HomeMy WebLinkAbout09163 p�QORT Tp�y BUILDING PERMIT
_ City of Port Townsend
Development Services Department
�w
250 Madison Street,Suite 3,Port Townsend,wA 98368
(360)379-5095
Project Information Permit# 131-1109-163
Permit Type Residential - Re-Roof Project Name Residential re-roof- shingles to
Site Address 810 LAWRENCE ST Parcel # composition (black color)
988800202
Project Description
Residential re-roof- shingles to composition (black color)
A"ames Associated with this Project License
Type Name Contact Phone# Type License# Exp Date
,applicant Klose.lames H
Oxyner Klose lames H
Contractor Cherry Street Rootirw (360) 379-5766 CITY 6806 12/311/2009
Contractor Cherry Street Rooting (360) 3 79-5766 STATE CHE RRSR931 E 01 13/201 1
Fee Information
Project Valuation Units: Heat Type:
Reroof Permit Fee (R-3 and U 40_00 Bedrooms: Construction Type:
occupancies) Bathroom;: Occupancy Type:
State Building Code Council Fee 4.50
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:OOpm for nest day inspection.
Permits expire 180 days from issuance if Nvork 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 appro.al to violate any provisions of the PTN9C or other laxks or reizulations. 1 certify
that the information provided as a part of the application for this pennit is true and accurate to the best of my knovdedge. 1 further certify
that 1 am the owner of the property or authorized agent of the owner.
Print Name ff`1cL'#A6tj Date Issued: os.'04'2009
Issued B\: S\VASSN1ER
Signature a2f �a� Date f"1-�-��c Date Expires: 01:t polo
QopTro�y CONSTRUCTION PROGRESS RECORD
�mZ CITY OF PORT TOWNSEND
0
9� WA5 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. 988800202 PERMIT NO. BLD09-163 ISSUED DATE 08/04/2009 EXPIRATION DATE 01/31/2010
ADDRESS 810 LAWRENCE ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER KLOSE JAMES H PROJECT DESCRIPTION Residential re-roof- shingles to composition (black color)
CONTRACTOR CHERRY STREET ROOFING LENDER
INSPECTION INSP DATE COMMENT INSPECTION INSP DATE 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.
Office Use
Only
Permit Development Services
o�Qoarro� 250 Madison Street, Suite 3
h' y�Fs Port Townsend WA 98368
Phone: 360-379-5095
Fax: 360-344-4619
oFW www.cityofpt.us
Roofing Permit Application
Project Address: Legal Description(or Tax#): Office Use Only
8 I o L o4kJf-1,EAJ Addition: lulu vnw,ers
Per pit
Block: Z # _ 3
Parcel# I �j U��Z pZ Lot(s): Z Associated Permits:
SF Residential Commercial ❑ MF Residential ❑ Bed&Breakfast"❑
"B&B's located in Historic District may require design review approval.
Property Owner: Lender Information:
Name: Lender information must be provided for projects
Address:
9 t o over$5,000 in valuation per RCW 19.27.095.
City/SVZip: J0a4-r w,4 4i33t Name:
Phone: 36 -3 t1S- to q(v
� Project Valuation:
Email:
Scope of Work:
Contractor: Number of existing roof layers:
Name: L Sfrecr /&ka y, Lug:
Address: I.3lG I .sy�' S�eG Square footage of roof: l`(q 4�0Tear off? N
City/St/Zip: 100—r %0�.+ �se�c� WA yiV6e
Replacing sheathing?G N
Phone: 3 6c1'�?9-s���
Replacing/altering rafters or trusses? YON
Email: If"yes"a roof framing plan is required.
State License#:12HC ,e5kY3/kS5 Exp:
City Business License#: 00 (9 807 New Roof Type: o-c
K Composition ❑ Metal
❑ Cedar shingles ❑ Cedar shakes �C/00
Is the structure located within 200 feet of a fresh or ❑ Torchdown or Hot Mop ❑ Other wood
saltwater shoreline? Y 11
Will work We place on or near the public right-of- Venting type(check all that applies):
way? Y & ❑ Roof ❑ Gable End ❑ Eave/soffit
If yes, provide a site plan and pedestrian protection
plan. Ridge ❑ Other
I hereby certify that the information provided is correct,that I am either the owner or authorized to ad 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: M a �� �. Wr ALL a c P
Signature: �� �J`oz� Date:
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PORT TOY
O '
9
o Receipt Number: 0916624 "-
Receipt Date:, .08/04/2009 Cashier. SWASSMER Payer/Payee Name Cherry Street Roofing Inc
3 Ongmal Fee Amount • , , Fees
Permtt# Parcel FeefDescnphon Amount ' Pafd Balance
r
BLD09-163 988800202 Reroof Permit Fee (R-3 and U occupar $40.00 $40.00 $0.00
BLD09-163 988800202 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-163 988800202 Technology Fee for Reroof Permit(R $5.00 $5.00 $0.00
BLD09-163 988800202 Record Retention Fee for Reroof(R-3: $7.50 $7.50 $0.00
Total: $57.00
. Previous Payment History.
Receipt# Receipt Date Fee Description ' Amount Paid Permit#
Payment Check Paymont
Method Number Amount
CHECK 3172 $ 57.00
Total: $57.00
genpmtrreceipts Page 1 of 1