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HomeMy WebLinkAboutBLD2011-00213 - RE ROOF ILDING PERMIT APPLICA " � Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 BLD11-00213 PERMIT #: BLD11-00213 Received Date: 8/2/2011 SITE ADDRESS: 1891 S JACOB MILLER RD PORT TOWNSEND, 98368 OWNER: MADELEINE C HOUSTON PHONE: 360-385-1489 PO BOX 751 PORT TOWNSEND WA 98368-0751 IRVING PARK ADDITION SUBDIVISION: Block: 13 Lot: 1-10 PARCEL NUMBER: 963301301 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: INTERLOCK INDUSTRIES INC PHONE: 425-438-8585 1420 80TH ST SW SUITE E EVERETT WA 98203 Contractor's License INTERII020LC Expires 2/6/2013 REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP RE-ROOF GARAGE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 32,100.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: 1 Type Amount Paid By: Date: Receipt: Approved/Date Permit $472.05 LYK 08/02/11 127969 1 P P R `r E Plan Check $306.83 LYK 08/02/11 127969 1 V L. State Building Code $4.50 LYK 08/02/11 127969 AUG `?,- 2011 Total: $783.38 Jefferson County Planning &Building Department N. • • .' r N ie,>. JEFFERSON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street• Port Townsend•Washington 98368 360/379-4450. 360/379-4451 Fax 4'WING' Q www.co.jefferson.wa.us/commdevelopment Master Permit Application MLA: tj C 1.J LE 't Project Description(include separate sheets as necessary): G-ak'2 Clean existing roofing&Reroof to New Interlock Aluminum Shingles in our Slate design Tax Parcel n ;���y�\ Property Number: `'l t 1 I Size: (acres/square feet) Site Address and/or Directions to Property: 1891 South Jacob Miller Road, Port Townsend, WA 98368 Property Owner(s)of Record: Madeleine Houston&Daniel Hauptman Telephone:360-385-1489&/or 503-507-3571 Fax: email: Mailing Address: P.O.Box 751,Port Townsend,WA 98368 Applicant/Agent(if different from owner): Interlock Industries,Inc. Telephone:425-438-8585 Fax: 425-438-8577 email: RBLACK@A•ROOF COM Mailing Address: 1420 80th Street SW Suite E,Everett,WA 98203 W at kind of Permit?(Check each box that applies uilding ❑Variance(Minor, Major or Reasonable Economic Use) Demolition Permit ❑Conditional Use[C(a),C(d), or C]** ❑Single Family ❑Garage Attached/Detached ❑Discretionary"D"or Unnamed Use Classification ❑ Manufactured Home ❑ Modular ❑Special Use(Essential Public Facilities)** ❑ Commercial* ❑Boundary Line Adjustment ❑ Change of Use ❑Short Plat** ❑ Address ❑Road Approach ❑Binding Site Plan** ❑ Home Business ❑Cottagelndustry ❑Long Plat*" ❑ Propane ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Sign ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑Shoreline Master Program Exemption/Permit Revisions*" ❑Stormwater Management ❑Shoreline Management Substantial Dev- .s••-• ** ❑Site Plan Approval Advance Determination(SPAAD)* ❑Shoreline Manag- a y (�T /J ❑Temporary Use ❑Comprehensive •' : I t -I'LL, ittridCM n nt ❑Wireless Telecommunication* ❑Jefferson County :l gram mend n ❑ Forest Practices Act/Release of Six-Year Moratorium ❑Tree Vegetaion --. •- *May require a Pre—Application Conference **Re•uires a •L 1, licatip/t onfer c 011 Please identify any other local,state or federal permits required for this • •p• al, i�11� own. Interlock Industries,Inc. DESIGNA ION 0 AGENT JEFFERSON COUNTY � I hereby designate t■ act a my agent in ma ers r� g ft�� �nom,, iggte:M E Tr ' ). OWNER SIGNATURE I I I, %Al'■ . .�l/I..�(l/11 �■ \ �.`1(''t"'�-- Date: 2, 9.0 I( By signing this application form,the owne/agent attests that the information •rovi•ed herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a materia act made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson Coun and its employees,representatives or agents for the sole purpose of application review and any required later inspections. St.i - -ss an• •ht• -ntry will •- assumed unless the applicant informs the County in writing at the time of the ap•licati• at)le or sh: want prior no c= Signature: 1 ki.l.�i�!.�2 _,,iAA.4IJI� ..�., . ��1���� (4.4.-�. Date: a. pW J( The action or actions Applicant wi ndertake as a result of the issuance oft •©Its may negatively impact upon on or more threatened or endangered species and could lead to a potential"take"of an endangered spe• -. as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group ,r agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson Co :evel pment ••e.The Applicant acknowledges that he,she or it holds individual and non-tran f-rabl- r=I po sibilit •r adh-ring t. a : comp ing with ++e ESA The Applicant has read this(=it imer and^ssiigns and dates it below. Signature: AA,/, : 'A!_ A / .C..A1,/ !t_. , A—. ,\ ��►at, cz,,�-- Date: !7C rW11 C:\Documents and Settings\carat\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12-19-2006.doc • • BUILDER STATEMENT The signer of this statement does hereby certify that the ar-t iiii ners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming he responsibility of the eral •.ntr- . the proposed project. Signature: A.I. '../ /�i .d'iI.Bbl 4".. H `a s,_iR�.,, (,Date: GENERAL CONTRACTOR OR MA FACTURED HOME INSTALLER: PHONE: FAX: Interlock Industries,Inc. o�e,.� ( 425)438-8585 (425 )4.50— �"7 MAILING ADDRESS: RIO B0 41. 1' c�Wl LU'ieE,, Everett-,hik_Ic a EMAIL: el/TWO 1-04pbF,C `I CONTRACTOR'S LICENSE WAINS NUMBER: UBI:601 828 920 NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: ❑ New ❑ Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank ❑ Community System Alteration/Remodel ❑ Concrete Total: Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: ❑ Private well ❑ Two Party Type of Heat: Proposed: ❑ Public Total: Name of System: If this is a Commercial Proiect you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current P . esed IBC Occupancy: IBC Type of construction: Willy E,q}��� "'LL'�E Sc Eon If this is a Propane Tank and/or Appliance Installation permit,mark all items bel f . ❑Underground Tank °Above ground Tank Size of Propane Tank ❑Heat Stove ❑Cook Stove ❑Woodstove ❑ Fireplace Insert ❑Hot Water Tank let Stowe, ❑Otrtiie2O11 . Is this appliance being installed in a Manufactured/Mobile Home? Yes / No PU� LL When applying for a permit to install a propane tank you must also submit a site pleA showing all of the buildin J ll property lines,tank location and size,distances from the propane tank to all property lines,bun ingt ow em components, including the reserve area. SEPT. F Go tt , lit�y L NG I, Square Footage Current Proposed For -Office Use Only , _ Amount , Revision .°' ,.. ;..., Main Floor Heated EH Bld App Review: 2na Floor Heated .,,„;,,;;I,H':,,:vRi,1;:,Ii Consistency Review: Other Heated Base fee: 4-72 C� Mezzanine Additional Section: �'�J Heated Basement Plan Check fee: Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL Decks 911/Rd Approach fee: Other TOTAL: $ 1A3 -2-5-41:',---: R- eceipt Number: 1 2 ( °-I C- ash/Check Number: il ESTIMATED COST(REQUIRED) Date: �� — .Fair market value of all labor and materials foundation to finish 3 Q/ /0 0 Initials: , C:\Documents and Settings\caral\Local Settings\Temporary Internet Files\OLK86\Master Permit Application 12 T�'LOU oc 1891 S Jacob Miller Rd, Port Tsend, WA 98368 • Page 1 of 2 i i F N fiiii uw14 CaII:877-9'3_3348 Join Re l n nr ,#i la Welcome to Redfin! Want to see all the homes for sale in Off-Market Property your area? Just click Search Listinos 1891 S Jacob Miller Rd BEDS:- STYLE:Single Family Residential Port Townsend,WA 98368 B ATHS - YEAR BUILT:- FINISHEQSOFT:- YEARRENOVATED:- Source:Public Records UNFINISHED SOFT:- COUNTY:Jefferson Counts TOTAL SOFT:- APN:- FLOORS:- LAST UPDATED:March 4,2010 LOT SIZE:- Views Tn t..,,,_II!'l'i t: ' --1 - l!. '11''1' u��II i a= �i I i '''' ' '''''"""""""t 1 ' tl > �jI u l�l� I i ii 1 f i iV I" I s- /,'"s�1p . j , ,,,4,0,1- -- i 1i ,..t � 1 f^ wl'I Property History Property Tax Date Event Price Appreciation Source No data is available for this property. thNotice:There are past MLS listings for this property which are not being shown.In order to see these listings,please sign in.Whv is this reouired? What's the Market Like for Houses Near 1891 S Jacob M€ller Rd? House:$/Sq.Ft.in 98368 Median House Values Select a place below for more pricing guidance. List$ $/Sq.Ft. Sale/List 98368 $362,500 $195 94.3% Jefferson County $359,000 $183 94.6% Home Value Estimates L.,1—POE5VEn i 1 AU_ 2 2011 I__U JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT http://www.redfin.com/WA/Port-Townsend/1891-S-Jacob-Miller-Rd-98368/home/17084737 7/20/2011 BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD11-00213 Received Date: 8/2/2011 SITE ADDRESS: 1891 S JACOB MILLER RD Issue Date 8/3/2011 PORT TOWNSEND, 98368 Expiration Date 8/3/2012 OWNER: MADELEINE C HOUSTON PHONE: 360-385-1489 PO BOX 751 PORT TOWNSEND WA 98368-0751 IRVING PARK ADDITION SUBDIVISION: Block: 13 Lot: 1-10 PARCEL NUMBER: 963301301 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: INTERLOCK INDUSTRIES INC PHONE: 425-438-8585 1420 80TH ST SW SUITE E EVERETT WA 98203 Contractor's License INTERII020LC Expires 2/6/2013 PROJECT DESCRIPTION: RE-ROOF GARAGE TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 32,100.00 ADD'L: HEAT TYPE: CODE EDITION: 2009 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $472.05 LYK 08/02/11 127969 Exist: Exist: Plan Check $306.83 LYK 08/02/11 127969 Prop: Prop: State Building Code $4.50 LYK 08/02/11 127969 Total: Total: Total: $783.38 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 7 am the day the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY -THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY Jefferson County Building Division Permit Numb BLD11-00213 Applicant: HOUSTON BUILDING PERMIT INSPECTION APPROVALS applicable Code: 2009 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Framing Insulation:Ceiling FINAL INSPECTION 2_ FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR