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BLD10-083
2244 pec ¥ 23 City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-083 Permit Type Residential - Garage Project Name — Garage Site Address 2117 WILLOW ST Parcel # 985208202 Project Description Detached Garage / Post Frame Building Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Kellogg Terry (206) 781-8181 Owner Deyoung Julianne Fee Information Project Details Project Valuation $10,812.96 Private Garages — Wood Frame 432 SQFT PLAN REVIEW REFUND 150 -150.00 Tints: Heat Type: NO HEAT PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: V - B Plan Review Fee 126.91 Bathrooms: Occupancy Type: U-1 PLAN REVIEW REFUND 50 -50.00 Building Permit Fee 195.25 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 PLAN REVIEW DEPOSIT 150 150.00 Record Retention Fee for Building 10.00 Permit Total Fees a a { | L 4 | *** SEE ATTACHED CONDITIONS *** Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days frem-issuance if work isnot 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 Name Wes Ayers (Pera Coord. “Town Country) eee ind ssued By: Signature le Ayu Date 5lulito— Date Expires: 11/01/2010 BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-083 Permit Type Residential - Garage Project Name —_ Garage Site Address 2117 WILLOW ST Parcel # 985208202 Project Description Detached Garage / Post Frame Building IMPORTANT/READ Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. 20. No additional driveway is permitted without submittal of a minor improvement permit and public works approval. 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 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. Date Issued: 05/05/2010 Print Name _ Issued By: MWAY Signature a Date ————is Date Expires: 11/01/2010 CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 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. PARCELNO. 985208202. PERMIT NO. BLD10-083 ISSUED DATE _05/05/2010._—~«xEXPIRATION DATE __ 11/01/2010 ADDRESS 2117 WILLOW ST CONSTRUCTION TYPE_V-B_ OCCUPANT LOAD OWNER DEYOUNG JULIANNE PROJECT DESCRIPTION Detached Garage / Post Frame Building CONTRACTOR LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT POSTHOLE FOOTING Ricid |62y/Jo SLAB fe FRAMING Lek l/ifd ROOF NAILING :* MISCELLANEOUS TESC FINAL BLDG.C OFO [4 [Yelp TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. Memo LETTER i Quality: Our Future Depends On It.™ Suite C © 16521 Hwy 99 ¢ Lynnwood, WA 98037-3199 Everett: (425) 258-4171 Puyallup: (253) 840-9552 Administrative Headquarters: (425) 743-1555 = FAX: (425) 742-4378 Toll Free: 1-800-824-9552 Date ea = Ke) wae te: At ee ee i Contractor’s Lic. #: TOWNCPFO99LT City of Pov Townsend Ibe To 2 iu 4 WA Port “Townsend, Uh 433% + —Tiiy oF POR 1 TOW NSE YL Dou (— yy Please apply nis payment +n BLD 10-083. Send | perm + Weal wail 45 wa ond Counts \USZL Hwy 949 Suite C, Lu nnwood, WA 978037, \F check # 14373 iS found ov finally avvives, please void the check 2s We have. stopped Payment on it. IF \Ou have any AiAeSstrOns , please. call (42s) 743-/555. Than k you! - kes Ayers Qvmit Coordinator SIGNED |] Please reply (|_| No reply necessary © 1990 PermaBilt Industries FR-53 02/06 PERMIT # BLD \O-O8 3 CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG DATE RECEIVED 4-\2- © SCOPE OF WORK: New 422 se Detauned Garage | Posr Crame Seileling DATE ACTION INITIALS UA2Z-lo ENTERED INTO CHET MW) UA2~1O CHECKED FOR COMPLETENESS MW) uh a LD Nailing &150 Deosts Uneus . Kotvnect One wy 4a anreuytt OF & BYLWo (esHOnale). (-(9(O Clan vee n> complese Fole oar Cemgineercct) = | i t] 20}/0 ATGIS fal Suva = he Said Survey is "Cakwvampsla wfeat nce Meg hho hod a Lor veld done - shakes > ‘Clalleo— Basi to fun Shy icp te eXhrp Garepe tt he will pat it at He Vorner, | ot he Ged a Copy of The & coded wwvey ? ; Plate qreonbroree 7S dismantled, ql Card he waits fo put Mok rics fal tire Cystine Will wok) Yom back toe, | i] f Zoning: K—4F Setbacks OK?__| — Aicked Far Copy of fa Rec ‘it KK Lot Size: 1) 173 q Building Size: "2%? Lot Coverage: Ws, ~han 39 G FAR OK? yor Height OK? Unde Parking OK? ‘ existe 2 CAL G acope- Critical Area? N Of Wn amped. Demo? No ia Historic Rev? Notice to Title? Lots of Record? RECORD OF SURVEY FOR C. WENDELL & LAUREL ANKENY OF LOTS 5&7 (LESS THE N. 10 FEET OF LOTS 5 & 6), BLOCK 82 OF PETTYGROVE'S 2ND ADD. 70 THE CITY OF PORT TOWNSEND, AS RECORDED IN VOLUME 2 OF PLATS, PAGE 17, BEING A PORTION OF SEV/4SW1/4), SECTION 35, TOWNSHIP 31 NORTH, RANGE 1 WEST, WILLAMETTE MERIDIAN, JEFFERSON COUNTY, WASHINGTON . GRAPHIC SCALE \ \. gE Bb ag 120 LEGEND _ i g§ NORTH 232° © 5V@ INCH DIAMETER REBAR & IDENTIFICATION CAP ~ ‘A PLS~22910~ & Be ast © FOUND CITY STREET INTERSECTION MONUMENT IN CAST IRON-CASE = ~ es bee 7 ~~ be eng eo ie ( 1 INCH = 30 FEET ! 30 (4) 15 30 60 IN FEET ) =e, 30° & Ser 3/8’ REBAR FOR SURVEY CONTROL STATIONS ee =] | a! / _ a | oa yn — eo py f an ! CITY OF P.T. MON. ! 5 | eer A We St s | Al 30 i Q § of ‘ gz & { | — > iE FS 3/s » 8! & a I . g a, | | | | 4 | ly | Ss S : S A S = = $79°52'so%r CITY OF P.T. MON. IN CASE @ INT. CHERRY & “T” ST. Mk 54 a ae 8 S 'X THIS_ SURVEY —_ ELDER E. Se te 93599 —~ — __ 2 | a; as . | * [5 ~~ ja Sea | @le Ss FOR THE CITY / PROGRAM ON ire TOWNSEND RUE r BEST AV. PLA Va sane ‘ADDITIONAL < # ce ON ‘INFORMATION FOR INDEXING SURVEY: LOTS 5-7 (LESS THE N. 10 FEET OF LOTS 5 & 6), BLOCK 82 OF PETTYGROVE’S 2ND ADD. ! RECORDED IN VOLUME 2 OF PLATS, PAGE 17; {sr TO THE CITY OF PORT TOWNSEND, AS BEING A PORTION OF TOWNSHIP 31 NORTH, USING FIELD TRAVERSE METHOOS ~~ A UETZ 3 SECOND.ELEC' NK \ TOTAL STARR THOR ‘AND \ STEEL TAPE ~ J | 2 mes sumer bas ot means” / SE1/4SW1/4), SECTION 36, Srna Pet wea RANGE 1 WEST, WILLAMETTE MERIDIAN, JEFFERSON COUNTY, WASHINGTON Son's CENTERATE SURVEYOR'S CERTIFICATE Ny THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY y JOB NUMBER: I97_ SHEET 1 OF 1 SHEETS TORS RECORDING INFORMA ME OR UNDER MY SUPERVISION IN CONFORMANCE , a ua WITH THE REQUIREMENTS OF THE SURVEY RECORDING WOOD SURVEYING INC. ACT AT THE REQUEST OF: N 518156 WENOELL 2155 DISCOVERY ROAD PL TT Sec ee PORT TOWNSEND, WASHINGTON 90968 | |< ‘afterenn frente Wan siowetten tin Geet aaa ee IN. NOVEMBER, 2006. CO TELEPHONE: (360) 385-5968 ha) ir{ o4/oe a FAX (360) 379-5659 wy Dec ttperprren | oar: eee DRAWNBY: Asc | CHECKED BY: ACW be Vv WHEN IS A SURVEY REQUIRED? City of Port Townsend / Development Services Department 250 Madison Street, Port Townsend, WA 98368, (360) 379-5095 Fax: (360) 344-4619 Building Permits If you are building a new structure or adding onto an existing structure, the first inspection is typically a footing inspection. When the Building Inspector comes to your property, it must be clear where your property lines are in order for the Inspector to verify that your building is set back the minimum distance allowed on your property per the Zoning Code. The property corner survey pins must be located and visible. This is especially important if you are building close to any setback line, in which _case in may be necessary to have a string line run between corners. Typically the footings may go into the setback area, but the foundation walls and exterior building wall cannot extend beyond the minimum setbacks. Roof eaves may extend a maximum of two feet into the setback area. \ WwW Land Use Permits — Lot Line Adjustments, Short/Long Plats, Critical Area Permits, Binding Site Plans, and some Lots of Record Any land use permit that involves changing the location of a property line requires a survey. Even when no change in property lines is proposed, a recorded survey may be needed when existing structure(s) are located close to any minimum setback (front, side or rear). If you are not sure what the minimum setbacks are, please ask while you are still in the planning stages and before you submit plans. Street Development Permits — Extending Water, Sewer and/or Streets A street (i.e. right-of-way) survey is a must if you are doing work in the City right-of-way. TO FIND OUT IF A SURVEY HAS BEEN DONE: Check with the Jefferson County Auditor’s Office on the 2™ floor of the Courthouse building (the Jefferson/Walker Street brick building with clock tower), or call them at 385-9115. IF YOU NEED A SURVEYOR, look in the phone book under “Surveyor’s-Land” or “Engineers — Civil.” You may also check the Land Surveyors of Washington website: www.|saw.org. Please note: to get a very general idea of your property, you may start with a recorded survey from a neighboring property, look at fence lines and setbacks of neighboring properties. Power poles are almost always located on the right of way, so can be an indication of the edge of the street. Aerial photos can be helpful for general location purposes, but are not dependable for accuracy. P:\DSD\Forms\General Use Forms\Information- if Survey Required.doc Wa t e r Wa s t e Wa t e r St o r m Wa t e r 1 in c h = 19 . 3 3 8 0 5 2 fe e t Development Services 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us Residential Building Permit Application Project Address: Legal Description (or Tax#) i Addition: is Qr we 2nd Zoning: \\OO- Houses Block: £2 — Z Parcelt_ 7852 OO202 Lot (s): th wid Project Description: HZI2sF Detached Post Frame Bui \ding 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: Name: Terry Kelloag Address: 2U7 Willonal “st City/SvZip: Port “Townsend, WA 4838 Phone: Email: (206) 78)- 31 R( Contact/Representative: Name: € Phone: (425) 743-1555 Email: peymits2 perma bi [+.coM Contractor: O Same as Owner Name: Address: |\e$2I q City/St/Zip: ie) Phone: _ (425) 7H3- /555 Email: permits @) i\S-¢ State License #: TOWASCPFOFILTExp: EA fl City Business License #: Building Information (square feet): 1" floor = Garage: 2" floor = Carport: - 3" floor = Other: 4432 sF Basement Finished: — Unfinished: — Decks / Porches Covered: — Uncovered___ — Heat Type: N IA Electric__~ Heat Pump___ —_ Other__—_ Total: #Bedrooms_N\JA #Bathrooms NIA Size of lot.l1,173 __ Square feet Total Lot Coverage (Building Footprint):* SFR, Gavage, Proposed 8) 6 Square feet? 2, 3t7] % 2\.9%/o Impervious Surface:* } Square feet: 254 *Total existing & proposed [a = {f Lender Information: i) Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. 7 Name: Owner Cash / Project Valuation: $ _ & J — Ci7y) al was the structure built? Unknown lf work includes demolition, see Page 2. Any known wetlands on the property? Y ®) pny steep slopes (> (P41 5%)? Y | hereby certify that the information provided is correct, that | am either € OT Ln ‘0 act on behalf of the owner and that all activities associated with this permit will be in accordance with Sta ws and the Port Townsend Municipal Code. Print Name: Wes Avevs Date: 4/8/10 Signature: les Avguah Page 1 of 2 - 1/4/2010 -OVER- RESIDENTIAL BUILDING PERMIT APPLICATION CHECKLIST This checklist is for new dwellings, additions, remodels, and garages. Residential permit application. “J Washington State Energy & Ventilation Code forms ¥ Two (2) sets of plans with North arrow and scaled, no smaller than %” = 1 foot: vA 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. Holdowns 5. Foundation venting () 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 Wall 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 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 co . 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 - 1/4/2010 -OVER- eae Town & Country: POST FRAME BUILDINGS ESOT daetleet ad = PERMABILT pay nee Future Depends On It.™ [¥Roll-up doors will not hit Truss Z)2f $12] 12 Root Pitch Snow Load o-up doors fit in Bays Suite Everew. , i21 Highway 99 « Lynnwood, WA 98037-3161 ._5) 258-4171 Puyallup: (253) 840-9552 Administrative Headquarters: (425) 743-1555 FAX: (425) 742-4378 Toll Free: 1-800-824-9552 Contractor's Lic. #: TOWNCPFO99LT FLOOR PLAN wich Ww Ap ind MPH Wind Exposure Eave Height ae are = Minimum Clearance my i3a wd Builting Design Draw North Arrow in Circle METOe) | | ry ot | { | oh 2a | | | " keine, ero j ih | 4 | ai 4k wee es TAAL | - =, anno . = i. iy a * i t iH 2,10 ; | i a CLA (O\xé Ud Lat Ki % am ; cd I ye | 8 = SS Hl ao fof 4 | | Ne ib | S" ye Line GUTTERS BoTH SIQWALES- GUTTERS THIS EAD —or Pl 0 cn re ee -_ == Is i , i a , ‘ a 4 | a i ] | Y | ! oe eee ee : i | ; | = ' rt TS t ' LB'VZYUKY Lomege Te suas | gi | | ; vol STEAL FiBeemesd t£ip sre; ly | : * T Tt i : | { @93-37/-70 Sipe Evie | it | Pot TAY boar | | 4X 10" Pieqee Lpmopen2 7 PAG qd! < Q! oe TAG Al — —— ‘ ad right ov Cote PIB JéaiT. To? AT ia i rT TT | ae ie 4 WV | be exer |p itp tt 6! canted on Exraa Line Tt Geb mautooe gL exsaeutlel / , gajTl TAR . ee ; | | by Cau eke 1 fet cr [= im 4 oars i r |_| oe! —-.——— ai) ————— | | aes ons eee eee wens en ||| 61 es a a es Ne | a eran — a: mmareihe Hf rf = L | | a mi Ione Pau wien UPI = NG y% SLD? ai kcWe lay ° : _ BUILDING ELE VATION er ot AT'S Customer has verified and approved the wienaalll of the building to the North ahd verifies that all items specified in Paragraph B of the pontract are shown on this drawing and vice versa. Customer Name. / GREER CE. kKé CLEC E Ass awe! VSO 67 ; Customer Signature _¢ a) wr JI HM Ml White - Customer Copy Canary - Office Copy ©1995 Permacbin Industries..FR-85 6/07 ePyg 830 Se a ko r38 fy 4 eeee as Aha 2 LG ah ies a -syeeO Ts x FE 7 CLARET) 6.07 ° a i A amr Tow rel & Countrv: Suite C * 16521 Highway 99 « Lynnwood, WA 98037-3161 . ~=—-—- Everett: (425) 258-4171 Puyallup: (253) 840-9552 _— POST FRAME BUILDINGS Administrative Headquarters: (425) 743-1555 ql eee DIVISION OF <p RIS FAX: (425) 742-4378 Toll Free: 1-800-824-9552 — 3 PERMABILT Contractor's Lic. #: TOWNCPFO99LT Quality: Our Future Depends On It.™ DIRECTIONS TO SITE JOB NAME: KnL0 6 6 suip To appress: Z2il7 Witrow S$). Pe. ThunSewp Wh ?5268 TELEPHONE # AT JOB DROP: Qh Tel BIB/ THOMAS GUIDE ' Can a semi’ turn around at the job drop? += (] Yes ote ZC Back-in Only other Dive Ar Lord, AtPhax Go-Go Can a two ton? get into the job drop? Wes CINo _ (Other To Butt _ SIT (Réuind EXISTING CAGE ) Can a concrete truck get into the drop? Yes No [] Other Will a 4 wheel drive vehicle be required for deliveries? (] Yes No CJ Other Directions Hwy “Co ToweepS Pp, Town SEwD- LEFT AT LIGHT AT IW /meanre Rion Disc avery 0. — WHER LEFT AT /G** TO SHY OW Distovieby, — DisLoviey qo "For! € TD (Healy, THN LEFT Toy St qvieh 7 sonecton (C7. LEFT on Wilttw- 29 Host ait ¢ E LEET. ‘Truck Dimensions: 65' long, 8' wide, 12'/' high, and it weighs 35,000 Ibs. empty. 2Truck Dimensions: 30' long, 8' wide, 12'%' high, and it weighs 18,000 Ibs. empty. ©1991 Perma-Bilt Industries FR-35 6/07 | Hit {hl ill || * 41 4 * et os a ao = en ao ae ° i mm. Tow & Country: Site Plan queer LOWN S Country POST FRAME BUILDIN Suite C + 16521 Highway 99 * Lynnwood, WA 98037-3161 Please Check After Doing Site Plan: i inti ot size D — = _ GS_ Everett: (425) 258-4171 Puyallup: (253) 840-9552 Property dimensions jer lines levation of pro erty caine 7 p DIVISION OF erareegad Morsigeintel digs ce Sting buildings CrBenes of proposed & existing buildings [Bodies of ri bo ani ERMABILT Codie Lick SOW roposed building on road with name OFleorplan Quality: Our Busure Depends On Te [Easements ; vr. Access tp proposed building lopes & Contours (5’ increments Job Name: KEL 266 | ee Job Site Address: 21/7 pi Cewx » 7ST, {2 éF Tax Account#: G46 C O 92 O [4 Legal Description: fair “Tor sN$En Pp wet GE ye 5 are 7 ia —> | ae ok os : wee TIDAL < fete {ZO Lor o>! <e * 24 ACHES | | ‘ \/ r C7 ; _ ae a | f a [00 a rN ee ements venoms ee — < \ 7 Le. N \D amma : iS Vy BC ! - Li o " X IO win Z RA | 1x24 KAYA CE GH ZACE pn | \ joo! a | eee a 2? dolygs \ 7 u |. ———— — ; 3 5S‘ Min ros) + AFIS : sw & Ws) CAT Nie S To CK PILES wenn = ALA DF DIST LEBANCE icp Niwh eR To Fens 1 GATHES, Dur wi <p JUS 5 OLA C4 iA ol fe 4 N an VE teed ; dE [24 vP-t bE pMPfrEv lou CS “YY A, ‘ IAAL | Z 3COCS! Zoo TA TEy, Pec ess. Yoo’ DcckS, leo A (Fee Hone, wreck c= mae fA poceLE ss Mis a a if Coke 53 F je f 2 } DO NOT SIGN INCOMPLETE SITE PLAN! Customer has verified and re nN cation of the building, orientation of the building to the North, and verifies that all White - Customer Copy White - Office Copy utilities are shown on this drawing in t \\ t location. on 7 X (8) A Wi LEAD # 7 4 ? CUSTOMER SIGNATURE ' ©1995 Perma-Bilt Industries FR-34 6/07 MH Il ill HI * 1 oO *” Receipt Number: BLD10-083 985208202 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 Total: $150.00 genpmtrreceipts Page 1 of 1 Receipt Number: 10-0420 el 150.00 -$150.00 $0.00 BLD10-083 985208202 PLAN REVIEW REFUND 150 BLD10-083 985208202 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 BLD10-083 985208202 Plan Review Fee $126.91 $126.91 $0.00 BLD10-083 985208202 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD10-083 985208202 Building Permit Fee $195.25 $195.25 $0.00 BLD10-083 985208202 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-083 985208202 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD10-083 985208202 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $191.66 10-0363 04/15/2010 PLAN REVIEW DEPOSIT 150 $150.00 BLD10-083 CHECK 14403 $ 191.66 Total: $191.66 genpmtrreceipts Page 1 of 1 To Sa, !_—__— 1OWN & Country’ WMI Se POST FRAME BUILDINGS Cul @ aa eat PERMA BIT PETER Quality: Our Future Depends On It.™ Suite C * 16521 Hwy 99 ¢ Lynnwood, WA 98037-3199 Everett: (425) 258-4171 Puyallup: (253) 840-9552 Administrative Headquarters: (425) 743-1555 FAX: (425) 742-4378 Toll Free: 1-800-824-9552 Date | 2 lO | T City of wae Lic. #: TOWNCPEQ99LT Yor Angeles sons Kellogg, Proper tu TN . \ Please apply this Check for pevwit application vewew + £ Ke lloag Proper ave lhcaton. Ve) ] J a | 1 Addvess - 2\\1 Willow St... _ Povr Xownsend WF 983.8 | T= io Uo iG i BLD 10- 083 ny \F \jou ave any gueshons pleas call ans 143 - | 555 oy ema pev mits dpermabi Lt Cam Thank \you, Ales Ayers |] Please reply L] No reply necessary SIGNED © 1990 PermaBilt Industries FR-53 02/06 S9 € 6 - 7 8 S (0 9 E ) wI N b a g ZS S 6 - 0 F 8 (€ S z ) dn y e d n g IL I b - $ S Z (S Z ) NE I 2 A T SS S T - E b L (S Z p ) po o m u u s T XB SL E b - 7 H L (S T h ) ZS S 6 - V Z 8 (0 0 8 )