HomeMy WebLinkAbout09154 CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT # A649 �'��� DATE RECEIVED 1-09
SCOPE OF WORK:
DATE ACTION _ INITIALS
- 01 ENTERED INTO CHET �
CHECKED FOR COMPLETENESS
Zoning:
Setbacks OK?
Lot Size:
Building Size:
Lot Coverage:
FAR OK?
Height OK?
Parkin OK?
Critical Area?
Demo?
Historic Rev?
Notice to Title? j
Lots of Record?
�o�QoaT royy BUILDING PERMIT
� tem
City of Port Townsend
'.:.' Development Services Department
was�
250 Madison Street,Suite 3,Port Townsend,NVA 98368
(360)379-5095
Project IMformatiott Permit# BLD09-154
Permit Type Residential - Re-Roof Project Name Reroof from 705-731 Sheridan
Site Address 705 SHERIDAN ST Parcel# 948322103
Project Description
ReRoof Two Duplexes
Names Associated with this Project License
Type Name Contact Phone# TNpe License# Exp Date
Applicant Broders Ramon F
Owner Broders Ramon F
Contractor Olympic Lampshapes O STATE OLYMPL"997I 08/21/2010
Fee/reformation
Project Valuation Units: Heat Type:
Reroof Permit Fee(R-3 and U 40.00 Bedrooms: Construction Type:
occupancies) Bathrooms: Occupancy Type.
State Buildinc Code Council Fee 4.50
TechnOIOLiv 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 uranting of this permit shall not be construed as approval to violate any provisions of the PTMC or other lay\s or regulations. 1 certif-
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledee. I further certifv
that I am the owner of the property or authorized agent of the owner.
Print Name Date Issued: 07/28/2009
Issued By: FFRANKLIN
Signature - Date '— ,2�^ Date Expires: 01!24,2010
0RTTO�y CONSTRUCTION PROGRESS RESS RECORD
s�Z CITY OF PORT TOWNSEND
v
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. 948322103 PERMIT NO. BLD09-154 ISSUED DATE 07/28/2009 EXPIRATION DATE 01/24/2010
ADDRESS 705 SHERIDAN ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER BRODERS RAMON F PROJECT DESCRIPTION ReRoof Two Duplexes
CONTRACTOR OLYMPICLAMPSHAPES 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.
DeV19/opment Services
o�poaT�o�tis 250;Mad ison Street,'Swte 3
i Post Townsend 1NA:98368
Phone'360-379-,5095,.
36Q-344 4619,,
�aFwas+ www.cityofpt.us
Roofing Permit Application
Project Address: Legal Description (or Tax#): Office Use Only
n
3 I Addition: Per it '
/ Block: 2 2 I #; n /`
Parcel # �7� 32-2—
Lots : 2.,
3 Associ,ated Permits s
2 2- O
SF Residentiale-�—Commercial ❑ MF Residential ❑ Bed & Breakfast*❑ .<
B&B's located in Historic District may require design review approval.
Property,Owner: Lender Information:
Name: Mt)1 t Lender information must be provided for projects
Address: 5Sr7/ Odd A rd�y��r�
over $5,000 in valuation per RCW 19.27.095.
a
City/St/Zip: PORT ?—O L-c '11 ce 11 Name:
Phone: _ 6C) 73E 3 5!C! Project Valuation:
Email:
Scope of Work:
Contractor: Number of existing roof layers:
Name:0 IM pie kA n d sh,,+R Square footage of roof: -21 D D
Address: -71 D ART/N Rc1 ' Tear off? Y I1�� /
City/St/Zip: - r, (")a, -''p'3G S Replacing sheathing? Y r4-
Phone: �4Z — 3-7 7 " Fys9 Replacing/altering rafters or trusses? Y
Email: If"yes" a roof framing plan is required.
State License #: T 1/M P/, Q9789p:
City Business License#: New Roof Type:
Composition EJ Metal
❑ Cedar shingles ❑ Cedar shakes
Is the structure located within 200 feet of a fresh or ❑ Torchdown or Hot Mop ❑ Other
saltwater shoreline? Y LNG
Will work take lace on or near the public right-of- Venting type (checkk //that applies)/:
way? Y � ❑ Roof Gable End wave/soffit
If yes, provide a site plan and pedestrian protection
❑ Ridge El Other
plan.
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: ak w o h r,,->d-e r s
Signature: liDate:
f VOAT ro/P
O y
u so Receipt Number: 09-0605 '
��waste
g E . ,° 9<`�-� ,�.� zze—y
ecetpt Date 07/28/2009 Cashier FFRANKLIN Payer/Payee Name BRODERS RAMON F in,ac
^a�'s -
-. �r�x "6. yx us "
r x s Ongmal Fees Amounts Fee
Permit#: Parcel,* Fee Desiu cription ,: Amount Patd Balance
- ..,
BLD09-154 948322103 Reroof Permit Fee(R-3 and U occupan $40.00 $40.00 $0.00
BLD09-154 948322103 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-154 948322103 Technology Fee for Reroof Permit(R-3 $5.00 $5.00 $0.00
BLD09-154 948322103 Record Retention Fee for Reroof(R-3 $7.50 $7.50 $0.00
Total: $57.00
.Re e
p # Receipt Date Fee Desc�ipUon Amount Patd Perrot#
enf Check ym Payment
Pa
Method y Number f Amount
w
CHECK 8156 $57.00
Total: $57.00
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General/Specialty Contractor
A business registered as a construction contractor with I-Ed 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
Verify Workers' Comp Premium Status Check for Dept. of Revenue Account
Name OLYMPIC UBI No. b 601561665
LANDSHAPES
Phone No. (360) 379-8459 Status ACTIVE
Address 710 MARTIN ROAD License No. OLYMPL'99713E
Suite/Apt. License Type J CONSTRUCTION
CONTRACTOR
City PORT TOWNSEND Effective Date 1/5/2001
State WA Expiration 8/21/2010
Date
Zip 98368 Suspend Date
County JEFFERSON Specialty 1 i; PRESSURE WASHING
Business Type Individual Specialty 2 UNUSED
Parent
Company
Business Owner Information Hide All
Name Role I Effective Date Expiration Date
SUTHERLAND, ROB L 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
6 PLATTE RIVER CLB2711169 06/25/2009 Until $6,000.00 07/06/2009
INS CO Cancelled
AMERICAN Until
5 CONTRACTORS100023987 05/20/2007Cancelled 06/27/2009 $6,000.0005/15/2007
INDEM CO
littps://fortress.wa.gov/lnl/bbip/Detall.aspx 7/28/2009
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4 PLATTE RIVER 41066178 05/20/2006 Until 05/25/2007 $6,000.00 05/26/2006
INS CO Cancelled
ACCREDITED Until
3 SURETY Et CAS 10018219 05/17/2004Cancelled 05/17/2006 $6,000.0006/03/2004
CO
2 GULF INS CO B34223081 05/17/2002 Until 05/23/2004 $6,000.0005/23/2002
Cancelled
Insurance Information ;)
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
9 NORTHFIELDWS017246 04/19/200904/19/2010 $500,000.0004/15/2009
INS CO
8 NORTHFIELDWS017025 04/19/200804/19/2009 $500,000.0004/18/2008
INS CO
7 NORTHFIELDWS002456 04/19/200704/19/2008 $500,000.0004/20/2007
INS CO
6 NORTHFIELDCP515050 04/18/200604/18/2007 $500,000.0004/19/2006
INS CO
5 NORTHFIELDCP490746 04/18/200504/18/2006 $500,000.0004/14/2005
INS CO
4 NORTHFIELD CP46414001 04/18/200404/18/2005 $500,000.00 04/09/2 004
INS CO
3 NORTHFIELD CP464140 04/18/2003 04/18/2004 $500,000.00 04/22/2003
INS CO
Infraction / Citation Information ;;
Infration/Citation Date RCW Code Type Status Violation
Amount
18.27.200(1)(a) CONSTRUCTION Not
N33008 5/9/2002 RCW INFRACTION satisfied $1,000.00
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