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Home My WebLink About519 W 10th Street Address: 519 W jolh Street PREPARED 12/27/16, 14:04:55 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY ----------------DATE---12/27/16 ----------------------------------------------------------------- ---- -------- ADDRESS . : Sig W 10TH ST SUBDIV: CONTRACTOR PATTON CONSTRUCTION AND RMDLNG PHONE (360) 301-0363 OWNER CCR PROPERTIES LLC PHONE PARCEL 06-30-00-0-2-9675-0000- APPL NUMBER: 16-00001872 RE-ROOF ------------------------------- -------------------------------------------------- ------------- PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESU1,T RESULTS/COMMENTS ----------------- ------------------------------------------------------------------------------- BL99 01 12/27/16 JLL BLDG FINAL December 27, 2016 2:04:09 PM pbarthol. 7#2 Fred 360-301-0363 Roof Final COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 99362 Application Number . . . . . 16-00001872 Date 12/21/16 Application pin number . . . 745120 Property Address . . . . . . 519 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9675-0000- on your state excise tax form Application type description RE-ROOF Subdivision Name . . . . . . to the City of Port Angeles Property Use (Location Code 0502) .Property Zoning .. . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 8370 ---------------------------------------------------------------------------- Application desc tear off/install. comp ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CCR PROPERTIES LLC PATTON CONSTRUCTION AND RMDLNG 175 BLUE SKY DR 801 THORNTON DR. PORT TOWNSEND WA 98368 SEQUIM WA 98382 (360) 301-0363 ---------------------------------------------------------------------------- Permit . . . . . . . BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF/INSTALL COMP Permit Fee . . . . 193.75 Plan Check Fee .00 Issue Date . . . . . 12/21/16 valuation . . . . 8370 Expiration Date 6/19/17 Qty Unit Charge Per Extension BASE FEE 95.75 7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00 - ----------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 7------------------------------------------------------ -----Fee-summary------ Charged Paid Credited Due -----I------------ ---------- ---------- ---------- ---------- Permit Fee Total 193.75 193.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 198.25 198.25 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and*public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gi.ve authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. n� Vate Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspec tion Type Date Accepted By Comments FOUNDATION: Tootings Sternwall Foundation Drainage Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) -da-s Line Back Flow/Water XIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceili ng MECHANICAL: Heat Pump/Furnace FAU Ducts Rough-In Gas Line Wood Stove/Pell;Tt/_Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab 1131ocking&Hold Downs ISkirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRiOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE: For City Use CITY OF Permit# 72- W A S H I N G T 0 N, U . S. Date Received: f19- 321 E Sth Street Date Approved /1-?- —4-9/ Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOciWofpa.us BUILDING PERMIT APPLICATION SS: Project Addre Phone: 3�o-301-0 -S&3 PrimaryContact: Fces ��WOA Email: Name Phone Property Mailing Address Email Owner 9ty State zip Nam Phone Contractor Address Email Information city State zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ Y, 3'?0. Residential OL Commercial 11 industrial 11 Public 1:1 Demolition 11 Fire El . Repair Reroof(tear off/lay over) Permit Classification For the following,fill out both pages of permit application: (check New Construction El Exterior Remodel El Addition El Tenant Improvement appropriate) Mechanical El Plumbing 11 Other 11 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 0 No 0 Existing? Yes [3 No E I In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater0c 0 a.us Project Description Teq eom qkca liej come V Is project in a Flood Zone: Yes 0 NoO Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within I.8o days of submittal,the application wiH be considered abandoned and the fees will be forfeited. &WOA Date Print Name Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ IT) Floor area, Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2 nd floor) Garage Carport Other(describe) .Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Blde Height I all structures sqft Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov-- lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove[Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each tvpe of fixtu e to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T-.\Forms\201S CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx ESTIMATED B. TYPE OF LOAN A. SETTLEMENT STATEMENT (HUD-1) 1-El FHA 2, El FHMA 3. El CONV.UNINS 4- [] VA 5. [] CONV.INS. 6-MENUMBER: 7.L0ANNMFR 0 P-44194 2016.1257 R MORTO AGE INS.CASE NO.: C.NOTE;This form is rumished to give you a statement Of actual Stftlement costs. Amounts paid to and by the settlement mtaresh n.Items marked were paid outside the closing-,they are shown here for informational pwposes and are riot included in the totals, D.NAME&ADDRESS CCR Properties LLC,a Washington Limited Liability Company OF BORROWER: 175 Blue Sky Dr,Port Townsend,WA 98368 E.NAME&ADDRESS Exhibit"A"Attached Hereto OF SELLER: F. NAME&ADDRESS Veristone Fund 1.LLC OF LENDER: 6725 116th Ave NE,Ste 2 10,Kirkland,WA 98033 G.PROPERTY LOCATION: 519 W I Oth St,Port Angeles,WA 98362 H.SETTLEMENT AGENT: Pioneer Title Company Of Washington PLACE OF SETTLEMENT:P.O.Box 309,403 Logan,Davenport.WA 99122(509)725-3161 1. SETTLEMENT DATE: 12/1612016 DISBURSEMENT DATE-- 12/16/2016 J. Summary of Borrower's Transaction K, Summary of Seiler's Transaction 100.Gross Amount Due From Borrower 400.Gross Amount Due To Seller: 101.Contract sales price 75,000. 40 1.Contract sales price 102-Personal property - 402.Personal property 103.Settlement charges to borrower:(line 1400) 5,834. 403. 104. 404. 105� 405. Adiustments For Items Paid By Seller In Advan Adiustments For Items Paid By Selle nce: 106.Cityltown taxes to 406.City/town taxes to 107.County tam to 407.County taxes to 108.Assessments to 408.Assessments to 109. 409. 110. 410. Ill. 411. 112. 412. 113. 413. 114. 414. 115. 415. 116. 4f6. 120.Gross Amount Due From Borrower: 80,8X98 420.Gross Amount Due To Seiler: L200.Amounts Paid By Or In Behalf Of Borrower, _SQ.Reductions In Antannt Due To Seller, 201.Deposit or earnest monLy 7,500. 50 1.Excess deposit(see instructions) 202.Principal amount ofnew Ioan(s) 56,250.00 502.Settlement ch!TT to seller(line 1400) 203.Existing loan(s)taken subject to 204. - 503.Existing foan(s)taken subject to 205. 5 04.Payoff 1 st Mtg.Ln. 206. 505.Payoff 2nd Mtg.Ln. 506. 207. 507. 209. 508. 209. 509. Adjustments For Items Unpai7d By Seller. Adjustments For Items Unpaid By i;lle,. 210.City/town taxes to 5 10.City/town taxes to 211.County taxes to 511.County taxes to 212.Assessments to 512.Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220.Total Paid By/For Borrower: 63,750.00 520.Total Reductions 300.Cash At Settlement FromIT In Amount Due Seller: o Borrower: 600,Cash At Settlement From/To Seller; 30 1.Gross amount due from borrower(line 120) 80,834.98 60 1.Gross amount due to seller(line 420) 302.Less amounLpaid by/for borrower(line 220) 6375000 602.Less reductions in amount due seller(line-520) -- 303.Cash(FXI FROM) DrO) Borrower: 98 603,�Ch JDT�O) (E]FROM) Seller: 0�00 Previo�s Edition Is Obsolete Form No.1581 SB-4-3538-000-1 3186 HUD-1(3-86) Page I of 3 RESPA,HB 4305.2