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NOTICE:Plans are approved excepting
any errors or omissions. All work must
pass inspection in conformance with
o o all applicable codes and regulations.
REVIEWED FOR CODE
Whole House Ventilation COMPLMCE
Provide each habitable room with
fresh air per the 20 ,;}e-,i
Washington State Ventilation Indoor
PERMIT i0 G1(�fxt
Air Quality Code
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. Section 411. 2006 UPC—Shower Stalls
All shower compartments regardless of
S shape shall have a minimum finished
interior of one thousand twenty four square
inches and shall also be capable of
encompassing a thirty inch circle.
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Receipt Number: 090948 ;_
...
;Receipt Date 1210912009� Cashier FSLOTA `� °� � sayer/Pa eeName �OR � � Onginal��Feery � � �Amount� �`�`"4�Fee,
�
r ... ..;` ., •,, Parcel b Femme Qescnpon� Amount € Paid Balanc@
BLD09-224 965701808 Site Address Fee $3.00 $3.00 $0.00
BLD09-224 965701808 Plan Review Fee $163.31 $163.31 $0.00
BLD09-224 965701808 Energy Code Fee-New Single Family i $100.00 $100.00 $0.00
BLD09-224 965701808 Mechanical Permit Fee per Dwelling Ui $150.00 $150.00 $0.00
BLD09-224 965701808 Plumbing Permit Fee per Dwelling Uni $150.00 $150.00 $0.00
BLD09-224 965701808 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00
BLD09-224 965701808 Building Permit Fee $251.25 $251.25 $0.00
BLD09-224 965701808 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-224 965701808 Technology Fee for Building Permit $5.03 $5.03 $0.00
BLD09-224 965701808 Record Retention Fee for Building Per $10.00 $10.00 $0.00
Total: $787.09
-----------------
llf,o6i
Wela
� ��
�� Receipt Date �,Fee Descn tion�
-----i
09-0903 11/10/2009 PLAN REVIEW DEPOSIT 50 $50.00 BLD09-224
[PQrr►ent Check F � Payment
Methotl, Numbers Amount
CHECK 1831 $787.09
Total: $787.09
genpmtrreceipts Page 1 of 1
OF PORT TO$
i tis
u o Receipt Number: 09 0903, '
Receipt Date S11/10/2009 Cashier SFOSTER ; Payer/Payee Name JACOBSEN GREGORY.T
I
Ongmal Fee Amount9 Fee
Permit# Par Fee Descriptiot"in x Amourit �' Paid ' Balance
BLD09-224 965701808 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00
Total: $50.00
Previous Pa}rment,History�RM
Receipt# Y Receipt Date Fee Description'„ gmount Paid Permit#
Payment; i 'Check ��� "Payment
Method , tr Num ;' F
A Amount
ber
CHECK 1827 $50.00
Total: $50.00
I
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genpmtrreceipts Page 1 of 1
'PORT Tp�y CONSTRUCTION PROGRESS RECORD
CITY OF PORT TOWNSEND,
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. 958200904 PERMIT NO. BLD09-225 ISSUED DATE 11/12/2009 EXPIRATION DATE 05/11/2010
ADDRESS 484 21ST ST CONSTRUCTION TYPE OCCUPANT LOAD
OWNER POLING TRUSTEE MITCHELL A PROJECT DESCRIPTION RE-ROOF
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.
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT# 43 LD D 9— Z� DATE RECEIVED
SCOPE OF WORK:
DATE ACTION INITIALS
z— q ENTERED INTO CHET
CHECKED FOR COMPLETENESS
Plan Review
# Bedroom(s) _ #Bath(s) = Heat Type:
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�VORrT BUILDING PERMIT
City of Port Townsend
Development Services Department
°awn 250 Madison Street,Suite 3,Port Townsend,WA 98368
(360)379-5095
Project Information Permit# BLD09-225
Permit Type Residential - Re-Roof Project Name RE-ROOF
Site Address 484 21 ST ST Parcel# 958200904
Project Description
RE-ROOF
Names Associated with this Project License
Type Name Contact Phone# Type License# Exp Date
Applicant Poling Trustee Mitchell
A
Owner Poling Trustee Mitchell
A
Contractor Cherry Street Roofing (360)379-5766 CITY 6806 12/31/2009
Contractor Cherry Street Roofing (360) 379-5766 STATE CHERRSR93IF 01/13/2011
Fee Information
Project Valuation d� 507c 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
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 pennit shall not be construed as approval to violate any provisions of the PTMC 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 of the owner.
Print Name t-I w J+ %e vJ N• W c_L L q t, Date Issued: 11/12/2009
'�/� Issued i SFOSTER
Signature Date f/�/L�tu�j Date Expires: O5/11/2010
Office Use
Only
Permit Development Services
p�p RT T0�1,j, 250 Madison Street, Suite 3
Port Townsend WA 98368
_ Phone: 360-379-5095
Fax: 360-344-4619
¢ www.cityofpt.us
Roofing Permit Application
Project Address: Legal Desc 'ption for Taxes)- Office Use Only
Addition: ��5�/U �5� �' P.e�iy -� C
2 I l Z a n c�es S t e Block: q # /D
Parcel# 7 �JD z�� /1Q Lot(s): Associated Permits:
SF Residential Commercial ❑ MF Residential ❑ Bed S Breakfast*[]
*B&B's located in Historic District may require design review approval.
Property Owner: Lender Information:
Name: M k-l� Av 1 -1-4 c,, Lender information must be provided for projects
Address: 2 i/z- L a-als s over$5,000 in valuationper RCW 19.27.095.
City/St/Zip: '0^r jo &4s-tom*/, w Name: �f
Phone: Sv o
Project Valuation: , -
Email:
Scope of Work:
Contractors r Number of existing roof layers: P
Name: C NtreRy _CTi"C Er ����r/� v Square footage of roof: 19 1 O
Address: /3 0 S Y A -So7,,-e&r Tear off? Y (.
City/St/Zip: v^r 7-0 w�rs r�r/1 j r.i�
Replacing sheathing? Y CN
Phone: 3 7,1-S ?-Iv Q Replacing/altering rafters or trusses? Y(N)
Email: {Mc,/44 L' j Z 5 H G 7 00154, (%vim If"yes"a roof framing plan is required.
State License#:ClIERR Si: 7 3/6> Exp: / zu 10
City Business License#: G �0 New Roof Type:
i -Composition ❑ Metal
❑ Cedar shingles ❑ Cedar shakes
Is the structure located vyi hin 200 feet of a fresh or ❑ Torchdown or Hot Mop ❑ Other
saltwater shoreline? Y N
Will work�??ke place on or near the public right-of- Venting type(check all that applies):
way? Y (L ❑ Roof Gable End ❑ Eave/soffit
If yes, provi e a site plan and pedestrian protection
plan. r___._ ___❑-Ridge___._-___❑--Other
U
I hereby certify that the information provided is correct,that Iiam either the owner or authorized to act on behalf of the owner
and that all activities associated with this permit will be in'.�cc'o'rdance,with State Laws-and th ou Townsend Municipal Code.
Print Name: 14, L-)o.LL i c<
g �J�'Jv �Ci7Y'urPOi"i iUhWSeidO
Signature:_ e DSD Date.: f zu0Cl'
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OF PORT roh,
ti
u av Receipt Number: 09 0904 � - a,
WA
Receipt Date ,11/12/2009 Cashier, SFQSTER Payer/Payee Name CHERRY STREET ROOFING/POLING
s,
71
ru
rt
� OngmalFee At
Amount Fee
x a _> ,�`
:Permit#: Parcel Fee Descnptton Amount Paid Balance
BLD09-225 958200904 Reroof Permit Fee(R-3 and U occupan $40.00 $40.00 $0.00
BLD09-225 958200904 State Building Code Council Fee $4.50 $4.50 $0.00
BLD09-225 958200904 Technology Fee for Reroof Permit(R-3 $5.00 $5.00 $0.00
BLD09-225 958200904 Record Retention Fee for Reroof(R-3 $7.50 $7.50 $0.00
Total: $57.00
Previous Pa mentH�story 3
Receipt„#, : Receipt Date a FeeDescr�ption .., .AmountPatd Permit#4
�
Paymertt _Check PAW.nn
Method 4f nAmount
CHECK 3329 $57.00
Total: $57.00
genpmtrreceipts Page 1 of 1