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HomeMy WebLinkAboutBLD2013-00264 - RE ROOF BLD13-00264 UILDING PERMIT APPLICA N Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00264 Received Date: 8/27/2013 SITE ADDRESS: OWNER: NORMAN K HOWARD TRUSTEE PHONE: KATHERYN A HOWARD TRUSTEE 2554 FLAGLER RD PORT HADLOCK WA 983399744 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901024040 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP RE-ROOF ENTRANCE AWNING TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT INDUSTRIAL: MAIN: VALUATION 2,700.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: SHORELINE: GARAGE: SETBACK: CONST TYPE: DECK: BANK HEIGHT: SEWAGE DISPOSAL: NUMBER OF EMPLOYEES: WATER SYSTEM: BATHROOMS: Exist: Prop: Total: Routing Date: Type Amount Paid By: Date: Receipt: Approved/Date Permit $69.00 MEB 08/27/13 142427 Plan Check $44.85 MEB 08/27/13 142427 APPROVED State Building Code $4.50 MEB 08/27/13 142427 AUG 201 Total: $118.35 Jefferson County DCr Wirlomor4\rn+.\fnrmc\F RI Il Ann PIA n,+ Q/77/7(11Z CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX(360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00264 SITE ADDRESS: Issue Date: 08/27/2013 Final Date: 10/16/2013 APPLICANT: NORMAN K HOWARD TRUSTEE PHONE: KATHERYN A HOWARD TRUSTEE 2554 FLAGLER RD PORT HADLOCK WA 983399744 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901024040 Section: 2 Township: 29 N Range: 01 W PROJECT DESCRIPTION: RE-ROOF ENTRANCE AWNING THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes no THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 10/16/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 10/28/2013 ¢SON �� E RSQN COUNTY WJIAI--- 2 1-i riPAOAte�`r `' .4 DEPARTMENT OF OMME I DEVELOPMENT 4; � 621 Sheridan Street I Port Townsend,WA 98368 I Web:www.co.Jefferson.wa.us/communitydevelogment RSXjN��o Tel:360.379.4450{Fax:360.379.4451 I Email:dcd@co.iefferson.wa.us Building Permits&Inspections(Development Consistency Review I Long Range Planning I Watershed Stewardship Resource Center Master Permit Application MLA: Project pescn on(inc de separate sheets as necessary): wi !^ t� . . Vt"�VA cc C Lt-AI Lf i rs . Vt Tax Parcel Number: �d I D.9 i? 0440 Property Size: (acres/square feet) Site Address and/or Directions to Property: /02/io C k; w-&t gel • P0,04 i(A eih d Property Owner(s)of Record: Noai*I es.r.. dr VA-flti f-®r,Uard Telephone: Fax: n 1 / email: Mailing Address: p?i 5 V rid,ier �^ Pm 'rt' 4,06 C. Applicant/Agent(if different from owner): 'r eL.L.,_. UGLP(S et t. Telephone: 3o '— 3 o/- A 9'45 Fax: email: Mailing Address: W at kind of Permit?(Check each box that applies ❑ Lot or Road Segregation l Building PG— YIP a4. . ❑Critical Areas Stewardship Plan ❑ Demolition Permit ❑Variance(Minor, Major or Reasonable Economic Use) ❑Single Family ❑ Garage Attached/Detached ❑ Conditional Use[C(a),C(d),or C]** ❑ Manufactured Home ❑ 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 ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Allowed"Yes"Use Consistency Analysis ❑Plat Vacation/Alteration** ❑Stormwater Management ❑Shoreline Master Program Exemption/Permit Revisions** ❑Site Plan Approval Advance 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: � I jI cc DESIGNATION OF AGENT I hereby designate see. g.R'k c i'c- to act as my agent in matters relating to this application for permit(s). • OWNER SIGNATURE Date: 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 inspection . Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the appl•..9•r that he he nts p' r notice. /t„ «<�� Signature: �' Date: (/�/ The action or actions Appli t 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-trans respons' 'lity for e• g to and complying with the ESA. The Applicant has read this disclaimer end signs and dates it below. Signature: Date: ��p(>/13 !!! / 07/24/2013 BUILDER STATEMENT The signer of this statement does her-by certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be ass g e responsi•'1 of tiv General Contractor for the proposed project. Signature: ■ ' _ Date: ) (3 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: HONE: FAx: ( ) ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame T p e: Bathrooms: Shoreline: Type of Sewage Disposal: New !11 o.I Existing: Sewer Addition Steel Proposed: Bank Community System Alteration/^emod-I 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(includes 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: Heat Stove I Cook Stove i Woodstove 1 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. on - " � `Square Footage Current Proposed s - Main Floor Heated ' ' 'f EH BId App Review: ...--------- , "a Floor Heated .art i Consistency I 3t Other Heated Base fee: It 1,tt „fi r 6'61' Mezzanine ;. Additional Section: Heated Basement - `, Plan Check fee: 0/------ Unheated Basement State Surcharge fee: Other Unheated Pot Water Review fee: --------- Garage/Carport I ; SUBTOTAL Decks _ 911/Rd Approach fee: Other ` TOTAL: $ � st Receipt Number: t -t24 2`4- e vt, 0 Cash/Check Number: "1 1 STIMATED COST(REQUIRED) Date: air market value of all labor and materials foundation to nish a>©o ^ fi Initials: V:5_ 07/24/2013 • • CC F` H 0 = O C3 LL (V -O Z LL � O H O CY) � O O W .- .- ,- '\ Q CC g- o — N O O O "C) - NI- I- O O L U) -0 M CC 10 +.1 CA C U CO = CC W O 0 O +-1 "O H 07 CO = -- O L L L C Y r-- CC -0 C) U C� H Z O J O J 0- 0- = � C) I- I- O N 07 Lf) d" CD CD NI- CO "O ti = O co U W I— I CC 'O LL co 07 W Y C = 3 W I- I- CO 3 1-- CO '� O W CA co O co Z J U O 1— = CO CO -O Q Z CO CC Z 0) C- X O T H = F- H -- � CC 3 CC CO 3 >- N O I- 0 J Q I- * Z CO CC O 3 10 CC O LU CO CO Q 2 O C LLB 1- J w Cr 3 CC w CL N W CO CC Q O >- O O W Q CI 3 2 J CC Y -- CC � F- ?C � O O H LU U CO CZ O 3 LO CO Q ¢ 2 Q X J O 0) .- CO = I- Q CD J CI J N CC CC LU Y Z LL Q 0 = CL- I- I- >- -I Q C, W 'O O O X W Z CC CO LL 2 Cr- C.) 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I / I , . .., : i ! s? 0 o 14a / i i uu m xl > r c -11 , ____1_ -a — -n IA ,,,,,......_,...............„...___r i . . r I ' , LI) It rn, i ni xi XI 0 ;0 XJ . , , -I < < z 0 ni ni m 0 0 / ,/ ' 0 p 0 *V Z 17 / , ( iT1 :,-- - CD --I W 73 Z __ __ _____ i rn C in 4 1.1.. , i rn C; M ; 1 1 : m 0 * o o C) \ . _ , 1 / / 0 1 Lii Ity August 27, 2013 Steve Carson is authorized to do repair work on the building at 103/105 Chimacum Road, Port Hadlock, Washington. Norm and Kathy Howard 0 I eit___, 01" x.,) L , / ,,.. , 4,..,,,,,, �n (Sion Permit Nurr er: Jefferson County Building I Applicant: BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 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 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 ('RAMr►Jc. 16/l5/l3 FINAL INSPECTION p0.5/13 C2A -fIcr �i►�a,� FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# : \\firlemark\riata\fnrmc\F RI 1) Permit Rlrin rnt R/97/9011 • BUILDING PERMIT • Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00264 Received Date: 8/27/2013 SITE ADDRESS: Issue Date 8/27/2013 Expiration Date 8/27/2014 OWNER: NORMAN K HOWARD TRUSTEE PHONE: KATHERYN A HOWARD TRUSTEE 2554 FLAGLER RD PORT HADLOCK WA 983399744 SUBDIVISION: Block: Lot: PARCEL NUMBER: 901024040 Section: 2 Township: 29 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: RE-ROOF ENTRANCE AWNING TYPE OF WORK COM SQUARE FOOTAGE: COMMERCIAL: TYPE OF IMP ALT MAIN: INDUSTRIAL: VALUATION 2,700.00 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: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BATHROOMS: Permit $69.00 MEB 08/27/13 142427 Exist: Plan Check $44.85 MEB 08/27/13 142427 Prop: State Building Code $4.50 MEB 08/27/13 142427 Total: Total: $118.35 NUMBER OF EMPLOYEES: 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 '.- • ,t:;.7...:72,... ..7..4....-...:if - . / Date! ' l if -time received 53 I am ! Mon. Tues. _f -* Thur. - Fri. BLD: 13 –2L T i�Date: / °/6 - . OWNER: /,, p� - - Contact Name,: / 1(j ADDRESS: /0 3 • dL ' `?P Contact Number 360 . 4D 1,9,7 0/ ._, 20.6 Notes: • Foundation Plumbing - Framing - Propane Tank Mechanical Setbacks Under-ground Framing - Underground Furnace Footing Rough in Alr seal Above ground - Gas Stemwall __ Hydronic Exterior shear Exterior lines Oil Straps Interior shear — Interior lines • _ Ducts . . Post Hole Ventilation - Appliance Underfloor _ Gas/wood stove Man-Homes - Setbacks - Insulation. Final Inspection X ='i Foundation - :3 �} Block&Tie floor _wall ceiling. . Address Posted r