HomeMy WebLinkAbout09220 9pR7T��y BUILDING PERMIT
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City of Port Townsend
9� Development Services Department
�WA
250 Madison Street,Suite 3,Port Townsend,WA 98368
(360)379-5095
Project Information Permit# BLD09-220
Permit Type Residential - Re-Roof Project Name Residential re-roof-composition
Site Address 1227 16TH ST Parcel# 948310502
Project Description
Residential re-roof- composition
Names Associated with this Project License
Type Name Contact Phone# Type License# Exp Date
Applicant Shaffer Tomoko
Owner Shaffer Tomoko
Contractor Affordable Services Jane (360) 683-9619 CITY 2846 12/31/2009
Contractor Affordable Services Jane (360) 683-9619 STATE AFFORS*0650 08/23/2011
Fee Information
Project Valuation Units: Heat Type:
Reroof Permit Fee(R-3 and U 40.00 Bedrooms: Construction Type:
occupancies) Bathrooms: 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 $ 57.00
Conditions
10. Roofing materials shall be installed to manufacturer's specifications.
***SEE ATTACHED CONDITIONS ***
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 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 permit 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 N E Date Issued: 11/03/2009
1 Issued By: SWASSMER
Signatur Date�I Date Expires: 05/02/2010
p�ppRTTp�y CONSTRUCTION PROGRESS RECORD
CITY OF PORT TOWNSEND
wAs 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. 948310502 PERMIT NO. BLD09-220 ISSUED DATE 11/03/2009 EXPIRATION DATE 05/02/2010
ADDRESS 1227 16TH ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER SHAFFER TOMOKO PROJECT DESCRIPTION Residential re-roof-composition
CONTRACTOR AFFORDABLE SERVICES 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.
Deer%ment Services.
Am-
360- 55
s..
Roofing Permit Application
Project Address: Legal Description(or Tax#):
Addition:
Block:
Parcel O� Lot(s) 2, �A jf � �
V�
SF Resitlential $, Commercial ❑ MF Residential ❑ Bed&Breakfast*❑ y
B&B's located in Historic District may require design review approval.
g
Property Owner: Lender information:
Name Pi A 2 AA ir-A Lender information must be provided for projects
Address: over $5,000 in valuationper RCW 19.27.095.
Cityistlzip: ( -� $ Name: /V
Phone: }� � 1 j Project Valuation:.
Email:
Scope of Work:
Contractor- Number of existing roof layers:
Narne. /n�� P Square footage of roof: n
Address: /Yi Tear off?6Y N
CitylSt2ip: g2Lallrl AJA Z Replacing sheathing?�9 N
Replacing/altering rafters or trusses? Y N
Email If"yes"a roof framing plan is required.
State License#: 0-51�1�xp: P7 10 J A(_
City Business License#:(.CJ L ,4 New Roof Type:
Composition 0 Metal
Cl Cedar shingles ❑ Cedar shakes
Is the structure located wAin 200 feet of a fresh or ❑ Torchdown or Hot Mop ❑ Other
saltwater shoreline? Y61)
Willi wdrlt ke place on-or near the public right-of- Venting type(check all that applies):
way? Y N.) 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 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:
J61NI kp-" k
Signature. Date:---//✓�f tJ
T00/T001n TlUVUH0AJV 6Z06 Z99 09£ XVA 6E:3T 600Z/10/It
OF PORT TOh
9
so Receipt Number: 09 0889
WAqu
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ReceipDate 11/031 9 Cashier flX ASSMER Payer/PayeeAName Affordable Se-ices
s @ x x 3 air a. _ `
,e Onginal Fees Amount Fee a
°Permit#� Pa�celFeepescrtptA,
on r , ��Amount � Paid� alance`�
BLD09-220 948310502 Reroof Permit Fee(R-3 and U occupan $40.00 $40.00 $0.00
BLD09-220 948310502 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-220 948310502 Technology Fee for Reroof Permit(R-3 $5.00 $5.00 $0.00
BLD09-220 948310502 Record Retention Fee for Reroof(R-3 $7.50 $7.50 $0.00
Total: $57.00
y Previous PayIment History
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Recut# ` Receipt3Date Fee�Descr ption � Amount PaidPerm�t#
Payment Check Payment;
CHECK 16431 $57.00
Total: $57.00
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