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BLD10-183
PERMIT # BLO! O—/ X& 3 CITY OF PORT TOWNSEND BLDG PERMIT ACTIVITY LOG of 26) 70 DATE RECEIVED SCOPE OF WORK: hep aic porch = yeplate Kohwy Sport PadEL as Ae cl iS acy t dee DATE ACTION INITIALS ENTERED INTO CHET CHECKED FOR COMPLETENESS Plan Review Heat Type: # Bedroom(s) = # Bath(s) = 4-24-1Lv Hen Reuizus Camecaete Mir SEPTIC? Zoning: AIL Setbacks OK? Le change = stupid LYyoaie Ons 2/2ifca Lot Size: Building Size: Lot Coverage: FAR OK? “oi | | Height OK? Parking OK? Critical Area? (Check Impervious Surface limits 19.05.050D4(a) Shorelines Jurisdiction? Demo? Historic Rev/ Design Rev? Notice to Title? | | ne Lots of Record? P:\DSD\Forms\General Use Forms\Activity Log Bldg Permit.doc July 12, 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 # BLD10-183 Permit Type Residential - Addition/Remodel Project Name —_ Repair porch Site Address 626 BENTON ST Parcel # 989713006 Project Description Repair Porch Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Ingbretson Gary A Owner Ingbretson Gary A Contractor Solution Building Rob Gruye (360) 301-4191 CITY 6211 12/31/2010 Contractor Solution Building Rob Gruye (360) 301-4191 STATE SOLUTBI9140 09/18/2011 Fee Information Project Details Project Valuation $7,000.00 Entered Bid Valuation DOLL Plan Review Fee 90.51 (nite Heat Type: PLAN REVIEW DEPOSIT 150 150.00 Bedrooms: Construction Type: V - B PLAN REVIEW REFUND 150 -150.00 Bathrooms: Occupancy Type: PLAN REVIEW DEPOSIT 50 50.00 PLAN REVIEW REFUND 50 -50.00 Building Permit Fee 139.25 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Record Retention Fee for Building 7.00 Permit Total Fees $ 246.26 Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. *** SEE ATTACHED CONDITIONS *** 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. y/ yy) Print Name PLS — As GYEZ7 SC Date Issued: 09/29/2010 7 Issued By: MWAY Signatur’ — __ Date 3L9/20/ O Date Expires: 03/28/2011 US 7 7 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. 989713006 _— PERMIT NO. BLD10-183 ISSUED DATE __ 09/29/2010 _— EXPIRATION DATE __03/28/2011 ADDRESS 626 BENTON ST CONSTRUCTION TYPE _V-B OCCUPANT LOAD OWNER INGBRETSON GARY A PROJECT DESCRIPTION Repair Porch CONTRACTOR SOLUTION BUILDING LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT SETBACKS SURVEY PIN ea "s] 5 FOOTING Ao REINFORCE CONNECT |, _. FRAMING LSS Zo INSULATION _ | GWB MISCELLANEOUS FINAL BLDG./C OF O TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. Foren REPAIR Development Services 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us ing Permit Application Parcel# 7O7F 7/3 O06 Lot Project Address: Legal Description (or Tax#) Office Use Only | _ G2e BEN TON) ST- Addition: __ fT O J Permit # BLD10- Zoning: K-IL a Associated Permits: cae (s): TEL: 50) Project ry aa ead BPO 7 AS NESS | RhELACE. O0 BIC FCT/NGS KOZ, DETERAIUNWLO BY COnITHAACKTO_ . KEALK RAM (2 PORAH DEAS ~, i’ 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. Name: Cue Oe TSOn) Address: G26 Bev TON S77: City/suzip: 2. 7. GB3GE Phone: Email: 3GO ses— 22/43 E7| City Business License #: Contact/Representative: Name: Phone: < AME Email: S 2A TEKE) OHS Contractor: 0 Same as Qwner Name: rOC Y7100/ bith Ls aj r Address: Kok GOVE city/suzip: (C00 BARLovw) Phone: a Email: OW FC State License #: Exp: Building Information (square feet): 4° floor / GO0o Garage: > OO 2" floor Carport: 3” floor Other: Basement VA Finished: Unfinished: Decks i(forches) Covered: Zz Uncovered [ Heat Type: Bo te Electric __ Heat Pump. Other >< Total: #Bedrooms —S #Bathrooms / £ Size of lot_/ f 000 Square feet Total Lot Coverage (Building Footprint):* Square feet: % Impervious Surface:* / . \) 2c *Total existing & proposed Square feet: Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: Project Valuation: $ “A, COO , CO a What year was the structure built? 18 had < If work includes demolition, see Page 2. Any known wetlands on the property? Y Any steep slopes (>15%)? Y | hereby certify that the information provided is correct, that | am either the owner or authorized to act on behalf of the owner and that all activities associated with this permit will be in = with State Laws and the Port Townsend Municipal Code. Print Name: 77ZY Le CBLETSO Page 1 of 2 - 1/4/2010 Date: afix /2010 Sf -OVER- gti 4 Ry, * g eS Pe ae aS : Home ~ County Info ‘Departments = Search Parcel Number: 989713006 Parcel Number: 989713006 Printer Friendly Owner Mailing Address: GARY INGBRETSON TERI L INGBRETSON PO BOX 2008 PORT TOWNSEND WA983680080 Site Address: 626 BENTON ST PORT TOWNSEND 98368 Section: 2 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Port Townsend (8) Township: 30N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: PORT TOWNSEND O.T. Assessor's Land Use Code: 1100 - HOUSES (single units, non-farm) Property Description: PORT TOWNSEND O.T. | BLK 130, | 5&7(N15'OF EA - LS E6' OF 5), | 6 (LS E6'), 8(ALL) | Click on photo for larger image. [x] No 2nd Photo Availabl No Permit Assessor Bldg Plats & — Data Tax, A/V, Sales Info |Map Parcel emacs http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 9/20/2010 Receipt Number: BLD10-183 989713006 Plan Review Fee $90.51 $90.51 $0.00 BLD10-183 989713006 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 BLD10-183 989713006 PLAN REVIEW REFUND 150 -$150.00 -$150.00 $0.00 BLD10-183 989713006 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD10-183 989713006 Building Permit Fee $139.25 $139.25 $0.00 BLD10-183 989713006 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-183 989713006 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD10-183 989713006 Record Retention Fee for Building Per $7.00 $7.00 $0.00 Total: $196.26 10-0752 09/20/2010 PLAN REVIEW DEPOSIT 50 $50.00 BLD10-183 CHECK 0712 $ 196.26 Total: $196.26 genpmtrreceipts Page 1 of 1 Receipt Number: BLD10-183 989713006 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 Total: $50.00 CHECK 0700 $ 50.00 Total: $50.00 genpmtrreceipts Page 1 of 1 YO R AY U V R C O ® . 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