HomeMy WebLinkAbout1249 Campbell Ave - Building CITY OF PORT ANGELES
a DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001153 Date 10/13/11
Application pin number 976979
Property Address 1249 CAMPBELL AVE f
ASSESSOR PARCEL NUMBER; 06- 30- 14 -5 -3- 0360 -0000- REPORT SALES TAX
Tenant nbr, name LAMONT G CROUCH your state excise tax form
Application type description COMM REPAIR on Y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation 3000
Application desc
REPAIR EXT STAIRS DECK RESIDE APT COMPLEX
Owner Contractor
LAMONT G CROUCH WANT ACTION CONSTRUCTION INC.
PO BOX 36 P. 0. BOX 1425
CARLSBORG WA 98324 SEQUIM WA 98382
(360) 683 -1012 (360) 681 -3992
Structure Information 000 000 RE -SIDE, REPAIR DECK EXT STAIRS
Permit BUILDING PERMIT COMMERCIAL
Additional desc RE -SIDE, REPAIR DECK EXT STA
Permit pin number 194571
Permit Fee 109.75 Plan Check Fee .00
Issue Date 10/13/11 Valuation 3000
Expiration Date 4/10/12
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00
Other Fees DOUBLE PERMIT FEE 109.75
STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 114.25 114.25 .00 .00
Grand Total 224.00 224.00 .00 .00
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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. 2
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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
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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 JOE SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
'Footings c"--
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.) PLUMBING:
Under Floor Slab 1
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water 1 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 Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
'''k Footing Slab
Blocking H
g Hold Downs
Skirting
tv4 PLANNING DEPT. Separate Permit #s
SERA:
Parking Lighting ESA:
Landscaping _SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
I
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831 n
Fire 417 -4.653 04
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(N Planning 417 -4750 4.104W
Building 417 -4815
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PROJECT STATUS UPDATE
Permit 1 l 1 1 2 12 Oir 10 1
Date: 4-6 I?
1 phoned the: Applicant m U (/oil at Li g�' 1 1 7
Property Owner at
Contractor at
(left a phone message, or discussed):
The permit (has expired, or will expire soon). What is the status of this project?
Please call and schedule a final inspection.
Or
Submit a "permit extension request" letter.
Or
Let me know if the project is abandoned.
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T:Forms /Building Division/Project Status Update
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM
(To be used for projects that do not require plan review.)..4.
y��'Date Received 10
Permit -1/ 5
City of Port Angeles Please print in ink. A Date Approved /p
Attn: Building Permit Technician X" Approved by-
321 E. 5' 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 Berson: Phone:
.a,,, 6g-/,5
Property owner:
,)y,2 ".7 ®fir, Phone: 5 c 683 JO 2
Prope y owne 's mailing address
f� i &7c j� ti°zs,,ge) LJf1 fi z y
Contractor's business name: (22r4T /1 ,4 on/ Phone:
(or property owner's name if he /she is doing /overseeing the work) S
Contractor's mailing address:
Contractor's L &I license number: Expiration date:
Project Address:
Project Type: Residential Commercial ID Industrial 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: house garage other
tear off re -roof lay over one layer
Licensed contractor: Submit a copy of your re -roof bid.
Project Valuation (labor materials, not including sales tax)
Re -side: house garage other /2 U J'x 0,404 Project Valuation (labor materials, not including sales tax)
Repair: (explain the project)
o O It u_ i a
Project Valuation S E F, 14
*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 l'of 2
Clallam County Assessor Treasurer Property Details 67116 LAMONT G CROUCH... Page 1 of 1
Clallam County Assessor Treasurer
Property Search Results 67116 LAMONT G CROUCH for Year 2011 2012
Property
Account
Property ID: 67116 Legal Description: BEACON HILL
ADDITION LTS 31
32 BL 3
Geographic ID: 0630145303600000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 13
Open Space: N DFL N 1
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
Township: Section: 1
Range:
Location
ar) Address: 1249 CAMPBELL AVE Mapsco:
PORT ANGELES, WA
Neighborhood: PA South Multi -Unit Res Map ID: 2 'e
Neighborhood CD: 4153500
Owner V-- L.
Name: LAMONT G CROUCH Owner ID: 19988
Mailing Address: PO BOX 36 Ownership: 100.0000000000%
CARLSBORG, WA 98324
Exemptions:
k Taxes and Assessment Details
Property Tax Information as of 10/13/2011
Amount Due if Paid on: l"• NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
Click on "Statement Details" to expand or collapse a tax statement.
First Half Second Half
Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due
R Statement Details
2011 160729 $1154.57 $1154.46 $0.00 $0.00 $1154.57 $1154.46
0. Statement Details
2010 49025 $1159.02 $1159.01 $0.00 $0.00 $2318.03 $0.00
Values
1 Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
This year is not certified and ALL values will be represented with "N /A
Website version: 9.0.32.2200 Database last updated on: 10/13/2011 3:50 AM 2011 True Automation, Inc. All Rights
Reserved. Privacy Notice
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =67... 10/13/2011
Contractors or Tradespeople Detail Page 1 of 2
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Labor Industries
Contractors or Tradespeople Detail
Return to List Start a New Search i Printer friendly
Verify Workers' Comp Premium Status Check for Dept. of Revenue Account
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 WANT ACTION CONSTRUCTION INC UBI No. 602065842
Phone No. (360) 681-3992
Status Active
Address P 0 Box 1 425
Suite /Apt. License No. WANTACI992B3
City Sequim License Type Construction Contractor
State WA Effective Date 1/23/2001
Zip 98382 Expiration Date 2/11/2013
County Clallam
Suspend Date
Business Type Corporation
Parent Company Specialty 1 ,l,j General
Specialty 2 ,,L Unused
Other Associated Licenses
License Name Type Specialty Specialty Effective Expiration Status
1 2 Date Date
ACTIOC"033CG ACTION Construction General Unused 2/7/1997 1/23/2001 Archived
CONSTRUCTION Contractor
-I Business Owner Information Hide All
Name Role Effective Date Expiration Date
ROADS II, ALLEN JAMES President 01/01/1980
ROADS, LEAH R Vice President 01/01/1980
1 -i Bond Information
Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received
https: fortress .wa.gov /lni /bbip /Result.aspx 10/13/2011
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