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QowTT°�y� CITY OF PORT TOWNSEND o 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: Z/ © / PERMIT NUMBER: AL"Lo 9 /— 1 -20 SITE ADDRESS: 923 W CY " CONTACT PERSON: PHONE: TYPE OF INSPECTION: DDT, :EDIA PROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceeding. Inspector k C. 4 �Lv&_ Date q Z A2 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 • ppppp- VORTr04' CONSTRUCTION PROGRESS RECORD : t CITY OF PORT TOWNSEND TWA 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. 988801505 PERMIT NO. BLD09-170 ISSUED DATE 08/10/2009 EXPIRATION DATE 02/06/2010 ADDRESS 923 QUINCY ST CONSTRUCTION TYPE OCCUPANT LOAD OWNER CAPRIOTTI MATHEW G PROJECT DESCRIPTION RE-R090F CONTRACTOR OLYMPIC VIEW 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. PORT1,0 BUILDING PERMIT City of Port Townsend Development Services Department �w 250 i1'ladison Street,Suite 3, Port Townsend,N A 98368 (360)379-5095 Project IMformatioir Permit # BLD09-170 Permit Type Residential - Re-Roof Project Name RE-ROOF Site Address 923 QUINCY ST Parcel # 988801505 Project Description RE-RO9OF Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Capriotti Mathew G Owner Capriotti Mathew G Contractor Olympic Vicxy Roofing O- CITY 003362 12/31/2009 Contactor Olympic View Roofing O- STATE 0LYMPVR088 05/08/201 1 Fee Mforinatiojt Project Valuation Units: Heat T\11)c: Reroof Permit Fee (R-3 and U 40.00 Bedrooms: Construction Type: occupancies) Bathrooms: Occupancy Type: State Building Code Council Fee 4.50 Technolovy Fee for Rcroof Permit S.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 Nvork is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The eranting of this permit shall not be construed as approval to violate any provisions of the PT.%IC or other laws or regulations. 1 certify that the information provided as a part of the application for this pennit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or authorized agent o�\ f th ��e owner. Print Name � � CCAp rIC T ' Date Issued: 08/10/2009 Issued By: FFRANKLIN Signature Date (J^[v v q Date Expires: 02.'06/2010 1 Devo ment Services /n pORT TO 250,Madis.on Street;Suite3. s� Port Townsend DNA 98368 v Phone':360-379-5095, Fax:, 360..-M44- 19.. 9�oFwas+ www.cityof pt.us Roofing Permit Application Project Address: C1 a Ql/I vLc- 5 T Legal Description (or Tax#): Office Use OnIY P6k 'f' -rovl�L e Wu. cl 368 Addition: Pit)WA MP_V`S Block: Parcel # `/UV 901 50S Lot(s): 1 N 5') ; (5q-,5 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: /1'(t✓('f-t►e Co,bo V` (0 Lender information must be provided for projects Address: over $5,000 in valuation per RCW 19.27.095- T� ►r ` City/St/Zip: k 14 U-4.913,36. 9 Name: Phone: 3 60 ' 3 6 5~ /,q 6 Project Valuation: Email: Scope of Work: Contractor:��ccp� ' / Number of existing roof layers: C Name: O�. I M P I C View c;o Square footage of roof: Address: 7L33Q ,5f W'V. 51MA Tear off? YD N Q City/St/Zip: WIT ��' �, - 7636 7 Replacing sheathing? Y NQO Phone: 3 6Q" 3, j— ©75- 6 Replacing/altering rafters or trusses? Y Email: --0 If"yes" a roof framing plan is required. State License #:DLY*M PV RO$$S xp: New Roof Type: City Business License #:�� ��� Composition El Metal ❑ Cedar shingles ❑ Cedar shakes Is the structure located wi in 200 feet of a fresh or ElTorchdown or Hot Mop ElOther saltwater shoreline? Y N Will work take place on or near the public right-of- Venting type (check all that applies): way? Y N ElRoof ❑ Gable End �ave/soffit If plans, prove e a site plan and pedestrian protection ❑ Other v 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: / C �(/ C Ci hQ I,"10 � Signature: 4 Date: Look Up a Contractor, Electri( Plumber or Elevator Professional Lic e Detail Page ] of 2 Information in Spanish I Topic Index I Contact Info I Search Home Safety Claims Ft Insurance Workplace Rights Trades&Licensing Find a Law(RCW)or Rule(WAC) Get a form or publication Help Return to List > Start a New Search > G Printer friendly General/Specialty Contractor A business registered as a construction contractor with L&tl 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 VIEW UBI No. :1 601381336 ROOFING Phone No. (360) 830-4249 Status ACTIVE Address 7338 ST HWY 3 SW License No. 0LYMPVRO88JH Suite/Apt. License Type J CONSTRUCTION CONTRACTOR City PORT ORCHARD Effective Date 4/8/1992 State WA Expiration 5/8/2011 Date Zip 98367 Suspend Date County KITSAP Specialty 1 GENERAL Business Type Individual Specialty 2 UNUSED Parent Company Business Owner Information w Hide All Name Role I Effective Date Expiration Date DAVIS, RICHARD A JOWNER 01/01/1980 - Bond Information ,il Bond Bond Effective Expiration Cancel Impaired Bond Received Bond Company Account Date Date Date Date Amount Date Name Number DEVELOPERS Until 1 SURETY Et 360606C 05/15/2009Cancelled $12,000.0005/15/2009 INDEM CO Assignment of Savings Information , Assignment of Savings Effective Release Assignment Impaired Received littps://fortress.Nva.gov/liii/bbip/Detall.aspx 8/10/2009 Look Up a Contractor, Electric Plumber or Elevator Professional Lir � Detail Page 2 of 2 Savings Account Date Date Type Date Amount Date Number 4 705034130 04/06/2005 Until Bond $2,000.00 4/6/2005 Released 3 704954361 04/06/2005 Until Bond $4,000.00 4/6/2005 Released 2 705034130 04/08/1992 04/06/2005 Bond i $2,000.00 4/13/1992 1 704954361 04/03/2000 04/06/2005 113ond 1 $4,000.00 4/18/2000 Insurance Information Insurance Company policy Number Effective Expiration Cancel Impaired Amount Received Name Date Date Date Date Date 16 CORNHUSKERWAC460469 05/08/200905/08/2010 $1,000,000.0004/28/2009 CAS CO AIZ 15 SPECIALTY 1OTSZCL00200190 05/08/2008 05/08/2009 $1,000,000.00 05/07/2008 INS 14 SUA INS CO 10FEIRF000021 05/08/2007 05/08/2008 $1,000,000.00 05/04/2007 GLO1 ATLANTIC 13 CASUALTY L0880007023 05/08/2006 05/08/2007 $300,000.00 04/27/2006 INS CO 12 ATLANTIC L088000702 2 05/08/2003 05/08/2006 $300,000.00 05/02/2005 CAS INS CO 11 ATLANTIC L088000680 05/08/200305/08/2004 $300,000.00 04/30/2003 CAS INS CO About L81 I Find a job at L&I I Site Feedback I Toll-free Numbers 11:'=h"nlnn' G Washington State Dept-of Labor and Industries-Use of this site is subject to the laws of the state of Washington. Access Agreement j Privacy and security statement I Intended use/external content policy I Staff only link littps://fortress.wa.gov/lnl/bbip/Detall.aspx 8/10/2009 OF poRT To$ ti ys o c Receipt Number. 09-0645 Receipt Date,�, 08110/2U09 . Cashier FFRANKLIN��" , �� Payer/Payee Name � GAPRIOTTI MATHEW G����� ., . x � `�,�. .��.._�..�'.s�.. .':�s',&��...s�f»'a.��-.�,e. �_1.s.: ._.-_._�-:..r.x'.:s.�.,.:.s.._.��.....3'k�-t.,�:e-..;:�`,�,•a'ems:-.�.,:.=.=��y..t_.r_�zi.` _�__T ._.'��.�..c.-_�..�_'��'�.r�s.s:.;ss,.�i #�:�.:^ _.r.,.a,.<.:...vs�_..s..s-: d� F� , fi OngmaFFee ' Amou'nt FeeF ;a'` •� - "S BLD09-170 988801505 Reroof Permit Fee(R-3 and U occupan $40.00 $40.00 $0.00 BLD09-170 988801505 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-170 988801505 Technology Fee for Reroof Permit(R? $5.00 $5.00 $0.00 BLD09-170 988801505 Record Retention Fee for Reroof(R-3: $7.50 $7.50 $0.00 Total: $57.00 rP � Prev►ous Payment H►story s � Receipt# Receipt Dater Fee Description - Amount Paid.. Permit# Payment Check, Payment; :AAethod ' Number, ;Amount` _ e :,y CHECK 2812 $57.00 Total: $57.00 genpmtrreceipts Page 1 of 1