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BLD10-104
BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-104 Permit Type Commercial Miscellaneous Project Name _—__Re-Roof Site Address 491 DISCOVERY RD Parcel # 001034004 Project Description Re-Roof Victoria House Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Assisted Living Concepts Inc Owner Assisted Living Concepts Inc Contractor Grays Harbor (360) 532-9530 CITY 999999 12/31/2010 Contracting Contractor Grays Harbor (360) 532-9530 STATE GRAYSHC949, 05/10/2012 Contracting Fee Information Project Details Project Valuation $40,950.00 Roofing/Commercial/3 Tab (per square) 328 SQUA Plan Review Fee 359.35 Uniis: Heat Type: PLAN REVIEW DEPOSIT 50 50.00 Bedrooms: Construction Type: PLAN REVIEW REFUND 50 -50.00 Bathrooms: Occupancy Type: State Building Code Council Fee 4.50 Technology Fee for Building Permit 11.06 Building Permit Fee 552.85 Record Retention Fee for Building 10.00 Permit Total Fees $ 937.76 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 isn the property or aythorized agent of the owner. Date Issued: 05/13/2010 Issued By: MWAY Signatur J. \ earn xs Date StWB-10 Date Expires: 11/09/2010 ‘4 be Pn Print “C Wav in ie GWA CM. CO 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. PARCELNO. 001034004. PERMIT NO. BLD10-104 ISSUED DATE __05/13/2040 EXPIRATION DATE __11/09/2010 ADDRESS 491 DISCOVERY RD CONSTRUCTION TYPE OCCUPANT LOAD OWNER ASSISTED LIVING CONCEPTS INC PROJECT DESCRIPTION Re-Roof Victoria House CONTRACTOR GRAYS HARBOR CONTRACTING LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT ROOF FLASHING Kev Wife FINALBLDG.COFO |. Y TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. ) IE C IC ue C [= \ a - a, evelopment Services 1 may: 12 ib oc 250. Madison Street, Suite 3» ort Townsend WA. 98368 : _ Phone: 360-2 379-5095 RTE rena Fyotbl us” is Fase www-cilyofpt. us Roofing Permit Application Project Address: Legal Description (or Tax #): Addition: A! Dre covery kd. Block: . Parcel # Lot(s}:see _athatcheD ‘Associated Permits: 00 (034004 ett eerste SF Residential} Commercial 4. MF ResidentialD Bed & Breakfast*D * B&B's located in Historic District may require design review approval. Property O Lender Information: Name: V3 e ee. He use. Lender information must be provided for projects Address: 42] i <6 py cay QL over $5,000 in valuation per RCW 19.27.095. City/SUZip:Pork Jaws end, Wa 983be Name: a Phone (360) 374-8 ud Project Valuation: 2g O00 — Email: + Scope of Work: Contracter: Number of existing roof layers: ({ A Name “Grays Hecbar (ont caching 5 Square footage of roof:_J 2, Wn 2°) Address: Of, ta), State St. Tear off? N City/StZip: : Replacing sheathing? Y (> Phone(3p0) a; Ah~ 9530 Replacing/altering rafters or trusses? Y (> Email: mazréuic @ Qu esta Ker coe wet If “yes” a roof framing planis required. State License #: Cty SHC TV9 Tr. Exp. §~2- 20f/ City Business License #: Ractiedfyv . New Roof hesins ‘4 Composition 1 Metal O Cedar shingies 0 Cedar shakes {s the structure located within 200 feet of a fresh or 0 Torchdown or Hot Mop G Other saltwater shoreline? Y ©) Will work take place on or near the pubes right-of- Venting type (check aif that applies): way? Y Ci Reof Ki Gable End = i Eave/soffit if yes. provide a site plan and pedestrian protection . . plan. Ridge O Other | | hereby cerlify that the information provided is correct, thal !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:_ /“AT7_ He Cf PIA Signature: Del aE Date: MAY {2 2efe —— ¢d L8v6-ZES-09€ Burpequod “H’9 dgs:10 OL ZL AeW - Parcel Details fa op the Poe, a von ~ County nh : lentes. 2 : Soul | parcel Number: 001034004 [ SEARCH | Parcel Number: 001034004 Printer Friendly Owner Mailing Address: ASSISTED LIVING CONCEPTS INC DBA: VICTORIA HOUSE W140N8981 LILLY RD MENOMONEE FALLS WI1530512325 Site Address: 491 DISCOVERY RD PORT TOWNSEND 98368 Section: 3 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: Assessor's Land Use Code: 1300 - APARTMENTS, MULTI-PLEX (5 or more units) Property Description: S53 T30 RiIW | TX 2 (LESS N 369.8') | LESS TX 61 | | Click on photo for larger image. no Permit No Assessor Data Data Available” Af¥, Sales Info IMap Parcel Plats & Surveys Available HOME | COUNTY INFO | DEPARTMENTS | SEARCH er i Best viewed with Microsoft Internet Explorer 6.0 or later E Windows - Mac http://www.co jefferson.wa.us/assessors/parcel/parceldetai!.asp?PARCEL NO=001034004 yd L8P6-ZES-09€ Bunpeuod “HO Page 1 of 2 5/11/2010 dgs:10 OL ZL APN Contractors or Tradespeople ail oy \ Contractors or Tradespeople Detail Washington State Department of Labor & Industries Return to List > Start a New Search > El Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About General/Specialty Contractor Page | of 3 A business registered as a construction contractor with L&l 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 Grays Harbor Contractin i Nanie y ontracting UBI No. 4) 601842141 Inc : Status 4) Active Phone No. (360) 532-9530 License No. GRAYSHC949JR Address Po Box 1229 License Type iy Construction Contractor Suite/Apt. ” ad City vbariesn Effective Date 4/19/2006 State Wa Expiration Date 5/10/2012 Zip 98520 Suspend Date ij County Grays Harbor Specialty 1 J) General Business Type Corporation Specialty 2 dy Unused Parent Company f= Other Associated Licenses . . Specialty Effective Expiration License Name Type Specialty 1 Status ¥P , ¥ 2 Date Date Pacific Coast . Construction . PACIFCE902DC Env &Amp; General Unused 3/3/2010 3/3/2012 Active —_———n Contractor Pntng Inc Red Rock Construction REDROHLOIIOL sere eon General Unused 9/13/1999 10/19/2011 Active ~ Holdings Llc Contractor Todd . ; Construction ; TODDRPIO85D3 Robinson General Unused 3/23/1992 3/23/2011 Active oT , Contractor Painting Inc Pacific Coast . Construction : PACIFCC023J4 Contractors General Unused 4/24/1998 8/14/2001 Archived - Contractor Inc Pacific Coast Construction https://fortress.wa.gov/Ini/bbip/Result.aspx 5/12/2010 P.O. Box 1229 Aberdeen, WA 98520 Business Phone (350) 532-9530 Fax # (360) 532-9481 Fax m: Wee (ay Grays Harbor Contracting From: (eee ne ein owe bick , ree 2Q0°34y Ub) 4 Pages: Zf Phone: 37] 4-0 & 2. pate S/12-| 10 ne: Por yw, + Bus. Live, A Wea : Ca\\ rs You have Ong qves Mons (360) 584-$462 id L8h6-ZES-09E Burpequog “HD dgg:40 OL ZL AeW Receipt Number: BLD10-104 001034004 Plan Review Fee $359.35 $359.35 $0.00 BLD10-104 001034004 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 BLD10-104 001034004 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD10-104 001034004 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-104 001034004 Technology Fee for Building Permit $11.06 $11.06 $0.00 BLD10-104 001034004 Building Permit Fee $552.85 $552.85 $0.00 BLD10-104 001034004 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $937.76 ‘CHECK 48049 Oo $ 937.7 Total: $937.76 genpmtrreceipts Page 1 of 1