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HomeMy WebLinkAbout09235 City of Port Townsend Development Services Department Notice PERMIT NUMBER OWNER n JOB LOCATION �D Inspection of this structure has found the following vtah*aLt_s.• r. You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date! 612 5LI 1)In Inspector DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department Correction Notice PERMIT NUMBER Cj C7 Z3 OWNER JOB LOCATION Inspection of this structure has found the following violations: i SAC_ r You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date Inspector el C- DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE r _ CITY OF PORT TOWNSI*ND DEVELOPMENT SERVICES DEPARTMENT 181 Quincy Street, Suite 301A,Pori Townsend WA 98368 PLUMBING CERTIFICATION PRESSURE TEST BUILDING OWNER PERMIT II -ADDRESS DATE OF TEST /• e ZZId PLUMBING CONTRACTOR LICENSE/1 c-)0 O'7�7q K(,ROUND WORK 4etROUGH-IN PLUMBING u FINAL DWV WATER SERVICE Air PSI Air PSI Water t'S�' /-/LKs Head Water -P,0 Working Pressure Time��� !A_ Minutes Time 2 z A,.e& Minutes NOTE: TESTING REQUIREMENTS(SECTION 318 UNIFORM PLUMBING CODE)MINIMUMS: Water Test—I O'Head—15 Minutes Test.at Working Presure Air Test—.5#PSI—15 Minutes ,. 50N PSI- 15 Minutes ' . r" I hereby certify The information provided above is the result of the Plumbing System pressure test conducted by the undersigned at the indicated address and date_ Misrepresentation of this certification is a gross misdemeanor under RCW_9A_7204 ubj to a two-year statute of limitation_ VISUAL SYSTEM SPECTION IS REQUIRED BEFORE COVER_ Signature /Li Date L C/ U City of Port Townsend Development Services Department Correction Notice PERMIT NUMBER 60� OWNER nn JOB LOCATION 2C5 Lv S(� Inspection of this structure has found the following violations: RFT o You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted othe 'se. When corrections have been made, call for inspection. Date � zo(n Inspector (C ( � PLO R-1 DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE pFVORT,ro BUILDING PERMIT City of Port Townsend 9� Development Services Department 250 Madison Street,Suite 3, Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-235 Permit Type Residential -Addition/Remodel Project Name Site Address 201 CASS ST Parcel# 957303106 Project Description addition/remodel Names Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Me Comas Bruce J Owner Me Comas Bruce J Contractor Thompson Construction (360)385-0681 CITY 1288 12/31/2009 Contractor Thompson Construction (360)385-0681 STATE THOMPC*987( 07/21/2011 Fee Information Project Details Project Valuation $4,200.00 Entered Bid Valuation 4,200 DOLL Plan Review Fee 72.31 Units: Heat Type: HYDRONIC PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: V -B PLAN REVIEW REFUND 50 -50.00 Bathrooms: Occupancy Type: R-3 Building Perniit Fee 111.25 State Building Code Council Fee 4.50 Technology Fee for Building Pen-nit 5.00 Record Retention Fee for Building 5.75 Permit Total Fees $ 198.81 Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. ***SEE ATTACHED CONDITIONS *** 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 pemlit 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 �GZcI6:f /---- yyl Date Issued: 12/14/2009 Issued By: MWAY l Signature �rc�`Z Date / �y J� Date Expires: 06/12/2010 �o�QOR7T CONSTRUCTION PROGRESS RECORD Nz CITY OF PORT TOWNSEND .ti v wA Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 POST THIS CARD IN A SAFE,CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PARCEL NO. 957303106 PERMIT NO. BLD09-235 ISSUED DATE 12/14/2009 EXPIRATION DATE 06/12/2010 ADDRESS 201 CASS ST CONSTRUCTION TYPE V-B OCCUPANT LOAD OWNER MC COMAS BRUCE J PROJECT DESCRIPTION addition/ remodel CONTRACTOR THOMPSON CONSTRUCTION LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT FRAMING zl,#la le PLUMBING MECHANICAL SHEAR WALL INSULATION GW13 k � ROOF NAILING FINAL BUILDING TO REQUEST AN INSPECTION CALL(360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. (sly3 - - o--- - -- - - ----- -- -- Q B Com 1�S _ �,� cuss s� ��•� ___ - � --------- - -_ -- Imo:_ -_ I l\ /Ir2�Fr I L /G1 . .i � I �.'1 'NE9J-WAS Lt.LINE♦. '� `� / I� •// pp oj � �/► pItce— .•.��— I I�;G4 t _ 11 =,e .'�"+S w Ab4..-A. si i t r I 3 Z � t,� Vt1 I I i,I I e 14 „R n�• VA 1 1 II1Y I �K� I yy .3T-VA.YL try ` S � � • ��'� I li l I� , I i � I,1{f _ = _ , I(;�I ��I' i — ,1{�J(�j�����{6I��)JM/ HLE ,` � �I•�I'I I 1 i � I ail f _� _ — — � I i � �° II tl• -- _ - - N \� 0 1 comacl the Euilding Depatlment D (� _ �• -�I at 379.3208 prior to making changes E V O 2009 or revisions 1,, Iha approved nh•,s N0110E:Pl.n..n.PPA..e..opxP CITY Of PORT TOWNSEND - --— --- N, mPu ----- ----_- --_------ �------ ---'- Paaa InaP.ofion In con/orm.nn wIN DSO - 7 .n.pplle.Me tonne em wwenPe.. PLOT ,- - . P,C_AN...S.Ho4v I1JG _ PERMIT # DI.D 0 2-2 4 5 04- -: HOU5E RE-MODSL AIDDITO{ FOP— } neF,� ,�srao 201.GA5S ST 1 .Pt:)P-7TQW}J5F-Q0, WA t �l U� _.4 AY STtM=�T. �f�T TQVJ}.1K��µ�'.'VJ.4;:g9+S�8 ,r•. '�Sr.:.�q IG:. . . r i FUSTI N9 ��o�-�..i pesC_�►p r��� p Move wv ,L c- o N TO F- s _ T rl SvLt�`t� EX,sy-irv5 2X6 wit-[CS— 2I �� 2�-i®tntT J=Ldo i2 Ne f+-T i A-W I njJW w ¢ S/Al 'ht15T/}Y5 /►�IONo $Lei$��`19• $�wE�12 �-`lta i�.C'^I", 5►� 2.X 6 Rt-rr-le( s or 2 A-r)D y`/z'► R-3o C_l1�5��p Cetl.. To i?a�t°ttS NOTICE:Plans ArP v +pf-V@d @-KrMpliFig any errors or omisslone: All W@fk fiffl§1 OFFICE pass Inspectlon In confofl@@n@® 1#11h SO ECM F;tK rntN all applicable codes and f@§U1@116ff§: APPROVED � ODate: lR/t Permit No:� '2 S By: Building Official �a'� CITY OF PORT TOWNSEND 'OLJWOO U2— �tjFUrFV MtK. s � V14 �-Tu � ; ExrsriNS SL�Q/ �-g, F X i S7-nv5 ZX 6 S Tu DS 16 o,c. FX iSTi"5 PLA-TeS - HoLb Downs w ee-T OR laXCere— Cooe ADD R-21 7u wa-(-LS AbD R 3v C os-et, CetC 7o P/4:Tcte� C�Te Comm eO-T'1oN / f�D S/r•ASVN H2,5 Fog PA-FTe2-M ►P P �e�1D sriN� HLE COPY �.r o�QORT rp� .a ys Development Services Director's Interpretation �WA� Subject: Minor Expansion of pre-existing Residence NonConforming as to setbacks - mapped Critical Area Date: December 10, 2009 PTMC: Title 17.16, Residential Zoning Districts,specifically: 17.16.030 Bulk, dimensional and density requirements Title 19.05, Critical Areas, specifically: 19.05.060.1) — Performance Standards in Critical Areas 19.05.100 — Geologically Hazardous Areas Issue Description: The Development Services Department received an inquiry to relocate an existing exterior wall to allow a partially enclosed area that is approximately 2 feet.x 10 feet or 20 square feet to become fully enclosed. Although the subject area is considered an exterior space at present, the area to be enclosed currently has a concrete slab on grade foundation (bottom) and is covered by the existing roof(top). Additionally, an existing exterior wall contains one side and the ends. No expansion of the roof or foundation is proposed or needed to complete the enclosure of the subject area. Portions of the site are mapped"Geologically Hazardous Area". The upland portion of the property consists of nearly level to gently sloping area while the southerly portion of the property consists of a 40-foot high steep bluff above Water Street. A special study by Dan McShane, Liscensed Engineering Geologist with Stratum Group, dated September 18, 2007, confirms the bluff as geologically hazardous. The report recommends that any new development or remodeling be set back from the top , of the steep bluff at least 20-feet. The house on the upland area is located approximately 22-feet from the top of the bluff. The proposed minor addition would be over 40-feet from the top of the bluff. The existing home is non-conforming as to the rear yard setback, providing a 5'-6" setback where a minimum of ten feet is required (17.16.030 PTMC). The proposal to extend an exterior wall out 2-feet flush with the existing foundation and adjoining exterior wall, would therefore also be inconsistent with the rear yard setback requirement. The applicants contend that the proposed expansion is de minimus as to size, would not increase risk to the inhabitants and would not adversely effect the protection of the identified Critical Area as no increase in impervious surfaces would occur. Additionally, the subject area is already enclosed on three sides and the completion of the enclosure would be consistent with the existing building line and surrounding exterior wall. The applicants have requested a Directors Interpretation that the proposed action should be permitted as the proposed enclosure is a remodel to an existing nonconforming structure. Director's Interpretation: After reviewing the record, the Director agrees. Unique circumstances exist that render the setback requirement non-applicable in this case: 1. The proposed area to be enclosed is already an impervious surface contained by structure on the top, bottom, ends and one side. Completion of one wall to fully enclose the structure would not increase the non-conformity of the setback for the residence more overall than the pre- enclosure state. 2. The proposal is a minor expansion that is so small in area as to be de minimus. 3. No reasonable purpose would.be served by denying the request. 4. The fact pattern in.this case is so unique as.to not establish a precedent that would adversely affect the public interest or the future application.of adopted Critical Area regulations. I! DEC 6� Richard Sepler, AICP, irector Date Development Services Director OF VOHT TOY � yi4 u mo Receipt Number: 09 096-8 " •��WASM" Receipt Date12/18/2009 Cashier SFOSTER, Payer/Payee Name MC COMAS BRUCE J .. . �. Onginal.Fee f Amount Fee Permit#� Parcel Fee c Des it ption ., Amounts Paid Balance ,.. <„_. -.`i-:� a^:•:,. w 8< .:..?x., �i. a� ,,.. M. ADM09-002 957303106 Request for Director's Interpretation $150.00 $150.00 $0.00 Total: $150.00 Pre��ous Pa ment H�sto �� �� Receipt,# Receipt Date n�FeeDescnption F- unpaid Permit# . ,A IN Payment Check �� Payment Methods " Numbed Amount CHECK 4690 $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1 CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT# F3 009 - DATE RECEIVED 12 b /oq SCOPE OF WORK: j DATE ACTION INITIALS ENTERED INTO CHET CHECKED FOR COMPLETENESS i z i ►" �1-i�e au ;\ � vh,3 Ca 1 CND rn\a ss d� mw Zoning: Setbacks OK? Lot Size: Building Size: Lot Coverage: FAR OK? Height OK? Parkin OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? Dev.. opment Services O�QORTTOy, 250 Madison Street, Suite 3 Port Townsend WA 98368 o Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us Residential Building Permit Application Project Address: Legal Description (or Tax#) Office Use Only SS S" Addition: L74-=&:� 1ST Permit#BLD09-ASS Zoning: Block: 9�-� Associated Permits: Parcel# �7�n4� jo 6 Lot(s): Project Description: A00 ZO -%f Fr!0 �X�ST/ems �N 141 sm! 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: Building Information (square feet): Name: R,1ZUF H I 1st floor 1370 Garage: . iq 76 Address: `L.O I CA_SS S 2nd floor- --� 12- Carport: City/St/Zip: Rg T to 3`d floor Other: Phone: Email: Ll&qZ Basement Finished: l Unfinished: Contact/Representative: Name: . TUB ,. -q.cy�'r Decks/Porches _ Covered: I ? Q S H Uncovered 2, y0 I? F� Phone: d 1 —0 `7 13---4 Email: J 0 ff 1 S- 7 10 OP—YAi12'0'eo"A Heat Type:J?M�1' Electric Heat Pump Other e Contractor, ❑ Same as wner Name: ry4u I' C)A(.S'f Total: #Bedrooms 3 ` #Bathrooms '2- Address: ©Z � Size of lot 00 Square feet City/St/Zip: - Total Lot Coverage(Building Footprint):" Square feet: % Email: - :Tc��S'.� ,�VIA ��� State License#: �AQ► 49(' `11'70�xp: Impervious Surface:* Square feet:30 7`'/ "Total existing&proposed City Business License#: DOL2.9 g Lender Information: What year was the structure built? I!�60_ Lender information must be provided for projects over If work includes demolition, see Page 2. $5,000 in valuation per RCW 19.27.095. Name: Any known wetlands on the property? Y Project Valuation: $ �f 7_Uv Any steep slopes (>15%)? N 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 wi h this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print Name: C:3 C- 'Lev &o' Signature: Date: LOG Page 1 of 2 - 10/7/2009 ' ,{5� ti4s�C{� do-+.. ;�����,• [ �lI . t� J r �L a� �•,� r . � f V'fa _ ti -44 i E C DEC00 CITY OF PORT TOWNSEND S 548538 *7*S : 3 COV 12/14/2009 01:49 PM SO4.00 BRUCE MCCOMAS Jefferson CouRty WA Auditor's Office - Donna Eldridge, Auditor mill K W if 1W.AN WKW AY1uh 11111 Development Services Department E E City of Port Townsend D 250 Madison Street,Suite 3 Port Townsend,WA 98368 DEC 1 4 LC09 CITY OF PORSDOWNSEND HOLD HARMLESS INDEMNIFICATION COVENANT Grantors/Owners: Bruce J. McComas and Teresa L. McComas Grantee: City of Port Townsend, a Washington municipal corporation; Reference: Notice to Title AFN S�,S2 7 THIS COVENANT is made on this day of by Bruce J. McComas and Teresa L. McComas (hereinafter "Owners"). This Covenant shall constitute a burden upon, and run with the real property described herein. Legal description: The Owners own the following described real property: Lots 1 and 3 (less right-of-way), Block 31 of the L.B. Hastings First Addition to the City of Port Townsend, Jefferson County, WA. Assessor's Property Tax Parcel Number: 957-303-106 Property Address: 201 Cass Street, Port Townsend, WA 98368 In accordance with and in consideration of the Building Permit 09-235, Owner(s) acknowledge, covenant, and agree as follows: 1. Owner(s) desire to remodel and make a minor addition to a single-family residence. The subject property is identified as a Geologically Hazardous Area as defined by the City's Critical Ares Ordinance codified in Chapter 19.05 of the Port Townsend Municipal Code (PTMC). The upland portion of the property consists of nearly level to gently sloping area while the southerly portion of the property consists of a 40-foot high steep bluff above Water Street. 2. A special study by Dan McShane, Licensed Engineering Geologist with Stratum Group, dated September 18, 2007, confirms the bluff as geologically hazardous. The report recommends that any new development or remodeling be set back from Grantor(s): McComas Grantee: City Hold Harmless Indemnification Covenant Page the top of the steep bluff at least 20-feet. At the time of the report, the house on the upland area was located approximately 22-feet from the top of the bluff. 3. The Owners, as their free and voluntary act, accept and assume all risks of loss or damage arising out of the conditions described herein, and further agree to relieve and hold harmless the City of Port Townsend, its officers, agents, and employees, of any liability for approval of the development and the design of the development. 4. The Owners agree to and shall hold harmless and indemnify the City of Port Townsend, its officers, agents, and employees, from and against any and all liability, loss, claims, suits, damages, costs or expenses (including attorney's fees) that may at any time arise or be set up because of reduction in value or damage to property or personal injury by reason of the conditions existing now or hereafter on or around the property, or due to any construction or development or design pursuant to any building or other development permits issued for the property. 5. The Owners agree that their representation herein and agreement to hold harmless and indemnify the City of Port Townsend shall be binding upon the Owners, Owners' heirs, successors and assigns, and shall run with the land described herein. 6. The City shall record this Hold Harmless Indemnification Covenant with the Auditor of Jefferson County, Washington. 7. This Covenant shall not be revoked or amended without the consent of the Director of the City of Port Townsend Development Services Department. THIS COVENANT is in effect as of the day and year first written above. _ fl/ — — Date Richard . Sepler, AI P Planning/DSD Director Grantor(s): McComas Grantee: City Hold Harmless Indemnification Covenant Page GRANTORS /OWNERS Bruce J. M omas Date �a. — l_., T It C %>- \'41(?-i Teresa L. McComas Date STATE OF WASHINGTON ) ss. COUNTY OF JEFFERSON ) I certify that I know or have satisfactory evidence that Bruce J. McComas and Teresa L. McComas signed this Hold Harmless Indemnification Covenant and acknowledged it to be their free and voluntary act for the uses and purposes mentioned therein. DATED this I�"'day of 0eU( lJQt, ' , 2009. o)nu4r %e_Dtm_t_�L 1, 01"Madpll&tj — — Print name: C tf,+'I n 01 LW ni Notary Public NOTARY PUBLIC I and for the State of State of Washington Washington, County of Jefferson, re iding at CHERLYN MACDONALD V' MY�Exp1m May 19.201 My commission expires: ffla L, J [Pre-ink notary stamp 1"from margin] 548537 . J'S : 3 NTIT 12/14/2009 01:49 PM $64.00 BRUCE MCCOMAS Jefferson County WA Auditor's Office - Donna Eldridge, Auditor Bill K W,f 111wilk wl,W W1 W114SI41 h 11111 City of Port Townsend DSD Department 250 Madison Street Suite 3 Port Townsend, WA 98368 E C E � W E R 1l D EC 1 4 2009 NOTICE TO TITLE CITY OF PORT TOWNSEND DSD Grantors/Owners: Bruce J. McComas and Teresa L. McComas Grantee: City of Port Townsend Reference: BLD09-235 for remodel and minor addition to a Single-Family Residence Assessor's Property Tax Parcel Number: 9 5 7—3 0 3—10 6 Legal Description: Lots 1 and 3 (less right-of-way), Block 31 of the L.B. Hastings First Addition to the City of Port Townsend, Jefferson County, WA. NOTICE IS HEREBY GIVEN to the Grantor(s)/Owner(s) of the above-referenced real property, to potential purchasers and future owners, to agents or representatives, and to any other concerned person or entity: THE PROPERTY HAS BEEN IDENTIFIED AS A GEOLOGICALLY HAZARDOUS AREA AS DEFINED IN THE CITY'S CRITICAL AREAS ORDINANCE. THE PROPERTY AND ANY FUTURE DEVELOPMENT ON IT MAY THEREFORE BE SUBJECT TO CHAPTER 19.05, CRITICAL AREAS, PORT TOWNSEND MUNICIPAL CODE(PTMC) AND LIMITATIONS ON ACTION IN OR AFFECTING SUCH CRITICAL AREA OR ITS BUFFER MAY EXIST. 1. The regulations for geologic hazardous areas are intended to maintain the natural integrity of hazardous areas and their buffers in order to protect adjacent lands from the impacts of landslides, mudslides, subsidence, excessive erosion and seismic events, and to safeguard the public from these threats to life or property. 2. There shall be no further expansions to or addition of any structures/impervious surfaces without prior review for conformance with the Critical Areas Ordinance codified in Chapter 19.05 of the PTMC and any other applicable laws and ordinances. ri I r` I i i t McComas Notice to Title,BLD09-235 December 10,2009 Page 2 3. All development subject to the provisions of this chapter shall comply with the 2005 Department of Ecology Stormwater Management Manual for Western Washington (SWMM-WW (2005)), City engineering design standards manual, City stormwater master plan, and adopted drainage basin plans. ly DEC o� Richard M. Sepler, P ann ng/DSD Director Date DATED this /Y24'day of , 2009. r '-\ W"C i Bruce J. M omas (Grantor) Teresa L. McComas (Grantor) STATE OF WASHINGTON ) )ss. COUNTY OF JEFFERSON ) I certify that I know or have satisfactory evidence that I��llr.e. J ��CCal S ar�'` (ues6L L-mCbm&5 Bruce J. McComas and Teresa L. McComas are the persons who appeared before me, and who acknowledged that they signed the same as their free and voluntary act for the uses and purposes mentioned in this instrument. n }h DEcem , WITNESS my hand and official seal this da yof 2009. Notary Public in and for the State of Washington, Notary Public State of Washington �1 CNERLYN MACDONALD << �, My Appolntme 1 Expires May 19,2012 residing at PO+ 1 (oc WL,iu-Nyl McComas Notice to Title, BLD09-235 December 10,2009 Page 3 My appointment expires C' to L ;1 m G{C p D [Print Nam [Notary stamp inside V margin] Look Up a Contractor, Elects ~i, Plumber or Elevator Professional L Ise Detail Page 1 of 1 Information in Spanish I Topic Index I Contact Info Home Safety Claims&Insurance Workplace Rights Trades&Licensing Find a Law(RCW)or Rule(WAC) Get a form or publication V Help- Return to List> Start a New Search> n Printer friendly 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 Verify Workers'Comp Premium Status Check for Dept.of Revenue Account Name THOMPSON CONSTRUCTION UBI No. ?> 601536519 Phone No. (360)385-0681 Status 1 ACTIVE Address 102 HILLER DR License No. THOMPC'987OO Suite/Apt. License Type i CONSTRUCTION CONTRACTOR City PORT HADLOCK Effective Date 9/20/2002 State WA Expiration 7/21/2011 Date Zip 98339 Suspend Date County JEFFERSON Specialty 1 1 GENERAL Business Type Individual Specialty 2 UNUSED Parent Company Other Associated Licenses License Name Type Specialty Specialty Effective ExpirationEARHtuVJED 1 2 Date Date JTENT"062NBEN CONSTRUCTION GENERAL UNUSED 8/2/19947/25/2.01 ENTERPRISES CONTRACTOR Business Owner Information ca Hide All Name I Role I Effective Date Expiration Date THOMPSON,JOE S JOWNER 09/20/2002 a Bond Information Bond Bond Effective Expiration Cancel Impaired Bond Received Bond Company Account Date Date Date Date Amount Date Name Number 2 CBIC 637930 07/25/2001 Until $12,000.00 09/20/2002 Cancelled iD Insurance Information , Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date 10 CBIC INS63793007/25/200907/25/2010 $300,000.0008/12/2009 9 CBIC INS637930 07/2 5/2008 07/25/2009 $300,000.0006/20/2008 8 CBIC INS637930 07/25/2006 07/25/2008 $300,000.0006/26/2007 7 CBIC INS637930 07/25/2005 07/25/2006 $300,000.0007/13/2005 6 CBIC INS637930 07/2 5/2004 07/25/2005 $300,000.0007/14/2004 5 CBIC INS63793007/25/200307/25/2004 $300,000.0007/08/2003 tst About L&I I Find a job at L&1 I Site Feedback I Toll-free Numbers `b11S Innl?Im-`- O Washington State Dept.of Labor and Industries.Use of this sae is subject to the Laws of the state of Washington. Access Agreemen[I Privacy_and security statement I Intended__../_exte I onten5_pohcy I S(aff_pn„ly_link littps://fortress.wa.gov/lni/bbip/Detall.aspx 12/14/2009 of Poar rh u mo Receipt Number: 09 0955''` tt eW, s Recei t Date 09 q,Cashier AWAY Pa rlPa ee Name' MC COMAS BRUCE J' "py 12I14I20 21, - _ rigmal Fee { Amoun Feel Permtt#- -10 Parcel Fee D scri tion Amount ,� Patd� Bala e ;. . p.� ? �„ i. BLD09-235 957303106 Plan Review Fee $72.31 $72.31 $0.00 BLD09-235 957303106 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD09-235 957303106 Building Permit Fee $111.25 $111.25 $0.00 BLD09-235 957303106 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-235 957303106 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD09-235 957303106 Record Retention Fee for Building Per $5.75 $5.75 $0.00 Total: $148.81 €F Prev�ousPayment History k. "Owls r ` RecetptF# �v Re'ce►ptDate ' Fee Descrtptton Amount:P,atd Permtt# _ 09-0945 12/08/2009 PLAN REVIEW DEPOSIT 50 $50.00 BLD09-235 ;Payment F Check x y Payment s Wa "Method Number k Amount „, t, CHECK 4700 $ 148.81 Total: $148.81 genpmtrreceipts Page 1 of 1 OF'ORT TOE ti 9� o Receipt Number 09 0�9,45 =h wnsr ' Receipt Datey12l08/2009 Cashier FSLOTA F Payer/Payee Name MC�COMAS'BRUCE J „ 12 t OngmalFee Amount Fee -14 r Permit# � - Parcel� � �Fee�Descripton � � �Amount � Balances- ia .a•,,rA., .<, N„ k..,�%s..;��'b1.�,P 9j ... ..a,. ;�; � � ?'�°' `:,, -'�s �,.,. :. .�',`.,',.*3?� .`�,$r... BLD09-235 957303106 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 Total: $50.00 r Prev�ousPa ment H�sfo ' Y rYz . Receipt,# Receipt Date z Amount Paid vPermt # . r Method, �. _ &� Nu er fR .. Amont CHECK 2665 $50.00 Total: $50.00 genpmtrreceipts Page 1 of 1 of poor roJ 2 mo Receipt Number: 09 0968'fi a : . Ow �Recetpt Date 12118/2009 Cashier ASFOSTE7 " Payer/Payee Name AMC COMAS BRUCEJ� � 't Amount a of r ' $ .�3 � g y a �� n �ee r W Ori anal Fee Permit# Parcel Fee Description r Amount Paid Balances% ADM09-002 957303106 Request for Director's Interpretation $150.00 $150.00 $0.00 Total: $150.00 If P PreviousPayment History Rcetpt# t Rece ptDat s Fee Description z Amount'Paid Permit# Payment Check Payment Methods �' r Number � Amount CHECK 4690 s $ 150.00 Total: $150.00 genpmtrreceipts Page 1 of 1