HomeMy WebLinkAbout09125 QoarTo�y� CITE' OF PORT TOWNSEND
o DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
TWA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU
WANT THE INS ECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY.
DATE OF INSPECTION: Q PERMIT NUMBER: V ! —
SITE ADDRESS:
CONTACT PERSON: Li
f PHONE:
ii �TYPE OF INSPECTION: hoF /v&t L ao(,
�1
APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re-inspection before
checked at next inspection proceeding.
Inspector (L� 1 T1 l `d 0 Date z
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.
o,9 FtTTo�y BUILDING PERMIT
City of Port Townsend
�j Development Services Department
�WAS1i"-
250 Madison Street,Suite 3, Port Townsend,WA 98368
(360)379-5095
Project Information Permit# BLD09-125
Permit Type Residential - Re-Roof Project Name RE-ROOF
Site Address 812 J ST Parcel# 984901206
Project Description
RE-ROOF
Names Associated with this Project License
Type Name Contact Phone# Type License# Exp Date
Applicant Bush Renee
Owner Bush Renee
Contractor Achien'S Quality (253) 539-766 3 STATE ACHTEQR923( 02/14/2010
Roofinc
Fee Information
Project Valuation Units: Heat Type:
Reroof Permit Fee(R-3 and U 40.00 Bedrooms: Construction Type:
occupancies) Bathrooms: Occupancy Type:
State Buildine Code Council Fee 4.50
Technoloey Fee for Reroof Pennit 5.00
(R-3 and U occupancies)
Record Retention Fee for Reroof(R- 7.50
3 and U occupancies)
Total Fees S 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 2rantina 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 knowledec. 1 further certify
that 1 am the owner of the property or authorized aLmit of the owner.
Print Name 12e,)e e ���`S�� Date Issued: 06/30%2009
Issued By: SFOSTLR
Signature GC�� �� Date ell Date Expires: 12/27/2009
PORTr CONSTRUCTION PROGRESS RECORD
_ t
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. 984901206 PERMIT NO, BLD09-125 ISSUED DATE 06/30/2009 EXPIRATION DATE 12/27/2009
ADDRESS 812 J ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER BUSH RENEE PROJECT DESCRIPTION RE-ROOF
CONTRACTOR ACHTEN'S QUALITY ROOFING LENDER
INSPECTION INSP )ATE COMMENT INSPECTION INSP )ATE 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.
as 0 0 �'3 (
y..23A FRl7M:CITY OF PORT TIZJNSQJ 36F�344%19 T0:8P2 35397664P3262015P.
7 CITY OF PORT TOWNSEND e«�. c&.,-
250 Madlson street,suite t
s Port Townsend,WA 98368•(3W)379.4409 ka-f'ez Rash fiAj e C.!
BUSINESS LICENSE APPLIICATION G�Y F-a'<#0441)3 qq--elb/�
Bwlmass Marne
Vow
CO
ZonlrpMsMnq Oft/Legal I7agcrlgtlare(ree+�htsd} _.; •>. t 1: < ' rA
Ali
SLUL Pkaft (;15:Pj C05 Bus Fax a3 2517'f rTO(0
I $lots rr�esS+asa 69 of won s
1 P4WTQWRaeitd; w�.:r Citylimbs? 3E/G'i
i No
Are you operating out 7 0 Yes 0 NO
OW4104% XCerporet`lan 0 Ltd.LiabMly Company 0 Partnership 0 Sale Proprietor 0 Trust
76
of sr,�inses: 0 FIOW O Wholea.we 0 services ��srructim Cl Nnd%6 Fubia" 0 Miscallenoaus
FeCarei LQ Ns+ b 5133�frL�. wA Stet•um tin
OsrnerNarne TWO Fito i )
home Address
CRY State
C wAw hence Tots PFwrts( }
ftme Adtffess
c4tY state ZIP
Matt10 Phone( }
Rddnes can Phone( }
erase zip
f 9sruasefoele0s: Annual Fee, $2&00 0muaryt-Deeemw31)
P'efrlel Fee; $1250 Wuly1.De08mbar31)
Did Vow pund+amaneatlst Vbuabtsss? C]Yes o Ternp. Foe: 912.50(94dap)
Thil busiss-MM Mubftr smlT cpsm=d b
-- Ltee naa Fee ; 12.50
Whose pneserst Is:
[>Iteer Flees 9 recall
EW you take*" Q g1nt-v busirwea 0 tcre.�tharew (sem r`-'vemee skin)) rRco'don Ise
lure of Talasavar: t tfA Fee
1�ririzr.a sl6a}
Ttmtar A OUW Due 15.50
1 hara6y da"rpsnafty of pal the informaden osM.ined en this apsucenon is bve anid s _yertA In tree boa c!my So
comply SO&M M and MUWJhg Ms o1wrattoa of tnb bstlne ss
3
RETVA14 COMFLETEEe APPUCATION FORM TO ABOVE ADDRESS MTH A CHJ21 t1AGE RAYABLE TO THE 0FTI'OF FORM TOifVMEdND,
'�—r =r=l_7.�,.....n !'1„^nu^nTf-C7� ^^'rvmr-r �^:.C.`��C:�'-r•�..nc-__�"ItlC.6F_.`.T�- �.rlb.^,_..''F�"F_7=1.n":'� _.�i
1103
..l..
RI;NEF" 131Jsll
68-1497/2560
j Al'TO TI iF
NAV
i
�I FEDERA
L
p� Credit • nionNIP
..
i
1: 2 560 749 74i: L 103-070.45 L 27 L4 it'00 L
TRANSIT ROUTING NUMBER CB NUMBER ACCOUNT NUMBER
—_
_LT
�-6 +
43
S-1,
Su tv 2o, T4r
SQ
G2 d
1
r-e -VO°f'
Cam`: ' vl U F PT
A61 3 -)9 -
� SAS
Der, _opment Services
oFQoarro�y 250.:Madison Street;Suite 3
Port Townsend WA 98368
Phone: 360-379-5695
9 = = Fax_: 360.:344-4619
www.cityofpt.us
Residential Building Permit Application
Project Address: CC.. Legal Description (or Tad#): S Office Use Only
Addition.
� IBi/CS Permit#BLD09-
Zoning: (� Block: 7 7j
( Associated:Permits:
Parcel # 9d (` _ �Q _ Lot(s): -i'
Project Description: S?�00
> 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-�jrvr�eyApplicant: ?� Lender information must be provided for projects
Name: j' /C -ile el /�Gf w ] over$5,000 in valuation per RCW 19.27.095.
Address:
Name:
City/St1Zip: ��, `dz(�/�J sP✓I �� ��.rO
Phone: ] 7
34p6) Project Valuation: $
� -/�5�
Email: iye�e7 e e S e-i?Se l� he 6n-z�lGd7 Building Information (square feet):
1" floor Garage:
2"d floor Deck(s):
Contact/Representative: 3`d floor Porch (es):
Name: 5-44ite GCO
Basement: is it finished? Ye No
Address: Carport: Other:
City/St/Zip: Manufactured Home ❑ ADU ❑
Phone: New Addition ❑ Remo jel/Repair❑
Email: Heat Type: Elec is / Heat Pump
Other 6CIM
Contractor: ❑ Sam as Owner Total Lot Coverage (Building Footprint):*
Name: �/Y��' lC i ��d� Square feet 7U % /d
Address: Y ��.Z T� Y' Impervious Surface:`
City/St/Zip: C - —
Square feet: *Total existing 8 proposed
What year was the structure built?
Email:
If work includes demolition, see Page 2.
State License #: e �'� Exp:W /4w�
y�G Any known wetlands on the property? Y
"City License #: Any steep slopes (>15%)? Y nN
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 also iated with this ermit will be in accordance with State Laws and the Port Townsend Municipal Code.
Print Name:
v n
Signature: l� Date: l/
Page 1 of 2 -5/14/2009
RESIDENTIAL BUILDING PERMIT APF L-ICATION
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:
0 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
❑ 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 material, roof pitch, attic ventilation
❑ Exterior elevations (all four)with existing slope of the land in relation to all proposed structures
❑ If architecturally designed, one set of plans must have an original signature
❑ If engineered, one set of plans must have one original signature
❑ For new dwelling construction, Street& Utility or Minor Improvement application
If you are proposing partial or full demolition of a structure that is at least 50 years old, per
Ordinance 2969 Historic Preservation Committee (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
OF PORT r,-
y
ti
Receipt Number: 09-0MMM P ..
_.• °. t
il
S Rec t Dat 4 Q6130/2009� Cashwer SWASSMER �=Payer/Payee Name BUSH RENEE� M4k
9,z =_. - ._; � sir •: ._ .:° x �___ �.,___,�� O .,
'�' Ongmal Fee k' Amounts Fee
,r:- vx C y 3I .,,;y ^t{'
Permit# Parcet 1-0e Descnption Amount�� d �paidW.
Balance
BLD09-125 984901202 Reroof Permit Fee(R-3 and U occupan $40.00 $40.00 $0.00
BLD09-125 984901202 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-125 984901202 Technology Fee for Reroof Permit(R-2 $5.00 $5.00 $0.00
BLD09-125 984901202 Record Retention Fee for Reroof(R-3 $7.50 $7.50 $0.00
Total: $57.00
Previous Pa ment Hrsto � N
i zl� .44 'z w�'" 'd.�n _ a� yam' 4 Z'- .p` `13, a �k,--1
` w» %�,'ATM `,a� f -t` »tfiy -..'�
Receipt#� Receipt Dates Fee DescnpUon q Amount"PattiPertrnt#
Pay Went - Check + `A �� Rayme t;
Method Number `Amount
.. � _ c
-- ...... - - ----
CHECK 1102 $57.00
Total: $57.00
genpmtrreceipts Page 1 of 1