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pORT ro BUILDING PERMIT
_ a City of Port Townsend
Development Services Department
250 Madison Street,Suite 3, Port Townsend,NVA 98368
(360)379-5095
Project Information Permit# BLD09-092
Permit Type Residential - Re-Roof Project Name Residential re-roof of Captain Tibbals
Site Address 535 FILLMORE ST Parcel # House - cedar to composition
989710803
Project Descriptioir
RE-ROOF
Names Associated with this Project License
Type Name Contact Phone# Type License# Exp Date
Applicant Krause Chuck (707) 695-2231
Owner Krause Chuck (707) 695-2231
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 lnformation
Project Valuation Units: Heat Type:
State Building Code Council Fee 4.50 Bedrooms: Construction Type:
Reroof Permit Fee(R-3 and U 40.00 Bathrooms: Occupancy Type:
occupancies)
Technology Fee for Reroof Permit 5.00
(R-3 and U occupancies)
Record Retention Fee for Reroof(R- 7.50
3 and U occupancies)
Total Fees S 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 x iolate am provisions of the PTMC or other laxys 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 knowled,_,c. I further certify
that I am the owner of the property or authorized agent ofthe owner.
Print Name i /61 y 1 k Date Issued: 05;29'2009
Issued Bv: SwASSMER
Signatu Date �Zq^ Date Expires: 11/25,12009
�o�pORT1, CONSTRUCTION PROGRESS RECORD
s�Z CITY OF PORT TOWNSEND
WA Development 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. 989710803 PERMIT NO. BLD09-092 ISSUED DATE 05/29/2009 EXPIRATION DATE 11/25/2009
ADDRESS 535 FILLMORE ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER KRAUSE CHUCK PROJECT DESCRIPTION RE-ROOF
CONTRACTOR AFFORDABLE SERVICES LENDER
INSPECTION INSP )ATE COMMENT INSPECTION INSP SATE COMMENT
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.
®e velopmen t Services.
IF _ffld WRUM
€;- '�` -•,. .n � "��'r�.�`�'�3� 3:,a�, -�°w'�, �, ,,..-;. a =-
Roofing Permit Application 9 LP 0 9 9 2-
Project Address: Legal Description (or Tax#): s
Addition: 4- w,1f1Su),d
N Block:
Parcel#
SF Residential Commercial ❑ MF Residential U Bed&Breakfast*[]
B&B's located in Historic District may require design review approval.
.�-ems .:�-� ��•
Propert weer: Lender Information:
Na
me:
Adress:-{ Lender information must be provided for projects.
over$5.000 in valuation per RCW 19.27.095.
City/S ip: I j .'I W A (,� G� Name: _
Pho -1^ \
�r, Project Valuation:
Email:
Scope of Work:
Contractor- Number of existing roof layers: �
Name' t r( J r nz Square footage of roof: Z ��
Address: 41 - Tear o Y'�N
City/St/zjp: p Replacing sheathing?6 N
Phone: C Replacingtattering rafters or trusses? Y
Email 6Lh t ttr,j 4a t(A,66pm If"yes"a roof framing n is required.
State License#: ��'d L Exp:_0
wry,) T�- New Roof Type:
City Business License#: (.{__ ��J�-llxa _
Composition O Metal
. 7 _ T 0 Cedar shingles ❑ Cedar shakes
17
is the structure ocate �d within 20t)feet of a h or Ll Torchdown or Hot Mop ❑ Other
saltwater shoreline? YC)
WHI work a place on or near the public right-of- Venting type(check all that applies):
way? Y N ❑ Roof ❑ Gable End ❑ Eave/soffit
If yes, prbvKe a site plan and pedestrian protection
tdge ❑ Other
plan.
t hereby certify that the in€ormation 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 Iermit will be in accordance with State Laws and the Port Townsend Municipal Code_
Print Name:
Signatu Date:
100/T001n T` VONOdd6 6906 ZR9 09£ XVA t7:9T 6009IL9190
OF PORT TOh
y
Receipt Number 09
0
Receipt Date z 05/29/2009 Cashier SWASSMEF2 Payer/Payee Name �Affordable'Semces },
f Y
Orrgmal Fee Amount Fee � k
r r
.Permrt Parcel', Fee Description �^ Amount° Paid Balan
BLD09-092 989710803 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-092 989710803 Reroof Permit Fee(R-3 and U occupar, $40.00 $40.00 $0.00
BLD09-092 989710803 Technology Fee for Reroof Permit(R-? $5.00 $5.00 $0.00
BLD09-092 989710803 Record Retention Fee for Reroof(R-3; $7.50 $7.50 $0.00
Total: $57.00
Prev►ous Payment H►story
t ;f
Receipt# Receipt Date Fee DescnpUon ; Amount Paid Permit#
Payme5�
nt Payment,
Method Numbe[ ';° Amount
CHECK 15978 $57.00
Total: $57.00
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