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BLD10-219
BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-219 Permit Type Residential - Re-Roof Project Name _β_ Re-Roof Site Address 693 SIMS WAY Parcel # 948321501 Project Description Re-Roof Shake to Composition Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Erisman Nina C Owner Erisman Nina C Contractor Cloise And Mike 0- CITY 005360 12/30/2010 Construction Contractor Cloise And Mike 0- STATE CLOISMC99IL 08/31/2012 Construction Fee Information Project Details Project Valuation $11,000.00 Entered Bid Valuation 11,000 DOLL Reroof Permit Fee (R-3 and U 40.00 Unie: Heat Type: eCupmIbiss) ; Bedrooms: Construction Type: Technology Fee for Reroof Permit 5.00 Bathrooms: Occupancy Type: (R-3 and U occupancies) State Building Code Council Fee 4.50 Record Retention Fee for Reroof (R- 7.50 3 and U occupancies) Total Fees $ 57.00 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. | further certify that I am the owner of the property or authorized agent of the owner. Print Name Ru BN N EWTOR) Date Issued: 11/16/2010 - eA Issued By: ©MWAY Si nev: !6; 2010 ires: ignature 1 Date | © Date Expires: 05/15/2011 N 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. PARCEL NO. 948321501 PERMIT NO. BLD10-219 ISSUED DATE 11/16/2010 EXPIRATION DATE 05/15/2011 ADDRESS 693 SIMS WAY CONSTRUCTION TYPE OCCUPANT LOAD OWNER-~ ERISMAN NINA C PROJECT DESCRIPTION Re-Roof Shake to Composition CONTRACTOR CLOISE AND MIKE CONSTRUCTION LENDER INSPECTION INSP DJATE COMMENT INSPECTION INSP DATE COMMENT ROOF FLASHING pod |ie/| FINAL BLDG./C OF O DA VAR ros TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. Nov 15 10 04:52p Chris 3607324945 p.1 rr = TW 5 <1 D ECGEIVE Development Services yw 250 Madison Street, Suite 3 7 NOV 16 2010 Port Townsend WA 98368 | rnc." Phone: 360-379-5095! fl Fax: 360-344-4619 e CITY OF PORT TOWNSEND www.cityofpt.us OSD Roofing-Permit Application Project Address: Legal Description (or Tax #): Office Use Only WS ms dy 7, Wh Addition: Aisi Adlln Pe i yc G73. : Weg Block: 2/5 BES 10 = 9 TAS 32) a / Lot(s): Jael Ney = ook: Associated Permits: ~ SF Residential Commercial MF Residential Bed & Breakfast*O What year was the structure built? * B&B's located in Historic District may require design review approval. Property Owner: . y Lender Information: Name: IN na _C. Erisman (estode of) Lender information must be provided for projects Address: 93 w_ Sims Wau over $5,000 in valuation per RCW 19.27.095. City/SUZip: FX3b8) | Name: Cash - NA Phone: 3b60-3&5- 5059 C i32- 4245 Project Valuation: & ll, 0 00 Email: cfrans onZI| @embyg FCS if COW Scope of Work: Existing roofing material type: Shake N ~ , Contractor: . Number of existing roof layers: __! ame: Square footage of roof: Address: p 0 Bosc Z0 142 i ne City/StZip: 6 (4 Tear ofr? Y_A N_ - d cd 7 Replacing sheathing? Y_ N 44 one: 3 lo0-7, (Ny ~Ol4 A-64F7 - BEL ; 7 Replacing / altering rafters or trusses? Email: _ Y__ he State License #: CLOISMC99) ! a: oe If βyesβ a roof framing plan is required. City Business License #: New Roof T oof Type: { Composition C Metal {s the structure located within 200 feet of a fresh or C0 Cedar shingles C Cedar shakes saltwater shoreline? Y N_X (0 Torchdown or Hot Mop C Other Will work take place on or near the public right-of- Venting type (check all that applies} P; : way? Y N ¥ slesaieiia'tanirend pediediian protect CO Roof O GableEnd i Eave/ Soffit es, provide a site plan a es on . si th Ridge @ Other may be | 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 pets A) this permit will be in ey with State Laws and the Port Townsend Municipa! Code. Print Name: letaovial. Ki) 0 Lave, (+ chust Piste A : son Date: / / β/ 5-20 / OD Revised 08-2010 Receipt Number: BLD10-219 948321501 Reroof Permit Fee (R-3 and U occupan $40.00 $40.00 $0.00 BLD10-219 948321501 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-219 948321501 Technology Fee for Reroof Permit (R-3 $5.00 $5.00 $0.00 BLD10-219 948321501 Record Retention Fee for Reroof (R-3 ¢ $7.50 $7.50 $0.00 Total: $57.00 CHECK ~~ 8294 $ 57.00 Total: $57.00 genpmtrreceipts Page 1 of 1