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HomeMy WebLinkAbout09236 City of Port Townsend Development Services Department Go Notice PERMIT NUMBER 6L*'�- CO — z3C OWNER JOB LOCATION ���� S Inspection of this structure has found the following-r_iolatm-ps: r � V You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted othe ise. When corrections have been made, caZ'anlp 'r inspection. _ Date"R Inspector L L01A , DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department Correction Notice PERMIT NUMBER 9 OWNER JOB LOCATION Inspection of this structure has found the following violations: VALL You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made*//2vo call for inspection. ) Dat Inspector 7 DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department Correction Notice PERMIT NUMBER 09 OWNER JOB LOCATION S3 b L".LS �IG ,t Inspection of this structure has found the following violations: You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date 2 7—O! Inspector lL 7R, L,4' DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE OWNER JOB LOCATION Inspection of this structure has found the following violations: -7-(T �ERIJIzU v You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date l Inspector c 7ARo r-� DSD Main Office OPM 379-5095 INSPECTION REQU' ` (360) 385-2294 THIS NOTIL— MUST BE KEPT WITH APPROVED PLANS ON SITE CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT # 131-17 O01 - 2-3 DATE RECEIVED 12---C) CI- 200 SCOPE OF WORK: i�lsw ��zo�� PoQc� ��- DATE ACTION INITIALS 2 - o --0 ENTERED INTO CHET MU-) CHECKED FOR COMPLETENESS P c Zoning: - 1 Setbacks OK? Lot Size: Building Size: Lot Coverage: FAR.OK? Height OK? Parkin OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? RENOVATION FOR: COLLEEN $ 5TAN FREIDBER6 DATE: 12/8/09 D [REV. SCALE: AS SHOWN 536 GA55 STREET, PORT TOWNSEND, HA 16368 3b0'31g-52g1 # DATE: DESCRIPTION: 0 ERIC KUZMA 2009 am PRO.EGT DATA: POR603): 313.651. DEC - 9 5 w �00 NEW FRONT PORCH HALKHAY5/0RIVEHAY: gb3.4 s.f. 5TORAGE 514ED5(2): 23b s.f. CITY OF PORT TOWNSEND z a W o? ZONING: R-2 DSD I a cn uw } � TAX PARCEL#: g51-311-305 LOT COVERAGE 4 IMPERVIOUS AREA: I w m o o LOT 517E: 12,100 0. C LEGAL DE5GRIPTION: LOT 4 LOT — — a w d SECTION: 11,OTR 5EGTION: NW 1/4, N BUILDING FOOTPRINT: A. TOWNSHIP: 30 N,RANGE: IH. 15g5.3 s.f. or 131% BLoc 113,LOTS a SURVEY: LOT 5 HA6TING515T ADDITION TOTAL IMPERVIOUS WAGE: � VOL. 15,P6.54 BILK 113 LOTS bob 254D.1 or 22b% ® w CV _ - EXISTING HOUSE THIS PROJECT SHALL COMPLY O F-- 15T FLOOR: 1305.10. HITH THE FOLLOWING CODES: 51 TE PLAN � 7 r Z V Q uI 2ND FLOOR: bOb.b s.f. 200b I.R.G., 200b H5EC, 200b VtAO 5GALE: I"=20'-O" O I LOT 5 C z LL, W d 00 c7 00 011 to tA«1 r Q 5 Mt I C I 0 w o ®® C z to M�tit LOT l W I_1 ® k 32d 35' 15"E. _ CO ® 110.00, D > Q U HLL C� copy o w a � Ln LU co ry 10 APPROVED EM Date: I LY SHEET: Permit �- I E:Plans are approved excepting GA Te�►ors Of Iswork mu t i By pass Inspection in conformance with OF: Ed! applicable codes and regulations. ( CITY OF PORT TOWNSEND 5 71'-0" ALL WOOD IN CONTACT W/GONGREIL AIJST BE PRE55URE TREATED OR NATURALLY DECAY RE515TANT OR ISOLATED FROM GONG.WITH DATEIMPERMEABLE MATERIAL. ALL METAL CONNECTORS IN CONTACT WITH PRESSURE TREATED WOOD TO BE GALVANIZED TO MINIMUM 5TD'S. SCAL OF GIb5(51MP50N 'Z-MAX')OR HOT-DIP GALVANIZED(51MP50N 'HDG). REV.# DATE: DESCRIPTION: ALL NAILS,SCREWS,BOLTS,AND OTHER GONNErTOR51N CONTACT WITH 0 ERIC KUZMA 2009 PRESSURE TREATED WOOD SHALL BE OF THE SAME MATERIAL AS THE LUco BRACKET TO AVOID GALVANIC REACTION. o Q 3 � a CONCRETE STRENGTH TO BE 2500(MIN.)P51 AFTER 2b DAYS Z w � z Lv Ln REFER TO SECTION FOR FURTHER DETAIL. 2'-11" U) W o 3 Li m FOOTING TO REST ON UNDISTURBED - -- -- - --- — - ° o \4 _ c o E N � s , 501L I BE 12"(MIN.)BELOW GRADE ADDITIONAL P.T.2X6 J015T TO / FACILITATE 'PICTURE-FRAMING' b" DEEP OF DECKING AT EDGE CONCRETE PORCH EDGE ABOVE _ , FOOTING P.T.2x6 Z HALL P.T. 2X SLOGKING i ABOVE (RAILING SUPPORT) Q Z P.T. 2X6 LEDGER Q P.T.2X6 RIM J015T (W/FLASHING ABOVE OR KICK BT.2X4OARD- BENT IOW'RADIUS SPACED,AWAY FROM HDUSE) Z d O VJ / n (FASTEN TO @ GONGRETE) Q Z n RIB'-104" o _ Z Q ry P.T. 2XI2 LL = STRINGER @ RIO' 4° RIO'4' LL 12"O.G.,TYP. P.T.2X6 FLUSH-FRAMED J015T5 @ 16"0!,.W/ c e OR E `10 AFF'LILL)ABOVE— co 5 54 8 51MF50N LU526 co -- -- -- - - - -- - - - - -- - Q P.T.2X ELOGKiNG (RAILING SUPPORT) i— 0 Lu Z W W NEW 4"CONCRETE WALKWAY TYP.GONG.PERIMETER FOOTING \ O a V) (SALT d PEPPER FINISH) 12"WIDE x b" DEEP X � Lv cn >Z TIE INTO EXISTING _ _ _ _ _ J w U) > - TYP.FOOTING REINFORCING ADDITIONAL P.T.2X6 0 Q Q 0 (2) 44 CONTINUOUS BARS @ 3, O3„ J0IST c BLOCKING O U EXISTING CONCRETE WALK 5"FROM BOTTOM OF FOOTING 4 FOR P05T ANCHORAGE W 'o o 1/2" x 6"A.B.@ 4b"o.c,TYP. F.T.P05T NOTCHED OVER 8 c LL Ln 0- (2)MIN.PER WALL / LAGGED TO 1015T/BLOCKIN5 INSERT 12"MIN. INTO BASE OF EXISTING HOLLOW PORCH SHEET: P05T 8 FASTEN iA fA PROVIDE 16"x24"MIN. 2 FOUNDATION PLAN FRAMING PLAN ACCESS PANEL IN WALL OF: PROVIDE VENTILATION 5 ECALE: 1/2„-�,��„ SGALE: 1/2":V-0„ r b � Z —p is M + u (SN p OO CFri Fri _ rR nt O U �D O tC { � O CP _ } O - C1 n 1_ r r 171 O rT --____. C1 W O � � - M h1 AA rn � Z ' N � / Z 0 ° 0 o z { o 7 D u en S_ o t— W � � 0 ❑ D f I D ❑ rCi o O CCP` O Gl 1 _ u A A ❑ O � 0 0 o o D o m 0 El a � C� n ❑ C o Z ❑ N O ❑ o m REMODEL FOR: _ P.T. DESIGN & D m FREIDBERG T IMBERFRAME r m 536 CASS STREET FLOOR PLAN 3265 EDDY STREET N PORT TOWNSEND,WA 98368 Op Phone: (360)379 3940 Q PORT TOWNSEND, WA 98368 E-mail: (360)379-39 0 DETAILED SECTION DETAILED SECTION DATE: 12/8/09 56ALE: 1/2"=V-O" -- ------- -- SCALE: 1/2"=V-O° SCALE: 1/2"=1'-0" REV.# DATE: DESCRIPTION: © ERIC KUZMA 2009 co Lll CO - Z C wo IL aL, C - (n w 3 o0 L1J 00 co N O - n a a w = EXI5TIN6 PORCH _ z - I— U w WROUGHT IRON RAILING, __j @ 56'ABOVE DEGKING Q R311.S.3 -Stair Treads and Risers. W/4"MAX SPACE BETWEEN BALUSTERS LLI The max. Riser height shall be 7-3/4". (HANDRAIL/GUARDRAIL The greatest riser height shall not exceed TO CONFORM TO the smallest by more than 3/8 inch. The min.Tread depth shall be 10". ?HBER-TECH,OR ii EQUAL,50LID ifGOMPOSI T E 0EG<IN6 P.T.P05T NOTCHED OVER 8 r BL LA66E, !O J015TOGKIN6 °N ;� I ,I ', II " , ', INSTALLED/SPAG-D INSERT 12"MIN. INTO BASE � PE R MF R'S SP ECS,n/ HIDDEN FASTENERS. OF EXI5TIN6 HOLLOIW PORCH Q d l j c P.T 2X6 FLUSH-FRAMED JOISTS if o - PO.,T 3 FASTEN - GOMPOSITE 1 '1 SLOPE DECK I/8° @ I6 0G.,?YP. W/VYCOR,OR it a I, !, D C ¢ IP L J Z (MIN.) P ER F T. ADDITIONAL P.T.2X6 J015T EQUAL,A. PLIED ABODE d Z W LJ ,: r- -- -- AI A FROM H 'I ,I� - F -� C ��. n, Y RO 0U5E b_0.,0110 FOR POST AN(HORA6_ 51MrSON LJ526 C- LEDGER � � TREAD,TYP. P? 2X6 RIM JOIST11 w >Z FAINTED - - ► _I > - -- - — - - (n - BENT 10'-4"RADIUS a RISER,TYP. PAINTED(DOLOR TBD)HARDI ANEL I ADDI ZONAL F.T.PT2X6 J015T TO w CO (ten{ 0 fi TF Ti - r' FA ILITA _ PI !ARE FRAMING I G P.T. 2X6 LEDGER �(n/CORNERS GA!JLKED/PAINTED) Q — (� P T 2XI2 OF D_G`IN6,AT EDGE uJ (W/FLASHING ABOVE OVER 50# BUILDING PAPER l 0 STRINGERS @ I �� OR SPACED,AWAY jj o x10 PAINTED TRIM W O 2"O. ,TY OVER 1/2"P.T. 1 LYVv00D a L_l_ Ln a G P. FROM HOUSE) 8 1/2" 2xb P.T.5?UD5 16"o.c. j LAG/CARRIAGE PT_2X4 KICK BOARD BOLTS 56' 0.,,. 1/2"x b"A.B.@ 48"o.c,TYP.(OR EQUAL) SHEET: (FASTEN TO ! " — i_-- PROVIDE ADEQUATE (2)MIN.PER WALL GONCRETE) y-_ - - - ,_ __ 4 VENTILATION OF - !; NEW 4"GONGRETE WALKWAY CAVITY L J—CONCRETE OOTIN6 W/ OF: (5AL T d PEPPER FINISH) - - -- - (2)#4 CONTINUOUS BARS @ 5"FROM BOTTOM OF FOO?1NG I 5 I / / 1 IJ❑ � 1 / I II I t I i V�\NO r-nr- a < a < z Fp z 1111114 ®0❑ ooa Lt 000 m x D m O 70 o n N n 7� E2 C -v O z N o m REMODEL FOR: IM PT. DESIGN & D FREIDBERG �` TIMBERFRAME > m cn C1l ELEVATIONS 3265 EDDY STREET cn 536 CASS STREET PORT TOWNSEND,WA 98368 PORT TOWNSEND WA 98368 Phone: (360)379 3940 Z E-mail: erickuzma@msn.com O�poR7TO�y BUILDING PERMIT City of Port Townsend 9� wA Development Services Department 250 Madison Street,Suite 3, Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-236 Permit Type Residential- Addition/Remodel Project Name New front porch base Site Address 536 CASS STREET Parcel# 957311305 Project Description New front porch base Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Freidberg Stanton L Representative Kuzma Eric Contractor Owner Builder O- STATE exempt 12/31/2009 Fee Information Project Details Project Valuation $2,427.22 Decks—Residential 314 SQFT Plan Review Fee 54.11 Units: Heat Type: PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: V -B PLAN REVIEW REFUND 50 -50.00 Bathrooms: Occupancy Type: State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Building Pennit Fee 83.25 Record Retention Fee for Building 4.25 Permit Total Fees $ 151.11 Conditions 10. Construction to substantially comply with design and materials submitted for HPC09-045. ***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 1 am the owner of the property or authorized agent of the owner. 'IG Print Name N }'"�Z����1�1�-�� Date Issued: 12/I5/2009 Issued By: MWAY Signature �� Date i� �� Date Expires: 06/13/2010 'PORT TO�y CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 9�gcwA 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. 957311305 PERMIT NO. BLD09-236 ISSUED DATE 12/15/2009 EXPIRATION DATE 06/13/2010 ADDRESS 536 CASS STREET CONSTRUCTION TYPE V -B OCCUPANT LOAD OWNER PROJECT DESCRIPTION New front porch base CONTRACTOR OWNER BUILDER LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT FOOTING �C-i[ /0 FRAMING /7z /O FINAL BUILDING TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. CERTIFICATE OF REVIEW ` For possible HISTORIC STRUCTURE DEMOLITION Design Review Application HPC09-045, Colleen and Stan Freidber The Port Townsend Historic Preservation Committee has completed its design review of the: Partial removal of concrete portions of front porch; replacement of porch base and steps with wood materials. Representative: Eric Kuzma, P.T. Design and Timberframe For the building located at: 536 Cass Street The building classification: (highlight one): Pivotal Primary Secondary Altered Historic/Recent Compatible Intrusion Review of the project is: Mandatory per Ordinance 2969 Compliance with review is: Mandatory per Ordinance 2969 The review was conducted pursuant to Chapter 17.30 and of the Port Townsend Municipal Code, and was based on the application submitted on November 12, 2009 HPC Subcommittee: Jim & Rosalind Applicable Guidelines: Criteria for determining historical significance per Section 2 of Ordinance 2969. After review and analysis of relevant criteria, the Historic Preservation Committee finds that the proposed partial demolition: Is an appropriate rehabilitation of the front porch base and steps of a contributing single- family residence and does not involve demolition of the residence's character defining features. Use of a metal or wood railing for the new porch is acceptable; however, if a wood railing is selected, the applicant shall provide a detail of the railing section for review and approval by the HPC sub-committee prior to installation. Issued this __[J/day of/ O V - Chair, Historic Preservation Committee pproved i approved SD Director(or designee) Bcd_Permits:Fonn Lettersl Page l of 1-Revised 12198 DD L '0 E n Development services poRr ro DEC!��"� 2009 250 Madison Street, Suite 3 o Port Townsend WA 98368 _ Phone: 360-379-5095 CITY OF PORT TOWNSEND Fax. 360-344-4619 W, DSD W\/VW.Cl'tyofpt.us Residential Building Permit Application Project Address: Legal Description (or Tax#): Office Use Only CAS Addition: �ST'N S lsT AODnl"'{ Permit Number Zoning: 'FL-2 Block: BLD-d t?3(0 Parcel# 157 _,bit Lot(s): Co $ Associated Permits: Project Description: 'Evd T QoRc.{� I�srG 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: Lender information must be provided for projects Property Own=,ag,lict: over$5,000 in valuation per RCW 19.27.095. Name: Go g� 1z _ Name.- Address: 5'3(o CP+&s sTT City/SUZip: Wa 3pW►.6srID WAr 9WA 8 Project Valuation: $ Phone: 160-S-11 -5VI7 Building Information (square feet): Email: 151 floor \' _ Garage:_ 2nd floor (P91 Deck(s): .1 Contact/Representative: 3ri floor Porch(es): 3►`1 Name: y4u�— _V.,oLmA, Address: 5241 �_�D'� 5M!ffl - Basement: '114 Is it finished? Yes No City/St/Zip: _?6.I'l y�t1ySF-AD . WA Carport: Other: Phone: Noo -11h- 39Lke Manufactured Home❑ ADU ❑ Email: e-6c- L_y7,ma Q n)sn•c*m New Addition ❑ Remodel/Repair Contractor: ` iSame as Owner Total Lot Coverage(Building Footprint):* Name: Square feet: IS— s' % 13.2 Address: Impervious Surface:* City/St/Zip: Square feet: *Total existing&proposed Phone: Email: What year was the structure built? State License#: Exp: If work includes demolition, see Page 2. City Business License#: Any known wetlands on the property? Y Any steep slopes (>15%)? Y I hereby certify that t inform ion provided is correct,that I am either the owner or authorized to act on behalf of the owner and that all activities ssociat with this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print Name: Signature: =V4 Date: 9 Page 1 of 2 /31/200 Ref Y s � j t� y ,z ® � • / / Parcel Print Page I of 1 Parcel Number: 957311305 05/14/2007 Owner Mailing Address: COLLEEN A FREIDBERG TRSTE STANTON L FREIDBERG TRSTE FREIDBERG FAMILY TRUST 6711 N ALTOS SEGUNDO TUCSON AZ 857182055 Site Address: 536 CASS ST PORT TOWNSEND 98368 Section: 11 School District: Port Townsend (50) Qtr Section: NW1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HASTINGS 1ST ADDITION Land Use Code: 1100 - HOUSES (single units, non-farm) 113697 TRUST Property Description: HASTINGS 1ST ADDITION BLK 113 LOTS 6 & 8 l ✓� f F..3 i e+ I 11f http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL N0=9573 1 1 305... 12/9/2009 RESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new dwellings, additions, remodels, and garages. .Z[_�esidential permit application. 7 ashington State Energy&Ventilation Code forms Two(2)sets of plans with North arrow and scaled, no smaller than '/" = 1 foot: ❑A site plan showing: 1. Legal description and parcel number(or tax number), 2. Property lines and dimensions 3. Setbacks from all sides of the proposed structure to the property lines in accordance with a pinned boundary line survey 4. On-site parking and driveway with dimensions 5. If creating new impervious surfaces, indicate measures utilized to retain stormwater on-site 6. Street names and any easements or vacations 7. Location and diameter of existing trees 8. Utility lines 9. If applicable, existing or proposed septic system location 10. Delineated critical areas boundaries and buffers 'Foundation plan: 1. Footings and foundation walls 2. Post and beam sizes and spans 3. Floor joist size and layout 4. Ho►downs 5. Foundation venting .ef Floor plan: 1. Room use and dimensions 2. Braced wall panel locations 3. Smoke detector locations 4. Attic access 5. Plumbing and mechanical fixtures 6. Occupancy separation between dwelling and garage (if applicable) 7. Window, skylight, and door locations, including escape windows and safety glazing all section: 1. Footing size, reinforcement, depth below grade 2. Foundation wall, height, width, reinforcement, anchor bolts, and washers 3. Floor joist size and spacing 4. Wall stud size and spacing 5. Header size and spans 6. Wall sheathing, weather resistant barrier, and siding material 7. Sheet rock and insulation 8. Rafters, ceiling joists, trusses, with blocking and positive connections 9. Ceiling height 10. Roof sheathing, roofing material, roof pitch, attic ventilation ✓❑ Exterior elevations (all four)with existing slope of the land in relation to all proposed structures ❑ If architecturally designed, one set of plans must have an original signature ❑ If engineered, one set of plans must have one original signature ❑ For new dwelling construction, Street& Utility or Minor Improvement application If you are proposing partial or full demolition of a structure that is at least 50 years old, per Ordinance 2969 Historic Preservation Committee (HPC) review is required. If within the National Historic Landmark district: $58.00 for full committee review. If outside the National Historic Landmark district and not on the Historic Register: no fee for HPC Administrative review. Complete HPC Form. Partial demolition includes exterior demolition for additions and remodels. Page 2 of 2 - 10/7/2009 -OVER- Development Services poRT 250 MadisorrStreetYSu tea; PortTov✓nsend WA'98368 g ga g= t ;PFione 360 379 5095. � r Fax 360 344 4619 www.cityofpt..us^ Residential Building Permit Application Project Address: Legal Description (or Tax#) Office Use�O 1 , 4; Addition: Xa Permit#BLD09- N� Zoning: Block: Parcel# �Assoc►ated�Permits Lot(s): Project Description: me . 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. Property Owner/Applicant: Building Information (square feet): Name: 1S`floor Garage: Address: 2°1 floor Carport: City/St/Zip: 3`d floor Other: Phone: Email: Basement Contact/Representative: Finished: Unfinished: Name: Decks/Porches Phone: Covered: Uncovered Email: Heat Type: Electric Heat Pump Other Contractor: El Same as Owner Name: Total: #Bedrooms #Bathrooms Address: City/St/Zip: Size of lot Square feet Phone: Total Lot Coverage(Building Footprint):* Email: Square feet: % Impervious Surface:* State License#: Exp.- Square feet: *Total existing&proposed City Business License#: Lender Information: What year was the structure built? Lender information must be provided for projects over If work includes demolition, see Page 2. $5,000 in valuation per RCW 19.27.095. Name: Any known wetlands on the property? Y N Project Valuation: $ Any steep slopes (>15%)? Y N 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: Signature: Date: Page 1 of 2- 10/7/2009 -OVER- PORT TO$ o y�o Receipt Number. 09 06 Receipt Date 12115/2009` Cashier MWAY Payer/PayeeiName �FREIDBERG STANTONL eaw z ` r 5 21 K Ongmal Fee , Amounts Fee �� Permit#' Parcel Fee Descri tion �r Amount , P _: ...; .: a aw.: per:_ err .:.f. ? ;°.�:.«�:'..eald ., r „-6alanCe �� OR BLD09-236 957311305 Plan Review Fee $54.11 $54.11 $0.00 BLD09-236 957311305 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD09-236 957311305 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-236 957311305 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD09-236 957311305 Building Permit Fee $83.25 $83.25 $0.00 BLD09-236 957311305 Record Retention Fee for Building Per $4.25 $4.25 $0.00 Total: $101.11 axe a+ x"�t" R. a six` ,PrevrousPaymentHrstory . w r � " Safi yecetpt# ��: Receipt Date �F,ee Descnptton ; s _ sAmount°Paid Permit# 09-0949 12/09/2009 PLAN REVIEW DEPOSIT 50 $50.00 BLD09-236 �Paymerit Check' Payment g ` Number ' CHECK 12780 $101.11 Total: $101.11 genpmtrreceipts Page 1 of 1 �pOPi TOY F Receipt Number: 09`^0949 F -' WA Rece�p�Date�12/0912009 �� Cashier #MWAY��r �,� ��payer%Payee Name Enc Kima� �`� � � x �" MAP, Ll « �n PON Ong�nal Fee Amount Fee° !?erm�t# Parcei � Fee Desc tion Amount A , � Balance �. BLD09-236 957311305 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 Total: $50.00 Preerous ,6yMent,H1story Recerpt# Receipt Date Fee Descnptton, � 5 p �3 -_ AmOUnt,Pald Permit# LM�aethod +4 Numbe � Amount CHECK STARTER $50.00 Total: $50.00 genpmtrreceipts Page 1 of 1