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HomeMy WebLinkAbout09124 QORT To CITY OF PORT TOWNSEND my DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT TWA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:OOpm THE DAY BEFORE YOU - WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: �Lt C) SITE ADDRESS: 2 f , V I S � ` CONTACT PERSON: ) PHONE: TYPE OF INSPECTION: �/1 ,�J /�J /J C�T:: ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proc eding. P Ins ector L� /E� I Date 2 Acknowledgement Date Approved plans and permit card must be on-site and available at time of inspection. A re-inspection fee may be assessed if work is not ready for inspection. pORT TO ,o� Otis CITY OF PORT TOWNSEND �o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE-INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: //Q Q PERMIT NUMBER:&1 D 9 l J a`// SITE ADDRESS: Gq a CONTACT PERSON: PHONE: TYPE OF INSPECTION: �1 -� W_L) Al R' /04- Alk- -t( 4- s,I)PPLY WrTUL J,t 0-1L., okNtL �n PAfz-c ( l 0 g ( 112fi ' K R ❑ APPROVED ❑ APPROVED WITH ❑ NOT A P OVED CORRECTIONS Ok to proceed. Corrections wil b Call for -in ec ion a ore checked at next inspection ece ing. Inspector C / i -, Date ho Acknowledgement Date Approved plans and permit card must be on-site and available at time of inspection. A re-inspection fee may be assessed if work is not ready for inspection. of PORT Tod CITE' OF PORT TOWNSEND ys�o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:OOpm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: SITE ADDRESS: CONTACT PERSON: 7 PHONE: TYPE OF INSPECTION: ��) j�! b�.�jV� 11 (p (1K vet'lk ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector I Lon Date Acknowledgement Date Approved plans and permit card mast be on-site and available at time of inspection. A re-inspection fee may be assessed if work is not ready for inspection. CITY OF PORT TOWNSENI, PERMIT ACTIVITY LOG PERMIT # �� d Z DATE RFCEIVED SCOPE OF WORK: DATE ACTION INITIALS -3C) = Oq ENTERED INTO CHET � CHECKED FOR COMPLETENESS -r' Zoning: Setbacks OK? vo L C D 7 c� Lot Size: Building Size: Lot Coverage: FAR OK? Height OK? Parkin OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? of?ORr rah r City of Port Townsend tikA o Development Services Department - -' 250Madtson Street, Suite 3 ''� �Port Townsend, WA. 98368 WAS (360)-379-5095: Fax: (360)344-469 Washington State Indoor Air Quality 2006 Residential Construction Checklist for Zone I This form is to be completed in addition to prescriptive compliance form or component performance compliance calculations. Please answer the following questions: VENTILATION REQUIREMENTS FOR INDOOR AIR QUALITY: What kind of ventilation will be used throughout the house= ❑ Exhaust Option ❑ HVAC Integrated Option If you chose _-Exhaust Option," complete the folio%vine: • Where is your whole house fan located (what room, etc.)? • What size is the whole house exhaust fan? See table below_ Floor 13edroonis Area, ft2 2 or less 3 4 5 6 7 8 \tin Max liin Max Min Max Min Max Min Max (lain Max lain Max <500 50 75 65 98 80 120 95 143 110 165 125 188 140 210 501 -1000 55 83 70 105 85 128 100 150 115 173 130 195 145 218 1001-1500 60 90 75 113 90 135 105 158 120 180 t 3 5 203 150 225 1501-2000 65 98 80 120 95 143 110 165 125 188 140 210 155 233 2001-2500 70 105 85 128 100 150 115 173 130 195 145 218 160 240 2501-3000 75 113 90 135 105 158 120 180 135 203 150 225 165 248 3001-3500 80 120 95 143 110 165 125 188 140 210 155 233 170 255 35014000 85 128 too 150 115 173 130 195 145 218 160 240 175 263 4001-5000 95 143 110 165 125 188 140 210 155 233 170 255 185 278 5001-6000 105 158 120 180 135 203 150 225 165 248 180 270 195 293 6001-7000 115 173 130 195 145 218 160 240 175 263 190 285 205 308 7001-8000 125 188 l40 210 155 233 170 255 185 278 200 300 215 323 8001-9000 135 203 150 225 165 248 180 270 195 293 210 315 225 338 >9000 145 218 160 240 175 263 190 285 205 308 220 330 235 353 *For Residences that exceed 8 bedrooms, increase the minimum requirement listed for 8 bedrooms by an additional 15 CFM per bedroom. The maximum CFM is equal to 1.5 times the minimum. • Fresh Air Inlets are required for this option in each habitable room (includes all bedrooms, kitchen, etc., not bathrooms or utility rooms). What type of fresh air inlet will be installed" ❑ Window Port ❑ Wall Port ^ See next pa,e G � 2006 Washington State Energy Code - Prescriptive TABLE 6-1 PRESCRIPTIVE REQUIREMENTS" FOR GROUP R OCCUPANCY CLIMATE ZONE 1 Glazing Glazin • s Option Area1 is Door Ceiling2 Vaulte U Factor e Wallu Wall- Wall Wa, Slab d Above int ext a Floors on %of Floor Vertical Overhead" U-Factor Ceiling Grade Below Below Grade Grade Grade 1. 10% 032 0.58 0.20 R-38 R-30 RI5 R-15 R-10 R-30 R-10 rl.* 15% 035 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 M. 25% 0.40 0.58 0.20 R-38! R-30/ R-21 / R-15 R-10 R-30/ R-10 Group R-1 U=0.031 U-0.034 U=0.057 U-0.029 and R-2 Occupancies Only lV. Unlimited 0.35 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Group R-3 and R-4 Occupancies Onl% �`. Unlimited 0.35 0.58 020 R-381 R-30/ R-21 ! R-15 R-10 R-30 J R-10 Group R-1 U=0.031 U=0.034 U-0.057 U=0.029 and R-2 Occupancies Onh * Reference Case 0. Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%,it shall comply with all of the requirements of the 15%glazing option(or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code_ 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings complying with note 3. 'Adv'denotes Advanced Framed Ceilingo. 3. Requirement applicable only to single rafter or joist vaulted ceilings where both(a)the distance between the top of the ceiling and the underside of the roof sheathing is less than 12 inches and(b)there is a minimum I-inch vented airspace above the insulation_Other single rafter or joist vaulted ceilings shall comply with the"ceiling"requirements.This option is limited to 500 square feet of ceiling area for any one dwelling unit- 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10,or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use,and installed according to the manufacturer's specifications. See Section 602.2- 5. Floors over crawl spaces or exposed to ambient air conditions_ 6. Required slab perimeter insulation shall be a water resistant material,manufactured for its intended use,and installed according to manufacturer's specifications. See Section 602.4_ 7. Int.denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. 8_ This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing. 9. Doors,including all fire doors,shall be assigned default U-factors from Table 10-6C. 10. Where a maximum glazing area is listed,the total glazing area(combined vertical plus overhead)as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U=0.40 or less is not included in glazing area limitations. 1 1. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. 12. Log and solid timber walls with a minimum average thickness of 3.5"are exempt from this insulation requirement. Effective July 1. 2007 2006 Edition pORT Tory BUILDING PERMIT ,� ss City of Port Townsend 9� [� Development Services Department 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-124 Permit Type Residential - Addition/Remodel Project Name Fire Damage Restoration Site Address 2417 IVY ST Parcel# 001043015 Project Description Fire Damage Restoration Internal Names Associated with this Project License T,,pe Name Contact Phone# Type License# Exp Date Applicant Hay Barrie C Owner Hay Barrie C Contractor Glen B Builders O CITY 008363 12/31/2009 Contractor Glen B Builders O- STATE GLENBB*997J 06/08/201 1 Fee Information Project Details Project Valuation S140.940.05 Entered Bid Valuation 140.940 DOLL Plan Reyic\y Fee 795.18 Units: Heat Type: ELECTRIC BBH PLAN REVIEW DEPOSIT 150 150.00 Bedrooms: 4 Construction Type: V - B PLAN REVIE\V REFUND 150 150.00 Bathrooms: 2 Occupancy Type: R-3 Buildinu Permit Fee 1.22335 State Buildinu, Code Council Fee 4.50 Technology Fee for Buildin! Permit 24.47 Record Retention Fee for Building 10.00 Permit Business license fee 25.00 Total Fees S 2,382.50 Conditions 10. Property corner survey pins must be located at time of footing inspection to yerlA, setbacks. SEE A T TA CHED CONDITIONS Y x 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 knowledt,,e. I further certify that I am the owner of the property or authorized agent of the o-,ynet-. Print Name Date Issued: 07/07'2009 �f Issued By: SWASSNIER Signature ��� Date L Date Expires: 01/03/2010 'PORT Tp�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 0 WAS 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. 001043015 PERMIT NO. BLD09-124 ISSUED DATE 07/07/2009 EXPIRATION DATE 01/03/2010 ADDRESS 2417 IVY ST CONSTRUCTION TYPE V - B OCCUPANT LOAD OWNER HAY BARRIE C PROJECT DESCRIPTION Fire Damage Restoration Internal CONTRACTOR GLEN B BUILDERS LENDER INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE COMMENT TESC FLOOR FRAMING C(L 7 0 FRAMING PLUMBING ►CK /�Oq W (�oQf�l //0 S MECHANICAL PLUMBING WTR PIPIN INSULATION �� �1�LLS QILJ l<rCl� 7�Z�'/�� GWB MISCELLANEOUS 0 FINAL BUILDING TO REQUEST AN INSPECTION CALL(360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. Deve&ment Services of Qoar 250 Madison.Street, Suite.3, Port Townsend WA 98368 _ Phone. 360-379-5095 Fax: 360 344 4619 9�oF WA s> www:cityofpt°u s Residential Building Permit Application Project Address: Z Y 1''1 TV $ Legal Description (or Tax#): Office Use:Only �i Addition: Permit#B(D09- � Zoning: Block: Associated Permits: Parcel # Qbip`t3 pis Lot(s): Project Description: %"1A." Re610R14l J0&1) gi�-- A'A ZD X 1v /4R R I% Or�►yra��� fl ooR Lt+c R/td � ,4LL rl g'TT' > 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: Property Owner/Applicant: Lender information must be provided for projects NameZ/A.Ai2I E 14,^ Y over$5,000 in valuation per RCW 19.27.095. Address — % r ''L ` _ _ Name: City/St/Zip: �/ ! Phonei- Project Valuation: $ �,o) 7 741 — (e3,�;-[ Email: Building Information (square feet): 151 floor Z© Garage: 2nd floor l O Deck(s): Contact/Representative: 3`d floor Porch (es)-. Name:_ b^k*A�� l Basement: is it finished? Yes No Address:b':!�O d `J' .1�- = /" ��1 /A J Carport: _ Other: City/St/Zip: ulzo- G/ ,:�33,5 Manufactured Home D ADU ❑ Phone: ,3 6 d C J [ 6-Z i f�� New Addition 0 Remodel/Repairx Email: _ Heat Type: Electric_ Heat Pump Other Contractor: ❑ Same as Owner Total Lot Coverage (Building Footprint):` Name: 6415,ki 6- 131AikDJEFA6Square feet: % Address: C"�Da _5g 6R AR,A Q Impervious Surfacer City/St/Zip:©LA L LA, W n- 17 3S � 17 �qt�e Beet; ��/ fi; r"�al existings� ro osed Phone:���0� 7,31 Z f What year waste t lure built? / dI Email Y�^Jl If i#�eJud�s,de'I I n, see Page 2. State License #:CtL�ht tlkM qExp:� 3 U UUy � Any known wetlan on he property? Y O City Business License #: ©8 3l0 3 a 1�hay�s �s,oe� 15/o Y VJV 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: aS/�� Signature: ��/ -0 4 Date: Page 1 of 2 - 5/14/2009 RESIL__ATIAL BUILDING PERMIT At riLICATION CHECKLIST This checklist is for new dwellings, additions, remodels, and garages. ❑ Residential permit application. ❑Washington State Energy &Ventilation Code forms ❑Two(2) sets of plans with North arrow and scaled, no smaller than %" = 1 foot: ❑A site plan showing: 1. Legal description and parcel number(or tax number), 2. Property lines and dimensions 3_ Setbacks from all sides of the proposed structure to the property lines in accordance with a pinned boundary line survey 4. On-site parking and driveway with dimensions 5. If creating new impervious surfaces, indicate measures utilized to retain stormwater on-site 6. Street names and any easements or vacations 7. Location and diameter of existing trees 8. Utility lines 9. If applicable, existing or proposed septic system location 10. Delineated critical areas boundaries and buffers 0 Foundation plan: 1. Footings and foundation walls 2. Post and beam sizes and spans 3. Floor joist size and layout 4. Holdowns 5. Foundation venting ❑ Floor plan: 1. Room use and dimensions 2. Braced wall panel locations 3. Smoke detector locations 4. Attic access 5. Plumbing and mechanical fixtures 6. Occupancy separation between dwelling and garage (if applicable) 7. Window, skylight, and door locations, including escape windows and safety glazing ❑Wall section: 1. Footing size, reinforcement, depth below grade 2. Foundation wall, height, width, reinforcement, anchor bolts, and washers 3. Floor joist size and spacing 4. Wall stud size and spacing 5. Header size and spans 6. Wall sheathing, weather resistant barrier, and siding material 7. Sheet rock and insulation 8. Rafters, ceiling joists, trusses, with blocking and positive connections 9. Ceiling height._.._ __.�..<- _ .•. _ ._., 10. Roof sheathing; roofing;�matenal, �oof�pitch, attic ventilation 0 Exterior elevation's+(all four.).with-existing'slopeIof the land in relation to all proposed structures ❑ If architecturally:designed, one set of plans mustthave an original signature ❑ If engineered, one'set ofplans mustzli�awve one ori inal signature ❑For new dwelling ng�co'pstruction, Street& Utility or inor Improvement application If you are proposing paiJt al.or;f0JUderifolition of a structure that is at least 50 years old, per Ordinance 2969 Historie•Preservation'Com ttee (HPC) review is required. if within the National Historic Landmark district: $58.00 for full committee review. If outside the National Historic Landmark district and not on the Historic Register: no fee for HPC Administrative review. Complete HPC Form. Partial demolition includes exterior demolition for additions and remodels. Page 2 of 2 - 5/14/2009 Untitled Page Page I of 1 General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name GLEN B BUILDERS UBI No. 602113790 Phone 2538576768 Status ACTIVE Address 6500 SE FRAGARIA RD License No. GLENBB'997JW Suite/Apt. License Type CONSTRUCTION CONTRACTOR City OLALLA Effective Date 4/16/2001 State WA Expiration Date 6/8/2011 Zip 98359 Suspend Date County KITSAP Specialty 1 GENERAL Business Type Individual Specialty 2 UNUSED Parent Company Business Owner Information Name Role Effective Date Expiration Date BAKALARSKI, GLEN JOWNER 01/01/1980 Bond Information Bond Bond Effective Expiration Cancel Impaired Bond Received Bond Company Account Date Date Date Date Amount Date Name Number 2 CBIC SD1563 04/16/2002 Until $12,000.00 03/15/2002 Cancelled 1 ICBIC ISD1563 04/16/2001 04/16/2002 1 1$6,000.00 04/16/2001 Insurance Information Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received Name Date Date Date Date Date 8 BANKERS 4604400018144 06/01/200906/01/2010 $1,000,000.0005/22/2009 INS CO 7 CBIC C11SD1563 06/01/200706/01/2009 $1,000,000.0005/09/2008 FIRST 6 SPEC INS FGL22900423401 05/09/200605/09/2007 $1,000,000.0005/03/2007 CORP FIRST FGL22900423340 5 SPECIALTY 05/13/200505/13/2007 $1,000,000.0006/09/2006 INS CORP 01 4 EVANSTONCL460700265 05/13/2004 05/13/2005 05/22/2005 $1,000,000.0005/13/2004 INS CO 3 ICBIC GLEN133 04/24/200304/24/2004 $1,000,000.0005/01/2003 2 CBIC INSSD1563 04/16/200204/16/2003 03/15/2002 1 JCBIC INSSD1563 04/16/2001 04/16/2002 04/16/2001 https://fortress.wa.gov/lnl/bbip/Detall.aspx 6/30/2009 p�ppRT Tp�y CITY OF PORT TOWNbCAND & &"9 lZ 250 Madison Street, Suite 1 o Port Townsend,WA 98368•(360)379 4409 � W BUSINESS LICENSE APPLICATION Business Name (��.�v 13 BuILDF-P-5 � EW �� sit'slN �tcTjCEffe t+to' Business Location (p �OZC�9�IR-u4- D. ExPtRAT1l�C?ATE � � a %^ (Not P.0.Box) TflTAL1AA2M A1D City State pAwm tJATE t, R a r 'zN� i' Zoning Designation/Legal Description(required) JREC T4&M �� ' (Give parcel no.it other information is unknown) WO � Mailing Address 0 (if Different) City State Zp �d 7 ( ) I re;139A@ Nfr w'611., �n Bus.Phone (3 31 -(o2��f Bus.Fax Describe what you do: Opening date of business in Base of operations PortTownsend: i within City limits? (molday/yr.) 6-30 - C)9 1 ❑Yes No Are you operating out of a residence? ❑ Yes ❑No Ownership: ❑Corporation ❑Ltd.Liability Company ❑Partnership YSole Proprietor ❑Trust Type of Business: ❑Retail ❑Wholesale ❑Services )d Construction ❑Printing&Publishing ❑Miscellaneous Federal I.D.No. s ,! ) WA State UBI No. tAOZ. 1 13 76(0 MUM UM . >1! Owner Name (�LEAI ,8�/CA L/�VZSK/ Title Phone 4P?-&2. Home Address _6500__ F&*&,"t* 402. city State Zip 9�as9 Owner Name Phone( ) Home Address city L Name, As _ Phone( ) Address _ Cell Phone( ) City Business square footage: Annual Fee: $25.00 (January 1 -December 31) Partial Fee: $12.50 (July 1 -December 31) Did you purchase an existing busir Temp. Fee: $12.50 (90 days) This business was formerly operat License Fee is 25.00 Whose present address is: Other Fees $ 3.00 record Did you take over: ❑ Entire bublrtess l..l Portion thereof (see reverse side) retention fee Date of Takeover: Late Fee (see reverse side) TOTAL AMOUNT DUE $ 28.00 1 hereby certify,under penalty of perjury,that the information contained in this application is true and complete to the best of my knowledge. 1 agree to comply ith all applica le laws an ordinances regulating the operation of this business. 09 Signature of Owner or Representative Title Date DCTIIDAI t`nUDI CTCn ADDI 1!•ATIA1d CA011 V^ ADMIC AnMOCCC U/ITU A PUCl V \&AnC nAVA01 C Vn TUC PITV AC 0n0'r Tf%W61CCUrl OE poRT roh "�� City of Port Townsend Invoice Development Services Department 250 Madison Street,Suite 3, Port Townsend,WA 98368 Date: 30-JUN-09 (360)379-5095 Invoice# 918 HAY BARRIE C SUSAN H HAY PORT TOWNSEND WA 98368-6823 Application No BLD09-124 Project: Fire Damage Restoration Application Type Residential-Addition/Remodel Parcel# 001043015 Subdivision: Block/Lot Site Address: 2417 IVY ST Description Fee Amount Paid/Credit Balance Due Plan Review Fee 50.00 50.00 50.00 PLAN REVIEW DEPOSIT 150 5150.00 S150.00 S0.00 PLAN REVIEW REFUND 150 $150.00 50.00 $150.00 PLAN REVIEW DEPOSIT 50 $50.00 50.00 $50.00 PLAN REVIEW REFUND 50 -550.00 50.00 -S50.00 Building Permit Fee S0.00 50.00 $0.00 State Building Code Council Fee 54.50 50.00 $4.50 Technology Fee for Building Permit 50.00 50.00 50.00 Record Retention Fee for Building Permit 50.00 50.00 50.00 Business license fee $25.00 525.00 $0.00 Total Fee Amount: 5329.50 Total Paid/Credits: $175.00 Balance Due: $154.50 Page 1 OF pORI)O� i Receipt Numhcr 09-0501 o 4 WA Receipt Date: 06/30/2009 Cashier: FFRANKLIN Payer/Payee Name: HAY BARRIE C Original Fee Amount Fee Permit# Parcel Fee Description Amount Paid Balance BLD09-124 001043015 Business license fee $25.00 $25.00 $0.00 Total: $25.00 Previous Payment History Receipt# Receipt Date Fee Description Amount Paid Permit# Payment Check Payment Method Number Amount CASH N/A $ 25.00 Total: $25.00 genprnlrreceipS r'a0 i Oi 1 OF PORT TOk o y�o Receipt Number: 6940500 `,, J ft t Rec apt Date _O6/30/2009 °f Cashier�FFRANKLIN Pa&105yee�Name HAY BARRIE C y `x Via, .� .sc_..—._._.:�_a+ { a T t - � Ori a 1Fee Amount ; _ Fees. 4 g Permtt# Parcels 1 Fee Descnptiz a Mi K Amount Paid �� 'Balance t BLD09-124 001043015 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 �F3ept#LLpy -Receipt Date��,�� Fee Descnptton� � �..; � Amount Paid Permtt#� Payment Check T Pa ert< t n * ` � Method € gNumber� Amount+ CASH N/A $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1 OE PORT TOY � yiP u' o Receipt Number: 09-0514 °,- RR r .€c. , �.'Vg �aF n3� g � ..�3" .;4» � `,ps v:..,t..t * •4 .x Receipt Date 07/07/2009 Cashier SWASSMER T ,PayerlPayee Name =xGLenn Bakalarskr�f x .r �, a �. . ,. ,� - �.� #�``. ;sei#cF=_..-_�.s�M' '`s t.' ';N ..-F._� `k? �v-�+. "s ^-`k '" '" a w; �F `�°n' v �y :'"- B ri ,-•�' c{• &, -:. $ -•Pp'* i'" Ongmal FeeAmount t Fez a Permit# Parcel Fee Descnption #� Amount 3 Patti �� Balance ` BLD09-124 001043015 Plan Review Fee $795.18 $795.18 $0.00 BLD09-124 001043015 PLAN REVIEW REFUND 150 $150.00 $150.00 $0.00 BLD09-124 001043015 Building Permit Fee $1,223.35 $1,223.35 $0.00 BLO09-124 001043015 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-124 001043015 Technology Fee for Building Permit $24.47 $24.47 $0.00 BLD09-124 001043015 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $2,207.50 ,krr � a ��1. Paymenf3History ' Y : fP�.0 Ftecet t# Rece� t Date k� Fee Descnpt�on r Amount<Pa�d Perm�tY# P s P R wi,,Pi6Wdii§, _ 09-0501 06/30/2009 Business license fee $25.00 BLD09-124 09-0500 06/30/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-124 Paymenta ��� Check 'f Pay lent Method �� Numr .� To nt; -- CHECK 4847 $2,207.50 Total: $2,207.50 genpmtrreceipts Page 1 of 1 II r )f Main Level t = �� 13'11" ' 13`3" 30' ' �`4w 24110 but T bo co PROu� w— ,swi.1 P.-AB.qS+,tLR. PER i74' O too-►S7 CFK W"OLZ IKo� s fl�R�k�Rorn -ra ct� P' r►( .. v ✓ � N s " Won En dr; (V T QKM 4110 ,1w • a� 2'10"CI4 T 41 ..��� w 2'1 w „ A 0 ,! 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