HomeMy WebLinkAboutBLD2014-00328 - RE ROOF •ILDING PERMIT APPLICATIM BLD14-00328
Review Type:
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD14-00328 Received Date: 9/10/2014
SITE ADDRESS: 494 BECKETT POINT RD
OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE:
% GOODING O'HARA&MACKEY
242 TAYLOR ST
PORT TOWNSEND WA 98368-5717 9322
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 932200209 Section: 23 Township: 30 N Range: 2V1
CONTRACTOR: LOREN MAY PHONE: 360-302-5106
11 PINE COURT
PORT HADLOCK WA 98339
Contractor's License ALLWEWR938PS Expires 10/10/2015
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOI Re-Roof permit- Same for Same
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP PLM MAIN:
VALUATION 6,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: Prop:
Total: Total:
Routing Date:
Type Amount Paid By: Date: Receipt: Approved/Date
State Building Code $4.50 SRE 09/10/14 151483
Permit S152.00 SRE 09/10/14 151483
Total: $156.50 i1
SEP 10 2014
Jefferson County DCD
\\tidemark\data\forms\F_BLD_App_Bld.rpt 9/10/2014
„ goN c0, JEFFERSON c NTY 1110-01L-1- 32g -
� DEPARTMENT OF COMMUNITY DEVELOPMENT
”"' ''4 621 Sheridan Street • Port Townsend •Washington 98368
360/379-4450 • 360/379-4451 Fax
p www.co.jefferson.wa.us/commdevelopment
iINC
Master Permit Application MLA:
Project Description(include separate sheets as necessary):
_ Gi/Yne ,L-b- �iQrmrz ✓Lc--2
Tax Parcel Number: d 3 2 a D 0 0 Property Size: (acres/square feet)
Site Address and/or Directions to Property: j../9� h_;_ yq f r/^#
Property Owner(s)of Record: 7ila-/2 w
Telephone: Fax: email:
Mailing Address:
Applicant/Agent(if different from owner): iz e, I . _
Telephone: 360 -30? -6-/66 Fax: email: _
Mailing Address:J 3l ljd uthz) -d ,
What kind of Permit?(Check each box that applies ❑ Lot or Road Segregation
❑Building ❑ Critical Areas Stewardship Plan
❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use)
V.Single Family ❑Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or Cl**
❑ Manufactured Horne .❑ Modular - ❑ Discretionary"D"or Unnamed Use Classification
❑ Commercial* ❑Special Use(Essential Public Facilities)**
❑ Change of Use ❑ Boundary Line Adjustment
❑ Address__ ❑Road Approach_ ❑ Short Plat**
❑ Home Business ❑Cottage Industry ❑ Binding Site Plan**
❑ Propane ❑ Long Plat**
❑ Sign ❑ Plannea Rural Residential Development(PRRD)/Amendments**
❑Allowed"Yes"Use Consistency Analysis ❑ Plat Vacation/Alteration**
❑ Stormwater Management ❑ Shoreline Master Program Exemption/Permit Revisions**
❑Site Plan Approval Aovance Determination(SPAAD)* ❑ Shoreline Management Substantial Development**
❑Temporary Use ❑ Shoreline Management Variance
❑Wireless Telecommunication* ❑Comprehensive Plan/UDC/Land Use District Map Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium ❑Jefferson County Shoreline Master Program Amendment
*May require a Pre—Application Conference ❑Tree Vegetation Request
**Requires a Pre-Application Conference _-
Please identify any other local,state or federal permits required for this proposal, if known:
,z �DESI�,a NATION OF AGENT
I hereby designate , /121-e G2:i 1 o act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE era- . .�J�a{cs�v Date: 7�9X0e
By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or its knowledge. Any material falsehood or any omission of a material fact 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 County and its employees,representatives or agents for the sole purpose of application
review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the
time of the applicati n that he or she wants prior notice. / /, /
Signature: t G � 9 • 13-ar®-6c_ Date: 9` 9/r'Y
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species 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 or agency can file a lawsuit on behalf of an endangered species regarding your
action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual
and non-transfer e responsibility for adheri to and complying with the ESA. The Applicant has read this disclaiimerr,and signs and dates it below.
Signature:non-transfer
r9• B ic, Date: 919//'
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• BUILDER STATEMENT •
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
( ) ( )
MAILING ADDRESS: EMAIL.:
CONTRACTOR'S LICENSE WAINS
NUMBER: NUMBER
ARCHITECT/ENGINEER: PHONE ( ) Fax:
MAILING ADDRESS: EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
0 New ❑ Wood Existing: ❑ Sewer
G Addition ❑ Steel Proposed: Bank ❑ Community System
O 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 Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(indudes owners,tenants,employees,etc) Current Proposed
• IBC Occupancy: IBC Type of construction: Will you have Food.Service? Yes / No .
If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply:
i Underground Tank i Above ground Tank Size of Propane Tank:
i Heat Stove I Cook Stove i Woodstove i Fireplace Insert i Hot Water Tank i Pellet Stove I Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components,
including the reserve area.
Square Footage Current Proposed For Office Use Only ;' Amount Revision
Main Floor Heated EH Bld App Review:
Floor Heated Consistency Review:
Other Heated Ba e fee:
Mezzanine Additional S ction:
I
Heated Basement Plan Check fee:
Unheated Basement State Surcharge fee:
4CV
Other Unheated Pot Water Review fee:
Garage/Carport SUBTOTAL
SZCUYl. 19 , 00
Decks 911/Rd Approach fee:
-Other _ TOTAL: $ 1 76;07)
Receipt Number: 15/ 4' 3
Cash/Check Number: / /
ESTIMATED COST(REQUIRED) Date: iyi LUT•Fair market value of all labor and materials foundation to finish
Initials:
G:\PermitCenter\###FORMS###\DRD FORMS\Current DRD Forms\Master Permit Application 5-29-08.doc
• •
JEFFERSON COUNTY DEPARTMENT COMMUNITY DEVELOPMENT
RE-ROOFING REQUIREMENTS
If the scope of work does not include structural change and does not change the load bearing capacity,your
application needs to include:
• Master Permit Application
• Roofing Supplemental Application
• Permit fees based on valuation.
If the scope of work involves a structural change (such as change of pitch, adding dormers etc) OR changes the
load bearing capacity of the current roof,your application needs to include:
• Master Permit Application
• Roofing Supplemental Application
• Plans, including structural calculations stamped by a licensed engineer or architect
• Permit fees
Fees are based on valuation of the fair market value for all labor and materials with a minimum of$152.00 (plus
state fee of$4.50).
Additional fees may apply if plans are required.
Examples of approximate fees,current as of October 2013:
Cost of Re-roofing $6,000 $15,000 $20,000
Base Fee $152 $212 $267
Plan Check-if applicable •1:-.:1 ' v $137.80 $173.55
TOTAL $156.51 (+$4.50) 7 $216.50(+$4.50) $271.50(+$4.50)
Plans that include dormers,stairs, increased living or heated space, or increased roof area may require
Environmental Health Review and fee of$78.00. Plans that include dormers or increased roof area or height for
projects located within shoreline jurisdiction and less than 150' from OHWM may require Planning Review and
fee of$532.00. A site plan is required for projects in shoreline jurisdiction.
Exemptions: If the scope of work does not change the load bearing capacity OR the original structure AND is
less than 200 sq ft, a permit is not required.
Emergency Damage Repair: If the work is to repair a roof damaged by sudden, unforeseen events such as
storm damage, roofing permits will be issued over the counter for minor repairs. Rebuild involving structural
repair will require wet stamped engineered plans within 30 days of the emergency issuing AND the applicant
will need to schedule inspections per the building permit process.
**Temporary, emergency repairs such as tarps and tarp tie-downs do not need a building permit.
Codes Referenced: 2012 IBC 1510 and IRC R907. Created 10/14/2013.
2013-10-31_REROOF.DOCX
Updated October 31, 2013
• •
' p RE-ROOFING SUPPLEMENTAL APPLICATION
Owner Name:_ n61�ZG efhone:
Applicant or Agent (if different from owner): hone: -S607'3427 -70
Site Address: Ai 94) / t- 4-7-11/7Q1
Parcel: 9'52,2 co.zD 7
Scope of work sq ft:
1. Is the original roof being removed.es NO
2. Are you replacing with the same aterial: YES dri ,
3. Materials removed: - . to-ax e JZ/[?D ' t & I
4. Does the scope of work increase th pitch or footprint or original roof? YES NO
5. Are you adding dormers? YES
6. Are you increasing the living or heated space?
7. Are you doing solar installation? YES EP
8. If you answered "YES"to#4 or#5 above: Is the pro'ect located less than 150 feet from a marine or river
shoreline or 100 feet from a lake shoreline? AV CEO-
9. If you answered "YES" to#8 above, submittal of a site plan and fees in the amount of$532 are required.
10. If you answered "YES"to#4, 5 or 6, Environmental Health Review and a fee of$78.00 are required.
11. Any additional Information:
2013-10-31 REROOF.DOCX
Updated October 31, 2013
. •
Mahlon Clements <mclements @via-architecture.com> 4:06 PM (1
hour ago)
to me
To Jefferson county permit officials,
This email authorizes All Weather Roofing to submit a permit on my behalf for replacing a roof
at 494 Beckett Point Road, Port Townsend. Please contact me at 206-605-6527 if you have any
further questions.
Mahlon Clements,AIA LEED AP I Director I VIA Architecture I 206.605.6527 I vcard
ALL WEATHER ROOFING Page 1 of 2
S •
thi i Washington State Department of
Labor & Industries
ALL WEATHER ROOFING
Owner or tradesperson 11 PINE COURT
MAY LOREN K PORT HADLOCK, WA 98339
360-302-5106
Principals JEFFERSON County
MAY, LOREN K, OWNER
Doing business as
ALL WEATHER ROOFING
WA UBI No. Business type
602 760 043 Individual
License
Verify the contractor's active registration/license/certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
ROOFING
License no.
ALLWEWR938PS
Effective—expiration
10/10/2007—10/10/2015
Bond
American Contractors Indem CO $6,000.00
Bond account no.
100232199
Received by L&I Effective date
09/27/2013 10/06/2013
Expiration date
Until Canceled
Bond history
Insurance
..............................
United Specialty Insurance Corn $1,000,000.00
Policy no.
USIC-500021
Received by L&l Effective date
09/27/2013 09/28/2013
Expiration date
09/28/2014
Insurance history
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602760043&LIC=ALLWEWR938PS&SAW= 9/10/2014
ALL WEATHER ROOFING Page 2 of 2
Savings •
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
Cause no.
13-2-03818-8SEA Closed/Satisfied
Complaint filed by Complaint against bond(s) or savings
STATE OF WASHINGTON 50210700
Complaint date Complaint amount
03/12/2013 $4,000.00
L&I Tax debts
. . ...... . .. ....
No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Call L&l account representative for
141,817-00 account status.
Doing business as
ALL WEATHER ROOFING
Estimated workers reported
Incomplete premium report received.
L&I account representative
T2/ HOLLY ROBINSON (360)417-2736 -Email: ROHO235 @lni.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Acc sa
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602760043&LIC=ALLWEWR938PS&SAW= 9/10/2014
BUILDING PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT#: BLD14-00328 Received Date: 9/10/2014
SITE ADDRESS: 494 BECKETT POINT RD Issue Date 9/10/2014
Expiration Date 9/10/2015
OWNER: BECKETT POINT FISHERMEN'S CLUB PHONE:
% GOODING O'HARA& MACKEY
242 TAYLOR ST
PORT TOWNSEND WA 98368-5717 9322
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 932200209 Section: 23 Township: 30 N Range: 2V1
CONTRACTOR: LOREN MAY PHONE: 360-302-5106
11 PINE COURT
PORT HADLOCK WA 98339
Contractor's License ALLWEWR938PS Expires 10/10/2015
PROJECT DESCRIPTION: Re-Roof permit- Same for Same
TYPE OF WORK RES SQUARE FOOTAGE:
TYPE OF IMP PLM MAIN:
VALUATION 6,000.00 ADD'L: HEAT TYPE:
CODE EDITION: 2012 HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: #OF STORIES:
OCCUPANCY: OTHER:
CONST TYPE: GARAGE: SHORELINE:
CONST TYPE: DECK: SETBACK:
BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: Type Amount Paid By: Date: Receipt:
BEDROOMS: BATHROOMS: State Building Code $4.50 SRE 09/10/14 151483
Exist: Exist: Permit $152.00 SRE 09/10/14 151483
Prop: Prop: Total: $156.50
Total: Total:
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 3pm the day before 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 Number: BLD14-00328
Applicant: BECKETT POINT FISHERMEN'S
BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next days 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
FINAL FINAL Building
A final inspection will not be scheduled until all of the
following are completed and signed off by the applicable
Department:
• Building Permit Conditions are met
• Septic Permit Final/Complete for any building
containing plumbing
• Land Use Conditions met and signed off
• Public Works Permit Final(where applicable)
FINAL INSPECTION Yip-ft!
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
�,4 ON cam°
�, JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
-YSHf,c,,,)
Date: Time Time Received: a pm Mon. Tue. Wed. Thur. Fri.
Date:
BLD: /71_1 243 Contact Name:
Owner: Contact Number: 360 50 f o1O
Address: 7g E f 61.416-ir 206
Notes: gF—Roa/
Foundation Plumbing Framing Propane Tank Mechanical
Setbacks Under-ground Framing Under ground Furance
Footing Rough In Air Seal Above ground Gas
Stemwall Hydronic Exterior shear Exterior lines Oil
Straps Hot Water Htr Interior shear Interior lines Ducts
Post Hole Ventilation Appliance
Underfloor Gas/Wood stove
Man-Homes Insulation
Final Inspection
- Setbacks Floor
Foundation Wall Address Posted
Block&Tile Ceiling