HomeMy WebLinkAboutBLD08-230VOR
CITY OF PORT TOWNSEND
DEVELOPMENT SERVICES DEPARTMENT
INSPECTION REPORT
WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU
WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY.
DATE OF INSPECTION /i/ / (' /
-5/ 7 PERMIT NUMBER: F'�O\ 2 3C)
SITE ADDRESS:
CONTACT PERSON:
TYPE OF INSPECTION:
PHONE:
0 APPROVED El APPROVED WITH 0 NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Inspector ._n1"</V Date L
Acknowledgement
Date
Approved plans and permit card must be on -site and available at time of'inspection. A re -inspection fee may
be assessed il"work is not ready for inspection.
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
-p5
PERMIT # J V - _Z �............................ DATE RECEIVED.....
SCOPE OF WORK:
._.......__
DATE
ACTION
INITIALS
.................
_
ENTERED INTO CHET ...
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CHECKED FOR COMPLETENESS
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Lot Coverage:
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BUILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 98368
(360)379-5095
Project Information
Permit Type Residential - Addition/Remodel
Site Address 1104 THOMAS ST
Project Description
KITCHENAVINDOWS
Names Associated with this Project
Type
Name Contact
Applicant
Adams Vicki Jane
Owner
Adams Vicki Jane
Contractor
Tollefson Builders Inc. Todd Hulbert
Contractor
Tollefson Builders Inc. Todd Hulbert
Permit # BLD08-230
Project Name KITCHEN/WINDOWS
Parcel # 948318504
License
Phone # Type License # Exp Date
(360) 531-2374 CITY 002889 12/31/2008
(360) 531-2374 STATE TOLLEB1977N 03/15/2009
Fee Information
Project Details
Project Valuation
$20,000.00
Entered Bid Valuation
Building Permit Fee
321.25
Units:
Plan Review Fee
208.81
Bedrooms:
State Building Code Council Fee
4.50
Bathrooms:
Technology Fee for Building Permit
6.43
Record Retention Fee for Building
10.00
Permit
Total Fees $ 550.99
Conditions
Heat Type:
Construction Type:
Occupancy Type:
10. Property comer survey pins must be located at time of footing inspection to verify setbacks.
20,000 DOLI
* * * SEE ATTACHED CONDITIONS * * *
Ca11385-2294 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. 1 certify
that the information provided as apart of the application for this permit is true and accurate to the best of my knowledge. 1 further certify
that I am the owner of the property or authorized agent of the owner.
Print Nan e k- /a Date Issued: 12/05/2008
M Issued Bp: FRONTDESK
Signature t w ° " Date Date Expires: 06/03/2009
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De o J/epment Services
VR
250 Madison Street, Suite 3
Port Townsend WA 9 68
ry . Phone, 350-379-55
"* Fax: 30-344-4819
wwmcityofpt.us
Residential Building Permit Application
➢ Applications by mail must include a check for initial plan review fee of $150 for projects valued over $15,000.
See Page 2 for details on plan submittal requirements„
Property Owner/Applicant:
Name: V 1 ,, �" S
Address: 04 ' L- -<,'�
City/St/Zip:_J�5- PJ'p r
Phone:. ,
Email:
Con tact/Representative:
Name: (.-A Vt,io
Address:Cw�
City/St/Zip; a „
Phone:
Email,
�w
Contractor: ❑ Same as Owner
Address
City/St/Zip:..
Phone—
Email:.M
State License #: ' F0 lle-l3 c�7 7 h S Exp: 2c-3 /.Z
City Business License #;�2
I hereby certify that the information provided is corret,
and that all activities associated with this permit will 66 (i
Print Name: ,
Signature; ;.m. ....,.
Page 1 of 2 7/31/2008
Lender Information:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name:
Project Valuation: $ -70
Building Information (square feet):
15t floor 1Z03 Garages am
2"d floor Deck(s):
3nd floor Porch(es):
Basement: Is it finished? Yes No
Carport: Other:
Manufactured Home ❑ ADU ❑
New Addition ❑ Remodel/Repair
Total Lot Coverage (Building Footprint):*
L— Square feet: „) --� %
Impervious Surface:" A'Square feet: *Total existin & proposed
What year was the structure built? ZZ4L
If work includes demolition, see Page 2.
Any known wetlands on the property? Y
Any steep slopes (>15%)? Y N
ithdr thO ov inerpj a` h �'zed to act on behalf of the owner
rqIcd": "ri6,St, to Law n f� he Port Townsend Municipal Code.
l ')D
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General/Specialty Contractor
A business registered as a construction contractor with LEd 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
Verify Workers' Comp Premium Status
Name TOLLEFSON BUILDERS
INC
Phone No. (360) 732-4080
Address PO BOX 100
Suite/Apt.
City
CHIMACUM
State
WA
Zip
98325
County
JEFFERSON
Business Type
CORPORATION
Parent
Company
Business Owner Information E- Hide All
Check for Dept. of Revenue Account
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601222162
ACTIVE
TOLLEB1977N9
i CONSTRUCTION
CONTRACTOR
8/29/2003
3/15/2009
TOLLSC1107D6
?' GENERAL
UNUSED
......... ........ ....... _.. ..............
Name
.........
Role
----
Effective Date
Expiration Date
TOLLEFSON, RICK F
MAYSHARK, HOLLY..H.........................SECRETARY...............
PRESIDENT
08/29/2003
08/29/2003..................................
Bond Information
Bond CoBond mpany Account n............f ..... .....
t Effective Expiration Cancel Impaired Bond Received
Name Number Date Date Date Date Amount Date
....... ..._........ ..... .
TRAVELERS
5 CAS Et 206085510 03/15/2002 Until $12,000.00 01 /25/2002
SURETY Cancelled
https://fortress.wa.gov/lnl/bbip/Detall.aspx?License=TOLLEBI977N9 1 l /3/2008
Look Up a Contractor, Electr tan, Plumber or Elevator Professional 1 ' -,ense Detail Page 2 of 2
Insurance Information i,
Insurance
Company
Policy Number
Effective
Expiration
Cancel
Impaired
Amount
Received
Name
Date
Date
Date
Date
Date
................. _......m
_._..ERICAN....,................................w._.............._........_..........................._......__.._..
AM
..........................
_................._.......................................................m............................................
13
SAFETY
10TSR-GL1161-
05/15/200805/15/2009
$1,000,000.0005/14/2008
INDEMNITY
00
CO
AMERICAN
12
SAFETY
10TSRGL1161-
05/15/200705/15/2008
$1,000,000.0005/16/2007
INDEMNITY,00
CO
AMERICAN
11
INDEMNITY SAFETY
10TSRGL
�05/15/200705/15/2008
$1,000,000.0005/14/2007
CO
AMERICAN
10
A ETY
IOTSRGLO6730005/15/200605/15/2007
$1,000,000.00106/13/2006
CO
_..._...AMERICAN
................................................................._..............................................................................................................................................................................................................
. .. . ..... .
.....
. ..... ..
... ...
_.................................................
9
SAFETY
INDEMNITY
TSR021100398
05/15/200605/15/2007
$1,000,000.0005/11/2006
CO
8
CO F INS
TSR105610
05/15/200605/15/2007
$1,000,000.0002/22/2006
7
INS UMIALI
SMP036405
03/15/200503/15/2006
J$1,000,000.00103/02/2005
6
UMIALIK
SMP036405
03/15/200303/15/2005
$1,000,000.0003/20/2003
INS CO
5
OHIO CAS
INS CO
BL050500951
03/15/200203/15/2003
03/04/2002
About L&I I Find a job at L&I I Site Feedback I Toll -free Numbers
Washington State Dept, of Labor and Industries. Use of this site is subject to the laws of the state of Washington_
Access Agreement I Privacy and security statement I Intended use/external content policy I Staff only link
https://fortress.wa.gov/lni/bbip/Detall.aspx?License=TOLLEBI977N9 11 /3/2008
ADAM'S KITCHEN REMODEL 10-30-08
Parcel # 948 318 504
SITE: 1104 THOMAS STREET
PORT TOWNSEND. WA 98368
Scope of work:
1. Relocate hot water tank in adiacent garage. Per code requirements.
2. Install new skylight ha ,kitchen.
3. Replace existing 5-0 x 4-0 sliding window with 5-00-4 sliding window.
4, Remove old cedar paneling along kitchen wall, replace with drywall and paint.
5. Relocate dishwasher to left side of sink.
6. Replace exterior siding below new window.
7. New surfaces; carpet, vinyl, laminate counters, tile back splash, replace light
fixtures/per plan. New appliances, maple cabinets, kitchen sink and faucet.
8. Addition of one .. 4' wall section to improve cabinet space.
9. Improvements to receptacles and phone jack per plan.
Respectfully submitted,
&,A v�z�� . 1� C,
Liz Valentine-McCaffery
Valentine Interiors
Designer
Tollefson Builders
Todd Hulbert
General manager/Contractor
I
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10/30/08 THU 08:37 FAX 13603856967
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OCT 30,2008 09:15A 13603856967 page 10
Parcel Details
Page 1 of 2
Home
Parcel Number: 948318504 SEARCH I'
Parcel Number: 948318504
Owner Mailing Address:
VICKI JANE ADAMS
1104 THOMAS ST
PORT TOWNSEND WA983682319
Site Address:
1104 THOMAS ST
PORT TOWNSEND 98368
aAse Toots'
County Info Departments Seoich
Section: 10 School District: Port Townsend (50)
Qtr Section: NW1/4 Fire Dist: Port Townsend (8)
Township: 30N Tax Status: Taxable
Range: 1W Tax Code: 100
Planning area: Port Townsend (1)
Sub Division: EISENBEIS ADDITION
Assessor's Land Use Code: 1100 - HOUSES (single units, non -farm)
Property Description:
Printer Friendly
EISENBEIS ADDITION I BLK 185 LOTS 5 (ALL) 6 (S 2.40') 1 N 20.40' OF VAC. 11 1 ST
FRTG-SUBJ.TO EASE I
No Permit
Data Assessor Bldg Data _ax, A/V, Sales Info Map Parcel Plats & Surveys
Available
i HOME I COUNTY INFO I DEPARTMENTS I SEARCH
Best viewed with Microsoft Internet Explorer 6.0 or later
http://www.co.jefferson.wa.us/assessors/parcel/parceldetail.asp 11 /3/2008
Assessor Detail Building #1
Page 1 of 1
Departnients
Assessor Detail Building #1
Parcel Number: 948318504
Sewch
_..__...Building Number
Year Built
Year Remodeled
1
1976
_...........................................
0
Building Exterior
Building Area
Buildinq Interior
Building Type: HOUSE
1st Floor Area: 1104
Int. Walls (Cabin):
Building Style: 1 STY
2nd Floor Area: 0
Heat: ELECTRIC BB/WALL
Foundation: CONCRETE PERIM,
3rd Floor Area: 0
SIN. 1 STY.
Exterior: PLY/T1-11
Loft Area: 0
Floor Cover (1): VINYL
Roof Cover:COMPOSITON
Attic Area: 0
Floor Cover (2): CARPET
Total Area: 1104
Basement Area: 0
Buildinq Rooms
Mobile Home
Garage
Bedrooms; 3
Make:
Type: Attached
Full Baths: 2
Model:
Area: 276
Half Baths: 0
Length:
Exterior: Ply/T1-11
Width:
Roof: Compositon
Year Built:
Carport Square Footage: 0
Skirting:
Area: 0
1st Addition
2nd Addition
Type:
Type:
Area: 0
Area: 0
Year Built: 0
Year Built: 0
Exterior:
(Exterior:
Roof:
Roof:
To view another building associated
with this parcel.
.................
Select buildina : 1 2 3
HOME I COUNTY INFO 1 DEPARTMENTS I SEARCH
Best viewed with Microsoft Internet Explorer 6.0 or later
Windows - Mac
http://www.co.jefferson.wa.uslassessors/parcellassessordetail.asp?Parcel NO=948318504 11/3/2008
A�
Receipt Number: 08-1072'
Receipt Date
12d0512008
Cashier. FRONDESK Payer/Payee Nam e, ADAMS V ICKI JA1+NE
Original Fee
hum ouurtt
Fee
Permit #
Parcel
Fee Description
,amount
Pant
Balance
BLD08-230
948318504
Building Permit Fee
$321.25
$321.25
$0.00
BLD08-230
948318504
Plan Review Fee
$208.81
$208.81
$0.00
BLD08-230
948318504
State Building Code Council Fee
$4.50
$4.50
$0.00
BLD08-230
948318504
Technology Fee for Building Permit
$6.43
$6.43
$0.00
BLD08-230
948318504
Record Retention Fee for Building P
$10.00
$10.00
$0.00
Total:
$550.99
Previous Payment Hi r
Reeeip't #
Receipt Date
Fee Description
Am oun,t Paid Permit t
Payment
Check
Payment
Method
NurnNedr
Amount
CHECK
21104
$ 550.99
Total $550.99
genpmtrreceipts Page 1 of 1
RT r,
Receipt Number: 09-0074"
112000 Cashier: ER, PayerlPayee N
Permit# Parcel
BLD08-230
948318504
BLD08-230
948318504
BLD08-230
948318504
BLD08-230
948318504
BLD08-230
948318504
Original Fee
Amount
Fee
Fee Description ,
amount
Paid
Balance
Building Permit Fee
$321.25
$321.25
$0.00
Plan Review Fee
$208.81
$208.81
$0.00
State Building Code Council Fee
$4.50
$4.50
$0.00
Technology Fee for Building Permit
$6.43
$6.43
$0.00
Record Retention Fee for Building Per
$10.00
$10.00
$0.00
Total:
$550.99
Receipt # Receipt Date Pee De cOptiodu Arnouiitftld Permit #:
F"aymeht Check Payr ent
Method Number Amour nt
CHECK 21104 $ 550.99
Total: $550.99
genpmtrreceipts Page 1 of 1
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Receipt Number: 08-10717
Receipt Date. 12106t2oos Cashier: FRONTOESK PayerlPay a Name-, 0AS' VIC A6,
Permit # Parse l
BL D08-230
948318504
BLD08-230
948318504
BLD08-230
948318504
BLD08-230
948318504
BLD08-230
948318504
Rece Ipt #
Receipt bate
Pa ment
Check
Mllathod
Number
CHECK
21104
Fee Description
Building Permit Fee
Plan Review Fee
State Building Code Council Fee
Technology Fee for Building Permit
Record Retention Fee for Building P
Original Fee;'
Amount.
Fee
Amount
Paid
Balance
$321.25
$321.25
$0.00
$208.81
$208.81
$0.00
$4.50
$4.50
$0.00
$6.43
$6.43
$0.00
$10.00
$10.00
$0.00
Total:
$550.99
Previous Payment History
Fee Deecriptl+�n mount Pain P rmit,
Payment
Amount
$ 550.99
Total $550.99
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