Loading...
HomeMy WebLinkAboutBLD10-075CONSTRUCTION PROGRESS RECORD CITY OF PORT TOWNSEND 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. 948313401 PERMIT NO. BLD10-075 ISSUED DATE 05/23/2011 EXPIRATION DATE 11/19/2011 ADDRESS 1800 SHERMAN STREET CONSTRUCTION TYPE V-B OCCUPANT LOAD OWNER- ERICKSON WILLIAM W PROJECT DESCRIPTION Construct Townhouses ( 4 units ) Bld. #1 CONTRACTOR LENDER INSPECTION INSP JATE COMMENT INSPECTION INSP JATE COMMENT EROSION CONTROL FINAL PUBLIC WORK SETBACKS SURVEY PIN FINAL BLDG./C OF O FOOTING UFER SLAB INSULATION FOUNDATION DRAIN SLAB MISCELLANEOUS SHEARWALL & HOLDOW FRAMING AIR SEAL PLUMBING MECHANICAL INSULATION GWB TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. 14 ~ ‘a ill APR & 2010 CITY OF PORT TOWNSEND DSD = City of Port Townsend Development Services Department Ce ee APPLICATION Ee , CKS0 ACR pcTEt Name of Property Owner: _C7&KKEZT LAKSEW Win Ex«ic Ss) Mailing Address: (@@ 72) KEl TAN PAIN BELECER (5 Coe WK TG ((0 Telephone: Z2Zocg €4z IIS¢ Property is located in: Addition: S<324(BG2> _ Block(s):_ £24 Lot(s): LZ - & Faces/Access is from: SERA Street Parcel Number_77-$ 2(24o/ Directions to the Property (draw vicinity map on back) If this is a new ADU, has a building permit been applied for? | _Yes___No Date: Notes: ro) Tour nnovses ‘ th Woe Bor Lp: NGS HOUSE NUMBER Assicnep: _ 1300 She RMAN SiteeT BLOER A, UNITS /-F¢ Date of Approval: 2 Maw Love haces te LVFR ELe 8B, UMTS (-F For Department Use Only: Application Fee Received ($3.00, TC 2200): Date: Copy to: OC Finance 0 Fire Dept 0 Post Office O Sheriff 0 Police (Lyn) O GIS Public Works (1 DSD database — O) Assessor’s Office For address changes: () Qwest Address Management Center ~ 206-504-1534 http://ptimaging/DSD/Building_Forms/BuildingPermitPacket/A pplication-Address Number.doc ; 6/12/06 z @ Z Eo ! : | b 4 Ld L z b zZ € ¢ b 8 L 2 \ YS [ U I Z L Zb ; Pr e es 5 ~ 8 i 60 k ! iS ue y u a w a | 3 }P O I U S UC I fe t ro v e aa ao v v V v IO V Z || SZ L L Be h a L [Z | € v yt z € rf L z € c 8 = IS UB L ) of LA S S us t HL SL 9 S dp ) v S SI q = ; mi ? ed , ° (8 df m a m 4 es l ] ai t 2 3 oo > s fe zZ € Lg Lo n 3 8 g ne de u s — pe s ~ =] Qo v S € Qo ) 9 [4 Z L 8 "7 OO Z => —_ - 2 p7 0 Z D Gz i) » CO D E aa TT i Py . ‘e l y o = v £ § a () v i 2 1@ 8 : — ie vs ) n —" ~f p — _] a Fa = = IS IS L Z ep ; 2 5 <= | pe e = 7 > Zz > be si t s | z mi z N Bs A = a Q | Oo 8 Q O @ € v oO —| 2 _— ae (W A C A T E D IA T H ST R E E T ) 7 loo" SHERMAN STREET NEW 6° WATER, a = = ie THT TTT Yo HENDRICKS STREET | ( W C A C A T E D I 4 T H S T R E E T ) { ____ SHERMAN STREET ee 1 a ae Z O O S h e k M A N S 1 Y e e B u y i o - O F 8 e t e r s t = ne ee — t HENDRICKS STREET z Z Zi L | Zz | L | 4 € v | L 8 10 : iS i s 8 L~ rr ) 8 di 9 S Au e } Ha w e l y v S IP O S IE S li e s Aw e+ VP gz ; b ) L 8 3S WE L HL SL 9 Ss 9 7] 9 w |’ $ » a s a f o o s a SL go b } iB 4 a 9 € y 9 L6 On ] Bt L : bl e ee Sr e o r r | (a n e P L_ ] € | Lz } e] » an ia d © 8 ! re o k t d r UF [4 Lee ail =) ii : |e | Z by t || * = Tr 8 Lb 9 S as t m ia l 2 ly t o— . 2 | | is d |l é s 3 ) | ST aS b t * 18 ) © fe ) : : FS IS L S ‘ll _ b ped N SANSAV HSIN -E a | 4 IN i‘ 19 en GN2z GGL a MOOONVH & DOU IC OA Ui VIN INT JOASONW 4p lo- 015 PERMIT # BCP \6-OT71S CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG DATE RECEIVED U~6 ~{0 BeP10-125 SCOPE OF WORK: . Constwctr &¥ toOUWNhoOUses iN 2 lou ldiAgs DATE ACTION INITIALS U-6-LO ENTERED INTO CHET Mu) Q-6—1.© | CHECKED FOR COMPLETENESS MW U- ~10 Additss Requesy 30 SE Mw A 4 ] a Wagon | SDP T_T SOOM TE? NEKF WEEK (SE 5 faifio Sent anethy- entist—to Gerretf re: Lott of Rebocd reguired , plus SIP aseds tr be Submited, 5-24-70 |ADDEESS APHColED: 1800 Shelman st [Se ae OW 3 oA) &. 16 9+. Co ee ey loeth, eomolh oe a be, 27%, FO plus (ou por[s — 6, W760! Pert =F Capers — 1k wth h.S- — 6-150 Lee (Git PRE 10-003. See Cospect ta Veh. 14th St ease ~${a0; Rear looks like | corypert Co «hes. Sok Orford, 0 Carved Zoning: Ri Fred 2X0 leinod paves Join 27+ ret 1s cancreft [0 Setbede) Setbacks OK? | fT ! per DRE - @Sidyed Div He font, $0 107 be cau pork Lot Size: 2\,10 5(, "15 to Yre Side off (herman ST (i079) Rar (oI side s- Building Size: “| 420% 2 4-2 = 2%yot 1525444) bal Lot Coverage: 28% (Vp to ur% ole) FAR OK? ef Height OK? Vir - oC [ vp to 35’ ok) Parking OK? FA —Youided., 2. prevet. 1 1S ADA. Critical Area? Mat papped Demo? Via Historic Rev? Notice to Title? eo == Lots of Record? ZL 0g —) we tT onl t BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-075 Permit Type Residential - Multi-Family - New Project Name ©CONSTRUCT FOURPLEX BLDG 1 Site Address 1800 SHERMAN STREET Parcel # 948313401 Project Description Construct Townhouses ( 4 units ) Bld. #1 Fee Information Project Details Project Valuation $187,651.20 Dwellings — Type V Wood Frame 1,920 SQFT PLAN REVIEW REFUND 150 -150.00 Private Garages — Open Carports 288 SQFT PLAN REVIEW DEPOSIT 150 150.00 ee Heat Type: ELECTRIC BBH Building Permit Fee 1,486.55 Bedrooms: 2 Construction Type: V - B Mechanical Permit Fee per Dwelling 150.00 Bathrooms: 1.5 Occupancy Type: R-3 Unit - New Residential Plumbing Permit Fee per Dwelling 150.00 Unit - New Residential Energy Code Fee - New Single 100.00 Family Unit Plan Review Fee 966.26 Technology Fee for Building Permit 29.73 State Building Code Council Fee 4.50 Record Retention Fee for Building 10.00 Permit Site Address Fee 100.00 Total Fees $ 2,997.04 Conditions 10. Property corner survey pins must be located at time of footing inspection to verify setbacks. 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 pgft 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. Date Issued: 05/23/2011 Issued By: MWAY Date 2°45 W/4 Date Expires: 11/19/2011 Print Name Signature BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-075 Permit Type Residential - Multi-Family - New Project Name = CONSTRUCT FOURPLEX BLDG 1 Site Address 1800 SHERMAN STREET Parcel # 948313401 Project Description Construct Townhouses ( 4 units ) Bld. #1 Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Larsen Garrett Owner Erickson William W *** 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. | 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: 05/23/2011 Issued By: MWAY Date Expires: 11/19/2011 Signature CD te — INELEIVE S) Development Services APR 6 2010 CITY OF PORT TOWNSEND DSD 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us Residential Building Permit Application Project Address: Parcel# a hee Fa Z2lZFor Legal Description (or Tax#) Addition: 77 SERV B/ f= Zoning: A-S | Block:_ “3H Office Use Onl Permit # BLD10- 0. 2> Lot (s): Yz of (9TA Associated Permits: Project Description: SOK/STRU 3S To\WNHoUSES WW & (0 CAS . BUHEINGS VITA FRRKING FOR Applications by mail must include a check for initial plan review fee of $150 for projects valued over $15,000. See Page 2 for details on plan submittal requirements. Property Owner/Applicant: Name: _ Litt £20557 Address: 2.227 LV Gb AIP PLY aul City/StZip:_P7 TOWUSEZID TEBES Phone: Email: .—@ Contact/Representative: The lA Phone: 206 -PFZ -PIGEL Email: GIOGET © THELARSEMARH TES. Name: Contractor: oO Same as Owner Name: ALT SELECTED Address: City/St/Zip: Phone: Email: State License #: Exp: City Business License #: Building Information (square feet): 1" flor/PZOxXZ Garage 2" floor ZPZO4AZ2 Carport: S$ S2ox2. 2. 3" floor ———— Other: Basement Finished: aA Unfinished: Decks / Porches Covered: / 70x Z Uncovered —~ Heat Type: DASEEBACD Electric oH Heat Pump Other Total: #BedroomsO-t4 2 #Bathrooms XZ Size of lot Z/OSG@ _ Square feet Total Lot Coverage (Building Footprint):* Square feet ZI5GX 2 % rs F ~ MC APF OLS Impervious Surface: Square feet: 00 3 *Tot & proposed Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: __A “a7 CHOSEX/ Project Valuation: $ 295000 What year was the structure built? MA If work includes demolition, see Page 2. Any known wetlands on the property? YW) Any steep slopes (>15%)? Y | hereby certify that the information provided is correct, that | am either the owner or authorized to act on behalf of the owner and that all activities associ Print Name: Signature: — q Page 1 of 2 - 1/4/2010 8 permit will be in accordance with State Laws and the Port Townsend Municipal Code. Date: LC ‘ZO -OVER- 12 tips to remember 1. Make sure your contractor is properly registered. 2. Be wary of contractors who ask you to pick up the building permit. 3. Plan your project carefully, including detailed plans, if necessary. 4. Try to get at least three written bids on each job. 5. Ask contractors for references. 6. Ask what inconveniences might arise. 7. Obtain a written contract. 8. Make sure you understand the terms before you sign anything. 9. Becautious about paying for work not yet completed. 10. Put all change orders in writing. 11. Make frequent inspections and consult your local building department. 12. Avoid making final payment until you have received a lien release from suppliers and subcontractors. Risks and liabilities When hiring an unlicensed contractor and acting as your own contractor: 1. You are responsible for the medical and time loss costs of employees injured while working on your project. 2. You may be liable for all unpaid taxes. 3. Your homeowner’s insurance may not cover work done by an unlicensed contractor. 4. The law requires complete disclosure of all work that has been done on your home, if you resell. You may be required to do work over again that has been done without permits, or inspections. Non-disclosure can lead to civil action being taken against you. 5. You may be placing yourself and your family in a life-threatening situation, especially when hir- ing unlicensed people to install plumbing, elec- trical wiring, heating systems or wood stoves. 6. Suppliers can place a lien on your home for non-payment of materials by your contractor. 7. Unpaid workers can place a lien on your property. 8. When problems arise, your only recourse is a lengthy and costly civil action — if there are any assets of value to attach, and if you can find the contractor. Insurance protection Contractors are required to carry at least $20,000 in property damage insurance coverage and $100,000 in bodily injury or death insurance. You are encouraged to verify the contractor’s insurance coverage with his or her agent, as the department's records may not reflect current coverage. Our information line The Labor and Industries contractor registration information line 1-800-647-0982 operates weekdays from 8 a.m. until noon and | to 5 p.m., excluding state holidays. The information line allows you to check whether commercial and resi-dential contractors are registered and properly bonded. Our staff can tell you if the contractor currently is registered, if action against the bond is pending, or if legal acton has been taken against the contractor’s bond in the past. We also can tell you how long a contractor has been registered. Labor and Industries is an Equal Opportunity and Affirmative Action employer. The department complies with all federal rules and regulations and shall not discriminate on the basis of race, color, national origin, sex, creed, marital status, sexual orientation, age, religion or disability as defined by applicable state and/or federal regulations or statutes. He apes mY a ae ie OWNER SIGNATURE - Before hiring a contractor If you are a consumer interested in having work done by a contractor, this brochure can help you by: ¢ Explaining how the Washington state contractor registration program works. ¢ Describing how the contractor registration law protects consumers. ¢ Outlining the requirements for contractors. Requirements Consumer protection Washington state law requires all contractors The contractor registration law exists to to be registered. General contractors must protect consumers from incompetent and/or maintain a $6,000 bond and specialty fraudulent contractors. contractors must maintain a $4,000 bond. Requiring contractors to be bonded gives (Specialty contractors are those who participate consumers some financial protection against in no more than two trades and do not unsatisfactory or incomplete work. Dissatisfied subcontract work to other contractors.) consumers may take civil action to obtain It is against state law for any contractor to restitution by taking action against a contractor’s submit bids or perform any contracting work bond in Superior Court. without being registered with the Department The law also requires contractors to carry of Labor and Industries. It also is illegal for insurance for property damage and public contractors to advertise without including their liability. It also ensures that contractors have a 12-character contractor registration number in current Unified Business Identifier (UBD) Be eee Account Number and Federal Employer Account Number. Any correspondence you send to a contractor should clearly state that bids will not be accepted unless the contractor provides a valid registration number. . ay ae While the law does not guarantee perfect. . performance, it improves the likelihood that the contractor does competent work. Registration penalties A maximum $3,000 fine and a misde- meanor infraction can be levied against any con- tractor who performs work or submits a bid with- out being registered with Labor and Industries. City of Port Townsend Residential Zoning Districts - Bulk, Dimensional and TABLE 17.16.030 Density Requirements iam DISTRICT R-I R-II R-II > R-IV MAXIMUM HOUSING 4 dwelling units (Multiple 8 dwelling units (Multiple 16 units per 40,000 sf 24 units per 40,000 sf DENSITY (units per dwelling units on a single lot | dwelling units on a single lot of lot area of lot area 40,000 square foot area) must be contained within a must be contained within a single structure, except: a single structure, except: a permitted accessory dwelling | permitted accessory dwelling unit (ADU) may be unit (ADU) may be established in a separate established in a separate building if allowed by building if allowed by 17.16.020 PTMC) 17.16.020 PTMC) (10,000 sf of lot area per unit) | (5,000 sf of lot area per unit) MINIMUM AVERAGE 10 units where a parcel 15 units HOUSING DENSITY and/or contiguous parcels (units per 40,000 square under single ownership foot area) are 12,000 square-feet in size or greater MAXIMUM NUMBER 4 (Note: limited structures 4 (Note: limited structures No limit No limit OF DWELLING UNITS with more than 4 dwellings with more than 4 dwellings IN ANY ONE per structure may be permitted per structure may be STRUCTURE through the PUD process, see permitted through the PUD Chapter 17.32 PTMC.) process, see Chapter 17.32 PTMC.) MINIMUM LOT SIZE 10,000 sf = single-family 5,000 sf = single-family 3,000 sq ft = single-family detached detached detached; 5,000 sf = single-family attached (duplex); 7,500 sf = single-family attached (triplex); and 10,000 sf = single-family attached (fourplex) and multi- family! MINIMUM LOT 50’ 50° 30’ except: 100’= WIDTH multifamily MINIMUM FRONT 20’ except: 10’ except 20 feet for 20’ except: 20’ except; YARD SETBACKS 50’= barns and agricultural garages with vehicle access 10’ w/side or rear 10’ w/side or rear buildings facing a street right-of-way parking/garages; garages parking; no setback for and 50’=barns and with vehicle access facing multifamily structures agricultural buildings a street right-of-way must located within 200 feet be setback 20’; no setback | of an abutting mixed use for multifamily structures zoning district located within 200 feet of an abutting mixed use zoning district MINIMUM REAR 20’ except: 10’ except: 10’ except: 15’ except: YARD SETBACKS 50’ = barns and agricultural 100’ = barns and agricultural | no setback for multifamily | 20” if directly abutting buildings, and 100’ if abutting buildings structures located within | an R-I or R-II district; no a R-II, R-II, or 200 feet of an abutting setback for multifamily R-IV zoning district mixed use zoning district | structures located within 200 feet of an abutting mixed use zoning district See Back of This Page For More ' In order to achieve the minimum density, subdivision of parcels 12,000 square feet or greater shall not allow individual lots larger than 4,000 square-feet unless said lots are reserved for multi-family dwellings. P:\DSD\Forms\Building Forms\Information-Table 17.16.030 Res Zoning Districts.doc Page | of 2. 05/15/09 City of Port Townsend TABLE 17.16.030 Residential Zoning Districts - Bulk, Dimensional and Density Requirements DISTRICT R-I R-II R-II R-IV MINIMUM SIDE 5° except: 5” except: 5’ except: 15’ except: YARD SETBACKS 10’= abutting a street r-o-w; 10’= abutting a street r-o-w; 10’= along a street r-o-w; 20’ if directly abutting 20 feet for garages with 20 feet for garages with 20 feet for garages with an R-1 or vehicle access facing a street | vehicle access facing a street vehicle access facing a R-II district; no setback right-of-way and 50’ barns right-of-way and 100’= street right-of-way and no for multifamily and agricultural buildings and barns and agricultural setback for multifamily structures located within 100’ if abutting a R-II, R-II], buildings structures located within 200 feet of an abutting or R-IV zoning district 200 feet of an abutting mixed use zoning district mixed use zoning district MAXIMUM 30’ 30’ 35” 3° BUILDING HEIGHT MAXIMUM LOT 25% 35% except 40% where an 45% 50% COVERAGE ADU is included on the lot MAXIMUM FENCE Front=4’; Side=8’; Side Front=4’; Side=8’; Side Front=4’; Side=8’; Side Front=4’;Side=8’; HEIGHT* abutting a public right-of-way abutting a public right-of- abutting a public right-of- Side abutting a public =4’; rear=8’ way = 4’; rear=8’ way =4’; rear=8’ right-of-way =4’; rear=8’ e NOTE: Maximum fence heights apply within any required front, side, or rear setback area or along the edge of any required yard; refer to Chapter 17.68 PTMC, Fences, Walls, Arbors, and Hedges for specific requirements. (Ord. 2967 9 4.2.2008; Ord. 2939 99 1,2, 2007; Ord. 2913 > 2, 2005; Ord. 2925 9 4, 2003; Ord. 2782 > 4, 2001; Ord. 2716 3 4.3, 1999; Ord. 2700 a 11, 1999; Ord. 2571 3 2, 1997). P:\DSD\Forms\Building Forms\Information-Table 17.16.030 Res Zoning Districts.doc Page 2 0f2 05/15/09 Receipt Number: BLD10-075 948313401 Site Address Fee $100.00 $100.00 $0.00 BLD10-075 948313401 Plan Review Fee $966.26 $966.26 $0.00 BLD10-075 948313401 Energy Code Fee - New Single Family | $100.00 $100.00 $0.00 BLD10-075 948313401 Mechanical Permit Fee per Dwelling U: $150.00 $150.00 $0.00 BLD10-075 948313401 Plumbing Permit Fee per Dwelling Uni: $150.00 $150.00 $0.00 BLD10-075 948313401 PLAN REVIEW REFUND 150 -$150.00 -$150.00 $0.00 BLD10-075 948313401 Building Permit Fee $1,486.55 $1,486.55 $0.00 BLD10-075 948313401 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-075 948313401 Technology Fee for Building Permit $29.73 $29.73 $0.00 BLD10-075 948313401 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $2,847.04 10-0324 04/06/2010 PLAN REVIEW DEPOSIT 150 $150.00 BLD10-075 CHECK 1179 $ 2,847.04 Total: $2,847.04 genpmtrreceipts Page 1 of 1 Receipt Number: $150.00 $150.00 $0.00 BLD10-075 948313401 PLAN REVIEW DEPOSIT 150 Total: $150.00 $ 150.00 CHECK 3796 Total: $150.00 Page 1 of 1 genpmtrreceipts cy Port & CITY OF PORT TOWNSEND Townsend BUSINESS AND OCCUPATION TAX INSTRUCTIONS DID YOU KNOW YOU STILL HAVE TO FILE EVEN IF YOU HAVE NO INCOME TO REPORT?? Every person, firm or other organization doing business in the City of Port Townsend is subject to the licensing and taxation requirements set forth in Port Townsend Municipal Code, Sections 5.04A, 5.04B and 5.08. We encourage you to review these sections to familiarize yourself with the city requirements. A business is required to file a quarterly®Business and Occupation (B&O) tax return on or before the last day of the month following the end of the reporting period covered by the return. Returns must be completed and returned to the City by the due date whether or not any tax is owed or if there is zero income to report. Any and all income must be reported, even if no tax is due. Incomplete B&O returns will be returned to you, and a late fee may be added to the account. Returns received after the due date will be subject to a penalty as outlined below. O Customers have the option of filing an annual tax return if gross income is equal to or less than $20,000 per year. Contact the Finance department if you would like to request to be on an annual filing basis. (Must file quarterly for the first full year after becoming licensed) Tax is based on the gross income you received from doing business in the City limits of Port Townsend. Any income received from doing business outside the City limits should not be reported on this return. Quarterly Schedule: First Quarter: January, February, March due April 30 Second Quarter: April, May, June due July 31 Third Quarter: July, August, September due October 31 Fourth Quarter: October, November, December due January 31 DETERMINING YOUR BUSINESS CLASSIFICATION (Column 1 on form) Determine which tax classification(s) relate to your business activity CONSTRUCTION: Constructing, installing, repairing, altering, wrecking, and demolishing any building, roadway, improvements to real property or other structure. A contractor is considered “doing business” in Port Townsend any time that his/her equipment or materials are placed at a work site within the city Limits. RETAIL: Sale of tangible personal property and/or charges made for labor and services with respect to installing, repairing, etc., of tangible personal property. WHOLESALE: Sale of tangible personal property when it is not at retail. PRINTING & PUBLISHING: Printing and publication of newspapers, periodicals or magazines. SERVICE & OTHER ACTIVITES: Rendering any service which does not constitute a sale “at retail” or “at wholesale”. MISCELLANEOUS: Business transactions which are not described by any other classification listed herein. CALCULATING THE TAX DUE Column 2 Enter Gross Income for each applicable business classification of your business. No tax due if yearly gross income is below $20,000. Column 3 Enter Description (1-16) of any deductions or exemptions (see below*). Column 4 Enter Amount of any deductions or exemptions. Column 5 Enter Taxable Amount for each business classification (Column 2 — Column 4). Column 7 Enter Tax Amount for each business classification (Column 5 x Column 6). Line A Tax Amount — add all amounts listed in Column 7. Line B Penalty - if a tax return is filed after the due date, calculate and enter the amount of the fine as follows: Up to 1 month past due date, add 5% of the tax due (minimum of $5.00) Over 1 to 2 months past due date, add 15% of the tax due (minimum of $5.00) Over 2 months past due date, add 25% of the tax due (minimum of $5.00) Enter the Total Due (Line A + Line B) *DEDUCTIONS AND EXEMPTIONS (Column 3 on form) (Refer to PTMC 5.04A.090 and 5.04A.100 for detailed explanations) 1) Income resulting from a person’s performance as an employee, as opposed to an independent contractor. 2) Income from insurance sales, upon which a tax based on gross premiums, is paid to the State of Washington. 3) Sale by a farmer or gardener of his/her own produce. 4) State licensed athletic exhibitions or race meets. 5) Certain gross receipts of fraternal benefit societies. 6) Hospitals owned by a government body or religious corporation. 7) Income from the sale, lease or rental (if more than 30 days) of real estate (does not include commissions). 8) Certain amounts resulting from the banking, trust or savings and loan businesses. 9) Sales, distribution or manufacturing of motor vehicle fuel. 10) Liquor sales and distribution (includes beer and wine). 11) Investment income for non-financial businesses. 12) Bona fide initiation or membership fees, tuition, donations and contributions to endowment funds. 13) Trade or cash discounts taken by customers. 14) Bad debts incurred by accrual basis taxpayers. 15) Amounts collected by taxpayers as excise taxes. 16) Business transactions which federal and/or state laws and constitutions prohibit the City from taxing. UPON COMPLETION OF THE RETURN, SIGN AND DATE IN THE APPROPRIATE SECTION AND RETURN WITH ANY APPLICABLE FEES TO THE ADDRESS ON THE FRONT PAGE OF THIS FORM. UU | i LARSEN ARCHITECTS GARRETT WEYER LARSEN Principal 171 SHORE DRIVE, PORT LUDLOW, WA 98110 TEL: 206°842-9984 CELL: 206°790°4860 garrett@thelarsenarchitects.com WOd'S}IJa}YIseUaSILJ|Iay} O23 098b°062°907 ‘114 #866-7H 9° 907 214 OLL86 VM ‘MOIGNT LYOd ‘IAING IYOHS LZi wdioug N4SUYV1 Y4AIM LIsWaVD SLOFLIHDAV NASYVI