yes"a roof framing plan is required_ State License# � L �1`_af.-' xp: New Roof Type: City Bustn@ss License#: �� }� ' trComposition ❑ Metal ❑ Cedar shingles ❑ Cedar shakes . Is the structure located wilNn 200 feet of a fresh or ❑ Torchdown or Hot Mop E) Other saltwater shoreline? Y Will work t e place on or near the public right-of- Venting type(check all that applies): way? Y M 01-Roof El Gable End ❑ Fave/sof€it If yes, prove a site plan and pedestrian protection plan. LiI;idge ❑ Other 1 hereby certify that the information provided is correct,that 1 am either the ovmer or authorized to act on behalf of the owner and that all activities associated with this permit will be in accordance with State Laws and the Poli Townsend Municipal Code_ i'rint NameAZZ lanatur date:&w _ F Tf}piT00� �`1d�Q?ft3�;�`.' SZaS Z8S ©8£ ��'d 9t-=90 >�it}OZj�Z/St7 OF PORT TO$ y �i Receipt Number: 09-0385 �wn� Receipt Date 05/28/2009 Cashier SWASSMER Payer/Payee Name Affordable Services 3a� F � xt ,s i _ , 't T ' Q`� y Ongmal FeeM, Amount Fee Fenntt# Parcel Fee Description 'a �x Amount Paid ffi Balance ',•_ BLD09-091 984903304 Building Permit Fee $40.00 $40.00 $0.00 BLD09-091 984903304 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-091 984903304 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD09-091 984903304 Record Retention Fee for Building Per $7.50 $7.50 $0.00 Total: $57.00 .� ,.s t�'" �^r �x rya' �,-s x a+ -- v � 7.•,.:� a Prev►ous PaymentIH►story� Rece►pt# Receipt Date Fee Descnptlon 4k Amount Paid Perini# tam Payment Check Payment. Method F� -Nu Amount , , CHECK 15977 $ 57.00 Total: $57.00 genpmtrreceipts Page 1 of 1