HomeMy WebLinkAboutBLD08-139BUILDING PERMIT
City of Port Townsend
Development Services Department
250 Madison Street, Suite 3, Port Townsend, WA 9.8368
(360)379-5095
Project Information
Permit Type Residential - Miscellaneous
Site Address 1506 31ST ST
Project Description
Permit # BLD08-139
Project Name Repair non-structural fire damage
Parcel # 948004005
Repair fire damage to SFR including new insulation, drywall, windows, etc.
Names Associated with this Project License
Type Name Contact Phone # Type License # Exp Date
Applicant Simmons Thomas Gary
Owner Simmons Thomas Gary
Contractor Mcbridge Construction Q - CITY 3686 12/31/2008
Resources
Contractor Mcbridge Construction O - STATE MCBRICRO99J 03/25/2009
Resources
Fee Information
Project Details
Manual Input 21,000 DOLL
Project Valuation
$21,000.00
Building Permit Fee
335.25
Plan Review Fee
217.91
State Building Code Council Fee
4.50
Technology Fee for Building Permit
6.71
Record Retention Fee for Building
10.00
Permit
Total Fees $574.37
Call 385-2294 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. I certify
that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify
that I am the owner of the property or authorized agent of the owner,
Print Name Date Issued: 06/26/2008
Issued By: FRONTDESK
7te
m
0
p W
Wt:
O co
O
fA
O w
Q =
Wz
00
J
w Co
cc
Q J
�a
z >
O Q
Lu
W Co
a ~
U�
Z �
W Z
w Z
Mg
w w
J O
¢ a
J
z a
:3o
WW
c> a
�a
zu
N y
U
W ¢
> a
O D
U
W U
� O
O 0
Z
LL
o w
wQ O
W IL
IL
J d
a ¢
y
z
O z
ao
U J
O 5
J CO
CO W
O F-
� o
U Z
a ¢
z
z
O
00
W =
fn ¢
¢ ul
z_ _Q
0 w
W a
¢ W
U
N a
2 ¢
f- W
0 m
00
0
0
N
m
N �
N Q
O
J
H
Z
Q
W a
H =)
O
z
O
9
xa
W
00
0
0
N
N
O
W
Q
0
0
w
D
W
rn
00
0
0
J
m
O
z
Q'
W
a
0
0
V
O
O
00
0)
O
O
Z
J
W
Q
a
w
m
z -o
O a)
u
ly
O w
U z o
O J
H
a
U
w
0
u
LU
IL
U)
z
O O
O 0
U m
CO
M z
O
Lo O
T H
c
LLJ
co
Z
H
o z
Q O U
N
z
Z
W
O
U
W
Q
0
IL
U)
Z
Z
O
u
w
IL
U)
z
H
w
O
0
IL
U)
z
Z
0
C9
O
z
m
W
a
m
-Zm
Z
O
H
U
W
a
Y)
z
a
0
H
N Z
N 0
M LL
CD a.
�CD
0
J th
QO
U F-
z
02
~a
U
W
aW
zW
Z U
Q w
~ W
Wm
W D
w E
0 H
W
D
a
w
w
Z
O
H
U
W
O.
U
Z
CITY OF PORT TOWNSEND
PERMIT ACTIVITY LOG
PERMIT 4 1,13 DATE RECEIVED
SCOPE OF WORK:
,
k
61oAs
Residenti
"Pevelopment Services
250Madison Street, Suite 3
Port Townsend WA 98368
Phone: 360-379=5695
Sax; 360-344-4619
www.cityofpt.us'
i n
ProjectAddress: 5T" _ _ g p on or Tax � � 3 3 ! Addition:
4 t t I
Zoning: R Block:
Parcel # D (j q --0 Lot(s):
Project Description: A01Tim, TR44�
pp accepted b mail must include a check for initial Ian ➢ Applications acce t y p review f o $150
➢ See the "Residential Building Permit Application
➢ Requirements" for details on plan submittal requirements.
Property Owner:
Name: l9,rQ--`" fjiMA40AJ
Address: ¢ 5 7 ! -�-
City/St/Zip: : . i - WA qp
Phone: 'e5c:
Email:
Contact/Representative:
Name: r ..
Address:µ
City/St/Zip: IP)q
Phone: (o
Email:
Contractor: ❑ Same as Owner
Name'
Address:
City/St/Zip: a'i7't
Email:
State License #: fA4,na, tt t. z Exp: V ?. M
City Business License #; emt 'c ( 31
Office Use Only
#er t O f
Associated Permits:
Lender Information:
Lender information must be provided for projects
over $5,000 in valuation per RCW 19.27.095.
Name:
Project Valuation: $
Building Information (square feet):
1 st floor
Garage: Kc' 6HA
2"d floor
Deck(s)
3rd floor
Porch(es):
Basement:
Is it finished? Yes No
Carport:
tither:
Manufactured Home ❑ ADU ❑ New
Addition ❑ Remodel/Repair ❑
Total Lot Coverage (Building Footprint):*
Square feet: % 00 e c 6:r--
Impervious Surface:*
Square feet: *Total existing proposed
If an existing structure, what year was it
built? (/p7 q
Any known wetlands on the property? Y O
Any steep slopes (>15%)? Y 0
I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner
and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code.
Print Nam
Signature
(�T %--> 11YVfV(_U1V C)
Date<
Work Description ElStorm
** ...E ❑ Temp. P. ❑ T 1
Start Date _ m�_....__.'° Estimator ^�.,.� ._.° . ..... .._ Production Supr _ .. Field Supr ._°,w. _....�.
r
a
Name Street Addressesna
......... mm
0
Phone (H) y City, State and ZIP
E (10 digits).�,_.
f 3
Y
Job No,
File Nam
It '
Phones
_
Fax ... .. ( ) . )
Cell � �
_
(10 digits)
o�`
`°^° gRb,j
(10 digits)µµµ
Contact
_...
_. Title....... _. Phone
(10 digits)
Job Site Ph # ......_
........jig"IITS") ... ...._
_ _°... Notes ........uw�....�����.....�„��
(10 digits)
**CHECK ONE;
L
Contract ❑ Verbal
°
Send to: Name ..�_.
_..� Street Address I`
�
Phone H
()
�,r"��
r
City, State and ZIP °""_,
(10 digits)
r
Phones (W) .._
(Cell)....�,.._..... ................._. _ _ Fax
..�......... ___..............
(10 digits)
(10 digits)
(10 digits)
**CHECK ONE: ❑ Private ❑ Property Mgr. (Co. Mgr. ...._ .............................. � )
Insurance (Co Adjuster t . , P3�,rlr., )
PhonDed. $ � Claim # Policy#...
Mortgage Cc
Notes:
Mailing
Name Address
..�
Phone City, State, ZIP
(10 digits)
yN 4 ,.iiiiN4 y ! R
Notes:
JOB NOTES
Scope of work
INSURED ; Thomas Simmons
DATE OF REPORT
; 5/16/2008
LOCATION ; 1506 31 st Street
DATE OF LOSS
; 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
; D 406697
COMPANY : Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
; Wyman Lee
r
stlmat+s See ,tl6Be�ir�rosrra
-
Master Bedroom......... .................. ,....... 12' x..1
Offset.................................................................... 2' 6.0" x 6' x 7'
9.0"
Lower Perimeter: 59.00 LF Floor SR
195.00 SF
Wall SR
457.20 SF
Upper Perimeter: 59.00 LF Floor SY:
21.67 SY
Ceiling SR
195.00 SF
_ ..._.
Quantity Description
Unit w
_ Cost ......
CV DEP � _ ACV „m
R.__ .......... .......
25.0 SY Replace Carpeting (Per Sq. Yd)
$25.00
$625.00
$156,25
$468.75
3.0 LF Carpet Conversion Strip
$1.85
$5.55
$5.55
21.7 SY Replace Carpet Pad (Per Sq. Yd)
$3.75
$81.38
$20.34
$61.04
228.6 SF Replace Wall Insulation
$0.65
$148.59
$22.29
$126.30
652.2 SF Replace Gypsum Drywall Walls & Ceiling
$1.51
$984.82
$196.96
$787.86
195.0 SF Cover/Protect Floors
$0.14.
$27.30
$27.30
652.2 SF Seal Walls & Ceiling
$0.20
$130.44
$26.09
$104.35
457.2 SF Texture Walls
$0.55
$251.46
$50.29
$201.17
195.0 SF Texture for Ceilings
$0.38
$74.10
$14.82
$59.28
652.2 SF Paint Walls & Ceiling (2 Coat)
$0.45
$293.49
$58.70
$234.79
59.0 LF Replace Base Moulding
$1.37
$80.83
$16.17
$64.66
59.0 LF Paint / Finish Base Moulding
$0.63
$37.17
$7.43
$29.74
20.0 LF Replace Window Jamb / Casing
$3.50
$70.00
$14.00
$56.00
20.0 LF Paint / Finish Window Jamb / Casing
$0.80
$16.00
$3.20
$12.80
6.0 LF Replace Closet Shelf and Rod Closet Shelving
$21.00
$126.00
$25.20
$100.80
1.0 EA Replace Prehung H/C Door
$246.00
$246.00
$61.50
$184.50
1.0 EA Replace By -Pass Sliding Door
$300.00
$300.00
$75.00
$225.00
1.0 EA Replace Doorknob W/Keyless Lock
$32.95
$32.95
$6.59
$26.36
1.0 EA Replace Aluminum Window
$400.00
$400.00
$140.00
$260.00
1.0 EA Replace Blinds
$100.00
$100.00
$25.00
$75.00
7.0 EA Replace Electrical Outlet
$14.22
$99.54
$24.89
$74.65
1.0 EA Replace Light Fixture
$80.34
$80.34
$20.09
$60.25
1.0 EA Replace Battery -Powered Smoke Detector
$23.46
$23.46
$5.87
$17.59
6.0 LF Replace Electric Baseboard for Room Heating Unit
$24.72
$148.32
$37.08
$111.24
1.0 EA Replace Wall Thermostat
$81.38
$81.38
$20.34
$61.04
195.0 SF Smoke Seal Flooring
$0.49
$95.55
$95.55
457.2 SF Smoke Seal Walls
$0.49
$224.03
$224.03
195.0 SF Smoke Seal Ceiling
$0.49
$95.55
$95.55
10.0 HR General Demolition Labor
$30.00
$300.00
$300.Od
'Totals..For'Master Bedroom1 $5.179 25' ........$1a028.101
.�.. ti ..a __-____,�. + �.... _.. Ayoj�.. .d .....
This is an estimate of recorded dame es and is ct to review artP tier _ � _ _ final r1�i b � tl►e ►nsurance car *** „
SIMSOL®
Form CEST-1/3.0 Page, 1
INSURED ;, Thomas Simmons
DATE OF REPORT
: 5/16/2008
LOCATION ; 1506 31st Street
DATE OF LOSS
: 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY : Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
Wyman Lee
Estl moate Suction:"
M ter B thrac+r » C ttnuew .:.
Quantity
Description Unit Cost RCV
DEP
ACV
45.2 SF
Floor Protection $1.30 $58.76
$58.76
260.9 SF
Seal Walls & Ceiling $0.20 $52.18
$10.44
$41.74
215.7 SF
Texture Walls $0.55 $118.64
$23.73
$94.91
45.2 SF
Texture for Ceilings $0.38 $17.18
$3.44
$13.74
260.9 SF
Paint Walls & Ceiling (2 Coat) $0.45 $117.40
$23.48
$93.92
27.8 LF
Replace Base Moulding $1.37 $38.09
$7.62
$30.47
27.8 LF
Paint / Finish Base Moulding $0.63 $17.51
$3.50
$14.01
2.0 EA
Replace Interior Door Casing / Trim $28.61 $57.22
$11.44
$45.78
2.0 EA
Paint / Finish Interior Door Casing / Trim $6.38 $12.76
$2.55
$10.21
12.0 LF
Replace Window Jamb / Casing $3.50 $42.00
$8.40
$33.60
12.0 LF
Paint / Finish Window Jamb / Casing $0.80 $9.60
$1.92
$7.68
1.0 EA
Replace Prehung H/C Door $246.00 $246.00
$61.50
$184.50
1.0 1=A
Replace Doorknob W/Keyless Lock $32.95 $32.95
$6.59
$26.36
1.0 EA
Replace Aluminum Window $225.00 $225.00
$78.75
$146.25
2.0 LF
Remove and Reinstall Wall Cabinetry $30.00 $60.00
$60.00
2.0 LF
Clean Wall Cabinetry $3.71 $7.42
$7.42
1.0 EA
Remove and Reinstall Medicine Cabinet $22.08 $22.08
$22.08
1.0 EA
Clean Medicine Cabinet $3.71 $3.71
$3.71
1.0 EA
Remove and Reinstall Commode $62.96 $62.96
$62.96
1.0 EA
Clean Commode $10.63 $10.63
$10.63
1.0 EA
Remove and Reinstall Shower Door $70.00 $70.00
$70.00,
1.0 EA
Remove and Reinstall Sink (Complete Assembly) $44.97 $44.97
$44.97
1.0 EA
Clean Sink (Complete Assembly) $9.64 $9.64
$9.64
1.0 EA
Remove and Reinstall Towel Bar $7.58 $7.58
$7.58
1.0 EA
Clean Towel Bar $1.01 $1.01
$1.01
1.0 EA
Remove and Reinstall Towel Ring $8.90 $8.90
$8.90
1.0 EA
Clean Towel Ring $1.01 $1.01
$1.01
1.0 EA
Remove and Reinstall Toilet Paper Roller $7.12 $7.12
$7.12
1.0 EA
Clean Toilet Paper Roller $0.89 $0.89
$0.89
4.0 EA
Replace Electrical Outlet $14.22 $56.88
$14.22
$42.66
1.0 EA
Remove and Reinstall Light Fixture $22.35 $22.35
$22.35
1.0 EA
Clean Light Fixture $9.61 $9.61
$9.61
1.0 EA
Remove and Reinstall Bathroom Ventilation Fan $16.93 $16.93
$16.93
1,0 EA
Clean Bathroom Ventilation Fan $10.38 $10.38
$10.38
215.7 SF
Smoke Seal Walls $0.49 $105.69
$105.69
45.2 SF
Smoke Seal Ceiling $0.49 $22.15
"'
$22.15
4.0 HR
General Demolition Labor $30.00 $120.00
$120.00
3.0 HR
Cleaning Labor $24.71 $74.13,
$74.13
Totals For Master Bathroo,
y y „y _..�.. snk� et to review an
N 1_. d final a aarov bt+rct in's .uran+c carrier **�
This is an estimate of recorded danma es and �a
SIMSOL®
Form CEST-113.0 Page: 2
INSURED ; Thomas Simmons
DATE OF REPORT
5/16/2008
LOCATION ; 1506 31 st Street
DATE OF LOSS
; 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY ; Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
: Wyman Lee
r..
Est(rnat+e S ctton: ;Bathroom .
Bathroom .......... .......... .....,.,,........ ............... ............. 6' x 8' 9.0" x T 9.0"
Lower Perimeter: 29.50 LF Floor SF: 52.50 SF Wall SF: 228.60 SF
Upper Perimeter: 29.50 LF Floor SY: 5.83 SY Ceiling SF: 52.50 SF
Quantity .. ,... Description ...... Unit Cost....mm.............. DEP _ .... „M. ACV ...�.
52.5 SF Clean Ceramic Floor Tile $0.38 $19.95 $19.95
67.9 SF Replace Wall Insulation $0.65 $44.14 $6.62 $37.52
281.1 SF Replace Gypsum Drywall Walls & Ceiling $1.51 $424.46$84.89 $339.57
52.5 SF Floor Protection $1.30 $68.25 $68.25
281.1 SF Seal Walls & Ceiling $0.20 $56.22 $11.24 $44.98
228.6 SF Texture Walls $0.55 $125.73 $25.15 $100.58
52.5 SF Texture for Ceilings $0.38 $19.95 $3.99 $15.96
281.1 SF Paint Walls & Ceiling (2 Coat) $0.45 $126.50 $25.30 $101.20
29.5 LF Replace Base Moulding $1.37 $40.42 $8.08 $32.34
29.5 LF Paint / Finish Base Moulding $0.63 $18.59 $3.72 $14.87
2.0 EA Replace Interior Door Casing / Trim $28.61 $57.22 $57.22
2.0 EA Paint / Finish Interior Door Casing / Trim $6.38 $12.76 $12.76
1.0 EA Replace Prehung H/C Door $246.00 $246.00 $61.50 $184.50
1.0 EA Replace Doorknob W/Keyless Lock $32.95 $32.95 $6.59 $26.36
2.0 LF Replace Wall Cabinetry $120.00 $240.00 $60.00 $180.00
1.0 EA Replace Medicine Cabinet $118.50 $118.50 $29.62 $88.88
4.0 LF Replace Vanity Cabinetry $90.00 $360.00 $90.00 $270.00
4.0 LF Replace Laminated w/Splash Countertop $39.93 $159.72 $39.93 $119.79
1.0 EA Replace Tub/Shower Combo $820.00 $820.00 $205.00 $615.00
1.0 EA Replace Shower Head for Bathtub $58.49 $58.49 $14.62 $43.87
1.0 EA Replace Faucet Set for Bathtub $89.99 $89.99 $22.50 $67.49
1.0 EA Replace Shower Rod for Bathtub $35.49 $35.49 $8.87 $26.62
1.0 EA Replace Sink (Complete Assembly) $287.66 $287.66 $71.92 $215.74
1.0 EA Rough -in for Sink (Complete Assembly) $175.00 $175.00 $43.75 $131.25
1.0 EA Replace Towel Bar $25.90 $25.90 $5.18 $20.72
1.0 EA Replace Towel Ring $43.59 $43.59 $8.72 $34.87
1.0 EA Replace Toilet Paper Roller $21.34 $21.34 $4.27 $17.07
4.0 EA Replace Electrical Outlet $14.22 $56.88 $14.22 $42.66.
1.0 EA Replace Light Fixture $80.34 $80.34 $20.09 $60.25
1.0 EA Replace Fan Heater w/Lite Bathroom Ventilation Fan $220.00 $220.00 $44.00 $176.00'
1.0 MC Minimum Charge Wall Framing System in order to
install tub/shower combo $150.00 $150.00 $150.00
228.6 SF Smoke Seal Walls $0.49'' $112.01 $112.01
52.5 SF Smoke Seal Ceiling $0.49' $25.72 $25.72
10.0 HR General Demolition Labor $30.00 $300.00i $300.00
�
Totals For Bathroom! ' � �� 9.
This ..W....
is an estimate of recorded damage alis.ufrtto review and finale
.�" -._rowatbthe insurance carrier.
-
"
SIMSOL
Form CEST-113.0 Page: 3
INSURED : Thomas Simmons
DATE OF REPORT
: 5/16/2008
LOCATION ; 1506 31 st Street
DATE OF LOSS
: 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY ; Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
; Wyman Lee
kith ra Section: ` tri
Entry ......,.. .... 4'3.0"x4'7.0"xT9.0"
Lower Perimeter: 17.70 LF Floor SF:
19.50 SF
Wall SF:
136.90 SF
Upper Perimeter: 17.70 LF Floor SY:
2.17 SY
Ceiling SF:
19.50 SF
uantlty Descnoflon
QJ.. a...
Uni....
.
19.5 SF Clean Ceramic Floor Tile
$0.38
$7.41
$7.41
35.5 SF Replace Wall Insulation
$0.65
$23.08
$3.46
$19.62
156.4 SF Replace Gypsum Drywall Walls & Ceiling
$1.51
$236.16
$47.23
$188.93
19.5 SF Floor Protection
$1.30
$25.35
$25.35
156.4 SF Seal Walls & Ceiling
$0.20
$31.28
$6.26
$25.02
136.9 SF Texture Walls
$0.55
$75.30
$15.06
$60.24
19.5 SF Texture for Ceilings
$0.38
$7.41
$1.48
$5.93'
156.4 SF Paint Walls & Ceiling (2 Coat)
$0.45
$70.38
$14.08
$56.30
17.7 LF Replace Base Moulding
$1.37
$24.25
$4.85
$19.40
17.7 LF Paint / Finish Base Moulding
$0.63
$11.15
$2.23
$8.92
1.0 EA Replace Interior Door Casing / Trim
$28.61
$28.61
$5.72
$22.89'
1.0 EA Paint / Finish Interior Door Casing / Trim
$6.38
$6.38
$1.28
$5.10
1.0 EA Replace Exterior Door with glass
$785.91
$785.91
$157.18
$628.73
1.0 EA Paint / Finish Exterior Door with glass
$46.93
$46.93
$9.39
$37.54
1.0 EA Replace Exterior Jamb for Prehung S/C Exterior
Door
$92.64
$92.64
$18.53
$74.11.
1.0 EA Paint / Finish Exterior Jamb for Prehung S/C Exterior
Door
$19.00
$19.00
$3.80
$15.201
1.0 EA Replace Knob w/Deadbolt (Entry) Door Hardware
$162.00
$162.00
$32.40;
$129.60
1.0 EA Replace Light Fixture
$80.34
$80.34
$20.091
$60.25
1.0 EA Replace Door Bell / Chimes
$82.82;
$82.82
$16.56
$66.26
136.9 SF Smoke Seal Walls
$0.49
$67.08
$67.08
19.5 SF Smoke Seal Ceiling
$0.49
$9.55
$9.55
1.5 HR General Demolition Labor
$30.00
$45.00
$45.00
�..- 1'motais For En------ . $1
ME mil. UM
Hallway....................................................................
3' x 19' 3.0" x 7' 9.0"
Offset ...... .... ... ...... ......... ....... ......
.... 3' x 3' x 7' 9.0"
Offset ,..... ...., ......... ..............................
... 3' x 2' 6.0" x 7' 9.0"
Offset................................................_...................
0' 6.0" x 2' 6.0" x 7' 9.0"
Lower Perimeter: 57.50 LF
Floor SF: 75,50 SF
Wall SF:
445.60 SF
Upper Perimeter: 57.50 LF
Floor SY: 8,39 SY
Ceiling SF:
75.50 SF
Quantity ..
........... ......._ .Descrintion.......
......... ._....
Unit Cost .......
.RCV ......
DEP .......
ACV
9.7 SY
Replace Carpeting (Per Sq. Yd)
$25.00
$242.50
$60.62
$181.88
8.4 SY
Replace Carpet Pad (Per Sq. Yd)
$3.75
$31.50
$7.88
$23.62
521.1 SF
Replace Gypsum Drywall Walls & Ceiling
$1.51
$786.86
$157.37
$629.49
75.5 SF
Cover/Protect Floors
$0.14
$10.57
$10.57
521.1 SF
Seal Walls & Ceiling
$0.201
$104.22
$20.84
$83.38
445.E SF
Texture Walls
$0.55
$245.08
$49.02
$196.06
This �s an estimate ,of recorded damages and rs subiect to review and final approval by the insurance carrier **
SIMSOL®
Form CEST-1/3.0 Page: 4
INSURED : Thomas Simmons
DATE OF REPORT
: 5/16/2008
LOCATION : 1506 31st Street
DATE OF LOSS
: 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY ; Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
: Wyman Lee
EstxmatdSection: "dell ay'- arrtintred..
Quantity Description
Unit Cost RC
liltv
75.5 SF Texture for Ceilings
$0.38 $28.691
$5.74
$22.95.
521.1 SF Paint Walls & Ceiling (2 Coat)
$0.45 $234.50
$46.90
$187.60
57.5 LF Replace Base Moulding
$1.37 $78.78
$15.76
$63.02
57.5 LF Paint / Finish Base Moulding
$0.63 $36.23
$7.25
$28.98
2.0 EA Replace Interior Door Casing / Trim
$28.61 $57.22
$11.44
$45.78
2.0 EA Paint / Finish Interior Door Casing / Trim
$6.38 $12.76
$2.55
$10.21
15.0 LF Replace 12 " Wide Closet Shelving
$6.85 $102.75
$102.75
3.5 LF Replace Closet Shelf and Rod Closet Shelving
$21.00 $73.50
$14.70
$58.80
2.0 EA Replace Prehung H/C Door
$246.00 $492.00
$123.00
$369.00
2.0 EA Replace Doorknob W/Keyless Lock
$32.95 $65.90
$13.18
$52.72
2.0 EA Replace Electrical Outlet
$14.22 $28.44
$7.11
$21.33'
2.0 EA Replace Light Fixture
$80.34 $160.68
$40.17
$120.51'
1.0 EA Replace Pre -Wired Smoke Detector
$61.93 $61.93
$15.48
$46.45
3.0 LF Replace Electric Baseboard for Room Heating Unit
$24.72 $74.16
$18.54
$55.62
75.5 SF Smoke Seal Flooring
$0.49 $36.99
$36.99
445.6 SF Smoke Seal Walls
$0.49 $218.34
$218.34
75.5 SF Smoke Seal Ceiling
$0.49 $36.99
$36.99
6.0 HR General Demolition Labor
$30.00 $180.00
$180.00
75.5 SF Electrical - Per Square Foot
$5.89 $444.70
$111.18
$333.52
I.m.. Totals For Mall..
-- - m= $3 845 29$728.72�L
$3116.56
Estimate Section:: Bedroom'1
Bedroom 1................................................................ 9' 7.0" x 11' 10.0" x 7' 9.0"
Offset..................................................................... 2' 6.0" x 5' x 7' 9.0"
Lower Perimeter:
47.80 LF Floor SF:
125.90 SF
Wall SF: 370.70
SF
Upper Perimeter:
47.80 LF Floor SY:
13.99 SY
Ceiling
SF: 125.90
SF
Quantity...
.... ..... ._,----m
Ion ...
Descripf
-
Unit Cost
----
RCV
_. ._�� ........
DEP
....
ACV..._.. _.__...
16.1 SY
Replace Carpeting (Per Sq. Yd)
$25.00
$402.50
$100.62
$301.88
14.0 SY
Replace Carpet Pad (Per Sq. Yd)
$3.75'
$52.50
$13.12
$39.38
91.7 SF
Replace Wall Insulation
$0.65'
$59.60
$8.94
$50.66
496.6 SF
Replace Gypsum Drywall Walls & Ceiling
$1.51
$749.87
$149.97
$599.90
125.9 SF
Cover/Protect Floors
$0.14
$17.63
$17.63
496.6 SF
Seal Walls & Ceiling
$0.20
$99.32
$19.86
$79.46
370.7 SF
Texture Walls
$0.55
$203.89
$40.78
$163.11
125.9 SF
Texture for Ceilings
$0.38
$47.84
$9.57
$38.27
496.6 SF
Paint Walls & Ceiling (2 Coat)
$0.45
$223.47
$44.69
$178.78
47.8 LF
Replace Base Moulding
$1.37
$65.49
$13.10
$52.39
47.8 LF
Paint / Finish Base Moulding
$0.63
$30.11
$6.02
$24.09
20.0 LF
Replace Window Jamb / Casing
$3.50'
$70.00
$14.00
$56.00
20.0 LF
Paint / Finish Window Jamb / Casing
$0.80
$16.00
$3.20
$12.80
5.0 LF
Replace Closet Shelf and Rod Closet Shelving
$21.00
$105.00
$21.00
$84.00
1.0 EA
Replace Prehung H/C Door
$246.00
$246.00
$61.50
$184.50
1.0 EA
Replace By -Pass Sliding Door
$300.00
$300.00
$75.00
$225.00
1.0 EA
Replace Doorknob W/Keyless Lock
$32.95
$32.95
$6.59
$26.36
A
Replace Aluminum Window
$400 00
$400.00
_ ..$140.00
$260 00:
s subject
damages and r .� t to review and final approval by the insurance carrier. " This ism an „estimate of recorded ___ _ m
SIMSOL®
Form CEST-113.0 Page: 5
INSURED ; Thomas Simmons
LOCATION : 1506 31 st Street
Port Townsend, WA 98368
COMPANY : Oregon Mutual Insurance Co
19000 33rd AVE W, # 110
Lynnwood, WA 98036
DATE OF REPORT
: 5/16/2008
DATE OF LOSS
: 5/2/2008
POLICY NUMBER
: D 406697
CLAIM NUMBER
: 038932
OUR FILE NUMBER
: 038932
ADJUSTER NAME
: Wyman Lee
Estimate Section,
86i 'room t, -'Cb' ht' 1 u'ee...
Quantity
_ Description
Unit Cost .......
. RCV. ...EP,.m
1.0 EA
Replace Blinds
$100.00
$100.00
$25.00
$75.00
5.0 EA
Replace Electrical Outlet
$14.22
$71.10
$17.77
$53.33
1.0 EA
Replace Light Fixture
$80.34''
$80.34
$20.09
$60.25
1.0 EA
Replace Battery -Powered Smoke Detector
$23.46
$23.46
$5.87
$17.59
6.0 LF
Replace Electric Baseboard for Room Heating Unit
$24.72
$148.32
$37.08
$111.24
1.0 EA
Replace Wall Thermostat
$81.38
$81,38
$20.34
$61.04
125.9 SF
Smoke Seal Flooring
$0.49
$61.69
$61.69
370.7 SF
Smoke Seal Walls
$0.49
$181.64
$181.64
125.9 SF
Smoke Seal Ceiling
$0.49
$61.69
$61.69
10.0 HR
General Demolition Labor
$30.00
$300.00
$300.00
Totals For Bedroom �.. � _.....: ._.. , w�. ;: $4mm231.79.1 $854 11.1... .._ $3.,377.68
Es mn Seotion: ,: Lt ing``1 ovre
Living Room............................................................ 14' 9.0" x 18' x T 9.0"
Offset..................................................................... 3' 4.0" x 11' 6.0" x T 9.0"
Lower Perimeter: 72.20 LF Floor SF:
303.80 SF
Wall SF: 559.30
SF
Upper Perimeter: 72.20 LF Floor SY:
33.76 SY
Ceiling SF: 303.80
SF
- -. _. T
Quantity Descri t
_ lion^ _WWm µ-_ �µ
UnitCost
RCV mm
DEP
ACV
38.9 SY Replace Carpeting (Per Sq. Yd)
$25.00
$972.50
$243.12
$729.38
33.8 SY Replace Carpet Pad (Per Sq. Yd)
$3.75
$126.75
$31.69
$95.06
279.6 SF Replace Wall Insulation
$0.65
$181.74
$27.26
$154.48
863.1 SF Replace Gypsum Drywall Walls & Ceiling
$1.51
$1,303.28
$260.66
$1,042.62
303.8 SF Cover/Protect Floors
$0.14
$42.53
$42.53
863.1 SF Seal Walls & Ceiling
$0.20
$172.62
$34.52
$138.10
559.3 SF Texture Walls
$0.55
$307.62
$61.52
$246.10
303.8 SF Texture for Ceilings
$0.38
$115.44
$23.09
$92.35
863.1 SF Paint Walls & Ceiling (2 Coat)
$0.45
$388.40
$77.68
$310.72
72.2 LF Replace Base Moulding
$1.37
$98.91
$19.78
$79.13
72.2 LF Paint / Finish Base Moulding
$0.63
$45.49
$9.10
$36.39,
26.0 LF Replace Window Jamb / Casing
$3.50
$91.00
$18.20
$72.80
26.0 LF Paint / Finish Window Jamb / Casing
$0.80
$20.80
$4.16
$16.64
1.0 EA Replace Aluminum Window
$650.00
$650.00
$227.50
$422.50
1.0 EA Replace Blinds
$140.00
$140.00
$35.00
$105.00
9.0 EA Replace Electrical Outlet
$14.22
$127.98
$32,00
$95.98'
1.0 EA Replace Pre -Wired Smoke Detector
$61.93
$61.93
$15.48
$46.45
10.0 LF Replace Electric Baseboard for Room Heating Unit
$24.72
$247.20
$61,80
$185.40
1.0 EA Replace Wall Thermostat
$81.38
$81.38
$20.34
$61.04
303.8 SF Smoke Seal Flooring
$0.49
$148.86
$148.86
559.3 SF Smoke Seal Walls
$0.49
$274.06
$274.06
303.8 SF Smoke Seal Ceiling
$0.49
$148.86
$148.86
3.0 HR'Mason Labor- Clean
$35.00
$105.00
$105.00'
16.0 HR General Demolition Labor
$30.00'
$480.00
$480.00
_ "TotaI,s Ft cr For dvl g_ akrn,
**' This is an estimate of recorded damages and is subject to review and final approval byr the Insurance carrier.
SIMSOLO
Form CEST-1/3.0 Page: 6
INSURED Thomas Simmons
DATE OF REPORT
: 5/16/2008
LOCATION 1506 31 st Street
DATE OF LOSS
: 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
; D 406697
COMPANY : Oregon Mutual Insurance Co.
CLAIM NUMBER
,038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
.-038932
Lynnwood, WA 98036
ADJUSTER NAME
: Wyman Lee
Estimate Section: Diquifa �k'orrr
Dining Room............................................................ 8' 6.0" x 9' x T 9.0"
Lower Perimeter: 35.00 LF Floor SF:
76.50 SF
Wall SF: 271.20 SF
Upper Perimeter: 35.00 LF Floor SY:
8.50 SY
Ceiling
SF: 76„50 SF
Description
quantity .. _ - �. _.... -
Unit Cost
RCV
DEP ACV
...
9.8 SY Replace Carpeting (Per Sq. Yd)
$25.00
$245.00
$61.25 $183.75
8.5 SY Replace Carpet Pad (Per Sq. Yd)
$3.75
$31.88
$7.97' $23.91
135.6 SF Replace Wall Insulation
$0.65
$88.14
$13.22 $74.92
347.7 SF Replace Gypsum Drywall Walls & Ceiling
$1.51
$525.03'
$105.01' $420.02
76.5 SF Cover/Protect Floors
$0.14
$10.71'
$10.71
347.7 SF Seal Walls & Ceiling
$0.20
$69.54'
$13.91 $55.63
271.2 SF Texture Walls
$0.55
$149.16
$29.83 $119.33
76.5 SF Texture for Ceilings
$0.38
$29.07
$5.81 1 $23.26
347.7 SF Paint Walls & Ceiling (2 Coat)
$0.45
$156.47
$31.29 $125.18
35.0 LF Replace Base Moulding
$1.37
$47.95
$9.59 $38.36
35.0 LF Paint / Finish Base Moulding
$0.63
$22.05
$4.41 $17.64
1.0 EA Replace Interior Door Casing / Trim
$28.61
$28.61
$5.72 $22.89
1.0 EA Paint / Finish Interior Door Casing / Trim
$6.38
$6.38
$1.28' $5.10
1.0 EA Replace Exterior Door - insulated
$420.00
$420,00
$84.00 $336.00
1.0 EA Replace Sliding Glass Patio Door
$950.00
$950.00
$237.50 $712.50
1.0 EA Replace Knob w/Deadbolt (Entry) Door Hardware
$162.00
$162.00
$32.40 $129.60
1.0 EA Replace Vertical Blinds
$120.00
$120.00
$24.00 $96.00
7.0 EA; Replace Electrical Outlet
$14.22
$99.54
$24.89! $74..65
1.0 EA Replace Light Fixture
$80.34
$80.34
$20.09! $60.25
1.0 EA Replace Pre -Wired Smoke Detector
$61.93'
$61.93
$15.48 $46.45
1.0 EA Replace Premium Quality Ceiling Fan
$362.79
$362.79
$90.70! $272.09
6.0 LF Replace Electric Baseboard for Room Heating Unit
$24.72
$148.32
$37.08 $111.24
1.0 EA Replace Wall Thermostat
$81.38
$81.38
$20.34' $61.04
76.5 SF Smoke Seal Flooring
$0.49
$37.48
$37.48
271.2 SF Smoke Seal Walls
$0.49
$132.89
$132.89
76.5 SF Smoke Seal Ceiling
$0.49
$37.48
$37.48
6.0 HR General Demolition Labor
$30.00
$180.00
$180.00
IFc►r i9lnir�g Rcaa.C........4 28414m�_.._ $875 77 _.:µ._$3 408,37
Estimate Sktlon: i itther►
zzll
Kitchen..u...,.„...................................................... ... 8' 6.0" x 9' 6.0" x 7' 9.0"
Lower Perimeter: 36.00 LF Floor SF:
80.80 SF
Wall SF:
279.00 SF
Upper Perimeter: 36.00 LF Floor SY:
8.98 SY
Ceiling SF:
80.80 SF
uantity___
T
Description
-...
Unit Cost
RCV DEP
ACV
80.8 SF
Replace Subflooring
$1.30
$105.04
$21.01
$84.03
10.4 SY
Replace Vinyl Flooring
$27.00
$280.80
$70.20'
$210.60
1.0 MC
Minimum Charge Vinyl Flooring
$121.12
$121.12
$121.12
80.8 SF
Add Floor Prep for Vinyl Flooring
$0.45
$36.36
$36.36
73.7 SF
Replace Wall Insulation
$0.65
$47.90
$7.18
$40.72
359.8 SF
Replace Gypsum Drywall Walls & Ceiling
$1.51
$543.30
$108.66
$434.64
�* This an estimate of recorded damages and is subject to review and final approval by the ►nsurance carr►er
SIMSOL®
Form CEST-113.0 Page: 7
INSURED ; Thomas Simmons
DATE OF REPORT
: 5/16/2008
LOCATION : 1506 31st Street
DATE OF LOSS
: 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY „ Oregon Mutual Insurance Co.
CLAIM NUMBER
.038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
z Lynnwood, WA 98036
ADJUSTER NAME
: Wyman Lee
Estimat6` ectlon:
-.._
` Kitchen .ContlnOed
Descnption..._ .. �..... Unit Cost
RCV
DEP
......ACV...
80.8 SF
Cover/Protect Floors $0.14
$11.31
$11.31
359.8 SF
Seal Walls & Ceiling $0.20
$71.96
$14.39
$57.57
279.0 SF
Texture Walls $0.55
$153.45
$30.69
$122.76
80.8 SF
Texture for Ceilings $0.38
$30.70
$6.14
$24.56
359.8 SF
Paint Walls & Ceiling (2 Coat) $0.45
$161.91
$32.38
$129.53
36.0 LF
Replace Base Moulding $1.37
$49.32
$9.86
$39.46
36.0 LF
Paint / Finish Base Moulding $0.63
$22.68
$4.54
$18.14
20.0 LF
Replace Window Jamb / Casing $3.50
$70.00
$14.00
$56.00
20.0 LF
Paint / Finish Window Jamb / Casing $0.80
$16.00
$3.20
$12.80
1.0 EA
Replace Prehung H/C Door $246.00
$246.00
$61.50
$184.50
1.0 EA
Replace Aluminum Window $350.00
$350.00
$122.50
$227.50
1.0 EA
Replace Blinds $100.00
$100.00
$25.00
$75.00
14.0 LF
Replace Base Cabinetry $165.00
$2,310.00
$577.50
$1,732.50
18.0 LF
Replace Wall Cabinetry $120.00
$2,160.00
$540.00
$1,620.00
17.0 LF
Replace Laminated w/Splash Countertop $39.93
$678.81
$169.70
$509.11
1.0 EA
Replace Double Enameled Sink (Complete
Assembly) $429.96
$429.96
$85.99
$343.97
1.0 EA
Replace Garbage Disposal $153.26
$153.26
$30.65
$122.61
10.0 EA
Replace Electrical Outlet $14.22
$142.20
$35.55
$106.65
24.0 SF
Replace Light Diffusing Panel $1.50
$36.00
$7.20
$28.80
3.0 EA
Replace Fluorescent Light Fixture $144.18
$432.54
$86.51
$346.03
80.8 SF
Smoke Seal Flooring $0.49
$39.59
$39.59
279.0 SF
Smoke Seal Walls $0.49
$136.71
$136.71
80.8 SF
Smoke Seal Ceiling $0.49
$39.59
$39.59
1.0 EA
Replace Rangetop $477.58
$477.58
$119.40
$358.18
1.0 EA
Replace Rangehood $122.75
$122.75
$30.69
$92.06'
1.0 EA
Replace Refrigerator $611.71
$611.71
$152.93
$458.78
1.0 EA
Replace Dishwasher $466.95
$466.95
$116.74
$350.21
14.0 HR
General Demolition Labor $30.00
$420.00
$420.00
1.0 MC
Minimum Charge H.V.A.C. - ducting for hood fan $153.08
$153.08
$30.62
$122.46
80.8 SF
Plumbing - Per Square Foot $5.62
$454.10
$454.10
_. -. _._... ....._.. Totals For Kitchen. _.
..m. $11,682.68
Estimate Section: Bedroom`2
Bedroom 2...........................................................--
9' 6.0" x 12' x 7' 9.0"
Offset.....................................................................
3' 6.0" x 6' x 7' 9.0"
Lower Perimeter: 50.00 LF
Floor SF: 135.00 SF
Wall SF:
387.50 SF
Upper Perimeter: 50.00 LF
Floor SY: 15.00 SY
Ceiling SF:
135.00 SF
uantity
......._...
Description
.... .... ., w.
- _ _--_-. UnitµCost
R�_...
V..w._.
..
.....DEP . _,- ACV. � -....
17.2 SY
Replace Carpeting (Per Sq. Yd)
$25.00
$430.00
$107.50
$322.50
15.0 SY
Replace Carpet Pad (Per Sq. Yd)
$3.75
$56.25
$14.06
$42.19
193.8 SF Replace Wall Insulation
$0.65
$125.97
$18.90
$107.07
522.5 SF Replace Gypsum Drywall Walls & Ceiling
$1.51
$788.98
$157.80
$631.18
135.0 SF1 Cover/Protect Floors
$0.14
$18.90'
$18.90
522.5 SF Seal Walls &Ceiling... ........ .........
......__ -
.$0..20.
$104.50..
$.?0.•.90
$83 60
"'"* damages and ►s subject to review and final approval
This is an estimate of re ^� insurance carrier cor ed pprova by the .. �
SIMSOL®
Forth CEST413.0 Page: 8
INSURED ; Thomas Simmons
DATE OF REPORT
: 5/16/2008
LOCATION ; 1506 31st Street
DATE OF LOSS
: 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY ; Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
; Wyman Lee
E6tim"at 'Sectiod: Bedroom
Quantity. .. w_w Description Unit Cost RCV .. _ _.��......� DEPm� �I ... mm:. ACV
387.5 SF Texture Walls
$0.55
$213.13 $42.63
$170.50
135.0 SF Texture for Ceilings
$0.38
$51.30 $10.26
$41.04
522.5 SF Paint Walls & Ceiling (2 Coat)
$0,45
$235.12 $47.02
$188.10
50.0 LF Replace Base Moulding
$1.37
$68.50 $13.70
$54.80
50.0 LF Paint / Finish Base Moulding
$0.63
$31.50 $6.30
$25.20
2.0 EA Replace Interior Door Casing / Trim
$28.61
$57.22 $11.44
$45.78
2.0 EA Paint / Finish Interior Door Casing / Trim
$6.38
$12.76 $2.55
$10.21
20.0 LF Replace Window Jamb / Casing
$3.50
$70.00 $14.00
$56.00
20.0 LF Paint / Finish Window Jamb / Casing
$0.80
$16.00 $3.20
$12.80
5.0 LF Replace Closet Shelf and Rod Closet Shelving
$21.00
$105.00 $21.00
$84.00
1.0 EA Replace Prehung H/C Door
$246.00
$246.00 $61.50
$184.50
1.0 EA Replace Doorknob W/Keyless Lock
$32.95
$32.95 $6.59
$26.36
1.0 EA Replace Aluminum Window
$400.00
$400.00 $140.00
$260.00
1.0 EA Replace Blinds
$100.00
$100.00 $25.00
$75.00
5.0 EA Replace Electrical Outlet
$14.22
$71.10 $17.77
$53.33
1.0 EA Replace Light Fixture
$80.34
$80.34 $20.08
$60.26
1.0 EA Replace Battery -Powered Smoke Detector
$23.46
$23.46 $5.86
$17.60
6.0 LF Replace Electric Baseboard for Room Heating Unit
$24.72
$148.32 $37.08
$111.24
1.0 EA. Replace Wall Thermostat
$81.38
$81.38 $20.34
$61.04
135.0 SF Smoke Seal Flooring
$0.49
$66.15'
$66.15
387.5 SF Smoke Seal Walls
$0.49
$189.88'
$189.88
135.0 SF Smoke Seal Ceiling
$0.49
$66.15
$66.15
10.0 HR General Demolition Labor
$30.00
$300.00'
$300.00'
Totals or Bedroom .2 � � -L�__ A4,1Pii. 6i $825.:48� ....._ : $3 365 38
Estifnite Section: ' 11 Front Elea on
Front Elevation........................................................ 75' x 0' x 8'
Qu ..
_..... _.-- ,
...� ..... µm........Un„iantit� Description ption
_, �-
t _C_ost
- RC�V.........._
D.E...P.
..
ACV
192.0 SF
Replace Exterior T-111 Siding
$2.93
$562.56
$140.64
$421.92
600.0 SF
Seal & Paint Wood Siding
$1.07
$642.00
$160.50
$481.50
30.0 LF
Replace Fascia - 1" x 8" #3 cedar (lower belly band)
$5.00
$150.00
$37.50
$112.50
60.0 LF
Prime & Paint Exterior Fascia - wood, 6" - 8" wide
(belly band)
$1.66
$99.60
$24.90
$74.70
2.0 HR Siding Installer - detach & reset 2 sets of shutters
$50.00
$100.00
$100.00
3.0 HR'Painter Labor to Prime New Siding & Trim
$50.00'
$150.00
$37.50
$112.50
4.0 HR'General
Demolition Labor to remove partial T-111
siding and partial lower trim
$36.00
$144.00
$144.00
foals For Front Elevation.
_ _:.., ,.n.. �� ........ ....... ...... __ ._ __ .__....___ ....�_
_ . .:..�.__....
. $1,848.16
$401.04i..
447 12
'$1.. .......
This is an estimate of recorded damages d ' review and final approval by the insurance carrier.
.......... and is subject to ...... - _.._..._
SIMSOL®
Form CESTA/3.0 Page: 9
INSURED ; Thomas Simmons
DATE OF REPORT
; 5/16/2008
LOCATION 1506 31 st Street
DATE OF LOSS
; 5/2/2008
w Port Townsend, WA 98368
POLICY NUMBER
: D 406697
COMPANY Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
: Wyman Lee
Estlnnate, ectiern: 'Lei tEiev on .°
Left Elevation ......... .......... .................. ......... 38' x 0' x 10'
Q _..
uantity Description
Unit Cost w
...
RCV
..... ... .....
DEP
.....
ACV
_........ _
64.0 SF Replace Exterior T-111 Siding
$2.93
$187.52
$46.88
$140.64
380.0 SF
Seal & Paint Wood Siding
$1.07
$406.60
$101.65
$304.95
12.0 LF
Replace Fascia - 1" x 8" #3 cedar (lower belly band)
$5.00
$60.00
$15.00
$45.00
38.0 LF
Prime & Paint Exterior Fascia - wood, 6" - 8" wide
(belly band)
$1.66
$63.08
$15.77
$47.31
1.0 HR
Painter Labor to Prime New Siding & Trim
$50.00
$50.00
$50.00
1.0 HR
General Demolition Labor to remove partial T-111
siding and partial lower trim
$36.00
$36.00
$36.00
w ... Totals For Left Elevation�_
- �......:_
$803 20
$179.30
w....
, $623 90
Est rnate Se Lion: 'Rear Eie atlor
Rea r Elevation
... ....... ..... 60' x 0' x 8'
Q uantity
Description Unit Cost
RCV
DEP
^$128.40
ACV
192.0 SF
ce eWo
a&
480.0 SFI
Sea[ Paint d Siding $1.07
$1.07
$5113.60
$385.20
30.0 LF
Replace Fascia - 1" x 8" #3 cedar (lower belly band) $5.00
$150.00
$37.50
$112.50
60.0 LF
Prime & Paint Exterior Fascia - wood, 6" - 8" wide
(belly band) $1.66
$99.60
$24.90
$74.70
3.0 HR
Painter Labor to Prime New Siding & Trim $50.00
$150.00
$37.50
$112.50
4.0 HR
General Demolition Labor to remove partial T-111
siding and partial lower trim $36.00
$144.00
$144.00
Totals Fra Rear Elevation 1 ..w
.
Estimate Section: -, General
Quantity Descriotion Unit Cost RCV DEP ACV
1500.0 SF Remove / Suck Blown Ceiling Insulation in Attic
$0.85
$1,275.00
$1,275.00
1500.0 SF Replace Blown Ceiling Insulation
$1.13
$1,695.00
$254.251 $1,440.75
1.0 MC Minimum Charge Plumbing Service Call - cap off
prior to demo
$400.00
$400.00
$400.00
36.0 HR Administrative / Supervior Labor
$38.00
$1,368.00
$1,368.00
36.0 HR Cartage and Material Handling
$30.00
$1,080.00;
$1,080,00
24.0 HR Cleaning Labor
$24.71
$593.04;
$593.04
5.0 EA Dumpster Rental
$625.00
$3,125.00
$3,125.00
1.0 EA Permit
$700.00,
$700.00
$700.00
_._ _ . _-_.�....._.._ ...... �._.... .. 0.236.04 _$254...25, $9 981 79
T"a?tia_For, �enerai I $1...,. �....__.... .
of recorded damages and is subie ....�" " " This is an estimate_ ct to review and final approval by the insurance carrier.
Foam CLEST-v3.o Page: 10
!INSURED : Thomas Simmons
LOCATION : 1506 31 st Street
Port Townsend, WA 98368
COMPANY : Oregon Mutual Insurance Co
19000 33rd AVE W, # 110
Lynnwood, WA 98036
DATE OF REPORT
: 5/16t008
DATE OF LOSS
: 5!'/:008
POLICY NUMBER
: D 406697
CLAIM NUMBER
: 038932
OUR FILE NUMBER
: 038932
ADJUSTER NAME
: Wyman Lee
t to review and final � rival b thecarrier._._..... �
W. ... _ ...rrr ......9r. de ura�nee .. .._ � is ar�,ealfrnrata �f r1rmr��i d'ea . ��rci la sofa F
SIMSOL®
Form CEST-113.0 Page: 11
INSURED : Thomas Simmons
LOCATION 1506 31 st Street
Port Townsend, WA 98368
COMPANY Oregon Mutual Insurance Co
19000 33rd AVE W, # 110
Lynnwood, WA 98036
DATE OF REPORT
: 5/16/2008
DATE OF LOSS
: 5/2/2008
POLICY NUMBER
: D 406697
CLAIM NUMBER
: 038932
OUR FILE NUMBER
: 038932
ADJUSTER NAME
: Wyman Lee
1.0
GENERAL CONDITIONS
$1,757.32
$0.00
$1,762
1.2 CLEANING
$1,057.32
$0.00
,�
1,057.32
1.6 PERMITS & FEES
$700.00
$0.00
$700.00
2.0
SITE WORK
$9,797.00
$0.00
$9,797.00
2.1 BUILDING DEMOLITION
$4,400.00
$0.00
$4,400.00
2.20 MISCELLANEOUS SITE WORK
$5,397.00
$0.00
$5,397.00
4.0
MASONRY
$105.00
$0.00
$105.00
4.2 BLOCK
$105.00
$0.00
$105.00
6.0
CARPENTRY
$2,518.93
$439.78
$2,079.15
6.1 ROUGH
$355.04
$21.01
$334.03
6.2 FINISH
$512.25
$81.90
$430.35
6.5 MILLWORK/TRIMS
$1,651.64
$336.87
$1,314.77
7.0
MOISTURE PROTECTION
$3,770.87
$696.89
$3,073.98
7.2 INSULATION
$2,458.23
$368.73
$2,089.50
7.6 EXTERIOR SIDING
$1,312.64
$328.16
$984.48
8.0
DOORS AND WINDOWS
$7,866.20
$2,098.89
$5,767.31
8.2 WOOD DOORS
$3,866.55
$901.71
$2,964.84
8.3 SPECIAL DOORS
$1,020.00
$237.50
$782.50
8.5 METAL WINDOWS
$2,425.00
$848.75
$1,576.25
8.10 HARDWARE
$554.65
$110.93
$443.72
9.0
FINISHES
$20,986.83
$3,902.87
$17,083.96
9.2 GYPSUM DRYWALL
$9,001.86
$1,800.38
$7,201.48 -
9.5 VINYL FLOORING
$401.92
$70.20
$331.72
9.7 PAINTING / STAINING __
$5,571.01
$1,207.87
$4,363.14,
9.10 FLOOR FINISHES
$36.36
$0.00
$36.36
9.11 CARPET & PAD
$3,303.31
$824.42
$2,478.89
9.20 MISCELLANEOUS FINISHES
$2,672.37
$0.00
$2,672.37
*** This is an estimate of recorded damages and is subiect to review and final approval bar the insurance carrier. ***
SIMSOL®
Farm EST-113.0 Page: D.1
INSURED ; Thomas Simmons
DATE OF REPORT
; 5/16/2008
LOCATION , 1506 31 st Street
DATE OF LOSS
; 5/2/2008
Port Townsend, WA 98368
POLICY NUMBER
; D 406697
COMPANY : Oregon Mutual Insurance Co.
CLAIM NUMBER
: 038932
19000 33rd AVE W, # 110
OUR FILE NUMBER
: 038932
Lynnwood, WA 98036
ADJUSTER NAME
: Wyman Lee
wIDETAILEED(Co-
UBTRADE CLASSIFICATION
10.0
SPECIALTIES
$290.50
$56.66
$233.84
10.2 BATH ACCESSORIES
$290.50
$56.66
$233.84
11.0
EQUIPMENT
$1,832.25
$460.41
$1,381.84
11.1 KITCHEN
$1,832.25
$450.41
$1,381.84
12.0
FURNISHINGS
$6,628.53
$1,636.13
$4,992.40
12.1 CABINETRY
$5,130.00
$1,267.50
$3,862.50
12.2 COUNTERTOPS
$838.53
$209.63
$628.90
12.3 WINDOW TREATMENTS
$660.00
$159.00
$501.00
15.0
MECHANICAL
$4,297.75
$804.76
$3,492.99 ,
15.1 PLUMBING LINES
$629.10
$43.75
$585.35
15.2 PLUMBING FIXTURES
$1,794.03
$400.03
$1,394.00
15.3 H.V.A.C.
$1,474.62
$360.98
$1,113.64
15.20 MISCELLANEOUS MECHANICAL
$400.00
$0.00
$400.00
16.0
ELECTRICAL
$3,270.68
$769.31
$2,501.37
16.1 WIRING / CONDUIT
$444.70
$111.18
$333.52
16.2 OUTLETS / SWITCHES
$753.66
$188.42
$565.24
16.3 LIGHT FIXTURES
$1,133.61
$254.41
$879.20
16.4 FANS / VENTILATORS
$599.72
$134.70
$465.02
16.6 ALARM DETECTION SYSTEMS
$256.17
$64.04
$192.13
16.9 MISCELLANEOUS DEVICES
$82.82
$16.56
$66.26
$185Cl....
$12,56.16
This ►s an ges and is subject -tore- ..........- .. e'-
" * estimafe of recorded dama a nce career view an final „ pproval by the ►nsura
SIMSOLO
Form EST-1/3.0 Page: D.2
Receipt Number: 08-060811
Receipt Date:
0W202008
Cashier: FROW K, ;,,Payer)PayeeNamie-..MCBRIDGECOt4STRUCTIONREISOURCE
OriginalTeo
Amount
Fee
Permit
Parcli
Fee i]eacritton
Amount
Paid
Balirte
BLD08.139
948004005
Plan Review Fee
$217.91
$217.91
$0.00
BLDO08-139
948004005
Technology Fee for Building Permit
$6.71
$6.71
$0.00
BLD08-139
948004005
State Building Code Council Fee
$4.50
$4.50
$0.00
BLD08-139
948004005
Building Permit Fee
$335.25
$335.25
$0.00
BLD08-139
948004005
Record Retention Fee for Building P
$10.00
$10.00
$0.00
Total:
$574.37
Previous, iou Payfoent History
RecelPt #
Receipt Date <.-
Fee Description,
mo, unt Paid P rrnit
Payment
Check:
Payment
Method
Number
Amount
CHECK
2516
$ 574.37
Total $574.37
genprrtrreceipts Page 1 of 1
o 90AT rCITY OF PORT TOWNSEND
SERVICESDEVELOPMENT
INSPECTION REPORT
For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want
the inspection. For Monday inspections, call by 3:00 PM Friday.
ATE OF INSPECTION: PERMIT NUMBER:
SITE ADDRESS:
PROJECT NAME: "I`i_ CONTRACTOR:
CONTACT PERSON: PHONE:
TYPE OF INSPECTION: -cc)
,Ll"' APPROVED ❑ APPROVED WITH ❑ NOT APPROVED
CORRECTIONS
Ok to proceed. Corrections will be Call for re -inspection before
checked at next inspection proceeding.
Inspector Date
Approved plans and permit card must be on -site and available at time of inspection. A re -inspection fee may
be assessed if work is not ready for inspection.