HomeMy WebLinkAbout1206 E 6th St - Building e,,.J. CITY OF PORT ANGELES
sti DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001069 Date 9/27/11
Application pin number 233033
Property Address 1206 E 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 1130 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision Us e Name
Property Use t the City of Port Angeles
s
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 11145
Application desc
RE ROOF
Owner Contractor
GIFFORD FRANK W /HELEN SPECIALIZED CARPENTRY SERVICES
1206 E 6TH ST 347 W NELSON RD
PORT ANGELES WA 983626623 SEQUIM WA 98382
Permit BUILDING PERMIT NO PR FEE
Additional desc INSTALL METAL ROOF
Permit pin number 193425
Permit Fee 235.75 Plan Check Fee .00
Issue Date 9/27/11 Valuation 11145
Expiration Date 3/25/12
Qty Unit Charge Per Extension
BASE FEE 95.75
10.00 14.0000 THOU BL- 2001 -25K (14 PER K) 140.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due \;Q/
Permit Fee Total 235.75 235.75 .00 .00 e,
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 240.25 240.25 .00 .00
b,
Separate Permits are required for electrical 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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
1-27 I c U a l -,rv„ Vi c u
Date 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR 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 Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood 1 Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 t0 fig_ 1k 5
T:Forms /Building Division /Building Permit
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BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)
Date Received �'2� ik
Permit
City of Port Angeles Please print in ink. Date Approved `I 7• 1
Attn: Building Permit Technician Approved by
321 E. 5th St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: Phone:
Property owner:
Or5.1 -kI' V) (�1 ("CD rd Phone: +S'?- 52'"7
Property owner's mailing address:
t2o� C. S4.
Contractor's business name: 1,4 51 tG Phone:
(or property owner's name if he /she is doing /overseeing the work) 5'44
Contractor's mailing address:
Q.O.gr,x IS
Contractor's L &I license number: Expiration date:
N/4
Project Address:
Project Type: vkt Residential o Commercial o Industrial D Multi- family
Project Business Name:
(for commercial, industrial, or multi family projects)
The following permits are usually issued over -the- counter immediately, without the need for plan review.
Complete only the portions of this permit that are relevant to your project.
Re roof: Khouse garage other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re roof bid.
Project Valuation \t 14�5. (labor materials, not including sales tax)
Re side: house garage other
Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
R2.vtiof Oat A z4 1A.9 r 12 2 4 5a sin A.. 1 Cr, k r 'cr1 v� 1 c L vt c.d
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ran wC .9 r,. pwv4 2,
Project Valuation
*Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 Project Valuation
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011)
Page lof2
Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that
do not require plan review:
Obtain the City of PA handout entitled "Pools Spas" follow the requirements.
Project Valuation
Demolition: A demolition permit is needed when an entire building gets demolished.
What will be demolished? house garage other
Note: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain.
Agree to ensure that all utilities are /will be properly turned off (and capped off if needed)
prior to demolition. j
Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to
be demolished. Submit the map with this application.
Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA)
Demolition Permit Application.
Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
yes no Will the debris be going to the Regional Transfer Station in Port Angeles?
yes No If yes, will a licensed contractor be taking it there?
If yes, obtain (from the City of PA) a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the project)
Project Valuation
Mechanical Permit: (explain the project)
Project Valuation
I have read and completed this 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
working on projects.
Dte1 -a 7Hi Signature "i" J o
Print
Page 2 of 2
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Contractors or Tradespeople Detail Page 1 of 2
Washington State Department of
Labor industries
Contractors or Tradespeople Detail
Return to List Start a New Search i Lk i Printer friendly
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About General /Specialty Contractor
A business registered as a construction contractor with L &I to perform construction work within the scope of its
specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and
carry general liability insurance.
Business and Licensing information
Name SPECIALIZED CARPENTRY SERVICES UBI No. L+j 601008514
Phone No. (360) 683 -1091
Status Active
Address 347 W Nelson Rd
Suite /Apt. License No. SPECICS892B8
City Sequim License Type Construction Contractor
State WA
Effective Date 1/28/2011
Zip 98382 Expiration Date 1/28/2013
County Clallam
Suspend Date
Business Type Individual
Parent Company Specialty 1 1) General
Specialty 2 Unused
8 Other Associated Licenses
License Name Type Specialty Specialty Effective Expiration Status
1 2 Date Date
BILL MEYERS Construction
BILLMMC962DR General Unused 3/19/2004 3/19/2012 Active
CONSTRUCTION LLC Contractor
OLYMPCS0530K .OLYMPIC CARPENTRY Construction General Unused 9/12/1995 1/28/2002 Archived
SERVICES Contractor
OLYMPCS099MC OLYMPIC CARPENTRY Construction General Unused 7/3/1991 6/17/1993 Archived
SERVICE Contractor
MEYERCMI01QT MEYERS CONST Construction General Unused 11/30/1990 8/25/2003 Archived
MAINT Contractor
OLYMPCS11 OCC OLYMPIC CARPENTRY Construction General Unused 2/3/1989 1 /18/1991 Archived
SERVICES I Contractor
https: fortress .wa.gov /lni /bbip /Result.aspx 9/27/2011
Contractors or Tradespeople Detail Page 2 of 2
MEYERCM976N1 MEYERS CONST Construction Re
General Unused 8/21/2003 8/21 /2005
MAINT INC Contractor Licensed
Business Owner Information i =1 Hide All
Name Role Effective Date Expiration Date
WESSEL, DOUGLAS SCOTT Owner 01/28/2011
WESSEL, KATHLEEN MARIE Spouse 01/28/2011
Bond Information
Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received
Name Number Date Date Date Date Amount Date
Until
1 CBIC 518469 01/24/2011 Cancelled $12,000.00 01/28/2011
Assignment of Savings Information
No records found for the previous 6 year period
Insurance Information
Insurance Company Policy Effective Expiration Cancel Impaired Amount Received
Name Number Date Date Date Date Date
1 CBIC Cl 1 518469 01/24/2011 Until $1,000,000.00 01/28/2011
Cancelled
2 Summons /Cornplaint Information
No unsatisfied complaints on file within prior 6 year period
Warrant Information
No unsatisfied warrants on file within prior 6 year period
Washington State Dept. of Labor Industries. Use of this site is subject to the laws of the state of Washington eCeSs
Wasshingtortl
r ;ij 'OW t'eYk.i?treyg I O rift'.
https: fortress .wa.gov /lni /bbip /Result.aspx 9/27/2011