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Home My WebLink About805 E 5th St - Building :>;),,1 ~ pORT ~ , $4.0~~~ ". L~ --- "totC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00000968 Date .420488 805 E 5TH ST 06-30-00-0-1-7570-0000- COMM FOUNDATION REPAIR 10/21/04 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 4000 Owner Contractor PAGE TTE DAVID B DAVID B PAGE LIVING TRUST EDMONDS WA 98020 OWNER Structure Information Construction Type . . . . Occupancy Type . . . . . FOUNDATION REPAIR TYPE V NON-RATED SINGLE FAM & CONGREGATES --------------------------------------------------- Permit BUILDING PERMIT - COMMERCIAL ,I Additional desc FOUNDATION REPAIR Permit Fee 120.75 Plan Check Fee 78.49 Issue Date 10/21/04 Valuation 4000 Expiration Date 4/20/05 Qty Unit Charge Per Extension BASE FEE 92.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 -------------------------------------- -------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total 78.49 78.49 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 203.74 203.74 .00 .00 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 as 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 ordina~s gover ing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to lJ'iv,r'authori to violate or cancel the provisions of any state or local law regulating construction or the performance of constructi9n. ,/ ('/'/ <- ignature of Contractor or u oozed Agent Signature of Owner (if owner is builder) Date Tr'~LANNING\FORMS\1102.15 [11/14/2003J \0 0 VI :it rt, c: 'r \A '"' ~ -+ s " ~ ~ 't.. \ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO -- (Ii.' ) FOUNDATION: h'Lih( ccfr..>r) h:?(hll )- /1-/(; .01 j)-/ FOOTINGS WALLS FOUNDATION DRAINAGEfDoWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLfHoLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR I CEILING 1 I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGfLlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1/1.- I L O~ 7U? BUILDING T:\PLANNINGIFORMS\1102.15 [11/14/2oo3J BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONL V: Date Rec.: ,0 ~ 2/-04 Permit#: ()L/ - '16tl Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved: Date Issued: Applicant or Agent: -:S-o..(Y\.l.~ A\~~c..~~ Phone: 1j;2$-J...f7~- 35<1D Owner: \:)o..\J L ~ a..~/~ Phone: Ii 2{ - 3 \ '1 - / t. 3 'f Address: <r,O~ io...Kt.. ~o.\\l}.('\JU"" City: t:J(Y'Iol"\~5 Zip: 9~0.2G, ArchitectlEnuineer: Ai / A. Phone: A) / A o' I ' Contractor ~o..mt...c, A\~p~ StateLicense#:~~.s"t.ID'1'"' Exp: Oi I 05 Phone:.t;..z5"-~?g-35'10 Address:/.s''72l\ ~ ;'8~Avlt. W City: €~mor'\J~. I Zip: 98o:LC, PROJECT ADDRESS: ~O~ E. o-.~-t ~#-.sA P. A . 0A, ZONING: R.es LEGAL DESCRIPTION: Lot: 10. \\ Block: \ '15 Subdivision: Goue.(f'l merct \OW(\5.u: I k d p, f\. CLALLAM COUNTY PARCEL NUMBER: 0(0 - .30 .- 00 .- 0 \ '1 ~'7 0 - nr~ T +J 0 C<edit Cud Hold" Nam" ~o..", "-,., ~"-<-\.* Billing Address: \'- ?)~ O'\.7"'b;~ ~~c..w ~ City: Cdmr:,r"\J, ~ Credit Card Type VISA M ~_ # TYPE OF WORK: SIZEN ALUATION: D Residential D New Constr. D Re-roof D Stove SF. @ $ /SF. = $ D Multi-family D Addition D Move D Garage SF. @ $ /SF. = $ D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ " Repair D Sign. D Other TOTAL VALUATION $,/..j I O<X"l co BRIEF DESCRIPTION OF THE PROJECT: . Re.~a..c.~ ('G44-t'........ ~e,()"t"rI. PO~* (,VI SAmE I \ / . '. J I . tJ P (} cdte... L...J :0;'- m 0 "i "" ~nq tP I An c.J.,."...s i /Isle. /1 u 0. DC! .- B.e.-rrtvr / I I I COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Hili l ~O~ Total lot coverage % Exp. Date: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application a ruction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon WTitten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and cor" . I am a orized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the .City's, an/lthat ust obtai uch permit rior to work. . I I T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wp9 ApplIcant: Date: /'0/ Z-i O~ I I 2004/0CT/21/THU 10:43 AM EDMONDS ESCROW FAX No, P,001/001 GOLDEN HOME BUILDERS, INC. 1233 Olympic View Drive Edmonds, Washington 98020 (206) 776-2141 ~\\. ~\~~~ ~'~~ ~~Yt~ ~ b-e~~\ - ~d ~~~'\'-)~(l""\ ~,~t\, ~Y Cl~ c ~\LS- c>~y 05 ~'(~A~ \~ W"'\(\C,,~~ G "-\ ~h?Q,~~S ~J\ -T- ,()~~ '~'\~_ ,\, ".'\ \ ..l-- -,~ vv---. ~. ~ "<,..~N ~~1:e3\ ~,<.~>".~~ '-~ '^"\."-. Y~\\.~Q,.s ()~' ~ \-",,,, (\~~~~. ~~~ \J c\"c. s - -3,\ ~- \. L~~ Look Up a Contractor, Electrician or Plumber License Detail Page 1 of2 Topic Index Contact Info Safety Claims &: Insurance Workplace Rights Trades a: Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber 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. License Information License ALBREHS021DT Licensee Name ALBRECHT HOME SERVICES Licensee Type CONSTRUCTION CONT RACTOR UBI 601864002 Verify Contractor Premium Status Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 81 MAC LANE Address 2 City SEQUIM County CLALLAM State WA Zip 98382 Phone 3606812360 Status EXPIRED Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/30/1998 Expiration Date 3/25/2000 Suspend Date 5/21/2000 Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date https://fortress.wa.gov/lni/bbip/detail. aspx?License= ALBREHS021 DT 10/21/2004 . - . Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 ALBRECHT, JAMES A I OWNER 03/30/1998 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date AMWEST #2 SURETY 111001773 03/25/1999 OS/21/2000 $6,000.00 STAR INS #1 CO SP5202665 03/25/1998 05/04/1999 $6,000.00 Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date AMERICAN STATES #2 INS CO 01CE3579412 03/25/2000 03/25/2001 AMERICAN STATES #1 INS CO 01CE3579412 03/25/1998 03/25/2000 Summons / Complaints Information Tax Summons I Cause Warrant Dismissal Complaint Complaint Judgement Judgement Complaint Number Id Plaintiff County Date Date Amount Date Amount THOMAS BUILDING CENTER #1 002001889 INC CLALLAM 03/15/2000 $0.00 $0.00 ( Sla[ta..~e_w5earch Printer.Frieodl'iYersion About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I 1-800-547-8367 Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access I\greement I Privacy and security statement i Intended use/external content policy ! Staff only link ;;., 'WlSblngton Visit access.wa.goY https://fortress.wa.gov/lnilbbip/detai1.aspx ?License= ALBREHS021 DT 10/21/2004 ~\ 1" f V' o ~ -rv ~, if' o v ~ T\ · (' , ~ ~ ~I >-3 Ul ~ ~ Z o >-3 "' Ul to' >-3 ",>< ~ : .:? 'Ul ::::0 , , , III :8~~ :: : ~ a 0'\ I t"l ~ 0 o : ~ (f) 0 ~I tIJ~~ titi>-< :e.h! 1~:>-3 ~ >-< ~~:g:"'ti~ (();::IH:~tt:l ~ ~1c::~8 ro ,8'''"'1 n z:~~ OJ~G)I"""""'>-3 I--'NI-f:l:()H(") I--'UlO I ~Ol-l g.';'@: ~z~, ~~5Z:~ : p.wj:UJ "'0' "'z, o , "', "', '0' :.>, H , "', , , , >-3' 31: "', .. , , H' -J' .. , o , o , , , , , , , , , , , , , , , , , , , , , , ~~!~~:a~ z~::o::otJ:l:~tO c f;Ul'O!;; ~. f-3 {fJ : I'Jj tI:l tt1. . 8 I I'd tj ~ t'U' 10....... '",H ,>-3'- CD' H o:~~ UlIG)O tIj ; ~t ,"' U'l1C/)1-' ~: w 00'0 ..."':.> , , Q ow", 00 0' >-3 00>-3 DO", "" ",oti CD , :.> H<: (J'H O-Jti 3'" 3-Jto o .", 00 @g tio :.>, >-3 H o Z "' "' '0 ::: "' rn' >-3' o w '" -J H 'HZ ,Zrn ,rn'O ''0", ,",n '(J>-3 '>-3H '00 :::oz ''-<>-3 to '"0 I pH :r: :r: gJ , 3: (J 00 td I tIj?;: ~~tj: UJ~ L"J HIt'" <:, .. It'" , H ,"' "' ," >< , , , , , , , , , , , , 'ti'O :~~ :tI:ltIj , , , H , H , '- 'H ,'" , '- 'OH ,...... eft ,ORT ~ l~~~ ,. "- -=:;;..or ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00000812 Date .535596 805 E 5TH ST 06-30-00-0-1-7570-0000- RE-ROOF 12/27/04 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 as 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 g erning this type of work will be complied with whether specified herein or not. The granting of a permit does not presum~eive auth ri to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Ic-2.-l-o Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application descr1ption Subdivision Name Property Use Property Zon1ng . . . Application valuation RS7 RESDNTL SINGLE FAMILY 22500 Owner Contractor PAGE TTE DAVID B DAVID B PAGE LIVING TRUST EDMONDS WA 98020 LARRY'S ROOFING 352 AVIS ST. PORT ANGELES PORT ANGELES (360) 452-2215 WA 98362 Permit Add1t1onal desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, TORCHDOWN 386.75 Plan Check Fee 12/27/04 Valuation 6/26/05 .00 22500 Qty Unit Charge Per Extension 92.75 294.00 BASE FEE 21.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 386.75 386.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 391.25 391.25 .00 .00 t::::)<( P'\ R.'C:j:? 0/Z'/OS Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T IPLANNING\FORMS\1102.15 [11/1412003] oCt ~ ~ U( (t.. ~ 1 l0 J