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HomeMy WebLinkAboutBLD10-193CONSTRUCTION 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. _101351001__— PERMIT NO. BLD10-193 ISSUED DATE __10/05/2010 __—~«EXPIRATIONDATE__04/03/2041 ADDRESS FORT WORDEN CONSTRUCTION TYPE OCCUPANT LOAD OWNER WASHINGTON STATE PARKS & PROJECT DESCRIPTION Replace slate with slate CONTRACTOR ADVANCED CONSTRUCTION LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT ROOF NAILING MISCELLANEOUS _. } FINALBLDG/COFO (34 |YW2// TO REQUEST AN INSPECTION CALL (360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit # BLD10-193 Permit Type Commercial Miscellaneous Project Name —_—Re-Roof Site Address FORT WORDEN Parcel # 101351001 Project Description Replace slate with slate Names Associated with this Project License Type Name Contact Phone # Type License # Exp Date Applicant Washington State Parks & Owner Washington State Parks & Representative Ward Joe (360) 725-9762 Contractor Advanced Construction Rick Jones (425) 493-1826 CITY 999999 12/31/2010 Contractor Advanced Construction Rick Jones (425) 493-1826 STATE ADVANCI973I 05/05/2011 Fee Information Project Details Project Valuation $6,125.00 Roofing/Commercial/Other (per square) 35 SQUA Plan Review Fee 90.51 Unite: 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 5.00 Building Permit Fee 139.25 Record Retention Fee for Building 7.00 Permit Total Fees $ 246.26 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 Rk Le a Jones Date Issued: 10/05/2010 . Issued By: SFOSTER Signature — et t—“—~sCD ttle Cre . Zo /O Date Expires: 04/03/2011 CITY OF PORT TOWNSEND DSD ere] wVe [) an Oe ee | \\ al | Development Services UW Ull -] AU IY 250 Madison Street, Suite 3 Port Townsend WA 98368 Phone: 360-379-5095 Fax: 360-344-4619 www.cityofpt.us Commercial Building Permit Application Project Address & Zoning District: ZOO BATE RY WAY Legal Description (or Tax #): “Addition; LO er WoeDE nl Office Use Only —Block: SyAye PARC A DIO“ (AZ Parcel # IG \SS lool ia SUM E > Applications accepted by mail must include a check for initial plan review fee of $150 > See the “Commercial Building Permit Application Checklist” for details on plan submittal requirements. Project Description: SSS, Bion \\ va Associated Permits: Property Owner: Lender Information: Name: WwW RSWINGION SstaTe PARKS Lender information must be provided for projects Address: 11 11 (SARL 2D over $5,000 in valuation per RCW 19.27.095. City/SUZip: OLN MPA LA Si “SO Name: STATE AGENCY Phone: Yo 7a be a lor Project Valuation Ke joes Email: . —_— Sant Construction 1 Type: RE <—S — - ontact/Re wy V Name: =tARD. PE- Occupancy Rating: ae p Address: \\ rm \ \SRAEL ep Building Information (square feet): , a City/SUZip_OLNMPIA WA ABSOF-Z6So 1° floor ! Restrooms: Phone: 360-12 -Wle% T1w2 . 2™ floor Deck(s): Email: “Sepe Pt Warde ONES WA. GDY 3™ floor Storage: Basemen . Is it finished? Yes No f se Other: Contractor: Fab . ~ —_ ® : (o Name:__ Advance = Consucrien New 0 Addition 0 Remodel/Repair }4 Address: Change of Use 0 City/St/Zip: sate Sw slate Phone: Email: Total Lot Coverage (Building Footprint): State License #: Exp: City Business License #: pa Square feet.___ % Impervious Surface: Square feet:/. | 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 activitig Print Name: Signature: _ > s associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Date: Let = Contractors or Tradespeople ™ tail Page | of 3 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a NewSearch > {1 Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About 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 Name ADVANCED CONSTRUCTION INC UBI No. iy 602273113 Phone No. (425) 493-1826 Status i j Active Address 4640 Campus Pl Ste 150 4 Suite /Apt. License No. ADVANCI973KE City Mukilteo License Type BF) Construction Contractor State WA Effective Date 5/5/2003 Zip 98275 co Expiration Date 5/5/2011 County Snohomish : Suspend Date Jy Business Type Corporation Parent Company Specialty 1 yj General Specialty 2 i Unused f=} Business Owner Information f=} Hide All Name Role Effective Date Expiration Date SMITH, AJ President 05/05/2003 ‘= Bond Information Yy Bond Company Bond Account _ Effective Expiration Impaired Bond Received Bond Cancel Date Name Number Date Date Date Amount Date 2 AREY BT EINS 6556443 05/02/2008 Until $12,000.00 04/16/2008 CO OF AMERICA Cancelled — ] TRANEEERS BSR 104091138 05/02/2003 lee 05/02/2008 $12,000.00 05/05/2003 SURETY CO Cancelled —" a Assignment of Savings Information y No records found for the previous 6 year period https://fortress.wa.gov/Ini/bbip/Result.aspx 10/5/2010 Contractors or Tradespeople ail Page 2 of 3 . & Insurance Information Jd . Effective Expiration Cancel Impaired Received Insurance Company Name Policy Number Amount Date Date Date Date Date VALLEY FORGE 7 INS CO 4016148819 05/02/2010 05/02/2011 $1,000,000.00 04/20/2010 TRAVELERS 6 INDEMNITY CO. DTCOS26D859TIAO&8 05/02/2009 05/02/2010 $1,000,000.00 04/23/2009 OF AME TRAVELERS 5 INDEMNITY CO) ~DTCO526D859S5INDO7 05/02/2007 05/02/2009 $1,000,000.00 04/08/2008 OF AMER UNDERWRITERS 4 AT LLOYDS CJ0677037 05/02/2007 05/02/2008 $1,000,000.00 04/23/2007 LONDON UNDERWRITERS 3 CJ0583040 02/2005 05/02/2007 1,000,000.00 04/24/2006 AT LLOYDS J 05/02/ 5/02/ $ /24/20 LLOYDS OF 2 LONDON CJ0426085 05/02/2004 05/02/2006 $1,000,000.00 04/11/2005 (UNDERWRITERS & Summons/Complaint Information yy Cause County Complaint Judgment Status Payment Paid By 10-2-25848-5SEA Date: 07/21/2010 Date: Date: D LHENRICKSEN CO INC KING Amount: $12,965.00 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 10-2-25539-7SEA Date: 07/16/2010 Date: Date: LONG PAINTING COMPANY KING Amount: $129,978.37 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 10-2-13405-1KNT Date: 05/17/2010 Date: Date: PARAMOUNT ELECTRIC COMPANY KING Amount: $141,939.94 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 10-2-13405-1KNT Date: 08/13/2010 Date: Date: PARAMOUNT ELECTRIC COMPAY KING Amount: $141,939.94 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 10-2-06917-3 Date: 03/08/2010 Date: Date: PARAMOUNT ELECTRIC COMPANY PIERCE Amount: $141,939.94 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 https://fortress.wa.gov/Ini/bbip/Result.aspx 10/5/2010 Contractors or Tradespeople tail Page 3 of 3 . 10-2-00767-5 Date: 03/31/2010 Date: Date: LYNDALE GLASS INC WHATCOM = Amount: $39,527.89 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 10-2-00190-1 Date: 02/09/2010 Date: Date: POWERCO DRYWALL SYSTEMS WHATCOM Amount: $62,175.71 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 10-2-00187-1 Date: 02/09/2010 Date: Date: POWERCO DRYWALL SYSTEMS WHATCOM Amount: $44,341.73 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 09-2-02701-1 Date: 02/06/2009 Date: Date: PEARSON DRILLING INC SNOHOMISH Amount: $107,192.76 Open Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 08-2-04646-8 Date: 05/22/2008 Date: Date: DAWSON PILE DRIVING INC SNOHOMISH Amount: $28,091.38 Dismissed Amount: $0.00 Amount: InterPlead: No Bond(s): 6556443 06-2-06977-1 Date: 03/29/2006 Date: Date: PILE CONTRACTORS INC SNOHOMISH Amount: $0.00 Open Amount: $0.00 Amount: InterPlead: No =) Warrant Information Y No unsatisfied warrants on file within prior 6 year period a Infractions/Citations Information yy Infraction / Citation Date RCW Code Type Status Violation Amount E50234 2/17/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 E50235 2/17/2005 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 © Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Access ABA Washington” Washington. Shicls) SintaCS-mearnnieet Sich eite https://fortress.wa.gov/Ini/bbip/Result.aspx 10/5/2010 P. No. 0053 5. 2010 1:26PM Oct. ON Ma s t e r Li c e n s e Se r v i c e UB I Ka ah , De p a r t m e n t of Li c e n s i n g 02 - 2 9 2> - } } 3 HE M Sa M T E ) PO Bo x so c a ae CM P GE S ! Ol y m p i a WA 98 5 0 7 - 0 0 3 4 ee *t a l e p h o n e (S 6 0 ) 85 4 - 1 4 0 0 3 Sm i t } 4 Ci t y Bu s i n e s s Li c e n s e Ad d e n d u m Si d e A: Fo r a bu s i n e s s ph y s i c a l l y lo c a t e d in s i d e ci t y li m i t s (r e s i d e n t ) Th i s fo r m mu s t be su b m i t t e d wi t h a co m p l e t e d Ma s t e r Bu s i n e s s Ap p l i c a t i o n fo r m an d re q u i r e d fe e s . Re f e r io th e in s t r u c t i o n s an d fi s t of ci t i e s on pa g e 1 of th i s fo r m . EW co m p i c t e th i s se c t i o n fo r a ci t y li c e n s e If yo u r bu s i n e s s is ph y s i c a l l y lo c a t e d in s i d e ci t y li m i t s . {. Fr o m th e ci t y na m e s an d fe e s li s t e d on pa g e 1 of th i s fo r m , in d i c a t e th e ci t y wh e r e yo u r bu s i n e s s is ph y s i c a l l y lo c a t e d an d th e as s o c i a t e d fa e am o u n t : wi e n | Fe e am o u n t T TO O NS E N D 12 5 0 ? 2. Fi r s t da t e of bu s i n e s s in ih e ci t y in d i c a t e d : 64 ] 2a pr o t o Ha v e yo u ev e r he l d a bu s i n e s s li c e n s e li n th e ci t y yo u 1 In d i c a t e d ab o v e ? wn . . . is Ye s (1 No If ya s , no t e th e ci l y li c e n s e nu m b e r of yo u r pr e v i o u s bu s i n e s s (i f kn o w n ) : “U n k e i n w a l 4. Wi l l yo u us e or st o r e an y ha z a r d o u s ov fl a m m a b l e ma t e r i a l s at th i s fo c a t i o n ? . . . . . . . . . . . . . . Cl Ye s TY No 5. Ar e yo u co n d u c t i n g ih e bu s i n e s s fr a r n & re s i d e n c e ? .. 2. . . ce c e se c s s e e e c e r s e s sc a r se m s s a r s ne s ss c e s a e ee n s va t e Ol v e s Gy n o It ye s , wi l l bu s i n e s s cu s t o m e r s be vi s i t i n g th e re s i d e n c e ? . . . . ca n i n e Le s PA N So m e ci t i e s ha v e sp a c i a l ho m e oc c u p a t i o n re g u l a t i o n s , pe n ce c t th e ch y fo r ma r e in f o r m a t i o n . 6, Sq u a r e te s t of fl o o r sp a c e ut i l i z e d by yo u r bu s i n e s s ai lh i s lo c a t i o n : 7. Gi v e In a na m e an d ph o n e nu m b e r of tw o af t e r - h o u r s Em e n y e n c y Co n t a c t pe r s o n s fo r th i s bu s i n e s s lo c a t i o n : Ph o n a su m b e r Ax S M ti t t Ho s ) Wy 5c f SU G (R i e k Sa v e s (p e ) 25 4 6 5 7 0 8. Ar a yo u ap p l y i n g as @ no n p r o f i t or g a n i z a t i o n ? .. . ai su n a n e e CO ] Ye s Bi n o If ye s , at t a c h a co p y of ou r HA S ta x ex e m p t i o n ce r t h o s t e ‘s u e d an d e r : se c t i o n 50 4 (c ) of th e (A S co d e . 9. Av e yo u a ge n e r a l or sp e c i a l t y co n s t r u c t i o n co n t r a c t o r ? . . Gr e n d e l a. Ar e yy Ye s [N o lf ye s , pr o v i d e th e De p t . of La b o r & In d u s t r i e s re g i s t r a t i o n nu m b e r (i f va s e s (0 B 8 3 ~ 0 0 8 - D oO 10 . Ma r i c an y of th e fo l l o w i n g ac t i v i t i e s th a t wi l l be ca n d u c t e d at or fr o m th i s bu s i n e s s fa c a t i o n : 1 Se x u a l i t y Or i e n t e d Bu s i n e s s [© Ch a r g i n g Ad m i s s i o n 0 Am u s e m e n t De v i c e s / Ar c a d e s O Aq i u l l En i e r t a i n m e n t C Ta x i or Fo r Hi r e Se r v i c e / Di s p a t c h [J Am b u l a n c e Se r v i c e / Di s p a t c h 0) Ga m b l i n g C1 ut i l i t y tt e l e p h o n e s c e l i u l a v i S P , ca b l e , ga s , el e c t r i c , ga r b a g e } No t e : in Se c t i o n 2 of th e Ma s t e r Bu s i n e s s Ap p l i c a t i o n , wr i t e th e ci t y na m e an d fe e in d i c a t e d ab o v e . AL S TH 06 0 Gv a i i 0 ] PA G E 2 OF 3 rj o n e s @ a d v a n c e d c o n s t r u c t i o n i n c . n e t Of f i c e 42 5 . 4 9 3 . 1 8 2 6 Fa x 42 5 . 4 9 3 , 18 2 7 Ce l l 42 5 . 7 5 4 . 6 5 7 0 WA # AD V A N C I 9 7 3 K E CO N S T R U C T I O N IN C . RI G K Ja h r e s 46 4 0 Ca m p u s Pl a c e , Su i t e 15 0 * Mu k i l t e o , WA 98 2 7 5 Pr o j e c t Ma n a g e r Ag e . (d b 2O l O 27 S SH U G CE S Me s t e r Li c e n s e Se r v i c e ue e S4 8 ak b e n s , De p a r t m e n t of Uc e n c i n g qk q) PO Bo x 90 3 4 Cv m e r na m e S oo Ol y m p i a WA SB S 0 7 - 9 0 9 4 - Su n Te l e p h o n e (9 6 0 ) 66 4 - 1 4 0 0 2 P, Ci t y Bu s i n e s s Li c e n s e Ad d e n d u m Si d e B: Fo r a bu s i n e s s ph y s i c a l l y lo c a t e d ou t s i d e ci t y li m i t s (n o n - r e a l d e n t } Th i s fo r m mu s t be su b m i t t e d wi t h a co m p l e t e d Ma s t e r Bu s i n e s s Ap p l i c a t i o n fo r m an d re q u i r e d fa s . Re f e r to th e in s t r u c t i o n s an d li s t of ci f l e s on pa g e t of th i s fa r m . No. 0053 ef Co m p l e t e th t s se c t i o n fo r ci t y li c e n s e s if th e r e is no ph y s i c a l lo c a t i o n In s i d e th e ci t y li m i t s . 1. Fr o m th e ci t i e s an d fe e s sh o w n on pa g e 1, li s t al l th e ci t i a s wh e r e yo u wi l l tr a v e l ta to co n d u o l bu s i n e s s . Pr e v i o u s ci t y li c e n s e nu m b e r Ci t y na m e Fi r s t da t e of bu s i n e s s {i f kn o w n ) Fe e am a u n t PO R T To u w a s e n d | oF Jo g l a a 4A | 48 | 4 | 44 | A ef ee | oO] To i a l am o u n t du e fo r no r r r e s i d e n t ci t i e s * 2. Ar e yo u ap p l y i n g fo r yo u r bu s i n e s s as a no n p r o f i t or g a n i z a t i o n ? .. . . . . . . . . . . 0 ww . 1 Ya s y No lf ye s , al l a c h a co p y of yo u r IA S ta x ex e m p l l i o n ca r t i f i c a l e Is s u e d un d e r se c t i o n 60 1 {o b of th e IA S co d e . HA ve s if ye s , pr o v i d e th e De p i . of La b o r & In d u s t r i e s re g i s t r a t i o n nu m b e r ‘t i f ‘k n o w n lo 55 - Ad I 5 - 4 4. Da o yo u pr o v i d e ul i l i l y se r v i c e (e l e p h o n e c e l l u l a n I S P , ca b l e , ga s , el e c t r i c , ga r b a g e ) 7 . . . . . . . . . . [1 Ye s x No No t e : In Se c t i o n 2 of th e Ma s t e r Bu s i n e s s Ap p l i c a t i o n , wr i t e th e ci t y na m e s an d fe e s in d i c a i e d ab o v e . 1:27PM >. 2010 BL S 70 D 1e 8 GS 18 ) ] PA G E 3 OF 3 Oct. Receipt Number: BLD10-193 101351001 Plan Review Fee $90.51 $90.51 $0.00 BLD10-193 101351001 PLAN REVIEW DEPOSIT 50 $50.00 $50.00 $0.00 BLD10-193 101351001 PLAN REVIEW REFUND 50 -$50.00 -$50.00 $0.00 BLD10-193 101351001 State Building Code Council Fee $4.50 $4.50 $0.00 BLD10-193 101351001 Technology Fee for Building Permit $5.00 $5.00 $0.00 BLD10-193 101351001 Building Permit Fee $139.25 $139.25 $0.00 BLD10-193 101351001 Record Retention Fee for Building Per $7.00 $7.00 $0.00 Total: $246.26 CHECK 3466 $ 246.26 Total: $246.26 genpmtrreceipts Page 1 of 1