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HomeMy WebLinkAbout09214 QaRTTo�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 9��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. 988801803 PERMIT NO. BLD09-214 ISSUED DATE 11/16/2009 EXPIRATION DATE 05/15/2010 ADDRESS 903 JACKSON ST CONSTRUCTION TYPE OCCUPANT LOAD OWNER ALLEN JANA PROJECT DESCRIPTION Replace Existing Chimney CONTRACTOR LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT MECHANICAL I to WOOD STOVE FINAL BUILDING JCIS 1//)(a (,c.)&()� �`�v vF— Cal ��v� $> TO REQUEST AN INSPECTION CALL(360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. rz- ccc(�/ CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG p PERMIT # % —z,� DATE RECEIVED SCOPE OF WORK: c- 2- DATE ACTION INITIALS to -Z(- 9 ENTERED INTO CHET S CHECKED FOR COMPLETENESS Zoning: Setbacks OK? Lot Size: Building Size: Lot Coverage: FAR OK? Height OK? Parking OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? O�QORTTp�y BUILDING PERMIT City of Port Townsend '= Development Services Department A`wast ' 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-214 Permit Type Residential- Miscellaneous Project Name Chimney Replacement Site Address 903 JACKSON ST Parcel# 988801803 Project Description Replace Existing Chimney Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Allen Jana Owner Allen Jana Fee Information Project Details Project Valuation S400.00 Entered Bid Valuation 400 DOLL Plan Review Fee 50.00 Units: Heat Type: PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: PLAN REVIEW REFUND 50 -50.00 Bathrooms: Occupancy Type: R-3 Building Permit Fee 23.50 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Record Retention Fee for Building 3.00 Permit Total Fees $ 86.00 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 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 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 of the owner. Print Name ��1�-�� Date Issued: 11/16/2009 Issued By: SFOSTER SignatuC _ _ _ Date /—�(d l,y/c Date Expires: 05/15/2010 10/07/2009 10:09 FAX 3604523987 O1Y COMM action grog Z0002/0002 1) Vol J SEE ATRIC�'F--D S fkP cL EXTEND RT L-EA97 2 v Fkwlhlq�, -rt-tp�tA PcuY PoRTLot4 OF -Fr 55ef _ 2xy r a � ax � rr i p If, tlJ)!/ NOTICE:O Plans are approved excepting D v u errors or omis ions. All work must Dahs inspection in conformance with al applicable cods and regulations. I w REVIEWED FOR CODE fit HLE COPY q 1 C®MPLIMCE C ffT2 CITY OF PORT TOWNSEND DSD RS EEMED LOU CODE QCO Maintenance, Inc. The Quality Chimney Care Company PO Box 370 Port Orchard, WA 98366 Bainbridge 206 842-1433 Kitsap 360 876-4876 NK(360) 692-7442 Gig Harbor 253 851-2154 Licensed. Bonded and [nsured Contractor Li&QC'OMAI"99=NS SCOPE OF WORK The existing metal chimney flue for the woodstove in the utility room, which is in the back middle part of the house, at 903 Jackson Street, Port Townsend is burned out and requires replacement. A new Selkirk Metalbestos insulated chimney kit, with single wall black matte piping, will be installed as a replacement. See product information and requirements provided separately. The old chimney will be removed and replaced from the woodstove top through the attic and above the roofline to meet code. The woodstove will be repositioned to meet the manufactures clearance requirements. Stove Installation placement requirements are attached. The old chimney will be scrapped. Contact: Larry G. Sailly Bus: 360-876-4876 Cell: 360-731-7048 5 r 2 n III �j CiiY1-1,- 1,71T_.1;7; -;j� A clean chimney is a safe chimney and remember when it comes to service there is no comparison STOVE INSTALLATION (CONT.) PAGE 7 STOVE PLACEMENT REQUIREMENTS HINT: REDUCING CLEARANCES - Clearances may be reduced by methods specified in NFPA 211, listed wall shields, pipe shields, or other means approved by local building or fire officials. • Stove must be placed so that no combustibles are within, or can swing within (e.g. drapes, doors), 36" of the front of the stove • If the stove is placed in a location where the ceiling height is less than T, it must follow the requirements in the section "Alcove Installation Requirements" • Must maintain the following clearances to combustibles (drywall, furniture, etc.): Minimum Clearance Singlewall Reduced (See the illustration below) Connector Clearance* A Sidewall to stove 18tt 18it B Backwall to stove 1811 10 1/2" C Cornerwall to stove loll Lott D Connector to sidewall 2711 26 1/2" E Connector to backwall 1911 I i It F Connector to cornerwall 17 3/4" 17 1/4" STRAIGHT CORNER INSTALLATION INSTALLATION O° �6 o Gsf6 3 E g °s �a C D di F a A , 0 M t U Mrs'-gn NOTE: Measure rear clearances from the edge of the stove top, not the rear heat shield. * Reduced clearance installations require one of the chimneys & connectors_below:__ •DURAVENT model DVL with DURA-PLUS chimney •AMERI-TEC model DCC with model HSrchimney •SECURITY model DP with SECURITY model ASHT or S2100 chimney •GSW model Super Chimney Twenty-One!c nnected directly to appliance•SELKIRK ME'ALBESTOS model DS connector with model SSII chimney •I.C.C.Excel 103HT Chimney with Ultmblack HP_Double_Wallconnector�•Standard Masonry Chimney with any one of the above listed connectors I I n l FLOOR PROTECTION REQUIREMENTS 6"Minimum lJ Ll OCT 2 1 'C00 • Must be non-combustible and at least (from stovetop) .018" thick (26 gauge) �` CITY OF FORT TOVMSEND • Must extend 6" to the side (measure 6"Minimum DSD from the side of the stove, not the stove , (from side of stove, top) not stove top) • Must extend 6" to the rear (measure from the stove top, not the heat shield) • Must extend 16" from the front 16"Minimum. . Floor Protection (from faceplate) (Minimum.018"thick(measure from the faceplate) _ ) • Minimum 36 5/8" deep by 33 3/8" wide QCO MAINTENANCE, INC. QUALITY CHIMNEY CARE PO BOX 370 PORT ORCHARD, WA 98366-0370 (360) 876-4876 (206) 842-1433 F { ;� ''��M.z 1'�,� �A,s�9. r.'a�r r "1� S• 5 ',fs��,`��� � '��'".� Min.3 ft. b If the Chimney extends more than 5 feet, { Attic Insulation Shield s above the roof z, you must install a Universal - W 16 Joist Shield must be installed a when the chimney passes Install wall from a lower living space intoJfi. ,..: - an upper living space. bands at least _ every 8 feet. Note:You must enclose all sections of the chimney when Q it passes through accessible living areas.Sure-Temp® chimney requires ONLY 2"of clearance to combustibles. Tee requires a - r� a chimney length " ,P7` A minimum of to go through a • the wall,and it P ONLY 6„Is ° must extend a J required between j y the Ceiling/Wall minimum of 3" and Double Wall into the room.co Stove Pipe or 18" `< ; for Single Wall Q Stove Pipe. a..�..,nDDUBLE;WAII INGLE'WALL`STOVE PIPEE"n-�-- G 4: ' Product Tested 8 Cl to ? a Warranty — Lab ele Clearances Mt Material d Combustibles X Model DSP To Heavy Guage o Stainless Steel/ Lifetime a.., Double Wall ULC 5641/ Aluminized 6 Inches Warranty • • 4# Stove Pipe ILL 103 Steel 5 Single Wall Not Tested Light Guage No • Stove Pipe or Labeled Carbon Steel 18 Inches Warranty •• If a wood burning appliance is used every day in the heating _ season,surveys have shown that a single wall stove wall pipe will need replacement every two or three years. QCO MAINTENANCE, INC. QUALITY CHIMNEY CARE PO BOX 370 Need answers - Call800.992.8368 or visit us PORT ORCHARD, VIA 98366-0370 online at www.selkirkinc.com (360) 876-4876 f206? 842-1433 I L U, 7 E i QCT 2 CITY OF PORT TOV,''NSEND DSD I IT 1, Chimney Kits 52 II Support RTK(T-RTK)-Roof Termination Kit,includes; 1,2,3 $ Ins Ilation FCK R-FCK)-Flat Ceiling Kit,includes;1,2,3;4,5, 11 $ PCK(T-PCK)-Pitched Ceiling Kit,includes;1,2,6,11,13, 14 $ o TWK(T-TWK)-Thru-the-Wall Kit,includes;1,7 8,9, 13,25,(T-12) $ O O Round Top(T-CT) $ s°Chimne © Storm Collar(T-SC) $ wall to © Roof Flashing(See Step 4) Adjustable 0/12 to 6/12(T-AF6) $ Adjustable 6/12 to 12/12(T-AF12) $ Q Attic Insulation Shield(T-AIS) $ © Finish Ceiling Support(T-FSP) $ Q Roof Support Package(T-RSP) $ e O Wall Support Kit(T-WSK) $ Q Wall Bands(T-WB) $ Q Insulated Tee and Plug(T-IT) $ Insulated Wall Thimble(T-IWT) $ I Stove Pipe Adapter(T-DSAC) $ ® Joist Shield(T-JS) $ / Nzw ® Finishing Collar(T-FC) TWK Kit com with all Adjustable Pitched Ceiling Plate(T-PCPAJ) items In blue. ® If Chimney extends more than 51 above roof line , ® Includes:CT,WB, Roof Brace Kit(f-RBK) $ IT,FC,WSK,CPA,T- If an Offset is required use an Elbow Kit.(See Step 5) 15'Elbow Kit-kits contain 2 elbows,2 lockbands,and 1 Interior Resupport (T-15EL Kit) $ 30*Elbow Kit-kits contain 2 elbows,2Jockbands,and 1 Interior Resupport (T-30EL Kit) $ 'd' Flat Ceiling 10 Chimney Lengths(See Step 3) nstallation 12"Length(T12) $ 18"Length(T18) $ 24"Length(T24) $ 36"Length(T36) $ )� 48"Length(T48) $ Anchor Plate(T-AP) $ MODEL OSP DOUBLE WALL SMOKEi �",atb� Vertical Installation Kit(DSP-VK) III ) U L Includes CPA,Telescoping Length,Finishlh_g;Bard(d usta6le from 36"'68")—�I n $ Q Smoke Pipe Lengths I I III n('T ? 1 ^nnn i I 1 I $ 36"Length(DSP-P36) t � 24"Length(DSP-P24) $ 12"Length(DSP-1`12) L__ $ 6"Length(DSP-P6) OF PORE TOLV $ © 12"Adjustable Length(DSP-AL) `'— 'U $ 0 90°Adjustable Elbow(DSP-E9) ® 45°Adjustable Elbow(DSP-E4) QCO MAINTENANCE, INC. Q Tee with Insulated Cap(DSP-TE) QUALITY CHIMNEY CARE FCK Kit comes with ® Chimney Pipe Adapter(DSP-CPA) PO BOX 370 all items in blue. 0 Appliance Adapter(DSP-SA) PORT ORCHARD, WA 98366-0370 Includes:CT,SC,AIS, ® 7"to 8"Outlet Adapter*(DSP178) (360) 876-4876 (206) 842-1433 FSP,AF-6, DSAC ar4 ."P i- Y 4 t' l 'Yj ..n F (y '^C" d -�%f`•�.(,:�. K 2 ux• �"' �` -, r P, D °a ° "tr .ct ° n `"f'f t•ca t�.�F .�E���4�r"�`aiAS-�`. �L '�3.:{fie# t ��..��.�. ��f *:f.:hnm�*. '�..�L�� a� `� �'.s�,rf .��f}:�.i..,Step 2 Determine chimney diameter Determine the(inner) diameter of your chimney. This is usually the same size(6" or 811)as the flue collar on your wood stove. " + t � w u"3 €1 IJ� 3 Determine o l.,I .i l i height -- Determine the number of Chimney Lengths NOTE:When calculating *' HEIG'HT'REQl1.IREM NTS required.Chimney Lengths are available in 4811, the installed length of 36",24",18",12" and 6" lengths. your chimney,subtract 1-1/8"for each joint& The chimney must extend at least 3' above the highest include the Height •• `z point where it passes through the roof surface and at Requirements as show 3'min ; -10_ n least 2' higher than any part of the building within a in this illustration. horizontal distance of 10'. Choose the proper Roof Flashing required for To calculate your your installation. roof pitch use one s For example If(A) of the 12 inch equals 3'...thenthe,"roof= To determine which Roof Flashing you require,work rulers,to measure pitch is 3/12 out the pitch of your roof, the number of v 1 2 3 4 5 6 7 8 9 1011 inches(A)from 0/12-6/12 Roof Pitch = (Low Slope) the end of the lA) Wyk' 6/12- 12/12 Roof Pitch= (Steep Slope) other ruler down to the roof. ( 1 P , 1'jF.l' PI oI!i If an offset Is 2 Elbows 2 Elbows 2 Elbows 2 Elbows 2 Elbows required to avoid A:Offset Product No. Part No. w/o Pipe +6"Section +9"Section +18"Section +36"Section rafters or other 15 Degree A B A B A B A 8 A B e� 205206 5T ELISKIT 0.78 5.8 2.3 11.7 3.0 14.6 5.0 22.0 9.9 40.0 obstructions ' J B:Height F2�6206 6T�E measure theL75KI�TiOat 24v,?1 93i >r�T4 8, k`5nc Fs22 2 a 9 9402'< horizontal distance �y *' 207206 7T-El 0.83 6.3 2.4 12.1 3.2 15 5.2 22.5 10.0 40.4 e 3 ELISKIT�E 086F;s;66 25 ;124` 32 '153 s52 228k r100 '407,' re 208206� 6T quired and the 30Deµre ;�„ ..a... �,_ , __.� -A ..��.#4y.,�LQ,<�_ vertical height t2.205 r 'Tx' 3.20Q.1 w3a J �38 .6.7s w19� �2a 216 121. 3 ? 1.71,44',4 available.Refer to the Chimney Offset Chart 206211 6T.EL30KIT 3.8 14.3 6.8 19.5 8.3 22.1 12.2 28.8 21.5 44.9 to determine the Elbows and Chimney M ' (E�3oKRao, lµas>; 'o_ ��200 ?�rszisrz3:{ 2s3* zl syN"i4"s'4 Length required. 1208211 8T-EL30KIT 1 4.1 15.3 7.1 20.5 8.6 23.1 12.5 29.8 21.8 45.9 Note:An Interior Resupport comes with each Elbow Kit S 'o15Select smokepipe The final step required to complete your Wood Stove Venting solution is to determine the Model DSP Double Wall Stove Pipe parts that will be needed to complete your installation.(Refer to Installation Diagrams(Step 1)and complete your Installation Planning Work Sheet) QCO MAINTENANCE, INC. QUALITY CHIMNEY CARE PO BOX 370 PORT ORCHARD, WA 98366-0370 (360) 876-4876 (206) 842-1433 'sue a s^mr*axr F.'^ca•sv';j,a^;�, F' 'ar"z -mac 9i Sf hc,,r.�4 - � .J+'d'�'t5�p _�' i "y, r .�Ir� +sit`dk.x.. 's--� ,-r't Y .,ice�''Y .--"yr 'T _A..•5 "..s•+xj'' 3 s^.�, ar-.-r * s'':r `'".$.: 3Trpgyg` .R'�"`x5 k``.�" `-. a r�`.�"'i" �`.wz -t p -> yea ` gj��vp '' ` x �r'a • ...�* 7 t.. - z t" 3.3'_ fr»�"" !�' � :rSY°S M t3i `< $sKn> r x'� � � �=r�4 }rn •, y R a zr -,4!`�•}--j��3r�' ..f'� �n - '�yz��y- „" •s.F�p � m" r- �"r.h*�-�' � �'�s? 3 J-' Cf'J' y,. •ka 'r'.W L A Q �t F 4 K-ufi•' �t �p'�' �nEi�� w a 4 2- - k I `n` M_;c � w *.5,., '�X�349i. �P�1.3 dF�- ✓'�m4:$ .'dti�48 tkGka`4i� 3 ps rt y ^ r t i u` t a�iY hf� s37Y2ti •W ? 1° D r Determine the(inner) diameter of your chimney. . This is usually the same size (6" or 8")as the flue collar on your wood stove. a 1 Determine the number of Chimney Lengths NOTE:When calculating HEIGHT REQUIRE M NTS required.Chimney Lengths are available in 4811, the installed length of 36",241, 18",12" and 6" lengths. your chimney,subtract 2' 3'min. 1-1/8"for each joint& ram. The chimney must extend at least 3' above the highest include the Height 3-f 10 2' point where it passes through the roof surface and at 'min Requirements as shown least 2' higher than any part of the building within a in this illustration. horizontal distance of 10'. Choose the proper Roof Flashing required for To calculate your your installation. roof pitch use one For example: If(A) of the 12 inch equals 3"then the roo To determine which Roof Flashing you require,work rulers,to measure m pitch is 3/12. out the pitch of your roof. the number of inches(A)from 1234567991011 0/12 -6/12 Roof Pitch = (Low Slope) the end of the !q1 6/12 -12/12 Roof Pitch = (Steep Slope) other ruler down to the roof. If an offset is 2 Elbows 2 Elbows 2 Elbows 2 Elbows 2 Elbows required to avoid A:Offsel Product No. I'arl No. w/o Pipe +6"Section +9"Section +18"Section +36"Section rafters or other 15 Degree A 6 A 6 A B A B A 6 ' yy 205206 5T-EL15KIT 0.78 5.8 2.3 11.7 3.0 14.6 5.0 22.0 9.9 40.0 obstructions, a B:Height N6206 6T-EL15KIT 0.80_ 6 2.4' 11.9 3.1 14.8 5.1. 22,2 9.9 40.2`" measure the {j° 207206 7T ELI5KIT 0.83 6.3 2.4 12.1 3.2 15 5.2 22.5 10.0 40.4 horizontal distanceU required and theF=" 208206 BTELI5KR 0.86 6.6 .2.5 12.4 .3.2 15.3 5.2 22.8 10.0 30 Degree vertical height 205211 5T-EL30KIT 3.7 13.8 6.7. 19.0 8.2 21.6 .12.1 28.3 21.4 44.4 available. Refer to the Chimney Offset Chart 206211 6T-EL30KIT 3.8 14.3 6.8 19.5 8.3 22.1 12.2 28.8 21.5 44.9 to determine the Elbows and Chimney z07211'. 7T-EL30KIT 4.0 '>14.8 :7.0 20.0 8.5 22.6 12.3 29.3 21.6 45.4 Length required. 208211 8T-EL30KIT 4.1 15.3 7.1 20.5 8.6 23.1 12.5 29.8 21.8 45.9 Note:An Interior Rusupport comes with each Elbow Kit The final step required to complete your Wood Stove Ventigg solution is to determine the Model DSP Double Wall Stove Pipe parts that will be needed to complete your installation.(Refer to Installation Diagrams(Step 1)and -- - _ complete your Installation Planning I lWok Sheet (i V h Mn OCT U QCO MAINTENANCE, INC. T 2 ,l, QUALITY CHIMNEY CARE PO BOX 370 CITY OF PORT TOWNS_ND PORT ORCHARD, WA 98366-0370 DSD (360) 876-4876 (206) 842-1433 Development Services of°°RT r 250 Madison Street, Suite 3 y s�z Port'-row nsend WA.98368 fl .Phone: 360-379.75095 _ f a' x:- 360 344-4619 WAS�+�' wwwcityofptus a Residential Building Permit Application Project Address: Legal Description (or Tax #j: Office Use Only � ) s-- -._��/ e03 777777777 � Pe�rnit#.BL009=�/ Zoning: flock# Associated Permits: Parcel # Lot(s): Project Description: L CAP ALL - P O -Eu H I M A) P,412 > 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/ ocaa Lender information must be provided for projects Name: over$5,000 in valuation per RCW 19.27.095. Address: �O JAGKSd� S-C Name: City/St/Zip:1P0z7\ TOWtJSCti Q e Project Valuation: $ Phone: 3"1 g O S k \ _r-'` q---_4 Email: N�� --- \Building Information (square feet): 1'\ floor Garage: t Exr s.- 2"d floor Deck(s): Contact/Representative: 3`d�floor Porch (es): ,Name: LA-RAY SA/L.L�° Basement: is it finished? Yes No Address: Pn 00'y\ 376) Carport: Other: City/St/Zip: C D i Manufactured Home El ADU ❑ \ Phone: 3 731 - 70 New Addition ❑ Remodel/Repair❑ \Email:0�0 @ i,l.)MC_CA B( (5_ . cp&\ t� Heat Type: Electric Heat Pump Other,lPEPL�k7'/�fG�GCY�Si71iJc Ut/lY/ti �' Contractor:o Same as Owner Total Lot Coverage (Building Footprint):` Name::Q A co AI Ar f -�Al Ae , Z nSr_ Square feet: % Da /-1 L I.� Crf I ova NjCY CA/ Address:�_E� �-�-, impervious Surface:' , Cit /suzi ((ff Y P= pC> R( �)>LC%{��!'`;2 , utA T b Square feet: `Total existing &proposed i Phone:- L-O --73 j-70 7 g What year was the structure built? Email: (Dee WAt)ir'CA BLL, CCN6L1 II f� _ � Cf worse inb ud�s demolition, see Page 2. State License#:�poZ -C64 - '// Ex - ' s>1 t7: I I ) p'� I I Any known wetland;I l on the property? Y N City Business License #: (�(� �jl-f u i Any steep slope5%)? Y N I herebycertifythat the information provided is correct, that I am edff,N, r K-1 ner-or-auttzlri ez dlto act on behalf of the owner and that all activities associated with this permit will be infaccordan Ww"t"tt t§tat��!"aws9and the Port Townsend Municipal Code. Print Name: J ANA A (_ C_C N Signature: a:� Date: ocro° c� ZO ZC)OC/ Page 1 of 2 -5/14/2009 A OF PORT TOh yNo Receipt Number: b9 0912 eceipt Date 11M6/2009CashierSFOSTER ;i Payer/Payee Name QCO MAINTENANCEtALLENJANA -.,�. ,_a r�i, tl:., ..a=.�. _ .•&F:.=. :e -� n:T z'S ... :1,a 3✓,Fkei9 '. '... b.a \,.x ., •i'..,s�-$i ` IN 5�.. 5� N +� '¢ 7 a Ongnal Fe� Amo�untx f F� Permit# Parcel Fee Descript�on� mour�t A Paid Balance , n,x ., _ �.. :., ., -t? ems,, air _ M .,es .. �aax r •��,. �... , .>u.T .,,s��:.; :fi... . °t-- BLD09-214 988801803 Plan Review Fee $50.00 $50.00 $0.00 BLD09-214 988801803 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD09-214 988801803 Building Permit Fee $23.50 $23.50 $0.00 BLD09-214 988801803 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-214 988801803 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD09-214 988801803 Record Retention Fee for Building Per $3.00 $3.00 $0.00 Total: $36.00 .M � Prewous Payment Hrstory�, F Rece pt#� Rece�pttDate �F,ee Description' amount Paid "m M Permit# � r -. , _ a _W. «e .- 09-0860 10/21/2009 PLAN REVIEW DEPOSIT 50 $50.00 BLD09-214 Payment Checks,R Pay ent Method`° h, Num f CHECK 17560 $36.00 Total: $36.00 genpmtrreceipts Page 1 of 1 o�poRT Tom ci a Receipt Number: 09-0860 dl� Receipt Date: 10/21/2009 Cashier: FFRANKLIN Payer/Payee Name: QCO Maintenance Original Fee Amount Fee Permit# Parcel Fee Description Amount Paid Balance BLD09-214 988801803 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 Total: $50.00 Previous Payment History Receipt# Receipt Date Fee Description Amount Paid Permit# Payment Check Payment Method Number Amount CHECK 17538 $50.00 Total: $50.00 genpmtrreceipts Page 1 of 1