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BLD10-076
CONSTRUCTION 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. 974700104 PERMIT NO. BLD10-076 ISSUED DATE 04/30/2010 EXPIRATION DATE 10/27/2010 ADDRESS 2174 SIMS WAY CONSTRUCTION TYPE V-B_ OCCUPANT LOAD OWNER WILLIAMS STEVEN K PROJECT DESCRIPTION Extend Partial Roof Line of State Farm Office Building _ CONTRACTOR OWNER BUILDER LENDER INSPECTION INSP JATE COMMENT INSPECTION INSP JATE COMMENT FOOTING FRAMING MISCELLANEOUS FINAL - BLDG. TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. PERMIT # (AUD 1O~ 01% CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG DATE RECEIVED Y-©-19 SCOPE OF WORK: Exsemd Partial Roof Une Stele Farm Gffice Build Ing DATE ACTION INITIALS U-6-1\O ENTERED INTO CHET (MW U~©~10 | CHECKED FOR COMPLETENESS MW 4-14(O Called Steve Willems 12:20 pm. Quections Ov Foctins For post suppoct. - OF of Town left mes. uch office wl Wwe Irina Coe (I when Ine vetoes == 4-28(O Pletin yr inca comple EG Zoning: C~\) Oh - Sw 4/8 Setbacks OK? [| _( Setbacle W Wont for CE per _17. 20-030, 2 “ib "Shown. Lot Size: 5500 Building Size: q4y Lot Coverage: 1g OK FAR OK? Vex Height OK? | Parking OK? Vv Critical Area? No Demo? Historic Rev? Notice to Title? i Lots of Record? MV Ox te [ssve— loll due AY pekup ZS 4:28:(0 BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-076 Permit Type Commercial Miscellaneous Project Name _ Extend Partial Roof Line Site Address 2174 SIMS WAY Parcel # 974700104 Project Description Extend Partial Roof Line of State Farm Office Building Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Williams Steven K Owner Williams Steven K Contractor Owner Builder O- STATE exempt 12/31/2010 Fee Information Project Details Project Valuation $3,000.00 Entered Bid Valuation 3,000 DOLL Plan Review Fee 54.11 Units: Heat Type: PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: V - B PLAN REVIEW REFUND 50 -50.00 Bathrooms: Occupancy Type: B State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Building Permit Fee 83.25 Record Retention Fee for Building 4.25 Permit Total Fees $ 151.11 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 Da cg VA Vit UL Eos Date Issued: 04/30/2010 fob Y 7 i), i Issued By: MWAY Signature LLA ft! Date / Sts : Date Expires: 10/27/2010 CITY OF PORT TOWNSEND Www.cityofpt.us~ --) Residential Building Permit Application Project Address: Legal Description (or Tax#) 274 W, Sims way Addition: Nock | Cihy #} Zoning: _C—\' Block: l Parcel#_G74 10° Loy Lot(s): @+7 Project Description: : Exv-lend Beak Partial Roof Unswe si ee 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: Seve by MGs Address: 2/74 AY. SIMS AAT City/StZip: fart Lain Stu pst GE US Phone: Email: Sfeve BSF Witt lan. Com Contact/Representative: Name:_ D#vr Phone: 540 - PFS 277 Y Email: sHtw @ St£WI Mars, Cty Contractor: Name: Address: City/St/Zip: Phone: i Same as Owner Email: State License #: Exp: City Business License #: Building Information (square feet): 1" floor _F 75 Garage: 2™ floor Carport: 3" floor Other: Basement Finished: Unfinished: Decks / Porches Covered: Uncovered Heat Type: Electric____ Heat Pump__X_Other____ Total: #Bedrooms #Bathrooms Size of lot_5 520 Square feet Total Lot Coverage (Building Footprint):* Square feet: Lei % A Impervious Surface:* Square feet: *Total existing & proposed Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: Project Valuation: $ BOA What year was the structure built? _/772 If work includes demolition, see Page 2. Any known wetlands on the property? Y @& Any steep slopes (>15%)? Y ‘Vv | herebycertify that the information provided is correct, that | 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 Name: 7 Aas hi lat Sy Signature: Wa ‘ Date: Se YZ 7 Page 1 of 2 - 1/4/2010 -OVER- 1S) Jefferson County - In Home Search County Info: Departments Owner Mailing Address: Parcel Number: 974700104 SEARCH Parcel Number: 974700104 STEVEN WILLIAMS CARRIE E WILLIAMS 60 OLYMPIC BLVD = | | | — LY u PORT TOWNSEND WA983689651 | U, [ Site Address: 2174 SIMS WAY PORT TOWNSEND 98368 Section: 9 Qtr Section: SE1/4 Township: 30N Range: 1W Printer Friendly School District: Port Townsend (50) Fire Dist: Port Townsend (8) Tax Status: Taxable Tax Code: 100 Planning area: Port Townsend (1) Sub Division: NATIONAL CITY #1 ADDITION Assessor's Land Use Code: 6300 - BUSINESS SERVICES (real estate, insurance) Property Description: NATIONAL CITY #1 ADDITION | BLK 1, | LOTS 6(W30'), 7(ALL) W/EASE | | Click on photo for larger image. 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Version: 0.1 “T'¢ Click to see Sign Mounting Methods ee _ON _FastFind the item on the order ft form by Customer's Mode _. State Farm ( Channel Letters Price List / Order Form | Customer Model | iF lami price | abit / \ ‘Quantity ; Dualite Part | Description i Images Uso Extended Price ‘Number fo State Farm (Wordmark) LED Tiluminated Channel Letters | 16" State Farm (Wordmark) LED Iduminated Channel Letters oo Remote PowerSupply pas 24SF.1 (22.SF. 1) State Farm Insurance/Auto Life Fire 2x20- | | | eo Dl 11/2" Single Face Illuminated Sign - Muchmore II (Black | | ; Qty. x1 910-108629001 Ld case) Red Border White Background , | CUSTOM: Gelcore - Set of State Farm 16°LEDRemote |g, 1) i ISTATEFARM 16 wm (Channel Letters - (Word Mark) #2793 Red Acrylic Faces Stafefarm’ ‘950103311317 ca 1" Red Trim Cap - Black Returns & Backs -Gelcore | | i Qty. x1 (950-103311317 Ll LED RedjRed Ilumination (6 Units/Ft.) -PS3Power | | | Supply. : 7 | item(s) above will be assembled together. | " Ai Wi d i m s Mh y G7 7 00 / of ro a d 7 foe ot FOP LA SOAS biel Y Dualite Sales & Service, Inc. One Dualite Lane * Williamsburg, OH 45176 » (513) 724-7100 © Fax: (513) 724-9029 © wvrw.dualte.com STAT02=State Farm Insurance Date: 4/6/2010 Time: 1:32:55 PM User: STATO2=StateFarm Ins. Version: 0.1 Tt Click to see Sign Mounting Methods _ ON FastFind the item on the, order form by Customer’ s Model State Farm Channel Letters Price List | Order Form Customer Model | - a ‘Unit Price | Quantity Dualite Part Description Images (USD) | Extended Price Number i "State Farm (Wordmark) LED Illuminated Channel Letters — ; 16" State Farm | (Wordmark) LED: Tuminated Cl Channel Letters _ So Remote Power Supply \22SF.1 ((22LSF. 1) State Farm Insurance/Auto Life Fire 2x20- | |__| 1/2" Single Face Illuminated Sign - Muchmore II (Black = Qty. x1) 910-108629001 4 Case) Red Border Mvhite Background | | — ICUSTOM: Gelcore - Set of State Farm 16" LED Remote _ = | ai STATEFARM16 WM (Channel Letters - (Word Mark) #2793 Red Acrylic Faces | a. Stater am | oO 93311317 Ca with 1" Red Trim Cap - Black Returns & Backs -Gelcore Qty. x1) al 103311317 LED Red/Red Illumination (6 Units Ft.) - PS3 Power | | | Item(s) above will be assembled together. Close window ' = 2012" => STATE FARM Eo | 16""F* 12.7°° 4" INSURANCE All strokes clear the 1 1/2" minimum area for L.E.D. CiTy OF PORT TOWNSEND en SU jJetferson County Parcel Number: 974700104 Printer Friendly = 1 | > i a ce To Owner Mailing Address: fay eu iol W || \\\ STEVEN WILLIAMS lea i | CARRIE E WILLIAMS mM |) 60 OLYMPIC BLVD UU} APR 6 2010 |Le/ PORT TOWNSEND WA983689651 Site Address: 2174 SIMS WAY PORT TOWNSEND 98368 Section: 9 School District: Port Townsend (50) Qtr Section: SE1/4 Fire Dist: Port Townsend (8) Township: 30N — Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend (1) Sub Division: NATIONAL CITY #1 ADDITION Assessor's Land Use Code: 6300 - BUSINESS SERVICES (real estate, insurance) Property Description: NATIONAL CITY #1 ADDITION | BLK 1, | LOTS 6(W30'), 7(ALL) W/EASE | | Click on photo for larger image. No No 2nd Ei Photo cE Photo Available Available No Permit r Data Sate care Tax, A/V, Sales Info Map Parcel Plats & Surveys vailable HOME | COUNTY INFO | DEPARTMENTS | SEARCH és a Jefferson County Best viewed with Microsoft Internet Explorer 6.0 or later € Windows - Mac Receipt Number: BLD10-076 974700104 Plan Review Fee $54.11 $54.11 $0.00 BLD10-076 974700104 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD10-076 974700104 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-076 974700104 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD10-076 974700104 Building Permit Fee $83.25 $83.25 $0.00 BLD10-076 974700104 Record Retention Fee for Building Per $4.25 $4.25 $0.00 Total: $101.11 10-0329 04/06/2010 PLAN REVIEW DEPOSIT 50 $50.00 BLD10-076 CHECK 4274 $ 101.11 Total: $101.11 genpmtrreceipts Page 1 of 1 Receipt Number: BLD10-076 974700104 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 Total: $50.00 CHECK 4252 ) $ 50.00 Total: $50.00 genpmtrreceipts Page 1 of 1